Heparin bolus from bag 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

$141.16

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.

Full explanation →

What you pay up front if you don't use insurance.

$176.45

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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$25.78 with Sanford Health Plan Align vs $67.84 with First Choice Health Network — same scan, same building. Share

Negotiated rates by payer
?

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 $25.78 ↓ -82%
Wellmark SD Medicare Replacement $27.66 ↓ -80%
Ucare Medicare Replacement $27.66 ↓ -80%
Health Partners Medicare Replacement $27.97 ↓ -80%
United Healthcare Medicare Replacement $27.97 ↓ -80%
Great Plains Medicare Advantage Medicare Replacement $27.97 ↓ -80%
Aetna Medicare Replacement $27.97 ↓ -80%
Primewest Medicare Replacement $28.49 ↓ -80%
Sanford Health Plan SD Exchange Commercial $41.30 ↓ -71%
Security Health Plan Commercial $41.46 ↓ -71%
Sanford Health Plan Group Health/TRUE $47.10 ↓ -67%
Sanford Health Plan Exchange True $48.59 ↓ -66%
Health Partners State Employees $48.77 ↓ -65%
Sanford Health Plan Commercial/ND Pers $55.40 ↓ -61%
Health Partners Commercial $56.54 ↓ -60%
Medica Choice $62.19 ↓ -56%
United Healthcare Commercial + Top 20 $62.94 ↓ -55%
Wellmark SD Commercial $64.83 ↓ -54%
Aetna Commercial $65.51 ↓ -54%
Ucare Commercial $66.23 ↓ -53%
Medica Elect $66.49 ↓ -53%
Healthez Commercial $67.84 ↓ -52%
Multiplan Commercial $67.84 ↓ -52%
First Choice Health Network Commercial $67.84 ↓ -52%

Visitor-reported prices

visitor-reported
Report what you paid sign in to post

Comments

Add a comment sign in to post

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 Canton Inwood Medical Center Canton $125.40 $25.72 – $67.68
Sanford Vermillion Hospital Vermillion $189.68 $22.44 – $68.46

All South-dakota hospitals for this procedure →