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Established Patient Office Visit (level 5) at Sanford Bemidji Medical Center
1300 Anne Street NW, Bemidji, MN · Sanford Health · · NPI 1801870191
$316.80
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.
$396.00
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.
$164.20 with Sanford Health Plan Align vs $349.20 with Multiplan — 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 | $164.20 | ↓ -48% |
| Ucare | Medicare Replacement | $176.30 | ↓ -44% |
| Sanford Health Plan | SD Exchange True | $176.81 | ↓ -44% |
| Aetna | Medicare Replacement | $178.03 | ↓ -44% |
| Blue Cross Blue Shield of Minnesota | Medicare Replacement | $178.03 | ↓ -44% |
| Great Plains Medicare Advantage | Medicare Replacement | $178.03 | ↓ -44% |
| Health Partners | Medicare Replacement | $178.03 | ↓ -44% |
| United Healthcare | Medicare Replacement | $178.03 | ↓ -44% |
| Primewest | Medicare Replacement | $181.49 | ↓ -43% |
| Sanford Health Plan | Group Health/True | $201.60 | ↓ -36% |
| Sanford Health Plan | SD Exchange Commercial | $208.01 | ↓ -34% |
| Security Health Plan | Commercial | $213.40 | ↓ -33% |
| Sanford Health Plan | Commercial | $237.18 | ↓ -25% |
| Blue Cross Blue Shield of Minnesota | Commercial/Federal | $261.16 | ↓ -18% |
| Blue Cross Blue Shield of Minnesota | PMAP | $261.16 | ↓ -18% |
| Health Partners | Commercial | $271.60 | ↓ -14% |
| Ucare | Commercial | $272.73 | ↓ -14% |
| United Healthcare | CSP Top 20 | $295.27 | ↓ -7% |
| Aetna | Commercial | $318.16 | ↑ +0% |
| United Healthcare | Commercial | $323.98 | ↑ +2% |
| Medica | Choice | $325.92 | ↑ +3% |
| Medica | Elect | $348.81 | ↑ +10% |
| Cigna | Commercial | $349.20 | ↑ +10% |
| First Choice Health Network | Commercial | $349.20 | ↑ +10% |
| Healthez | Commercial | $349.20 | ↑ +10% |
| Multiplan | Commercial | $349.20 | ↑ +10% |
| Ucare | Medicaid Managed Care | not published by hospital | — |
| Primewest | Medicaid Managed Care | not published by hospital | — |
Visitor-reported prices
Comments
Established Patient Office Visit (level 5) at other Minnesota hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Sanford Canby Medical Center | Canby | $240.80 | $69.48 – $258.30 |
| Sanford Westbrook Hospital | Westbrook | $308.80 | $93.45 – $347.40 |
| Sanford Bagley Medical Center | Bagley | $316.80 | $95.87 – $356.40 |
| Sanford Wheaton | Wheaton | $258.40 | $78.20 – $290.70 |
| Sanford Luverne Medical Center | Luverne | $350.40 | $106.04 – $394.20 |
| Sanford Worthington Medical Center | Worthington | $1,059.20 | $100.41 – $233.10 |
| Sanford Tracy Hospital | Tracy | $308.80 | $93.45 – $347.40 |