Surgical pathology level 4 gross & microscopic examination at Sanford Hospital Webster
1401 W 1st St, Webster, SD · Sanford Health · · NPI 1831103449
$123.20
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.
$154.00
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.
$48.36 with Sanford Health Plan Align vs $138.60 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 | $48.36 | ↓ -61% |
| Wellmark SD | Medicare Replacement | $51.90 | ↓ -58% |
| Ucare | Medicare Replacement | $51.90 | ↓ -58% |
| Health Partners | Medicare Replacement | $52.36 | ↓ -58% |
| United Healthcare | Medicare Replacement | $52.36 | ↓ -58% |
| Great Plains Medicare Advantage | Medicare Replacement | $52.36 | ↓ -58% |
| Aetna | Medicare Replacement | $52.36 | ↓ -58% |
| Primewest | Medicare Replacement | $53.36 | ↓ -57% |
| Sanford Health Plan | SD Exchange True | $84.38 | ↓ -32% |
| Security Health Plan | Commercial | $84.70 | ↓ -31% |
| Sanford Health Plan | Group Health/True | $96.22 | ↓ -22% |
| Sanford Health Plan | SD Exchange Commercial | $99.27 | ↓ -19% |
| Health Partners | State Employees | $101.64 | ↓ -18% |
| Sanford Health Plan | Commercial/ND Pers | $113.19 | ↓ -8% |
| Health Partners | Commercial | $115.50 | ↓ -6% |
| Medica | Choice | $127.05 | ↑ +3% |
| United Healthcare | Commercial + Top 20 | $128.59 | ↑ +4% |
| Wellmark | PPO | $132.44 | ↑ +8% |
| Aetna | Commercial | $133.83 | ↑ +9% |
| Ucare | Commercial | $135.30 | ↑ +10% |
| Medica | Elect | $135.83 | ↑ +10% |
| Healthez | Commercial | $138.60 | ↑ +13% |
| Multiplan | Commercial | $138.60 | ↑ +13% |
| First Choice Health Network | Commercial | $138.60 | ↑ +13% |
Visitor-reported prices
Comments
Surgical pathology level 4 gross & microscopic examination at other South-dakota hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Sanford Clear Lake Medical Center | Clear Lake | $118.40 | $75.92 – $159.50 |
| Sanford USD Medical Center | Sioux Falls | $114.40 | $24.02 – $128.70 |
| Sanford Chamberlain Medical Center | Chamberlain | $252.00 | $60.53 – $159.30 |
| Sanford Canton Inwood Medical Center | Canton | $107.20 | $45.83 – $120.60 |
| Sanford Vermillion Hospital | Vermillion | $119.20 | $43.96 – $134.10 |
| Sanford Aberdeen Medical Center | Aberdeen | $269.60 | $50.76 – $108.90 |