Biopsy abdominal mass at River Falls Area Hospital
1617 E Division St, River Falls, MN · Allinahealth · · NPI 1285691725
$1,149.23
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.
$2,052.20
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.
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The hospital's undiscounted list price — almost no one pays this.
$258.62 with ucare pmap (a b c d e g n o s u r h) vs $2,555.28 with bc high value/ performance network (r) — 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) | $258.62 | ↓ -77% |
| medica health system | medica pmap (r) | $345.77 | ↓ -70% |
| medicare other | all other medicare (r) | $543.88 | ↓ -53% |
| medica | medica medicare (r) | $571.07 | ↓ -50% |
| bcbs | bc medicare (r) | $571.07 | ↓ -50% |
| medica health system | medica dual solutions (r) | $578.43 | ↓ -50% |
| south country health alliance | scha msho (r) | $598.27 | ↓ -48% |
| all other medicaid | all other medicaid (r) | $616.99 | ↓ -46% |
| south country health alliance | scha pmap (r) | $635.50 | ↓ -45% |
| blue cross blue shield of minnesota | bc pmap (r) | $637.63 | ↓ -45% |
| aetna | aetna elevate (n r) | $787.56 | ↓ -31% |
| aetna | aetna performance (n r) | $850.81 | ↓ -26% |
| americas ppo (araz)(b d n o r s v) | americas ppo (araz)(b d n o r s v) | $991.56 | ↓ -14% |
| americas ppo (araz) (b d n h o r s) | americas ppo (araz) (b d n h o r s v) | $1,079.74 | ↓ -6% |
| first health (a c e g h u b d n o r s) | first health (abdmnosurv) | $1,079.74 | ↓ -6% |
| aetna direct/indirect network | aetna direct/indirect network (n r) | $1,087.19 | ↓ -5% |
| all other contracted care (a b c d e g h n o r s u) | all other contracted care (a b c d m h n o r s u v) | $1,285.40 | ↑ +12% |
| medicaid | medicaid ma (r) | $1,573.57 | ↑ +37% |
| blue cross blue shield of minnesota | bc state health plan (r) | $1,574.96 | ↑ +37% |
| allina aetna medicare (r) | allina aetna medicare (r) | $1,617.00 | ↑ +41% |
| medicare | medicare (r) | $1,702.11 | ↑ +48% |
| bc aware/blue plus (nr) | bc aware/blue plus (nr) | $1,799.35 | ↑ +57% |
| blue cross blue shield of minnesota | bc premier (r) | $2,023.55 | ↑ +76% |
| bcbs | bc aehp (r) | $2,380.44 | ↑ +107% |
| bc high value/ performance network (r) | bc high value/ performance network (r) | $2,555.28 | ↑ +122% |
Visitor-reported prices
Comments
Biopsy abdominal mass at other Minnesota hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Sanford Bemidji Medical Center | Bemidji | $2,482.40 | $1,169.64 – $2,792.70 |
| Sanford Worthington Medical Center | Worthington | $939.20 | $455.16 – $1,669.61 |
| Sanford Thief River Falls Medical Center | Thief River Falls | $2,232.00 | $958.37 – $2,511.00 |
| Sanford Behavioral Health Thief River Falls | Thief River Falls | $2,232.00 | $958.37 – $2,511.00 |
| United Hospital | MN | 1175 Nininger Road. Hastings | $1,416.91 | $433.20 – $3,895.00 |
| Owatonna Hospital | Owatonna | $1,149.23 | $622.18 – $4,275.53 |
| Abbott Northwestern Hospital | MN 55407 | $1,416.91 | $433.20 – $4,056.36 |
| Allina Health Faribault Medical Center | Faribualt | $1,149.23 | $622.18 – $4,275.53 |