Sanford Medical Center Mayville — price list
← Hospital overviewVerified from Sanford Medical Center Mayville’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.
531 prices shown (filtered).
| Service | Code | List price | Cash price | Negotiated range | Allowed (median) | |
|---|---|---|---|---|---|---|
| ,Insulin Aspart Soln Pen-injector 100 Unit/ML,Insulin Aspart Soln Cartridge 100 Unit/ML Inpatient | 0250 RC | $39.26 | $31.41 | $21.59 – $36.46 | — | |
| Acetaminophen Liquid 167 MG/5ML Inpatient | 0250 RC | $4.25 | $3.40 | $2.34 – $3.95 | — | |
| Acetaminophen Suppos 120 MG Inpatient | 0250 RC | $4.25 | $3.40 | $2.34 – $3.95 | — | |
| Acetaminophen Suppos 325 MG Inpatient | 0250 RC | $4.25 | $3.40 | $2.34 – $3.95 | — | |
| Acetaminophen Suppos 650 MG Inpatient | 0250 RC | $4.25 | $3.40 | $2.34 – $3.95 | — | |
| Acetaminophen Tab ER 650 MG Inpatient | 0250 RC | $4.25 | $3.40 | $2.34 – $3.95 | — | |
| Acetaminophen w/ Codeine Soln 120-12 MG/5ML Inpatient | 0250 RC | $5.65 | $4.52 | $3.11 – $5.25 | — | |
| Acetaminophen w/ Codeine Tab 300-30 MG Inpatient | 0250 RC | $4.25 | $3.40 | $2.34 – $3.95 | — | |
| Acetazolamide Cap ER 12HR 500 MG Inpatient | 0250 RC | $7.17 | $5.74 | $3.94 – $6.66 | — | |
| Acetic Acid Irrigation Soln 0.25% Inpatient | 0250 RC | $21.00 | $16.80 | $11.55 – $19.50 | — | |
| Acetylcholine Chloride Intraocular For Soln 20 MG (1:100) Inpatient | 0250 RC | $120 | $95.99 | $65.99 – $111 | — | |
| Acetylcysteine Cap 600 MG Inpatient | 0250 RC | $4.25 | $3.40 | $2.34 – $3.95 | — | |
| Acetylcysteine Inhal Soln 20% Inpatient | 0250 RC | $8.72 | $6.98 | $4.80 – $8.10 | — | |
| Acitretin Cap 17.5 MG Inpatient | 0250 RC | $26.57 | $21.26 | $14.61 – $24.68 | — | |
| Acyclovir Tab 400 MG Inpatient | 0250 RC | $4.25 | $3.40 | $2.34 – $3.95 | — | |
| Acyclovir Tab 800 MG Inpatient | 0250 RC | $17.20 | $13.76 | $9.46 – $15.97 | — | |
| Albuterol Sulfate Inhal Aero 108 MCG/ACT Inpatient | 0250 RC | $27.44 | $21.96 | $15.09 – $25.48 | — | |
| Albuterol Sulfate Inhal Aero 108 MCG/ACT (90MCG Base Equiv) Inpatient | 0250 RC | $39.43 | $31.55 | $21.69 – $36.62 | — | |
| Albuterol Sulfate Soln Nebu 0.083% (2.5 MG/3ML) Inpatient | 0250 RC | $13.44 | $10.76 | $7.39 – $12.48 | — | |
| Alendronate Sodium Tab 35 MG Inpatient | 0250 RC | $4.25 | $3.40 | $2.34 – $3.95 | — | |
| Alendronate Sodium Tab 70 MG Inpatient | 0250 RC | $4.25 | $3.40 | $2.34 – $3.95 | — | |
| Allopurinol Tab 100 MG Inpatient | 0250 RC | $4.25 | $3.40 | $2.34 – $3.95 | — | |
| Allopurinol Tab 300 MG Inpatient | 0250 RC | $4.25 | $3.40 | $2.34 – $3.95 | — | |
| Alogliptin Benzoate Tab 25 MG (Base Equiv) Inpatient | 0250 RC | $4.25 | $3.40 | $2.34 – $3.95 | — | |
| Alprazolam Tab 0.5 MG Inpatient | 0250 RC | $4.25 | $3.40 | $2.34 – $3.95 | — | |
| Alum & Mag Hydroxide-Simethicone Susp 200-200-20 MG/5ML Inpatient | 0250 RC | $4.66 | $3.73 | $2.56 – $4.33 | — | |
| Amantadine HCl Cap 100 MG Inpatient | 0250 RC | $4.92 | $3.94 | $2.71 – $4.57 | — | |
| Amiloride HCl Tab 5 MG Inpatient | 0250 RC | $4.25 | $3.40 | $2.34 – $3.95 | — | |
| Amiodarone HCl Tab 200 MG Inpatient | 0250 RC | $4.25 | $3.40 | $2.34 – $3.95 | — | |
| Amitriptyline HCl Tab 10 MG Inpatient | 0250 RC | $4.25 | $3.40 | $2.34 – $3.95 | — |