Warde estrogen fractionated 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

$308.80

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.

$386.00

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.

$31.57 with Sanford Health Plan Align vs $96.30 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 →

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 $31.57 ↓ -90%
Wellmark SD Medicare Replacement $32.53 ↓ -89%
Ucare Medicare Replacement $34.88 ↓ -89%
Health Partners Medicare Replacement $35.31 ↓ -89%
Great Plains Medicare Advantage Medicare Replacement $35.31 ↓ -89%
Aetna Medicare Replacement $35.31 ↓ -89%
United Healthcare Medicare Replacement $35.31 ↓ -89%
Primewest Medicare Replacement $35.95 ↓ -88%
Sanford Health Plan SD Exchange True $42.36 ↓ -86%
Sanford Health Plan Group Health/True $48.30 ↓ -84%
Sanford Health Plan SD Exchange Commercial $49.84 ↓ -84%
Sanford Health Plan Commercial/ND Pers $56.83 ↓ -82%
Security Health Plan Commercial $58.85 ↓ -81%
Health Partners State Employees $70.62 ↓ -77%
Health Partners Commercial $80.25 ↓ -74%
Medica Choice $88.28 ↓ -71%
United Healthcare Commercial +20 $89.35 ↓ -71%
Wellmark PPO $92.02 ↓ -70%
Aetna Commercial $92.98 ↓ -70%
Ucare Commercial $94.01 ↓ -70%
Medica Elect $94.37 ↓ -69%
Healthez Commercial $96.30 ↓ -69%
Multiplan Commercial $96.30 ↓ -69%
First Choice Health Network Commercial $96.30 ↓ -69%

Visitor-reported prices

visitor-reported
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Warde estrogen fractionated at other South-dakota hospitals

Hospital City Cash price Negotiated range
Sanford Canton Inwood Medical Center Canton $103.20 $44.12 – $116.10
Sanford USD Medical Center Sioux Falls not published $30.69 – $66.15
Sanford Aberdeen Medical Center Aberdeen not published $30.69 – $33.92

All South-dakota hospitals for this procedure →