Polysomnography sleep staging >=4 parameters age >=6 years w/cpap bipap at Sanford Worthington Medical Center
1018 6th Ave, Worthington, MN · Sanford Health · · NPI 1396712618
$4,364.80
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.
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What you pay up front if you don't use insurance.
$5,456.00
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.
$770.59 with Blue Cross Blue Shield of Minnesota vs $5,028.08 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 |
|---|---|---|---|
| Blue Cross Blue Shield of Minnesota | PMAP | $770.59 | ↓ -82% |
| Sanford Health Plan Align | Medicare Replacement | $948.54 | ↓ -78% |
| Ucare | Medicare Replacement | $1,018.44 | ↓ -77% |
| United Healthcare | Medicare Replacement | $1,028.42 | ↓ -76% |
| Great Plains Medicare Advantage | Medicare Replacement | $1,028.42 | ↓ -76% |
| Health Partners | Medicare Replacement | $1,028.42 | ↓ -76% |
| Aetna | Medicare Replacement | $1,028.42 | ↓ -76% |
| Blue Cross Blue Shield of Minnesota | Medicare Replacement | $1,028.42 | ↓ -76% |
| Primewest | Medicare Replacement | $1,048.39 | ↓ -76% |
| Primewest | Medicaid Managed Care | $1,119.13 | ↓ -74% |
| Ucare | Medicaid Managed Care | $1,119.13 | ↓ -74% |
| Sanford Health Plan | SD Exchange True | $2,041.24 | ↓ -53% |
| Sanford Health Plan | Group Health/True | $2,041.24 | ↓ -53% |
| Blue Cross Blue Shield of Minnesota | State Employees | $2,369.25 | ↓ -46% |
| Sanford Health Plan | Commercial/ND Pers | $2,401.37 | ↓ -45% |
| Sanford Health Plan | SD Exchange Commercial | $2,401.37 | ↓ -45% |
| Blue Cross Blue Shield of Minnesota | Commercial/Federal | $2,846.94 | ↓ -35% |
| Security Health Plan | Commercial | $2,895.75 | ↓ -34% |
| Health Partners | State Employees | $3,243.24 | ↓ -26% |
| Health Partners | Commercial | $3,738.15 | ↓ -14% |
| Ucare | Commercial | $4,111.97 | ↓ -6% |
| Aetna | Commercial | $4,317.30 | ↓ -1% |
| United Healthcare | Commercial + Top 20 | $4,396.28 | ↑ +1% |
| Medica | Choice | $4,696.38 | ↑ +8% |
| Multiplan | Commercial | $4,738.50 | ↑ +9% |
| Healthez | Commercial | $4,738.50 | ↑ +9% |
| First Choice Health Network | Commercial | $4,738.50 | ↑ +9% |
| Medica | Elect | $5,028.08 | ↑ +15% |
Visitor-reported prices
Comments
Polysomnography sleep staging >=4 parameters age >=6 years w/cpap bipap at other Minnesota hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Sanford Canby Medical Center | Canby | $4,696.00 | $1,068.26 – $5,283.00 |
| Sanford Westbrook Hospital | Westbrook | $4,949.60 | $785.86 – $2,921.40 |
| Sanford Wheaton | Wheaton | $4,322.40 | $1,068.26 – $4,862.70 |
| Sanford Luverne Medical Center | Luverne | $4,808.00 | $1,068.26 – $5,162.40 |
| Sanford Bemidji Medical Center | Bemidji | $4,699.20 | $754.29 – $4,437.90 |
| Sanford Tracy Hospital | Tracy | $4,949.60 | $785.86 – $2,921.40 |
| Sanford Thief River Falls Medical Center | Thief River Falls | $4,636.80 | $1,068.26 – $5,216.40 |
| Sanford Behavioral Health Thief River Falls | Thief River Falls | $4,636.80 | $1,068.26 – $5,216.40 |