X-ray exam of tear duct at Mercy Hospital
4050 Coon Rapids Blvd. Coon Rapids, MN 55443 | 550 Osborne Road NE. Fridley, MN · Allinahealth · · NPI 1316904287
$350.69
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.
$730.60
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.
$147.00 with ucare pmap (a b c d e g n o s u r h) vs $823.20 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) | $147.00 | ↓ -58% |
| medica pmap (um) | medica pmap (um) | $162.19 | ↓ -54% |
| medica dual solutions (e g) | medica dual solutions (m) | $180.00 | ↓ -49% |
| aetna | aetna elevate (amu) | $216.00 | ↓ -38% |
| health partners | hpi medicare (amu) | $220.12 | ↓ -37% |
| all other medicaid | all other medicaid (m) | $227.33 | ↓ -35% |
| medicaid | medicaid ma (m) | $227.33 | ↓ -35% |
| allina aetna medicare (m) | allina aetna medicare (m) | $233.60 | ↓ -33% |
| south country health alliance | scha pmap (m) | $234.15 | ↓ -33% |
| medica health system | medica elect (u m) | $238.00 | ↓ -32% |
| aetna | aetna performance (amu) | $238.00 | ↓ -32% |
| health partners | hpi pmap (amu) | $240.50 | ↓ -31% |
| medicare other | all other medicare (m) | $245.90 | ↓ -30% |
| medicare | medicare (m) | $245.90 | ↓ -30% |
| blue cross blue shield of minnesota | bc pmap (amu) | $247.24 | ↓ -29% |
| medica | medica essentials (u m) | $249.00 | ↓ -29% |
| medica mhps | medica mhps (u m) | $249.00 | ↓ -29% |
| medica | medica medicare (m) | $255.74 | ↓ -27% |
| bcbs | bc medicare (m) | $258.19 | ↓ -26% |
| hennepin health | hennepin health (m) | $259.16 | ↓ -26% |
| medica health system | medica choice (u m) | $262.00 | ↓ -25% |
| south country health alliance | scha msho (m) | $274.89 | ↓ -22% |
| uhc ubh pmap | uhc ubh pmap (m) | $284.16 | ↓ -19% |
| united healthcare (um) | united healthcare (um) | $326.00 | ↓ -7% |
| aetna direct network | aetna direct network (amu) | $331.00 | ↓ -6% |
| blue cross blue shield of minnesota | bc aware/blue plus (a m u) | $428.86 | ↑ +22% |
| americas ppo (araz)(a m u) | americas ppo (araz)(a m u) | $488.92 | ↑ +39% |
| medica ubh (m) | medica ubh (m) | $511.42 | ↑ +46% |
| medica ubh pmap | medica ubh pmap (m) | $584.48 | ↑ +67% |
| health partners | hpi cigna (mu) | $605.14 | ↑ +73% |
| first health (a c e g h u b d n o r s) | first health (abdmnosurv) | $613.70 | ↑ +75% |
| blue cross blue shield of minnesota | bc state health plan (mu) | $614.06 | ↑ +75% |
| blue cross blue shield of minnesota | bc premier (m u) | $651.89 | ↑ +86% |
| bcbs | bc aehp (mu) | $766.87 | ↑ +119% |
| health partners | hpi (u m) | $772.67 | ↑ +120% |
| blue cross blue shield of minnesota | bc high value/performance network (mu) | $823.20 | ↑ +135% |
Visitor-reported prices
Comments
X-ray exam of tear duct at other Minnesota hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| United Hospital | MN | 1175 Nininger Road. Hastings | $350.69 | $180.00 – $701.88 |
| Abbott Northwestern Hospital | MN 55407 | $350.69 | $180.00 – $605.14 |
| Sanford Canby Medical Center | Canby | not published | $253.81 – $253.81 |
| Sanford Westbrook Hospital | Westbrook | not published | $253.81 – $253.81 |
| Sanford Bagley Medical Center | Bagley | not published | $253.81 – $253.81 |
| Sanford Wheaton | Wheaton | not published | $253.81 – $253.81 |
| Sanford Luverne Medical Center | Luverne | not published | $253.81 – $253.81 |
| Sanford Bemidji Medical Center | Bemidji | not published | $176.78 – $249.09 |