Unlisted reprod med lab proc at Sanford Bemidji Medical Center
1300 Anne Street NW, Bemidji, MN · Sanford Health · · NPI 1801870191
$60.00
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.
$75.00
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.
$34.18 with Sanford Health Plan vs $191.57 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 |
|---|---|---|---|
| Sanford Health Plan | SD Exchange True | $34.18 | ↓ -43% |
| Sanford Health Plan | Group Health/True | $38.97 | ↓ -35% |
| Blue Cross Blue Shield of Minnesota | PMAP | $39.09 | ↓ -35% |
| Sanford Health Plan | SD Exchange Commercial | $40.21 | ↓ -33% |
| Security Health Plan | Commercial | $41.25 | ↓ -31% |
| Sanford Health Plan | Commercial | $45.85 | ↓ -24% |
| Sanford Health Plan Align | Medicare Replacement | $49.81 | ↓ -17% |
| Health Partners | Commercial | $52.50 | ↓ -13% |
| Ucare | Commercial | $52.72 | ↓ -12% |
| Ucare | Medicare Replacement | $53.48 | ↓ -11% |
| United Healthcare | Medicare Replacement | $54.01 | ↓ -10% |
| Aetna | Medicare Replacement | $54.01 | ↓ -10% |
| Great Plains Medicare Advantage | Medicare Replacement | $54.01 | ↓ -10% |
| Health Partners | Medicare Replacement | $54.01 | ↓ -10% |
| Blue Cross Blue Shield of Minnesota | Medicare Replacement | $54.01 | ↓ -10% |
| Primewest | Medicare Replacement | $55.06 | ↓ -8% |
| United Healthcare | CSP Top 20 | $57.08 | ↓ -5% |
| Aetna | Commercial | $61.50 | ↑ +3% |
| United Healthcare | Commercial | $62.63 | ↑ +4% |
| Medica | Choice | $63.00 | ↑ +5% |
| Medica | Elect | $67.43 | ↑ +12% |
| First Choice Health Network | Commercial | $67.50 | ↑ +13% |
| Healthez | Commercial | $67.50 | ↑ +13% |
| Cigna | Commercial | $67.50 | ↑ +13% |
| Multiplan | Commercial | $67.50 | ↑ +13% |
| Blue Cross Blue Shield of Minnesota | Commercial/Federal | $191.57 | ↑ +219% |
| Ucare | Medicaid Managed Care | not published by hospital | — |
| Primewest | Medicaid Managed Care | not published by hospital | — |
Visitor-reported prices
Comments
Unlisted reprod med lab proc at other Minnesota hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Sanford Thief River Falls Medical Center | Thief River Falls | $66.40 | $28.51 – $74.70 |
| Sanford Behavioral Health Thief River Falls | Thief River Falls | $66.40 | $28.51 – $74.70 |
| New Ulm Medical Center | MN 56073 | $92.68 | $51.02 – $135.34 |
| Sanford Worthington Medical Center | Worthington | not published | $39.93 – $55.06 |