Occupational Therapy Evaluation (moderate complexity) at Sanford Bemidji Medical Center
1300 Anne Street NW, Bemidji, MN · Sanford Health · · NPI 1801870191
$289.60
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.
$362.00
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.
$95.88 with Sanford Health Plan Align vs $325.80 with Cigna — 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 | $95.88 | ↓ -67% |
| Ucare | Medicare Replacement | $102.95 | ↓ -64% |
| Blue Cross Blue Shield of Minnesota | Medicare Replacement | $103.96 | ↓ -64% |
| United Healthcare | Medicare Replacement | $103.96 | ↓ -64% |
| Health Partners | Medicare Replacement | $103.96 | ↓ -64% |
| Aetna | Medicare Replacement | $103.96 | ↓ -64% |
| Great Plains Medicare Advantage | Medicare Replacement | $103.96 | ↓ -64% |
| Primewest | Medicare Replacement | $105.98 | ↓ -63% |
| Blue Cross Blue Shield of Minnesota | Commercial/Federal | $135.95 | ↓ -53% |
| Blue Cross Blue Shield of Minnesota | PMAP | $135.95 | ↓ -53% |
| Sanford Health Plan | SD Exchange True | $164.96 | ↓ -43% |
| Sanford Health Plan | Group Health/True | $188.10 | ↓ -35% |
| Sanford Health Plan | SD Exchange Commercial | $194.07 | ↓ -33% |
| Security Health Plan | Commercial | $199.10 | ↓ -31% |
| Sanford Health Plan | Commercial | $221.29 | ↓ -24% |
| Health Partners | Commercial | $253.40 | ↓ -13% |
| Ucare | Commercial | $254.45 | ↓ -12% |
| United Healthcare | CSP Top 20 | $275.48 | ↓ -5% |
| Aetna | Commercial | $296.84 | ↑ +3% |
| United Healthcare | Commercial | $302.27 | ↑ +4% |
| Medica | Choice | $304.08 | ↑ +5% |
| Medica | Elect | $325.44 | ↑ +12% |
| First Choice Health Network | Commercial | $325.80 | ↑ +13% |
| Multiplan | Commercial | $325.80 | ↑ +13% |
| Healthez | Commercial | $325.80 | ↑ +13% |
| Cigna | Commercial | $325.80 | ↑ +13% |
| Ucare | Medicaid Managed Care | not published by hospital | — |
| Primewest | Medicaid Managed Care | not published by hospital | — |
Visitor-reported prices
Comments
Occupational Therapy Evaluation (moderate complexity) at other Minnesota hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Sanford Canby Medical Center | Canby | $313.60 | $94.90 – $352.80 |
| Sanford Westbrook Hospital | Westbrook | $322.40 | $97.57 – $362.70 |
| Sanford Bagley Medical Center | Bagley | $289.60 | $87.64 – $325.80 |
| Sanford Wheaton | Wheaton | $200.00 | $60.53 – $225.00 |
| Sanford Luverne Medical Center | Luverne | $260.00 | $78.68 – $292.50 |
| Sanford Worthington Medical Center | Worthington | $248.00 | $95.88 – $279.00 |
| Sanford Tracy Hospital | Tracy | $322.40 | $97.57 – $362.70 |
| Sanford Thief River Falls Medical Center | Thief River Falls | $280.00 | $120.23 – $315.00 |