Echocardiography doppler color flow mapping 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

$656.80

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.

$821.00

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.

$242.20 with Sanford Health Plan Align vs $738.90 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 $242.20 ↓ -63%
Wellmark SD Medicare Replacement $249.58 ↓ -62%
Ucare Medicare Replacement $267.65 ↓ -59%
Health Partners Medicare Replacement $270.93 ↓ -59%
Great Plains Medicare Advantage Medicare Replacement $270.93 ↓ -59%
Aetna Medicare Replacement $270.93 ↓ -59%
United Healthcare Medicare Replacement $270.93 ↓ -59%
Primewest Medicare Replacement $275.86 ↓ -58%
Sanford Health Plan SD Exchange True $325.03 ↓ -51%
Sanford Health Plan Group Health/True $370.60 ↓ -44%
Sanford Health Plan SD Exchange Commercial $382.42 ↓ -42%
Sanford Health Plan Commercial/ND Pers $436.03 ↓ -34%
Security Health Plan Commercial $451.55 ↓ -31%
Health Partners State Employees $541.86 ↓ -18%
Health Partners Commercial $615.75 ↓ -6%
Medica Choice $677.33 ↑ +3%
United Healthcare Commercial +20 $685.54 ↑ +4%
Wellmark PPO $706.06 ↑ +8%
Aetna Commercial $713.45 ↑ +9%
Ucare Commercial $721.33 ↑ +10%
Medica Elect $724.12 ↑ +10%
Healthez Commercial $738.90 ↑ +13%
Multiplan Commercial $738.90 ↑ +13%
First Choice Health Network Commercial $738.90 ↑ +13%

Visitor-reported prices

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Echocardiography doppler color flow mapping at other South-dakota hospitals

Hospital City Cash price Negotiated range
Sanford Clear Lake Medical Center Clear Lake $668.80 $428.87 – $752.40
Sanford USD Medical Center Sioux Falls $828.80 $1.00 – $932.40
Sanford Hospital Webster Webster $635.20 $249.32 – $714.60
Sanford Chamberlain Medical Center Chamberlain $748.00 $319.77 – $841.50
Sanford Canton Inwood Medical Center Canton $617.60 $264.02 – $694.80
Sanford Aberdeen Medical Center Aberdeen $600.80 $20.90 – $675.90

All South-dakota hospitals for this procedure →