Biopsy of salivary gland 42400 at Mercy Hospital
4050 Coon Rapids Blvd. Coon Rapids, MN 55443 | 550 Osborne Road NE. Fridley, MN · Allinahealth · · NPI 1316904287
$298.37
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.
$621.60
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.
$93.08 with blue cross blue shield of minnesota vs $2,069.40 with health partners — 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 | bc pmap (amu) | $93.08 | ↓ -69% |
| ucare pmap (a b c d e g n o s u r h) | ucare pmap (abdmnorsuv) | $106.35 | ↓ -64% |
| medica pmap (um) | medica pmap (um) | $117.35 | ↓ -61% |
| aetna | aetna elevate (amu) | $186.33 | ↓ -38% |
| aetna | aetna performance (amu) | $198.23 | ↓ -34% |
| blue cross blue shield of minnesota | bc state health plan (mu) | $209.58 | ↓ -30% |
| blue cross blue shield of minnesota | bc premier (m u) | $222.44 | ↓ -25% |
| medica dual solutions (e g) | medica dual solutions (m) | $234.70 | ↓ -21% |
| bcbs | bc aehp (mu) | $261.67 | ↓ -12% |
| united healthcare (um) | united healthcare (um) | $272.00 | ↓ -9% |
| blue cross blue shield of minnesota | bc high value/performance network (mu) | $280.90 | ↓ -6% |
| aetna direct network | aetna direct network (amu) | $288.83 | ↓ -3% |
| blue cross blue shield of minnesota | bc aware/blue plus (a m u) | $310.29 | ↑ +4% |
| americas ppo (araz)(a m u) | americas ppo (araz)(a m u) | $353.74 | ↑ +19% |
| medica ubh (m) | medica ubh (m) | $370.02 | ↑ +24% |
| medica health system | medica elect (u m) | $392.54 | ↑ +32% |
| medica mhps | medica mhps (u m) | $409.82 | ↑ +37% |
| medica | medica essentials (u m) | $409.82 | ↑ +37% |
| medica ubh pmap | medica ubh pmap (m) | $422.88 | ↑ +42% |
| medica health system | medica choice (u m) | $431.34 | ↑ +45% |
| first health (a c e g h u b d n o r s) | first health (abdmnosurv) | $444.02 | ↑ +49% |
| health partners | hpi medicare (amu) | $640.71 | ↑ +115% |
| medicaid | medicaid ma (m) | $674.68 | ↑ +126% |
| all other medicaid | all other medicaid (m) | $674.68 | ↑ +126% |
| allina aetna medicare (m) | allina aetna medicare (m) | $693.30 | ↑ +132% |
| south country health alliance | scha pmap (m) | $694.92 | ↑ +133% |
| health partners | hpi pmap (amu) | $700.04 | ↑ +135% |
| medicare | medicare (m) | $729.79 | ↑ +145% |
| medicare other | all other medicare (m) | $729.79 | ↑ +145% |
| medica | medica medicare (m) | $758.98 | ↑ +154% |
| bcbs | bc medicare (m) | $766.28 | ↑ +157% |
| hennepin health | hennepin health (m) | $769.14 | ↑ +158% |
| south country health alliance | scha msho (m) | $815.83 | ↑ +173% |
| uhc ubh pmap | uhc ubh pmap (m) | $843.35 | ↑ +183% |
| health partners | hpi cigna (mu) | $1,761.42 | ↑ +490% |
| health partners | hpi (u m) | $2,069.40 | ↑ +594% |
Visitor-reported prices
Comments
Biopsy of salivary gland 42400 at other Minnesota hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Sanford Bemidji Medical Center | Bemidji | $1,725.60 | $507.57 – $1,941.30 |
| United Hospital | MN | 1175 Nininger Road. Hastings | $298.37 | $93.08 – $3,243.00 |
| Owatonna Hospital | Owatonna | $274.06 | $133.68 – $3,572.45 |
| Abbott Northwestern Hospital | MN 55407 | $298.37 | $93.08 – $3,243.00 |
| Allina Health Faribault Medical Center | Faribualt | $274.06 | $133.68 – $3,572.45 |
| New Ulm Medical Center | MN 56073 | $389.87 | $139.47 – $729.79 |
| Buffalo Hospital | Buffalo | $274.06 | $133.68 – $3,760.50 |
| Cambridge Medical Center | Cambridge | $274.06 | $133.68 – $3,572.45 |