Leucovorin calcium 100 mg solution for injection (1 mg rounding) 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

$72.24

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.

$90.29

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.

$46.32 with Sanford Health Plan Align vs $83.96 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 $46.32 ↓ -36%
Security Health Plan Commercial $49.66 ↓ -31%
Ucare Medicare Replacement $49.75 ↓ -31%
Wellmark SD Medicare Replacement $49.75 ↓ -31%
Health Partners Medicare Replacement $50.20 ↓ -31%
Aetna Medicare Replacement $50.20 ↓ -31%
United Healthcare Medicare Replacement $50.20 ↓ -31%
Great Plains Medicare Advantage Medicare Replacement $50.20 ↓ -31%
Primewest Medicare Replacement $51.19 ↓ -29%
Health Partners State Employees $58.42 ↓ -19%
Sanford Health Plan SD Exchange True $62.59 ↓ -13%
Health Partners Commercial $67.72 ↓ -6%
Sanford Health Plan Group Health/True $71.37 ↓ -1%
Sanford Health Plan SD Exchange Commercial $73.63 ↑ +2%
Blue Cross Blue Shield of Minnesota State Employees $73.86 ↑ +2%
Medica Choice $74.49 ↑ +3%
United Healthcare Commercial + Top 20 $75.39 ↑ +4%
Wellmark PPO $77.65 ↑ +7%
Aetna Commercial $78.46 ↑ +9%
Ucare Commercial $79.33 ↑ +10%
Medica Elect $79.64 ↑ +10%
Cigna Commercial $81.26 ↑ +12%
Multiplan Commercial $81.26 ↑ +12%
Healthez Commercial $81.26 ↑ +12%
First Choice Health Network Commercial $81.26 ↑ +12%
Blue Cross Blue Shield of Minnesota Commercial/Federal $83.54 ↑ +16%
Sanford Health Plan Commercial/ND Pers $83.96 ↑ +16%

Visitor-reported prices

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Leucovorin calcium 100 mg solution for injection (1 mg rounding) at other South-dakota hospitals

Hospital City Cash price Negotiated range
Sanford USD Medical Center Sioux Falls $353.72 $1.00 – $354.58
Sanford Chamberlain Medical Center Chamberlain $65.65 $28.06 – $73.85
Sanford Vermillion Hospital Vermillion $64.83 $23.90 – $72.93

All South-dakota hospitals for this procedure →