Inj, abilify maintena, 1 mg at Sanford Wheaton
401 12th St N, Wheaton, MN · Sanford Health · · NPI 1154615573
$3,357.01
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.
$4,196.26
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.
$800.75 with Blue Cross Blue Shield of Minnesota vs $3,109.08 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 | $800.75 | ↓ -76% |
| Sanford Health Plan Align | Medicare Replacement | $1,667.00 | ↓ -50% |
| Ucare | Medicare Replacement | $1,789.37 | ↓ -47% |
| Blue Cross Blue Shield of Minnesota | Medicare Replacement | $1,805.91 | ↓ -46% |
| United Healthcare | Medicare Replacement | $1,805.91 | ↓ -46% |
| Aetna | Medicare Replacement | $1,805.91 | ↓ -46% |
| Great Plains Medicare Advantage | Medicare Replacement | $1,805.91 | ↓ -46% |
| Health Partners | Medicare Replacement | $1,805.91 | ↓ -46% |
| Security Health Plan | Commercial | $1,819.14 | ↓ -46% |
| Primewest | Medicare Replacement | $1,840.64 | ↓ -45% |
| Primewest | Medicaid Managed Care | $2,001.06 | ↓ -40% |
| Blue Cross Blue Shield of North Dakota | Commercial | $2,276.57 | ↓ -32% |
| Sanford Health Plan | Group Health/True | $2,610.96 | ↓ -22% |
| Health Partners | Commercial | $2,679.10 | ↓ -20% |
| United Healthcare | Commercial + Top 20 | $2,761.79 | ↓ -18% |
| Aetna | Commercial | $2,874.24 | ↓ -14% |
| Ucare | Commercial | $2,906.00 | ↓ -13% |
| Medica | Choice | $2,907.32 | ↓ -13% |
| Multiplan | Commercial | $2,976.78 | ↓ -11% |
| First Choice Health Network | Commercial | $2,976.78 | ↓ -11% |
| Healthez | Commercial | $2,976.78 | ↓ -11% |
| Blue Cross Blue Shield of Minnesota | Commercial/Federal | $3,060.13 | ↓ -9% |
| Sanford Health Plan | SD Exchange True | $3,071.70 | ↓ -8% |
| Sanford Health Plan | Commercial/ND Pers/SD Exchange Commercial | $3,071.70 | ↓ -8% |
| Medica | Elect | $3,109.08 | ↓ -7% |
| Ucare | Medicaid Managed Care | not published by hospital | — |
Visitor-reported prices
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Inj, abilify maintena, 1 mg at other Minnesota hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Sanford Luverne Medical Center | Luverne | $2,507.03 | $758.69 – $2,820.40 |
| Sanford Bemidji Medical Center | Bemidji | $2,108.40 | $6.91 – $2,209.50 |
| Sanford Worthington Medical Center | Worthington | $3,073.27 | $6.82 – $3,457.42 |
| Sanford Thief River Falls Medical Center | Thief River Falls | $4,069.32 | $1,747.22 – $4,577.88 |
| Sanford Behavioral Health Thief River Falls | Thief River Falls | $4,069.32 | $1,747.22 – $4,577.88 |
| United Hospital | MN | 1175 Nininger Road. Hastings | $4,211.19 | $6.74 – $11.41 |
| Owatonna Hospital | Owatonna | $4,913.05 | $6.74 – $4,863.67 |
| Abbott Northwestern Hospital | MN 55407 | $4,211.19 | $6.74 – $21.14 |