Vaccine tdap >=7 years im at Sanford Clear Lake Medical Center
701 3rd Ave S, Clear Lake, SD · Sanford Health · · NPI 1851305296
$93.60
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.
$117.00
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.
$54.47 with Sanford Health Plan Align vs $98.74 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 | $54.47 | ↓ -42% |
| Security Health Plan | Commercial | $58.40 | ↓ -38% |
| Ucare | Medicare Replacement | $58.51 | ↓ -37% |
| Wellmark SD | Medicare Replacement | $58.51 | ↓ -37% |
| Health Partners | Medicare Replacement | $59.04 | ↓ -37% |
| Aetna | Medicare Replacement | $59.04 | ↓ -37% |
| United Healthcare | Medicare Replacement | $59.04 | ↓ -37% |
| Great Plains Medicare Advantage | Medicare Replacement | $59.04 | ↓ -37% |
| Primewest | Medicare Replacement | $60.20 | ↓ -36% |
| Health Partners | State Employees | $68.70 | ↓ -27% |
| Sanford Health Plan | SD Exchange True | $73.60 | ↓ -21% |
| Health Partners | Commercial | $79.64 | ↓ -15% |
| Sanford Health Plan | Group Health/True | $83.92 | ↓ -10% |
| Sanford Health Plan | SD Exchange Commercial | $86.59 | ↓ -7% |
| Blue Cross Blue Shield of Minnesota | State Employees | $86.86 | ↓ -7% |
| Medica | Choice | $87.60 | ↓ -6% |
| United Healthcare | Commercial + Top 20 | $88.66 | ↓ -5% |
| Wellmark | PPO | $91.31 | ↓ -2% |
| Aetna | Commercial | $92.27 | ↓ -1% |
| Ucare | Commercial | $93.29 | ↓ -0% |
| Medica | Elect | $93.65 | ↑ +0% |
| Cigna | Commercial | $95.56 | ↑ +2% |
| Multiplan | Commercial | $95.56 | ↑ +2% |
| Healthez | Commercial | $95.56 | ↑ +2% |
| First Choice Health Network | Commercial | $95.56 | ↑ +2% |
| Blue Cross Blue Shield of Minnesota | Commercial/Federal | $98.24 | ↑ +5% |
| Sanford Health Plan | Commercial/ND Pers | $98.74 | ↑ +5% |
Visitor-reported prices
Comments
Vaccine tdap >=7 years im at other South-dakota hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Sanford USD Medical Center | Sioux Falls | $337.72 | $1.00 – $126.00 |
| Sanford Hospital Webster | Webster | $84.94 | $33.34 – $95.55 |
| Sanford Chamberlain Medical Center | Chamberlain | $86.52 | $36.99 – $97.34 |
| Sanford Canton Inwood Medical Center | Canton | $85.68 | $36.63 – $96.39 |
| Sanford Vermillion Hospital | Vermillion | $84.94 | $31.32 – $95.55 |