Mayo infectious agent antigen immunoassay direct optical observation cryptococcus at Sanford Westbrook Hospital
920 Bell Ave, Westbrook, MN · Sanford Health · · NPI 1942253547
$188.00
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.
?
What you pay up front if you don't use insurance.
$235.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$31.47 with Blue Cross Blue Shield of Minnesota vs $122.20 with Medica — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $31.47 | ↓ -83% |
| Sanford Health Plan Align | Medicare Replacement | $55.64 | ↓ -70% |
| Ucare | Medicare Replacement | $59.67 | ↓ -68% |
| Wellmark SD | Medicare Replacement | $59.67 | ↓ -68% |
| Aetna | Medicare Replacement | $60.32 | ↓ -68% |
| United Healthcare | Medicare Replacement | $60.32 | ↓ -68% |
| Health Partners | Medicare Replacement | $60.32 | ↓ -68% |
| Great Plains Medicare Advantage | Medicare Replacement | $60.32 | ↓ -68% |
| Primewest | Medicare Replacement | $61.43 | ↓ -67% |
| Primewest | Medicaid Managed Care | $65.78 | ↓ -65% |
| Security Health Plan | Commercial | $71.50 | ↓ -62% |
| Health Partners | State Employees | $89.57 | ↓ -52% |
| Sanford Health Plan | SD Exchange True | $102.62 | ↓ -45% |
| Sanford Health Plan | Group Health/True | $102.62 | ↓ -45% |
| Health Partners | Commercial | $104.00 | ↓ -45% |
| Blue Cross Blue Shield of Minnesota | State Employees | $106.34 | ↓ -43% |
| United Healthcare | Commercial + Top 20 | $108.55 | ↓ -42% |
| Aetna | Commercial | $112.97 | ↓ -40% |
| Ucare | Commercial | $114.22 | ↓ -39% |
| Medica | Choice | $114.27 | ↓ -39% |
| Healthez | Commercial | $117.00 | ↓ -38% |
| Cigna | Commercial | $117.00 | ↓ -38% |
| Multiplan | Commercial | $117.00 | ↓ -38% |
| First Choice Health Network | Commercial | $117.00 | ↓ -38% |
| Blue Cross Blue Shield of Minnesota | Commercial/Federal | $120.28 | ↓ -36% |
| Sanford Health Plan | SD Exchange Commercial | $120.73 | ↓ -36% |
| Sanford Health Plan | Commercial/ND Pers | $120.73 | ↓ -36% |
| Medica | Elect | $122.20 | ↓ -35% |
| Ucare | Medicaid Managed Care | not published by hospital | — |
Visitor-reported prices
Comments
Mayo infectious agent antigen immunoassay direct optical observation cryptococcus at other Minnesota hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Sanford Canby Medical Center | Canby | $104.80 | $27.12 – $100.80 |
| Sanford Wheaton | Wheaton | $68.00 | $19.37 – $72.00 |
| Sanford Luverne Medical Center | Luverne | $64.00 | $19.37 – $72.00 |
| Sanford Tracy Hospital | Tracy | $188.00 | $31.47 – $117.00 |
| Sanford Thief River Falls Medical Center | Thief River Falls | $134.40 | $21.30 – $55.80 |
| Sanford Behavioral Health Thief River Falls | Thief River Falls | $134.40 | $21.30 – $55.80 |
| United Hospital | MN | 1175 Nininger Road. Hastings | $76.90 | $10.88 – $30.90 |
| Owatonna Hospital | Owatonna | $89.71 | $13.43 – $118.21 |