Observation direct referral from physician office for admission at Mercy Hospital
4050 Coon Rapids Blvd. Coon Rapids, MN 55443 | 550 Osborne Road NE. Fridley, MN · Allinahealth · · NPI 1316904287
$179.71
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.
$374.40
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.
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The hospital's undiscounted list price — almost no one pays this.
$75.33 with ucare pmap (a b c d e g n o s u r h) vs $768.97 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 |
|---|---|---|---|
| ucare pmap (a b c d e g n o s u r h) | ucare pmap (abdmnorsuv) | $75.33 | ↓ -58% |
| medica pmap (um) | medica pmap (um) | $83.12 | ↓ -54% |
| aetna | aetna elevate (amu) | $131.98 | ↓ -27% |
| aetna | aetna performance (amu) | $140.40 | ↓ -22% |
| medica dual solutions (e g) | medica dual solutions (m) | $166.23 | ↓ -8% |
| aetna direct network | aetna direct network (amu) | $204.57 | ↑ +14% |
| blue cross blue shield of minnesota | bc aware/blue plus (a m u) | $219.77 | ↑ +22% |
| united healthcare (um) | united healthcare (um) | $226.51 | ↑ +26% |
| americas ppo (araz)(a m u) | americas ppo (araz)(a m u) | $250.55 | ↑ +39% |
| medica ubh (m) | medica ubh (m) | $262.08 | ↑ +46% |
| medica health system | medica elect (u m) | $278.03 | ↑ +55% |
| medica | medica essentials (u m) | $290.27 | ↑ +62% |
| medica mhps | medica mhps (u m) | $290.27 | ↑ +62% |
| medica ubh pmap | medica ubh pmap (m) | $299.52 | ↑ +67% |
| blue cross blue shield of minnesota | bc pmap (amu) | $300.54 | ↑ +67% |
| medica health system | medica choice (u m) | $305.51 | ↑ +70% |
| first health (a c e g h u b d n o r s) | first health (abdmnosurv) | $314.50 | ↑ +75% |
| all other medicaid | all other medicaid (m) | $571.75 | ↑ +218% |
| medicaid | medicaid ma (m) | $571.75 | ↑ +218% |
| blue cross blue shield of minnesota | bc state health plan (mu) | $573.58 | ↑ +219% |
| south country health alliance | scha pmap (m) | $588.90 | ↑ +228% |
| blue cross blue shield of minnesota | bc premier (m u) | $608.94 | ↑ +239% |
| hennepin health | hennepin health (m) | $651.79 | ↑ +263% |
| uhc ubh pmap | uhc ubh pmap (m) | $714.69 | ↑ +298% |
| bcbs | bc aehp (mu) | $716.35 | ↑ +299% |
| blue cross blue shield of minnesota | bc high value/performance network (mu) | $768.97 | ↑ +328% |
Visitor-reported prices
Comments
Observation direct referral from physician office for admission at other Minnesota hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Sanford Westbrook Hospital | Westbrook | $194.40 | $58.83 – $218.70 |
| Sanford Bagley Medical Center | Bagley | $200.00 | $60.53 – $225.00 |
| Sanford Wheaton | Wheaton | $212.00 | $64.16 – $238.50 |
| Sanford Luverne Medical Center | Luverne | $196.80 | $59.56 – $221.40 |
| Sanford Bemidji Medical Center | Bemidji | $200.00 | $113.93 – $631.78 |
| Sanford Worthington Medical Center | Worthington | $76.00 | $36.83 – $631.78 |
| Sanford Tracy Hospital | Tracy | $194.40 | $58.83 – $218.70 |
| Sanford Thief River Falls Medical Center | Thief River Falls | $225.60 | $96.87 – $253.80 |