Surgical pathology level 4 gross & microscopic examination at Sanford Worthington Medical Center
1018 6th Ave, Worthington, MN · Sanford Health · · NPI 1396712618
$323.20
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.
$404.00
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.
$39.93 with Blue Cross Blue Shield of Minnesota vs $385.82 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 | $39.93 | ↓ -88% |
| Sanford Health Plan Align | Medicare Replacement | $49.81 | ↓ -85% |
| Ucare | Medicare Replacement | $53.48 | ↓ -83% |
| United Healthcare | Medicare Replacement | $54.01 | ↓ -83% |
| Aetna | Medicare Replacement | $54.01 | ↓ -83% |
| Blue Cross Blue Shield of Minnesota | Medicare Replacement | $54.01 | ↓ -83% |
| Great Plains Medicare Advantage | Medicare Replacement | $54.01 | ↓ -83% |
| Health Partners | Medicare Replacement | $54.01 | ↓ -83% |
| Primewest | Medicare Replacement | $55.06 | ↓ -83% |
| Blue Cross Blue Shield of Minnesota | Commercial/Federal | $147.54 | ↓ -54% |
| Sanford Health Plan | Group Health/True | $156.63 | ↓ -52% |
| Sanford Health Plan | SD Exchange True | $156.63 | ↓ -52% |
| Blue Cross Blue Shield of Minnesota | State Employees | $181.80 | ↓ -44% |
| Sanford Health Plan | SD Exchange Commercial | $184.26 | ↓ -43% |
| Sanford Health Plan | Commercial/ND Pers | $184.26 | ↓ -43% |
| Security Health Plan | Commercial | $222.20 | ↓ -31% |
| Health Partners | State Employees | $248.86 | ↓ -23% |
| Health Partners | Commercial | $286.84 | ↓ -11% |
| Ucare | Commercial | $315.52 | ↓ -2% |
| Aetna | Commercial | $331.28 | ↑ +3% |
| United Healthcare | Commercial + Top 20 | $337.34 | ↑ +4% |
| Medica | Choice | $360.37 | ↑ +12% |
| First Choice Health Network | Commercial | $363.60 | ↑ +13% |
| Multiplan | Commercial | $363.60 | ↑ +13% |
| Healthez | Commercial | $363.60 | ↑ +13% |
| Medica | Elect | $385.82 | ↑ +19% |
| Ucare | Medicaid Managed Care | not published by hospital | — |
| Primewest | Medicaid Managed Care | not published by hospital | — |
Visitor-reported prices
Comments
Surgical pathology level 4 gross & microscopic examination at other Minnesota hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Sanford Canby Medical Center | Canby | $115.20 | $65.66 – $129.60 |
| Sanford Westbrook Hospital | Westbrook | $145.60 | $77.90 – $163.80 |
| Sanford Bagley Medical Center | Bagley | $176.00 | $79.75 – $198.00 |
| Sanford Wheaton | Wheaton | $154.40 | $79.75 – $173.70 |
| Sanford Luverne Medical Center | Luverne | $128.80 | $56.67 – $144.90 |
| Sanford Bemidji Medical Center | Bemidji | $176.00 | $39.09 – $198.00 |
| Sanford Tracy Hospital | Tracy | $145.60 | $70.98 – $163.80 |
| Sanford Thief River Falls Medical Center | Thief River Falls | $148.00 | $42.18 – $99.90 |