Passy muir valve metal trach at Sanford Chamberlain Medical Center
300 S Byron Blvd, Chamberlain, SD · Sanford Health · · NPI 1134140825
$431.20
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.
$539.00
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.
$141.59 with Sanford Health Plan Align vs $372.60 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 | $141.59 | ↓ -67% |
| Wellmark SD | Medicare Replacement | $151.94 | ↓ -65% |
| Ucare | Medicare Replacement | $151.94 | ↓ -65% |
| Health Partners | Medicare Replacement | $153.59 | ↓ -64% |
| United Healthcare | Medicare Replacement | $153.59 | ↓ -64% |
| Great Plains Medicare Advantage | Medicare Replacement | $153.59 | ↓ -64% |
| Aetna | Medicare Replacement | $153.59 | ↓ -64% |
| Primewest | Medicare Replacement | $156.49 | ↓ -64% |
| Sanford Health Plan | SD Exchange Commercial | $226.83 | ↓ -47% |
| Security Health Plan | Commercial | $227.70 | ↓ -47% |
| Sanford Health Plan | Group Health/TRUE | $258.67 | ↓ -40% |
| Sanford Health Plan | Exchange True | $266.86 | ↓ -38% |
| Health Partners | State Employees | $267.86 | ↓ -38% |
| Sanford Health Plan | Commercial/ND Pers | $304.29 | ↓ -29% |
| Health Partners | Commercial | $310.50 | ↓ -28% |
| Medica | Choice | $341.55 | ↓ -21% |
| United Healthcare | Commercial + Top 20 | $345.69 | ↓ -20% |
| Wellmark SD | Commercial | $356.04 | ↓ -17% |
| Aetna | Commercial | $359.77 | ↓ -17% |
| Ucare | Commercial | $363.74 | ↓ -16% |
| Medica | Elect | $365.15 | ↓ -15% |
| Healthez | Commercial | $372.60 | ↓ -14% |
| Multiplan | Commercial | $372.60 | ↓ -14% |
| First Choice Health Network | Commercial | $372.60 | ↓ -14% |
Visitor-reported prices
Comments
Passy muir valve metal trach at other South-dakota hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Sanford USD Medical Center | Sioux Falls | $259.20 | $86.43 – $232.20 |
| Sanford Aberdeen Medical Center | Aberdeen | $345.09 | $183.50 – $372.38 |