Gi inhouse confirmation at Sanford Westbrook Hospital
920 Bell Ave, Westbrook, MN · Sanford Health · · NPI 1942253547
$54.40
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.
$68.00
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.
$15.98 with Blue Cross Blue Shield of Minnesota vs $62.04 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 | $15.98 | ↓ -71% |
| Sanford Health Plan Align | Medicare Replacement | $28.25 | ↓ -48% |
| Ucare | Medicare Replacement | $30.29 | ↓ -44% |
| Wellmark SD | Medicare Replacement | $30.29 | ↓ -44% |
| Aetna | Medicare Replacement | $30.62 | ↓ -44% |
| United Healthcare | Medicare Replacement | $30.62 | ↓ -44% |
| Health Partners | Medicare Replacement | $30.62 | ↓ -44% |
| Great Plains Medicare Advantage | Medicare Replacement | $30.62 | ↓ -44% |
| Primewest | Medicare Replacement | $31.19 | ↓ -43% |
| Primewest | Medicaid Managed Care | $33.40 | ↓ -39% |
| Security Health Plan | Commercial | $36.30 | ↓ -33% |
| Health Partners | State Employees | $45.47 | ↓ -16% |
| Sanford Health Plan | SD Exchange True | $52.10 | ↓ -4% |
| Sanford Health Plan | Group Health/True | $52.10 | ↓ -4% |
| Health Partners | Commercial | $52.80 | ↓ -3% |
| Blue Cross Blue Shield of Minnesota | State Employees | $53.99 | ↓ -1% |
| United Healthcare | Commercial + Top 20 | $55.11 | ↑ +1% |
| Aetna | Commercial | $57.35 | ↑ +5% |
| Ucare | Commercial | $57.99 | ↑ +7% |
| Medica | Choice | $58.01 | ↑ +7% |
| Healthez | Commercial | $59.40 | ↑ +9% |
| Cigna | Commercial | $59.40 | ↑ +9% |
| Multiplan | Commercial | $59.40 | ↑ +9% |
| First Choice Health Network | Commercial | $59.40 | ↑ +9% |
| Blue Cross Blue Shield of Minnesota | Commercial/Federal | $61.06 | ↑ +12% |
| Sanford Health Plan | SD Exchange Commercial | $61.29 | ↑ +13% |
| Sanford Health Plan | Commercial/ND Pers | $61.29 | ↑ +13% |
| Medica | Elect | $62.04 | ↑ +14% |
| Ucare | Medicaid Managed Care | not published by hospital | — |
Visitor-reported prices
Comments
Gi inhouse confirmation at other Minnesota hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Sanford Canby Medical Center | Canby | $68.00 | $20.58 – $76.50 |
| Sanford Wheaton | Wheaton | $44.80 | $13.56 – $50.40 |
| Sanford Luverne Medical Center | Luverne | $47.20 | $14.28 – $53.10 |
| Sanford Tracy Hospital | Tracy | $54.40 | $15.98 – $59.40 |
| Sanford Thief River Falls Medical Center | Thief River Falls | $116.00 | $23.36 – $61.20 |
| Sanford Behavioral Health Thief River Falls | Thief River Falls | $116.00 | $23.36 – $61.20 |
| United Hospital | MN | 1175 Nininger Road. Hastings | $17.28 | $8.79 – $30.90 |
| Owatonna Hospital | Owatonna | $20.16 | $8.79 – $38.93 |