Pr biopsy skin punch single lesion at Sanford Tracy Hospital
251 5th St E, Tracy, MN · Sanford Health · · NPI 1003851171
$600.80
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.
$751.00
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.
$181.82 with Blue Cross Blue Shield of Minnesota vs $705.94 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 | $181.82 | ↓ -70% |
| Sanford Health Plan Align | Medicare Replacement | $292.89 | ↓ -51% |
| Wellmark SD | Medicare Replacement | $313.92 | ↓ -48% |
| Ucare | Medicare Replacement | $313.92 | ↓ -48% |
| United Healthcare | Medicare Replacement | $316.92 | ↓ -47% |
| Aetna | Medicare Replacement | $316.92 | ↓ -47% |
| Health Partners | Medicare Replacement | $316.92 | ↓ -47% |
| Great Plains Medicare Advantage | Medicare Replacement | $316.92 | ↓ -47% |
| Primewest | Medicare Replacement | $323.31 | ↓ -46% |
| Primewest | Medicaid Managed Care | $363.48 | ↓ -40% |
| Security Health Plan | Commercial | $413.05 | ↓ -31% |
| Ucare | Medicaid Managed Care | $419.51 | ↓ -30% |
| Health Partners | State Employees | $517.44 | ↓ -14% |
| Sanford Health Plan | Group Health/True | $592.84 | ↓ -1% |
| Sanford Health Plan | SD Exchange True | $592.84 | ↓ -1% |
| Health Partners | Commercial | $600.80 | ↑ +0% |
| Blue Cross Blue Shield of Minnesota | State Employees | $614.32 | ↑ +2% |
| United Healthcare | Commercial + Top 20 | $627.09 | ↑ +4% |
| Aetna | Commercial | $652.62 | ↑ +9% |
| Ucare | Commercial | $659.83 | ↑ +10% |
| Medica | Choice | $660.13 | ↑ +10% |
| Healthez | Commercial | $675.90 | ↑ +13% |
| Cigna | Commercial | $675.90 | ↑ +13% |
| Multiplan | Commercial | $675.90 | ↑ +13% |
| First Choice Health Network | Commercial | $675.90 | ↑ +13% |
| Blue Cross Blue Shield of Minnesota | Commercial/Federal | $694.83 | ↑ +16% |
| Sanford Health Plan | Commercial/ND Pers | $697.45 | ↑ +16% |
| Sanford Health Plan | SD Exchange Commercial | $697.45 | ↑ +16% |
| Medica | Elect | $705.94 | ↑ +18% |
Visitor-reported prices
Comments
Pr biopsy skin punch single lesion at other Minnesota hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Sanford Canby Medical Center | Canby | $564.80 | $170.92 – $635.40 |
| Sanford Westbrook Hospital | Westbrook | $600.80 | $181.82 – $675.90 |
| Sanford Bemidji Medical Center | Bemidji | $572.80 | $287.67 – $644.40 |
| Sanford Thief River Falls Medical Center | Thief River Falls | $512.00 | $219.84 – $576.00 |
| Sanford Behavioral Health Thief River Falls | Thief River Falls | $512.00 | $219.84 – $576.00 |
| United Hospital | MN | 1175 Nininger Road. Hastings | $619.78 | $114.33 – $484.14 |
| Owatonna Hospital | Owatonna | $224.78 | $126.00 – $434.86 |
| Abbott Northwestern Hospital | MN 55407 | $619.78 | $114.33 – $1,000.22 |