Treat hip dislocation at Sanford Wheaton
401 12th St N, Wheaton, MN · Sanford Health · · NPI 1154615573
$2,192.00
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.
$2,740.00
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.
$663.35 with Blue Cross Blue Shield of Minnesota vs $2,575.60 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 | $663.35 | ↓ -70% |
| Sanford Health Plan Align | Medicare Replacement | $1,380.96 | ↓ -37% |
| Ucare | Medicare Replacement | $1,482.34 | ↓ -32% |
| Blue Cross Blue Shield of Minnesota | Medicare Replacement | $1,496.04 | ↓ -32% |
| United Healthcare | Medicare Replacement | $1,496.04 | ↓ -32% |
| Aetna | Medicare Replacement | $1,496.04 | ↓ -32% |
| Great Plains Medicare Advantage | Medicare Replacement | $1,496.04 | ↓ -32% |
| Health Partners | Medicare Replacement | $1,496.04 | ↓ -32% |
| Security Health Plan | Commercial | $1,507.00 | ↓ -31% |
| Primewest | Medicare Replacement | $1,524.81 | ↓ -30% |
| Primewest | Medicaid Managed Care | $1,657.70 | ↓ -24% |
| Ucare | Medicaid Managed Care | $1,680.43 | ↓ -23% |
| Blue Cross Blue Shield of North Dakota | Commercial | $1,885.94 | ↓ -14% |
| Sanford Health Plan | Group Health/True | $2,162.96 | ↓ -1% |
| Health Partners | Commercial | $2,219.40 | ↑ +1% |
| United Healthcare | Commercial + Top 20 | $2,287.90 | ↑ +4% |
| Aetna | Commercial | $2,381.06 | ↑ +9% |
| Ucare | Commercial | $2,407.36 | ↑ +10% |
| Medica | Choice | $2,408.46 | ↑ +10% |
| First Choice Health Network | Commercial | $2,466.00 | ↑ +13% |
| Multiplan | Commercial | $2,466.00 | ↑ +13% |
| Healthez | Commercial | $2,466.00 | ↑ +13% |
| Blue Cross Blue Shield of Minnesota | Commercial/Federal | $2,535.05 | ↑ +16% |
| Sanford Health Plan | SD Exchange True | $2,544.64 | ↑ +16% |
| Sanford Health Plan | Commercial/ND Pers/SD Exchange Commercial | $2,544.64 | ↑ +16% |
| Medica | Elect | $2,575.60 | ↑ +18% |
Visitor-reported prices
Comments
Treat hip dislocation at other Minnesota hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Sanford Canby Medical Center | Canby | $2,472.00 | $748.09 – $2,781.00 |
| Sanford Bagley Medical Center | Bagley | $1,723.20 | $521.48 – $1,938.60 |
| Sanford Bemidji Medical Center | Bemidji | $1,878.40 | $1,069.98 – $2,113.20 |
| Sanford Thief River Falls Medical Center | Thief River Falls | $2,448.80 | $1,051.45 – $2,754.90 |
| Sanford Behavioral Health Thief River Falls | Thief River Falls | $2,448.80 | $1,051.45 – $2,754.90 |
| Sanford Westbrook Hospital | Westbrook | not published | $1,680.43 – $1,680.43 |
| Sanford Luverne Medical Center | Luverne | not published | $1,680.43 – $1,680.43 |
| Sanford Worthington Medical Center | Worthington | not published | $1,184.54 – $1,649.17 |