Levetiracetam 500 mg/5 ml intravenous solution 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

$25.20

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.

$31.50

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.

$7.55 with Blue Cross Blue Shield of Minnesota vs $29.33 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 $7.55 ↓ -70%
Sanford Health Plan Align Medicare Replacement $15.72 ↓ -38%
Ucare Medicare Replacement $16.88 ↓ -33%
Blue Cross Blue Shield of Minnesota Medicare Replacement $17.04 ↓ -32%
United Healthcare Medicare Replacement $17.04 ↓ -32%
Aetna Medicare Replacement $17.04 ↓ -32%
Great Plains Medicare Advantage Medicare Replacement $17.04 ↓ -32%
Health Partners Medicare Replacement $17.04 ↓ -32%
Security Health Plan Commercial $17.16 ↓ -32%
Primewest Medicare Replacement $17.36 ↓ -31%
Primewest Medicaid Managed Care $18.88 ↓ -25%
Blue Cross Blue Shield of North Dakota Commercial $21.47 ↓ -15%
Sanford Health Plan Group Health/True $24.63 ↓ -2%
Health Partners Commercial $25.27 ↑ +0%
United Healthcare Commercial + Top 20 $26.05 ↑ +3%
Aetna Commercial $27.11 ↑ +8%
Ucare Commercial $27.41 ↑ +9%
Medica Choice $27.42 ↑ +9%
Multiplan Commercial $28.08 ↑ +11%
First Choice Health Network Commercial $28.08 ↑ +11%
Healthez Commercial $28.08 ↑ +11%
Blue Cross Blue Shield of Minnesota Commercial/Federal $28.87 ↑ +15%
Sanford Health Plan SD Exchange True $28.98 ↑ +15%
Sanford Health Plan Commercial/ND Pers/SD Exchange Commercial $28.98 ↑ +15%
Medica Elect $29.33 ↑ +16%
Ucare Medicaid Managed Care not published by hospital —

Visitor-reported prices

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Levetiracetam 500 mg/5 ml intravenous solution at other Minnesota hospitals

Hospital City Cash price Negotiated range
Sanford Canby Medical Center Canby $60.98 $18.45 – $68.60
Sanford Westbrook Hospital Westbrook $60.98 $18.45 – $68.60
Sanford Bagley Medical Center Bagley $57.60 $14.91 – $55.42
Sanford Luverne Medical Center Luverne $61.26 $18.46 – $68.62
Sanford Bemidji Medical Center Bemidji $49.50 $1.02 – $55.68
Sanford Worthington Medical Center Worthington $61.29 $1.00 – $68.59
Sanford Tracy Hospital Tracy $60.98 $18.45 – $68.60
Sanford Thief River Falls Medical Center Thief River Falls $95.60 $15.27 – $40.00

All Minnesota hospitals for this procedure →