Inj, lidocaine w epinephrine at Sanford Hospital Webster
1401 W 1st St, Webster, SD · Sanford Health · · NPI 1831103449
$19.52
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.
$24.40
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.
$7.57 with Sanford Health Plan Align vs $21.70 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 | $7.57 | ↓ -61% |
| Wellmark SD | Medicare Replacement | $8.13 | ↓ -58% |
| Ucare | Medicare Replacement | $8.13 | ↓ -58% |
| Health Partners | Medicare Replacement | $8.20 | ↓ -58% |
| Aetna | Medicare Replacement | $8.20 | ↓ -58% |
| Great Plains Medicare Advantage | Medicare Replacement | $8.20 | ↓ -58% |
| United Healthcare | Medicare Replacement | $8.20 | ↓ -58% |
| Primewest | Medicare Replacement | $8.35 | ↓ -57% |
| Sanford Health Plan | SD Exchange True | $13.21 | ↓ -32% |
| Security Health Plan | Commercial | $13.26 | ↓ -32% |
| Sanford Health Plan | Group Health/True | $15.06 | ↓ -23% |
| Sanford Health Plan | SD Exchange Commercial | $15.54 | ↓ -20% |
| Health Partners | State Employees | $15.91 | ↓ -18% |
| Sanford Health Plan | Commercial/ND Pers | $17.72 | ↓ -9% |
| Health Partners | Commercial | $18.08 | ↓ -7% |
| Medica | Choice | $19.89 | ↑ +2% |
| United Healthcare | Commercial + Top 20 | $20.13 | ↑ +3% |
| Wellmark | PPO | $20.73 | ↑ +6% |
| Aetna | Commercial | $20.95 | ↑ +7% |
| Ucare | Commercial | $21.18 | ↑ +9% |
| Medica | Elect | $21.27 | ↑ +9% |
| Healthez | Commercial | $21.70 | ↑ +11% |
| Multiplan | Commercial | $21.70 | ↑ +11% |
| First Choice Health Network | Commercial | $21.70 | ↑ +11% |
Visitor-reported prices
Comments
Inj, lidocaine w epinephrine at other South-dakota hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Sanford Clear Lake Medical Center | Clear Lake | $14.04 | $8.97 – $15.73 |
| Sanford USD Medical Center | Sioux Falls | $311.62 | $3.48 – $11.84 |
| Sanford Chamberlain Medical Center | Chamberlain | $13.83 | $5.51 – $14.50 |
| Sanford Canton Inwood Medical Center | Canton | $13.01 | $5.53 – $14.54 |