Skyla, 13.5 mg at Sanford Behavioral Health Thief River Falls
120 Labree Ave S, Thief River Falls, MN · Sanford Health · · NPI 1790842466
$1,000.80
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.
$1,251.00
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.
$371.82 with Blue Cross Blue Shield of Minnesota vs $1,017.50 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 | $371.82 | ↓ -63% |
| Sanford Health Plan Align | Medicare Replacement | $411.33 | ↓ -59% |
| Ucare | Medicare Replacement | $441.64 | ↓ -56% |
| Blue Cross Blue Shield of Minnesota | Medicare Replacement | $445.97 | ↓ -55% |
| United Healthcare | Medicare Replacement | $445.97 | ↓ -55% |
| Aetna | Medicare Replacement | $445.97 | ↓ -55% |
| Great Plains Medicare Advantage | Medicare Replacement | $445.97 | ↓ -55% |
| Health Partners | Medicare Replacement | $445.97 | ↓ -55% |
| Primewest | Medicare Replacement | $454.63 | ↓ -55% |
| Sanford Health Plan | Group Health/TRUE | $579.98 | ↓ -42% |
| Sanford Health Plan | SD Exchange True | $579.98 | ↓ -42% |
| Security Health Plan | Commercial | $595.35 | ↓ -41% |
| Sanford Health Plan | Commercial/ND Pers | $682.27 | ↓ -32% |
| Sanford Health Plan | SD Exchange Commercial | $682.27 | ↓ -32% |
| Blue Cross Blue Shield of Minnesota | Commercial/Federal | $747.97 | ↓ -25% |
| Health Partners | Commercial | $876.78 | ↓ -12% |
| United Healthcare | Commercial + Top 20 | $903.85 | ↓ -10% |
| Aetna | Commercial | $940.65 | ↓ -6% |
| Ucare | Commercial | $951.04 | ↓ -5% |
| Medica | Choice | $951.47 | ↓ -5% |
| Cigna | Commercial | $974.21 | ↓ -3% |
| Multiplan | Commercial | $974.21 | ↓ -3% |
| Healthez | Commercial | $974.21 | ↓ -3% |
| First Choice Health Network | Commercial | $974.21 | ↓ -3% |
| Medica | Elect | $1,017.50 | ↑ +2% |
| Primewest | Medicaid Managed Care | not published by hospital | — |
| Ucare | Medicaid Managed Care | not published by hospital | — |
Visitor-reported prices
Comments
Skyla, 13.5 mg at other Minnesota hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Sanford Thief River Falls Medical Center | Thief River Falls | $1,000.80 | $371.82 – $974.21 |
| Sanford Canby Medical Center | Canby | $745.19 | $225.51 – $838.33 |
| Sanford Luverne Medical Center | Luverne | $719.68 | $217.79 – $809.63 |
| Sanford Bemidji Medical Center | Bemidji | $780.88 | $444.80 – $1,000.16 |
| Sanford Worthington Medical Center | Worthington | not published | $982.48 – $982.48 |