Admelog u-100 insulin lispro 100 unit/ml subcutaneous solution at Sanford Vermillion Hospital
20 S Plum St, Vermillion, SD · Sanford Health · · NPI 1790721280
$32.31
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.
$40.38
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.
$9.14 with Sanford Health Plan Align vs $27.89 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 →
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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 | $9.14 | ↓ -72% |
| Wellmark SD | Medicare Replacement | $9.42 | ↓ -71% |
| Ucare | Medicare Replacement | $10.10 | ↓ -69% |
| Health Partners | Medicare Replacement | $10.23 | ↓ -68% |
| Great Plains Medicare Advantage | Medicare Replacement | $10.23 | ↓ -68% |
| Aetna | Medicare Replacement | $10.23 | ↓ -68% |
| United Healthcare | Medicare Replacement | $10.23 | ↓ -68% |
| Primewest | Medicare Replacement | $10.41 | ↓ -68% |
| Sanford Health Plan | SD Exchange True | $12.27 | ↓ -62% |
| Sanford Health Plan | Group Health/True | $13.99 | ↓ -57% |
| Sanford Health Plan | SD Exchange Commercial | $14.44 | ↓ -55% |
| Sanford Health Plan | Commercial/ND Pers | $16.46 | ↓ -49% |
| Security Health Plan | Commercial | $17.04 | ↓ -47% |
| Health Partners | State Employees | $20.45 | ↓ -37% |
| Health Partners | Commercial | $23.24 | ↓ -28% |
| Medica | Choice | $25.57 | ↓ -21% |
| United Healthcare | Commercial +20 | $25.88 | ↓ -20% |
| Wellmark | PPO | $26.65 | ↓ -18% |
| Aetna | Commercial | $26.93 | ↓ -17% |
| Ucare | Commercial | $27.23 | ↓ -16% |
| Medica | Elect | $27.33 | ↓ -15% |
| Healthez | Commercial | $27.89 | ↓ -14% |
| Multiplan | Commercial | $27.89 | ↓ -14% |
| First Choice Health Network | Commercial | $27.89 | ↓ -14% |
Visitor-reported prices
Comments
Admelog u-100 insulin lispro 100 unit/ml subcutaneous solution at other South-dakota hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Sanford Clear Lake Medical Center | Clear Lake | $26.08 | $12.38 – $21.73 |
| Sanford USD Medical Center | Sioux Falls | $52.96 | $1.00 – $20.86 |
| Sanford Hospital Webster | Webster | $29.54 | $11.59 – $33.23 |
| Sanford Chamberlain Medical Center | Chamberlain | $22.86 | $9.77 – $25.71 |
| Sanford Canton Inwood Medical Center | Canton | $32.48 | $8.39 – $22.07 |
| Sanford Aberdeen Medical Center | Aberdeen | $33.97 | $18.83 – $38.21 |