Ghs st - re-eval for alt comm at Sanford Worthington Medical Center
1018 6th Ave, Worthington, MN · Sanford Health · · NPI 1396712618
$264.80
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.
?
What you pay up front if you don't use insurance.
$331.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$67.44 with Sanford Health Plan Align vs $425.32 with Blue Cross Blue Shield of Minnesota — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 Align | Medicare Replacement | $67.44 | ↓ -75% |
| Ucare | Medicare Replacement | $72.40 | ↓ -73% |
| United Healthcare | Medicare Replacement | $73.11 | ↓ -72% |
| Blue Cross Blue Shield of Minnesota | Medicare Replacement | $73.11 | ↓ -72% |
| Aetna | Medicare Replacement | $73.11 | ↓ -72% |
| Great Plains Medicare Advantage | Medicare Replacement | $73.11 | ↓ -72% |
| Health Partners | Medicare Replacement | $73.11 | ↓ -72% |
| Primewest | Medicare Replacement | $74.53 | ↓ -72% |
| Blue Cross Blue Shield of Minnesota | PMAP | $115.12 | ↓ -57% |
| Sanford Health Plan | SD Exchange True | $128.33 | ↓ -52% |
| Sanford Health Plan | Group Health/True | $128.33 | ↓ -52% |
| Blue Cross Blue Shield of Minnesota | State Employees | $148.95 | ↓ -44% |
| Sanford Health Plan | Commercial/ND Pers | $150.97 | ↓ -43% |
| Sanford Health Plan | SD Exchange Commercial | $150.97 | ↓ -43% |
| Security Health Plan | Commercial | $182.05 | ↓ -31% |
| Health Partners | State Employees | $203.90 | ↓ -23% |
| Health Partners | Commercial | $235.01 | ↓ -11% |
| Ucare | Commercial | $258.51 | ↓ -2% |
| Aetna | Commercial | $271.42 | ↑ +3% |
| United Healthcare | Commercial + Top 20 | $276.39 | ↑ +4% |
| Medica | Choice | $295.25 | ↑ +11% |
| First Choice Health Network | Commercial | $297.90 | ↑ +13% |
| Multiplan | Commercial | $297.90 | ↑ +13% |
| Healthez | Commercial | $297.90 | ↑ +13% |
| Medica | Elect | $316.11 | ↑ +19% |
| Blue Cross Blue Shield of Minnesota | Commercial/Federal | $425.32 | ↑ +61% |
| Ucare | Medicaid Managed Care | not published by hospital | — |
| Primewest | Medicaid Managed Care | not published by hospital | — |
Visitor-reported prices
Comments
Ghs st - re-eval for alt comm at other Minnesota hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Sanford Luverne Medical Center | Luverne | $328.00 | $99.26 – $369.00 |
| Sanford Thief River Falls Medical Center | Thief River Falls | $439.20 | $188.58 – $494.10 |
| Sanford Behavioral Health Thief River Falls | Thief River Falls | $439.20 | $188.58 – $494.10 |
| United Hospital | MN | 1175 Nininger Road. Hastings | $228.58 | $56.98 – $311.48 |
| Owatonna Hospital | Owatonna | $240.35 | $56.98 – $392.47 |
| Abbott Northwestern Hospital | MN 55407 | $228.58 | $56.98 – $237.76 |
| Allina Health Faribault Medical Center | Faribualt | $240.35 | $56.98 – $392.47 |
| Mercy Hospital | MN 55443 | 550 Osborne Road NE. Fridley | $228.58 | $56.98 – $127.31 |