Doppler upper/lower extremity arteries limited bilateral at Sanford Vermillion Hospital
20 S Plum St, Vermillion, SD · Sanford Health · · NPI 1790721280
$450.40
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.
?
What you pay up front if you don't use insurance.
$563.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$135.41 with Sanford Health Plan Align vs $413.10 with First Choice Health Network — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $135.41 | ↓ -70% |
| Wellmark SD | Medicare Replacement | $139.54 | ↓ -69% |
| Ucare | Medicare Replacement | $149.63 | ↓ -67% |
| Health Partners | Medicare Replacement | $151.47 | ↓ -66% |
| Great Plains Medicare Advantage | Medicare Replacement | $151.47 | ↓ -66% |
| Aetna | Medicare Replacement | $151.47 | ↓ -66% |
| United Healthcare | Medicare Replacement | $151.47 | ↓ -66% |
| Primewest | Medicare Replacement | $154.22 | ↓ -66% |
| Sanford Health Plan | SD Exchange True | $181.72 | ↓ -60% |
| Sanford Health Plan | Group Health/True | $207.19 | ↓ -54% |
| Sanford Health Plan | SD Exchange Commercial | $213.80 | ↓ -53% |
| Sanford Health Plan | Commercial/ND Pers | $243.77 | ↓ -46% |
| Security Health Plan | Commercial | $252.45 | ↓ -44% |
| Health Partners | State Employees | $302.94 | ↓ -33% |
| Health Partners | Commercial | $344.25 | ↓ -24% |
| Medica | Choice | $378.68 | ↓ -16% |
| United Healthcare | Commercial +20 | $383.27 | ↓ -15% |
| Wellmark | PPO | $394.74 | ↓ -12% |
| Aetna | Commercial | $398.87 | ↓ -11% |
| Ucare | Commercial | $403.28 | ↓ -10% |
| Medica | Elect | $404.84 | ↓ -10% |
| Healthez | Commercial | $413.10 | ↓ -8% |
| Multiplan | Commercial | $413.10 | ↓ -8% |
| First Choice Health Network | Commercial | $413.10 | ↓ -8% |
Visitor-reported prices
Comments
Doppler upper/lower extremity arteries limited bilateral at other South-dakota hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Sanford Clear Lake Medical Center | Clear Lake | $463.20 | $297.03 – $521.10 |
| Sanford USD Medical Center | Sioux Falls | $685.60 | $56.62 – $417.60 |
| Sanford Hospital Webster | Webster | $771.20 | $261.25 – $748.80 |
| Sanford Chamberlain Medical Center | Chamberlain | $672.00 | $287.28 – $756.00 |
| Sanford Canton Inwood Medical Center | Canton | $627.20 | $214.09 – $563.40 |
| Sanford Aberdeen Medical Center | Aberdeen | $530.40 | $122.46 – $596.70 |