Complx repair fccmnaxghf 13131 at Sanford Clear Lake Medical Center
701 3rd Ave S, Clear Lake, SD · Sanford Health · · NPI 1851305296
$471.20
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.
?
What you pay up front if you don't use insurance.
$589.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$302.16 with Sanford Health Plan Align vs $547.71 with Sanford Health Plan — 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 →
?
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 | $302.16 | ↓ -36% |
| Security Health Plan | Commercial | $323.95 | ↓ -31% |
| Ucare | Medicare Replacement | $324.54 | ↓ -31% |
| Wellmark SD | Medicare Replacement | $324.54 | ↓ -31% |
| Health Partners | Medicare Replacement | $327.48 | ↓ -31% |
| Aetna | Medicare Replacement | $327.48 | ↓ -31% |
| United Healthcare | Medicare Replacement | $327.48 | ↓ -31% |
| Great Plains Medicare Advantage | Medicare Replacement | $327.48 | ↓ -31% |
| Primewest | Medicare Replacement | $333.96 | ↓ -29% |
| Health Partners | State Employees | $381.08 | ↓ -19% |
| Sanford Health Plan | SD Exchange True | $408.29 | ↓ -13% |
| Health Partners | Commercial | $441.75 | ↓ -6% |
| Sanford Health Plan | Group Health/True | $465.55 | ↓ -1% |
| Sanford Health Plan | SD Exchange Commercial | $480.33 | ↑ +2% |
| Blue Cross Blue Shield of Minnesota | State Employees | $481.80 | ↑ +2% |
| Medica | Choice | $485.93 | ↑ +3% |
| United Healthcare | Commercial + Top 20 | $491.82 | ↑ +4% |
| Wellmark | PPO | $506.54 | ↑ +8% |
| Aetna | Commercial | $511.84 | ↑ +9% |
| Ucare | Commercial | $517.50 | ↑ +10% |
| Medica | Elect | $519.50 | ↑ +10% |
| Cigna | Commercial | $530.10 | ↑ +13% |
| Multiplan | Commercial | $530.10 | ↑ +13% |
| Healthez | Commercial | $530.10 | ↑ +13% |
| First Choice Health Network | Commercial | $530.10 | ↑ +13% |
| Blue Cross Blue Shield of Minnesota | Commercial/Federal | $544.94 | ↑ +16% |
| Sanford Health Plan | Commercial/ND Pers | $547.71 | ↑ +16% |
Visitor-reported prices
Comments
Complx repair fccmnaxghf 13131 at other South-dakota hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Sanford USD Medical Center | Sioux Falls | $739.20 | $176.74 – $831.60 |
| Sanford Chamberlain Medical Center | Chamberlain | $751.20 | $321.14 – $845.10 |
| Sanford Canton Inwood Medical Center | Canton | $644.00 | $275.31 – $724.50 |
| Sanford Vermillion Hospital | Vermillion | $611.20 | $225.38 – $687.60 |
| Sanford Aberdeen Medical Center | Aberdeen | $811.20 | $379.55 – $912.60 |