Tocilizumab 162 mg/0.9 ml subcutaneous pen injector at Sanford Worthington Medical Center
1018 6th Ave, Worthington, MN · Sanford Health · · NPI 1396712618
$4,203.04
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.
$5,253.80
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.
$5.42 with Sanford Health Plan Align vs $1,060.78 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 |
|---|---|---|---|
| Sanford Health Plan Align | Medicare Replacement | $5.42 | ↓ -100% |
| Ucare | Medicare Replacement | $5.82 | ↓ -100% |
| Blue Cross Blue Shield of Minnesota | Medicare Replacement | $5.88 | ↓ -100% |
| United Healthcare | Medicare Replacement | $5.88 | ↓ -100% |
| Aetna | Medicare Replacement | $5.88 | ↓ -100% |
| Great Plains Medicare Advantage | Medicare Replacement | $5.88 | ↓ -100% |
| Health Partners | Medicare Replacement | $5.88 | ↓ -100% |
| Primewest | Medicare Replacement | $5.99 | ↓ -100% |
| Health Partners | State Employees | $6.08 | ↓ -100% |
| Health Partners | Commercial | $6.08 | ↓ -100% |
| Blue Cross Blue Shield of Minnesota | Commercial/Federal | $6.19 | ↓ -100% |
| Blue Cross Blue Shield of Minnesota | PMAP | $6.19 | ↓ -100% |
| Sanford Health Plan | Group Health/True | $430.64 | ↓ -90% |
| Sanford Health Plan | SD Exchange True | $430.64 | ↓ -90% |
| Blue Cross Blue Shield of Minnesota | State Employees | $499.84 | ↓ -88% |
| Sanford Health Plan | SD Exchange Commercial | $506.62 | ↓ -88% |
| Sanford Health Plan | Commercial/ND Pers | $506.62 | ↓ -88% |
| Security Health Plan | Commercial | $610.92 | ↓ -85% |
| Ucare | Commercial | $867.50 | ↓ -79% |
| Aetna | Commercial | $910.82 | ↓ -78% |
| United Healthcare | Commercial + Top 20 | $927.48 | ↓ -78% |
| Medica | Choice | $990.80 | ↓ -76% |
| First Choice Health Network | Commercial | $999.68 | ↓ -76% |
| Multiplan | Commercial | $999.68 | ↓ -76% |
| Healthez | Commercial | $999.68 | ↓ -76% |
| Medica | Elect | $1,060.78 | ↓ -75% |
| Ucare | Medicaid Managed Care | not published by hospital | — |
| Primewest | Medicaid Managed Care | not published by hospital | — |
Visitor-reported prices
Comments
Tocilizumab 162 mg/0.9 ml subcutaneous pen injector at other Minnesota hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Sanford Luverne Medical Center | Luverne | $4,289.76 | $6.08 – $876.83 |
| Sanford Bemidji Medical Center | Bemidji | $2,328.00 | $5.42 – $858.64 |
| Sanford Tracy Hospital | Tracy | $4,203.08 | $6.08 – $2,397.98 |
| Sanford Thief River Falls Medical Center | Thief River Falls | $4,621.01 | $6.08 – $1,720.89 |
| Sanford Behavioral Health Thief River Falls | Thief River Falls | $4,621.01 | $6.08 – $1,720.89 |
| United Hospital | MN | 1175 Nininger Road. Hastings | $6,308.90 | $5.33 – $9.55 |
| Owatonna Hospital | Owatonna | $7,360.39 | $5.33 – $9,698.52 |
| Abbott Northwestern Hospital | MN 55407 | $6,308.90 | $5.33 – $17.83 |