Established Patient Office Visit (level 5) at River Falls Area Hospital
1617 E Division St, River Falls, MN · Allinahealth · · NPI 1285691725
$117.49
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.
$209.80
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.
$38.95 with ucare pmap (a b c d e g n o s u r h) vs $1,179.38 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) | $38.95 | ↓ -67% |
| medica health system | medica pmap (r) | $52.35 | ↓ -55% |
| medicare other | all other medicare (r) | $81.92 | ↓ -30% |
| bcbs | bc medicare (r) | $86.02 | ↓ -27% |
| medica | medica medicare (r) | $86.02 | ↓ -27% |
| medica health system | medica dual solutions (r) | $87.12 | ↓ -26% |
| south country health alliance | scha msho (r) | $90.11 | ↓ -23% |
| all other medicaid | all other medicaid (r) | $92.93 | ↓ -21% |
| south country health alliance | scha pmap (r) | $95.72 | ↓ -19% |
| aetna | aetna elevate (n r) | $118.62 | ↑ +1% |
| aetna | aetna performance (n r) | $128.14 | ↑ +9% |
| medicaid | medicaid ma (r) | $139.23 | ↑ +19% |
| americas ppo (araz)(b d n o r s v) | americas ppo (araz)(b d n o r s v) | $149.34 | ↑ +27% |
| first health (a c e g h u b d n o r s) | first health (abdmnosurv) | $162.62 | ↑ +38% |
| americas ppo (araz) (b d n h o r s) | americas ppo (araz) (b d n h o r s v) | $162.62 | ↑ +38% |
| aetna direct/indirect network | aetna direct/indirect network (n r) | $163.75 | ↑ +39% |
| 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) | $193.60 | ↑ +65% |
| blue cross blue shield of minnesota | bc pmap (r) | $269.77 | ↑ +130% |
| blue cross blue shield of minnesota | bc state health plan (r) | $727.01 | ↑ +519% |
| bc aware/blue plus (nr) | bc aware/blue plus (nr) | $830.41 | ↑ +607% |
| blue cross blue shield of minnesota | bc premier (r) | $933.93 | ↑ +695% |
| bcbs | bc aehp (r) | $1,098.69 | ↑ +835% |
| bc high value/ performance network (r) | bc high value/ performance network (r) | $1,179.38 | ↑ +904% |
Visitor-reported prices
Comments
Established Patient Office Visit (level 5) at other Minnesota hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Sanford Canby Medical Center | Canby | $240.80 | $69.48 – $258.30 |
| Sanford Westbrook Hospital | Westbrook | $308.80 | $93.45 – $347.40 |
| Sanford Bagley Medical Center | Bagley | $316.80 | $95.87 – $356.40 |
| Sanford Wheaton | Wheaton | $258.40 | $78.20 – $290.70 |
| Sanford Luverne Medical Center | Luverne | $350.40 | $106.04 – $394.20 |
| Sanford Bemidji Medical Center | Bemidji | $316.80 | $164.20 – $349.20 |
| Sanford Worthington Medical Center | Worthington | $1,059.20 | $100.41 – $233.10 |
| Sanford Tracy Hospital | Tracy | $308.80 | $93.45 – $347.40 |