healthcosts.net
ER Visit (level 2) at Sanford Canton Inwood Medical Center
440 N Hiawatha Dr, Canton, SD · Sanford Health · · NPI 1740244540
$494.40
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.
?
What you pay up front if you don't use insurance.
$618.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$211.36 with Sanford Health Plan Align vs $556.20 with Multiplan — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $211.36 | ↓ -57% |
| Ucare | Medicare Replacement | $226.81 | ↓ -54% |
| Wellmark | Medicare Replacement | $226.81 | ↓ -54% |
| Aetna | Medicare Replacement | $229.28 | ↓ -54% |
| Great Plains Medicare Advantage | Medicare Replacement | $229.28 | ↓ -54% |
| Health Partners | Medicare Replacement | $229.28 | ↓ -54% |
| United Healthcare | Medicare Replacement | $229.28 | ↓ -54% |
| Primewest | Medicare Replacement | $233.60 | ↓ -53% |
| Sanford Health Plan | SD Exchange True | $338.60 | ↓ -32% |
| Security Health Plan | Commercial | $339.90 | ↓ -31% |
| Sanford Health Plan | Group Health/True | $386.13 | ↓ -22% |
| Sanford Health Plan | SD Exchange Commercial | $398.36 | ↓ -19% |
| Health Partners | State Employees | $399.85 | ↓ -19% |
| Sanford Health Plan | Commercial/ND Pers | $454.23 | ↓ -8% |
| Health Partners | Commercial | $463.50 | ↓ -6% |
| Medica | Choice | $509.85 | ↑ +3% |
| United Healthcare | Commercial + Top 20 | $516.03 | ↑ +4% |
| Wellmark | PPO | $531.48 | ↑ +8% |
| Aetna | Commercial | $537.04 | ↑ +9% |
| Ucare | Commercial | $542.97 | ↑ +10% |
| Medica | Elect | $545.08 | ↑ +10% |
| First Choice Health Network | Commercial | $556.20 | ↑ +13% |
| Healthez | Commercial | $556.20 | ↑ +13% |
| Multiplan | Commercial | $556.20 | ↑ +13% |
Visitor-reported prices
Comments
ER Visit (level 2) at other South-dakota hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Sanford Clear Lake Medical Center | Clear Lake | $483.20 | $309.85 – $543.60 |
| Sanford USD Medical Center | Sioux Falls | $508.00 | $41.28 – $571.50 |
| Sanford Hospital Webster | Webster | $488.80 | $191.85 – $549.90 |
| Sanford Chamberlain Medical Center | Chamberlain | $503.20 | $215.12 – $566.10 |
| Sanford Vermillion Hospital | Vermillion | $431.20 | $159.01 – $485.10 |
| Sanford Aberdeen Medical Center | Aberdeen | $510.40 | $150.44 – $574.20 |