healthcosts.net
ER Visit (level 4) at Sanford USD Medical Center
1305 W 18th St, Sioux Falls, SD · Sanford Health · · NPI 1821017880
$1,384.00
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.
$1,730.00
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.
$119.50 with Sanford Health Plan vs $1,557.00 with Multiplan — 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 | Commercial/ND Pers | $119.50 | ↓ -91% |
| Sanford Health Plan | Group Health/True | $119.50 | ↓ -91% |
| Sanford Health Plan | SD Exchange Commercial | $119.50 | ↓ -91% |
| Sanford Health Plan | SD Exchange True | $119.50 | ↓ -91% |
| Blue Cross Blue Shield of Minnesota | PMAP | $196.31 | ↓ -86% |
| Sanford Health Plan Align | Medicare Replacement | $404.53 | ↓ -71% |
| Ucare | Medicare Replacement | $434.34 | ↓ -69% |
| Aetna | Medicare Replacement | $438.59 | ↓ -68% |
| Blue Cross Blue Shield of Minnesota | Medicare Replacement | $438.59 | ↓ -68% |
| Great Plains Medicare Advantage | Medicare Replacement | $438.59 | ↓ -68% |
| Health Partners | Medicare Replacement | $438.59 | ↓ -68% |
| United Healthcare | Medicare Replacement | $438.59 | ↓ -68% |
| Primewest | Medicare Replacement | $447.11 | ↓ -68% |
| Primewest | Medicaid Managed Care | $464.20 | ↓ -66% |
| Ucare | Medicaid Managed Care | $464.20 | ↓ -66% |
| Blue Cross Blue Shield of Minnesota | State Employees | $544.02 | ↓ -61% |
| Blue Cross Blue Shield of Minnesota | Commercial | $557.07 | ↓ -60% |
| Health Partners | State Employees | $579.55 | ↓ -58% |
| Health Partners | Commercial | $674.70 | ↓ -51% |
| Security Health Plan | Commercial | $951.50 | ↓ -31% |
| United Healthcare | CSP Top 20 | $1,164.29 | ↓ -16% |
| Medica | Choice | $1,166.02 | ↓ -16% |
| Ucare | Commercial | $1,216.02 | ↓ -12% |
| Medica | Elect | $1,247.33 | ↓ -10% |
| Aetna | Commercial | $1,323.45 | ↓ -4% |
| United Healthcare | Commercial | $1,524.13 | ↑ +10% |
| First Choice Health Network | Commercial | $1,557.00 | ↑ +13% |
| Healthez | Commercial | $1,557.00 | ↑ +13% |
| Multiplan | Commercial | $1,557.00 | ↑ +13% |
| Wellmark | HMO/PPO | not published by hospital | — |
Visitor-reported prices
Comments
ER Visit (level 4) at other South-dakota hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Sanford Clear Lake Medical Center | Clear Lake | $1,103.20 | $707.43 – $1,241.10 |
| Sanford Hospital Webster | Webster | $1,078.40 | $423.27 – $1,213.20 |
| Sanford Chamberlain Medical Center | Chamberlain | $1,204.00 | $514.71 – $1,354.50 |
| Sanford Canton Inwood Medical Center | Canton | $1,288.80 | $550.96 – $1,449.90 |
| Sanford Vermillion Hospital | Vermillion | $1,360.80 | $501.80 – $1,530.90 |
| Sanford Aberdeen Medical Center | Aberdeen | $984.80 | $404.53 – $1,107.90 |