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

$212.60

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.

$265.75

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.

$10.97 with Blue Cross Blue Shield of Minnesota vs $42.58 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 $10.97 ↓ -95%
Sanford Health Plan Align Medicare Replacement $22.83 ↓ -89%
Ucare Medicare Replacement $24.51 ↓ -88%
Blue Cross Blue Shield of Minnesota Medicare Replacement $24.73 ↓ -88%
United Healthcare Medicare Replacement $24.73 ↓ -88%
Aetna Medicare Replacement $24.73 ↓ -88%
Great Plains Medicare Advantage Medicare Replacement $24.73 ↓ -88%
Health Partners Medicare Replacement $24.73 ↓ -88%
Security Health Plan Commercial $24.92 ↓ -88%
Primewest Medicare Replacement $25.21 ↓ -88%
Primewest Medicaid Managed Care $27.41 ↓ -87%
Blue Cross Blue Shield of North Dakota Commercial $31.18 ↓ -85%
Sanford Health Plan Group Health/True $35.76 ↓ -83%
Health Partners Commercial $36.69 ↓ -83%
United Healthcare Commercial + Top 20 $37.83 ↓ -82%
Aetna Commercial $39.37 ↓ -81%
Ucare Commercial $39.80 ↓ -81%
Medica Choice $39.82 ↓ -81%
Multiplan Commercial $40.77 ↓ -81%
First Choice Health Network Commercial $40.77 ↓ -81%
Healthez Commercial $40.77 ↓ -81%
Blue Cross Blue Shield of Minnesota Commercial/Federal $41.91 ↓ -80%
Sanford Health Plan SD Exchange True $42.07 ↓ -80%
Sanford Health Plan Commercial/ND Pers/SD Exchange Commercial $42.07 ↓ -80%
Medica Elect $42.58 ↓ -80%
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 Westbrook Hospital Westbrook $107.46 $32.52 – $120.89
Sanford Bagley Medical Center Bagley $48.65 $13.74 – $51.08
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 →