ER Visit (level 5, high severity) at Buffalo Hospital
303 Catlin St, Buffalo, MN · Allinahealth · · NPI 1538123567
$1,018.36
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.
$1,818.50
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.
$304.92 with blue cross blue shield vs $3,893.00 with united healthcare (bdohsv) — 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 | bc pmap (b d o s v) | $304.92 | ↓ -70% |
| ucare pmap (a b c d e g n o s u r h) | ucare pmap (abdmnorsuv) | $365.88 | ↓ -64% |
| medicaid | medicaid ma (b) | $567.39 | ↓ -44% |
| all other medicaid | all other medicaid (b) | $567.39 | ↓ -44% |
| allina aetna medicare (b) | allina aetna medicare (b) | $583.06 | ↓ -43% |
| south country health alliance | scha pmap (b) | $584.41 | ↓ -43% |
| medicare | medicare (b) | $613.75 | ↓ -40% |
| medicare other | all other medicare (b) | $613.75 | ↓ -40% |
| medica | medica medicare (b) | $638.30 | ↓ -37% |
| bcbs | bc medicare (b) | $644.44 | ↓ -37% |
| aetna | aetna elevate (bdosv) | $807.96 | ↓ -21% |
| blue cross | allina health blueprint (bdoshv) | $833.27 | ↓ -18% |
| blue cross blue shield | bc state health plan (b d o s v) | $846.07 | ↓ -17% |
| aetna | aetna performance (bdosv) | $853.42 | ↓ -16% |
| medica ub health (b) | medica ub health (b) | $873.00 | ↓ -14% |
| blue cross blue shield of minnesota | bc premier (b d o s v) | $942.13 | ↓ -7% |
| aetna direct/indirect regional network | aetna direct/indirect regional (bdosv) | $1,078.01 | ↑ +6% |
| blue cross blue shield | bc aehp (b d o s v) | $1,108.31 | ↑ +9% |
| medica health system | medica dual solutions (b d v o s) | $1,147.00 | ↑ +13% |
| blue cross blue shield of minnesota | bc high value/performance network (bdosv) | $1,189.69 | ↑ +17% |
| healthpartners | hpi (bdov) | $1,231.07 | ↑ +21% |
| blue cross blue shield | bc aware/blue plus (b d o s v) | $1,252.32 | ↑ +23% |
| health partners | hpi cigna (bdov) | $1,341.87 | ↑ +32% |
| americas ppo (araz)(b d n o r s v) | americas ppo (araz)(b d n o r s v) | $1,402.79 | ↑ +38% |
| first health (a c e g h u b d n o r s) | first health (abdmnosurv) | $1,527.54 | ↑ +50% |
| americas ppo (araz) (b d n h o r s) | americas ppo (araz) (b d n h o r s v) | $1,527.54 | ↑ +50% |
| health partners | hpi cigna (mu) | $1,534.88 | ↑ +51% |
| all other contracted care (a b c d e g h n o r s u) | all other contracted care (a b c d m h n o r s u v) | $1,818.50 | ↑ +79% |
| medica health system | medica elect (b d o s v) | $2,470.65 | ↑ +143% |
| medica | medica essentials (b d o s v) | $2,579.57 | ↑ +153% |
| medica mhps | medica mhps (bdosv) | $2,579.57 | ↑ +153% |
| medica health system | medica choice (b d o s v) | $2,715.00 | ↑ +167% |
| united healthcare (bdohsv) | united healthcare (bdosv) | $3,893.00 | ↑ +282% |
Visitor-reported prices
Comments
ER Visit (level 5, high severity) at other Minnesota hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Sanford Canby Medical Center | Canby | $1,670.40 | $505.50 – $1,879.20 |
| Sanford Westbrook Hospital | Westbrook | $1,752.80 | $530.44 – $1,971.90 |
| Sanford Bagley Medical Center | Bagley | $2,052.80 | $621.23 – $2,309.40 |
| Sanford Wheaton | Wheaton | $1,270.40 | $384.45 – $1,429.20 |
| Sanford Luverne Medical Center | Luverne | $1,766.40 | $534.56 – $1,987.20 |
| Sanford Bemidji Medical Center | Bemidji | $2,052.80 | $463.38 – $2,309.40 |
| Sanford Worthington Medical Center | Worthington | $1,335.20 | $473.40 – $1,502.10 |
| Sanford Tracy Hospital | Tracy | $1,752.80 | $530.44 – $1,971.90 |