Biopsy/soft tissue/neck or thorax 21550 at River Falls Area Hospital
1617 E Division St, River Falls, MN · Allinahealth · · NPI 1285691725
$526.68
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.
$940.50
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.
$146.65 with ucare pmap (a b c d e g n o s u r h) vs $4,228.21 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) | $146.65 | ↓ -72% |
| medica health system | medica pmap (r) | $196.07 | ↓ -63% |
| medicare other | all other medicare (r) | $308.42 | ↓ -41% |
| medica | medica medicare (r) | $323.84 | ↓ -39% |
| bcbs | bc medicare (r) | $323.84 | ↓ -39% |
| medica health system | medica dual solutions (r) | $328.00 | ↓ -38% |
| south country health alliance | scha msho (r) | $339.26 | ↓ -36% |
| all other medicaid | all other medicaid (r) | $349.87 | ↓ -34% |
| south country health alliance | scha pmap (r) | $360.37 | ↓ -32% |
| aetna | aetna elevate (n r) | $446.60 | ↓ -15% |
| aetna | aetna performance (n r) | $482.46 | ↓ -8% |
| americas ppo (araz)(b d n o r s v) | americas ppo (araz)(b d n o r s v) | $562.27 | ↑ +7% |
| americas ppo (araz) (b d n h o r s) | americas ppo (araz) (b d n h o r s v) | $612.28 | ↑ +16% |
| first health (a c e g h u b d n o r s) | first health (abdmnosurv) | $612.28 | ↑ +16% |
| aetna direct/indirect network | aetna direct/indirect network (n r) | $616.50 | ↑ +17% |
| 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) | $728.90 | ↑ +38% |
| blue cross blue shield of minnesota | bc pmap (r) | $1,055.08 | ↑ +100% |
| medicaid | medicaid ma (r) | $1,573.57 | ↑ +199% |
| allina aetna medicare (r) | allina aetna medicare (r) | $1,617.00 | ↑ +207% |
| medicare | medicare (r) | $1,702.11 | ↑ +223% |
| blue cross blue shield of minnesota | bc state health plan (r) | $2,606.08 | ↑ +395% |
| bc aware/blue plus (nr) | bc aware/blue plus (nr) | $2,977.38 | ↑ +465% |
| blue cross blue shield of minnesota | bc premier (r) | $3,348.36 | ↑ +536% |
| bcbs | bc aehp (r) | $3,938.89 | ↑ +648% |
| bc high value/ performance network (r) | bc high value/ performance network (r) | $4,228.21 | ↑ +703% |
Visitor-reported prices
Comments
Biopsy/soft tissue/neck or thorax 21550 at other Minnesota hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Sanford Bemidji Medical Center | Bemidji | $3,391.20 | $1,169.64 – $3,815.10 |
| Sanford Worthington Medical Center | Worthington | $2,651.20 | $1,194.92 – $2,982.60 |
| United Hospital | MN | 1175 Nininger Road. Hastings | $693.94 | $716.81 – $3,895.00 |
| Owatonna Hospital | Owatonna | $526.68 | $493.44 – $4,275.53 |
| Abbott Northwestern Hospital | MN 55407 | $693.94 | $716.81 – $4,056.36 |
| Allina Health Faribault Medical Center | Faribualt | $526.68 | $493.44 – $4,275.53 |
| New Ulm Medical Center | MN 56073 | $591.47 | $462.34 – $2,977.37 |
| Mercy Hospital | MN 55443 | 550 Osborne Road NE. Fridley | $693.94 | $716.81 – $3,895.00 |