X-ray exam of mastoids at Sanford Tracy Hospital
251 5th St E, Tracy, MN · Sanford Health · · NPI 1003851171
$287.20
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.
$359.00
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.
$86.91 with Blue Cross Blue Shield of Minnesota vs $337.46 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 | $86.91 | ↓ -70% |
| Ucare | Medicaid Managed Care | $111.66 | ↓ -61% |
| Sanford Health Plan Align | Medicare Replacement | $140.01 | ↓ -51% |
| Wellmark SD | Medicare Replacement | $150.06 | ↓ -48% |
| Ucare | Medicare Replacement | $150.06 | ↓ -48% |
| United Healthcare | Medicare Replacement | $151.50 | ↓ -47% |
| Aetna | Medicare Replacement | $151.50 | ↓ -47% |
| Health Partners | Medicare Replacement | $151.50 | ↓ -47% |
| Great Plains Medicare Advantage | Medicare Replacement | $151.50 | ↓ -47% |
| Primewest | Medicare Replacement | $154.55 | ↓ -46% |
| Primewest | Medicaid Managed Care | $173.76 | ↓ -39% |
| Security Health Plan | Commercial | $197.45 | ↓ -31% |
| Health Partners | State Employees | $247.35 | ↓ -14% |
| Sanford Health Plan | Group Health/True | $283.39 | ↓ -1% |
| Sanford Health Plan | SD Exchange True | $283.39 | ↓ -1% |
| Health Partners | Commercial | $287.20 | ↑ +0% |
| Blue Cross Blue Shield of Minnesota | State Employees | $293.66 | ↑ +2% |
| United Healthcare | Commercial + Top 20 | $299.77 | ↑ +4% |
| Aetna | Commercial | $311.97 | ↑ +9% |
| Ucare | Commercial | $315.42 | ↑ +10% |
| Medica | Choice | $315.56 | ↑ +10% |
| Healthez | Commercial | $323.10 | ↑ +13% |
| Cigna | Commercial | $323.10 | ↑ +13% |
| Multiplan | Commercial | $323.10 | ↑ +13% |
| First Choice Health Network | Commercial | $323.10 | ↑ +13% |
| Blue Cross Blue Shield of Minnesota | Commercial/Federal | $332.15 | ↑ +16% |
| Sanford Health Plan | Commercial/ND Pers | $333.40 | ↑ +16% |
| Sanford Health Plan | SD Exchange Commercial | $333.40 | ↑ +16% |
| Medica | Elect | $337.46 | ↑ +18% |
Visitor-reported prices
Comments
X-ray exam of mastoids at other Minnesota hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Sanford Canby Medical Center | Canby | $301.60 | $91.27 – $339.30 |
| Sanford Westbrook Hospital | Westbrook | $287.20 | $86.91 – $323.10 |
| Sanford Worthington Medical Center | Worthington | $148.00 | $71.72 – $166.50 |
| Sanford Thief River Falls Medical Center | Thief River Falls | $283.20 | $111.66 – $318.60 |
| Sanford Behavioral Health Thief River Falls | Thief River Falls | $283.20 | $111.66 – $318.60 |
| Owatonna Hospital | Owatonna | $138.66 | $69.64 – $336.00 |
| Allina Health Faribault Medical Center | Faribualt | $138.66 | $69.64 – $336.00 |
| Buffalo Hospital | Buffalo | $138.66 | $69.64 – $336.00 |