Clsd tx clavicle dislocation without manip 23540 at Sanford Vermillion Hospital
20 S Plum St, Vermillion, SD · Sanford Health · · NPI 1790721280
$498.40
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.
$623.00
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.
$183.79 with Sanford Health Plan Align vs $560.70 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 |
|---|---|---|---|
| Sanford Health Plan Align | Medicare Replacement | $183.79 | ↓ -63% |
| Wellmark SD | Medicare Replacement | $189.39 | ↓ -62% |
| Ucare | Medicare Replacement | $203.10 | ↓ -59% |
| Health Partners | Medicare Replacement | $205.59 | ↓ -59% |
| Great Plains Medicare Advantage | Medicare Replacement | $205.59 | ↓ -59% |
| Aetna | Medicare Replacement | $205.59 | ↓ -59% |
| United Healthcare | Medicare Replacement | $205.59 | ↓ -59% |
| Primewest | Medicare Replacement | $209.33 | ↓ -58% |
| Sanford Health Plan | SD Exchange True | $246.65 | ↓ -51% |
| Sanford Health Plan | Group Health/True | $281.22 | ↓ -44% |
| Sanford Health Plan | SD Exchange Commercial | $290.19 | ↓ -42% |
| Sanford Health Plan | Commercial/ND Pers | $330.88 | ↓ -34% |
| Security Health Plan | Commercial | $342.65 | ↓ -31% |
| Health Partners | State Employees | $411.18 | ↓ -18% |
| Health Partners | Commercial | $467.25 | ↓ -6% |
| Medica | Choice | $513.98 | ↑ +3% |
| United Healthcare | Commercial +20 | $520.21 | ↑ +4% |
| Wellmark | PPO | $535.78 | ↑ +8% |
| Aetna | Commercial | $541.39 | ↑ +9% |
| Ucare | Commercial | $547.37 | ↑ +10% |
| Medica | Elect | $549.49 | ↑ +10% |
| Healthez | Commercial | $560.70 | ↑ +13% |
| Multiplan | Commercial | $560.70 | ↑ +13% |
| First Choice Health Network | Commercial | $560.70 | ↑ +13% |
Visitor-reported prices
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Clsd tx clavicle dislocation without manip 23540 at other South-dakota hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Sanford USD Medical Center | Sioux Falls | $452.00 | $104.52 – $508.50 |
| Sanford Aberdeen Medical Center | Aberdeen | $448.00 | $227.89 – $504.00 |