CPAP or BiPAP Setup (first day) at Sanford Worthington Medical Center
1018 6th Ave, Worthington, MN · Sanford Health · · NPI 1396712618
$838.40
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.
$1,048.00
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.
$157.20 with Blue Cross Blue Shield of Minnesota vs $753.50 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 | $157.20 | ↓ -81% |
| Sanford Health Plan Align | Medicare Replacement | $189.63 | ↓ -77% |
| Ucare | Medicare Replacement | $203.60 | ↓ -76% |
| United Healthcare | Medicare Replacement | $205.60 | ↓ -75% |
| Great Plains Medicare Advantage | Medicare Replacement | $205.60 | ↓ -75% |
| Health Partners | Medicare Replacement | $205.60 | ↓ -75% |
| Aetna | Medicare Replacement | $205.60 | ↓ -75% |
| Blue Cross Blue Shield of Minnesota | Medicare Replacement | $205.60 | ↓ -75% |
| Primewest | Medicare Replacement | $209.59 | ↓ -75% |
| Primewest | Medicaid Managed Care | $223.73 | ↓ -73% |
| Ucare | Medicaid Managed Care | $223.73 | ↓ -73% |
| Sanford Health Plan | SD Exchange True | $305.90 | ↓ -64% |
| Sanford Health Plan | Group Health/True | $305.90 | ↓ -64% |
| Blue Cross Blue Shield of Minnesota | State Employees | $355.05 | ↓ -58% |
| Sanford Health Plan | Commercial/ND Pers | $359.86 | ↓ -57% |
| Sanford Health Plan | SD Exchange Commercial | $359.86 | ↓ -57% |
| Security Health Plan | Commercial | $433.95 | ↓ -48% |
| Health Partners | State Employees | $486.02 | ↓ -42% |
| Health Partners | Commercial | $560.19 | ↓ -33% |
| Blue Cross Blue Shield of Minnesota | Commercial/Federal | $580.77 | ↓ -31% |
| Ucare | Commercial | $616.21 | ↓ -27% |
| Aetna | Commercial | $646.98 | ↓ -23% |
| United Healthcare | Commercial + Top 20 | $658.82 | ↓ -21% |
| Medica | Choice | $703.79 | ↓ -16% |
| Multiplan | Commercial | $710.10 | ↓ -15% |
| Healthez | Commercial | $710.10 | ↓ -15% |
| First Choice Health Network | Commercial | $710.10 | ↓ -15% |
| Medica | Elect | $753.50 | ↓ -10% |
Visitor-reported prices
Comments
CPAP or BiPAP Setup (first day) at other Minnesota hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Sanford Canby Medical Center | Canby | $600.00 | $181.58 – $675.00 |
| Sanford Westbrook Hospital | Westbrook | $922.40 | $126.13 – $468.90 |
| Sanford Bagley Medical Center | Bagley | $663.20 | $140.90 – $523.80 |
| Sanford Luverne Medical Center | Luverne | $300.80 | $91.03 – $338.40 |
| Sanford Bemidji Medical Center | Bemidji | $663.20 | $153.87 – $515.70 |
| Sanford Tracy Hospital | Tracy | $922.40 | $126.13 – $468.90 |
| United Hospital | MN | 1175 Nininger Road. Hastings | $409.06 | $87.15 – $260.79 |
| Owatonna Hospital | Owatonna | $297.47 | $96.04 – $391.97 |