Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes at Sanford Bemidji Medical Center
1300 Anne Street NW, Bemidji, MN · Sanford Health · · NPI 1801870191
$134.40
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.
$168.00
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.
$48.23 with Sanford Health Plan Align vs $151.20 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 | $48.23 | ↓ -64% |
| Ucare | Medicare Replacement | $51.78 | ↓ -61% |
| Blue Cross Blue Shield of Minnesota | Medicare Replacement | $52.29 | ↓ -61% |
| United Healthcare | Medicare Replacement | $52.29 | ↓ -61% |
| Health Partners | Medicare Replacement | $52.29 | ↓ -61% |
| Aetna | Medicare Replacement | $52.29 | ↓ -61% |
| Great Plains Medicare Advantage | Medicare Replacement | $52.29 | ↓ -61% |
| Primewest | Medicare Replacement | $53.31 | ↓ -60% |
| Blue Cross Blue Shield of Minnesota | Commercial/Federal | $70.21 | ↓ -48% |
| Blue Cross Blue Shield of Minnesota | PMAP | $70.21 | ↓ -48% |
| Sanford Health Plan | SD Exchange True | $76.56 | ↓ -43% |
| Sanford Health Plan | Group Health/True | $87.29 | ↓ -35% |
| Sanford Health Plan | SD Exchange Commercial | $90.06 | ↓ -33% |
| Security Health Plan | Commercial | $92.40 | ↓ -31% |
| Sanford Health Plan | Commercial | $102.70 | ↓ -24% |
| Health Partners | Commercial | $117.60 | ↓ -13% |
| Ucare | Commercial | $118.09 | ↓ -12% |
| United Healthcare | CSP Top 20 | $127.85 | ↓ -5% |
| Aetna | Commercial | $137.76 | ↑ +3% |
| United Healthcare | Commercial | $140.28 | ↑ +4% |
| Medica | Choice | $141.12 | ↑ +5% |
| Medica | Elect | $151.03 | ↑ +12% |
| First Choice Health Network | Commercial | $151.20 | ↑ +13% |
| Multiplan | Commercial | $151.20 | ↑ +13% |
| Healthez | Commercial | $151.20 | ↑ +13% |
| Cigna | Commercial | $151.20 | ↑ +13% |
| Ucare | Medicaid Managed Care | not published by hospital | — |
| Primewest | Medicaid Managed Care | not published by hospital | — |
Visitor-reported prices
Comments
Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes at other Minnesota hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Sanford Bagley Medical Center | Bagley | $134.40 | $40.67 – $151.20 |
| Sanford Wheaton | Wheaton | $100.80 | $30.50 – $113.40 |
| Sanford Luverne Medical Center | Luverne | $75.20 | $22.76 – $84.60 |
| Sanford Worthington Medical Center | Worthington | $129.60 | $48.23 – $145.80 |
| Sanford Thief River Falls Medical Center | Thief River Falls | $124.80 | $53.59 – $140.40 |
| Sanford Behavioral Health Thief River Falls | Thief River Falls | $124.80 | $53.59 – $140.40 |
| United Hospital | MN | 1175 Nininger Road. Hastings | $77.47 | $40.46 – $189.17 |
| Owatonna Hospital | Owatonna | $81.48 | $40.46 – $259.82 |