Doxycycline hyclate 100 mg intravenous powder for solution 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

$72.48

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.

$90.59

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.

$20.96 with Blue Cross Blue Shield of Minnesota vs $81.39 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 $20.96 ↓ -71%
Sanford Health Plan Align Medicare Replacement $37.06 ↓ -49%
Ucare Medicare Replacement $39.74 ↓ -45%
Wellmark SD Medicare Replacement $39.74 ↓ -45%
Aetna Medicare Replacement $40.18 ↓ -45%
United Healthcare Medicare Replacement $40.18 ↓ -45%
Health Partners Medicare Replacement $40.18 ↓ -45%
Great Plains Medicare Advantage Medicare Replacement $40.18 ↓ -45%
Primewest Medicare Replacement $40.91 ↓ -44%
Primewest Medicaid Managed Care $43.81 ↓ -40%
Security Health Plan Commercial $47.62 ↓ -34%
Health Partners State Employees $59.66 ↓ -18%
Sanford Health Plan SD Exchange True $68.35 ↓ -6%
Sanford Health Plan Group Health/True $68.35 ↓ -6%
Health Partners Commercial $69.27 ↓ -4%
Blue Cross Blue Shield of Minnesota State Employees $70.83 ↓ -2%
United Healthcare Commercial + Top 20 $72.30 ↓ -0%
Aetna Commercial $75.25 ↑ +4%
Ucare Commercial $76.08 ↑ +5%
Medica Choice $76.11 ↑ +5%
Healthez Commercial $77.93 ↑ +8%
Cigna Commercial $77.93 ↑ +8%
Multiplan Commercial $77.93 ↑ +8%
First Choice Health Network Commercial $77.93 ↑ +8%
Blue Cross Blue Shield of Minnesota Commercial/Federal $80.11 ↑ +11%
Sanford Health Plan SD Exchange Commercial $80.42 ↑ +11%
Sanford Health Plan Commercial/ND Pers $80.42 ↑ +11%
Medica Elect $81.39 ↑ +12%
Ucare Medicaid Managed Care not published by hospital —

Visitor-reported prices

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Doxycycline hyclate 100 mg intravenous powder for solution at other Minnesota hospitals

Hospital City Cash price Negotiated range
Sanford Canby Medical Center Canby $73.86 $20.96 – $77.93
Sanford Bagley Medical Center Bagley $65.31 $18.02 – $67.01
Sanford Wheaton Wheaton $36.27 $10.02 – $37.24
Sanford Luverne Medical Center Luverne $72.51 $21.51 – $79.97
Sanford Bemidji Medical Center Bemidji $66.51 $30.24 – $60.47
Sanford Worthington Medical Center Worthington $72.39 $33.49 – $77.74
Sanford Tracy Hospital Tracy $68.24 $20.65 – $76.76
Sanford Thief River Falls Medical Center Thief River Falls $48.40 $19.01 – $49.82

All Minnesota hospitals for this procedure →