Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback 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

$107.46

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.

$134.32

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.

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

$32.52 with Blue Cross Blue Shield of Minnesota vs $126.26 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.

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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 $32.52 ↓ -70%
Sanford Health Plan Align Medicare Replacement $57.49 ↓ -47%
Ucare Medicare Replacement $61.65 ↓ -43%
Wellmark SD Medicare Replacement $61.65 ↓ -43%
Aetna Medicare Replacement $62.32 ↓ -42%
United Healthcare Medicare Replacement $62.32 ↓ -42%
Health Partners Medicare Replacement $62.32 ↓ -42%
Great Plains Medicare Advantage Medicare Replacement $62.32 ↓ -42%
Primewest Medicare Replacement $63.47 ↓ -41%
Primewest Medicaid Managed Care $67.97 ↓ -37%
Security Health Plan Commercial $73.88 ↓ -31%
Health Partners State Employees $92.55 ↓ -14%
Sanford Health Plan SD Exchange True $106.03 ↓ -1%
Sanford Health Plan Group Health/True $106.03 ↓ -1%
Health Partners Commercial $107.46 ↑ +0%
Blue Cross Blue Shield of Minnesota State Employees $109.87 ↑ +2%
United Healthcare Commercial + Top 20 $112.16 ↑ +4%
Aetna Commercial $116.72 ↑ +9%
Ucare Commercial $118.01 ↑ +10%
Medica Choice $118.07 ↑ +10%
Healthez Commercial $120.89 ↑ +12%
Cigna Commercial $120.89 ↑ +12%
Multiplan Commercial $120.89 ↑ +12%
First Choice Health Network Commercial $120.89 ↑ +12%
Blue Cross Blue Shield of Minnesota Commercial/Federal $124.27 ↑ +16%
Sanford Health Plan SD Exchange Commercial $124.74 ↑ +16%
Sanford Health Plan Commercial/ND Pers $124.74 ↑ +16%
Medica Elect $126.26 ↑ +17%
Ucare Medicaid Managed Care not published by hospital —

Visitor-reported prices

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Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback at other Minnesota hospitals

Hospital City Cash price Negotiated range
Sanford Canby Medical Center Canby $107.54 $31.77 – $118.10
Sanford Bagley Medical Center Bagley $48.65 $13.74 – $51.08
Sanford Wheaton Wheaton $212.60 $10.97 – $40.77
Sanford Luverne Medical Center Luverne $127.12 $38.12 – $141.71
Sanford Bemidji Medical Center Bemidji $56.16 $1.02 – $25.82
Sanford Worthington Medical Center Worthington $103.22 $1.00 – $114.68
Sanford Tracy Hospital Tracy $70.23 $21.08 – $78.37
Sanford Thief River Falls Medical Center Thief River Falls $96.48 $23.12 – $60.57

All Minnesota hospitals for this procedure →