healthcosts.net
ER Visit (level 1, minor) at Sanford Wheaton
401 12th St N, Wheaton, MN · Sanford Health · · NPI 1154615573
$244.00
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.
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What you pay up front if you don't use insurance.
$305.00
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.
$73.84 with Blue Cross Blue Shield of Minnesota vs $286.70 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 | $73.84 | ↓ -70% |
| Ucare | Medicaid Managed Care | $92.45 | ↓ -62% |
| Sanford Health Plan Align | Medicare Replacement | $153.72 | ↓ -37% |
| Ucare | Medicare Replacement | $165.01 | ↓ -32% |
| Aetna | Medicare Replacement | $166.53 | ↓ -32% |
| Blue Cross Blue Shield of Minnesota | Medicare Replacement | $166.53 | ↓ -32% |
| Great Plains Medicare Advantage | Medicare Replacement | $166.53 | ↓ -32% |
| Health Partners | Medicare Replacement | $166.53 | ↓ -32% |
| United Healthcare | Medicare Replacement | $166.53 | ↓ -32% |
| Security Health Plan | Commercial | $167.75 | ↓ -31% |
| Primewest | Medicare Replacement | $169.73 | ↓ -30% |
| Primewest | Medicaid Managed Care | $184.53 | ↓ -24% |
| Blue Cross Blue Shield of North Dakota | Commercial | $209.93 | ↓ -14% |
| Sanford Health Plan | Group Health/True | $240.77 | ↓ -1% |
| Health Partners | Commercial | $247.05 | ↑ +1% |
| United Healthcare | Commercial + Top 20 | $254.68 | ↑ +4% |
| Aetna | Commercial | $265.05 | ↑ +9% |
| Ucare | Commercial | $267.97 | ↑ +10% |
| Medica | Choice | $268.10 | ↑ +10% |
| First Choice Health Network | Commercial | $274.50 | ↑ +13% |
| Healthez | Commercial | $274.50 | ↑ +13% |
| Multiplan | Commercial | $274.50 | ↑ +13% |
| Blue Cross Blue Shield of Minnesota | Commercial/Federal | $282.19 | ↑ +16% |
| Sanford Health Plan | Commercial/ND Pers/SD Exchange Commercial | $283.25 | ↑ +16% |
| Sanford Health Plan | SD Exchange True | $283.25 | ↑ +16% |
| Medica | Elect | $286.70 | ↑ +18% |
Visitor-reported prices
Comments
ER Visit (level 1, minor) at other Minnesota hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Sanford Canby Medical Center | Canby | $296.80 | $89.82 – $333.90 |
| Sanford Westbrook Hospital | Westbrook | $323.20 | $92.45 – $363.60 |
| Sanford Bagley Medical Center | Bagley | $315.20 | $92.45 – $354.60 |
| Sanford Luverne Medical Center | Luverne | $230.40 | $69.72 – $259.20 |
| Sanford Bemidji Medical Center | Bemidji | $315.20 | $64.05 – $354.60 |
| Sanford Worthington Medical Center | Worthington | $256.00 | $65.44 – $288.00 |
| Sanford Tracy Hospital | Tracy | $323.20 | $92.45 – $363.60 |
| Sanford Thief River Falls Medical Center | Thief River Falls | $245.60 | $92.45 – $276.30 |