Puncture spinal lumbar diagnostic at Sanford Worthington Medical Center
1018 6th Ave, Worthington, MN · Sanford Health · · NPI 1396712618
$913.60
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.
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What you pay up front if you don't use insurance.
$1,142.00
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.
$434.61 with Sanford Health Plan vs $1,883.02 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 | $434.61 | ↓ -52% |
| Sanford Health Plan | Group Health/True | $434.61 | ↓ -52% |
| Blue Cross Blue Shield of Minnesota | State Employees | $504.45 | ↓ -45% |
| Blue Cross Blue Shield of Minnesota | PMAP | $509.68 | ↓ -44% |
| Sanford Health Plan | SD Exchange Commercial | $511.29 | ↓ -44% |
| Sanford Health Plan | Commercial/ND Pers | $511.29 | ↓ -44% |
| Security Health Plan | Commercial | $616.55 | ↓ -33% |
| Sanford Health Plan Align | Medicare Replacement | $645.66 | ↓ -29% |
| Health Partners | State Employees | $690.54 | ↓ -24% |
| Ucare | Medicare Replacement | $693.23 | ↓ -24% |
| Health Partners | Medicare Replacement | $700.03 | ↓ -23% |
| Great Plains Medicare Advantage | Medicare Replacement | $700.03 | ↓ -23% |
| Aetna | Medicare Replacement | $700.03 | ↓ -23% |
| United Healthcare | Medicare Replacement | $700.03 | ↓ -23% |
| Blue Cross Blue Shield of Minnesota | Medicare Replacement | $700.03 | ↓ -23% |
| Primewest | Medicare Replacement | $713.62 | ↓ -22% |
| Primewest | Medicaid Managed Care | $761.77 | ↓ -17% |
| Ucare | Medicaid Managed Care | $761.77 | ↓ -17% |
| Health Partners | Commercial | $795.91 | ↓ -13% |
| Ucare | Commercial | $875.50 | ↓ -4% |
| Aetna | Commercial | $919.22 | ↑ +1% |
| United Healthcare | Commercial + Top 20 | $936.04 | ↑ +2% |
| Medica | Choice | $999.93 | ↑ +9% |
| First Choice Health Network | Commercial | $1,008.90 | ↑ +10% |
| Healthez | Commercial | $1,008.90 | ↑ +10% |
| Multiplan | Commercial | $1,008.90 | ↑ +10% |
| Medica | Elect | $1,070.56 | ↑ +17% |
| Blue Cross Blue Shield of Minnesota | Commercial/Federal | $1,883.02 | ↑ +106% |
Visitor-reported prices
Comments
Puncture spinal lumbar diagnostic at other Minnesota hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Sanford Westbrook Hospital | Westbrook | $992.80 | $300.45 – $1,116.90 |
| Sanford Bagley Medical Center | Bagley | $1,302.40 | $394.14 – $1,465.20 |
| Sanford Wheaton | Wheaton | $1,243.20 | $376.22 – $1,398.60 |
| Sanford Luverne Medical Center | Luverne | $1,175.20 | $355.64 – $1,322.10 |
| Sanford Bemidji Medical Center | Bemidji | $1,302.40 | $498.90 – $1,465.20 |
| Sanford Tracy Hospital | Tracy | $992.80 | $300.45 – $1,116.90 |
| Sanford Thief River Falls Medical Center | Thief River Falls | $1,176.80 | $505.29 – $1,323.90 |
| Sanford Behavioral Health Thief River Falls | Thief River Falls | $1,176.80 | $505.29 – $1,323.90 |