healthcosts.net
Blood Clotting (PTT) Test at Sanford Wheaton
401 12th St N, Wheaton, MN · Sanford Health · · NPI 1154615573
$56.80
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.
?
What you pay up front if you don't use insurance.
$71.00
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.
$4.84 with Blue Cross Blue Shield of Minnesota vs $18.80 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 | $4.84 | ↓ -91% |
| Sanford Health Plan Align | Medicare Replacement | $10.08 | ↓ -82% |
| Ucare | Medicare Replacement | $10.82 | ↓ -81% |
| Aetna | Medicare Replacement | $10.92 | ↓ -81% |
| Blue Cross Blue Shield of Minnesota | Medicare Replacement | $10.92 | ↓ -81% |
| Great Plains Medicare Advantage | Medicare Replacement | $10.92 | ↓ -81% |
| Health Partners | Medicare Replacement | $10.92 | ↓ -81% |
| United Healthcare | Medicare Replacement | $10.92 | ↓ -81% |
| Security Health Plan | Commercial | $11.00 | ↓ -81% |
| Primewest | Medicare Replacement | $11.13 | ↓ -80% |
| Primewest | Medicaid Managed Care | $12.10 | ↓ -79% |
| Blue Cross Blue Shield of North Dakota | Commercial | $13.77 | ↓ -76% |
| Sanford Health Plan | Group Health/True | $15.79 | ↓ -72% |
| Health Partners | Commercial | $16.20 | ↓ -71% |
| United Healthcare | Commercial + Top 20 | $16.70 | ↓ -71% |
| Aetna | Commercial | $17.38 | ↓ -69% |
| Ucare | Commercial | $17.57 | ↓ -69% |
| Medica | Choice | $17.58 | ↓ -69% |
| First Choice Health Network | Commercial | $18.00 | ↓ -68% |
| Healthez | Commercial | $18.00 | ↓ -68% |
| Multiplan | Commercial | $18.00 | ↓ -68% |
| Blue Cross Blue Shield of Minnesota | Commercial/Federal | $18.50 | ↓ -67% |
| Sanford Health Plan | Commercial/ND Pers/SD Exchange Commercial | $18.57 | ↓ -67% |
| Sanford Health Plan | SD Exchange True | $18.57 | ↓ -67% |
| Medica | Elect | $18.80 | ↓ -67% |
| Ucare | Medicaid Managed Care | not published by hospital | — |
Visitor-reported prices
Comments
Blood Clotting (PTT) Test at other Minnesota hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Sanford Canby Medical Center | Canby | $88.00 | $26.63 – $99.00 |
| Sanford Westbrook Hospital | Westbrook | $114.40 | $34.62 – $128.70 |
| Sanford Luverne Medical Center | Luverne | $34.40 | $10.41 – $38.70 |
| Sanford Tracy Hospital | Tracy | $114.40 | $34.62 – $128.70 |
| Sanford Thief River Falls Medical Center | Thief River Falls | $81.60 | $6.87 – $18.00 |
| Sanford Behavioral Health Thief River Falls | Thief River Falls | $81.60 | $6.87 – $18.00 |
| Sanford Bemidji Medical Center | Bemidji | not published | $5.71 – $6.31 |
| Sanford Worthington Medical Center | Worthington | not published | $5.71 – $6.31 |