Established Patient Office Visit (level 4) at Mercy Hospital
4050 Coon Rapids Blvd. Coon Rapids, MN 55443 | 550 Osborne Road NE. Fridley, MN · Allinahealth · · NPI 1316904287
$205.25
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.
$427.60
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.
$0.01 with medica ubh (m) vs $454.14 with blue cross blue shield of minnesota — 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 |
|---|---|---|---|
| medica ubh (m) | medica ubh (m) | $0.01 | ↓ -100% |
| ucare pmap (a b c d e g n o s u r h) | ucare pmap (abdmnorsuv) | $83.94 | ↓ -59% |
| medica pmap (um) | medica pmap (um) | $94.93 | ↓ -54% |
| all other medicaid | all other medicaid (m) | $98.12 | ↓ -52% |
| medicaid | medicaid ma (m) | $98.12 | ↓ -52% |
| south country health alliance | scha pmap (m) | $101.06 | ↓ -51% |
| hennepin health | hennepin health (m) | $111.86 | ↓ -46% |
| health partners | hpi medicare (amu) | $117.74 | ↓ -43% |
| uhc ubh pmap | uhc ubh pmap (m) | $122.65 | ↓ -40% |
| health partners | hpi pmap (amu) | $128.64 | ↓ -37% |
| aetna | aetna elevate (amu) | $147.06 | ↓ -28% |
| united healthcare (um) | united healthcare (um) | $155.00 | ↓ -24% |
| aetna | aetna performance (amu) | $156.45 | ↓ -24% |
| blue cross blue shield of minnesota | bc pmap (amu) | $177.50 | ↓ -14% |
| medica dual solutions (e g) | medica dual solutions (m) | $189.85 | ↓ -8% |
| health partners | hpi (u m) | $224.35 | ↑ +9% |
| aetna direct network | aetna direct network (amu) | $227.96 | ↑ +11% |
| blue cross blue shield of minnesota | bc aware/blue plus (a m u) | $244.90 | ↑ +19% |
| americas ppo (araz)(a m u) | americas ppo (araz)(a m u) | $279.19 | ↑ +36% |
| medica health system | medica elect (u m) | $317.54 | ↑ +55% |
| health partners | hpi cigna (mu) | $323.69 | ↑ +58% |
| medica | medica essentials (u m) | $331.52 | ↑ +62% |
| medica mhps | medica mhps (u m) | $331.52 | ↑ +62% |
| medica ubh pmap | medica ubh pmap (m) | $333.76 | ↑ +63% |
| blue cross blue shield of minnesota | bc state health plan (mu) | $338.75 | ↑ +65% |
| medica health system | medica choice (u m) | $348.92 | ↑ +70% |
| first health (a c e g h u b d n o r s) | first health (abdmnosurv) | $350.45 | ↑ +71% |
| blue cross blue shield of minnesota | bc premier (m u) | $359.63 | ↑ +75% |
| bcbs | bc aehp (mu) | $423.06 | ↑ +106% |
| blue cross blue shield of minnesota | bc high value/performance network (mu) | $454.14 | ↑ +121% |
Visitor-reported prices
Comments
Established Patient Office Visit (level 4) at other Minnesota hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Sanford Canby Medical Center | Canby | $192.00 | $55.44 – $206.10 |
| Sanford Westbrook Hospital | Westbrook | $256.00 | $51.81 – $192.60 |
| Sanford Bagley Medical Center | Bagley | $253.60 | $76.75 – $285.30 |
| Sanford Wheaton | Wheaton | $200.00 | $60.53 – $225.00 |
| Sanford Luverne Medical Center | Luverne | $273.60 | $82.80 – $307.80 |
| Sanford Bemidji Medical Center | Bemidji | $253.60 | $117.08 – $250.20 |
| Sanford Worthington Medical Center | Worthington | $680.80 | $88.78 – $206.10 |
| Sanford Tracy Hospital | Tracy | $256.00 | $51.81 – $192.60 |