Romosozumab-aqqg 105 mg/1.17 ml subcutaneous syringe (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

$6,371.03

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.

$7,963.78

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.

$10.35 with Blue Cross Blue Shield of Minnesota vs $7,167.40 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
Blue Cross Blue Shield of Minnesota State Employees $10.35 ↓ -100%
Blue Cross Blue Shield of Minnesota Commercial $10.35 ↓ -100%
Blue Cross Blue Shield of Minnesota PMAP $10.35 ↓ -100%
Health Partners State Employees $11.36 ↓ -100%
Health Partners Commercial $11.36 ↓ -100%
Sanford Health Plan Align Medicare Replacement $11.47 ↓ -100%
Ucare Medicare Replacement $12.31 ↓ -100%
Health Partners Medicare Replacement $12.43 ↓ -100%
United Healthcare Medicare Replacement $12.43 ↓ -100%
Blue Cross Blue Shield of Minnesota Medicare Replacement $12.43 ↓ -100%
Great Plains Medicare Advantage Medicare Replacement $12.43 ↓ -100%
Aetna Medicare Replacement $12.43 ↓ -100%
Primewest Medicare Replacement $12.67 ↓ -100%
Sanford Health Plan SD Exchange True $13.21 ↓ -100%
Sanford Health Plan Commercial/ND Pers $13.21 ↓ -100%
Sanford Health Plan Group Health/True $13.21 ↓ -100%
Sanford Health Plan SD Exchange Commercial $13.21 ↓ -100%
Security Health Plan Commercial $4,380.08 ↓ -31%
United Healthcare CSP Top 20 $5,359.62 ↓ -16%
Medica Choice $5,367.59 ↓ -16%
Ucare Commercial $5,597.74 ↓ -12%
Medica Elect $5,741.89 ↓ -10%
Aetna Commercial $6,092.29 ↓ -4%
United Healthcare Commercial $7,016.09 ↑ +10%
Multiplan Commercial $7,167.40 ↑ +12%
Healthez Commercial $7,167.40 ↑ +12%
First Choice Health Network Commercial $7,167.40 ↑ +12%
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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Romosozumab-aqqg 105 mg/1.17 ml subcutaneous syringe (wrapper) at other South-dakota hospitals

Hospital City Cash price Negotiated range
Sanford Chamberlain Medical Center Chamberlain $3,152.55 $11.36 – $3,545.10
Sanford Vermillion Hospital Vermillion $8,031.27 $11.36 – $3,545.10
Sanford Clear Lake Medical Center Clear Lake not published $11.36 – $11.36
Sanford Hospital Webster Webster not published $11.36 – $11.36
Sanford Canton Inwood Medical Center Canton not published $11.36 – $11.36
Sanford Aberdeen Medical Center Aberdeen not published $11.36 – $12.67

All South-dakota hospitals for this procedure →