Biopsy skin incisional single lesion at River Falls Area Hospital
1617 E Division St, River Falls, MN · Allinahealth · · NPI 1285691725
$224.78
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.
$401.40
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.
$80.76 with ucare pmap (a b c d e g n o s u r h) vs $761.68 with medicare — 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) | $80.76 | ↓ -64% |
| medica health system | medica pmap (r) | $107.98 | ↓ -52% |
| blue cross blue shield of minnesota | bc pmap (r) | $149.97 | ↓ -33% |
| medicare other | all other medicare (r) | $169.84 | ↓ -24% |
| medica | medica medicare (r) | $178.33 | ↓ -21% |
| bcbs | bc medicare (r) | $178.33 | ↓ -21% |
| medica health system | medica dual solutions (r) | $180.63 | ↓ -20% |
| south country health alliance | scha msho (r) | $186.82 | ↓ -17% |
| all other medicaid | all other medicaid (r) | $192.67 | ↓ -14% |
| south country health alliance | scha pmap (r) | $198.45 | ↓ -12% |
| aetna | aetna elevate (n r) | $245.94 | ↑ +9% |
| aetna | aetna performance (n r) | $265.69 | ↑ +18% |
| americas ppo (araz)(b d n o r s v) | americas ppo (araz)(b d n o r s v) | $309.64 | ↑ +38% |
| americas ppo (araz) (b d n h o r s) | americas ppo (araz) (b d n h o r s v) | $337.18 | ↑ +50% |
| first health (a c e g h u b d n o r s) | first health (abdmnosurv) | $337.18 | ↑ +50% |
| aetna direct/indirect network | aetna direct/indirect network (n r) | $339.50 | ↑ +51% |
| 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) | $401.40 | ↑ +79% |
| blue cross blue shield of minnesota | bc state health plan (r) | $404.15 | ↑ +80% |
| bc aware/blue plus (nr) | bc aware/blue plus (nr) | $461.64 | ↑ +105% |
| blue cross blue shield of minnesota | bc premier (r) | $519.18 | ↑ +131% |
| bcbs | bc aehp (r) | $610.77 | ↑ +172% |
| bc high value/ performance network (r) | bc high value/ performance network (r) | $655.63 | ↑ +192% |
| medicaid | medicaid ma (r) | $704.15 | ↑ +213% |
| allina aetna medicare (r) | allina aetna medicare (r) | $723.60 | ↑ +222% |
| medicare | medicare (r) | $761.68 | ↑ +239% |
Visitor-reported prices
Comments
Biopsy skin incisional single lesion at other Minnesota hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Sanford Canby Medical Center | Canby | $1,138.40 | $344.51 – $1,280.70 |
| Sanford Bemidji Medical Center | Bemidji | $474.40 | $270.23 – $630.78 |
| United Hospital | MN | 1175 Nininger Road. Hastings | $619.78 | $139.12 – $880.19 |
| Owatonna Hospital | Owatonna | $224.78 | $153.31 – $790.59 |
| Abbott Northwestern Hospital | MN 55407 | $619.78 | $139.12 – $1,532.45 |
| Allina Health Faribault Medical Center | Faribualt | $224.78 | $153.31 – $832.06 |
| New Ulm Medical Center | MN 56073 | $353.19 | $152.67 – $761.68 |
| Mercy Hospital | MN 55443 | 550 Osborne Road NE. Fridley | $619.78 | $139.12 – $880.19 |