Prolactin at Sanford Chamberlain Medical Center
300 S Byron Blvd, Chamberlain, SD · Sanford Health · · NPI 1134140825
$238.40
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.
$298.00
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.
$101.92 with Sanford Health Plan Align vs $268.20 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 | $101.92 | ↓ -57% |
| Wellmark SD | Medicare Replacement | $109.37 | ↓ -54% |
| Ucare | Medicare Replacement | $109.37 | ↓ -54% |
| Health Partners | Medicare Replacement | $110.56 | ↓ -54% |
| United Healthcare | Medicare Replacement | $110.56 | ↓ -54% |
| Great Plains Medicare Advantage | Medicare Replacement | $110.56 | ↓ -54% |
| Aetna | Medicare Replacement | $110.56 | ↓ -54% |
| Primewest | Medicare Replacement | $112.64 | ↓ -53% |
| Sanford Health Plan | SD Exchange Commercial | $163.27 | ↓ -32% |
| Security Health Plan | Commercial | $163.90 | ↓ -31% |
| Sanford Health Plan | Group Health/TRUE | $186.19 | ↓ -22% |
| Sanford Health Plan | Exchange True | $192.09 | ↓ -19% |
| Health Partners | State Employees | $192.81 | ↓ -19% |
| Sanford Health Plan | Commercial/ND Pers | $219.03 | ↓ -8% |
| Health Partners | Commercial | $223.50 | ↓ -6% |
| Medica | Choice | $245.85 | ↑ +3% |
| United Healthcare | Commercial + Top 20 | $248.83 | ↑ +4% |
| Wellmark SD | Commercial | $256.28 | ↑ +8% |
| Aetna | Commercial | $258.96 | ↑ +9% |
| Ucare | Commercial | $261.82 | ↑ +10% |
| Medica | Elect | $262.84 | ↑ +10% |
| Healthez | Commercial | $268.20 | ↑ +13% |
| Multiplan | Commercial | $268.20 | ↑ +13% |
| First Choice Health Network | Commercial | $268.20 | ↑ +13% |
Visitor-reported prices
Comments
Prolactin at other South-dakota hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Sanford Clear Lake Medical Center | Clear Lake | $142.40 | $91.31 – $160.20 |
| Sanford Hospital Webster | Webster | $177.60 | $69.71 – $199.80 |
| Sanford Canton Inwood Medical Center | Canton | $94.40 | $20.86 – $54.90 |
| Sanford Vermillion Hospital | Vermillion | $92.80 | $18.00 – $54.90 |
| Sanford USD Medical Center | Sioux Falls | not published | $18.41 – $39.69 |
| Sanford Aberdeen Medical Center | Aberdeen | not published | $18.41 – $20.35 |