Injection, fulvestrant at Sanford Westbrook Hospital
920 Bell Ave, Westbrook, MN · Sanford Health · · NPI 1942253547
$508.12
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.
$635.15
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.
$110.33 with Blue Cross Blue Shield of Minnesota vs $428.37 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 | $110.33 | ↓ -78% |
| Sanford Health Plan Align | Medicare Replacement | $195.04 | ↓ -62% |
| Ucare | Medicare Replacement | $209.17 | ↓ -59% |
| Wellmark SD | Medicare Replacement | $209.17 | ↓ -59% |
| Aetna | Medicare Replacement | $211.45 | ↓ -58% |
| United Healthcare | Medicare Replacement | $211.45 | ↓ -58% |
| Health Partners | Medicare Replacement | $211.45 | ↓ -58% |
| Great Plains Medicare Advantage | Medicare Replacement | $211.45 | ↓ -58% |
| Primewest | Medicare Replacement | $215.32 | ↓ -58% |
| Primewest | Medicaid Managed Care | $230.59 | ↓ -55% |
| Security Health Plan | Commercial | $250.64 | ↓ -51% |
| Health Partners | State Employees | $313.98 | ↓ -38% |
| Sanford Health Plan | SD Exchange True | $359.74 | ↓ -29% |
| Sanford Health Plan | Group Health/True | $359.74 | ↓ -29% |
| Health Partners | Commercial | $364.57 | ↓ -28% |
| Blue Cross Blue Shield of Minnesota | State Employees | $372.77 | ↓ -27% |
| United Healthcare | Commercial + Top 20 | $380.52 | ↓ -25% |
| Aetna | Commercial | $396.01 | ↓ -22% |
| Ucare | Commercial | $400.39 | ↓ -21% |
| Medica | Choice | $400.57 | ↓ -21% |
| Healthez | Commercial | $410.14 | ↓ -19% |
| Cigna | Commercial | $410.14 | ↓ -19% |
| Multiplan | Commercial | $410.14 | ↓ -19% |
| First Choice Health Network | Commercial | $410.14 | ↓ -19% |
| Blue Cross Blue Shield of Minnesota | Commercial/Federal | $421.62 | ↓ -17% |
| Sanford Health Plan | SD Exchange Commercial | $423.22 | ↓ -17% |
| Sanford Health Plan | Commercial/ND Pers | $423.22 | ↓ -17% |
| Medica | Elect | $428.37 | ↓ -16% |
| Ucare | Medicaid Managed Care | not published by hospital | — |
Visitor-reported prices
Comments
Injection, fulvestrant at other Minnesota hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Sanford Luverne Medical Center | Luverne | $646.27 | $140.80 – $523.43 |
| Sanford Worthington Medical Center | Worthington | $249.68 | $6.39 – $271.23 |
| Sanford Tracy Hospital | Tracy | $1,486.30 | $449.79 – $1,672.08 |
| Sanford Thief River Falls Medical Center | Thief River Falls | $514.21 | $27.30 – $71.53 |
| Sanford Behavioral Health Thief River Falls | Thief River Falls | $514.21 | $27.30 – $71.53 |
| United Hospital | MN | 1175 Nininger Road. Hastings | $3,017.73 | $7.37 – $12.02 |
| Owatonna Hospital | Owatonna | $3,518.45 | $7.37 – $14.45 |
| Abbott Northwestern Hospital | MN 55407 | $3,017.73 | $7.37 – $22.46 |