Acyclovir 400 mg tablet at Sanford Thief River Falls Medical Center

3001 Sanford Pkwy, Thief River Falls, MN · Sanford Health · · NPI 1043218753

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

$8.06

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.

Full explanation →

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

$10.07

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.

Full explanation →

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

$2.06 with Blue Cross Blue Shield of Minnesota vs $5.64 with Medica — same scan, same building. Share

Negotiated rates by payer
?

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
Blue Cross Blue Shield of Minnesota PMAP $2.06 ↓ -74%
Sanford Health Plan Align Medicare Replacement $2.28 ↓ -72%
Ucare Medicare Replacement $2.45 ↓ -70%
Blue Cross Blue Shield of Minnesota Medicare Replacement $2.47 ↓ -69%
United Healthcare Medicare Replacement $2.47 ↓ -69%
Aetna Medicare Replacement $2.47 ↓ -69%
Great Plains Medicare Advantage Medicare Replacement $2.47 ↓ -69%
Health Partners Medicare Replacement $2.47 ↓ -69%
Primewest Medicare Replacement $2.52 ↓ -69%
Sanford Health Plan Group Health/TRUE $3.21 ↓ -60%
Sanford Health Plan SD Exchange True $3.21 ↓ -60%
Security Health Plan Commercial $3.30 ↓ -59%
Sanford Health Plan Commercial/ND Pers $3.78 ↓ -53%
Sanford Health Plan SD Exchange Commercial $3.78 ↓ -53%
Blue Cross Blue Shield of Minnesota Commercial/Federal $4.15 ↓ -49%
Health Partners Commercial $4.86 ↓ -40%
United Healthcare Commercial + Top 20 $5.01 ↓ -38%
Aetna Commercial $5.21 ↓ -35%
Ucare Commercial $5.27 ↓ -35%
Medica Choice $5.27 ↓ -35%
Cigna Commercial $5.40 ↓ -33%
Multiplan Commercial $5.40 ↓ -33%
Healthez Commercial $5.40 ↓ -33%
First Choice Health Network Commercial $5.40 ↓ -33%
Medica Elect $5.64 ↓ -30%
Primewest Medicaid Managed Care not published by hospital —
Ucare Medicaid Managed Care not published by hospital —

Visitor-reported prices

visitor-reported
Report what you paid sign in to post

Comments

Add a comment sign in to post

Acyclovir 400 mg tablet at other Minnesota hospitals

Hospital City Cash price Negotiated range
Sanford Behavioral Health Thief River Falls Thief River Falls $8.06 $2.06 – $5.40
Sanford Canby Medical Center Canby $6.97 $0.36 – $1.35
Sanford Westbrook Hospital Westbrook $5.62 $0.36 – $1.35
Sanford Bagley Medical Center Bagley $622.03 $1.46 – $5.44
Sanford Luverne Medical Center Luverne $355.80 $0.36 – $1.35
Sanford Bemidji Medical Center Bemidji $742.65 $2.89 – $5.78
Sanford Worthington Medical Center Worthington $5.20 $0.58 – $1.35
Sanford Tracy Hospital Tracy $5.15 $0.36 – $1.35

All Minnesota hospitals for this procedure →