Removal cerumen impacted (both sides) at Sanford Worthington Medical Center
1018 6th Ave, Worthington, MN · Sanford Health · · NPI 1396712618
$134.40
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.
$168.00
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.
$45.08 with Blue Cross Blue Shield of Minnesota vs $166.55 with Blue Cross Blue Shield of Minnesota — 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 |
|---|---|---|---|
| Blue Cross Blue Shield of Minnesota | PMAP | $45.08 | ↓ -66% |
| Sanford Health Plan Align | Medicare Replacement | $55.38 | ↓ -59% |
| Ucare | Medicare Replacement | $59.46 | ↓ -56% |
| Health Partners | Medicare Replacement | $60.04 | ↓ -55% |
| Blue Cross Blue Shield of Minnesota | Medicare Replacement | $60.04 | ↓ -55% |
| Aetna | Medicare Replacement | $60.04 | ↓ -55% |
| United Healthcare | Medicare Replacement | $60.04 | ↓ -55% |
| Great Plains Medicare Advantage | Medicare Replacement | $60.04 | ↓ -55% |
| Primewest | Medicare Replacement | $61.21 | ↓ -54% |
| Sanford Health Plan | SD Exchange True | $65.13 | ↓ -52% |
| Sanford Health Plan | Group Health/True | $65.13 | ↓ -52% |
| Ucare | Medicaid Managed Care | $65.34 | ↓ -51% |
| Primewest | Medicaid Managed Care | $65.34 | ↓ -51% |
| Blue Cross Blue Shield of Minnesota | State Employees | $75.60 | ↓ -44% |
| Sanford Health Plan | Commercial/ND Pers | $76.62 | ↓ -43% |
| Sanford Health Plan | SD Exchange Commercial | $76.62 | ↓ -43% |
| Security Health Plan | Commercial | $92.40 | ↓ -31% |
| Health Partners | State Employees | $103.49 | ↓ -23% |
| Health Partners | Commercial | $119.28 | ↓ -11% |
| Ucare | Commercial | $131.21 | ↓ -2% |
| Aetna | Commercial | $137.76 | ↑ +3% |
| United Healthcare | Commercial + Top 20 | $140.28 | ↑ +4% |
| Medica | Choice | $149.86 | ↑ +12% |
| First Choice Health Network | Commercial | $151.20 | ↑ +13% |
| Healthez | Commercial | $151.20 | ↑ +13% |
| Multiplan | Commercial | $151.20 | ↑ +13% |
| Medica | Elect | $160.44 | ↑ +19% |
| Blue Cross Blue Shield of Minnesota | Commercial/Federal | $166.55 | ↑ +24% |
Visitor-reported prices
Comments
Removal cerumen impacted (both sides) at other Minnesota hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Sanford Canby Medical Center | Canby | $288.80 | $62.37 – $324.90 |
| Sanford Westbrook Hospital | Westbrook | $133.60 | $40.43 – $150.30 |
| Sanford Bagley Medical Center | Bagley | $192.00 | $58.10 – $216.00 |
| Sanford Wheaton | Wheaton | $172.80 | $52.29 – $194.40 |
| Sanford Bemidji Medical Center | Bemidji | $192.00 | $44.13 – $216.00 |
| Sanford Tracy Hospital | Tracy | $133.60 | $40.43 – $150.30 |
| Sanford Thief River Falls Medical Center | Thief River Falls | $230.40 | $62.37 – $259.20 |
| Sanford Behavioral Health Thief River Falls | Thief River Falls | $230.40 | $62.37 – $259.20 |