healthcosts.net
Cataract Surgery at Sanford Medical Center Mayville
42 6th Ave SE, Mayville, ND · Sanford Health · · NPI 1518061803
$4,160.80
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.
$5,201.00
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.
$1,259.16 with Blue Cross Blue Shield of Minnesota vs $4,830.17 with Sanford Health Plan — 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 | $1,259.16 | ↓ -70% |
| Sanford Health Plan Align | Medicare Replacement | $2,569.29 | ↓ -38% |
| Ucare | Medicare Replacement | $2,756.53 | ↓ -34% |
| Aetna | Medicare Replacement | $2,787.74 | ↓ -33% |
| Blue Cross Blue Shield of North Dakota | Medicare Replacement | $2,787.74 | ↓ -33% |
| Great Plains Medicare Advantage | Medicare Replacement | $2,787.74 | ↓ -33% |
| Health Partners | Medicare Replacement | $2,787.74 | ↓ -33% |
| United Healthcare | Medicare Replacement | $2,787.74 | ↓ -33% |
| Primewest | Medicare Replacement | $2,839.75 | ↓ -32% |
| Security Health Plan | Commercial | $2,860.55 | ↓ -31% |
| Blue Cross Blue Shield of North Dakota | Commercial | $3,525.24 | ↓ -15% |
| Health Partners | Commercial | $4,056.78 | ↓ -3% |
| Sanford Health Plan | Group Health/True/SD Exchange True | $4,105.67 | ↓ -1% |
| Medica | Choice | $4,290.83 | ↑ +3% |
| United Healthcare | Commercial | $4,342.84 | ↑ +4% |
| Aetna | Commercial | $4,519.67 | ↑ +9% |
| Ucare | Commercial | $4,569.60 | ↑ +10% |
| Medica | Elect | $4,587.28 | ↑ +10% |
| First Choice Health Network | Commercial | $4,680.90 | ↑ +13% |
| Healthez | Commercial | $4,680.90 | ↑ +13% |
| Multiplan | Commercial | $4,680.90 | ↑ +13% |
| Blue Cross Blue Shield of Minnesota | Commercial | $4,811.97 | ↑ +16% |
| Sanford Health Plan | Commercial/ND Pers/SD Exchange Commercial | $4,830.17 | ↑ +16% |
Visitor-reported prices
Comments
Cataract Surgery at other North-dakota hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Sanford Medical Center Hillsboro | Hillsboro | $4,160.80 | $1,259.16 – $4,680.90 |
| Sanford Medical Center Bismarck | Bismarck | not published | $537.26 – $2,394.77 |
| Sanford Fargo Medical Center | Fargo | not published | $537.26 – $2,394.77 |