Darbepoetin alfa 100 mcg/0.5 ml in polysorbate injection syringe at Sanford USD Medical Center

1305 W 18th St, Sioux Falls, SD · Sanford Health · · NPI 1821017880

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

$5,047.59

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.

$6,309.48

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.

$2.78 with Sanford Health Plan Align vs $412.20 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 $2.78 ↓ -100%
Blue Cross Blue Shield of Minnesota State Employees $2.95 ↓ -100%
Blue Cross Blue Shield of Minnesota Commercial $2.95 ↓ -100%
Blue Cross Blue Shield of Minnesota PMAP $2.95 ↓ -100%
Ucare Medicare Replacement $2.98 ↓ -100%
Health Partners Medicare Replacement $3.01 ↓ -100%
United Healthcare Medicare Replacement $3.01 ↓ -100%
Blue Cross Blue Shield of Minnesota Medicare Replacement $3.01 ↓ -100%
Great Plains Medicare Advantage Medicare Replacement $3.01 ↓ -100%
Aetna Medicare Replacement $3.01 ↓ -100%
Primewest Medicare Replacement $3.07 ↓ -100%
Sanford Health Plan SD Exchange Commercial $3.20 ↓ -100%
Sanford Health Plan Group Health/True $3.20 ↓ -100%
Sanford Health Plan Commercial/ND Pers $3.20 ↓ -100%
Sanford Health Plan SD Exchange True $3.20 ↓ -100%
Health Partners State Employees $153.43 ↓ -97%
Health Partners Commercial $178.62 ↓ -96%
Security Health Plan Commercial $251.90 ↓ -95%
United Healthcare CSP Top 20 $308.23 ↓ -94%
Medica Choice $308.69 ↓ -94%
Ucare Commercial $321.93 ↓ -94%
Medica Elect $330.22 ↓ -93%
Aetna Commercial $350.37 ↓ -93%
United Healthcare Commercial $403.50 ↓ -92%
Multiplan Commercial $412.20 ↓ -92%
Healthez Commercial $412.20 ↓ -92%
First Choice Health Network Commercial $412.20 ↓ -92%
Wellmark HMO/PPO not published by hospital —
Primewest Medicaid Managed Care not published by hospital —
Ucare Medicaid Managed Care not published by hospital —

Visitor-reported prices

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Darbepoetin alfa 100 mcg/0.5 ml in polysorbate injection syringe at other South-dakota hospitals

Hospital City Cash price Negotiated range
Sanford Clear Lake Medical Center Clear Lake $1,285.49 $560.66 – $983.61
Sanford Hospital Webster Webster $2,156.00 $75.43 – $216.20
Sanford Chamberlain Medical Center Chamberlain $2,156.00 $124.57 – $327.83
Sanford Canton Inwood Medical Center Canton $5,155.89 $133.81 – $352.14
Sanford Vermillion Hospital Vermillion $1,265.88 $203.90 – $622.08
Sanford Aberdeen Medical Center Aberdeen not published $2.78 – $3.07

All South-dakota hospitals for this procedure →