Diffusing capacity at Mercy Hospital
4050 Coon Rapids Blvd. Coon Rapids, MN 55443 | 550 Osborne Road NE. Fridley, MN · Allinahealth · · NPI 1316904287
$236.83
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.
?
What you pay up front if you don't use insurance.
$493.40
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.
?
The hospital's undiscounted list price — almost no one pays this.
$74.46 with ucare pmap (a b c d e g n o s u r h) vs $325.18 with blue cross blue shield of minnesota — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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) | $74.46 | ↓ -69% |
| medica pmap (um) | medica pmap (um) | $82.16 | ↓ -65% |
| blue cross blue shield of minnesota | bc pmap (amu) | $107.76 | ↓ -54% |
| aetna | aetna elevate (amu) | $130.46 | ↓ -45% |
| aetna | aetna performance (amu) | $138.79 | ↓ -41% |
| medica dual solutions (e g) | medica dual solutions (m) | $164.32 | ↓ -31% |
| aetna direct network | aetna direct network (amu) | $202.22 | ↓ -15% |
| blue cross blue shield of minnesota | bc aware/blue plus (a m u) | $217.25 | ↓ -8% |
| united healthcare (um) | united healthcare (um) | $223.91 | ↓ -5% |
| blue cross blue shield of minnesota | bc state health plan (mu) | $242.61 | ↑ +2% |
| americas ppo (araz)(a m u) | americas ppo (araz)(a m u) | $247.67 | ↑ +5% |
| blue cross blue shield of minnesota | bc premier (m u) | $257.51 | ↑ +9% |
| medica ubh (m) | medica ubh (m) | $259.07 | ↑ +9% |
| medica health system | medica elect (u m) | $274.84 | ↑ +16% |
| medica | medica essentials (u m) | $286.94 | ↑ +21% |
| medica mhps | medica mhps (u m) | $286.94 | ↑ +21% |
| medica ubh pmap | medica ubh pmap (m) | $296.08 | ↑ +25% |
| medica health system | medica choice (u m) | $302.00 | ↑ +28% |
| bcbs | bc aehp (mu) | $302.92 | ↑ +28% |
| first health (a c e g h u b d n o r s) | first health (abdmnosurv) | $310.88 | ↑ +31% |
| blue cross blue shield of minnesota | bc high value/performance network (mu) | $325.18 | ↑ +37% |
Visitor-reported prices
Comments
Diffusing capacity at other Minnesota hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Sanford Canby Medical Center | Canby | $234.40 | $70.94 – $263.70 |
| Sanford Westbrook Hospital | Westbrook | $336.80 | $101.92 – $378.90 |
| Sanford Bagley Medical Center | Bagley | $362.40 | $109.67 – $407.70 |
| Sanford Luverne Medical Center | Luverne | $370.40 | $112.09 – $416.70 |
| Sanford Bemidji Medical Center | Bemidji | $362.40 | $1.02 – $407.70 |
| Sanford Worthington Medical Center | Worthington | $308.00 | $1.00 – $346.50 |
| Sanford Tracy Hospital | Tracy | $336.80 | $101.92 – $378.90 |
| Sanford Thief River Falls Medical Center | Thief River Falls | $305.60 | $131.22 – $343.80 |