Biliary endoscopy thru skin at Sanford Worthington Medical Center
1018 6th Ave, Worthington, MN · Sanford Health · · NPI 1396712618
not published by hospital
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.
not published by hospital
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.
$7,586.68 with Blue Cross Blue Shield of Minnesota vs $28,029.10 with Blue Cross Blue Shield of Minnesota — 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 | $7,586.68 | — |
| Sanford Health Plan Align | Medicare Replacement | $9,706.69 | — |
| Ucare | Medicare Replacement | $10,421.92 | — |
| Health Partners | Medicare Replacement | $10,524.10 | — |
| Aetna | Medicare Replacement | $10,524.10 | — |
| Blue Cross Blue Shield of Minnesota | Medicare Replacement | $10,524.10 | — |
| Great Plains Medicare Advantage | Medicare Replacement | $10,524.10 | — |
| United Healthcare | Medicare Replacement | $10,524.10 | — |
| Primewest | Medicare Replacement | $10,728.45 | — |
| Primewest | Medicaid Managed Care | $11,452.33 | — |
| Ucare | Medicaid Managed Care | $11,452.33 | — |
| Blue Cross Blue Shield of Minnesota | Commercial/Federal | $28,029.10 | — |
Visitor-reported prices
Comments
Biliary endoscopy thru skin at other Minnesota hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| United Hospital | MN | 1175 Nininger Road. Hastings | $2,719.87 | $379.94 – $12,659.54 |
| Owatonna Hospital | Owatonna | $1,299.70 | $545.69 – $11,360.99 |
| Abbott Northwestern Hospital | MN 55407 | $2,719.87 | $379.94 – $26,065.06 |
| Allina Health Faribault Medical Center | Faribualt | $1,299.70 | $545.69 – $11,956.78 |
| Mercy Hospital | MN 55443 | 550 Osborne Road NE. Fridley | $2,719.87 | $379.94 – $12,659.54 |
| Buffalo Hospital | Buffalo | $1,299.70 | $545.69 – $12,132.00 |
| Cambridge Medical Center | Cambridge | $1,299.70 | $545.69 – $11,956.78 |
| River Falls Area Hospital | River Falls | $1,299.70 | $559.24 – $10,945.15 |