healthcosts.net
Vaccine pneumococcal conjugate 13 valent (pcv13) im at Sanford Clear Lake Medical Center
701 3rd Ave S, Clear Lake, SD · Sanford Health · · NPI 1851305296
$329.64
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.
$412.04
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.
$211.38 with Sanford Health Plan Align vs $383.16 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 | $211.38 | ↓ -36% |
| Security Health Plan | Commercial | $226.62 | ↓ -31% |
| Ucare | Medicare Replacement | $227.03 | ↓ -31% |
| Wellmark SD | Medicare Replacement | $227.03 | ↓ -31% |
| Health Partners | Medicare Replacement | $229.09 | ↓ -31% |
| Aetna | Medicare Replacement | $229.09 | ↓ -31% |
| United Healthcare | Medicare Replacement | $229.09 | ↓ -31% |
| Great Plains Medicare Advantage | Medicare Replacement | $229.09 | ↓ -31% |
| Primewest | Medicare Replacement | $233.63 | ↓ -29% |
| Health Partners | State Employees | $266.59 | ↓ -19% |
| Sanford Health Plan | SD Exchange True | $285.63 | ↓ -13% |
| Health Partners | Commercial | $309.03 | ↓ -6% |
| Sanford Health Plan | Group Health/True | $325.68 | ↓ -1% |
| Sanford Health Plan | SD Exchange Commercial | $336.02 | ↑ +2% |
| Blue Cross Blue Shield of Minnesota | State Employees | $337.05 | ↑ +2% |
| Medica | Choice | $339.93 | ↑ +3% |
| United Healthcare | Commercial + Top 20 | $344.05 | ↑ +4% |
| Wellmark | PPO | $354.35 | ↑ +7% |
| Aetna | Commercial | $358.06 | ↑ +9% |
| Ucare | Commercial | $362.02 | ↑ +10% |
| Medica | Elect | $363.42 | ↑ +10% |
| Cigna | Commercial | $370.84 | ↑ +12% |
| Multiplan | Commercial | $370.84 | ↑ +12% |
| Healthez | Commercial | $370.84 | ↑ +12% |
| First Choice Health Network | Commercial | $370.84 | ↑ +12% |
| Blue Cross Blue Shield of Minnesota | Commercial/Federal | $381.22 | ↑ +16% |
| Sanford Health Plan | Commercial/ND Pers | $383.16 | ↑ +16% |
Visitor-reported prices
Comments
Vaccine pneumococcal conjugate 13 valent (pcv13) im at other South-dakota hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Sanford Hospital Webster | Webster | $287.72 | $112.93 – $323.68 |
| Sanford Chamberlain Medical Center | Chamberlain | $313.33 | $133.95 – $352.49 |
| Sanford Aberdeen Medical Center | Aberdeen | $373.11 | $206.84 – $419.74 |
| Sanford USD Medical Center | Sioux Falls | not published | $230.83 – $270.89 |