Lidocaine (pf) 4 mg/ml (0.4 %) in 5 % dextrose intravenous solution at Sanford Hospital Webster

1401 W 1st St, Webster, SD · Sanford Health · · NPI 1831103449

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

$55.83

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.

$69.78

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.

$21.91 with Sanford Health Plan Align vs $62.80 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 $21.91 ↓ -61%
Wellmark SD Medicare Replacement $23.52 ↓ -58%
Ucare Medicare Replacement $23.52 ↓ -58%
Health Partners Medicare Replacement $23.73 ↓ -57%
United Healthcare Medicare Replacement $23.73 ↓ -57%
Great Plains Medicare Advantage Medicare Replacement $23.73 ↓ -57%
Aetna Medicare Replacement $23.73 ↓ -57%
Primewest Medicare Replacement $24.18 ↓ -57%
Sanford Health Plan SD Exchange True $38.23 ↓ -32%
Security Health Plan Commercial $38.38 ↓ -31%
Sanford Health Plan Group Health/True $43.60 ↓ -22%
Sanford Health Plan SD Exchange Commercial $44.98 ↓ -19%
Health Partners State Employees $46.05 ↓ -18%
Sanford Health Plan Commercial/ND Pers $51.29 ↓ -8%
Health Partners Commercial $52.34 ↓ -6%
Medica Choice $57.57 ↑ +3%
United Healthcare Commercial + Top 20 $58.27 ↑ +4%
Wellmark PPO $60.01 ↑ +7%
Aetna Commercial $60.64 ↑ +9%
Ucare Commercial $61.31 ↑ +10%
Medica Elect $61.55 ↑ +10%
Healthez Commercial $62.80 ↑ +12%
Multiplan Commercial $62.80 ↑ +12%
First Choice Health Network Commercial $62.80 ↑ +12%

Visitor-reported prices

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Lidocaine (pf) 4 mg/ml (0.4 %) in 5 % dextrose intravenous solution at other South-dakota hospitals

Hospital City Cash price Negotiated range
Sanford USD Medical Center Sioux Falls $316.20 $0.01 – $353.25
Sanford Chamberlain Medical Center Chamberlain $137.96 $58.98 – $155.21
Sanford Canton Inwood Medical Center Canton $100.56 $42.99 – $113.13
Sanford Vermillion Hospital Vermillion $278.86 $66.74 – $203.61
Sanford Aberdeen Medical Center Aberdeen not published $0.01 – $0.01

All South-dakota hospitals for this procedure →