Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr 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

$63.21

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.

$79.01

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.

$39.67 with Sanford Health Plan Align vs $71.90 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 $39.67 ↓ -37%
Security Health Plan Commercial $42.53 ↓ -33%
Ucare Medicare Replacement $42.60 ↓ -33%
Wellmark SD Medicare Replacement $42.60 ↓ -33%
Health Partners Medicare Replacement $42.99 ↓ -32%
Aetna Medicare Replacement $42.99 ↓ -32%
United Healthcare Medicare Replacement $42.99 ↓ -32%
Great Plains Medicare Advantage Medicare Replacement $42.99 ↓ -32%
Primewest Medicare Replacement $43.84 ↓ -31%
Health Partners State Employees $50.03 ↓ -21%
Sanford Health Plan SD Exchange True $53.60 ↓ -15%
Health Partners Commercial $57.99 ↓ -8%
Sanford Health Plan Group Health/True $61.11 ↓ -3%
Sanford Health Plan SD Exchange Commercial $63.05 ↓ -0%
Blue Cross Blue Shield of Minnesota State Employees $63.25 ↑ +0%
Medica Choice $63.79 ↑ +1%
United Healthcare Commercial + Top 20 $64.56 ↑ +2%
Wellmark PPO $66.50 ↑ +5%
Aetna Commercial $67.19 ↑ +6%
Ucare Commercial $67.93 ↑ +7%
Medica Elect $68.20 ↑ +8%
Cigna Commercial $69.59 ↑ +10%
Multiplan Commercial $69.59 ↑ +10%
Healthez Commercial $69.59 ↑ +10%
First Choice Health Network Commercial $69.59 ↑ +10%
Blue Cross Blue Shield of Minnesota Commercial/Federal $71.54 ↑ +13%
Sanford Health Plan Commercial/ND Pers $71.90 ↑ +14%

Visitor-reported prices

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Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr at other South-dakota hospitals

Hospital City Cash price Negotiated range
Sanford USD Medical Center Sioux Falls $355.04 $1.00 – $176.92
Sanford Hospital Webster Webster $61.59 $24.17 – $69.28
Sanford Chamberlain Medical Center Chamberlain $62.51 $26.72 – $70.32
Sanford Canton Inwood Medical Center Canton $61.85 $26.44 – $69.58
Sanford Vermillion Hospital Vermillion $62.48 $22.81 – $69.58

All South-dakota hospitals for this procedure →