Aqua therapy w/exercise/ea 15 min 97113 at Sanford Worthington Medical Center
1018 6th Ave, Worthington, MN · Sanford Health · · NPI 1396712618
$125.60
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.
$157.00
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.
$35.00 with Sanford Health Plan Align vs $149.94 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 |
|---|---|---|---|
| Sanford Health Plan Align | Medicare Replacement | $35.00 | ↓ -72% |
| Ucare | Medicare Replacement | $37.58 | ↓ -70% |
| Blue Cross Blue Shield of Minnesota | Medicare Replacement | $37.95 | ↓ -70% |
| United Healthcare | Medicare Replacement | $37.95 | ↓ -70% |
| Aetna | Medicare Replacement | $37.95 | ↓ -70% |
| Great Plains Medicare Advantage | Medicare Replacement | $37.95 | ↓ -70% |
| Health Partners | Medicare Replacement | $37.95 | ↓ -70% |
| Primewest | Medicare Replacement | $38.68 | ↓ -69% |
| Blue Cross Blue Shield of Minnesota | Commercial/Federal | $48.32 | ↓ -62% |
| Blue Cross Blue Shield of Minnesota | PMAP | $48.32 | ↓ -62% |
| Sanford Health Plan | Group Health/True | $60.87 | ↓ -52% |
| Sanford Health Plan | SD Exchange True | $60.87 | ↓ -52% |
| Blue Cross Blue Shield of Minnesota | State Employees | $70.65 | ↓ -44% |
| Sanford Health Plan | SD Exchange Commercial | $71.61 | ↓ -43% |
| Sanford Health Plan | Commercial/ND Pers | $71.61 | ↓ -43% |
| Security Health Plan | Commercial | $86.35 | ↓ -31% |
| Health Partners | State Employees | $96.71 | ↓ -23% |
| Health Partners | Commercial | $111.47 | ↓ -11% |
| Ucare | Commercial | $122.62 | ↓ -2% |
| Aetna | Commercial | $128.74 | ↑ +3% |
| United Healthcare | Commercial + Top 20 | $131.10 | ↑ +4% |
| Medica | Choice | $140.04 | ↑ +11% |
| First Choice Health Network | Commercial | $141.30 | ↑ +13% |
| Multiplan | Commercial | $141.30 | ↑ +13% |
| Healthez | Commercial | $141.30 | ↑ +13% |
| Medica | Elect | $149.94 | ↑ +19% |
| Ucare | Medicaid Managed Care | not published by hospital | — |
| Primewest | Medicaid Managed Care | not published by hospital | — |
Visitor-reported prices
Comments
Aqua therapy w/exercise/ea 15 min 97113 at other Minnesota hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Sanford Canby Medical Center | Canby | $146.40 | $44.30 – $164.70 |
| Sanford Luverne Medical Center | Luverne | $124.80 | $37.77 – $140.40 |
| Sanford Bemidji Medical Center | Bemidji | $136.80 | $35.00 – $153.90 |
| United Hospital | MN | 1175 Nininger Road. Hastings | $77.47 | $23.55 – $65.43 |
| Owatonna Hospital | Owatonna | $81.48 | $27.31 – $107.36 |
| Abbott Northwestern Hospital | MN 55407 | $77.47 | $23.55 – $83.73 |
| Allina Health Faribault Medical Center | Faribualt | $81.48 | $27.31 – $107.36 |
| New Ulm Medical Center | MN 56073 | $65.46 | $30.19 – $99.44 |