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Blood Clotting (PT/INR) Test at Sanford Vermillion Hospital
20 S Plum St, Vermillion, SD · Sanford Health · · NPI 1790721280
$35.20
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.
$44.00
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.
$10.92 with Sanford Health Plan Align vs $33.30 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 Align | Medicare Replacement | $10.92 | ↓ -69% |
| Wellmark SD | Medicare Replacement | $11.25 | ↓ -68% |
| Ucare | Medicare Replacement | $12.06 | ↓ -66% |
| Aetna | Medicare Replacement | $12.21 | ↓ -65% |
| Great Plains Medicare Advantage | Medicare Replacement | $12.21 | ↓ -65% |
| Health Partners | Medicare Replacement | $12.21 | ↓ -65% |
| United Healthcare | Medicare Replacement | $12.21 | ↓ -65% |
| Primewest | Medicare Replacement | $12.43 | ↓ -65% |
| Sanford Health Plan | SD Exchange True | $14.65 | ↓ -58% |
| Sanford Health Plan | Group Health/True | $16.70 | ↓ -53% |
| Sanford Health Plan | SD Exchange Commercial | $17.23 | ↓ -51% |
| Sanford Health Plan | Commercial/ND Pers | $19.65 | ↓ -44% |
| Security Health Plan | Commercial | $20.35 | ↓ -42% |
| Health Partners | State Employees | $24.42 | ↓ -31% |
| Health Partners | Commercial | $27.75 | ↓ -21% |
| Medica | Choice | $30.53 | ↓ -13% |
| United Healthcare | Commercial +20 | $30.90 | ↓ -12% |
| Wellmark | PPO | $31.82 | ↓ -10% |
| Aetna | Commercial | $32.15 | ↓ -9% |
| Ucare | Commercial | $32.51 | ↓ -8% |
| Medica | Elect | $32.63 | ↓ -7% |
| First Choice Health Network | Commercial | $33.30 | ↓ -5% |
| Healthez | Commercial | $33.30 | ↓ -5% |
| Multiplan | Commercial | $33.30 | ↓ -5% |
Visitor-reported prices
Comments
Blood Clotting (PT/INR) Test at other South-dakota hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Sanford Clear Lake Medical Center | Clear Lake | $52.80 | $27.19 – $47.70 |
| Sanford Hospital Webster | Webster | $59.20 | $11.93 – $34.20 |
| Sanford Chamberlain Medical Center | Chamberlain | $91.20 | $6.50 – $17.10 |
| Sanford Canton Inwood Medical Center | Canton | $33.60 | $14.02 – $36.90 |
| Sanford USD Medical Center | Sioux Falls | not published | $4.08 – $8.79 |
| Sanford Aberdeen Medical Center | Aberdeen | not published | $4.08 – $4.50 |