Mayo infectious agent antigen immunoassay direct optical observation cryptococcus at Sanford Medical Center Hillsboro
12 3rd St SE, Hillsboro, ND · Sanford Health · · NPI 1184725194
$72.00
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.
$90.00
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.
$16.70 with Blue Cross Blue Shield of Minnesota vs $64.08 with Sanford Health Plan — 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 | $16.70 | ↓ -77% |
| Sanford Health Plan Align | Medicare Replacement | $31.46 | ↓ -56% |
| Ucare | Medicare Replacement | $33.81 | ↓ -53% |
| Blue Cross Blue Shield of North Dakota | Medicare Replacement | $34.09 | ↓ -53% |
| Health Partners | Medicare Replacement | $34.09 | ↓ -53% |
| Great Plains Medicare Advantage | Medicare Replacement | $34.09 | ↓ -53% |
| Aetna | Medicare Replacement | $34.09 | ↓ -53% |
| United Healthcare | Medicare Replacement | $34.09 | ↓ -53% |
| Primewest | Medicare Replacement | $34.78 | ↓ -52% |
| Security Health Plan | Commercial | $37.95 | ↓ -47% |
| Blue Cross Blue Shield of North Dakota | Commercial | $44.79 | ↓ -38% |
| Health Partners | Commercial | $53.82 | ↓ -25% |
| Sanford Health Plan | SD Exchange True | $54.47 | ↓ -24% |
| Medica | Choice | $56.93 | ↓ -21% |
| United Healthcare | Commercial + Top 20 | $57.62 | ↓ -20% |
| Aetna | Commercial | $59.96 | ↓ -17% |
| Ucare | Commercial | $60.62 | ↓ -16% |
| Medica | Elect | $60.86 | ↓ -15% |
| Multiplan | Commercial | $62.10 | ↓ -14% |
| Healthez | Commercial | $62.10 | ↓ -14% |
| First Choice Health Network | Commercial | $62.10 | ↓ -14% |
| Blue Cross Blue Shield of Minnesota | Commercial | $63.84 | ↓ -11% |
| Sanford Health Plan | Commercial/ND Pers/Group Health/True/SD Exchange Commercial | $64.08 | ↓ -11% |
Visitor-reported prices
Comments
Mayo infectious agent antigen immunoassay direct optical observation cryptococcus at other North-dakota hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Sanford Medical Center Mayville | Mayville | $72.00 | $16.70 – $62.10 |
| Sanford Medical Center Bismarck | Bismarck | not published | $15.27 – $32.91 |
| Sanford Fargo Medical Center | Fargo | not published | $15.27 – $32.91 |