Warde 1007138 vanillymandelic acid 24 hour urine at Sanford Sheldon Medical Center

118 N 7th Ave, Sheldon, IA · Sanford Health · · NPI 1841200623

Source: hospital's published price file ↗ · Published Mar 4, 2026 · Ingested Aug 12, 2026

$68.80

Cash price

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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.

Full explanation →

What you pay up front if you don't use insurance.

$86.00

Gross charge

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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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$17.39 with Sanford Health Plan Align vs $54.90 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 →

Payer
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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
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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 $17.39 ↓ -75%
Ucare Medicare Replacement $18.67 ↓ -73%
Great Plains Medicare Advantage Medicare Replacement $18.85 ↓ -73%
Aetna Medicare Replacement $18.85 ↓ -73%
Blue Cross Blue Shield of North Dakota Medicare Replacement $18.85 ↓ -73%
Health Partners Medicare Replacement $18.85 ↓ -73%
United Healthcare Medicare Replacement $18.85 ↓ -73%
Primewest Medicare Replacement $19.22 ↓ -72%
Wellmark HMO $30.50 ↓ -56%
Wellmark PPO $31.72 ↓ -54%
Sanford Health Plan Group Health/True $32.68 ↓ -53%
Sanford Health Plan SD Exchange True $32.68 ↓ -53%
Security Health Plan Commercial $33.55 ↓ -51%
Sanford Health Plan Commercial/ND Pers $38.45 ↓ -44%
Sanford Health Plan SD Exchange Commercial $38.45 ↓ -44%
Health Partners State Employees $40.26 ↓ -41%
Health Partners Commercial $45.75 ↓ -34%
Medica Choice $50.33 ↓ -27%
United Healthcare Commercial + Top 20 $50.94 ↓ -26%
Aetna Commercial $53.01 ↓ -23%
Ucare Commercial $53.59 ↓ -22%
Medica Elect $53.80 ↓ -22%
Healthez Commercial $54.90 ↓ -20%
First Choice Health Network Commercial $54.90 ↓ -20%
Multiplan Commercial $54.90 ↓ -20%

Visitor-reported prices

visitor-reported
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Warde 1007138 vanillymandelic acid 24 hour urine at other Iowa hospitals

Hospital City Cash price Negotiated range
MercyOne Genesis Davenport West Medical Center Davenport $158.40 $15.50 – $15.50
MercyOne Dubuque Medical Center Dubuque $74.75 $15.02 – $115.00
MercyOne Clinton Medical Center Clinton $176.15 $15.02 – $271.00
MercyOne West Des Moines Medical Center West Des Moines $229.00 $15.02 – $229.00
MercyOne Des Moines Medical Center Des Moines $148.85 $15.02 – $105.00
MercyOne Centerville Medical Center Centerville $115.00 $15.19 – $115.00
MercyOne Newton Medical Center Newton $74.75 $15.02 – $115.00
MercyOne North Iowa Medical Center Mason City $74.75 $15.02 – $115.00

All Iowa hospitals for this procedure →