Closed tx/talus fracture without manip 28430 at Sanford Westbrook Hospital
920 Bell Ave, Westbrook, MN · Sanford Health · · NPI 1942253547
$400.80
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.
$501.00
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.
$121.29 with Blue Cross Blue Shield of Minnesota vs $470.94 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 | $121.29 | ↓ -70% |
| Sanford Health Plan Align | Medicare Replacement | $214.43 | ↓ -46% |
| Wellmark SD | Medicare Replacement | $229.96 | ↓ -43% |
| Ucare | Medicare Replacement | $229.96 | ↓ -43% |
| United Healthcare | Medicare Replacement | $232.46 | ↓ -42% |
| Aetna | Medicare Replacement | $232.46 | ↓ -42% |
| Health Partners | Medicare Replacement | $232.46 | ↓ -42% |
| Great Plains Medicare Advantage | Medicare Replacement | $232.46 | ↓ -42% |
| Primewest | Medicare Replacement | $236.72 | ↓ -41% |
| Ucare | Medicaid Managed Care | $251.87 | ↓ -37% |
| Primewest | Medicaid Managed Care | $253.51 | ↓ -37% |
| Security Health Plan | Commercial | $275.55 | ↓ -31% |
| Health Partners | State Employees | $345.19 | ↓ -14% |
| Sanford Health Plan | Group Health/True | $395.49 | ↓ -1% |
| Sanford Health Plan | SD Exchange True | $395.49 | ↓ -1% |
| Health Partners | Commercial | $400.80 | ↑ +0% |
| Blue Cross Blue Shield of Minnesota | State Employees | $409.82 | ↑ +2% |
| United Healthcare | Commercial + Top 20 | $418.34 | ↑ +4% |
| Aetna | Commercial | $435.37 | ↑ +9% |
| Ucare | Commercial | $440.18 | ↑ +10% |
| Medica | Choice | $440.38 | ↑ +10% |
| Healthez | Commercial | $450.90 | ↑ +13% |
| Cigna | Commercial | $450.90 | ↑ +13% |
| Multiplan | Commercial | $450.90 | ↑ +13% |
| First Choice Health Network | Commercial | $450.90 | ↑ +13% |
| Blue Cross Blue Shield of Minnesota | Commercial/Federal | $463.53 | ↑ +16% |
| Sanford Health Plan | Commercial/ND Pers | $465.28 | ↑ +16% |
| Sanford Health Plan | SD Exchange Commercial | $465.28 | ↑ +16% |
| Medica | Elect | $470.94 | ↑ +18% |
Visitor-reported prices
Comments
Closed tx/talus fracture without manip 28430 at other Minnesota hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Sanford Bagley Medical Center | Bagley | $494.40 | $149.62 – $556.20 |
| Sanford Wheaton | Wheaton | $470.40 | $142.35 – $529.20 |
| Sanford Bemidji Medical Center | Bemidji | $494.40 | $170.13 – $556.20 |
| Sanford Tracy Hospital | Tracy | $400.80 | $121.29 – $450.90 |
| 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 |