Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes at Sanford Aberdeen Medical Center
2905 3rd Ave SE, Aberdeen, SD · Sanford Health · · NPI 1235406455
$127.20
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.
$159.00
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.
$47.44 with Sanford Health Plan Align vs $146.12 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 | $47.44 | ↓ -63% |
| Ucare | Medicare Replacement | $50.94 | ↓ -60% |
| Aetna | Medicare Replacement | $51.44 | ↓ -60% |
| Great Plains Medicare Advantage | Medicare Replacement | $51.44 | ↓ -60% |
| United Healthcare | Medicare Replacement | $51.44 | ↓ -60% |
| Blue Cross Blue Shield of North Dakota | Medicare Replacement | $51.44 | ↓ -60% |
| Health Partners | Medicare Replacement | $51.44 | ↓ -60% |
| Primewest | Medicare Replacement | $52.43 | ↓ -59% |
| Sanford Health Plan | SD Exchange True | $70.52 | ↓ -45% |
| Sanford Health Plan | Group Health/True | $80.41 | ↓ -37% |
| Sanford Health Plan | SD Exchange Commercial | $82.95 | ↓ -35% |
| Security Health Plan | Commercial | $87.45 | ↓ -31% |
| Health Partners | State Employees | $88.09 | ↓ -31% |
| Sanford Health Plan | Commercial | $94.59 | ↓ -26% |
| Health Partners | Commercial | $100.17 | ↓ -21% |
| Ucare | Commercial | $124.18 | ↓ -2% |
| Aetna | Commercial | $130.38 | ↑ +3% |
| United Healthcare | Commercial + Top 20 | $132.77 | ↑ +4% |
| Medica | Choice | $136.58 | ↑ +7% |
| Multiplan | Commercial | $143.10 | ↑ +13% |
| First Choice Health Network | Commercial | $143.10 | ↑ +13% |
| Healthez | Commercial | $143.10 | ↑ +13% |
| Medica | Elect | $146.12 | ↑ +15% |
| Blue Cross Blue Shield of North Dakota | Commercial | not published by hospital | — |
| Wellmark | HMO | not published by hospital | — |
Visitor-reported prices
Comments
Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes at other South-dakota hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Sanford USD Medical Center | Sioux Falls | $128.00 | $47.44 – $144.00 |
| Sanford Hospital Webster | Webster | $130.40 | $51.18 – $146.70 |
| Sanford Chamberlain Medical Center | Chamberlain | $126.40 | $54.04 – $142.20 |
| Sanford Canton Inwood Medical Center | Canton | $122.40 | $52.33 – $137.70 |