Breastbone (Sternum) X-ray at Sanford Chamberlain Medical Center

300 S Byron Blvd, Chamberlain, SD · Sanford Health · · NPI 1134140825

Source: hospital's published price file ↗ · Published Mar 4, 2026 · Ingested Aug 12, 2026

$368.80

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.

$461.00

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.

$157.66 with Sanford Health Plan Align vs $414.90 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 $157.66 ↓ -57%
Wellmark SD Medicare Replacement $169.19 ↓ -54%
Ucare Medicare Replacement $169.19 ↓ -54%
Health Partners Medicare Replacement $171.03 ↓ -54%
United Healthcare Medicare Replacement $171.03 ↓ -54%
Great Plains Medicare Advantage Medicare Replacement $171.03 ↓ -54%
Aetna Medicare Replacement $171.03 ↓ -54%
Primewest Medicare Replacement $174.26 ↓ -53%
Sanford Health Plan SD Exchange Commercial $252.58 ↓ -32%
Security Health Plan Commercial $253.55 ↓ -31%
Sanford Health Plan Group Health/TRUE $288.03 ↓ -22%
Sanford Health Plan Exchange True $297.16 ↓ -19%
Health Partners State Employees $298.27 ↓ -19%
Sanford Health Plan Commercial/ND Pers $338.84 ↓ -8%
Health Partners Commercial $345.75 ↓ -6%
Medica Choice $380.33 ↑ +3%
United Healthcare Commercial + Top 20 $384.94 ↑ +4%
Wellmark SD Commercial $396.46 ↑ +8%
Aetna Commercial $400.61 ↑ +9%
Ucare Commercial $405.03 ↑ +10%
Medica Elect $406.60 ↑ +10%
Healthez Commercial $414.90 ↑ +13%
Multiplan Commercial $414.90 ↑ +13%
First Choice Health Network Commercial $414.90 ↑ +13%

Visitor-reported prices

visitor-reported
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Breastbone (Sternum) X-ray at other South-dakota hospitals

Hospital City Cash price Negotiated range
Sanford Clear Lake Medical Center Clear Lake $396.00 $253.94 – $445.50
Sanford USD Medical Center Sioux Falls $475.20 $33.62 – $534.60
Sanford Hospital Webster Webster $386.40 $151.66 – $434.70
Sanford Canton Inwood Medical Center Canton $296.00 $126.54 – $333.00
Sanford Vermillion Hospital Vermillion $332.00 $122.43 – $373.50
Sanford Aberdeen Medical Center Aberdeen $340.00 $83.65 – $382.50

All South-dakota hospitals for this procedure →