healthcosts.net
Wrist X-ray at Sanford Wheaton
401 12th St N, Wheaton, MN · Sanford Health · · NPI 1154615573
$311.20
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.
$389.00
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.
$92.45 with Ucare vs $365.66 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 | $92.45 | ↓ -70% |
| Blue Cross Blue Shield of Minnesota | PMAP | $94.18 | ↓ -70% |
| Sanford Health Plan Align | Medicare Replacement | $196.06 | ↓ -37% |
| Ucare | Medicare Replacement | $210.45 | ↓ -32% |
| Aetna | Medicare Replacement | $212.39 | ↓ -32% |
| Blue Cross Blue Shield of Minnesota | Medicare Replacement | $212.39 | ↓ -32% |
| Great Plains Medicare Advantage | Medicare Replacement | $212.39 | ↓ -32% |
| Health Partners | Medicare Replacement | $212.39 | ↓ -32% |
| United Healthcare | Medicare Replacement | $212.39 | ↓ -32% |
| Security Health Plan | Commercial | $213.95 | ↓ -31% |
| Primewest | Medicare Replacement | $216.48 | ↓ -30% |
| Primewest | Medicaid Managed Care | $235.35 | ↓ -24% |
| Blue Cross Blue Shield of North Dakota | Commercial | $267.75 | ↓ -14% |
| Sanford Health Plan | Group Health/True | $307.08 | ↓ -1% |
| Health Partners | Commercial | $315.09 | ↑ +1% |
| United Healthcare | Commercial + Top 20 | $324.82 | ↑ +4% |
| Aetna | Commercial | $338.04 | ↑ +9% |
| Ucare | Commercial | $341.78 | ↑ +10% |
| Medica | Choice | $341.93 | ↑ +10% |
| First Choice Health Network | Commercial | $350.10 | ↑ +13% |
| Healthez | Commercial | $350.10 | ↑ +13% |
| Multiplan | Commercial | $350.10 | ↑ +13% |
| Blue Cross Blue Shield of Minnesota | Commercial/Federal | $359.90 | ↑ +16% |
| Sanford Health Plan | Commercial/ND Pers/SD Exchange Commercial | $361.26 | ↑ +16% |
| Sanford Health Plan | SD Exchange True | $361.26 | ↑ +16% |
| Medica | Elect | $365.66 | ↑ +18% |
Visitor-reported prices
Comments
Wrist X-ray at other Minnesota hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Sanford Canby Medical Center | Canby | $368.80 | $92.45 – $414.90 |
| Sanford Westbrook Hospital | Westbrook | $446.40 | $92.45 – $502.20 |
| Sanford Bagley Medical Center | Bagley | $510.40 | $92.45 – $574.20 |
| Sanford Luverne Medical Center | Luverne | $215.20 | $65.12 – $242.10 |
| Sanford Bemidji Medical Center | Bemidji | $510.40 | $65.56 – $574.20 |
| Sanford Worthington Medical Center | Worthington | $350.40 | $66.97 – $394.20 |
| Sanford Tracy Hospital | Tracy | $446.40 | $92.45 – $502.20 |
| Sanford Thief River Falls Medical Center | Thief River Falls | $313.60 | $92.45 – $352.80 |