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Tonsillectomy (age 12+) at Sanford Behavioral Health Thief River Falls
120 Labree Ave S, Thief River Falls, MN · Sanford Health · · NPI 1790842466
not published by hospital
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.
not published by hospital
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.
$3,405.22 with Primewest vs $3,405.22 with Ucare — 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 |
|---|---|---|---|
| Primewest | Medicaid Managed Care | $3,405.22 | — |
| Ucare | Medicaid Managed Care | $3,405.22 | — |
Visitor-reported prices
Comments
Tonsillectomy (age 12+) at other Minnesota hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Sanford Thief River Falls Medical Center | Thief River Falls | not published | $3,405.22 – $3,405.22 |
| Sanford Canby Medical Center | Canby | not published | $3,405.22 – $3,405.22 |
| Sanford Westbrook Hospital | Westbrook | not published | $3,405.22 – $3,405.22 |
| Sanford Bagley Medical Center | Bagley | not published | $3,405.22 – $3,405.22 |
| Sanford Wheaton | Wheaton | not published | $3,405.22 – $3,405.22 |
| Sanford Luverne Medical Center | Luverne | not published | $3,405.22 – $3,405.22 |
| Sanford Bemidji Medical Center | Bemidji | not published | $2,322.73 – $3,341.89 |
| Sanford Worthington Medical Center | Worthington | not published | $2,372.92 – $3,341.89 |