Nebulizer Breathing Treatment at Sanford Wheaton
401 12th St N, Wheaton, MN · Sanford Health · · NPI 1154615573
$208.00
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.
$260.00
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.
$33.41 with Blue Cross Blue Shield of Minnesota vs $213.56 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 |
|---|---|---|---|
| Blue Cross Blue Shield of Minnesota | PMAP | $33.41 | ↓ -84% |
| Sanford Health Plan Align | Medicare Replacement | $69.55 | ↓ -67% |
| Ucare | Medicare Replacement | $74.66 | ↓ -64% |
| Blue Cross Blue Shield of Minnesota | Medicare Replacement | $75.35 | ↓ -64% |
| United Healthcare | Medicare Replacement | $75.35 | ↓ -64% |
| Aetna | Medicare Replacement | $75.35 | ↓ -64% |
| Great Plains Medicare Advantage | Medicare Replacement | $75.35 | ↓ -64% |
| Health Partners | Medicare Replacement | $75.35 | ↓ -64% |
| Security Health Plan | Commercial | $75.90 | ↓ -64% |
| Primewest | Medicare Replacement | $76.80 | ↓ -63% |
| Primewest | Medicaid Managed Care | $83.49 | ↓ -60% |
| Blue Cross Blue Shield of North Dakota | Commercial | $94.99 | ↓ -54% |
| Sanford Health Plan | Group Health/True | $108.94 | ↓ -48% |
| Health Partners | Commercial | $111.78 | ↓ -46% |
| United Healthcare | Commercial + Top 20 | $115.23 | ↓ -45% |
| Aetna | Commercial | $119.92 | ↓ -42% |
| Ucare | Commercial | $121.25 | ↓ -42% |
| Medica | Choice | $121.30 | ↓ -42% |
| Multiplan | Commercial | $124.20 | ↓ -40% |
| First Choice Health Network | Commercial | $124.20 | ↓ -40% |
| Healthez | Commercial | $124.20 | ↓ -40% |
| Blue Cross Blue Shield of Minnesota | Commercial/Federal | $127.68 | ↓ -39% |
| Sanford Health Plan | SD Exchange True | $128.16 | ↓ -38% |
| Sanford Health Plan | Commercial/ND Pers/SD Exchange Commercial | $128.16 | ↓ -38% |
| Medica | Elect | $129.72 | ↓ -38% |
| Ucare | Medicaid Managed Care | $213.56 | ↑ +3% |
Visitor-reported prices
Comments
Nebulizer Breathing Treatment at other Minnesota hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Sanford Canby Medical Center | Canby | $148.00 | $20.09 – $74.70 |
| Sanford Westbrook Hospital | Westbrook | $204.00 | $52.29 – $194.40 |
| Sanford Bagley Medical Center | Bagley | $168.00 | $39.46 – $146.70 |
| Sanford Luverne Medical Center | Luverne | $276.80 | $36.07 – $134.10 |
| Sanford Bemidji Medical Center | Bemidji | $168.00 | $95.70 – $209.59 |
| Sanford Worthington Medical Center | Worthington | $252.00 | $31.40 – $209.59 |
| Sanford Tracy Hospital | Tracy | $204.00 | $52.29 – $194.40 |
| Sanford Thief River Falls Medical Center | Thief River Falls | $224.80 | $50.49 – $132.30 |