Tobramycin in ns IV syringe 4 mg/ml (neo/ped) - cnr at Sanford Sheldon Medical Center
118 N 7th Ave, Sheldon, IA · Sanford Health · · NPI 1841200623
$61.27
Cash price Discounted cash price What a hospital charges a self-pay patient who pays directly, without going through insurance — usually well below the gross charge. Example: A CT scan has a $3,200 gross charge but an $850 discounted cash price. Ask for it by name when scheduling — hospitals don't always advertise it up front.
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What you pay up front if you don't use insurance.
$76.58
Gross charge Gross charge (chargemaster price) The hospital's full, undiscounted list price — pulled from its internal "chargemaster" price list. Almost no one actually pays this. Example: A chest X-ray has a gross charge of $1,450. The same hospital's discounted cash price for the same X-ray is $180 — the gross charge mostly anchors negotiations, not what patients pay.
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The hospital's undiscounted list price — almost no one pays this.
$21.59 with Sanford Health Plan Align vs $68.18 with Multiplan — same scan, same building. Share
Negotiated rates by payer
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →Payer ?Payer The insurance company footing the bill — Aetna, UnitedHealthcare, Medicare, and so on. Example: "Blue Cross Blue Shield" is the payer. Its negotiated rate for an MRI might be $904, while a different payer's negotiated rate for the same scan is $1,509. Full explanation → |
Plan ?Plan The specific product an insurer sells — e.g. "Blue Cross PPO 500" — which sets your deductible, coinsurance and negotiated rates. Example: Two people both insured by Aetna can owe very different amounts for the same MRI: $50 with an HMO plan's flat copay, or the full $1,200 toward a high-deductible PPO plan's unmet deductible. Full explanation → |
Negotiated rate | vs. cash |
|---|---|---|---|
| Sanford Health Plan Align | Medicare Replacement | $21.59 | ↓ -65% |
| Ucare | Medicare Replacement | $23.18 | ↓ -62% |
| Great Plains Medicare Advantage | Medicare Replacement | $23.41 | ↓ -62% |
| Aetna | Medicare Replacement | $23.41 | ↓ -62% |
| Blue Cross Blue Shield of North Dakota | Medicare Replacement | $23.41 | ↓ -62% |
| Health Partners | Medicare Replacement | $23.41 | ↓ -62% |
| United Healthcare | Medicare Replacement | $23.41 | ↓ -62% |
| Primewest | Medicare Replacement | $23.86 | ↓ -61% |
| Wellmark | HMO | $37.88 | ↓ -38% |
| Wellmark | PPO | $39.40 | ↓ -36% |
| Sanford Health Plan | Group Health/True | $40.59 | ↓ -34% |
| Sanford Health Plan | SD Exchange True | $40.59 | ↓ -34% |
| Security Health Plan | Commercial | $41.67 | ↓ -32% |
| Sanford Health Plan | Commercial/ND Pers | $47.75 | ↓ -22% |
| Sanford Health Plan | SD Exchange Commercial | $47.75 | ↓ -22% |
| Health Partners | State Employees | $50.00 | ↓ -18% |
| Health Partners | Commercial | $56.82 | ↓ -7% |
| Medica | Choice | $62.50 | ↑ +2% |
| United Healthcare | Commercial + Top 20 | $63.26 | ↑ +3% |
| Aetna | Commercial | $65.84 | ↑ +7% |
| Ucare | Commercial | $66.56 | ↑ +9% |
| Medica | Elect | $66.82 | ↑ +9% |
| Healthez | Commercial | $68.18 | ↑ +11% |
| First Choice Health Network | Commercial | $68.18 | ↑ +11% |
| Multiplan | Commercial | $68.18 | ↑ +11% |
Visitor-reported prices
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Tobramycin in ns IV syringe 4 mg/ml (neo/ped) - cnr at other Iowa hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne Genesis Davenport West Medical Center | Davenport | $33.23 | not published |
| MercyOne Dubuque Medical Center | Dubuque | $354.15 | $1.29 – $3.60 |
| MercyOne New Hampton Medical Center | New Hampton | $354.15 | $1.43 – $3.60 |
| MercyOne Dyersville Medical Center | Dyersville | $354.15 | $1.36 – $4.05 |
| MercyOne Clinton Medical Center | Clinton | $354.15 | $1.02 – $3.60 |
| MercyOne West Des Moines Medical Center | West Des Moines | $190.95 | $0.72 – $3.60 |
| MercyOne Des Moines Medical Center | Des Moines | $354.15 | $0.72 – $3.60 |
| MercyOne Newton Medical Center | Newton | $10.85 | $2.34 – $3.60 |