X-ray retrograde pyelogram with or without kidney ureter bladder w/supervision & interpretation at Sanford Luverne Medical Center

1600 N Kniss Ave, Luverne, MN · Sanford Health · · NPI 1497703045

Source: hospital's published price file ↗ · Published Mar 4, 2026 · Ingested Aug 12, 2026

$1,072.00

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.

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

$1,340.00

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.

$324.41 with Blue Cross Blue Shield of Minnesota vs $1,267.64 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 →

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
Blue Cross Blue Shield of Minnesota PMAP $324.41 ↓ -70%
Ucare Medicaid Managed Care $374.99 ↓ -65%
Sanford Health Plan Align Medicare Replacement $471.68 ↓ -56%
Ucare Medicare Replacement $505.18 ↓ -53%
Blue Cross Blue Shield of Minnesota Medicare Replacement $510.54 ↓ -52%
United Healthcare Medicare Replacement $510.54 ↓ -52%
Great Plains Medicare Advantage Medicare Replacement $510.54 ↓ -52%
Aetna Medicare Replacement $510.54 ↓ -52%
Health Partners Medicare Replacement $510.54 ↓ -52%
Primewest Medicare Replacement $520.59 ↓ -51%
Primewest Medicaid Managed Care $633.82 ↓ -41%
Sanford Health Plan SD Exchange True $717.97 ↓ -33%
Sanford Health Plan Group Health/True $717.97 ↓ -33%
Security Health Plan Commercial $737.00 ↓ -31%
Sanford Health Plan SD Exchange Commercial $844.60 ↓ -21%
Sanford Health Plan Commercial/ND Pers $844.60 ↓ -21%
Health Partners State Employees $923.26 ↓ -14%
Health Partners Commercial $1,072.00 ↑ +0%
Blue Cross Blue Shield of Minnesota State Employees $1,096.12 ↑ +2%
United Healthcare Commercial + Top 20 $1,118.90 ↑ +4%
Aetna Commercial $1,164.46 ↑ +9%
Ucare Commercial $1,177.32 ↑ +10%
Medica Choice $1,177.86 ↑ +10%
Multiplan Commercial $1,206.00 ↑ +13%
First Choice Health Network Commercial $1,206.00 ↑ +13%
Cigna Commercial $1,206.00 ↑ +13%
Healthez Commercial $1,206.00 ↑ +13%
Blue Cross Blue Shield of Minnesota Commercial/Federal $1,239.77 ↑ +16%
Medica Elect $1,267.64 ↑ +18%

Visitor-reported prices

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X-ray retrograde pyelogram with or without kidney ureter bladder w/supervision & interpretation at other Minnesota hospitals

Hospital City Cash price Negotiated range
Sanford Canby Medical Center Canby $1,036.00 $313.52 – $1,165.50
Sanford Westbrook Hospital Westbrook $1,110.40 $336.03 – $1,249.20
Sanford Wheaton Wheaton $1,073.60 $324.90 – $1,207.80
Sanford Bemidji Medical Center Bemidji $1,088.80 $277.45 – $1,224.90
Sanford Worthington Medical Center Worthington $851.20 $283.44 – $957.60
Sanford Tracy Hospital Tracy $1,110.40 $336.03 – $1,249.20
United Hospital MN | 1175 Nininger Road. Hastings $277.06 $71.60 – $415.49
Owatonna Hospital Owatonna $278.66 $102.83 – $373.19

All Minnesota hospitals for this procedure →