Ko w/0 joint rigid molded to at Sanford Aberdeen Medical Center
2905 3rd Ave SE, Aberdeen, SD · Sanford Health · · NPI 1235406455
$284.80
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.
$356.00
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.
$138.82 with Sanford Health Plan vs $1,224.34 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 | $138.82 | ↓ -51% |
| Sanford Health Plan | Group Health/True | $158.28 | ↓ -44% |
| Sanford Health Plan | SD Exchange Commercial | $163.29 | ↓ -43% |
| Security Health Plan | Commercial | $172.15 | ↓ -40% |
| Health Partners | State Employees | $173.40 | ↓ -39% |
| Sanford Health Plan | Commercial | $186.20 | ↓ -35% |
| Health Partners | Commercial | $197.19 | ↓ -31% |
| Ucare | Commercial | $244.45 | ↓ -14% |
| Aetna | Commercial | $256.66 | ↓ -10% |
| United Healthcare | Commercial + Top 20 | $261.36 | ↓ -8% |
| Medica | Choice | $268.87 | ↓ -6% |
| Healthez | Commercial | $281.70 | ↓ -1% |
| First Choice Health Network | Commercial | $281.70 | ↓ -1% |
| Multiplan | Commercial | $281.70 | ↓ -1% |
| Medica | Elect | $287.65 | ↑ +1% |
| Sanford Health Plan Align | Medicare Replacement | $1,107.74 | ↑ +289% |
| Ucare | Medicare Replacement | $1,189.36 | ↑ +318% |
| Blue Cross Blue Shield of North Dakota | Medicare Replacement | $1,201.02 | ↑ +322% |
| United Healthcare | Medicare Replacement | $1,201.02 | ↑ +322% |
| Great Plains Medicare Advantage | Medicare Replacement | $1,201.02 | ↑ +322% |
| Aetna | Medicare Replacement | $1,201.02 | ↑ +322% |
| Health Partners | Medicare Replacement | $1,201.02 | ↑ +322% |
| Primewest | Medicare Replacement | $1,224.34 | ↑ +330% |
| Blue Cross Blue Shield of North Dakota | Commercial | not published by hospital | — |
| Wellmark | HMO | not published by hospital | — |
Visitor-reported prices
Comments
Ko w/0 joint rigid molded to at other South-dakota hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Sanford USD Medical Center | Sioux Falls | not published | $811.33 – $969.99 |