Acetylcysteine 200 mg/ml (20 %) intravenous solution at Sanford Clear Lake Medical Center

701 3rd Ave S, Clear Lake, SD · Sanford Health · · NPI 1851305296

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

$218.60

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.

$273.24

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.

$65.87 with Sanford Health Plan Align vs $119.40 with Sanford Health Plan — 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 $65.87 ↓ -70%
Security Health Plan Commercial $70.62 ↓ -68%
Ucare Medicare Replacement $70.75 ↓ -68%
Wellmark SD Medicare Replacement $70.75 ↓ -68%
Health Partners Medicare Replacement $71.39 ↓ -67%
Aetna Medicare Replacement $71.39 ↓ -67%
United Healthcare Medicare Replacement $71.39 ↓ -67%
Great Plains Medicare Advantage Medicare Replacement $71.39 ↓ -67%
Primewest Medicare Replacement $72.80 ↓ -67%
Health Partners State Employees $83.07 ↓ -62%
Sanford Health Plan SD Exchange True $89.01 ↓ -59%
Health Partners Commercial $96.30 ↓ -56%
Sanford Health Plan Group Health/True $101.49 ↓ -54%
Sanford Health Plan SD Exchange Commercial $104.71 ↓ -52%
Blue Cross Blue Shield of Minnesota State Employees $105.03 ↓ -52%
Medica Choice $105.93 ↓ -52%
United Healthcare Commercial + Top 20 $107.21 ↓ -51%
Wellmark PPO $110.42 ↓ -49%
Aetna Commercial $111.58 ↓ -49%
Ucare Commercial $112.81 ↓ -48%
Medica Elect $113.25 ↓ -48%
Cigna Commercial $115.56 ↓ -47%
Multiplan Commercial $115.56 ↓ -47%
Healthez Commercial $115.56 ↓ -47%
First Choice Health Network Commercial $115.56 ↓ -47%
Blue Cross Blue Shield of Minnesota Commercial/Federal $118.80 ↓ -46%
Sanford Health Plan Commercial/ND Pers $119.40 ↓ -45%

Visitor-reported prices

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Acetylcysteine 200 mg/ml (20 %) intravenous solution at other South-dakota hospitals

Hospital City Cash price Negotiated range
Sanford USD Medical Center Sioux Falls $659.28 $1.00 – $298.21
Sanford Hospital Webster Webster $90.84 $30.63 – $87.80
Sanford Chamberlain Medical Center Chamberlain $90.84 $38.83 – $102.20
Sanford Canton Inwood Medical Center Canton $90.84 $38.83 – $102.20
Sanford Vermillion Hospital Vermillion $90.84 $28.62 – $87.32

All South-dakota hospitals for this procedure →