healthcosts.net
Pelvic MRI (with and without contrast) at Sanford Wheaton
401 12th St N, Wheaton, MN · Sanford Health · · NPI 1154615573
$3,416.80
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.
?
What you pay up front if you don't use insurance.
$4,271.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$374.99 with Ucare vs $4,014.74 with Medica — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $374.99 | ↓ -89% |
| Blue Cross Blue Shield of Minnesota | PMAP | $607.75 | ↓ -82% |
| Blue Cross Blue Shield of Minnesota | Commercial/Federal | $1,215.50 | ↓ -64% |
| Sanford Health Plan Align | Medicare Replacement | $2,152.58 | ↓ -37% |
| Ucare | Medicare Replacement | $2,310.61 | ↓ -32% |
| Aetna | Medicare Replacement | $2,331.97 | ↓ -32% |
| Blue Cross Blue Shield of Minnesota | Medicare Replacement | $2,331.97 | ↓ -32% |
| Great Plains Medicare Advantage | Medicare Replacement | $2,331.97 | ↓ -32% |
| Health Partners | Medicare Replacement | $2,331.97 | ↓ -32% |
| United Healthcare | Medicare Replacement | $2,331.97 | ↓ -32% |
| Security Health Plan | Commercial | $2,349.05 | ↓ -31% |
| Primewest | Medicare Replacement | $2,376.81 | ↓ -30% |
| Primewest | Medicaid Managed Care | $2,583.96 | ↓ -24% |
| Blue Cross Blue Shield of North Dakota | Commercial | $2,939.73 | ↓ -14% |
| Sanford Health Plan | Group Health/True | $3,371.53 | ↓ -1% |
| Health Partners | Commercial | $3,459.51 | ↑ +1% |
| United Healthcare | Commercial + Top 20 | $3,566.29 | ↑ +4% |
| Aetna | Commercial | $3,711.50 | ↑ +9% |
| Ucare | Commercial | $3,752.50 | ↑ +10% |
| Medica | Choice | $3,754.21 | ↑ +10% |
| First Choice Health Network | Commercial | $3,843.90 | ↑ +13% |
| Healthez | Commercial | $3,843.90 | ↑ +13% |
| Multiplan | Commercial | $3,843.90 | ↑ +13% |
| Sanford Health Plan | Commercial/ND Pers/SD Exchange Commercial | $3,966.48 | ↑ +16% |
| Sanford Health Plan | SD Exchange True | $3,966.48 | ↑ +16% |
| Medica | Elect | $4,014.74 | ↑ +18% |
Visitor-reported prices
Comments
Pelvic MRI (with and without contrast) at other Minnesota hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Sanford Canby Medical Center | Canby | $4,303.20 | $374.99 – $4,841.10 |
| Sanford Westbrook Hospital | Westbrook | $4,391.20 | $374.99 – $4,940.10 |
| Sanford Bagley Medical Center | Bagley | $3,837.60 | $374.99 – $4,317.30 |
| Sanford Luverne Medical Center | Luverne | $4,222.40 | $374.99 – $4,750.20 |
| Sanford Bemidji Medical Center | Bemidji | $3,837.60 | $277.45 – $4,317.30 |
| Sanford Worthington Medical Center | Worthington | $3,841.73 | $283.44 – $4,321.94 |
| Sanford Tracy Hospital | Tracy | $4,391.20 | $374.99 – $4,940.10 |
| Sanford Thief River Falls Medical Center | Thief River Falls | $3,714.40 | $374.99 – $4,178.70 |