Phenobarbital therapeutic drug level at Sanford Canton Inwood Medical Center
440 N Hiawatha Dr, Canton, SD · Sanford Health · · NPI 1740244540
$71.20
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.
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What you pay up front if you don't use insurance.
$89.00
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.
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The hospital's undiscounted list price — almost no one pays this.
$20.52 with Sanford Health Plan Align vs $54.00 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 →
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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 ?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 | $20.52 | ↓ -71% |
| Ucare | Medicare Replacement | $22.02 | ↓ -69% |
| Wellmark | Medicare Replacement | $22.02 | ↓ -69% |
| Health Partners | Medicare Replacement | $22.26 | ↓ -69% |
| United Healthcare | Medicare Replacement | $22.26 | ↓ -69% |
| Aetna | Medicare Replacement | $22.26 | ↓ -69% |
| Great Plains Medicare Advantage | Medicare Replacement | $22.26 | ↓ -69% |
| Primewest | Medicare Replacement | $22.68 | ↓ -68% |
| Sanford Health Plan | SD Exchange True | $32.87 | ↓ -54% |
| Security Health Plan | Commercial | $33.00 | ↓ -54% |
| Sanford Health Plan | Group Health/True | $37.49 | ↓ -47% |
| Sanford Health Plan | SD Exchange Commercial | $38.68 | ↓ -46% |
| Health Partners | State Employees | $38.82 | ↓ -45% |
| Sanford Health Plan | Commercial/ND Pers | $44.10 | ↓ -38% |
| Health Partners | Commercial | $45.00 | ↓ -37% |
| Medica | Choice | $49.50 | ↓ -30% |
| United Healthcare | Commercial + Top 20 | $50.10 | ↓ -30% |
| Wellmark | PPO | $51.60 | ↓ -28% |
| Aetna | Commercial | $52.14 | ↓ -27% |
| Ucare | Commercial | $52.72 | ↓ -26% |
| Medica | Elect | $52.92 | ↓ -26% |
| Multiplan | Commercial | $54.00 | ↓ -24% |
| Healthez | Commercial | $54.00 | ↓ -24% |
| First Choice Health Network | Commercial | $54.00 | ↓ -24% |
Visitor-reported prices
Comments
Phenobarbital therapeutic drug level at other South-dakota hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Sanford Clear Lake Medical Center | Clear Lake | $92.00 | $59.00 – $103.50 |
| Sanford Hospital Webster | Webster | $80.80 | $31.71 – $90.90 |
| Sanford Chamberlain Medical Center | Chamberlain | $74.40 | $30.44 – $80.10 |
| Sanford Vermillion Hospital | Vermillion | $71.20 | $25.96 – $79.20 |
| Sanford USD Medical Center | Sioux Falls | not published | $14.54 – $31.33 |
| Sanford Aberdeen Medical Center | Aberdeen | not published | $14.54 – $16.07 |