Hydromorphone 0.2 mg/ml in 0.9% nacl IV pca opioid naive - 4 hr dose limit (wrapper) at Sanford Chamberlain Medical Center

300 S Byron Blvd, Chamberlain, SD · Sanford Health · · NPI 1134140825

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

$62.49

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.

Full explanation →

What you pay up front if you don't use insurance.

$78.11

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.

$25.73 with Sanford Health Plan Align vs $67.72 with First Choice Health Network — 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
Sanford Health Plan Align Medicare Replacement $25.73 ↓ -59%
Wellmark SD Medicare Replacement $27.61 ↓ -56%
Ucare Medicare Replacement $27.61 ↓ -56%
Health Partners Medicare Replacement $27.91 ↓ -55%
United Healthcare Medicare Replacement $27.91 ↓ -55%
Great Plains Medicare Advantage Medicare Replacement $27.91 ↓ -55%
Aetna Medicare Replacement $27.91 ↓ -55%
Primewest Medicare Replacement $28.44 ↓ -54%
Sanford Health Plan SD Exchange Commercial $41.22 ↓ -34%
Security Health Plan Commercial $41.38 ↓ -34%
Sanford Health Plan Group Health/TRUE $47.01 ↓ -25%
Sanford Health Plan Exchange True $48.50 ↓ -22%
Health Partners State Employees $48.68 ↓ -22%
Sanford Health Plan Commercial/ND Pers $55.30 ↓ -12%
Health Partners Commercial $56.43 ↓ -10%
Medica Choice $62.07 ↓ -1%
United Healthcare Commercial + Top 20 $62.83 ↑ +1%
Wellmark SD Commercial $64.71 ↑ +4%
Aetna Commercial $65.38 ↑ +5%
Ucare Commercial $66.11 ↑ +6%
Medica Elect $66.36 ↑ +6%
Healthez Commercial $67.72 ↑ +8%
Multiplan Commercial $67.72 ↑ +8%
First Choice Health Network Commercial $67.72 ↑ +8%

Visitor-reported prices

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Hydromorphone 0.2 mg/ml in 0.9% nacl IV pca opioid naive - 4 hr dose limit (wrapper) at other South-dakota hospitals

Hospital City Cash price Negotiated range
Sanford Clear Lake Medical Center Clear Lake $62.34 $39.97 – $70.13
Sanford USD Medical Center Sioux Falls $387.08 $20.66 – $70.31
Sanford Hospital Webster Webster $60.51 $23.66 – $67.81
Sanford Canton Inwood Medical Center Canton $60.32 $25.78 – $67.85
Sanford Vermillion Hospital Vermillion $60.83 $22.24 – $67.85

All South-dakota hospitals for this procedure →