Surgical pathology level 2 gross & microscopic examination at Sanford Worthington Medical Center
1018 6th Ave, Worthington, MN · Sanford Health · · NPI 1396712618
$185.60
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.
$232.00
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.
$21.95 with Blue Cross Blue Shield of Minnesota vs $221.56 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 | $21.95 | ↓ -88% |
| Sanford Health Plan Align | Medicare Replacement | $36.59 | ↓ -80% |
| Ucare | Medicare Replacement | $39.29 | ↓ -79% |
| United Healthcare | Medicare Replacement | $39.68 | ↓ -79% |
| Aetna | Medicare Replacement | $39.68 | ↓ -79% |
| Blue Cross Blue Shield of Minnesota | Medicare Replacement | $39.68 | ↓ -79% |
| Great Plains Medicare Advantage | Medicare Replacement | $39.68 | ↓ -79% |
| Health Partners | Medicare Replacement | $39.68 | ↓ -79% |
| Primewest | Medicare Replacement | $40.45 | ↓ -78% |
| Blue Cross Blue Shield of Minnesota | Commercial/Federal | $81.11 | ↓ -56% |
| Sanford Health Plan | Group Health/True | $89.95 | ↓ -52% |
| Sanford Health Plan | SD Exchange True | $89.95 | ↓ -52% |
| Blue Cross Blue Shield of Minnesota | State Employees | $104.40 | ↓ -44% |
| Sanford Health Plan | SD Exchange Commercial | $105.82 | ↓ -43% |
| Sanford Health Plan | Commercial/ND Pers | $105.82 | ↓ -43% |
| Security Health Plan | Commercial | $127.60 | ↓ -31% |
| Health Partners | State Employees | $142.91 | ↓ -23% |
| Health Partners | Commercial | $164.72 | ↓ -11% |
| Ucare | Commercial | $181.19 | ↓ -2% |
| Aetna | Commercial | $190.24 | ↑ +3% |
| United Healthcare | Commercial + Top 20 | $193.72 | ↑ +4% |
| Medica | Choice | $206.94 | ↑ +11% |
| First Choice Health Network | Commercial | $208.80 | ↑ +13% |
| Multiplan | Commercial | $208.80 | ↑ +13% |
| Healthez | Commercial | $208.80 | ↑ +13% |
| Medica | Elect | $221.56 | ↑ +19% |
| Ucare | Medicaid Managed Care | not published by hospital | — |
| Primewest | Medicaid Managed Care | not published by hospital | — |
Visitor-reported prices
Comments
Surgical pathology level 2 gross & microscopic examination at other Minnesota hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Sanford Canby Medical Center | Canby | $80.80 | $24.45 – $90.90 |
| Sanford Westbrook Hospital | Westbrook | $136.00 | $41.16 – $153.00 |
| Sanford Bagley Medical Center | Bagley | $150.40 | $45.51 – $169.20 |
| Sanford Wheaton | Wheaton | $85.60 | $25.90 – $96.30 |
| Sanford Luverne Medical Center | Luverne | $86.40 | $26.15 – $97.20 |
| Sanford Bemidji Medical Center | Bemidji | $150.40 | $21.49 – $169.20 |
| Sanford Tracy Hospital | Tracy | $136.00 | $41.16 – $153.00 |
| Sanford Thief River Falls Medical Center | Thief River Falls | $123.20 | $52.90 – $138.60 |