Vaccine pneumococcal conjugate 13 valent (pcv13) im at Sanford Bagley Medical Center
203 4th Street NW, Bagley, MN · Sanford Health · · NPI 1932472255
$248.57
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.
$310.71
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.
$72.06 with Blue Cross Blue Shield of Minnesota vs $279.77 with Medica — 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 |
|---|---|---|---|
| Blue Cross Blue Shield of Minnesota | PMAP | $72.06 | ↓ -71% |
| Sanford Health Plan Align | Medicare Replacement | $135.72 | ↓ -45% |
| Ucare | Medicare Replacement | $145.84 | ↓ -41% |
| Health Partners | Medicare Replacement | $147.03 | ↓ -41% |
| Blue Cross Blue Shield of Minnesota | Medicare Replacement | $147.03 | ↓ -41% |
| United Healthcare | Medicare Replacement | $147.03 | ↓ -41% |
| Great Plains Medicare Advantage | Medicare Replacement | $147.03 | ↓ -41% |
| Primewest | Medicare Replacement | $150.01 | ↓ -40% |
| Aetna | Medicare Replacement | $159.53 | ↓ -36% |
| Primewest | Medicaid Managed Care | $160.42 | ↓ -35% |
| Security Health Plan | Commercial | $163.70 | ↓ -34% |
| Sanford Health Plan | SD Exchange True | $234.95 | ↓ -5% |
| Sanford Health Plan | Group Health/True | $234.95 | ↓ -5% |
| Health Partners | Commercial | $241.08 | ↓ -3% |
| United Healthcare | Commercial + Top 20 | $248.52 | ↓ -0% |
| Aetna | Commercial | $258.64 | ↑ +4% |
| Ucare | Commercial | $261.50 | ↑ +5% |
| Medica | Choice | $261.62 | ↑ +5% |
| Multiplan | Commercial | $267.87 | ↑ +8% |
| Cigna | Commercial | $267.87 | ↑ +8% |
| First Choice Health Network | Commercial | $267.87 | ↑ +8% |
| Healthez | Commercial | $267.87 | ↑ +8% |
| Blue Cross Blue Shield of Minnesota | Commercial/Federal | $275.37 | ↑ +11% |
| Sanford Health Plan | SD Exchange Commercial | $276.41 | ↑ +11% |
| Sanford Health Plan | Commercial/ND Pers | $276.41 | ↑ +11% |
| Medica | Elect | $279.77 | ↑ +13% |
| Ucare | Medicaid Managed Care | not published by hospital | — |
Visitor-reported prices
Comments
Vaccine pneumococcal conjugate 13 valent (pcv13) im at other Minnesota hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Sanford Canby Medical Center | Canby | $287.84 | $32.34 – $120.22 |
| Sanford Bemidji Medical Center | Bemidji | $235.60 | $134.20 – $270.89 |
| Sanford Tracy Hospital | Tracy | $321.24 | $97.21 – $361.39 |
| Sanford Thief River Falls Medical Center | Thief River Falls | $260.04 | $95.66 – $250.63 |
| Sanford Behavioral Health Thief River Falls | Thief River Falls | $260.04 | $95.66 – $250.63 |
| United Hospital | MN | 1175 Nininger Road. Hastings | $382.87 | $207.93 – $529.49 |
| Owatonna Hospital | Owatonna | $479.17 | $214.62 – $631.39 |
| Abbott Northwestern Hospital | MN 55407 | $382.87 | $207.93 – $530.36 |