Neck (Cervical Spine) X-ray (4 to 5 views) 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

$463.20

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.

$579.00

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.

$198.02 with Sanford Health Plan Align vs $521.10 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 $198.02 ↓ -57%
Ucare Medicare Replacement $212.49 ↓ -54%
Wellmark Medicare Replacement $212.49 ↓ -54%
Health Partners Medicare Replacement $214.81 ↓ -54%
United Healthcare Medicare Replacement $214.81 ↓ -54%
Aetna Medicare Replacement $214.81 ↓ -54%
Great Plains Medicare Advantage Medicare Replacement $214.81 ↓ -54%
Primewest Medicare Replacement $218.86 ↓ -53%
Sanford Health Plan SD Exchange True $317.23 ↓ -32%
Security Health Plan Commercial $318.45 ↓ -31%
Sanford Health Plan Group Health/True $361.76 ↓ -22%
Sanford Health Plan SD Exchange Commercial $373.22 ↓ -19%
Health Partners State Employees $374.61 ↓ -19%
Sanford Health Plan Commercial/ND Pers $425.57 ↓ -8%
Health Partners Commercial $434.25 ↓ -6%
Medica Choice $477.68 ↑ +3%
United Healthcare Commercial + Top 20 $483.47 ↑ +4%
Wellmark PPO $497.94 ↑ +8%
Aetna Commercial $503.15 ↑ +9%
Ucare Commercial $508.71 ↑ +10%
Medica Elect $510.68 ↑ +10%
Multiplan Commercial $521.10 ↑ +13%
Healthez Commercial $521.10 ↑ +13%
First Choice Health Network Commercial $521.10 ↑ +13%

Visitor-reported prices

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Neck (Cervical Spine) X-ray (4 to 5 views) at other South-dakota hospitals

Hospital City Cash price Negotiated range
Sanford Clear Lake Medical Center Clear Lake $636.80 $408.35 – $716.40
Sanford USD Medical Center Sioux Falls $736.00 $48.73 – $828.00
Sanford Hospital Webster Webster $597.60 $234.56 – $672.30
Sanford Chamberlain Medical Center Chamberlain $582.40 $248.98 – $655.20
Sanford Vermillion Hospital Vermillion $364.80 $134.52 – $410.40
Sanford Aberdeen Medical Center Aberdeen $514.40 $101.02 – $578.70

All South-dakota hospitals for this procedure →