Apl(pml-rara) quant - sendout at Sanford Thief River Falls Medical Center
3001 Sanford Pkwy, Thief River Falls, MN · Sanford Health · · NPI 1043218753
$500.80
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.
$626.00
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.
$208.50 with Blue Cross Blue Shield of Minnesota vs $570.58 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 | $208.50 | ↓ -58% |
| Sanford Health Plan Align | Medicare Replacement | $230.66 | ↓ -54% |
| Ucare | Medicare Replacement | $247.66 | ↓ -51% |
| Blue Cross Blue Shield of Minnesota | Medicare Replacement | $250.08 | ↓ -50% |
| United Healthcare | Medicare Replacement | $250.08 | ↓ -50% |
| Aetna | Medicare Replacement | $250.08 | ↓ -50% |
| Great Plains Medicare Advantage | Medicare Replacement | $250.08 | ↓ -50% |
| Health Partners | Medicare Replacement | $250.08 | ↓ -50% |
| Primewest | Medicare Replacement | $254.94 | ↓ -49% |
| Sanford Health Plan | Group Health/TRUE | $325.23 | ↓ -35% |
| Sanford Health Plan | SD Exchange True | $325.23 | ↓ -35% |
| Security Health Plan | Commercial | $333.85 | ↓ -33% |
| Sanford Health Plan | Commercial/ND Pers | $382.59 | ↓ -24% |
| Sanford Health Plan | SD Exchange Commercial | $382.59 | ↓ -24% |
| Blue Cross Blue Shield of Minnesota | Commercial/Federal | $419.44 | ↓ -16% |
| Health Partners | Commercial | $491.67 | ↓ -2% |
| United Healthcare | Commercial + Top 20 | $506.85 | ↑ +1% |
| Aetna | Commercial | $527.48 | ↑ +5% |
| Ucare | Commercial | $533.31 | ↑ +6% |
| Medica | Choice | $533.55 | ↑ +7% |
| Cigna | Commercial | $546.30 | ↑ +9% |
| Multiplan | Commercial | $546.30 | ↑ +9% |
| Healthez | Commercial | $546.30 | ↑ +9% |
| First Choice Health Network | Commercial | $546.30 | ↑ +9% |
| Medica | Elect | $570.58 | ↑ +14% |
| Primewest | Medicaid Managed Care | not published by hospital | — |
| Ucare | Medicaid Managed Care | not published by hospital | — |
Visitor-reported prices
Comments
Apl(pml-rara) quant - sendout at other Minnesota hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Sanford Behavioral Health Thief River Falls | Thief River Falls | $500.80 | $208.50 – $546.30 |
| Sanford Westbrook Hospital | Westbrook | $500.80 | $151.55 – $563.40 |
| Sanford Tracy Hospital | Tracy | $500.80 | $151.55 – $563.40 |
| United Hospital | MN | 1175 Nininger Road. Hastings | $776.78 | $135.46 – $373.11 |
| Owatonna Hospital | Owatonna | $816.65 | $193.00 – $1,076.08 |
| Abbott Northwestern Hospital | MN 55407 | $776.78 | $135.46 – $696.77 |
| Allina Health Faribault Medical Center | Faribualt | $816.65 | $193.00 – $1,076.08 |
| Mercy Hospital | MN 55443 | 550 Osborne Road NE. Fridley | $776.78 | $135.46 – $373.11 |