Neostigmine methylsulfate 1 mg/ml injection (wrapper) 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

$312.07

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.

$390.08

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.

$1.00 with Blue Cross Blue Shield of Minnesota vs $35.55 with Multiplan — 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
Blue Cross Blue Shield of Minnesota PMAP $1.00 ↓ -100%
Blue Cross Blue Shield of Minnesota Commercial $1.00 ↓ -100%
Blue Cross Blue Shield of Minnesota State Employees $1.00 ↓ -100%
Sanford Health Plan SD Exchange True $10.45 ↓ -97%
Sanford Health Plan Group Health/True $11.91 ↓ -96%
Sanford Health Plan SD Exchange Commercial $12.29 ↓ -96%
Health Partners State Employees $13.23 ↓ -96%
Sanford Health Plan Commercial/ND Pers $14.01 ↓ -96%
Health Partners Commercial $15.41 ↓ -95%
Security Health Plan Commercial $21.73 ↓ -93%
United Healthcare CSP Top 20 $26.58 ↓ -91%
Medica Choice $26.62 ↓ -91%
Ucare Commercial $27.76 ↓ -91%
Medica Elect $28.48 ↓ -91%
Aetna Commercial $30.22 ↓ -90%
United Healthcare Commercial $34.80 ↓ -89%
Healthez Commercial $35.55 ↓ -89%
First Choice Health Network Commercial $35.55 ↓ -89%
Multiplan Commercial $35.55 ↓ -89%
Wellmark HMO/PPO not published by hospital —
Aetna Medicare Replacement not published by hospital —
Blue Cross Blue Shield of Minnesota Medicare Replacement not published by hospital —
Great Plains Medicare Advantage Medicare Replacement not published by hospital —
Health Partners Medicare Replacement not published by hospital —
Primewest Medicaid Managed Care not published by hospital —
Primewest Medicare Replacement not published by hospital —
Sanford Health Plan Align Medicare Replacement not published by hospital —
Ucare Medicaid Managed Care not published by hospital —
Ucare Medicare Replacement not published by hospital —
United Healthcare Medicare Replacement not published by hospital —

Visitor-reported prices

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Neostigmine methylsulfate 1 mg/ml injection (wrapper) at other South-dakota hospitals

Hospital City Cash price Negotiated range
Sanford Hospital Webster Webster $60.08 $23.58 – $67.58
Sanford Chamberlain Medical Center Chamberlain $60.16 $25.72 – $67.68
Sanford Vermillion Hospital Vermillion $62.00 $22.15 – $67.58

All South-dakota hospitals for this procedure →