healthcosts.net
Established Patient Office Visit (level 2) at Sanford Worthington Medical Center
1018 6th Ave, Worthington, MN · Sanford Health · · NPI 1396712618
$251.20
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.
$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.
$51.18 with Sanford Health Plan vs $126.06 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 | Group Health/True | $51.18 | ↓ -80% |
| Sanford Health Plan | SD Exchange True | $51.18 | ↓ -80% |
| Sanford Health Plan Align | Medicare Replacement | $51.89 | ↓ -79% |
| Ucare | Medicare Replacement | $55.72 | ↓ -78% |
| Aetna | Medicare Replacement | $56.26 | ↓ -78% |
| Blue Cross Blue Shield of Minnesota | Medicare Replacement | $56.26 | ↓ -78% |
| Great Plains Medicare Advantage | Medicare Replacement | $56.26 | ↓ -78% |
| Health Partners | Medicare Replacement | $56.26 | ↓ -78% |
| United Healthcare | Medicare Replacement | $56.26 | ↓ -78% |
| Primewest | Medicare Replacement | $57.36 | ↓ -77% |
| Blue Cross Blue Shield of Minnesota | State Employees | $59.40 | ↓ -76% |
| Sanford Health Plan | Commercial/ND Pers | $60.21 | ↓ -76% |
| Sanford Health Plan | SD Exchange Commercial | $60.21 | ↓ -76% |
| Blue Cross Blue Shield of Minnesota | Commercial/Federal | $62.79 | ↓ -75% |
| Blue Cross Blue Shield of Minnesota | PMAP | $62.79 | ↓ -75% |
| Security Health Plan | Commercial | $72.60 | ↓ -71% |
| Health Partners | State Employees | $81.31 | ↓ -68% |
| Health Partners | Commercial | $93.72 | ↓ -63% |
| Ucare | Commercial | $103.09 | ↓ -59% |
| Aetna | Commercial | $108.24 | ↓ -57% |
| United Healthcare | Commercial + Top 20 | $110.22 | ↓ -56% |
| Medica | Choice | $117.74 | ↓ -53% |
| First Choice Health Network | Commercial | $118.80 | ↓ -53% |
| Healthez | Commercial | $118.80 | ↓ -53% |
| Multiplan | Commercial | $118.80 | ↓ -53% |
| Medica | Elect | $126.06 | ↓ -50% |
| Ucare | Medicaid Managed Care | not published by hospital | — |
| Primewest | Medicaid Managed Care | not published by hospital | — |
Visitor-reported prices
Comments
Established Patient Office Visit (level 2) at other Minnesota hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Sanford Canby Medical Center | Canby | $123.20 | $37.28 – $138.60 |
| Sanford Westbrook Hospital | Westbrook | $164.80 | $33.41 – $124.20 |
| Sanford Bagley Medical Center | Bagley | $126.40 | $38.25 – $142.20 |
| Sanford Wheaton | Wheaton | $135.20 | $40.91 – $152.10 |
| Sanford Luverne Medical Center | Luverne | $156.80 | $47.45 – $176.40 |
| Sanford Bemidji Medical Center | Bemidji | $167.20 | $51.89 – $117.00 |
| Sanford Tracy Hospital | Tracy | $164.80 | $33.41 – $124.20 |
| Sanford Thief River Falls Medical Center | Thief River Falls | $100.80 | $43.28 – $113.40 |