Cystogram >= 3 views supervision & interpretation at Sanford Westbrook Hospital

920 Bell Ave, Westbrook, MN · Sanford Health · · NPI 1942253547

Source: hospital's published price file ↗ · Published Mar 4, 2026 · Ingested Aug 12, 2026

$856.00

Cash price

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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.

Full explanation →

What you pay up front if you don't use insurance.

$1,070.00

Gross charge

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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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$259.05 with Blue Cross Blue Shield of Minnesota vs $1,005.80 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 →

Payer
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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
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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 $259.05 ↓ -70%
Ucare Medicaid Managed Care $374.99 ↓ -56%
Sanford Health Plan Align Medicare Replacement $457.96 ↓ -47%
Wellmark SD Medicare Replacement $491.13 ↓ -43%
Ucare Medicare Replacement $491.13 ↓ -43%
United Healthcare Medicare Replacement $496.48 ↓ -42%
Aetna Medicare Replacement $496.48 ↓ -42%
Health Partners Medicare Replacement $496.48 ↓ -42%
Great Plains Medicare Advantage Medicare Replacement $496.48 ↓ -42%
Primewest Medicare Replacement $505.58 ↓ -41%
Primewest Medicaid Managed Care $541.42 ↓ -37%
Security Health Plan Commercial $588.50 ↓ -31%
Health Partners State Employees $737.23 ↓ -14%
Sanford Health Plan Group Health/True $844.66 ↓ -1%
Sanford Health Plan SD Exchange True $844.66 ↓ -1%
Health Partners Commercial $856.00 ↑ +0%
Blue Cross Blue Shield of Minnesota State Employees $875.26 ↑ +2%
United Healthcare Commercial + Top 20 $893.45 ↑ +4%
Aetna Commercial $929.83 ↑ +9%
Ucare Commercial $940.10 ↑ +10%
Medica Choice $940.53 ↑ +10%
Healthez Commercial $963.00 ↑ +13%
Cigna Commercial $963.00 ↑ +13%
Multiplan Commercial $963.00 ↑ +13%
First Choice Health Network Commercial $963.00 ↑ +13%
Blue Cross Blue Shield of Minnesota Commercial/Federal $989.96 ↑ +16%
Sanford Health Plan Commercial/ND Pers $993.71 ↑ +16%
Sanford Health Plan SD Exchange Commercial $993.71 ↑ +16%
Medica Elect $1,005.80 ↑ +18%

Visitor-reported prices

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Cystogram >= 3 views supervision & interpretation at other Minnesota hospitals

Hospital City Cash price Negotiated range
Sanford Canby Medical Center Canby $876.00 $265.10 – $985.50
Sanford Wheaton Wheaton $804.00 $243.31 – $904.50
Sanford Luverne Medical Center Luverne $478.40 $144.78 – $538.20
Sanford Bemidji Medical Center Bemidji $844.00 $277.45 – $949.50
Sanford Worthington Medical Center Worthington $552.00 $267.51 – $621.00
Sanford Tracy Hospital Tracy $856.00 $259.05 – $963.00
Sanford Thief River Falls Medical Center Thief River Falls $793.60 $340.75 – $892.80
Sanford Behavioral Health Thief River Falls Thief River Falls $793.60 $340.75 – $892.80

All Minnesota hospitals for this procedure →