DTaP vaccine, intramuscular injection at Sanford Wheaton

Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.

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Provider: anthropic
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Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

Diph, Acellular Pert & Tet Tox Inj 15 LF-23 MCG-5 LF/0.5ML

Wheaton, MN

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How this price compares nationally

Sanford Wheaton’s median price of $42 is 25% below the median hospital's median price ($56), higher than 35% of the 1,970 hospitals reporting CPT 90700. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 90700 at Sanford Wheaton

Negotiated rates from the hospital’s own file: 8 payers, 26 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.

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1	Bcbs Mn pmap percent of total billed charges · outpatientfrom % of charges	$14	$14	$3	20%	—	$11 – $17
2	Sanford Health Plan medicare replacement percent of total billed charges · outpatientfrom % of charges	$30	$30	$6	20%	—	$24 – $36
3	Ucare medicare replacement percent of total billed charges · outpatientfrom % of charges	$32	$32	$6	20%	—	$25 – $38
4	Aetna medicare replacement percent of total billed charges · outpatientfrom % of charges	$32	$32	$6	20%	—	$26 – $39
5	Bcbs Mn medicare replacement percent of total billed charges · outpatientfrom % of charges	$32	$32	$6	20%	—	$26 – $39
6	UnitedHealthcare medicare replacement percent of total billed charges · outpatientfrom % of charges	$32	$32	$6	20%	—	$26 – $39
7	Bcbs Nd commercial percent of total billed charges · outpatientfrom % of charges	$40	$40	$8	20%	—	$32 – $49
8	Sanford Health Plan group health/true percent of total billed charges · inpatientfrom % of charges	$46	$46	$9	20%	—	$37 – $56
9	Sanford Health Plan group health/true percent of total billed charges · outpatientfrom % of charges	$46	$46	$9	20%	—	$37 – $56
10	UnitedHealthcare commercial + top 20 percent of total billed charges · inpatientfrom % of charges	$49	$49	$10	20%	—	$39 – $59
11	UnitedHealthcare commercial + top 20 percent of total billed charges · outpatientfrom % of charges	$49	$49	$10	20%	—	$39 – $59
12	Aetna commercial percent of total billed charges · inpatientfrom % of charges	$51	$51	$10	20%	—	$41 – $61
13	Aetna commercial percent of total billed charges · outpatientfrom % of charges	$51	$51	$10	20%	—	$41 – $61
14	Ucare commercial percent of total billed charges · inpatientfrom % of charges	$52	$52	$10	20%	—	$41 – $62
15	Ucare commercial percent of total billed charges · outpatientfrom % of charges	$52	$52	$10	20%	—	$41 – $62
16	Medica choice percent of total billed charges · outpatientfrom % of charges	$52	$52	$10	20%	—	$41 – $62
17	Medica choice percent of total billed charges · inpatientfrom % of charges	$52	$52	$10	20%	—	$41 – $62
18	MultiPlan commercial percent of total billed charges · inpatientfrom % of charges	$53	$53	$11	20%	—	$42 – $63
19	MultiPlan commercial percent of total billed charges · outpatientfrom % of charges	$53	$53	$11	20%	—	$42 – $63
20	Bcbs Mn commercial/federal percent of total billed charges · outpatientfrom % of charges	$54	$54	$11	20%	—	$43 – $65
21	Sanford Health Plan commercial/nd pers/sd exchange commercial percent of total billed charges · inpatientfrom % of charges	$55	$55	$11	20%	—	$44 – $66
22	Sanford Health Plan commercial/nd pers/sd exchange commercial percent of total billed charges · outpatientfrom % of charges	$55	$55	$11	20%	—	$44 – $66
23	Sanford Health Plan sd exchange true percent of total billed charges · inpatientfrom % of charges	$55	$55	$11	20%	—	$44 – $66
24	Sanford Health Plan sd exchange true percent of total billed charges · outpatientfrom % of charges	$55	$55	$11	20%	—	$44 – $66
25	Medica elect percent of total billed charges · outpatientfrom % of charges	$55	$55	$11	20%	—	$44 – $66

Page 1 of 2 · 26 rates

Last updated: Mar 4, 2026

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