Mayo infectious agent antigen immunoassay direct optical observation cryptococcus at Sanford Vermillion Hospital
20 S Plum St, Vermillion, SD · Sanford Health · · NPI 1790721280
$67.20
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.
$84.00
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.
$20.36 with Sanford Health Plan Align vs $62.10 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 | $20.36 | ↓ -70% |
| Wellmark SD | Medicare Replacement | $20.98 | ↓ -69% |
| Ucare | Medicare Replacement | $22.49 | ↓ -67% |
| Health Partners | Medicare Replacement | $22.77 | ↓ -66% |
| Great Plains Medicare Advantage | Medicare Replacement | $22.77 | ↓ -66% |
| Aetna | Medicare Replacement | $22.77 | ↓ -66% |
| United Healthcare | Medicare Replacement | $22.77 | ↓ -66% |
| Primewest | Medicare Replacement | $23.18 | ↓ -66% |
| Sanford Health Plan | SD Exchange True | $27.32 | ↓ -59% |
| Sanford Health Plan | Group Health/True | $31.15 | ↓ -54% |
| Sanford Health Plan | SD Exchange Commercial | $32.14 | ↓ -52% |
| Sanford Health Plan | Commercial/ND Pers | $36.65 | ↓ -45% |
| Security Health Plan | Commercial | $37.95 | ↓ -44% |
| Health Partners | State Employees | $45.54 | ↓ -32% |
| Health Partners | Commercial | $51.75 | ↓ -23% |
| Medica | Choice | $56.93 | ↓ -15% |
| United Healthcare | Commercial +20 | $57.62 | ↓ -14% |
| Wellmark | PPO | $59.34 | ↓ -12% |
| Aetna | Commercial | $59.96 | ↓ -11% |
| Ucare | Commercial | $60.62 | ↓ -10% |
| Medica | Elect | $60.86 | ↓ -9% |
| Healthez | Commercial | $62.10 | ↓ -8% |
| Multiplan | Commercial | $62.10 | ↓ -8% |
| First Choice Health Network | Commercial | $62.10 | ↓ -8% |
Visitor-reported prices
Comments
Mayo infectious agent antigen immunoassay direct optical observation cryptococcus at other South-dakota hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Sanford Clear Lake Medical Center | Clear Lake | $128.00 | $62.59 – $109.80 |
| Sanford Hospital Webster | Webster | $124.80 | $40.82 – $117.00 |
| Sanford Chamberlain Medical Center | Chamberlain | $163.20 | $28.39 – $74.70 |
| Sanford Canton Inwood Medical Center | Canton | $76.00 | $27.36 – $72.00 |
| Sanford USD Medical Center | Sioux Falls | not published | $15.27 – $32.91 |
| Sanford Aberdeen Medical Center | Aberdeen | not published | $15.27 – $16.87 |