Trauma partial team response w/critical care services level 4 at Sanford USD Medical Center
1305 W 18th St, Sioux Falls, SD · Sanford Health · · NPI 1821017880
$7,150.40
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.
$8,938.00
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.
$606.84 with Blue Cross Blue Shield of Minnesota vs $2,352.60 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 | $606.84 | ↓ -92% |
| Sanford Health Plan | SD Exchange True | $691.40 | ↓ -90% |
| Sanford Health Plan | Group Health/True | $788.38 | ↓ -89% |
| Sanford Health Plan | SD Exchange Commercial | $813.48 | ↓ -89% |
| Health Partners | State Employees | $875.69 | ↓ -88% |
| Sanford Health Plan | Commercial/ND Pers | $927.45 | ↓ -87% |
| Health Partners | Commercial | $1,019.46 | ↓ -86% |
| Sanford Health Plan Align | Medicare Replacement | $1,257.01 | ↓ -82% |
| Ucare | Medicare Replacement | $1,349.63 | ↓ -81% |
| Great Plains Medicare Advantage | Medicare Replacement | $1,362.87 | ↓ -81% |
| Health Partners | Medicare Replacement | $1,362.87 | ↓ -81% |
| United Healthcare | Medicare Replacement | $1,362.87 | ↓ -81% |
| Aetna | Medicare Replacement | $1,362.87 | ↓ -81% |
| Blue Cross Blue Shield of Minnesota | Medicare Replacement | $1,362.87 | ↓ -81% |
| Primewest | Medicare Replacement | $1,389.33 | ↓ -81% |
| Primewest | Medicaid Managed Care | $1,434.92 | ↓ -80% |
| Ucare | Medicaid Managed Care | $1,434.92 | ↓ -80% |
| Security Health Plan | Commercial | $1,437.70 | ↓ -80% |
| Blue Cross Blue Shield of Minnesota | State Employees | $1,681.66 | ↓ -76% |
| Blue Cross Blue Shield of Minnesota | Commercial | $1,722.01 | ↓ -76% |
| United Healthcare | CSP Top 20 | $1,759.22 | ↓ -75% |
| Medica | Choice | $1,761.84 | ↓ -75% |
| Ucare | Commercial | $1,837.38 | ↓ -74% |
| Medica | Elect | $1,884.69 | ↓ -74% |
| Aetna | Commercial | $1,999.71 | ↓ -72% |
| United Healthcare | Commercial | $2,302.93 | ↓ -68% |
| Multiplan | Commercial | $2,352.60 | ↓ -67% |
| Healthez | Commercial | $2,352.60 | ↓ -67% |
| First Choice Health Network | Commercial | $2,352.60 | ↓ -67% |
| Wellmark | HMO/PPO | not published by hospital | — |
Visitor-reported prices
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Trauma partial team response w/critical care services level 4 at other South-dakota hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Sanford Clear Lake Medical Center | Clear Lake | $2,387.20 | $1,530.79 – $2,685.60 |
| Sanford Hospital Webster | Webster | $2,356.00 | $924.73 – $2,650.50 |
| Sanford Chamberlain Medical Center | Chamberlain | $1,946.40 | $832.09 – $2,189.70 |
| Sanford Canton Inwood Medical Center | Canton | $1,463.20 | $625.52 – $1,646.10 |
| Sanford Vermillion Hospital | Vermillion | $3,074.40 | $1,133.69 – $3,458.70 |
| Sanford Aberdeen Medical Center | Aberdeen | $3,112.80 | $414.21 – $3,501.90 |