Biliary endoscopy thru skin at Sanford Aberdeen Medical Center
2905 3rd Ave SE, Aberdeen, SD · Sanford Health · · NPI 1235406455
$5,671.20
Cash price 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.
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What you pay up front if you don't use insurance.
$7,089.00
Gross charge 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.
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The hospital's undiscounted list price — almost no one pays this.
$3,143.97 with Sanford Health Plan vs $10,931.78 with Primewest — 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 →
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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 ?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 ?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 | SD Exchange True | $3,143.97 | ↓ -45% |
| Sanford Health Plan | Group Health/True | $3,584.91 | ↓ -37% |
| Sanford Health Plan | SD Exchange Commercial | $3,698.33 | ↓ -35% |
| Security Health Plan | Commercial | $3,898.95 | ↓ -31% |
| Health Partners | State Employees | $3,927.31 | ↓ -31% |
| Sanford Health Plan | Commercial | $4,217.25 | ↓ -26% |
| Health Partners | Commercial | $4,466.07 | ↓ -21% |
| Ucare | Commercial | $5,536.51 | ↓ -2% |
| Aetna | Commercial | $5,812.98 | ↑ +3% |
| United Healthcare | Commercial + Top 20 | $5,919.32 | ↑ +4% |
| Medica | Choice | $6,089.45 | ↑ +7% |
| Multiplan | Commercial | $6,380.10 | ↑ +13% |
| First Choice Health Network | Commercial | $6,380.10 | ↑ +13% |
| Healthez | Commercial | $6,380.10 | ↑ +13% |
| Medica | Elect | $6,514.79 | ↑ +15% |
| Sanford Health Plan Align | Medicare Replacement | $9,890.66 | ↑ +74% |
| Ucare | Medicare Replacement | $10,619.44 | ↑ +87% |
| Great Plains Medicare Advantage | Medicare Replacement | $10,723.56 | ↑ +89% |
| Health Partners | Medicare Replacement | $10,723.56 | ↑ +89% |
| Blue Cross Blue Shield of North Dakota | Medicare Replacement | $10,723.56 | ↑ +89% |
| United Healthcare | Medicare Replacement | $10,723.56 | ↑ +89% |
| Aetna | Medicare Replacement | $10,723.56 | ↑ +89% |
| Primewest | Medicare Replacement | $10,931.78 | ↑ +93% |
| Blue Cross Blue Shield of North Dakota | Commercial | not published by hospital | — |
| Wellmark | HMO | not published by hospital | — |
Visitor-reported prices
Comments
Biliary endoscopy thru skin at other South-dakota hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Sanford USD Medical Center | Sioux Falls | $7,586.40 | $366.16 – $10,788.54 |