Ins/rplc spi npg/rcvr pocket at Mercy Hospital
4050 Coon Rapids Blvd. Coon Rapids, MN 55443 | 550 Osborne Road NE. Fridley, MN · Allinahealth · · NPI 1316904287
$52,475.52
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.
$109,324.00
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.
$831.52 with blue cross blue shield of minnesota vs $91,832.16 with first health (a c e g h u b d n o r s) — 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) | $831.52 | ↓ -98% |
| blue cross blue shield of minnesota | bc state health plan (mu) | $1,586.92 | ↓ -97% |
| blue cross blue shield of minnesota | bc premier (m u) | $1,684.74 | ↓ -97% |
| bcbs | bc aehp (mu) | $1,981.92 | ↓ -96% |
| blue cross blue shield of minnesota | bc high value/performance network (mu) | $2,127.50 | ↓ -96% |
| aetna | aetna elevate (amu) | $2,456.00 | ↓ -95% |
| aetna | aetna performance (amu) | $2,626.00 | ↓ -95% |
| aetna direct network | aetna direct network (amu) | $3,784.00 | ↓ -93% |
| medica dual solutions (e g) | medica dual solutions (m) | $4,160.00 | ↓ -92% |
| medica health system | medica elect (u m) | $9,543.00 | ↓ -82% |
| medica mhps | medica mhps (u m) | $9,964.00 | ↓ -81% |
| medica | medica essentials (u m) | $9,964.00 | ↓ -81% |
| medica health system | medica choice (u m) | $10,487.00 | ↓ -80% |
| united healthcare (um) | united healthcare (um) | $14,146.00 | ↓ -73% |
| ucare pmap (a b c d e g n o s u r h) | ucare pmap (abdmnorsuv) | $21,995.99 | ↓ -58% |
| medica pmap (um) | medica pmap (um) | $24,269.93 | ↓ -54% |
| health partners | hpi medicare (amu) | $27,749.99 | ↓ -47% |
| medicaid | medicaid ma (m) | $29,399.83 | ↓ -44% |
| all other medicaid | all other medicaid (m) | $29,399.83 | ↓ -44% |
| allina aetna medicare (m) | allina aetna medicare (m) | $30,121.63 | ↓ -43% |
| south country health alliance | scha pmap (m) | $30,281.82 | ↓ -42% |
| health partners | hpi pmap (amu) | $30,320.66 | ↓ -42% |
| medicare | medicare (m) | $31,706.98 | ↓ -40% |
| medicare other | all other medicare (m) | $31,706.98 | ↓ -40% |
| medica | medica medicare (m) | $32,975.26 | ↓ -37% |
| bcbs | bc medicare (m) | $33,292.33 | ↓ -37% |
| hennepin health | hennepin health (m) | $33,515.81 | ↓ -36% |
| south country health alliance | scha msho (m) | $35,550.49 | ↓ -32% |
| uhc ubh pmap | uhc ubh pmap (m) | $36,749.79 | ↓ -30% |
| blue cross blue shield of minnesota | bc aware/blue plus (a m u) | $64,173.19 | ↑ +22% |
| health partners | hpi (u m) | $67,230.14 | ↑ +28% |
| americas ppo (araz)(a m u) | americas ppo (araz)(a m u) | $73,159.62 | ↑ +39% |
| health partners | hpi cigna (mu) | $76,292.32 | ↑ +45% |
| medica ubh (m) | medica ubh (m) | $76,526.80 | ↑ +46% |
| medica ubh pmap | medica ubh pmap (m) | $87,459.20 | ↑ +67% |
| first health (a c e g h u b d n o r s) | first health (abdmnosurv) | $91,832.16 | ↑ +75% |
Visitor-reported prices
Comments
Ins/rplc spi npg/rcvr pocket at other Minnesota hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Sanford Bemidji Medical Center | Bemidji | $17,568.80 | $10,007.63 – $31,402.12 |
| United Hospital | MN | 1175 Nininger Road. Hastings | $52,475.52 | $831.52 – $36,749.79 |
| Abbott Northwestern Hospital | MN 55407 | $52,475.52 | $831.52 – $76,292.32 |
| Sanford Canby Medical Center | Canby | not published | $31,997.27 – $31,997.27 |
| Sanford Westbrook Hospital | Westbrook | not published | $31,997.27 – $31,997.27 |
| Sanford Bagley Medical Center | Bagley | not published | $31,997.27 – $31,997.27 |
| Sanford Wheaton | Wheaton | not published | $31,997.27 – $31,997.27 |
| Sanford Luverne Medical Center | Luverne | not published | $31,997.27 – $31,997.27 |