healthcosts.net
New Patient Office Visit (level 3) at Sanford Worthington Medical Center
1018 6th Ave, Worthington, MN · Sanford Health · · NPI 1396712618
$565.60
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.
$707.00
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.
$74.83 with Sanford Health Plan vs $184.32 with Medica — 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 | Group Health/True | $74.83 | ↓ -87% |
| Sanford Health Plan | SD Exchange True | $74.83 | ↓ -87% |
| Blue Cross Blue Shield of Minnesota | State Employees | $86.85 | ↓ -85% |
| Sanford Health Plan | Commercial/ND Pers | $88.03 | ↓ -84% |
| Sanford Health Plan | SD Exchange Commercial | $88.03 | ↓ -84% |
| Sanford Health Plan Align | Medicare Replacement | $101.35 | ↓ -82% |
| Security Health Plan | Commercial | $106.15 | ↓ -81% |
| Ucare | Medicare Replacement | $108.82 | ↓ -81% |
| Aetna | Medicare Replacement | $109.89 | ↓ -81% |
| Blue Cross Blue Shield of Minnesota | Medicare Replacement | $109.89 | ↓ -81% |
| Great Plains Medicare Advantage | Medicare Replacement | $109.89 | ↓ -81% |
| Health Partners | Medicare Replacement | $109.89 | ↓ -81% |
| United Healthcare | Medicare Replacement | $109.89 | ↓ -81% |
| Primewest | Medicare Replacement | $112.02 | ↓ -80% |
| Health Partners | State Employees | $118.89 | ↓ -79% |
| Health Partners | Commercial | $137.03 | ↓ -76% |
| Blue Cross Blue Shield of Minnesota | Commercial/Federal | $145.91 | ↓ -74% |
| Blue Cross Blue Shield of Minnesota | PMAP | $145.91 | ↓ -74% |
| Ucare | Commercial | $150.73 | ↓ -73% |
| Aetna | Commercial | $158.26 | ↓ -72% |
| United Healthcare | Commercial + Top 20 | $161.16 | ↓ -72% |
| Medica | Choice | $172.16 | ↓ -70% |
| First Choice Health Network | Commercial | $173.70 | ↓ -69% |
| Healthez | Commercial | $173.70 | ↓ -69% |
| Multiplan | Commercial | $173.70 | ↓ -69% |
| Medica | Elect | $184.32 | ↓ -67% |
| Ucare | Medicaid Managed Care | not published by hospital | — |
| Primewest | Medicaid Managed Care | not published by hospital | — |
Visitor-reported prices
Comments
New Patient Office Visit (level 3) at other Minnesota hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Sanford Canby Medical Center | Canby | $195.20 | $59.07 – $219.60 |
| Sanford Westbrook Hospital | Westbrook | $176.80 | $53.50 – $198.90 |
| Sanford Bagley Medical Center | Bagley | $203.20 | $61.49 – $228.60 |
| Sanford Wheaton | Wheaton | $186.40 | $56.41 – $209.70 |
| Sanford Bemidji Medical Center | Bemidji | $203.20 | $101.35 – $228.60 |
| Sanford Tracy Hospital | Tracy | $176.80 | $53.50 – $198.90 |