Acyclovir 400 mg tablet at Sanford Wheaton

401 12th St N, Wheaton, MN · Sanford Health · · NPI 1154615573

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

$3.03

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.

$3.78

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.

$0.73 with Blue Cross Blue Shield of Minnesota vs $2.82 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 $0.73 ↓ -76%
Sanford Health Plan Align Medicare Replacement $1.51 ↓ -50%
Ucare Medicare Replacement $1.62 ↓ -47%
Blue Cross Blue Shield of Minnesota Medicare Replacement $1.64 ↓ -46%
United Healthcare Medicare Replacement $1.64 ↓ -46%
Aetna Medicare Replacement $1.64 ↓ -46%
Great Plains Medicare Advantage Medicare Replacement $1.64 ↓ -46%
Health Partners Medicare Replacement $1.64 ↓ -46%
Security Health Plan Commercial $1.65 ↓ -46%
Primewest Medicare Replacement $1.67 ↓ -45%
Primewest Medicaid Managed Care $1.82 ↓ -40%
Blue Cross Blue Shield of North Dakota Commercial $2.06 ↓ -32%
Sanford Health Plan Group Health/True $2.37 ↓ -22%
Health Partners Commercial $2.43 ↓ -20%
United Healthcare Commercial + Top 20 $2.51 ↓ -17%
Aetna Commercial $2.61 ↓ -14%
Ucare Commercial $2.64 ↓ -13%
Medica Choice $2.64 ↓ -13%
Multiplan Commercial $2.70 ↓ -11%
First Choice Health Network Commercial $2.70 ↓ -11%
Healthez Commercial $2.70 ↓ -11%
Blue Cross Blue Shield of Minnesota Commercial/Federal $2.78 ↓ -8%
Sanford Health Plan SD Exchange True $2.79 ↓ -8%
Sanford Health Plan Commercial/ND Pers/SD Exchange Commercial $2.79 ↓ -8%
Medica Elect $2.82 ↓ -7%
Ucare Medicaid Managed Care not published by hospital —

Visitor-reported prices

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Acyclovir 400 mg tablet at other Minnesota hospitals

Hospital City Cash price Negotiated range
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
Sanford Thief River Falls Medical Center Thief River Falls $8.06 $2.06 – $5.40

All Minnesota hospitals for this procedure →