Physical Therapy Evaluation (high complexity) at Sanford Worthington Medical Center
1018 6th Ave, Worthington, MN · Sanford Health · · NPI 1396712618
$241.60
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.
$302.00
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.
$93.36 with Sanford Health Plan Align vs $288.41 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 Align | Medicare Replacement | $93.36 | ↓ -61% |
| Ucare | Medicare Replacement | $100.24 | ↓ -59% |
| Blue Cross Blue Shield of Minnesota | Medicare Replacement | $101.23 | ↓ -58% |
| United Healthcare | Medicare Replacement | $101.23 | ↓ -58% |
| Aetna | Medicare Replacement | $101.23 | ↓ -58% |
| Great Plains Medicare Advantage | Medicare Replacement | $101.23 | ↓ -58% |
| Health Partners | Medicare Replacement | $101.23 | ↓ -58% |
| Primewest | Medicare Replacement | $103.19 | ↓ -57% |
| Sanford Health Plan | Group Health/True | $117.09 | ↓ -52% |
| Sanford Health Plan | SD Exchange True | $117.09 | ↓ -52% |
| Blue Cross Blue Shield of Minnesota | Commercial/Federal | $132.23 | ↓ -45% |
| Blue Cross Blue Shield of Minnesota | PMAP | $132.23 | ↓ -45% |
| Blue Cross Blue Shield of Minnesota | State Employees | $135.90 | ↓ -44% |
| Sanford Health Plan | SD Exchange Commercial | $137.74 | ↓ -43% |
| Sanford Health Plan | Commercial/ND Pers | $137.74 | ↓ -43% |
| Security Health Plan | Commercial | $166.10 | ↓ -31% |
| Health Partners | State Employees | $186.03 | ↓ -23% |
| Health Partners | Commercial | $214.42 | ↓ -11% |
| Ucare | Commercial | $235.86 | ↓ -2% |
| Aetna | Commercial | $247.64 | ↑ +3% |
| United Healthcare | Commercial + Top 20 | $252.17 | ↑ +4% |
| Medica | Choice | $269.38 | ↑ +11% |
| First Choice Health Network | Commercial | $271.80 | ↑ +13% |
| Multiplan | Commercial | $271.80 | ↑ +13% |
| Healthez | Commercial | $271.80 | ↑ +13% |
| Medica | Elect | $288.41 | ↑ +19% |
| Ucare | Medicaid Managed Care | not published by hospital | — |
| Primewest | Medicaid Managed Care | not published by hospital | — |
Visitor-reported prices
Comments
Physical Therapy Evaluation (high complexity) at other Minnesota hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Sanford Canby Medical Center | Canby | $323.20 | $97.81 – $363.60 |
| Sanford Westbrook Hospital | Westbrook | $352.80 | $106.77 – $396.90 |
| Sanford Bagley Medical Center | Bagley | $340.80 | $103.13 – $383.40 |
| Sanford Wheaton | Wheaton | $228.00 | $69.00 – $256.50 |
| Sanford Luverne Medical Center | Luverne | $229.60 | $69.48 – $258.30 |
| Sanford Bemidji Medical Center | Bemidji | $340.80 | $93.36 – $383.40 |
| Sanford Tracy Hospital | Tracy | $352.80 | $106.77 – $396.90 |
| Sanford Thief River Falls Medical Center | Thief River Falls | $292.80 | $125.72 – $329.40 |