Cadd pump refill at Sanford Vermillion Hospital

20 S Plum St, Vermillion, SD · Sanford Health · · NPI 1790721280

Source: hospital's published price file ↗ · Published Mar 4, 2026 · Ingested Aug 12, 2026

$417.60

Cash price

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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.

Full explanation →

What you pay up front if you don't use insurance.

$522.00

Gross charge

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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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$63.72 with Sanford Health Plan Align vs $194.40 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 →

Payer
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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
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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 $63.72 ↓ -85%
Wellmark SD Medicare Replacement $65.66 ↓ -84%
Ucare Medicare Replacement $70.42 ↓ -83%
Health Partners Medicare Replacement $71.28 ↓ -83%
Great Plains Medicare Advantage Medicare Replacement $71.28 ↓ -83%
Aetna Medicare Replacement $71.28 ↓ -83%
United Healthcare Medicare Replacement $71.28 ↓ -83%
Primewest Medicare Replacement $72.58 ↓ -83%
Sanford Health Plan SD Exchange True $85.51 ↓ -80%
Sanford Health Plan Group Health/True $97.50 ↓ -77%
Sanford Health Plan SD Exchange Commercial $100.61 ↓ -76%
Sanford Health Plan Commercial/ND Pers $114.72 ↓ -73%
Security Health Plan Commercial $118.80 ↓ -72%
Health Partners State Employees $142.56 ↓ -66%
Health Partners Commercial $162.00 ↓ -61%
Medica Choice $178.20 ↓ -57%
United Healthcare Commercial +20 $180.36 ↓ -57%
Wellmark PPO $185.76 ↓ -56%
Aetna Commercial $187.70 ↓ -55%
Ucare Commercial $189.78 ↓ -55%
Medica Elect $190.51 ↓ -54%
Healthez Commercial $194.40 ↓ -53%
Multiplan Commercial $194.40 ↓ -53%
First Choice Health Network Commercial $194.40 ↓ -53%

Visitor-reported prices

visitor-reported
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Cadd pump refill at other South-dakota hospitals

Hospital City Cash price Negotiated range
Sanford USD Medical Center Sioux Falls $139.20 $95.00 – $221.22
Sanford Chamberlain Medical Center Chamberlain $516.00 $220.59 – $580.50
Sanford Clear Lake Medical Center Clear Lake not published $300.80 – $300.80
Sanford Hospital Webster Webster not published $300.80 – $300.80
Sanford Canton Inwood Medical Center Canton not published $300.80 – $300.80
Sanford Aberdeen Medical Center Aberdeen not published $200.16 – $221.22

All South-dakota hospitals for this procedure →