Ampicillin-sulbactam 1.5 gram solution for injection at Sanford Luverne Medical Center

1600 N Kniss Ave, Luverne, MN · Sanford Health · · NPI 1497703045

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

$83.52

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.

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

$104.40

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.

$18.58 with Blue Cross Blue Shield of Minnesota vs $72.61 with Medica — 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
Blue Cross Blue Shield of Minnesota PMAP $18.58 ↓ -78%
Sanford Health Plan Align Medicare Replacement $27.02 ↓ -68%
Ucare Medicare Replacement $28.93 ↓ -65%
Blue Cross Blue Shield of Minnesota Medicare Replacement $29.24 ↓ -65%
Health Partners Medicare Replacement $29.24 ↓ -65%
Aetna Medicare Replacement $29.24 ↓ -65%
United Healthcare Medicare Replacement $29.24 ↓ -65%
Great Plains Medicare Advantage Medicare Replacement $29.24 ↓ -65%
Primewest Medicare Replacement $29.82 ↓ -64%
Primewest Medicaid Managed Care $36.30 ↓ -57%
Sanford Health Plan Group Health/True $41.12 ↓ -51%
Sanford Health Plan SD Exchange True $41.12 ↓ -51%
Security Health Plan Commercial $42.21 ↓ -49%
Sanford Health Plan SD Exchange Commercial $48.38 ↓ -42%
Sanford Health Plan Commercial/ND Pers $48.38 ↓ -42%
Health Partners State Employees $52.88 ↓ -37%
Health Partners Commercial $61.40 ↓ -26%
Blue Cross Blue Shield of Minnesota State Employees $62.78 ↓ -25%
United Healthcare Commercial + Top 20 $64.09 ↓ -23%
Aetna Commercial $66.70 ↓ -20%
Ucare Commercial $67.43 ↓ -19%
Medica Choice $67.46 ↓ -19%
Multiplan Commercial $69.08 ↓ -17%
Healthez Commercial $69.08 ↓ -17%
First Choice Health Network Commercial $69.08 ↓ -17%
Cigna Commercial $69.08 ↓ -17%
Blue Cross Blue Shield of Minnesota Commercial/Federal $71.01 ↓ -15%
Medica Elect $72.61 ↓ -13%
Ucare Medicaid Managed Care not published by hospital —

Visitor-reported prices

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Ampicillin-sulbactam 1.5 gram solution for injection at other Minnesota hospitals

Hospital City Cash price Negotiated range
Sanford Canby Medical Center Canby $66.07 $18.47 – $68.68
Sanford Westbrook Hospital Westbrook $63.96 $18.59 – $69.10
Sanford Bagley Medical Center Bagley $52.99 $15.01 – $55.81
Sanford Wheaton Wheaton $27.96 $7.58 – $28.18
Sanford Bemidji Medical Center Bemidji $73.05 $1.02 – $8.18
Sanford Worthington Medical Center Worthington $66.54 $1.00 – $68.71
Sanford Tracy Hospital Tracy $62.74 $18.66 – $69.38
Sanford Thief River Falls Medical Center Thief River Falls $75.10 $15.29 – $40.06

All Minnesota hospitals for this procedure →