Brace back pinnacle tlso 464 at Sanford Chamberlain Medical Center
300 S Byron Blvd, Chamberlain, SD · Sanford Health · · NPI 1134140825
$4,224.00
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.
$5,280.00
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.
$410.40 with Sanford Health Plan Align vs $1,080.00 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 | $410.40 | ↓ -90% |
| Wellmark SD | Medicare Replacement | $440.40 | ↓ -90% |
| Ucare | Medicare Replacement | $440.40 | ↓ -90% |
| Health Partners | Medicare Replacement | $445.20 | ↓ -89% |
| United Healthcare | Medicare Replacement | $445.20 | ↓ -89% |
| Great Plains Medicare Advantage | Medicare Replacement | $445.20 | ↓ -89% |
| Aetna | Medicare Replacement | $445.20 | ↓ -89% |
| Primewest | Medicare Replacement | $453.60 | ↓ -89% |
| Sanford Health Plan | SD Exchange Commercial | $657.48 | ↓ -84% |
| Security Health Plan | Commercial | $660.00 | ↓ -84% |
| Sanford Health Plan | Group Health/TRUE | $749.76 | ↓ -82% |
| Sanford Health Plan | Exchange True | $773.52 | ↓ -82% |
| Health Partners | State Employees | $776.40 | ↓ -82% |
| Sanford Health Plan | Commercial/ND Pers | $882.00 | ↓ -79% |
| Health Partners | Commercial | $900.00 | ↓ -79% |
| Medica | Choice | $990.00 | ↓ -77% |
| United Healthcare | Commercial + Top 20 | $1,002.00 | ↓ -76% |
| Wellmark SD | Commercial | $1,032.00 | ↓ -76% |
| Aetna | Commercial | $1,042.80 | ↓ -75% |
| Ucare | Commercial | $1,054.32 | ↓ -75% |
| Medica | Elect | $1,058.40 | ↓ -75% |
| Healthez | Commercial | $1,080.00 | ↓ -74% |
| Multiplan | Commercial | $1,080.00 | ↓ -74% |
| First Choice Health Network | Commercial | $1,080.00 | ↓ -74% |
Visitor-reported prices
Comments
Brace back pinnacle tlso 464 at other South-dakota hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Sanford USD Medical Center | Sioux Falls | $564.80 | $236.51 – $1,901.12 |
| Sanford Hospital Webster | Webster | $376.00 | $147.58 – $423.00 |
| Sanford Canton Inwood Medical Center | Canton | $848.80 | $362.86 – $954.90 |
| Sanford Aberdeen Medical Center | Aberdeen | not published | $2,026.53 – $2,239.85 |