Levalbuterol non-comp unit at Sanford Vermillion Hospital

20 S Plum St, Vermillion, SD · Sanford Health · · NPI 1790721280

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

$4.48

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.

$5.59

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.

$1.48 with Sanford Health Plan Align vs $4.53 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 $1.48 ↓ -67%
Wellmark SD Medicare Replacement $1.53 ↓ -66%
Ucare Medicare Replacement $1.64 ↓ -63%
Health Partners Medicare Replacement $1.66 ↓ -63%
Great Plains Medicare Advantage Medicare Replacement $1.66 ↓ -63%
Aetna Medicare Replacement $1.66 ↓ -63%
United Healthcare Medicare Replacement $1.66 ↓ -63%
Primewest Medicare Replacement $1.69 ↓ -62%
Sanford Health Plan SD Exchange True $1.99 ↓ -56%
Sanford Health Plan Group Health/True $2.27 ↓ -49%
Sanford Health Plan SD Exchange Commercial $2.34 ↓ -48%
Sanford Health Plan Commercial/ND Pers $2.67 ↓ -40%
Security Health Plan Commercial $2.77 ↓ -38%
Health Partners State Employees $3.32 ↓ -26%
Health Partners Commercial $3.77 ↓ -16%
Medica Choice $4.15 ↓ -7%
United Healthcare Commercial +20 $4.20 ↓ -6%
Wellmark PPO $4.33 ↓ -3%
Aetna Commercial $4.37 ↓ -2%
Ucare Commercial $4.42 ↓ -1%
Medica Elect $4.44 ↓ -1%
Healthez Commercial $4.53 ↑ +1%
Multiplan Commercial $4.53 ↑ +1%
First Choice Health Network Commercial $4.53 ↑ +1%

Visitor-reported prices

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Levalbuterol non-comp unit at other South-dakota hospitals

Hospital City Cash price Negotiated range
Sanford Clear Lake Medical Center Clear Lake $7.78 $3.43 – $6.01
Sanford Hospital Webster Webster $6.00 $2.19 – $6.28
Sanford Chamberlain Medical Center Chamberlain $8.13 $1.80 – $4.74
Sanford Canton Inwood Medical Center Canton $5.20 $2.22 – $5.84

All South-dakota hospitals for this procedure →