Tc-99m exame autol wbc diag per dose at Allina Health Faribault Medical Center

200 State Avenue, Faribualt, MN · Allinahealth · · NPI 1154741577

Source: hospital's published price file ↗ · Published Jun 16, 2026 · Ingested Sep 17, 2026

$3,705.91

Cash price

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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.

Full explanation →

What you pay up front if you don't use insurance.

$6,617.70

Gross charge

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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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$887.42 with allina aetna medicare (v) vs $6,617.70 with all other contracted care (a b c d e g h n o r s u) — 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 →

Payer
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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
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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
allina aetna medicare (v) allina aetna medicare (v) $887.42 ↓ -76%
medicare medicare (v) $934.13 ↓ -75%
medicare other all other medicare (v) $934.13 ↓ -75%
medica medicare medica medicare (v) $971.50 ↓ -74%
bcbs bc medicare (v) $980.84 ↓ -74%
scha msho (v) scha msho (v) $1,027.54 ↓ -72%
ucare pmap (a b c d e g n o s u r h) ucare pmap (abdmnorsuv) $1,331.48 ↓ -64%
blue cross blue shield bc pmap (b d o s v) $1,456.22 ↓ -61%
aetna aetna elevate (bdosv) $2,940.24 ↓ -21%
blue cross allina health blueprint (bdoshv) $2,989.31 ↓ -19%
blue cross blue shield bc state health plan (b d o s v) $3,035.46 ↓ -18%
aetna aetna performance (bdosv) $3,105.69 ↓ -16%
united healthcare (bdohsv) united healthcare (bdosv) $3,308.85 ↓ -11%
medica health system medica dual solutions (b d v o s) $3,375.03 ↓ -9%
blue cross blue shield of minnesota bc premier (b d o s v) $3,380.23 ↓ -9%
aetna direct/indirect regional network aetna direct/indirect regional (bdosv) $3,922.97 ↑ +6%
blue cross blue shield bc aehp (b d o s v) $3,976.61 ↑ +7%
blue cross blue shield of minnesota bc high value/performance network (bdosv) $4,268.55 ↑ +15%
healthpartners hpi (bdov) $4,479.98 ↑ +21%
blue cross blue shield bc aware/blue plus (b d o s v) $4,493.30 ↑ +21%
medica health system medica elect (b d o s v) $4,849.45 ↑ +31%
health partners hpi cigna (bdov) $4,883.18 ↑ +32%
medica medica essentials (b d o s v) $5,063.20 ↑ +37%
medica mhps medica mhps (bdosv) $5,063.20 ↑ +37%
americas ppo (araz)(b d n o r s v) americas ppo (araz)(b d n o r s v) $5,104.89 ↑ +38%
medica health system medica choice (b d o s v) $5,328.57 ↑ +44%
americas ppo (araz) (b d n h o r s) americas ppo (araz) (b d n h o r s v) $5,558.87 ↑ +50%
first health (a c e g h u b d n o r s) first health (abdmnosurv) $5,558.87 ↑ +50%
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) $6,617.70 ↑ +79%

Visitor-reported prices

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Tc-99m exame autol wbc diag per dose at other Minnesota hospitals

Hospital City Cash price Negotiated range
United Hospital MN | 1175 Nininger Road. Hastings $3,176.50 $687.68 – $2,608.91
Owatonna Hospital Owatonna $3,705.91 $887.42 – $4,883.18
Abbott Northwestern Hospital MN 55407 $3,176.50 $687.68 – $1,284.24
New Ulm Medical Center MN 56073 $3,303.16 $887.42 – $4,823.73
Mercy Hospital MN 55443 | 550 Osborne Road NE. Fridley $3,176.50 $687.68 – $1,013.91
Buffalo Hospital Buffalo $3,705.91 $887.42 – $4,479.98
Cambridge Medical Center Cambridge $3,705.91 $887.42 – $4,479.98
River Falls Area Hospital River Falls $3,705.91 $887.42 – $5,980.64

All Minnesota hospitals for this procedure →