Complx repair sal addl 5 cm/> 13122 at Sanford Aberdeen Medical Center
2905 3rd Ave SE, Aberdeen, SD · Sanford Health · · NPI 1235406455
$658.40
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.
$823.00
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.
$111.86 with Sanford Health Plan Align vs $756.34 with Medica — 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 Align | Medicare Replacement | $111.86 | ↓ -83% |
| Ucare | Medicare Replacement | $120.10 | ↓ -82% |
| Aetna | Medicare Replacement | $121.28 | ↓ -82% |
| Great Plains Medicare Advantage | Medicare Replacement | $121.28 | ↓ -82% |
| United Healthcare | Medicare Replacement | $121.28 | ↓ -82% |
| Blue Cross Blue Shield of North Dakota | Medicare Replacement | $121.28 | ↓ -82% |
| Health Partners | Medicare Replacement | $121.28 | ↓ -82% |
| Primewest | Medicare Replacement | $123.64 | ↓ -81% |
| Sanford Health Plan | SD Exchange True | $365.00 | ↓ -45% |
| Sanford Health Plan | Group Health/True | $416.19 | ↓ -37% |
| Sanford Health Plan | SD Exchange Commercial | $429.36 | ↓ -35% |
| Security Health Plan | Commercial | $452.65 | ↓ -31% |
| Health Partners | State Employees | $455.94 | ↓ -31% |
| Sanford Health Plan | Commercial | $489.60 | ↓ -26% |
| Health Partners | Commercial | $518.49 | ↓ -21% |
| Ucare | Commercial | $642.76 | ↓ -2% |
| Aetna | Commercial | $674.86 | ↑ +3% |
| United Healthcare | Commercial + Top 20 | $687.21 | ↑ +4% |
| Medica | Choice | $706.96 | ↑ +7% |
| Multiplan | Commercial | $740.70 | ↑ +13% |
| First Choice Health Network | Commercial | $740.70 | ↑ +13% |
| Healthez | Commercial | $740.70 | ↑ +13% |
| Medica | Elect | $756.34 | ↑ +15% |
| Blue Cross Blue Shield of North Dakota | Commercial | not published by hospital | — |
| Wellmark | HMO | not published by hospital | — |
Visitor-reported prices
Comments
Complx repair sal addl 5 cm/> 13122 at other South-dakota hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Sanford USD Medical Center | Sioux Falls | $682.40 | $1.00 – $767.70 |
| Sanford Hospital Webster | Webster | $571.20 | $224.20 – $642.60 |
| Sanford Chamberlain Medical Center | Chamberlain | $687.20 | $293.78 – $773.10 |
| Sanford Vermillion Hospital | Vermillion | $1,016.00 | $374.65 – $1,143.00 |