St analysis behavior qualitative voice/resonance at Sanford Worthington Medical Center
1018 6th Ave, Worthington, MN · Sanford Health · · NPI 1396712618
$276.80
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.
$346.00
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.
$101.35 with Sanford Health Plan Align vs $425.32 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 Align | Medicare Replacement | $101.35 | ↓ -63% |
| Ucare | Medicare Replacement | $108.82 | ↓ -61% |
| United Healthcare | Medicare Replacement | $109.89 | ↓ -60% |
| Blue Cross Blue Shield of Minnesota | Medicare Replacement | $109.89 | ↓ -60% |
| Aetna | Medicare Replacement | $109.89 | ↓ -60% |
| Great Plains Medicare Advantage | Medicare Replacement | $109.89 | ↓ -60% |
| Health Partners | Medicare Replacement | $109.89 | ↓ -60% |
| Primewest | Medicare Replacement | $112.02 | ↓ -60% |
| Blue Cross Blue Shield of Minnesota | PMAP | $115.12 | ↓ -58% |
| Sanford Health Plan | SD Exchange True | $134.14 | ↓ -52% |
| Sanford Health Plan | Group Health/True | $134.14 | ↓ -52% |
| Blue Cross Blue Shield of Minnesota | State Employees | $155.70 | ↓ -44% |
| Sanford Health Plan | Commercial/ND Pers | $157.81 | ↓ -43% |
| Sanford Health Plan | SD Exchange Commercial | $157.81 | ↓ -43% |
| Security Health Plan | Commercial | $190.30 | ↓ -31% |
| Health Partners | State Employees | $213.14 | ↓ -23% |
| Health Partners | Commercial | $245.66 | ↓ -11% |
| Ucare | Commercial | $270.23 | ↓ -2% |
| Aetna | Commercial | $283.72 | ↑ +3% |
| United Healthcare | Commercial + Top 20 | $288.91 | ↑ +4% |
| Medica | Choice | $308.63 | ↑ +11% |
| First Choice Health Network | Commercial | $311.40 | ↑ +13% |
| Multiplan | Commercial | $311.40 | ↑ +13% |
| Healthez | Commercial | $311.40 | ↑ +13% |
| Medica | Elect | $330.43 | ↑ +19% |
| Blue Cross Blue Shield of Minnesota | Commercial/Federal | $425.32 | ↑ +54% |
| Ucare | Medicaid Managed Care | not published by hospital | — |
| Primewest | Medicaid Managed Care | not published by hospital | — |
Visitor-reported prices
Comments
St analysis behavior qualitative voice/resonance at other Minnesota hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Sanford Canby Medical Center | Canby | $255.20 | $77.23 – $287.10 |
| Sanford Westbrook Hospital | Westbrook | $390.40 | $118.14 – $439.20 |
| Sanford Bagley Medical Center | Bagley | $376.00 | $113.79 – $423.00 |
| Sanford Wheaton | Wheaton | $248.00 | $75.05 – $279.00 |
| Sanford Luverne Medical Center | Luverne | $368.80 | $111.61 – $414.90 |
| Sanford Bemidji Medical Center | Bemidji | $376.00 | $101.35 – $423.00 |
| Sanford Tracy Hospital | Tracy | $390.40 | $118.14 – $439.20 |
| Sanford Thief River Falls Medical Center | Thief River Falls | $407.20 | $174.84 – $458.10 |