Sterile water/saline, 10 ml at Sanford Clear Lake Medical Center
701 3rd Ave S, Clear Lake, SD · Sanford Health · · NPI 1851305296
$4.16
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.
$5.20
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.
$2.62 with Sanford Health Plan Align vs $4.74 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 | $2.62 | ↓ -37% |
| Security Health Plan | Commercial | $2.81 | ↓ -32% |
| Ucare | Medicare Replacement | $2.81 | ↓ -32% |
| Wellmark SD | Medicare Replacement | $2.81 | ↓ -32% |
| Aetna | Medicare Replacement | $2.84 | ↓ -32% |
| Great Plains Medicare Advantage | Medicare Replacement | $2.84 | ↓ -32% |
| United Healthcare | Medicare Replacement | $2.84 | ↓ -32% |
| Health Partners | Medicare Replacement | $2.84 | ↓ -32% |
| Primewest | Medicare Replacement | $2.89 | ↓ -31% |
| Health Partners | State Employees | $3.30 | ↓ -21% |
| Sanford Health Plan | SD Exchange True | $3.54 | ↓ -15% |
| Health Partners | Commercial | $3.83 | ↓ -8% |
| Sanford Health Plan | Group Health/True | $4.03 | ↓ -3% |
| Sanford Health Plan | SD Exchange Commercial | $4.16 | ↑ +0% |
| Blue Cross Blue Shield of Minnesota | State Employees | $4.17 | ↑ +0% |
| Medica | Choice | $4.21 | ↑ +1% |
| United Healthcare | Commercial + Top 20 | $4.26 | ↑ +2% |
| Wellmark | PPO | $4.39 | ↑ +6% |
| Aetna | Commercial | $4.43 | ↑ +6% |
| Ucare | Commercial | $4.48 | ↑ +8% |
| Medica | Elect | $4.50 | ↑ +8% |
| Healthez | Commercial | $4.59 | ↑ +10% |
| Cigna | Commercial | $4.59 | ↑ +10% |
| First Choice Health Network | Commercial | $4.59 | ↑ +10% |
| Multiplan | Commercial | $4.59 | ↑ +10% |
| Blue Cross Blue Shield of Minnesota | Commercial/Federal | $4.72 | ↑ +13% |
| Sanford Health Plan | Commercial/ND Pers | $4.74 | ↑ +14% |
Visitor-reported prices
Comments
Sterile water/saline, 10 ml at other South-dakota hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Sanford Hospital Webster | Webster | $4.80 | $1.88 – $5.40 |
| Sanford Canton Inwood Medical Center | Canton | $3.60 | $1.54 – $4.05 |
| Sanford Vermillion Hospital | Vermillion | $3.40 | $1.25 – $3.83 |
| Sanford Aberdeen Medical Center | Aberdeen | $3.60 | $0.59 – $4.05 |
| Sanford USD Medical Center | Sioux Falls | not published | $0.50 – $0.56 |