Dicyclomine injection at Sanford Westbrook Hospital

920 Bell Ave, Westbrook, MN · Sanford Health · · NPI 1942253547

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

$74.94

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.

$93.67

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.

$22.68 with Blue Cross Blue Shield of Minnesota vs $88.05 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 $22.68 ↓ -70%
Sanford Health Plan Align Medicare Replacement $40.09 ↓ -47%
Ucare Medicare Replacement $42.99 ↓ -43%
Wellmark SD Medicare Replacement $42.99 ↓ -43%
Aetna Medicare Replacement $43.46 ↓ -42%
United Healthcare Medicare Replacement $43.46 ↓ -42%
Health Partners Medicare Replacement $43.46 ↓ -42%
Great Plains Medicare Advantage Medicare Replacement $43.46 ↓ -42%
Primewest Medicare Replacement $44.26 ↓ -41%
Primewest Medicaid Managed Care $47.40 ↓ -37%
Security Health Plan Commercial $51.52 ↓ -31%
Health Partners State Employees $64.54 ↓ -14%
Sanford Health Plan SD Exchange True $73.94 ↓ -1%
Sanford Health Plan Group Health/True $73.94 ↓ -1%
Health Partners Commercial $74.94 ↑ +0%
Blue Cross Blue Shield of Minnesota State Employees $76.62 ↑ +2%
United Healthcare Commercial + Top 20 $78.21 ↑ +4%
Aetna Commercial $81.40 ↑ +9%
Ucare Commercial $82.30 ↑ +10%
Medica Choice $82.34 ↑ +10%
Healthez Commercial $84.30 ↑ +12%
Cigna Commercial $84.30 ↑ +12%
Multiplan Commercial $84.30 ↑ +12%
First Choice Health Network Commercial $84.30 ↑ +12%
Blue Cross Blue Shield of Minnesota Commercial/Federal $86.66 ↑ +16%
Sanford Health Plan SD Exchange Commercial $86.99 ↑ +16%
Sanford Health Plan Commercial/ND Pers $86.99 ↑ +16%
Medica Elect $88.05 ↑ +17%
Ucare Medicaid Managed Care not published by hospital —

Visitor-reported prices

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Dicyclomine injection at other Minnesota hospitals

Hospital City Cash price Negotiated range
Sanford Bemidji Medical Center Bemidji $60.95 $1.02 – $57.45
Sanford Thief River Falls Medical Center Thief River Falls $49.60 $21.30 – $55.80
Sanford Behavioral Health Thief River Falls Thief River Falls $49.60 $21.30 – $55.80
United Hospital MN | 1175 Nininger Road. Hastings $37.84 $13.09 – $20.87
Abbott Northwestern Hospital MN 55407 $37.84 $13.09 – $17.38
Mercy Hospital MN 55443 | 550 Osborne Road NE. Fridley $37.84 $13.09 – $17.38
Sanford Worthington Medical Center Worthington not published $1.00 – $1.00

All Minnesota hospitals for this procedure →