Surgical pathology level 5 gross & microscopic examination at Sanford Chamberlain Medical Center
300 S Byron Blvd, Chamberlain, SD · Sanford Health · · NPI 1134140825
$555.20
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.
$694.00
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.
$237.35 with Sanford Health Plan Align vs $624.60 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 | $237.35 | ↓ -57% |
| Wellmark SD | Medicare Replacement | $254.70 | ↓ -54% |
| Ucare | Medicare Replacement | $254.70 | ↓ -54% |
| Health Partners | Medicare Replacement | $257.47 | ↓ -54% |
| United Healthcare | Medicare Replacement | $257.47 | ↓ -54% |
| Great Plains Medicare Advantage | Medicare Replacement | $257.47 | ↓ -54% |
| Aetna | Medicare Replacement | $257.47 | ↓ -54% |
| Primewest | Medicare Replacement | $262.33 | ↓ -53% |
| Sanford Health Plan | SD Exchange Commercial | $380.24 | ↓ -32% |
| Security Health Plan | Commercial | $381.70 | ↓ -31% |
| Sanford Health Plan | Group Health/TRUE | $433.61 | ↓ -22% |
| Sanford Health Plan | Exchange True | $447.35 | ↓ -19% |
| Health Partners | State Employees | $449.02 | ↓ -19% |
| Sanford Health Plan | Commercial/ND Pers | $510.09 | ↓ -8% |
| Health Partners | Commercial | $520.50 | ↓ -6% |
| Medica | Choice | $572.55 | ↑ +3% |
| United Healthcare | Commercial + Top 20 | $579.49 | ↑ +4% |
| Wellmark SD | Commercial | $596.84 | ↑ +8% |
| Aetna | Commercial | $603.09 | ↑ +9% |
| Ucare | Commercial | $609.75 | ↑ +10% |
| Medica | Elect | $612.11 | ↑ +10% |
| Healthez | Commercial | $624.60 | ↑ +13% |
| Multiplan | Commercial | $624.60 | ↑ +13% |
| First Choice Health Network | Commercial | $624.60 | ↑ +13% |
Visitor-reported prices
Comments
Surgical pathology level 5 gross & microscopic examination at other South-dakota hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Sanford Clear Lake Medical Center | Clear Lake | $576.80 | $369.87 – $648.90 |
| Sanford USD Medical Center | Sioux Falls | $700.80 | $159.32 – $788.40 |
| Sanford Hospital Webster | Webster | $588.00 | $230.79 – $661.50 |
| Sanford Canton Inwood Medical Center | Canton | $680.00 | $290.70 – $765.00 |
| Sanford Vermillion Hospital | Vermillion | $677.60 | $249.87 – $762.30 |
| Sanford Aberdeen Medical Center | Aberdeen | $558.40 | $309.56 – $628.20 |