Heparin bolus from bag 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

$125.40

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.

$156.75

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.

$25.72 with Sanford Health Plan Align vs $67.68 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 $25.72 ↓ -79%
Ucare Medicare Replacement $27.60 ↓ -78%
Wellmark Medicare Replacement $27.60 ↓ -78%
Health Partners Medicare Replacement $27.90 ↓ -78%
United Healthcare Medicare Replacement $27.90 ↓ -78%
Aetna Medicare Replacement $27.90 ↓ -78%
Great Plains Medicare Advantage Medicare Replacement $27.90 ↓ -78%
Primewest Medicare Replacement $28.43 ↓ -77%
Sanford Health Plan SD Exchange True $41.20 ↓ -67%
Security Health Plan Commercial $41.36 ↓ -67%
Sanford Health Plan Group Health/True $46.98 ↓ -63%
Sanford Health Plan SD Exchange Commercial $48.47 ↓ -61%
Health Partners State Employees $48.65 ↓ -61%
Sanford Health Plan Commercial/ND Pers $55.27 ↓ -56%
Health Partners Commercial $56.40 ↓ -55%
Medica Choice $62.04 ↓ -51%
United Healthcare Commercial + Top 20 $62.79 ↓ -50%
Wellmark PPO $64.67 ↓ -48%
Aetna Commercial $65.35 ↓ -48%
Ucare Commercial $66.07 ↓ -47%
Medica Elect $66.33 ↓ -47%
Multiplan Commercial $67.68 ↓ -46%
Healthez Commercial $67.68 ↓ -46%
First Choice Health Network Commercial $67.68 ↓ -46%

Visitor-reported prices

visitor-reported
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Heparin bolus from bag at other South-dakota hospitals

Hospital City Cash price Negotiated range
Sanford Clear Lake Medical Center Clear Lake $110.06 $38.93 – $68.29
Sanford USD Medical Center Sioux Falls $327.36 $1.00 – $350.26
Sanford Hospital Webster Webster $76.84 $22.22 – $63.70
Sanford Chamberlain Medical Center Chamberlain $141.16 $25.78 – $67.84
Sanford Vermillion Hospital Vermillion $189.68 $22.44 – $68.46

All South-dakota hospitals for this procedure →