Incision of breast lesion at Mercy Hospital
4050 Coon Rapids Blvd. Coon Rapids, MN 55443 | 550 Osborne Road NE. Fridley, MN · Allinahealth · · NPI 1316904287
$236.26
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.
$492.20
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.
$99.03 with ucare pmap (a b c d e g n o s u r h) vs $4,056.36 with health partners — 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) | $99.03 | ↓ -58% |
| medica pmap (um) | medica pmap (um) | $109.27 | ↓ -54% |
| aetna | aetna elevate (amu) | $173.50 | ↓ -27% |
| aetna | aetna performance (amu) | $184.57 | ↓ -22% |
| medica dual solutions (e g) | medica dual solutions (m) | $218.54 | ↓ -8% |
| aetna direct network | aetna direct network (amu) | $268.94 | ↑ +14% |
| united healthcare (um) | united healthcare (um) | $272.00 | ↑ +15% |
| americas ppo (araz)(a m u) | americas ppo (araz)(a m u) | $329.38 | ↑ +39% |
| medica ubh (m) | medica ubh (m) | $344.54 | ↑ +46% |
| medica health system | medica elect (u m) | $365.51 | ↑ +55% |
| medica mhps | medica mhps (u m) | $381.60 | ↑ +62% |
| medica | medica essentials (u m) | $381.60 | ↑ +62% |
| medica ubh pmap | medica ubh pmap (m) | $393.76 | ↑ +67% |
| medica health system | medica choice (u m) | $401.64 | ↑ +70% |
| first health (a c e g h u b d n o r s) | first health (abdmnosurv) | $413.45 | ↑ +75% |
| blue cross blue shield of minnesota | bc pmap (amu) | $1,116.89 | ↑ +373% |
| health partners | hpi medicare (amu) | $1,475.43 | ↑ +524% |
| medicaid | medicaid ma (m) | $1,573.57 | ↑ +566% |
| all other medicaid | all other medicaid (m) | $1,573.57 | ↑ +566% |
| health partners | hpi pmap (amu) | $1,612.11 | ↑ +582% |
| allina aetna medicare (m) | allina aetna medicare (m) | $1,617.00 | ↑ +584% |
| south country health alliance | scha pmap (m) | $1,620.78 | ↑ +586% |
| blue cross blue shield of minnesota | bc aware/blue plus (a m u) | $1,639.14 | ↑ +594% |
| medicare | medicare (m) | $1,702.11 | ↑ +620% |
| medicare other | all other medicare (m) | $1,702.11 | ↑ +620% |
| medica | medica medicare (m) | $1,770.19 | ↑ +649% |
| bcbs | bc medicare (m) | $1,787.22 | ↑ +656% |
| hennepin health | hennepin health (m) | $1,793.87 | ↑ +659% |
| south country health alliance | scha msho (m) | $1,902.77 | ↑ +705% |
| uhc ubh pmap | uhc ubh pmap (m) | $1,966.96 | ↑ +733% |
| blue cross blue shield of minnesota | bc state health plan (mu) | $2,773.97 | ↑ +1074% |
| blue cross blue shield of minnesota | bc premier (m u) | $2,944.87 | ↑ +1146% |
| bcbs | bc aehp (mu) | $3,464.30 | ↑ +1366% |
| health partners | hpi (u m) | $3,598.36 | ↑ +1423% |
| blue cross blue shield of minnesota | bc high value/performance network (mu) | $3,718.75 | ↑ +1474% |
| health partners | hpi cigna (mu) | $4,056.36 | ↑ +1617% |
Visitor-reported prices
Comments
Incision of breast lesion at other Minnesota hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Sanford Bemidji Medical Center | Bemidji | $4,999.20 | $1,169.64 – $5,624.10 |
| United Hospital | MN | 1175 Nininger Road. Hastings | $236.26 | $1,116.89 – $3,170.71 |
| Abbott Northwestern Hospital | MN 55407 | $236.26 | $1,116.89 – $4,056.36 |
| Sanford Canby Medical Center | Canby | not published | $1,701.25 – $1,701.25 |
| Sanford Westbrook Hospital | Westbrook | not published | $1,701.25 – $1,701.25 |
| Sanford Bagley Medical Center | Bagley | not published | $1,701.25 – $1,701.25 |
| Sanford Wheaton | Wheaton | not published | $1,701.25 – $1,701.25 |
| Sanford Luverne Medical Center | Luverne | not published | $1,701.25 – $1,701.25 |