Lidocaine (pf) 10 mg/ml (1 %) injection solution at Sanford Vermillion Hospital
20 S Plum St, Vermillion, SD · Sanford Health · · NPI 1790721280
$63.95
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.
$79.93
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.
$22.14 with Sanford Health Plan Align vs $67.55 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 →
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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 | $22.14 | ↓ -65% |
| Wellmark SD | Medicare Replacement | $22.82 | ↓ -64% |
| Ucare | Medicare Replacement | $24.47 | ↓ -62% |
| Great Plains Medicare Advantage | Medicare Replacement | $24.77 | ↓ -61% |
| Aetna | Medicare Replacement | $24.77 | ↓ -61% |
| United Healthcare | Medicare Replacement | $24.77 | ↓ -61% |
| Health Partners | Medicare Replacement | $24.77 | ↓ -61% |
| Primewest | Medicare Replacement | $25.22 | ↓ -61% |
| Sanford Health Plan | SD Exchange True | $29.71 | ↓ -54% |
| Sanford Health Plan | Group Health/True | $33.88 | ↓ -47% |
| Sanford Health Plan | SD Exchange Commercial | $34.96 | ↓ -45% |
| Sanford Health Plan | Commercial/ND Pers | $39.86 | ↓ -38% |
| Security Health Plan | Commercial | $41.28 | ↓ -35% |
| Health Partners | State Employees | $49.53 | ↓ -23% |
| Health Partners | Commercial | $56.29 | ↓ -12% |
| Medica | Choice | $61.92 | ↓ -3% |
| United Healthcare | Commercial +20 | $62.67 | ↓ -2% |
| Wellmark | PPO | $64.54 | ↑ +1% |
| Aetna | Commercial | $65.22 | ↑ +2% |
| Ucare | Commercial | $65.94 | ↑ +3% |
| Medica | Elect | $66.19 | ↑ +4% |
| First Choice Health Network | Commercial | $67.55 | ↑ +6% |
| Healthez | Commercial | $67.55 | ↑ +6% |
| Multiplan | Commercial | $67.55 | ↑ +6% |
Visitor-reported prices
Comments
Lidocaine (pf) 10 mg/ml (1 %) injection solution at other South-dakota hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Sanford Clear Lake Medical Center | Clear Lake | $63.55 | $9.29 – $16.29 |
| Sanford USD Medical Center | Sioux Falls | $316.76 | $1.55 – $5.28 |
| Sanford Hospital Webster | Webster | $65.41 | $7.54 – $21.62 |
| Sanford Chamberlain Medical Center | Chamberlain | $60.41 | $5.52 – $14.54 |
| Sanford Canton Inwood Medical Center | Canton | $60.23 | $5.49 – $14.44 |