Repair rpr lac tongue floor mouth > 2.6 cm/cmplx at Sanford USD Medical Center
1305 W 18th St, Sioux Falls, SD · Sanford Health · · NPI 1821017880
$1,198.40
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.
$1,498.00
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.
$108.27 with Blue Cross Blue Shield of Minnesota vs $1,348.20 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 | $108.27 | ↓ -91% |
| Sanford Health Plan | Commercial/ND Pers | $209.38 | ↓ -83% |
| Sanford Health Plan | SD Exchange True | $209.38 | ↓ -83% |
| Sanford Health Plan | SD Exchange Commercial | $209.38 | ↓ -83% |
| Sanford Health Plan | Group Health/True | $209.38 | ↓ -83% |
| Sanford Health Plan Align | Medicare Replacement | $220.61 | ↓ -82% |
| Ucare | Medicare Replacement | $236.86 | ↓ -80% |
| Great Plains Medicare Advantage | Medicare Replacement | $239.19 | ↓ -80% |
| United Healthcare | Medicare Replacement | $239.19 | ↓ -80% |
| Health Partners | Medicare Replacement | $239.19 | ↓ -80% |
| Blue Cross Blue Shield of Minnesota | Medicare Replacement | $239.19 | ↓ -80% |
| Aetna | Medicare Replacement | $239.19 | ↓ -80% |
| Primewest | Medicare Replacement | $243.83 | ↓ -80% |
| Ucare | Medicaid Managed Care | $256.00 | ↓ -79% |
| Primewest | Medicaid Managed Care | $256.00 | ↓ -79% |
| Blue Cross Blue Shield of Minnesota | State Employees | $300.03 | ↓ -75% |
| Blue Cross Blue Shield of Minnesota | Commercial | $307.23 | ↓ -74% |
| Health Partners | State Employees | $501.83 | ↓ -58% |
| Health Partners | Commercial | $584.22 | ↓ -51% |
| Security Health Plan | Commercial | $823.90 | ↓ -31% |
| United Healthcare | CSP Top 20 | $1,008.15 | ↓ -16% |
| Medica | Choice | $1,009.65 | ↓ -16% |
| Ucare | Commercial | $1,052.94 | ↓ -12% |
| Medica | Elect | $1,080.06 | ↓ -10% |
| Aetna | Commercial | $1,145.97 | ↓ -4% |
| United Healthcare | Commercial | $1,319.74 | ↑ +10% |
| Multiplan | Commercial | $1,348.20 | ↑ +13% |
| Healthez | Commercial | $1,348.20 | ↑ +13% |
| First Choice Health Network | Commercial | $1,348.20 | ↑ +13% |
| Wellmark | HMO/PPO | not published by hospital | — |
Visitor-reported prices
Comments
Repair rpr lac tongue floor mouth > 2.6 cm/cmplx at other South-dakota hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Sanford Hospital Webster | Webster | $774.40 | $303.95 – $871.20 |
| Sanford Canton Inwood Medical Center | Canton | $811.20 | $346.79 – $912.60 |
| Sanford Aberdeen Medical Center | Aberdeen | $804.00 | $220.61 – $904.50 |