Naloxone 0.4 mg/ml injection (wrapper) at Sanford Vermillion Hospital
20 S Plum St, Vermillion, SD · Sanford Health · · NPI 1790721280
$62.09
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.
$77.61
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.
$22.66 with Sanford Health Plan Align vs $69.14 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 | $22.66 | ↓ -64% |
| Wellmark SD | Medicare Replacement | $23.35 | ↓ -62% |
| Ucare | Medicare Replacement | $25.04 | ↓ -60% |
| Health Partners | Medicare Replacement | $25.35 | ↓ -59% |
| Great Plains Medicare Advantage | Medicare Replacement | $25.35 | ↓ -59% |
| Aetna | Medicare Replacement | $25.35 | ↓ -59% |
| United Healthcare | Medicare Replacement | $25.35 | ↓ -59% |
| Primewest | Medicare Replacement | $25.81 | ↓ -58% |
| Sanford Health Plan | SD Exchange True | $30.41 | ↓ -51% |
| Sanford Health Plan | Group Health/True | $34.68 | ↓ -44% |
| Sanford Health Plan | SD Exchange Commercial | $35.78 | ↓ -42% |
| Sanford Health Plan | Commercial/ND Pers | $40.80 | ↓ -34% |
| Security Health Plan | Commercial | $42.25 | ↓ -32% |
| Health Partners | State Employees | $50.70 | ↓ -18% |
| Health Partners | Commercial | $57.62 | ↓ -7% |
| Medica | Choice | $63.38 | ↑ +2% |
| United Healthcare | Commercial +20 | $64.14 | ↑ +3% |
| Wellmark | PPO | $66.07 | ↑ +6% |
| Aetna | Commercial | $66.76 | ↑ +8% |
| Ucare | Commercial | $67.49 | ↑ +9% |
| Medica | Elect | $67.76 | ↑ +9% |
| Healthez | Commercial | $69.14 | ↑ +11% |
| Multiplan | Commercial | $69.14 | ↑ +11% |
| First Choice Health Network | Commercial | $69.14 | ↑ +11% |
Visitor-reported prices
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Naloxone 0.4 mg/ml injection (wrapper) at other South-dakota hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Sanford Clear Lake Medical Center | Clear Lake | $65.06 | $39.78 – $69.79 |
| Sanford USD Medical Center | Sioux Falls | $161.31 | $2.66 – $9.05 |
| Sanford Hospital Webster | Webster | $63.12 | $23.60 – $67.65 |
| Sanford Chamberlain Medical Center | Chamberlain | $62.49 | $26.34 – $69.32 |
| Sanford Canton Inwood Medical Center | Canton | $63.12 | $26.38 – $69.41 |