Warde 3708165 mercury urine at Sanford USD Medical Center
1305 W 18th St, Sioux Falls, SD · Sanford Health · · NPI 1821017880
not published by hospital
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.
not published by hospital
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.
$15.45 with Sanford Health Plan Align vs $44.67 with Sanford Health Plan — 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 Align | Medicare Replacement | $15.45 | — |
| Blue Cross Blue Shield of Minnesota | Commercial | $16.26 | — |
| Blue Cross Blue Shield of Minnesota | PMAP | $16.26 | — |
| Blue Cross Blue Shield of Minnesota | State Employees | $16.26 | — |
| Ucare | Medicare Replacement | $16.59 | — |
| Aetna | Medicare Replacement | $16.75 | — |
| Blue Cross Blue Shield of Minnesota | Medicare Replacement | $16.75 | — |
| Great Plains Medicare Advantage | Medicare Replacement | $16.75 | — |
| Health Partners | Medicare Replacement | $16.75 | — |
| United Healthcare | Medicare Replacement | $16.75 | — |
| Primewest | Medicare Replacement | $17.07 | — |
| Sanford Health Plan | SD Exchange True | $33.30 | — |
| Sanford Health Plan | Group Health/True | $37.97 | — |
| Sanford Health Plan | SD Exchange Commercial | $39.18 | — |
| Sanford Health Plan | Commercial/ND Pers | $44.67 | — |
Visitor-reported prices
Comments
Warde 3708165 mercury urine at other South-dakota hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Sanford Clear Lake Medical Center | Clear Lake | $39.20 | $25.14 – $44.10 |
| Sanford Hospital Webster | Webster | $120.00 | $21.67 – $62.10 |
| Sanford Chamberlain Medical Center | Chamberlain | $111.20 | $16.76 – $44.10 |
| Sanford Canton Inwood Medical Center | Canton | $107.20 | $16.76 – $44.10 |
| Sanford Vermillion Hospital | Vermillion | $132.80 | $12.39 – $37.80 |
| Sanford Aberdeen Medical Center | Aberdeen | not published | $15.45 – $17.07 |