Abd paracentesis/w/o image guide 49082 at Sanford Canton Inwood Medical Center

440 N Hiawatha Dr, Canton, SD · Sanford Health · · NPI 1740244540

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

$1,170.40

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.

$1,463.00

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.

$500.35 with Sanford Health Plan Align vs $1,316.70 with First Choice Health Network — 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 $500.35 ↓ -57%
Ucare Medicare Replacement $536.92 ↓ -54%
Wellmark Medicare Replacement $536.92 ↓ -54%
Health Partners Medicare Replacement $542.77 ↓ -54%
United Healthcare Medicare Replacement $542.77 ↓ -54%
Aetna Medicare Replacement $542.77 ↓ -54%
Great Plains Medicare Advantage Medicare Replacement $542.77 ↓ -54%
Primewest Medicare Replacement $553.01 ↓ -53%
Sanford Health Plan SD Exchange True $801.58 ↓ -32%
Security Health Plan Commercial $804.65 ↓ -31%
Sanford Health Plan Group Health/True $914.08 ↓ -22%
Sanford Health Plan SD Exchange Commercial $943.05 ↓ -19%
Health Partners State Employees $946.56 ↓ -19%
Sanford Health Plan Commercial/ND Pers $1,075.31 ↓ -8%
Health Partners Commercial $1,097.25 ↓ -6%
Medica Choice $1,206.98 ↑ +3%
United Healthcare Commercial + Top 20 $1,221.61 ↑ +4%
Wellmark PPO $1,258.18 ↑ +8%
Aetna Commercial $1,271.35 ↑ +9%
Ucare Commercial $1,285.39 ↑ +10%
Medica Elect $1,290.37 ↑ +10%
Multiplan Commercial $1,316.70 ↑ +13%
Healthez Commercial $1,316.70 ↑ +13%
First Choice Health Network Commercial $1,316.70 ↑ +13%

Visitor-reported prices

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Abd paracentesis/w/o image guide 49082 at other South-dakota hospitals

Hospital City Cash price Negotiated range
Sanford USD Medical Center Sioux Falls $1,254.40 $72.57 – $1,411.20
Sanford Hospital Webster Webster $1,070.40 $420.13 – $1,204.20
Sanford Chamberlain Medical Center Chamberlain $1,499.20 $640.91 – $1,686.60
Sanford Aberdeen Medical Center Aberdeen $1,112.00 $616.47 – $1,251.00

All South-dakota hospitals for this procedure →