healthcosts.net
Metabolic Blood Panel (Basic) at Sanford Clear Lake Medical Center
701 3rd Ave S, Clear Lake, SD · Sanford Health · · NPI 1851305296
$111.20
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.
$139.00
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.
$71.31 with Sanford Health Plan Align vs $129.26 with Sanford Health Plan — 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 | $71.31 | ↓ -36% |
| Security Health Plan | Commercial | $76.45 | ↓ -31% |
| Ucare | Medicare Replacement | $76.59 | ↓ -31% |
| Wellmark SD | Medicare Replacement | $76.59 | ↓ -31% |
| Aetna | Medicare Replacement | $77.28 | ↓ -31% |
| Great Plains Medicare Advantage | Medicare Replacement | $77.28 | ↓ -31% |
| Health Partners | Medicare Replacement | $77.28 | ↓ -31% |
| United Healthcare | Medicare Replacement | $77.28 | ↓ -31% |
| Primewest | Medicare Replacement | $78.81 | ↓ -29% |
| Health Partners | State Employees | $89.93 | ↓ -19% |
| Sanford Health Plan | SD Exchange True | $96.35 | ↓ -13% |
| Health Partners | Commercial | $104.25 | ↓ -6% |
| Sanford Health Plan | Group Health/True | $109.87 | ↓ -1% |
| Sanford Health Plan | SD Exchange Commercial | $113.35 | ↑ +2% |
| Medica | Choice | $114.68 | ↑ +3% |
| Blue Cross Blue Shield of Minnesota | Commercial/Federal | $115.50 | ↑ +4% |
| Blue Cross Blue Shield of Minnesota | State Employees | $115.50 | ↑ +4% |
| United Healthcare | Commercial + Top 20 | $116.07 | ↑ +4% |
| Wellmark | PPO | $119.54 | ↑ +8% |
| Aetna | Commercial | $120.79 | ↑ +9% |
| Ucare | Commercial | $122.13 | ↑ +10% |
| Medica | Elect | $122.60 | ↑ +10% |
| Cigna | Commercial | $125.10 | ↑ +13% |
| First Choice Health Network | Commercial | $125.10 | ↑ +13% |
| Healthez | Commercial | $125.10 | ↑ +13% |
| Multiplan | Commercial | $125.10 | ↑ +13% |
| Sanford Health Plan | Commercial/ND Pers | $129.26 | ↑ +16% |
Visitor-reported prices
Comments
Metabolic Blood Panel (Basic) at other South-dakota hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Sanford Hospital Webster | Webster | $120.80 | $47.41 – $135.90 |
| Sanford Chamberlain Medical Center | Chamberlain | $149.60 | $63.95 – $168.30 |
| Sanford Canton Inwood Medical Center | Canton | $67.20 | $28.73 – $75.60 |
| Sanford Vermillion Hospital | Vermillion | $81.60 | $30.09 – $91.80 |
| Sanford USD Medical Center | Sioux Falls | not published | $8.04 – $17.33 |
| Sanford Aberdeen Medical Center | Aberdeen | not published | $8.04 – $8.88 |