Infectious agent antigen immunoassay ql/sq multi step cryptosporidium at Sanford Vermillion Hospital
20 S Plum St, Vermillion, SD · Sanford Health · · NPI 1790721280
$80.00
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.
$100.00
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.
$19.47 with Sanford Health Plan Align vs $59.40 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 →
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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 | $19.47 | ↓ -76% |
| Wellmark SD | Medicare Replacement | $20.06 | ↓ -75% |
| Ucare | Medicare Replacement | $21.52 | ↓ -73% |
| Health Partners | Medicare Replacement | $21.78 | ↓ -73% |
| Great Plains Medicare Advantage | Medicare Replacement | $21.78 | ↓ -73% |
| Aetna | Medicare Replacement | $21.78 | ↓ -73% |
| United Healthcare | Medicare Replacement | $21.78 | ↓ -73% |
| Primewest | Medicare Replacement | $22.18 | ↓ -72% |
| Sanford Health Plan | SD Exchange True | $26.13 | ↓ -67% |
| Sanford Health Plan | Group Health/True | $29.79 | ↓ -63% |
| Sanford Health Plan | SD Exchange Commercial | $30.74 | ↓ -62% |
| Sanford Health Plan | Commercial/ND Pers | $35.05 | ↓ -56% |
| Security Health Plan | Commercial | $36.30 | ↓ -55% |
| Health Partners | State Employees | $43.56 | ↓ -46% |
| Health Partners | Commercial | $49.50 | ↓ -38% |
| Medica | Choice | $54.45 | ↓ -32% |
| United Healthcare | Commercial +20 | $55.11 | ↓ -31% |
| Wellmark | PPO | $56.76 | ↓ -29% |
| Aetna | Commercial | $57.35 | ↓ -28% |
| Ucare | Commercial | $57.99 | ↓ -28% |
| Medica | Elect | $58.21 | ↓ -27% |
| Healthez | Commercial | $59.40 | ↓ -26% |
| Multiplan | Commercial | $59.40 | ↓ -26% |
| First Choice Health Network | Commercial | $59.40 | ↓ -26% |
Visitor-reported prices
Comments
Infectious agent antigen immunoassay ql/sq multi step cryptosporidium at other South-dakota hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Sanford Clear Lake Medical Center | Clear Lake | $112.80 | $72.33 – $126.90 |
| Sanford Hospital Webster | Webster | $124.00 | $48.67 – $139.50 |
| Sanford Chamberlain Medical Center | Chamberlain | $108.00 | $44.12 – $116.10 |
| Sanford Canton Inwood Medical Center | Canton | $88.80 | $24.97 – $65.70 |
| Sanford USD Medical Center | Sioux Falls | not published | $13.13 – $28.30 |
| Sanford Aberdeen Medical Center | Aberdeen | not published | $13.13 – $14.51 |