Ghs myocardial strain img spckl track 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

$566.40

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.

$708.00

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.

$208.86 with Sanford Health Plan Align vs $637.20 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 $208.86 ↓ -63%
Wellmark SD Medicare Replacement $215.23 ↓ -62%
Ucare Medicare Replacement $230.81 ↓ -59%
Health Partners Medicare Replacement $233.64 ↓ -59%
Great Plains Medicare Advantage Medicare Replacement $233.64 ↓ -59%
Aetna Medicare Replacement $233.64 ↓ -59%
United Healthcare Medicare Replacement $233.64 ↓ -59%
Primewest Medicare Replacement $237.89 ↓ -58%
Sanford Health Plan SD Exchange True $280.30 ↓ -51%
Sanford Health Plan Group Health/True $319.59 ↓ -44%
Sanford Health Plan SD Exchange Commercial $329.79 ↓ -42%
Sanford Health Plan Commercial/ND Pers $376.02 ↓ -34%
Security Health Plan Commercial $389.40 ↓ -31%
Health Partners State Employees $467.28 ↓ -18%
Health Partners Commercial $531.00 ↓ -6%
Medica Choice $584.10 ↑ +3%
United Healthcare Commercial +20 $591.18 ↑ +4%
Wellmark PPO $608.88 ↑ +8%
Aetna Commercial $615.25 ↑ +9%
Ucare Commercial $622.05 ↑ +10%
Medica Elect $624.46 ↑ +10%
Healthez Commercial $637.20 ↑ +13%
Multiplan Commercial $637.20 ↑ +13%
First Choice Health Network Commercial $637.20 ↑ +13%

Visitor-reported prices

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Ghs myocardial strain img spckl track at other South-dakota hospitals

Hospital City Cash price Negotiated range
Sanford Clear Lake Medical Center Clear Lake $566.40 $363.20 – $637.20
Sanford USD Medical Center Sioux Falls $572.00 $1.00 – $643.50
Sanford Chamberlain Medical Center Chamberlain $568.80 $243.16 – $639.90
Sanford Canton Inwood Medical Center Canton $536.00 $229.14 – $603.00
Sanford Aberdeen Medical Center Aberdeen $591.20 $33.11 – $665.10

All South-dakota hospitals for this procedure →