Ustekinumab 45 mg/0.5 ml subcutaneous solution at Sanford Behavioral Health Thief River Falls
120 Labree Ave S, Thief River Falls, MN · Sanford Health · · NPI 1790842466
$35,620.92
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.
$44,526.14
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.
$3,090.75 with Blue Cross Blue Shield of Minnesota vs $8,457.94 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 | $3,090.75 | ↓ -91% |
| Sanford Health Plan Align | Medicare Replacement | $3,419.17 | ↓ -90% |
| Ucare | Medicare Replacement | $3,671.11 | ↓ -90% |
| Blue Cross Blue Shield of Minnesota | Medicare Replacement | $3,707.10 | ↓ -90% |
| United Healthcare | Medicare Replacement | $3,707.10 | ↓ -90% |
| Aetna | Medicare Replacement | $3,707.10 | ↓ -90% |
| Great Plains Medicare Advantage | Medicare Replacement | $3,707.10 | ↓ -90% |
| Health Partners | Medicare Replacement | $3,707.10 | ↓ -90% |
| Primewest | Medicare Replacement | $3,779.08 | ↓ -89% |
| Sanford Health Plan | Group Health/TRUE | $4,821.03 | ↓ -86% |
| Sanford Health Plan | SD Exchange True | $4,821.03 | ↓ -86% |
| Security Health Plan | Commercial | $4,948.80 | ↓ -86% |
| Sanford Health Plan | Commercial/ND Pers | $5,671.32 | ↓ -84% |
| Sanford Health Plan | SD Exchange Commercial | $5,671.32 | ↓ -84% |
| Blue Cross Blue Shield of Minnesota | Commercial/Federal | $6,217.49 | ↓ -83% |
| Health Partners | Commercial | $7,288.23 | ↓ -80% |
| United Healthcare | Commercial + Top 20 | $7,513.17 | ↓ -79% |
| Aetna | Commercial | $7,819.10 | ↓ -78% |
| Ucare | Commercial | $7,905.48 | ↓ -78% |
| Medica | Choice | $7,909.07 | ↓ -78% |
| Cigna | Commercial | $8,098.03 | ↓ -77% |
| Multiplan | Commercial | $8,098.03 | ↓ -77% |
| Healthez | Commercial | $8,098.03 | ↓ -77% |
| First Choice Health Network | Commercial | $8,098.03 | ↓ -77% |
| Medica | Elect | $8,457.94 | ↓ -76% |
| Primewest | Medicaid Managed Care | not published by hospital | — |
| Ucare | Medicaid Managed Care | not published by hospital | — |
Visitor-reported prices
Comments
Ustekinumab 45 mg/0.5 ml subcutaneous solution at other Minnesota hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Sanford Thief River Falls Medical Center | Thief River Falls | $35,620.92 | $3,090.75 – $8,098.03 |
| Sanford Worthington Medical Center | Worthington | $31,052.44 | $141.93 – $34,934.00 |
| Owatonna Hospital | Owatonna | $45,901.36 | $145.37 – $60,483.02 |
| Allina Health Faribault Medical Center | Faribualt | $45,901.36 | $145.37 – $60,483.02 |
| Buffalo Hospital | Buffalo | $45,901.36 | $145.37 – $55,489.01 |
| Cambridge Medical Center | Cambridge | $45,901.36 | $145.37 – $55,489.01 |
| River Falls Area Hospital | River Falls | $45,901.36 | $145.37 – $38,149.94 |
| Sanford Bemidji Medical Center | Bemidji | not published | $141.93 – $156.87 |