Inj, lidocaine w epinephrine at Sanford Wheaton
401 12th St N, Wheaton, MN · Sanford Health · · NPI 1154615573
$24.68
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.
$30.85
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.
$7.32 with Blue Cross Blue Shield of Minnesota vs $28.43 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 | $7.32 | ↓ -70% |
| Sanford Health Plan Align | Medicare Replacement | $15.24 | ↓ -38% |
| Ucare | Medicare Replacement | $16.36 | ↓ -34% |
| United Healthcare | Medicare Replacement | $16.51 | ↓ -33% |
| Great Plains Medicare Advantage | Medicare Replacement | $16.51 | ↓ -33% |
| Aetna | Medicare Replacement | $16.51 | ↓ -33% |
| Blue Cross Blue Shield of Minnesota | Medicare Replacement | $16.51 | ↓ -33% |
| Health Partners | Medicare Replacement | $16.51 | ↓ -33% |
| Security Health Plan | Commercial | $16.63 | ↓ -33% |
| Primewest | Medicare Replacement | $16.83 | ↓ -32% |
| Primewest | Medicaid Managed Care | $18.30 | ↓ -26% |
| Blue Cross Blue Shield of North Dakota | Commercial | $20.81 | ↓ -16% |
| Sanford Health Plan | Group Health/True | $23.87 | ↓ -3% |
| Health Partners | Commercial | $24.49 | ↓ -1% |
| United Healthcare | Commercial + Top 20 | $25.25 | ↑ +2% |
| Aetna | Commercial | $26.28 | ↑ +6% |
| Ucare | Commercial | $26.57 | ↑ +8% |
| Medica | Choice | $26.58 | ↑ +8% |
| First Choice Health Network | Commercial | $27.22 | ↑ +10% |
| Multiplan | Commercial | $27.22 | ↑ +10% |
| Healthez | Commercial | $27.22 | ↑ +10% |
| Blue Cross Blue Shield of Minnesota | Commercial/Federal | $27.98 | ↑ +13% |
| Sanford Health Plan | Commercial/ND Pers/SD Exchange Commercial | $28.08 | ↑ +14% |
| Sanford Health Plan | SD Exchange True | $28.08 | ↑ +14% |
| Medica | Elect | $28.43 | ↑ +15% |
| Ucare | Medicaid Managed Care | not published by hospital | — |
Visitor-reported prices
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Inj, lidocaine w epinephrine at other Minnesota hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Sanford Westbrook Hospital | Westbrook | $62.62 | $6.42 – $23.86 |
| Sanford Bagley Medical Center | Bagley | $48.53 | $13.35 – $49.63 |
| Sanford Luverne Medical Center | Luverne | $60.48 | $4.62 – $17.16 |
| Sanford Bemidji Medical Center | Bemidji | $44.79 | $0.98 – $1.95 |
| Sanford Worthington Medical Center | Worthington | $60.55 | $7.27 – $16.88 |
| Sanford Tracy Hospital | Tracy | $21.55 | $6.42 – $23.87 |
| Sanford Thief River Falls Medical Center | Thief River Falls | $36.40 | $6.02 – $15.77 |
| Sanford Behavioral Health Thief River Falls | Thief River Falls | $36.40 | $6.02 – $15.77 |