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Mayo ld_i lactate dehydrogenase isoenzymes 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

$58.40

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.

$73.00

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.

$21.54 with Sanford Health Plan Align vs $65.70 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 $21.54 ↓ -63%
Wellmark SD Medicare Replacement $22.19 ↓ -62%
Ucare Medicare Replacement $23.80 ↓ -59%
Health Partners Medicare Replacement $24.09 ↓ -59%
Great Plains Medicare Advantage Medicare Replacement $24.09 ↓ -59%
Aetna Medicare Replacement $24.09 ↓ -59%
United Healthcare Medicare Replacement $24.09 ↓ -59%
Primewest Medicare Replacement $24.53 ↓ -58%
Sanford Health Plan SD Exchange True $28.90 ↓ -51%
Sanford Health Plan Group Health/True $32.95 ↓ -44%
Sanford Health Plan SD Exchange Commercial $34.00 ↓ -42%
Sanford Health Plan Commercial/ND Pers $38.77 ↓ -34%
Security Health Plan Commercial $40.15 ↓ -31%
Health Partners State Employees $48.18 ↓ -18%
Health Partners Commercial $54.75 ↓ -6%
Medica Choice $60.23 ↑ +3%
United Healthcare Commercial +20 $60.96 ↑ +4%
Wellmark PPO $62.78 ↑ +8%
Aetna Commercial $63.44 ↑ +9%
Ucare Commercial $64.14 ↑ +10%
Medica Elect $64.39 ↑ +10%
Healthez Commercial $65.70 ↑ +13%
Multiplan Commercial $65.70 ↑ +13%
First Choice Health Network Commercial $65.70 ↑ +13%

Visitor-reported prices

visitor-reported
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Mayo ld_i lactate dehydrogenase isoenzymes at other South-dakota hospitals

Hospital City Cash price Negotiated range
Sanford Clear Lake Medical Center Clear Lake $99.20 $63.61 – $111.60
Sanford Hospital Webster Webster $107.20 $42.08 – $120.60
Sanford Chamberlain Medical Center Chamberlain $114.40 $48.91 – $128.70
Sanford Canton Inwood Medical Center Canton $60.80 $25.99 – $68.40
Sanford USD Medical Center Sioux Falls not published $12.15 – $26.19
Sanford Aberdeen Medical Center Aberdeen not published $12.15 – $13.43

All South-dakota hospitals for this procedure →