Vaccine dtap < 7 years im at Sanford Wheaton
401 12th St N, Wheaton, MN · Sanford Health · · NPI 1154615573
$56.44
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.
$70.54
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.
$11.36 with Blue Cross Blue Shield of Minnesota vs $44.10 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 | $11.36 | ↓ -80% |
| Sanford Health Plan Align | Medicare Replacement | $23.65 | ↓ -58% |
| Ucare | Medicare Replacement | $25.38 | ↓ -55% |
| Blue Cross Blue Shield of Minnesota | Medicare Replacement | $25.62 | ↓ -55% |
| United Healthcare | Medicare Replacement | $25.62 | ↓ -55% |
| Aetna | Medicare Replacement | $25.62 | ↓ -55% |
| Great Plains Medicare Advantage | Medicare Replacement | $25.62 | ↓ -55% |
| Health Partners | Medicare Replacement | $25.62 | ↓ -55% |
| Security Health Plan | Commercial | $25.81 | ↓ -54% |
| Primewest | Medicare Replacement | $26.11 | ↓ -54% |
| Primewest | Medicaid Managed Care | $28.39 | ↓ -50% |
| Blue Cross Blue Shield of North Dakota | Commercial | $32.30 | ↓ -43% |
| Sanford Health Plan | Group Health/True | $37.04 | ↓ -34% |
| Health Partners | Commercial | $38.01 | ↓ -33% |
| United Healthcare | Commercial + Top 20 | $39.18 | ↓ -31% |
| Aetna | Commercial | $40.77 | ↓ -28% |
| Ucare | Commercial | $41.22 | ↓ -27% |
| Medica | Choice | $41.24 | ↓ -27% |
| Multiplan | Commercial | $42.23 | ↓ -25% |
| First Choice Health Network | Commercial | $42.23 | ↓ -25% |
| Healthez | Commercial | $42.23 | ↓ -25% |
| Blue Cross Blue Shield of Minnesota | Commercial/Federal | $43.41 | ↓ -23% |
| Sanford Health Plan | SD Exchange True | $43.57 | ↓ -23% |
| Sanford Health Plan | Commercial/ND Pers/SD Exchange Commercial | $43.57 | ↓ -23% |
| Medica | Elect | $44.10 | ↓ -22% |
| Ucare | Medicaid Managed Care | not published by hospital | — |
Visitor-reported prices
Comments
Vaccine dtap < 7 years im at other Minnesota hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Sanford Canby Medical Center | Canby | $76.58 | $23.17 – $86.15 |
| Sanford Westbrook Hospital | Westbrook | $76.58 | $23.17 – $86.15 |
| Sanford Bagley Medical Center | Bagley | $74.75 | $22.62 – $84.09 |
| Sanford Bemidji Medical Center | Bemidji | $66.69 | $1.02 – $72.79 |
| Sanford Worthington Medical Center | Worthington | $78.13 | $1.00 – $84.46 |
| Sanford Tracy Hospital | Tracy | $76.58 | $23.17 – $86.15 |
| Sanford Thief River Falls Medical Center | Thief River Falls | $68.29 | $29.32 – $76.82 |
| Sanford Behavioral Health Thief River Falls | Thief River Falls | $68.29 | $29.32 – $76.82 |