Clsd tx metatarsal fracture w/manip 28475 at Sanford Worthington Medical Center
1018 6th Ave, Worthington, MN · Sanford Health · · NPI 1396712618
$594.40
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.
$743.00
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.
$173.80 with Blue Cross Blue Shield of Minnesota vs $709.57 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 |
|---|---|---|---|
| Blue Cross Blue Shield of Minnesota | PMAP | $173.80 | ↓ -71% |
| Sanford Health Plan Align | Medicare Replacement | $223.65 | ↓ -62% |
| Ucare | Medicare Replacement | $240.13 | ↓ -60% |
| Blue Cross Blue Shield of Minnesota | Medicare Replacement | $242.48 | ↓ -59% |
| Great Plains Medicare Advantage | Medicare Replacement | $242.48 | ↓ -59% |
| Health Partners | Medicare Replacement | $242.48 | ↓ -59% |
| Aetna | Medicare Replacement | $242.48 | ↓ -59% |
| United Healthcare | Medicare Replacement | $242.48 | ↓ -59% |
| Primewest | Medicare Replacement | $247.19 | ↓ -58% |
| Ucare | Medicaid Managed Care | $263.87 | ↓ -56% |
| Primewest | Medicaid Managed Care | $263.87 | ↓ -56% |
| Sanford Health Plan | SD Exchange True | $288.06 | ↓ -52% |
| Sanford Health Plan | Group Health/True | $288.06 | ↓ -52% |
| Blue Cross Blue Shield of Minnesota | State Employees | $334.35 | ↓ -44% |
| Sanford Health Plan | Commercial/ND Pers | $338.88 | ↓ -43% |
| Sanford Health Plan | SD Exchange Commercial | $338.88 | ↓ -43% |
| Security Health Plan | Commercial | $408.65 | ↓ -31% |
| Health Partners | State Employees | $457.69 | ↓ -23% |
| Health Partners | Commercial | $527.53 | ↓ -11% |
| Ucare | Commercial | $580.28 | ↓ -2% |
| Aetna | Commercial | $609.26 | ↑ +3% |
| United Healthcare | Commercial + Top 20 | $620.41 | ↑ +4% |
| Blue Cross Blue Shield of Minnesota | Commercial/Federal | $642.12 | ↑ +8% |
| Medica | Choice | $662.76 | ↑ +12% |
| Healthez | Commercial | $668.70 | ↑ +13% |
| Multiplan | Commercial | $668.70 | ↑ +13% |
| First Choice Health Network | Commercial | $668.70 | ↑ +13% |
| Medica | Elect | $709.57 | ↑ +19% |
Visitor-reported prices
Comments
Clsd tx metatarsal fracture w/manip 28475 at other Minnesota hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Sanford Westbrook Hospital | Westbrook | $658.40 | $199.25 – $740.70 |
| Sanford Bagley Medical Center | Bagley | $1,000.00 | $251.87 – $1,125.00 |
| Sanford Bemidji Medical Center | Bemidji | $1,000.00 | $170.13 – $1,125.00 |
| Sanford Tracy Hospital | Tracy | $658.40 | $199.25 – $740.70 |
| Sanford Canby Medical Center | Canby | not published | $251.87 – $251.87 |
| Sanford Wheaton | Wheaton | not published | $251.87 – $251.87 |
| Sanford Luverne Medical Center | Luverne | not published | $251.87 – $251.87 |
| Sanford Thief River Falls Medical Center | Thief River Falls | not published | $251.87 – $251.87 |