Tx closed tib shaft fx without manip at Sanford Tracy Hospital
251 5th St E, Tracy, MN · Sanford Health · · NPI 1003851171
$448.00
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.
$560.00
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.
$135.58 with Blue Cross Blue Shield of Minnesota vs $526.40 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 | $135.58 | ↓ -70% |
| Sanford Health Plan Align | Medicare Replacement | $218.40 | ↓ -51% |
| Wellmark SD | Medicare Replacement | $234.08 | ↓ -48% |
| Ucare | Medicare Replacement | $234.08 | ↓ -48% |
| United Healthcare | Medicare Replacement | $236.32 | ↓ -47% |
| Aetna | Medicare Replacement | $236.32 | ↓ -47% |
| Health Partners | Medicare Replacement | $236.32 | ↓ -47% |
| Great Plains Medicare Advantage | Medicare Replacement | $236.32 | ↓ -47% |
| Primewest | Medicare Replacement | $241.08 | ↓ -46% |
| Ucare | Medicaid Managed Care | $251.87 | ↓ -44% |
| Primewest | Medicaid Managed Care | $271.04 | ↓ -40% |
| Security Health Plan | Commercial | $308.00 | ↓ -31% |
| Health Partners | State Employees | $385.84 | ↓ -14% |
| Sanford Health Plan | Group Health/True | $442.06 | ↓ -1% |
| Sanford Health Plan | SD Exchange True | $442.06 | ↓ -1% |
| Health Partners | Commercial | $448.00 | ↑ +0% |
| Blue Cross Blue Shield of Minnesota | State Employees | $458.08 | ↑ +2% |
| United Healthcare | Commercial + Top 20 | $467.60 | ↑ +4% |
| Aetna | Commercial | $486.64 | ↑ +9% |
| Ucare | Commercial | $492.02 | ↑ +10% |
| Medica | Choice | $492.24 | ↑ +10% |
| Healthez | Commercial | $504.00 | ↑ +13% |
| Cigna | Commercial | $504.00 | ↑ +13% |
| Multiplan | Commercial | $504.00 | ↑ +13% |
| First Choice Health Network | Commercial | $504.00 | ↑ +13% |
| Blue Cross Blue Shield of Minnesota | Commercial/Federal | $518.11 | ↑ +16% |
| Sanford Health Plan | Commercial/ND Pers | $520.07 | ↑ +16% |
| Sanford Health Plan | SD Exchange Commercial | $520.07 | ↑ +16% |
| Medica | Elect | $526.40 | ↑ +18% |
Visitor-reported prices
Comments
Tx closed tib shaft fx without manip at other Minnesota hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Sanford Westbrook Hospital | Westbrook | $448.00 | $135.58 – $504.00 |
| Sanford Bagley Medical Center | Bagley | $608.80 | $184.24 – $684.90 |
| Sanford Wheaton | Wheaton | $556.80 | $168.50 – $626.40 |
| Sanford Bemidji Medical Center | Bemidji | $608.80 | $170.13 – $684.90 |
| Sanford Canby Medical Center | Canby | not published | $251.87 – $251.87 |
| Sanford Luverne Medical Center | Luverne | not published | $251.87 – $251.87 |
| Sanford Worthington Medical Center | Worthington | not published | $173.80 – $247.19 |
| Sanford Thief River Falls Medical Center | Thief River Falls | not published | $251.87 – $251.87 |