Tirofiban 12.5 mg/50 ml at Sanford Vermillion Hospital
20 S Plum St, Vermillion, SD · Sanford Health · · NPI 1790721280
$313.30
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.
$391.62
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.
$105.62 with Sanford Health Plan Align vs $322.22 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 | $105.62 | ↓ -66% |
| Wellmark SD | Medicare Replacement | $108.84 | ↓ -65% |
| Ucare | Medicare Replacement | $116.71 | ↓ -63% |
| Health Partners | Medicare Replacement | $118.15 | ↓ -62% |
| Great Plains Medicare Advantage | Medicare Replacement | $118.15 | ↓ -62% |
| Aetna | Medicare Replacement | $118.15 | ↓ -62% |
| United Healthcare | Medicare Replacement | $118.15 | ↓ -62% |
| Primewest | Medicare Replacement | $120.29 | ↓ -62% |
| Sanford Health Plan | SD Exchange True | $141.74 | ↓ -55% |
| Sanford Health Plan | Group Health/True | $161.61 | ↓ -48% |
| Sanford Health Plan | SD Exchange Commercial | $166.77 | ↓ -47% |
| Sanford Health Plan | Commercial/ND Pers | $190.14 | ↓ -39% |
| Security Health Plan | Commercial | $196.91 | ↓ -37% |
| Health Partners | State Employees | $236.29 | ↓ -25% |
| Health Partners | Commercial | $268.52 | ↓ -14% |
| Medica | Choice | $295.37 | ↓ -6% |
| United Healthcare | Commercial +20 | $298.95 | ↓ -5% |
| Wellmark | PPO | $307.90 | ↓ -2% |
| Aetna | Commercial | $311.12 | ↓ -1% |
| Ucare | Commercial | $314.56 | ↑ +0% |
| Medica | Elect | $315.77 | ↑ +1% |
| Healthez | Commercial | $322.22 | ↑ +3% |
| Multiplan | Commercial | $322.22 | ↑ +3% |
| First Choice Health Network | Commercial | $322.22 | ↑ +3% |
Visitor-reported prices
Comments
Tirofiban 12.5 mg/50 ml at other South-dakota hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Sanford Clear Lake Medical Center | Clear Lake | $473.23 | $303.45 – $532.38 |
| Sanford USD Medical Center | Sioux Falls | $501.60 | $4.41 – $459.23 |
| Sanford Hospital Webster | Webster | $228.24 | $89.58 – $256.77 |
| Sanford Chamberlain Medical Center | Chamberlain | $340.64 | $103.30 – $271.84 |
| Sanford Canton Inwood Medical Center | Canton | $196.76 | $84.11 – $221.36 |