Liver/spleen imag static only at Sanford Vermillion Hospital
20 S Plum St, Vermillion, SD · Sanford Health · · NPI 1790721280
$1,557.60
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.
$1,947.00
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.
$574.37 with Sanford Health Plan Align vs $1,752.30 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 | $574.37 | ↓ -63% |
| Wellmark SD | Medicare Replacement | $591.89 | ↓ -62% |
| Ucare | Medicare Replacement | $634.72 | ↓ -59% |
| Health Partners | Medicare Replacement | $642.51 | ↓ -59% |
| Great Plains Medicare Advantage | Medicare Replacement | $642.51 | ↓ -59% |
| Aetna | Medicare Replacement | $642.51 | ↓ -59% |
| United Healthcare | Medicare Replacement | $642.51 | ↓ -59% |
| Primewest | Medicare Replacement | $654.19 | ↓ -58% |
| Sanford Health Plan | SD Exchange True | $770.82 | ↓ -51% |
| Sanford Health Plan | Group Health/True | $878.88 | ↓ -44% |
| Sanford Health Plan | SD Exchange Commercial | $906.91 | ↓ -42% |
| Sanford Health Plan | Commercial/ND Pers | $1,034.05 | ↓ -34% |
| Security Health Plan | Commercial | $1,070.85 | ↓ -31% |
| Health Partners | State Employees | $1,285.02 | ↓ -18% |
| Health Partners | Commercial | $1,460.25 | ↓ -6% |
| Medica | Choice | $1,606.28 | ↑ +3% |
| United Healthcare | Commercial +20 | $1,625.75 | ↑ +4% |
| Wellmark | PPO | $1,674.42 | ↑ +8% |
| Aetna | Commercial | $1,691.94 | ↑ +9% |
| Ucare | Commercial | $1,710.63 | ↑ +10% |
| Medica | Elect | $1,717.25 | ↑ +10% |
| Healthez | Commercial | $1,752.30 | ↑ +13% |
| Multiplan | Commercial | $1,752.30 | ↑ +13% |
| First Choice Health Network | Commercial | $1,752.30 | ↑ +13% |
Visitor-reported prices
Comments
Liver/spleen imag static only at other South-dakota hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Sanford USD Medical Center | Sioux Falls | $1,614.40 | $181.75 – $1,816.20 |
| Sanford Hospital Webster | Webster | $1,672.80 | $656.57 – $1,881.90 |
| Sanford Chamberlain Medical Center | Chamberlain | $1,669.60 | $713.75 – $1,878.30 |
| Sanford Canton Inwood Medical Center | Canton | $1,610.40 | $688.45 – $1,811.70 |
| Sanford Aberdeen Medical Center | Aberdeen | $1,554.40 | $381.74 – $1,748.70 |