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Lung Function Test (Spirometry) at Sanford Wheaton
401 12th St N, Wheaton, MN · Sanford Health · · NPI 1154615573
not published by hospital
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.
not published by hospital
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.
$164.28 with Ucare vs $164.28 with Ucare — 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 |
|---|---|---|---|
| Ucare | Medicaid Managed Care | $164.28 | — |
Visitor-reported prices
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Lung Function Test (Spirometry) at other Minnesota hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Sanford Canby Medical Center | Canby | $358.40 | $108.46 – $403.20 |
| Sanford Westbrook Hospital | Westbrook | $277.60 | $84.01 – $312.30 |
| Sanford Bagley Medical Center | Bagley | $312.00 | $94.42 – $351.00 |
| Sanford Luverne Medical Center | Luverne | $279.20 | $78.68 – $292.50 |
| Sanford Bemidji Medical Center | Bemidji | $312.00 | $112.68 – $351.00 |
| Sanford Worthington Medical Center | Worthington | $188.80 | $91.50 – $212.40 |
| Sanford Tracy Hospital | Tracy | $277.60 | $84.01 – $312.30 |
| Sanford Thief River Falls Medical Center | Thief River Falls | $204.80 | $87.94 – $230.40 |