Treatment of retinal lesion at Allina Health Faribault Medical Center
200 State Avenue, Faribualt, MN · Allinahealth · · NPI 1154741577
$1,033.14
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.
$1,844.90
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.
$371.19 with ucare pmap (a b c d e g n o s u r h) vs $3,760.00 with medica health system — 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 |
|---|---|---|---|
| ucare pmap (a b c d e g n o s u r h) | ucare pmap (abdmnorsuv) | $371.19 | ↓ -64% |
| all other medicaid (v) | all other medicaid (v) | $524.01 | ↓ -49% |
| medicaid ma | medicaid ma (v) | $524.01 | ↓ -49% |
| allina aetna medicare (v) | allina aetna medicare (v) | $538.48 | ↓ -48% |
| south country health alliance | scha pmap (v) | $539.73 | ↓ -48% |
| medicare other | all other medicare (v) | $562.91 | ↓ -46% |
| medicare | medicare (v) | $566.82 | ↓ -45% |
| medica medicare | medica medicare (v) | $589.49 | ↓ -43% |
| bcbs | bc medicare (v) | $591.06 | ↓ -43% |
| scha msho (v) | scha msho (v) | $619.20 | ↓ -40% |
| blue cross blue shield | bc pmap (b d o s v) | $699.23 | ↓ -32% |
| aetna | aetna elevate (bdosv) | $819.69 | ↓ -21% |
| aetna | aetna performance (bdosv) | $865.81 | ↓ -16% |
| aetna direct/indirect regional network | aetna direct/indirect regional (bdosv) | $1,093.66 | ↑ +6% |
| healthpartners | hpi (bdov) | $1,248.94 | ↑ +21% |
| health partners | hpi cigna (bdov) | $1,361.35 | ↑ +32% |
| americas ppo (araz)(b d n o r s v) | americas ppo (araz)(b d n o r s v) | $1,423.16 | ↑ +38% |
| first health (a c e g h u b d n o r s) | first health (abdmnosurv) | $1,549.72 | ↑ +50% |
| americas ppo (araz) (b d n h o r s) | americas ppo (araz) (b d n h o r s v) | $1,549.72 | ↑ +50% |
| medica health system | medica dual solutions (b d v o s) | $1,769.00 | ↑ +71% |
| blue cross | allina health blueprint (bdoshv) | $1,792.20 | ↑ +73% |
| blue cross blue shield | bc state health plan (b d o s v) | $1,820.02 | ↑ +76% |
| 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) | $1,844.90 | ↑ +79% |
| blue cross blue shield of minnesota | bc premier (b d o s v) | $2,026.94 | ↑ +96% |
| blue cross blue shield | bc aehp (b d o s v) | $2,384.45 | ↑ +131% |
| blue cross blue shield of minnesota | bc high value/performance network (bdosv) | $2,559.59 | ↑ +148% |
| blue cross blue shield | bc aware/blue plus (b d o s v) | $2,694.31 | ↑ +161% |
| united healthcare (bdohsv) | united healthcare (bdosv) | $3,161.00 | ↑ +206% |
| medica health system | medica elect (b d o s v) | $3,421.60 | ↑ +231% |
| medica mhps | medica mhps (bdosv) | $3,572.45 | ↑ +246% |
| medica | medica essentials (b d o s v) | $3,572.45 | ↑ +246% |
| medica health system | medica choice (b d o s v) | $3,760.00 | ↑ +264% |
Visitor-reported prices
Comments
Treatment of retinal lesion at other Minnesota hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Owatonna Hospital | Owatonna | $1,033.14 | $524.01 – $3,572.45 |
| Buffalo Hospital | Buffalo | $1,033.14 | $524.01 – $3,760.50 |
| Cambridge Medical Center | Cambridge | $1,033.14 | $524.01 – $3,572.45 |
| River Falls Area Hospital | River Falls | $1,033.14 | $524.01 – $4,429.94 |
| Sanford Canby Medical Center | Canby | not published | $576.03 – $576.03 |
| Sanford Westbrook Hospital | Westbrook | not published | $576.03 – $576.03 |
| Sanford Bagley Medical Center | Bagley | not published | $576.03 – $576.03 |
| Sanford Wheaton | Wheaton | not published | $576.03 – $576.03 |