Biopsy/soft tissue/neck or thorax 21550 at Sanford Worthington Medical Center
1018 6th Ave, Worthington, MN · Sanford Health · · NPI 1396712618
$2,651.20
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.
$3,314.00
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.
$1,194.92 with Blue Cross Blue Shield of Minnesota vs $4,414.64 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 | $1,194.92 | ↓ -55% |
| Sanford Health Plan | SD Exchange True | $1,284.84 | ↓ -52% |
| Sanford Health Plan | Group Health/True | $1,284.84 | ↓ -52% |
| Blue Cross Blue Shield of Minnesota | State Employees | $1,491.30 | ↓ -44% |
| Sanford Health Plan Align | Medicare Replacement | $1,510.60 | ↓ -43% |
| Sanford Health Plan | SD Exchange Commercial | $1,511.52 | ↓ -43% |
| Sanford Health Plan | Commercial/ND Pers | $1,511.52 | ↓ -43% |
| Ucare | Medicare Replacement | $1,621.91 | ↓ -39% |
| Great Plains Medicare Advantage | Medicare Replacement | $1,637.81 | ↓ -38% |
| Health Partners | Medicare Replacement | $1,637.81 | ↓ -38% |
| Blue Cross Blue Shield of Minnesota | Medicare Replacement | $1,637.81 | ↓ -38% |
| Aetna | Medicare Replacement | $1,637.81 | ↓ -38% |
| United Healthcare | Medicare Replacement | $1,637.81 | ↓ -38% |
| Primewest | Medicare Replacement | $1,669.61 | ↓ -37% |
| Ucare | Medicaid Managed Care | $1,782.26 | ↓ -33% |
| Primewest | Medicaid Managed Care | $1,782.26 | ↓ -33% |
| Security Health Plan | Commercial | $1,822.70 | ↓ -31% |
| Health Partners | State Employees | $2,041.42 | ↓ -23% |
| Health Partners | Commercial | $2,352.94 | ↓ -11% |
| Ucare | Commercial | $2,588.23 | ↓ -2% |
| Aetna | Commercial | $2,717.48 | ↑ +3% |
| United Healthcare | Commercial + Top 20 | $2,767.19 | ↑ +4% |
| Medica | Choice | $2,956.09 | ↑ +12% |
| First Choice Health Network | Commercial | $2,982.60 | ↑ +13% |
| Healthez | Commercial | $2,982.60 | ↑ +13% |
| Multiplan | Commercial | $2,982.60 | ↑ +13% |
| Medica | Elect | $3,164.87 | ↑ +19% |
| Blue Cross Blue Shield of Minnesota | Commercial/Federal | $4,414.64 | ↑ +67% |
Visitor-reported prices
Comments
Biopsy/soft tissue/neck or thorax 21550 at other Minnesota hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Sanford Bemidji Medical Center | Bemidji | $3,391.20 | $1,169.64 – $3,815.10 |
| United Hospital | MN | 1175 Nininger Road. Hastings | $693.94 | $716.81 – $3,895.00 |
| Owatonna Hospital | Owatonna | $526.68 | $493.44 – $4,275.53 |
| Abbott Northwestern Hospital | MN 55407 | $693.94 | $716.81 – $4,056.36 |
| Allina Health Faribault Medical Center | Faribualt | $526.68 | $493.44 – $4,275.53 |
| New Ulm Medical Center | MN 56073 | $591.47 | $462.34 – $2,977.37 |
| Mercy Hospital | MN 55443 | 550 Osborne Road NE. Fridley | $693.94 | $716.81 – $3,895.00 |
| Buffalo Hospital | Buffalo | $526.68 | $493.44 – $4,512.00 |