healthcosts.net
Established Patient Office Visit (level 5) at Sanford Canby Medical Center
112 St Olaf Ave S, Canby, MN · Sanford Health · · NPI 1780781054
$240.80
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.
$301.00
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.
$69.48 with Blue Cross Blue Shield of Minnesota vs $269.78 with Medica — 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 of Minnesota | PMAP | $69.48 | ↓ -71% |
| Sanford Health Plan Align | Medicare Replacement | $130.87 | ↓ -46% |
| Ucare | Medicare Replacement | $140.63 | ↓ -42% |
| Aetna | Medicare Replacement | $141.78 | ↓ -41% |
| Blue Cross Blue Shield of Minnesota | Medicare Replacement | $141.78 | ↓ -41% |
| Great Plains Medicare Advantage | Medicare Replacement | $141.78 | ↓ -41% |
| Health Partners | Medicare Replacement | $141.78 | ↓ -41% |
| United Healthcare | Medicare Replacement | $141.78 | ↓ -41% |
| Primewest | Medicare Replacement | $144.65 | ↓ -40% |
| Primewest | Medicaid Managed Care | $157.85 | ↓ -34% |
| Security Health Plan | Commercial | $157.85 | ↓ -34% |
| Health Partners | State Employees | $197.74 | ↓ -18% |
| Blue Cross Blue Shield of Minnesota | Commercial/Federal | $223.89 | ↓ -7% |
| Sanford Health Plan | Group Health/True | $226.56 | ↓ -6% |
| Sanford Health Plan | SD Exchange True | $226.56 | ↓ -6% |
| Health Partners | Commercial | $229.60 | ↓ -5% |
| Blue Cross Blue Shield of Minnesota | State Employees | $234.77 | ↓ -3% |
| United Healthcare | Commercial + Top 20 | $239.65 | ↓ -0% |
| Aetna | Commercial | $249.40 | ↑ +4% |
| Ucare | Commercial | $252.16 | ↑ +5% |
| Medica | Choice | $252.27 | ↑ +5% |
| Cigna | Commercial | $258.30 | ↑ +7% |
| First Choice Health Network | Commercial | $258.30 | ↑ +7% |
| Healthez | Commercial | $258.30 | ↑ +7% |
| Multiplan | Commercial | $258.30 | ↑ +7% |
| Sanford Health Plan | Commercial/ND Pers | $266.54 | ↑ +11% |
| Sanford Health Plan | SD Exchange Commercial | $266.54 | ↑ +11% |
| Medica | Elect | $269.78 | ↑ +12% |
| Ucare | 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 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 Bemidji Medical Center | Bemidji | $316.80 | $164.20 – $349.20 |
| Sanford Worthington Medical Center | Worthington | $1,059.20 | $100.41 – $233.10 |
| Sanford Tracy Hospital | Tracy | $308.80 | $93.45 – $347.40 |