Lung Function Test Before and After an Inhaler at Sanford Worthington Medical Center
1018 6th Ave, Worthington, MN · Sanford Health · · NPI 1396712618
$347.20
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.
$434.00
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.
$168.26 with Sanford Health Plan vs $854.66 with Blue Cross Blue Shield of Minnesota — 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 | SD Exchange True | $168.26 | ↓ -52% |
| Sanford Health Plan | Group Health/True | $168.26 | ↓ -52% |
| Blue Cross Blue Shield of Minnesota | State Employees | $195.30 | ↓ -44% |
| Sanford Health Plan | SD Exchange Commercial | $197.95 | ↓ -43% |
| Sanford Health Plan | Commercial/ND Pers | $197.95 | ↓ -43% |
| Blue Cross Blue Shield of Minnesota | PMAP | $231.33 | ↓ -33% |
| Security Health Plan | Commercial | $238.70 | ↓ -31% |
| Health Partners | State Employees | $267.34 | ↓ -23% |
| Sanford Health Plan Align | Medicare Replacement | $290.33 | ↓ -16% |
| Health Partners | Commercial | $308.14 | ↓ -11% |
| Ucare | Medicare Replacement | $311.72 | ↓ -10% |
| Blue Cross Blue Shield of Minnesota | Medicare Replacement | $314.78 | ↓ -9% |
| Great Plains Medicare Advantage | Medicare Replacement | $314.78 | ↓ -9% |
| Health Partners | Medicare Replacement | $314.78 | ↓ -9% |
| Aetna | Medicare Replacement | $314.78 | ↓ -9% |
| United Healthcare | Medicare Replacement | $314.78 | ↓ -9% |
| Primewest | Medicare Replacement | $320.89 | ↓ -8% |
| Ucare | Commercial | $338.95 | ↓ -2% |
| Ucare | Medicaid Managed Care | $342.53 | ↓ -1% |
| Primewest | Medicaid Managed Care | $342.53 | ↓ -1% |
| Aetna | Commercial | $355.88 | ↑ +3% |
| United Healthcare | Commercial + Top 20 | $362.39 | ↑ +4% |
| Medica | Choice | $387.13 | ↑ +12% |
| First Choice Health Network | Commercial | $390.60 | ↑ +13% |
| Healthez | Commercial | $390.60 | ↑ +13% |
| Multiplan | Commercial | $390.60 | ↑ +13% |
| Medica | Elect | $414.47 | ↑ +19% |
| Blue Cross Blue Shield of Minnesota | Commercial/Federal | $854.66 | ↑ +146% |
Visitor-reported prices
Comments
Lung Function Test Before and After an Inhaler at other Minnesota hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Sanford Canby Medical Center | Canby | $688.80 | $208.45 – $774.90 |
| Sanford Westbrook Hospital | Westbrook | $663.20 | $200.70 – $746.10 |
| Sanford Bagley Medical Center | Bagley | $630.40 | $190.77 – $709.20 |
| Sanford Luverne Medical Center | Luverne | $450.40 | $136.30 – $506.70 |
| Sanford Bemidji Medical Center | Bemidji | $646.40 | $226.44 – $727.20 |
| Sanford Tracy Hospital | Tracy | $663.20 | $200.70 – $746.10 |
| Sanford Thief River Falls Medical Center | Thief River Falls | $395.20 | $169.69 – $444.60 |
| Sanford Behavioral Health Thief River Falls | Thief River Falls | $395.20 | $169.69 – $444.60 |