Ghs phenylketonurid at Sanford Wheaton
401 12th St N, Wheaton, MN · Sanford Health · · NPI 1154615573
$105.60
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.
$132.00
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.
$25.90 with Blue Cross Blue Shield of Minnesota vs $100.58 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 | $25.90 | ↓ -75% |
| Sanford Health Plan Align | Medicare Replacement | $53.93 | ↓ -49% |
| Ucare | Medicare Replacement | $57.89 | ↓ -45% |
| Blue Cross Blue Shield of Minnesota | Medicare Replacement | $58.42 | ↓ -45% |
| United Healthcare | Medicare Replacement | $58.42 | ↓ -45% |
| Aetna | Medicare Replacement | $58.42 | ↓ -45% |
| Great Plains Medicare Advantage | Medicare Replacement | $58.42 | ↓ -45% |
| Health Partners | Medicare Replacement | $58.42 | ↓ -45% |
| Security Health Plan | Commercial | $58.85 | ↓ -44% |
| Primewest | Medicare Replacement | $59.55 | ↓ -44% |
| Primewest | Medicaid Managed Care | $64.74 | ↓ -39% |
| Blue Cross Blue Shield of North Dakota | Commercial | $73.65 | ↓ -30% |
| Sanford Health Plan | Group Health/True | $84.47 | ↓ -20% |
| Health Partners | Commercial | $86.67 | ↓ -18% |
| United Healthcare | Commercial + Top 20 | $89.35 | ↓ -15% |
| Aetna | Commercial | $92.98 | ↓ -12% |
| Ucare | Commercial | $94.01 | ↓ -11% |
| Medica | Choice | $94.05 | ↓ -11% |
| Multiplan | Commercial | $96.30 | ↓ -9% |
| First Choice Health Network | Commercial | $96.30 | ↓ -9% |
| Healthez | Commercial | $96.30 | ↓ -9% |
| Blue Cross Blue Shield of Minnesota | Commercial/Federal | $99.00 | ↓ -6% |
| Sanford Health Plan | SD Exchange True | $99.37 | ↓ -6% |
| Sanford Health Plan | Commercial/ND Pers/SD Exchange Commercial | $99.37 | ↓ -6% |
| Medica | Elect | $100.58 | ↓ -5% |
| Ucare | Medicaid Managed Care | not published by hospital | — |
Visitor-reported prices
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Ghs phenylketonurid at other Minnesota hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Sanford Westbrook Hospital | Westbrook | $23.20 | $6.29 – $23.40 |
| Sanford Tracy Hospital | Tracy | $23.20 | $6.29 – $23.40 |
| Sanford Thief River Falls Medical Center | Thief River Falls | $108.00 | $46.37 – $121.50 |
| Sanford Behavioral Health Thief River Falls | Thief River Falls | $108.00 | $46.37 – $121.50 |
| Owatonna Hospital | Owatonna | $18.93 | $5.12 – $30.25 |
| Allina Health Faribault Medical Center | Faribualt | $18.93 | $5.12 – $30.25 |
| Buffalo Hospital | Buffalo | $18.93 | $5.12 – $30.25 |
| Cambridge Medical Center | Cambridge | $18.93 | $5.12 – $30.25 |