Ghs layered repair 12.6 - 20.0 cm -12055 at Sanford Hospital Webster

1401 W 1st St, Webster, SD · Sanford Health · · NPI 1831103449

Source: hospital's published price file ↗ · Published Mar 4, 2026 · Ingested Aug 12, 2026

$784.80

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.

$981.00

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.

$308.03 with Sanford Health Plan Align vs $882.90 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 $308.03 ↓ -61%
Wellmark SD Medicare Replacement $330.60 ↓ -58%
Ucare Medicare Replacement $330.60 ↓ -58%
Health Partners Medicare Replacement $333.54 ↓ -58%
United Healthcare Medicare Replacement $333.54 ↓ -58%
Great Plains Medicare Advantage Medicare Replacement $333.54 ↓ -58%
Aetna Medicare Replacement $333.54 ↓ -58%
Primewest Medicare Replacement $339.92 ↓ -57%
Sanford Health Plan SD Exchange True $537.49 ↓ -32%
Security Health Plan Commercial $539.55 ↓ -31%
Sanford Health Plan Group Health/True $612.93 ↓ -22%
Sanford Health Plan SD Exchange Commercial $632.35 ↓ -19%
Health Partners State Employees $647.46 ↓ -18%
Sanford Health Plan Commercial/ND Pers $721.04 ↓ -8%
Health Partners Commercial $735.75 ↓ -6%
Medica Choice $809.33 ↑ +3%
United Healthcare Commercial + Top 20 $819.14 ↑ +4%
Wellmark PPO $843.66 ↑ +8%
Aetna Commercial $852.49 ↑ +9%
Ucare Commercial $861.91 ↑ +10%
Medica Elect $865.24 ↑ +10%
Healthez Commercial $882.90 ↑ +13%
Multiplan Commercial $882.90 ↑ +13%
First Choice Health Network Commercial $882.90 ↑ +13%

Visitor-reported prices

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Ghs layered repair 12.6 - 20.0 cm -12055 at other South-dakota hospitals

Hospital City Cash price Negotiated range
Sanford USD Medical Center Sioux Falls $581.60 $176.74 – $654.30
Sanford Chamberlain Medical Center Chamberlain $721.60 $308.48 – $811.80
Sanford Aberdeen Medical Center Aberdeen $792.80 $379.55 – $891.90

All South-dakota hospitals for this procedure →