Minnesota Hospital Association

Data & Reporting

If You Have Insurance

Your health plan can give you the most accurate price for medical services  

Minnesota law requires physicians, hospitals and health plans to provide consumers with a good faith estimate of the cost of their care.

Over 94 percent of Minnesotans have insurance and that number is expected to increase as the Affordable Care Act is fully implemented. Because health insurers negotiate different payment rates for services with each health care provider, including hospitals, physicians and clinics, the best way to compare prices you will pay at your local hospital is to contact your own insurance company.

Your final out-of-pocket costs can be higher or lower than your neighbor’s — even when you’ve undergone the same procedure. That’s because health insurance plan payments vary, and insurance plan benefit levels are unique to each plan. In other words, even if you and your neighbor both have the same insurance company, your benefits may be different – insurance companies sell policies with different levels of benefits to different employers and through MNsure, the state’s health insurance exchange. Other factors that impact price may be complications or other health conditions you may have.  

Why is there sometimes more than one bill for a single hospitalization?

Consumers should also be aware that — depending on the medical services you need — you may receive several bills for your hospital services — from the hospital, the surgeon, the anesthesiologist, the pharmacy, the radiologist, or the pathologist, for example, depending on what services comprise your treatment.

Your insurance plan can tell you what the hospital’s price will be for all of your services as well as what your out-of-pocket, co-pay and deductible will be.

Following is a list of Minnesota commercial insurance companies and main customer service numbers:   

Blue Cross and Blue Shield/Blue Plus of Minnesota
651-662-8000

HealthPartners
952-883-5000

Medica
952-945-8000

Metropolitan Health Plan
612-596-1036

PreferredOne
763-847-4477

Sanford Health Plan of Minnesota
605-328-6868

UCare
612-676-3200

Note:  If you are insured, you should contact the number on your insurance card. This is not a complete list of insurance companies. For example, there are national insurance companies through which a federal employee residing in Minnesota may have insurance. A business person who resides in Minnesota but whose company is based in New York may also have a different insurance company, for example. In addition, there are Medicare Advantage plans or Medicare supplemental plans that are not listed here.

Finally, it is important to know that hospitals are not allowed to get together to set prices. That would be a violation of federal and state anti-trust laws.