Established Patient Office Visit (level 3) at River Falls Area Hospital
1617 E Division St, River Falls, MN · Allinahealth · · NPI 1285691725
$111.66
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.
$199.40
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.
$28.77 with ucare pmap (a b c d e g n o s u r h) vs $542.59 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) | $28.77 | ↓ -74% |
| medica health system | medica pmap (r) | $38.60 | ↓ -65% |
| medicare other | all other medicare (r) | $60.51 | ↓ -46% |
| bcbs | bc medicare (r) | $63.54 | ↓ -43% |
| medica | medica medicare (r) | $63.54 | ↓ -43% |
| medica health system | medica dual solutions (r) | $64.35 | ↓ -42% |
| south country health alliance | scha msho (r) | $66.56 | ↓ -40% |
| all other medicaid | all other medicaid (r) | $68.64 | ↓ -39% |
| medicaid | medicaid ma (r) | $69.00 | ↓ -38% |
| south country health alliance | scha pmap (r) | $70.70 | ↓ -37% |
| aetna | aetna elevate (n r) | $87.62 | ↓ -22% |
| aetna | aetna performance (n r) | $94.65 | ↓ -15% |
| americas ppo (araz)(b d n o r s v) | americas ppo (araz)(b d n o r s v) | $110.31 | ↓ -1% |
| first health (a c e g h u b d n o r s) | first health (abdmnosurv) | $120.12 | ↑ +8% |
| americas ppo (araz) (b d n h o r s) | americas ppo (araz) (b d n h o r s v) | $120.12 | ↑ +8% |
| aetna direct/indirect network | aetna direct/indirect network (n r) | $120.95 | ↑ +8% |
| blue cross blue shield of minnesota | bc pmap (r) | $124.11 | ↑ +11% |
| 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) | $143.00 | ↑ +28% |
| blue cross blue shield of minnesota | bc state health plan (r) | $334.47 | ↑ +200% |
| bc aware/blue plus (nr) | bc aware/blue plus (nr) | $382.04 | ↑ +242% |
| blue cross blue shield of minnesota | bc premier (r) | $429.67 | ↑ +285% |
| bcbs | bc aehp (r) | $505.47 | ↑ +353% |
| bc high value/ performance network (r) | bc high value/ performance network (r) | $542.59 | ↑ +386% |
Visitor-reported prices
Comments
Established Patient Office Visit (level 3) at other Minnesota hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Sanford Canby Medical Center | Canby | $153.60 | $44.30 – $164.70 |
| Sanford Westbrook Hospital | Westbrook | $202.40 | $40.43 – $150.30 |
| Sanford Bagley Medical Center | Bagley | $193.60 | $58.59 – $217.80 |
| Sanford Wheaton | Wheaton | $164.00 | $49.63 – $184.50 |
| Sanford Luverne Medical Center | Luverne | $205.60 | $62.22 – $231.30 |
| Sanford Bemidji Medical Center | Bemidji | $193.60 | $83.39 – $166.50 |
| Sanford Worthington Medical Center | Worthington | $453.60 | $66.30 – $153.90 |
| Sanford Tracy Hospital | Tracy | $202.40 | $40.43 – $150.30 |