Biopsy of salivary glnd;incisional 42405 at Sanford Bemidji Medical Center
1300 Anne Street NW, Bemidji, MN · Sanford Health · · NPI 1801870191
$3,443.20
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.
$4,304.00
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.
$1,100.21 with Blue Cross Blue Shield of Minnesota vs $5,391.80 with Blue Cross Blue Shield of Minnesota — 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 | $1,100.21 | ↓ -68% |
| Sanford Health Plan Align | Medicare Replacement | $1,381.04 | ↓ -60% |
| Ucare | Medicare Replacement | $1,482.80 | ↓ -57% |
| Blue Cross Blue Shield of Minnesota | Medicare Replacement | $1,497.34 | ↓ -57% |
| Great Plains Medicare Advantage | Medicare Replacement | $1,497.34 | ↓ -57% |
| Health Partners | Medicare Replacement | $1,497.34 | ↓ -57% |
| Aetna | Medicare Replacement | $1,497.34 | ↓ -57% |
| United Healthcare | Medicare Replacement | $1,497.34 | ↓ -57% |
| Primewest | Medicare Replacement | $1,526.41 | ↓ -56% |
| Ucare | Medicaid Managed Care | $1,555.34 | ↓ -55% |
| Primewest | Medicaid Managed Care | $1,629.41 | ↓ -53% |
| Sanford Health Plan | SD Exchange True | $1,961.33 | ↓ -43% |
| Sanford Health Plan | Group Health/True | $2,236.36 | ↓ -35% |
| Sanford Health Plan | SD Exchange Commercial | $2,307.37 | ↓ -33% |
| Security Health Plan | Commercial | $2,367.20 | ↓ -31% |
| Sanford Health Plan | Commercial | $2,631.04 | ↓ -24% |
| Health Partners | Commercial | $3,012.80 | ↓ -13% |
| Ucare | Commercial | $3,025.28 | ↓ -12% |
| United Healthcare | CSP Top 20 | $3,275.34 | ↓ -5% |
| Aetna | Commercial | $3,529.28 | ↑ +3% |
| United Healthcare | Commercial | $3,593.84 | ↑ +4% |
| Medica | Choice | $3,615.36 | ↑ +5% |
| Medica | Elect | $3,869.30 | ↑ +12% |
| Healthez | Commercial | $3,873.60 | ↑ +13% |
| First Choice Health Network | Commercial | $3,873.60 | ↑ +13% |
| Cigna | Commercial | $3,873.60 | ↑ +13% |
| Multiplan | Commercial | $3,873.60 | ↑ +13% |
| Blue Cross Blue Shield of Minnesota | Commercial/Federal | $5,391.80 | ↑ +57% |
Visitor-reported prices
Comments
Biopsy of salivary glnd;incisional 42405 at other Minnesota hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Sanford Canby Medical Center | Canby | not published | $1,555.34 – $1,555.34 |
| Sanford Westbrook Hospital | Westbrook | not published | $1,555.34 – $1,555.34 |
| Sanford Bagley Medical Center | Bagley | not published | $1,555.34 – $1,555.34 |
| Sanford Wheaton | Wheaton | not published | $1,555.34 – $1,555.34 |
| Sanford Luverne Medical Center | Luverne | not published | $1,555.34 – $1,555.34 |
| Sanford Worthington Medical Center | Worthington | not published | $1,123.99 – $1,526.41 |
| Sanford Tracy Hospital | Tracy | not published | $1,555.34 – $1,555.34 |
| Sanford Thief River Falls Medical Center | Thief River Falls | not published | $1,555.34 – $1,555.34 |