Pentamidine non-comp unit at Sanford Wheaton
401 12th St N, Wheaton, MN · Sanford Health · · NPI 1154615573
$136.40
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.
$170.50
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.
$26.61 with Blue Cross Blue Shield of Minnesota vs $103.32 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 |
|---|---|---|---|
| Blue Cross Blue Shield of Minnesota | PMAP | $26.61 | ↓ -80% |
| Sanford Health Plan Align | Medicare Replacement | $55.40 | ↓ -59% |
| Ucare | Medicare Replacement | $59.47 | ↓ -56% |
| Blue Cross Blue Shield of Minnesota | Medicare Replacement | $60.02 | ↓ -56% |
| United Healthcare | Medicare Replacement | $60.02 | ↓ -56% |
| Aetna | Medicare Replacement | $60.02 | ↓ -56% |
| Great Plains Medicare Advantage | Medicare Replacement | $60.02 | ↓ -56% |
| Health Partners | Medicare Replacement | $60.02 | ↓ -56% |
| Security Health Plan | Commercial | $60.46 | ↓ -56% |
| Primewest | Medicare Replacement | $61.17 | ↓ -55% |
| Primewest | Medicaid Managed Care | $66.50 | ↓ -51% |
| Blue Cross Blue Shield of North Dakota | Commercial | $75.66 | ↓ -45% |
| Sanford Health Plan | Group Health/True | $86.77 | ↓ -36% |
| Health Partners | Commercial | $89.04 | ↓ -35% |
| United Healthcare | Commercial + Top 20 | $91.78 | ↓ -33% |
| Aetna | Commercial | $95.52 | ↓ -30% |
| Ucare | Commercial | $96.58 | ↓ -29% |
| Medica | Choice | $96.62 | ↓ -29% |
| Multiplan | Commercial | $98.93 | ↓ -27% |
| First Choice Health Network | Commercial | $98.93 | ↓ -27% |
| Healthez | Commercial | $98.93 | ↓ -27% |
| Blue Cross Blue Shield of Minnesota | Commercial/Federal | $101.70 | ↓ -25% |
| Sanford Health Plan | SD Exchange True | $102.08 | ↓ -25% |
| Sanford Health Plan | Commercial/ND Pers/SD Exchange Commercial | $102.08 | ↓ -25% |
| Medica | Elect | $103.32 | ↓ -24% |
| Ucare | Medicaid Managed Care | not published by hospital | — |
Visitor-reported prices
Comments
Pentamidine non-comp unit at other Minnesota hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Sanford Canby Medical Center | Canby | $130.29 | $39.43 – $146.57 |
| Sanford Westbrook Hospital | Westbrook | $134.76 | $40.78 – $151.60 |
| Sanford Bagley Medical Center | Bagley | $111.81 | $33.84 – $125.78 |
| Sanford Luverne Medical Center | Luverne | $141.63 | $28.36 – $105.44 |
| Sanford Bemidji Medical Center | Bemidji | $132.05 | $53.16 – $113.63 |
| Sanford Worthington Medical Center | Worthington | $125.84 | $43.88 – $101.87 |
| Sanford Thief River Falls Medical Center | Thief River Falls | $164.00 | $55.42 – $145.21 |
| Sanford Behavioral Health Thief River Falls | Thief River Falls | $164.00 | $55.42 – $145.21 |