Tetanus and diphtheria vaccine, no preservative, intramuscular 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

Tetanus-Diphtheria Toxoids (Td) Inj 5-2 LFU

Wheaton, MN

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How this price compares nationally

Sanford Wheaton’s median price of $46 is 28% below the median hospital's median price ($64), higher than 30% of the 2,199 hospitals reporting CPT 90714. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 90714 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	$19	$19	$7	36%	—	$12 – $25
2	Sanford Health Plan medicare replacement percent of total billed charges · outpatientfrom % of charges	$39	$39	$14	36%	—	$25 – $53
3	Ucare medicare replacement percent of total billed charges · outpatientfrom % of charges	$42	$42	$15	36%	—	$26 – $57
4	Aetna medicare replacement percent of total billed charges · outpatientfrom % of charges	$42	$42	$15	36%	—	$27 – $57
5	Bcbs Mn medicare replacement percent of total billed charges · outpatientfrom % of charges	$42	$42	$15	36%	—	$27 – $57
6	UnitedHealthcare medicare replacement percent of total billed charges · outpatientfrom % of charges	$42	$42	$15	36%	—	$27 – $57
7	Bcbs Nd commercial percent of total billed charges · outpatientfrom % of charges	$53	$53	$19	36%	—	$34 – $72
8	Sanford Health Plan group health/true percent of total billed charges · inpatientfrom % of charges	$61	$61	$22	36%	—	$39 – $83
9	Sanford Health Plan group health/true percent of total billed charges · outpatientfrom % of charges	$61	$61	$22	36%	—	$39 – $83
10	UnitedHealthcare commercial + top 20 percent of total billed charges · inpatientfrom % of charges	$64	$64	$23	36%	—	$41 – $87
11	UnitedHealthcare commercial + top 20 percent of total billed charges · outpatientfrom % of charges	$64	$64	$23	36%	—	$41 – $87
12	Aetna commercial percent of total billed charges · inpatientfrom % of charges	$67	$67	$24	36%	—	$42 – $91
13	Aetna commercial percent of total billed charges · outpatientfrom % of charges	$67	$67	$24	36%	—	$42 – $91
14	Ucare commercial percent of total billed charges · inpatientfrom % of charges	$67	$67	$24	36%	—	$43 – $92
15	Ucare commercial percent of total billed charges · outpatientfrom % of charges	$67	$67	$24	36%	—	$43 – $92
16	Medica choice percent of total billed charges · outpatientfrom % of charges	$67	$67	$24	36%	—	$43 – $92
17	Medica choice percent of total billed charges · inpatientfrom % of charges	$68	$68	$25	36%	—	$43 – $92
18	MultiPlan commercial percent of total billed charges · inpatientfrom % of charges	$69	$69	$25	36%	—	$44 – $94
19	MultiPlan commercial percent of total billed charges · outpatientfrom % of charges	$69	$69	$25	36%	—	$44 – $94
20	Bcbs Mn commercial/federal percent of total billed charges · outpatientfrom % of charges	$71	$71	$26	36%	—	$45 – $97
21	Sanford Health Plan commercial/nd pers/sd exchange commercial percent of total billed charges · inpatientfrom % of charges	$71	$71	$26	36%	—	$45 – $97
22	Sanford Health Plan commercial/nd pers/sd exchange commercial percent of total billed charges · outpatientfrom % of charges	$71	$71	$26	36%	—	$45 – $97
23	Sanford Health Plan sd exchange true percent of total billed charges · inpatientfrom % of charges	$71	$71	$26	36%	—	$45 – $97
24	Sanford Health Plan sd exchange true percent of total billed charges · outpatientfrom % of charges	$71	$71	$26	36%	—	$45 – $97
25	Medica elect percent of total billed charges · outpatientfrom % of charges	$72	$72	$26	36%	—	$46 – $98

Page 1 of 2 · 26 rates

Last updated: Mar 4, 2026

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