healthcosts.net
Urinalysis (without microscopy) at Sanford Wheaton
401 12th St N, Wheaton, MN · Sanford Health · · NPI 1154615573
$28.80
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.
$36.00
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.
$7.26 with Blue Cross Blue Shield of Minnesota vs $28.20 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 | $7.26 | ↓ -75% |
| Sanford Health Plan Align | Medicare Replacement | $15.12 | ↓ -48% |
| Ucare | Medicare Replacement | $16.23 | ↓ -44% |
| Aetna | Medicare Replacement | $16.38 | ↓ -43% |
| Blue Cross Blue Shield of Minnesota | Medicare Replacement | $16.38 | ↓ -43% |
| Great Plains Medicare Advantage | Medicare Replacement | $16.38 | ↓ -43% |
| Health Partners | Medicare Replacement | $16.38 | ↓ -43% |
| United Healthcare | Medicare Replacement | $16.38 | ↓ -43% |
| Security Health Plan | Commercial | $16.50 | ↓ -43% |
| Primewest | Medicare Replacement | $16.70 | ↓ -42% |
| Primewest | Medicaid Managed Care | $18.15 | ↓ -37% |
| Blue Cross Blue Shield of North Dakota | Commercial | $20.65 | ↓ -28% |
| Sanford Health Plan | Group Health/True | $23.68 | ↓ -18% |
| Health Partners | Commercial | $24.30 | ↓ -16% |
| United Healthcare | Commercial + Top 20 | $25.05 | ↓ -13% |
| Aetna | Commercial | $26.07 | ↓ -9% |
| Ucare | Commercial | $26.36 | ↓ -8% |
| Medica | Choice | $26.37 | ↓ -8% |
| First Choice Health Network | Commercial | $27.00 | ↓ -6% |
| Healthez | Commercial | $27.00 | ↓ -6% |
| Multiplan | Commercial | $27.00 | ↓ -6% |
| Blue Cross Blue Shield of Minnesota | Commercial/Federal | $27.76 | ↓ -4% |
| Sanford Health Plan | Commercial/ND Pers/SD Exchange Commercial | $27.86 | ↓ -3% |
| Sanford Health Plan | SD Exchange True | $27.86 | ↓ -3% |
| Medica | Elect | $28.20 | ↓ -2% |
| Ucare | Medicaid Managed Care | not published by hospital | — |
Visitor-reported prices
Comments
Urinalysis (without microscopy) at other Minnesota hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Sanford Canby Medical Center | Canby | $36.80 | $8.72 – $32.40 |
| Sanford Westbrook Hospital | Westbrook | $39.20 | $11.62 – $43.20 |
| Sanford Bagley Medical Center | Bagley | $9.60 | $2.91 – $10.80 |
| Sanford Luverne Medical Center | Luverne | $26.40 | $7.51 – $27.90 |
| Sanford Bemidji Medical Center | Bemidji | $9.60 | $2.14 – $10.80 |
| Sanford Tracy Hospital | Tracy | $39.20 | $11.62 – $43.20 |
| Sanford Thief River Falls Medical Center | Thief River Falls | $47.20 | $18.55 – $48.60 |
| Sanford Behavioral Health Thief River Falls | Thief River Falls | $47.20 | $18.55 – $48.60 |