Ablation of upper extremity nerves rf at Sanford USD Medical Center
1305 W 18th St, Sioux Falls, SD · Sanford Health · · NPI 1821017880
$4,342.40
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.
$5,428.00
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.
$131.28 with Blue Cross Blue Shield of Minnesota vs $961.20 with First Choice Health Network — 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 |
|---|---|---|---|
| Blue Cross Blue Shield of Minnesota | PMAP | $131.28 | ↓ -97% |
| Sanford Health Plan Align | Medicare Replacement | $280.43 | ↓ -94% |
| Sanford Health Plan | SD Exchange True | $282.49 | ↓ -93% |
| Ucare | Medicare Replacement | $301.09 | ↓ -93% |
| Blue Cross Blue Shield of Minnesota | Medicare Replacement | $304.05 | ↓ -93% |
| United Healthcare | Medicare Replacement | $304.05 | ↓ -93% |
| Great Plains Medicare Advantage | Medicare Replacement | $304.05 | ↓ -93% |
| Health Partners | Medicare Replacement | $304.05 | ↓ -93% |
| Aetna | Medicare Replacement | $304.05 | ↓ -93% |
| Primewest | Medicare Replacement | $309.95 | ↓ -93% |
| Primewest | Medicaid Managed Care | $310.42 | ↓ -93% |
| Ucare | Medicaid Managed Care | $310.42 | ↓ -93% |
| Sanford Health Plan | Group Health/True | $322.11 | ↓ -93% |
| Sanford Health Plan | SD Exchange Commercial | $332.36 | ↓ -92% |
| Health Partners | State Employees | $357.78 | ↓ -92% |
| Blue Cross Blue Shield of Minnesota | State Employees | $363.79 | ↓ -92% |
| Blue Cross Blue Shield of Minnesota | Commercial | $372.52 | ↓ -91% |
| Sanford Health Plan | Commercial/ND Pers | $378.93 | ↓ -91% |
| Health Partners | Commercial | $416.52 | ↓ -90% |
| Security Health Plan | Commercial | $587.40 | ↓ -86% |
| United Healthcare | CSP Top 20 | $718.76 | ↓ -83% |
| Medica | Choice | $719.83 | ↓ -83% |
| Ucare | Commercial | $750.70 | ↓ -83% |
| Medica | Elect | $770.03 | ↓ -82% |
| Aetna | Commercial | $817.02 | ↓ -81% |
| United Healthcare | Commercial | $940.91 | ↓ -78% |
| Multiplan | Commercial | $961.20 | ↓ -78% |
| Healthez | Commercial | $961.20 | ↓ -78% |
| First Choice Health Network | Commercial | $961.20 | ↓ -78% |
| Wellmark | HMO/PPO | not published by hospital | — |
Visitor-reported prices
Comments
Ablation of upper extremity nerves rf at other South-dakota hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Sanford Aberdeen Medical Center | Aberdeen | $2,614.40 | $280.43 – $984.60 |