Sterile water/saline, 10 ml at Sanford Aberdeen Medical Center

2905 3rd Ave SE, Aberdeen, SD · Sanford Health · · NPI 1235406455

Source: hospital's published price file ↗ · Published Mar 4, 2026 · Ingested Aug 12, 2026

$3.60

Cash price

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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.

Full explanation →

What you pay up front if you don't use insurance.

$4.50

Gross charge

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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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$0.59 with Sanford Health Plan Align vs $4.14 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 →

Payer
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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
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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 $0.59 ↓ -84%
Ucare Medicare Replacement $0.63 ↓ -83%
Blue Cross Blue Shield of North Dakota Medicare Replacement $0.64 ↓ -82%
Aetna Medicare Replacement $0.64 ↓ -82%
Great Plains Medicare Advantage Medicare Replacement $0.64 ↓ -82%
Health Partners Medicare Replacement $0.64 ↓ -82%
United Healthcare Medicare Replacement $0.64 ↓ -82%
Primewest Medicare Replacement $0.65 ↓ -82%
Sanford Health Plan SD Exchange True $2.00 ↓ -44%
Sanford Health Plan Group Health/True $2.28 ↓ -37%
Sanford Health Plan SD Exchange Commercial $2.35 ↓ -35%
Security Health Plan Commercial $2.48 ↓ -31%
Health Partners State Employees $2.49 ↓ -31%
Sanford Health Plan Commercial $2.68 ↓ -26%
Health Partners Commercial $2.84 ↓ -21%
Ucare Commercial $3.51 ↓ -3%
Aetna Commercial $3.69 ↑ +3%
United Healthcare Commercial + Top 20 $3.76 ↑ +4%
Medica Choice $3.87 ↑ +8%
Healthez Commercial $4.05 ↑ +13%
Multiplan Commercial $4.05 ↑ +13%
First Choice Health Network Commercial $4.05 ↑ +13%
Medica Elect $4.14 ↑ +15%
Wellmark HMO not published by hospital
Blue Cross Blue Shield of North Dakota Commercial not published by hospital

Visitor-reported prices

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Sterile water/saline, 10 ml at other South-dakota hospitals

Hospital City Cash price Negotiated range
Sanford Clear Lake Medical Center Clear Lake $4.16 $2.62 – $4.59
Sanford Hospital Webster Webster $4.80 $1.88 – $5.40
Sanford Canton Inwood Medical Center Canton $3.60 $1.54 – $4.05
Sanford Vermillion Hospital Vermillion $3.40 $1.25 – $3.83
Sanford USD Medical Center Sioux Falls not published $0.50 – $0.56

All South-dakota hospitals for this procedure →