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Sinus CT scan (with contrast) at Sanford USD Medical Center
1305 W 18th St, Sioux Falls, SD · Sanford Health · · NPI 1821017880
$2,778.40
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.
$3,473.00
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.
$81.44 with Blue Cross Blue Shield of Minnesota vs $3,125.70 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 |
|---|---|---|---|
| Blue Cross Blue Shield of Minnesota | PMAP | $81.44 | ↓ -97% |
| Sanford Health Plan | Commercial/ND Pers | $155.79 | ↓ -94% |
| Sanford Health Plan | Group Health/True | $155.79 | ↓ -94% |
| Sanford Health Plan | SD Exchange Commercial | $155.79 | ↓ -94% |
| Sanford Health Plan | SD Exchange True | $155.79 | ↓ -94% |
| Sanford Health Plan Align | Medicare Replacement | $169.12 | ↓ -94% |
| Ucare | Medicare Replacement | $181.58 | ↓ -93% |
| Aetna | Medicare Replacement | $183.36 | ↓ -93% |
| Blue Cross Blue Shield of Minnesota | Medicare Replacement | $183.36 | ↓ -93% |
| Great Plains Medicare Advantage | Medicare Replacement | $183.36 | ↓ -93% |
| Health Partners | Medicare Replacement | $183.36 | ↓ -93% |
| United Healthcare | Medicare Replacement | $183.36 | ↓ -93% |
| Primewest | Medicare Replacement | $186.92 | ↓ -93% |
| Primewest | Medicaid Managed Care | $192.57 | ↓ -93% |
| Ucare | Medicaid Managed Care | $192.57 | ↓ -93% |
| Blue Cross Blue Shield of Minnesota | State Employees | $225.68 | ↓ -92% |
| Blue Cross Blue Shield of Minnesota | Commercial | $231.09 | ↓ -92% |
| Health Partners | State Employees | $1,163.46 | ↓ -58% |
| Health Partners | Commercial | $1,354.47 | ↓ -51% |
| Security Health Plan | Commercial | $1,910.15 | ↓ -31% |
| United Healthcare | CSP Top 20 | $2,337.33 | ↓ -16% |
| Medica | Choice | $2,340.80 | ↓ -16% |
| Ucare | Commercial | $2,441.17 | ↓ -12% |
| Medica | Elect | $2,504.03 | ↓ -10% |
| Aetna | Commercial | $2,656.85 | ↓ -4% |
| United Healthcare | Commercial | $3,059.71 | ↑ +10% |
| First Choice Health Network | Commercial | $3,125.70 | ↑ +13% |
| Healthez | Commercial | $3,125.70 | ↑ +13% |
| Multiplan | Commercial | $3,125.70 | ↑ +13% |
| Wellmark | HMO/PPO | not published by hospital | — |
Visitor-reported prices
Comments
Sinus CT scan (with contrast) at other South-dakota hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Sanford Clear Lake Medical Center | Clear Lake | $2,228.00 | $893.20 – $2,506.50 |
| Sanford Hospital Webster | Webster | $2,598.40 | $1,019.87 – $2,923.20 |
| Sanford Chamberlain Medical Center | Chamberlain | $2,392.80 | $1,022.92 – $2,691.90 |
| Sanford Canton Inwood Medical Center | Canton | $2,045.60 | $874.49 – $2,301.30 |
| Sanford Vermillion Hospital | Vermillion | $2,216.00 | $817.15 – $2,493.00 |
| Sanford Aberdeen Medical Center | Aberdeen | $2,266.40 | $169.12 – $2,549.70 |