Established Patient Office Visit (level 4) at River Falls Area Hospital
1617 E Division St, River Falls, MN · Allinahealth · · NPI 1285691725
$133.45
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.
$238.30
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.
$34.30 with ucare pmap (a b c d e g n o s u r h) vs $836.50 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) | $34.30 | ↓ -74% |
| medica health system | medica pmap (r) | $46.13 | ↓ -65% |
| medicare other | all other medicare (r) | $72.15 | ↓ -46% |
| bcbs | bc medicare (r) | $75.76 | ↓ -43% |
| medica | medica medicare (r) | $75.76 | ↓ -43% |
| medica health system | medica dual solutions (r) | $76.73 | ↓ -43% |
| south country health alliance | scha msho (r) | $79.37 | ↓ -41% |
| all other medicaid | all other medicaid (r) | $81.84 | ↓ -39% |
| south country health alliance | scha pmap (r) | $84.30 | ↓ -37% |
| medicaid | medicaid ma (r) | $98.12 | ↓ -26% |
| aetna | aetna elevate (n r) | $104.47 | ↓ -22% |
| aetna | aetna performance (n r) | $112.85 | ↓ -15% |
| americas ppo (araz)(b d n o r s v) | americas ppo (araz)(b d n o r s v) | $131.52 | ↓ -1% |
| first health (a c e g h u b d n o r s) | first health (abdmnosurv) | $143.22 | ↑ +7% |
| americas ppo (araz) (b d n h o r s) | americas ppo (araz) (b d n h o r s v) | $143.22 | ↑ +7% |
| aetna direct/indirect network | aetna direct/indirect network (n r) | $144.21 | ↑ +8% |
| 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) | $170.50 | ↑ +28% |
| blue cross blue shield of minnesota | bc pmap (r) | $191.34 | ↑ +43% |
| blue cross blue shield of minnesota | bc state health plan (r) | $515.64 | ↑ +286% |
| bc aware/blue plus (nr) | bc aware/blue plus (nr) | $588.98 | ↑ +341% |
| blue cross blue shield of minnesota | bc premier (r) | $662.40 | ↑ +396% |
| bcbs | bc aehp (r) | $779.26 | ↑ +484% |
| bc high value/ performance network (r) | bc high value/ performance network (r) | $836.50 | ↑ +527% |
Visitor-reported prices
Comments
Established Patient Office Visit (level 4) at other Minnesota hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Sanford Canby Medical Center | Canby | $192.00 | $55.44 – $206.10 |
| Sanford Westbrook Hospital | Westbrook | $256.00 | $51.81 – $192.60 |
| Sanford Bagley Medical Center | Bagley | $253.60 | $76.75 – $285.30 |
| Sanford Wheaton | Wheaton | $200.00 | $60.53 – $225.00 |
| Sanford Luverne Medical Center | Luverne | $273.60 | $82.80 – $307.80 |
| Sanford Bemidji Medical Center | Bemidji | $253.60 | $117.08 – $250.20 |
| Sanford Worthington Medical Center | Worthington | $680.80 | $88.78 – $206.10 |
| Sanford Tracy Hospital | Tracy | $256.00 | $51.81 – $192.60 |