Kyleena, 19.5 mg at Sanford Behavioral Health Thief River Falls
120 Labree Ave S, Thief River Falls, MN · Sanford Health · · NPI 1790842466
$1,201.60
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.
$1,502.00
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.
$202.24 with Blue Cross Blue Shield of Minnesota vs $553.43 with Medica — 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 |
|---|---|---|---|
| Blue Cross Blue Shield of Minnesota | PMAP | $202.24 | ↓ -83% |
| Sanford Health Plan Align | Medicare Replacement | $223.73 | ↓ -81% |
| Ucare | Medicare Replacement | $240.21 | ↓ -80% |
| Blue Cross Blue Shield of Minnesota | Medicare Replacement | $242.57 | ↓ -80% |
| United Healthcare | Medicare Replacement | $242.57 | ↓ -80% |
| Aetna | Medicare Replacement | $242.57 | ↓ -80% |
| Great Plains Medicare Advantage | Medicare Replacement | $242.57 | ↓ -80% |
| Health Partners | Medicare Replacement | $242.57 | ↓ -80% |
| Primewest | Medicare Replacement | $247.28 | ↓ -79% |
| Sanford Health Plan | Group Health/TRUE | $315.45 | ↓ -74% |
| Sanford Health Plan | SD Exchange True | $315.45 | ↓ -74% |
| Security Health Plan | Commercial | $323.81 | ↓ -73% |
| Sanford Health Plan | Commercial/ND Pers | $371.09 | ↓ -69% |
| Sanford Health Plan | SD Exchange Commercial | $371.09 | ↓ -69% |
| Blue Cross Blue Shield of Minnesota | Commercial/Federal | $406.83 | ↓ -66% |
| Health Partners | Commercial | $476.89 | ↓ -60% |
| United Healthcare | Commercial + Top 20 | $491.61 | ↓ -59% |
| Aetna | Commercial | $511.62 | ↓ -57% |
| Ucare | Commercial | $517.28 | ↓ -57% |
| Medica | Choice | $517.51 | ↓ -57% |
| Cigna | Commercial | $529.88 | ↓ -56% |
| Multiplan | Commercial | $529.88 | ↓ -56% |
| Healthez | Commercial | $529.88 | ↓ -56% |
| First Choice Health Network | Commercial | $529.88 | ↓ -56% |
| Medica | Elect | $553.43 | ↓ -54% |
| Primewest | Medicaid Managed Care | not published by hospital | — |
| Ucare | Medicaid Managed Care | not published by hospital | — |
Visitor-reported prices
Comments
Kyleena, 19.5 mg at other Minnesota hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Sanford Thief River Falls Medical Center | Thief River Falls | $1,201.60 | $202.24 – $529.88 |
| Sanford Canby Medical Center | Canby | $845.72 | $255.93 – $951.43 |
| Sanford Luverne Medical Center | Luverne | $1,009.61 | $305.53 – $1,135.81 |
| Sanford Bemidji Medical Center | Bemidji | $956.97 | $545.11 – $1,201.17 |
| Sanford Worthington Medical Center | Worthington | $921.51 | $446.58 – $1,036.69 |
| United Hospital | MN | 1175 Nininger Road. Hastings | $1,983.72 | $1,155.75 – $2,743.36 |
| Owatonna Hospital | Owatonna | $2,314.33 | $1,155.75 – $3,049.54 |
| Abbott Northwestern Hospital | MN 55407 | $1,983.72 | $1,155.75 – $2,747.86 |