Sanford Luverne Medical Center — price list
← Hospital overviewVerified from Sanford Luverne Medical Center’s published price file
Includes cash prices, list prices, insurance-negotiated rates. Open any row for plan-level negotiated rates. This is public hospital price transparency data, not a guaranteed estimate of your bill.
Showing the first 1,500 prices from a large file. Search a procedure or code below to narrow the list.
How to read these columns
- List
- The hospital’s full undiscounted (gross) charge — rarely what anyone actually pays.
- Cash
- The discounted self-pay price for paying directly, without insurance.
- Negotiated
- Rates agreed with insurers; open a row for plan-level detail. Your share depends on your benefits.
These are the hospital’s published reference prices, not a personalized estimate of your bill.
619 prices shown (filtered).
| Service | Code | List price | Cash price | Negotiated range | Allowed (median) | |
|---|---|---|---|---|---|---|
| Acebutolol HCl Cap 200 MG Inpatient | 0250 RC | $6.38 | $5.11 | $3.42 – $6.04 | — | |
| Acetaminophen Suppos 120 MG Inpatient | 0250 RC | $1.50 | $1.20 | $0.80 – $1.42 | — | |
| Acetaminophen Suppos 325 MG Inpatient | 0250 RC | $1.50 | $1.20 | $0.80 – $1.42 | — | |
| Acetaminophen Suppos 650 MG Inpatient | 0250 RC | $1.50 | $1.20 | $0.80 – $1.42 | — | |
| Acetaminophen Susp 160 MG/5ML Inpatient | 0250 RC | $4.97 | $3.98 | $2.66 – $4.70 | — | |
| Acetaminophen Tab ER 650 MG Inpatient | 0250 RC | $1.50 | $1.20 | $0.80 – $1.42 | — | |
| Acetaminophen w/ Codeine Tab 300-30 MG Inpatient | 0250 RC | $1.50 | $1.20 | $0.80 – $1.42 | — | |
| Acetazolamide Tab 125 MG Inpatient | 0250 RC | $6.02 | $4.82 | $3.23 – $5.69 | — | |
| Acetic Acid Soln 3% Inpatient | 0250 RC | $39.37 | $31.50 | $21.09 – $37.24 | — | |
| Acetylcysteine Cap 600 MG Inpatient | 0250 RC | $1.50 | $1.20 | $0.80 – $1.42 | — | |
| Acetylcysteine Inhal Soln 20% Inpatient | 0250 RC | $31.17 | $24.94 | $16.70 – $29.49 | — | |
| Acyclovir Cap 200 MG Inpatient | 0250 RC | $1.50 | $1.20 | $0.80 – $1.42 | — | |
| Acyclovir Tab 400 MG Inpatient | 0250 RC | $1.50 | $1.20 | $0.80 – $1.42 | — | |
| Albuterol Sulfate Inhal Aero 108 MCG/ACT (90MCG Base Equiv) Inpatient | 0250 RC | $56.29 | $45.04 | $30.16 – $53.25 | — | |
| Alfuzosin HCl Tab ER 24HR 10 MG Inpatient | 0250 RC | $1.50 | $1.20 | $0.80 – $1.42 | — | |
| Allopurinol Tab 100 MG Inpatient | 0250 RC | $1.50 | $1.20 | $0.80 – $1.42 | — | |
| Allopurinol Tab 300 MG Inpatient | 0250 RC | $1.50 | $1.20 | $0.80 – $1.42 | — | |
| Alogliptin Benzoate Tab 25 MG (Base Equiv) Inpatient | 0250 RC | $13.74 | $11.00 | $7.36 – $13.00 | — | |
| Alprazolam Tab 0.25 MG Inpatient | 0250 RC | $1.50 | $1.20 | $0.80 – $1.42 | — | |
| Alum & Mag Hydroxide-Simethicone Susp 200-200-20 MG/5ML Inpatient | 0250 RC | $9.95 | $7.96 | $5.33 – $9.41 | — | |
| Aluminum Chloride Soln 20% Inpatient | 0250 RC | $24.02 | $19.22 | $12.87 – $22.72 | — | |
| Amantadine HCl Cap 100 MG Inpatient | 0250 RC | $6.27 | $5.02 | $3.36 – $5.93 | — | |
| Amiloride HCl Tab 5 MG Inpatient | 0250 RC | $1.50 | $1.20 | $0.80 – $1.42 | — | |
| Amiodarone HCl Tab 100 MG Inpatient | 0250 RC | $1.50 | $1.20 | $0.80 – $1.42 | — | |
| Amitriptyline HCl Tab 10 MG Inpatient | 0250 RC | $1.50 | $1.20 | $0.80 – $1.42 | — | |
| Amitriptyline HCl Tab 100 MG Inpatient | 0250 RC | $1.50 | $1.20 | $0.80 – $1.42 | — | |
| Amitriptyline HCl Tab 25 MG Inpatient | 0250 RC | $1.50 | $1.20 | $0.80 – $1.42 | — | |
| Amlodipine Besylate Tab 5 MG (Base Equivalent) Inpatient | 0250 RC | $1.50 | $1.20 | $0.80 – $1.42 | — | |
| Amoxicillin (Trihydrate) Cap 250 MG Inpatient | 0250 RC | $15.85 | $12.68 | $8.49 – $14.99 | — | |
| Amoxicillin (Trihydrate) For Susp 250 MG/5ML Inpatient | 0250 RC | $19.78 | $15.83 | $10.60 – $18.71 | — |