Inj, acetaminophen (b braun) at Sanford Clear Lake Medical Center
701 3rd Ave S, Clear Lake, SD · Sanford Health · · NPI 1851305296
$173.29
Cash price 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.
$216.61
Gross charge 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.
$55.56 with Sanford Health Plan Align vs $100.72 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 →
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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 ?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 ?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 | $55.56 | ↓ -68% |
| Security Health Plan | Commercial | $59.57 | ↓ -66% |
| Ucare | Medicare Replacement | $59.68 | ↓ -66% |
| Wellmark SD | Medicare Replacement | $59.68 | ↓ -66% |
| United Healthcare | Medicare Replacement | $60.22 | ↓ -65% |
| Great Plains Medicare Advantage | Medicare Replacement | $60.22 | ↓ -65% |
| Aetna | Medicare Replacement | $60.22 | ↓ -65% |
| Health Partners | Medicare Replacement | $60.22 | ↓ -65% |
| Primewest | Medicare Replacement | $61.41 | ↓ -65% |
| Health Partners | State Employees | $70.08 | ↓ -60% |
| Sanford Health Plan | SD Exchange True | $75.08 | ↓ -57% |
| Health Partners | Commercial | $81.23 | ↓ -53% |
| Sanford Health Plan | Group Health/True | $85.61 | ↓ -51% |
| Sanford Health Plan | SD Exchange Commercial | $88.33 | ↓ -49% |
| Blue Cross Blue Shield of Minnesota | State Employees | $88.60 | ↓ -49% |
| Medica | Choice | $89.36 | ↓ -48% |
| United Healthcare | Commercial + Top 20 | $90.44 | ↓ -48% |
| Wellmark | PPO | $93.15 | ↓ -46% |
| Aetna | Commercial | $94.12 | ↓ -46% |
| Ucare | Commercial | $95.16 | ↓ -45% |
| Medica | Elect | $95.53 | ↓ -45% |
| Healthez | Commercial | $97.48 | ↓ -44% |
| Cigna | Commercial | $97.48 | ↓ -44% |
| First Choice Health Network | Commercial | $97.48 | ↓ -44% |
| Multiplan | Commercial | $97.48 | ↓ -44% |
| Blue Cross Blue Shield of Minnesota | Commercial/Federal | $100.21 | ↓ -42% |
| Sanford Health Plan | Commercial/ND Pers | $100.72 | ↓ -42% |
Visitor-reported prices
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Inj, acetaminophen (b braun) at other South-dakota hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Sanford USD Medical Center | Sioux Falls | $316.40 | $0.05 – $354.11 |
| Sanford Hospital Webster | Webster | $113.97 | $22.37 – $64.11 |
| Sanford Vermillion Hospital | Vermillion | $363.89 | $134.18 – $409.37 |