Sling suprapubic suburetheral at Sanford Vermillion Hospital
20 S Plum St, Vermillion, SD · Sanford Health · · NPI 1790721280
$2,000.80
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.
$2,501.00
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.
$484.69 with Sanford Health Plan Align vs $1,478.70 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 →
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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 | $484.69 | ↓ -76% |
| Wellmark SD | Medicare Replacement | $499.47 | ↓ -75% |
| Ucare | Medicare Replacement | $535.62 | ↓ -73% |
| Health Partners | Medicare Replacement | $542.19 | ↓ -73% |
| Great Plains Medicare Advantage | Medicare Replacement | $542.19 | ↓ -73% |
| Aetna | Medicare Replacement | $542.19 | ↓ -73% |
| United Healthcare | Medicare Replacement | $542.19 | ↓ -73% |
| Primewest | Medicare Replacement | $552.05 | ↓ -72% |
| Sanford Health Plan | SD Exchange True | $650.46 | ↓ -67% |
| Sanford Health Plan | Group Health/True | $741.65 | ↓ -63% |
| Sanford Health Plan | SD Exchange Commercial | $765.31 | ↓ -62% |
| Sanford Health Plan | Commercial/ND Pers | $872.60 | ↓ -56% |
| Security Health Plan | Commercial | $903.65 | ↓ -55% |
| Health Partners | State Employees | $1,084.38 | ↓ -46% |
| Health Partners | Commercial | $1,232.25 | ↓ -38% |
| Medica | Choice | $1,355.48 | ↓ -32% |
| United Healthcare | Commercial +20 | $1,371.91 | ↓ -31% |
| Wellmark | PPO | $1,412.98 | ↓ -29% |
| Aetna | Commercial | $1,427.77 | ↓ -29% |
| Ucare | Commercial | $1,443.54 | ↓ -28% |
| Medica | Elect | $1,449.13 | ↓ -28% |
| Healthez | Commercial | $1,478.70 | ↓ -26% |
| Multiplan | Commercial | $1,478.70 | ↓ -26% |
| First Choice Health Network | Commercial | $1,478.70 | ↓ -26% |
Visitor-reported prices
Comments
Sling suprapubic suburetheral at other South-dakota hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Sanford USD Medical Center | Sioux Falls | $19,810.40 | $1.00 – $3,241.80 |
| Sanford Chamberlain Medical Center | Chamberlain | $4,407.20 | $1,749.33 – $4,603.50 |
| Sanford Aberdeen Medical Center | Aberdeen | $3,768.03 | $1,584.63 – $3,215.70 |