Injection, fulvestrant at Sanford Worthington Medical Center
1018 6th Ave, Worthington, MN · Sanford Health · · NPI 1396712618
$249.68
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.
$312.10
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.
$6.39 with Sanford Health Plan Align vs $287.81 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 Align | Medicare Replacement | $6.39 | ↓ -97% |
| Ucare | Medicare Replacement | $6.86 | ↓ -97% |
| Blue Cross Blue Shield of Minnesota | Medicare Replacement | $6.93 | ↓ -97% |
| United Healthcare | Medicare Replacement | $6.93 | ↓ -97% |
| Aetna | Medicare Replacement | $6.93 | ↓ -97% |
| Great Plains Medicare Advantage | Medicare Replacement | $6.93 | ↓ -97% |
| Health Partners | Medicare Replacement | $6.93 | ↓ -97% |
| Primewest | Medicare Replacement | $7.06 | ↓ -97% |
| Blue Cross Blue Shield of Minnesota | Commercial/Federal | $8.36 | ↓ -97% |
| Blue Cross Blue Shield of Minnesota | PMAP | $8.36 | ↓ -97% |
| Sanford Health Plan | Group Health/True | $116.84 | ↓ -53% |
| Sanford Health Plan | SD Exchange True | $116.84 | ↓ -53% |
| Blue Cross Blue Shield of Minnesota | State Employees | $135.62 | ↓ -46% |
| Sanford Health Plan | SD Exchange Commercial | $137.45 | ↓ -45% |
| Sanford Health Plan | Commercial/ND Pers | $137.45 | ↓ -45% |
| Security Health Plan | Commercial | $165.75 | ↓ -34% |
| Health Partners | State Employees | $185.64 | ↓ -26% |
| Health Partners | Commercial | $213.97 | ↓ -14% |
| Ucare | Commercial | $235.37 | ↓ -6% |
| Aetna | Commercial | $247.12 | ↓ -1% |
| United Healthcare | Commercial + Top 20 | $251.64 | ↑ +1% |
| Medica | Choice | $268.82 | ↑ +8% |
| First Choice Health Network | Commercial | $271.23 | ↑ +9% |
| Multiplan | Commercial | $271.23 | ↑ +9% |
| Healthez | Commercial | $271.23 | ↑ +9% |
| Medica | Elect | $287.81 | ↑ +15% |
| Ucare | Medicaid Managed Care | not published by hospital | — |
| Primewest | Medicaid Managed Care | not published by hospital | — |
Visitor-reported prices
Comments
Injection, fulvestrant at other Minnesota hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Sanford Westbrook Hospital | Westbrook | $508.12 | $110.33 – $410.14 |
| Sanford Luverne Medical Center | Luverne | $646.27 | $140.80 – $523.43 |
| Sanford Tracy Hospital | Tracy | $1,486.30 | $449.79 – $1,672.08 |
| Sanford Thief River Falls Medical Center | Thief River Falls | $514.21 | $27.30 – $71.53 |
| Sanford Behavioral Health Thief River Falls | Thief River Falls | $514.21 | $27.30 – $71.53 |
| United Hospital | MN | 1175 Nininger Road. Hastings | $3,017.73 | $7.37 – $12.02 |
| Owatonna Hospital | Owatonna | $3,518.45 | $7.37 – $14.45 |
| Abbott Northwestern Hospital | MN 55407 | $3,017.73 | $7.37 – $22.46 |