Does Sanford Worthington Medical Center have an emergency room?

Yes. Medicare (CMS) data lists emergency services at Sanford Worthington Medical Center. In a medical emergency, call 911.

Where is Sanford Worthington Medical Center?

1018 Sixth Avenue PO Box 997, Worthington, MN 56187, in Nobles County, Minnesota.

What is the phone number of Sanford Worthington Medical Center?

(507) 372-3110, as listed by Medicare (CMS).

What is the Medicare star rating of Sanford Worthington Medical Center?

4 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-07-22).

Sanford Worthington Medical Center

Quick answers

Does Sanford Worthington Medical Center have an emergency room?: Yes. Medicare (CMS) data lists emergency services at Sanford Worthington Medical Center. In a medical emergency, call 911.
Where is Sanford Worthington Medical Center?: 1018 Sixth Avenue PO Box 997, Worthington, MN 56187, in Nobles County, Minnesota.
What is the phone number of Sanford Worthington Medical Center?: (507) 372-3110, as listed by Medicare (CMS).
What is the Medicare star rating of Sanford Worthington Medical Center?: 4 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-07-22).

Specialties and care areas^[4]

Cancer care
Cardiology
Dialysis
Ear, nose and throat care
Emergency care
Gynecology
Occupational therapy
Orthopedics
Pediatrics
Pregnancy care
Surgery
Urology
Anesthesiology
Critical Care
Internal Medicine
Nephrology
Nutrition
Pathology
Pediatric Gastroenterology
Physical Medicine & Rehabilitation
Pulmonology

Treatments^[4]

Dialysis
Intensive Care
Mammography
Colorectal Cancer Screenings
Heart Screenings
Vascular Screenings
Wound Care
Laboratory
Pharmacy

Programs and centers^[4]

Breastfeeding support
Home Care
Heart Rehabilitation and Support
Direct Access Testing

Emergency care (hospital website)^[4]

Emergency room	Yes
Open 24/7	Yes

Doctors and clinicians (243)

243 doctors and other clinicians list Sanford Worthington Medical Center as a hospital where they work, in Medicare's official clinician data (updated 2026-10-02). It is not a complete staff list.

Main specialties

And 219 more: the button below opens the full list.

Other emergency rooms nearby

Hospitals that list emergency services, by straight-line distance (not driving distance).

Osceola Community Hospital17 mi · Sibley, IA · Critical Access Hospital
Murray County Memorial Hospital27 mi · Slayton, MN · Critical Access Hospital
Lakes Regional Healthcare28 mi · Spirit Lake, IA · Acute Care Hospital
Windom Area Health29 mi · Windom, MN · Critical Access Hospital
Sanford Jackson Medical Center30 mi · Jackson, MN · Critical Access Hospital

Other hospitals nearby

Sanford Westbrook Medical Center30 mi · Westbrook, MN · Critical Access Hospital

Nursing homes, hospice, home health and dialysis nearby

Medicare-certified providers within 25 miles, by straight-line distance. Hospice and home health care is given at home: their address is the office.

Nursing homes

The Shores of Worthington1.0 mi · Worthington, MN · 1 of 5 stars
Osceola Senior Living16 mi · Sibley, IA · 5 of 5 stars
Sibley Specialty Care17 mi · Sibley, IA · 5 of 5 stars

All nursing homes in the state →

Hospice providers

Compassionate Care Hospice0.8 mi · Worthington, MN

All hospice providers in the state →

Dialysis facilities

Sanford Worthington Medical Center0.8 mi · Worthington, MN · 4 of 5 stars

All dialysis facilities in the state →

Community care nearby

Health centers, clinics, urgent care and pharmacies closest to this hospital, by straight-line distance, from official HRSA, Medicare and NPI Registry data. In a medical emergency, call 911.

Community health centers

Access Health - Worthington0.9 mi · Worthington, MN · Community health center
Access Health-Fulda17 mi · Fulda, MN · Community health center

Clinics and urgent care

Sanford Clinic Lakefield20 mi · Lakefield, MN · Rural health clinic

Pharmacies

Astrup Drug Inc0.8 mi · Worthington, MN · Community/retail pharmacy
Hy-Vee Inc0.8 mi · Worthington, MN · Community/retail pharmacy
Walgreen Co0.8 mi · Worthington, MN · Pharmacy

Assisted living nearby

Licensed homes from the official state licence list, by straight-line distance.

Ecumen Worthington the Meadows0.8 mi · Worthington, MN

About the Medicare star rating

CMS (the federal Medicare agency) gives many hospitals an overall rating from 1 to 5 stars, based on measures of mortality, safety, readmissions, patient experience and timely care. It is one piece of information: ask your doctor what matters for your care. See the full Medicare profile →

Medicare quality data

What Sanford Worthington Medical Center reported to Medicare (CMS), the federal agency that publishes these results for hospitals nationwide. These are averages for many patients, not a prediction for any one person: ask your doctor what matters for your care. In a medical emergency, call 911.

What patients said (patient survey)

What this means: Patients who stayed overnight answered a national survey (HCAHPS) about their stay. More stars mean patients reported a better experience than at other hospitals. The percentages show how often patients gave the best answer, next to the national average.

Summary star rating (all survey topics)	4 of 5 stars
Overall rating of the hospital	4 of 5 stars
Would recommend the hospital	4 of 5 stars
Nurses communicated well	4 of 5 stars
Doctors communicated well	4 of 5 stars
Staff explained medicines	3 of 5 stars
Information about recovery at home	4 of 5 stars
Room and bathroom kept clean	3 of 5 stars
Quiet at night	4 of 5 stars
Rated the hospital 9 or 10 out of 10	69%National average: 72%
Would definitely recommend the hospital	68%National average: 71%
Nurses “always” communicated well	80%National average: 80%
Doctors “always” communicated well	81%National average: 80%
Staff “always” explained medicines before giving them	60%National average: 62%
Were given information about recovery at home	90%National average: 86%
Room and bathroom “always” clean	66%National average: 74%
Area around the room “always” quiet at night	60%National average: 60%
Completed surveys	189Response rate: 23%

Source: Patient survey (HCAHPS) - Hospital — CMS, released July 22, 2026; patients discharged October 2024 to September 2025.

Infections caught in the hospital

What this means: CMS compares the number of infections patients caught in this hospital with the number expected for a hospital like it. The number shown is that ratio: below 1 means fewer infections than expected, above 1 means more. “Better” or “worse” is shown only when the difference is clear in the data.

Central line bloodstream infections (CLABSI)	Not reported to Medicare
Catheter-associated urinary tract infections (CAUTI)	Not reported to Medicare
Surgical site infections after colon surgery	Not reported to Medicare
Surgical site infections after abdominal hysterectomy	Not reported to Medicare
MRSA bloodstream infections	Not reported to Medicare
Clostridioides difficile (C. diff) intestinal infections	Not reported to Medicare

Source: Healthcare Associated Infections - Hospital — CMS, released July 22, 2026.

Complications and deaths

What this means: Death rates are the share of patients who died within 30 days of going into the hospital for that condition, adjusted for how sick they were. PSI-90 combines several serious complications (a lower number is better). “No different from the national rate” is the most common result and means the hospital is in line with hospitals nationwide.

Deaths within 30 days: heart attack patients	Too few cases to report
Deaths within 30 days: heart failure patients	13%
Deaths within 30 days: pneumonia patients	17.2%
Deaths within 30 days: COPD patients	Too few cases to report
Deaths within 30 days: stroke patients	Too few cases to report
Deaths within 30 days: coronary bypass surgery (CABG)	Not reported to Medicare
Serious complications (patient safety indicator PSI-90)	1No different from the national rate
Complications after hip or knee replacement	Too few cases to report

Source: Complications and Deaths - Hospital — CMS, released September 10, 2026; data from July 2022 to June 2025.

Return visits to the hospital (readmissions)

What this means: The share of patients who had to be admitted to a hospital again within 30 days after going home, adjusted for how sick they were. A lower percentage is better.

Returned to any hospital within 30 days (all patients)	Not reported to Medicare
Readmitted within 30 days: heart attack	Too few cases to report
Readmitted within 30 days: heart failure	19.7%
Readmitted within 30 days: pneumonia	17.6%
Readmitted within 30 days: COPD	19.4%
Readmitted within 30 days: coronary bypass surgery	Not reported to Medicare
Readmitted within 30 days: hip or knee replacement	Too few cases to report

Source: Unplanned Hospital Visits - Hospital — CMS, released September 10, 2026; data from July 2023 to June 2025.

Emergency room times and sepsis care

What this means: ER time is the middle (median) time from arriving at the emergency room to leaving it; busier ERs usually have longer times, so the ER volume is shown too. Leaving before being seen: a lower percentage is better. Sepsis is a life-threatening reaction to an infection; a higher percentage means more patients got every recommended early step.

Emergency room volume (patients per year)	Low (under 20,000)
Average (median) time patients spent in the emergency room before leaving (OP-18b)	115 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)	1%National average: 2%
Sepsis patients who got all the recommended early care (SEP-1)	76%National average: 65%

Source: Timely and Effective Care - Hospital — CMS, released July 22, 2026; data from January 2024 to December 2024.

See every measure on Medicare Care Compare →

ER wait times and Medicare ratings nearby

How this hospital compares with others in the area, ranked only by official Medicare (CMS) numbers.

ER wait times in Minnesota Best hospitals in Minnesota

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 86 common services exactly as Sanford Worthington Medical Center lists them in its file. This is not a quote: what you pay depends on your insurance and plan, the doctors involved and the care you actually receive. Prices change: ask the hospital for an estimate before you schedule care (if you are uninsured or paying yourself, you have the right to a written “good faith estimate”). In a medical emergency, call 911.

What the prices mean

Hospital charge: The hospital’s list price (“gross charge”) before any discount or insurance. Few people pay this amount.
Cash price: The price the hospital offers if you pay yourself, without insurance (“discounted cash price”).
Insurance rates: The lowest and highest amounts the hospital has agreed with any insurance plan for the service (“de-identified minimum and maximum”), and some of the rates it lists by insurer and plan. Your share depends on your deductible, copay and coinsurance.
Hospital and doctor fees: A service can have a hospital (facility) fee and a separate doctor (professional) fee; the total for your care can include both, plus other services.

How to use hospital prices: estimates, financial assistance and your rights →

$ 3 amounts are marked with “!”: they are more than 100 times higher or lower than what other hospitals list for the same service, which usually means an error or a different unit in the hospital’s file. They are shown exactly as listed; ask the hospital before relying on them.

Office and emergency visits

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: NEW OB CHECK LVL3	$707	$565.60	$101.35 – $675.19
New patient office visit (about 30–44 minutes): 10 of 26 insurance plan rates Aetna — Commercial: $579.74 Aetna — Medicare Replacement: $109.89 Blue Cross Blue Shield of Minnesota — Commercial/Federal: $145.91 Blue Cross Blue Shield of Minnesota — Medicare Replacement: $109.89 Blue Cross Blue Shield of Minnesota — PMAP: $145.91 Blue Cross Blue Shield of Minnesota — State Employees: $318.15 First Choice Health Network — Commercial: $636.30 Great Plains Medicare Advantage — Medicare Replacement: $109.89 Health Partners — Commercial: $501.97 Health Partners — Medicare Replacement: $109.89
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: NEW AMS OR CONSULT PATIENT LVL 3	$193	$154.40	$74.83 – $184.32
New patient office visit (about 30–44 minutes): 10 of 26 insurance plan rates Aetna — Commercial: $158.26 Aetna — Medicare Replacement: $109.89 Blue Cross Blue Shield of Minnesota — Commercial/Federal: $145.91 Blue Cross Blue Shield of Minnesota — Medicare Replacement: $109.89 Blue Cross Blue Shield of Minnesota — PMAP: $145.91 Blue Cross Blue Shield of Minnesota — State Employees: $86.85 First Choice Health Network — Commercial: $173.70 Great Plains Medicare Advantage — Medicare Replacement: $109.89 Health Partners — Commercial: $137.03 Health Partners — Medicare Replacement: $109.89
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: NEW OB CHECK LVL 3 W MOD 25	$707	$565.60	$101.35 – $675.19
New patient office visit (about 30–44 minutes): 10 of 26 insurance plan rates Aetna — Commercial: $579.74 Aetna — Medicare Replacement: $109.89 Blue Cross Blue Shield of Minnesota — Commercial/Federal: $145.91 Blue Cross Blue Shield of Minnesota — Medicare Replacement: $109.89 Blue Cross Blue Shield of Minnesota — PMAP: $145.91 Blue Cross Blue Shield of Minnesota — State Employees: $318.15 First Choice Health Network — Commercial: $636.30 Great Plains Medicare Advantage — Medicare Replacement: $109.89 Health Partners — Commercial: $501.97 Health Partners — Medicare Replacement: $109.89
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: NEW OB CHECK LVL4	$991	$792.80	$151.72 – $946.41
New patient office visit (about 45–59 minutes): 10 of 26 insurance plan rates Aetna — Commercial: $812.62 Aetna — Medicare Replacement: $164.49 Blue Cross Blue Shield of Minnesota — Commercial/Federal: $237.41 Blue Cross Blue Shield of Minnesota — Medicare Replacement: $164.49 Blue Cross Blue Shield of Minnesota — PMAP: $237.41 Blue Cross Blue Shield of Minnesota — State Employees: $445.95 First Choice Health Network — Commercial: $891.90 Great Plains Medicare Advantage — Medicare Replacement: $164.49 Health Partners — Commercial: $703.61 Health Partners — Medicare Replacement: $164.49
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: NEW AMS OR CONSULT PATIENT LVL 4	$226	$180.80	$87.62 – $237.41
New patient office visit (about 45–59 minutes): 10 of 26 insurance plan rates Aetna — Commercial: $185.32 Aetna — Medicare Replacement: $164.49 Blue Cross Blue Shield of Minnesota — Commercial/Federal: $237.41 Blue Cross Blue Shield of Minnesota — Medicare Replacement: $164.49 Blue Cross Blue Shield of Minnesota — PMAP: $237.41 Blue Cross Blue Shield of Minnesota — State Employees: $101.70 First Choice Health Network — Commercial: $203.40 Great Plains Medicare Advantage — Medicare Replacement: $164.49 Health Partners — Commercial: $160.46 Health Partners — Medicare Replacement: $164.49
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: NEW OB CHECK LVL 4 W MOD 25	$991	$792.80	$151.72 – $946.41
New patient office visit (about 45–59 minutes): 10 of 26 insurance plan rates Aetna — Commercial: $812.62 Aetna — Medicare Replacement: $164.49 Blue Cross Blue Shield of Minnesota — Commercial/Federal: $237.41 Blue Cross Blue Shield of Minnesota — Medicare Replacement: $164.49 Blue Cross Blue Shield of Minnesota — PMAP: $237.41 Blue Cross Blue Shield of Minnesota — State Employees: $445.95 First Choice Health Network — Commercial: $891.90 Great Plains Medicare Advantage — Medicare Replacement: $164.49 Health Partners — Commercial: $703.61 Health Partners — Medicare Replacement: $164.49
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: NEW OB CHECK LVL5	$1,463	$1,170.40	$199.82 – $1,397.17
New patient office visit (about 60–74 minutes): 10 of 26 insurance plan rates Aetna — Commercial: $1,199.66 Aetna — Medicare Replacement: $216.65 Blue Cross Blue Shield of Minnesota — Commercial/Federal: $322.92 Blue Cross Blue Shield of Minnesota — Medicare Replacement: $216.65 Blue Cross Blue Shield of Minnesota — PMAP: $322.92 Blue Cross Blue Shield of Minnesota — State Employees: $658.35 First Choice Health Network — Commercial: $1,316.70 Great Plains Medicare Advantage — Medicare Replacement: $216.65 Health Partners — Commercial: $1,038.73 Health Partners — Medicare Replacement: $216.65
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: NEW AMS OR CONSULT PATIENT LVL 5	$294	$235.20	$113.98 – $322.92
New patient office visit (about 60–74 minutes): 10 of 26 insurance plan rates Aetna — Commercial: $241.08 Aetna — Medicare Replacement: $216.65 Blue Cross Blue Shield of Minnesota — Commercial/Federal: $322.92 Blue Cross Blue Shield of Minnesota — Medicare Replacement: $216.65 Blue Cross Blue Shield of Minnesota — PMAP: $322.92 Blue Cross Blue Shield of Minnesota — State Employees: $132.30 First Choice Health Network — Commercial: $264.60 Great Plains Medicare Advantage — Medicare Replacement: $216.65 Health Partners — Commercial: $208.74 Health Partners — Medicare Replacement: $216.65
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: NEW OB CHECK LVL 5 W MOD 25	$1,463	$1,170.40	$199.82 – $1,397.17
New patient office visit (about 60–74 minutes): 10 of 26 insurance plan rates Aetna — Commercial: $1,199.66 Aetna — Medicare Replacement: $216.65 Blue Cross Blue Shield of Minnesota — Commercial/Federal: $322.92 Blue Cross Blue Shield of Minnesota — Medicare Replacement: $216.65 Blue Cross Blue Shield of Minnesota — PMAP: $322.92 Blue Cross Blue Shield of Minnesota — State Employees: $658.35 First Choice Health Network — Commercial: $1,316.70 Great Plains Medicare Advantage — Medicare Replacement: $216.65 Health Partners — Commercial: $1,038.73 Health Partners — Medicare Replacement: $216.65
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ESTAB LEVEL 3	$220	$176	$83.39 – $210.10
Established patient office visit (about 20–29 minutes): 10 of 26 insurance plan rates Aetna — Commercial: $180.40 Aetna — Medicare Replacement: $90.41 Blue Cross Blue Shield of Minnesota — Commercial/Federal: $117.21 Blue Cross Blue Shield of Minnesota — Medicare Replacement: $90.41 Blue Cross Blue Shield of Minnesota — PMAP: $117.21 Blue Cross Blue Shield of Minnesota — State Employees: $99 First Choice Health Network — Commercial: $198 Great Plains Medicare Advantage — Medicare Replacement: $90.41 Health Partners — Commercial: $156.20 Health Partners — Medicare Replacement: $90.41
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LEVEL 3 EST W MOD 25	$220	$176	$83.39 – $210.10
Established patient office visit (about 20–29 minutes): 10 of 26 insurance plan rates Aetna — Commercial: $180.40 Aetna — Medicare Replacement: $90.41 Blue Cross Blue Shield of Minnesota — Commercial/Federal: $117.21 Blue Cross Blue Shield of Minnesota — Medicare Replacement: $90.41 Blue Cross Blue Shield of Minnesota — PMAP: $117.21 Blue Cross Blue Shield of Minnesota — State Employees: $99 First Choice Health Network — Commercial: $198 Great Plains Medicare Advantage — Medicare Replacement: $90.41 Health Partners — Commercial: $156.20 Health Partners — Medicare Replacement: $90.41
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: TX RM 99213 TREATMENT RM LEVEL III	$420	$336	$83.39 – $401.10
Established patient office visit (about 20–29 minutes): 10 of 26 insurance plan rates Aetna — Commercial: $344.40 Aetna — Medicare Replacement: $90.41 Blue Cross Blue Shield of Minnesota — Commercial/Federal: $117.21 Blue Cross Blue Shield of Minnesota — Medicare Replacement: $90.41 Blue Cross Blue Shield of Minnesota — PMAP: $117.21 Blue Cross Blue Shield of Minnesota — State Employees: $189 First Choice Health Network — Commercial: $378 Great Plains Medicare Advantage — Medicare Replacement: $90.41 Health Partners — Commercial: $298.20 Health Partners — Medicare Replacement: $90.41
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ESTAB LEVEL 4	$306	$244.80	$117.08 – $292.23
Established patient office visit (about 30–39 minutes): 10 of 26 insurance plan rates Aetna — Commercial: $250.92 Aetna — Medicare Replacement: $126.94 Blue Cross Blue Shield of Minnesota — Commercial/Federal: $172.82 Blue Cross Blue Shield of Minnesota — Medicare Replacement: $126.94 Blue Cross Blue Shield of Minnesota — PMAP: $172.82 Blue Cross Blue Shield of Minnesota — State Employees: $137.70 First Choice Health Network — Commercial: $275.40 Great Plains Medicare Advantage — Medicare Replacement: $126.94 Health Partners — Commercial: $217.26 Health Partners — Medicare Replacement: $126.94
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LEVEL 4 EST W MOD 25	$306	$244.80	$117.08 – $292.23
Established patient office visit (about 30–39 minutes): 10 of 26 insurance plan rates Aetna — Commercial: $250.92 Aetna — Medicare Replacement: $126.94 Blue Cross Blue Shield of Minnesota — Commercial/Federal: $172.82 Blue Cross Blue Shield of Minnesota — Medicare Replacement: $126.94 Blue Cross Blue Shield of Minnesota — PMAP: $172.82 Blue Cross Blue Shield of Minnesota — State Employees: $137.70 First Choice Health Network — Commercial: $275.40 Great Plains Medicare Advantage — Medicare Replacement: $126.94 Health Partners — Commercial: $217.26 Health Partners — Medicare Replacement: $126.94
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EST OB CHECK LVL4	$851	$680.80	$117.08 – $812.71
Established patient office visit (about 30–39 minutes): 10 of 26 insurance plan rates Aetna — Commercial: $697.82 Aetna — Medicare Replacement: $126.94 Blue Cross Blue Shield of Minnesota — Commercial/Federal: $172.82 Blue Cross Blue Shield of Minnesota — Medicare Replacement: $126.94 Blue Cross Blue Shield of Minnesota — PMAP: $172.82 Blue Cross Blue Shield of Minnesota — State Employees: $382.95 First Choice Health Network — Commercial: $765.90 Great Plains Medicare Advantage — Medicare Replacement: $126.94 Health Partners — Commercial: $604.21 Health Partners — Medicare Replacement: $126.94
Office consultation with a specialist (moderate) CPT 99243 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFF/OP CNSLTJ NEW/EST LOW 30	Not listed in the file	Not listed in the file	$102.40 – $156.68
Office consultation with a specialist (moderate): rates for 10 insurance plans Aetna — Medicare Replacement: $111.03 Blue Cross Blue Shield of Minnesota — Commercial/Federal: $156.68 Blue Cross Blue Shield of Minnesota — Medicare Replacement: $111.03 Blue Cross Blue Shield of Minnesota — PMAP: $156.68 Great Plains Medicare Advantage — Medicare Replacement: $111.03 Health Partners — Medicare Replacement: $111.03 Primewest — Medicare Replacement: $113.18 Sanford Health Plan Align — Medicare Replacement: $102.40 Ucare — Medicare Replacement: $109.95 United Healthcare — Medicare Replacement: $111.03
Office consultation with a specialist (moderate to high) CPT 99244 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFF/OP CNSLTJ NEW/EST MOD 40	Not listed in the file	Not listed in the file	$145.87 – $238.60
Office consultation with a specialist (moderate to high): rates for 10 insurance plans Aetna — Medicare Replacement: $158.16 Blue Cross Blue Shield of Minnesota — Commercial/Federal: $238.60 Blue Cross Blue Shield of Minnesota — Medicare Replacement: $158.16 Blue Cross Blue Shield of Minnesota — PMAP: $238.60 Great Plains Medicare Advantage — Medicare Replacement: $158.16 Health Partners — Medicare Replacement: $158.16 Primewest — Medicare Replacement: $161.23 Sanford Health Plan Align — Medicare Replacement: $145.87 Ucare — Medicare Replacement: $156.62 United Healthcare — Medicare Replacement: $158.16
Preventive checkup, new patient, age 18–39 CPT 99385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PREV VISIT NEW AGE 18-39	Not listed in the file	Not listed in the file	$118.47 – $166.24
Preventive checkup, new patient, age 18–39: rates for 10 insurance plans Aetna — Medicare Replacement: $128.44 Blue Cross Blue Shield of Minnesota — Commercial/Federal: $166.24 Blue Cross Blue Shield of Minnesota — Medicare Replacement: $128.44 Blue Cross Blue Shield of Minnesota — PMAP: $166.24 Great Plains Medicare Advantage — Medicare Replacement: $128.44 Health Partners — Medicare Replacement: $128.44 Primewest — Medicare Replacement: $130.94 Sanford Health Plan Align — Medicare Replacement: $118.47 Ucare — Medicare Replacement: $127.20 United Healthcare — Medicare Replacement: $128.44
Preventive checkup, new patient, age 40–64 CPT 99386 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PREV VISIT NEW AGE 40-64	Not listed in the file	Not listed in the file	$136.29 – $201.53
Preventive checkup, new patient, age 40–64: rates for 10 insurance plans Aetna — Medicare Replacement: $147.77 Blue Cross Blue Shield of Minnesota — Commercial/Federal: $201.53 Blue Cross Blue Shield of Minnesota — Medicare Replacement: $147.77 Blue Cross Blue Shield of Minnesota — PMAP: $201.53 Great Plains Medicare Advantage — Medicare Replacement: $147.77 Health Partners — Medicare Replacement: $147.77 Primewest — Medicare Replacement: $150.64 Sanford Health Plan Align — Medicare Replacement: $136.29 Ucare — Medicare Replacement: $146.33 United Healthcare — Medicare Replacement: $147.77
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ED 99283 EMER CASE LEVEL III	$835	$668	$210.29 – $797.43
Emergency room visit (moderate): 10 of 28 insurance plan rates Aetna — Commercial: $684.70 Aetna — Medicare Replacement: $279.89 Blue Cross Blue Shield of Minnesota — Commercial/Federal: $776.93 Blue Cross Blue Shield of Minnesota — Medicare Replacement: $279.89 Blue Cross Blue Shield of Minnesota — PMAP: $210.29 Blue Cross Blue Shield of Minnesota — State Employees: $375.75 First Choice Health Network — Commercial: $751.50 Great Plains Medicare Advantage — Medicare Replacement: $279.89 Health Partners — Commercial: $592.85 Health Partners — Medicare Replacement: $279.89
Emergency room visit (moderate) CPT 99283 · Inpatient (hospital stay) · Hospital (facility) fee In the file: ED 99283 EMER CASE LEVEL III	$835	$668	$323.73 – $797.43
Emergency room visit (moderate): 10 of 13 insurance plan rates Aetna — Commercial: $684.70 First Choice Health Network — Commercial: $751.50 Healthez — Commercial: $751.50 Medica — Choice: $744.82 Medica — Elect: $797.43 Multiplan — Commercial: $751.50 Sanford Health Plan — Commercial/ND Pers: $380.84 Sanford Health Plan — Group Health/True: $323.73 Sanford Health Plan — SD Exchange Commercial: $380.84 Sanford Health Plan — SD Exchange True: $323.73
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ED 99284 EMER CASE LEVEL IV	$1,100	$880	$326.43 – $1,206.01
Emergency room visit (moderately high): 10 of 28 insurance plan rates Aetna — Commercial: $902 Aetna — Medicare Replacement: $430.44 Blue Cross Blue Shield of Minnesota — Commercial/Federal: $1,206.01 Blue Cross Blue Shield of Minnesota — Medicare Replacement: $430.44 Blue Cross Blue Shield of Minnesota — PMAP: $326.43 Blue Cross Blue Shield of Minnesota — State Employees: $495 First Choice Health Network — Commercial: $990 Great Plains Medicare Advantage — Medicare Replacement: $430.44 Health Partners — Commercial: $781 Health Partners — Medicare Replacement: $430.44
Emergency room visit (moderately high) CPT 99284 · Inpatient (hospital stay) · Hospital (facility) fee In the file: ED 99284 EMER CASE LEVEL IV	$1,100	$880	$426.47 – $1,050.50
Emergency room visit (moderately high): 10 of 13 insurance plan rates Aetna — Commercial: $902 First Choice Health Network — Commercial: $990 Healthez — Commercial: $990 Medica — Choice: $981.20 Medica — Elect: $1,050.50 Multiplan — Commercial: $990 Sanford Health Plan — Commercial/ND Pers: $501.71 Sanford Health Plan — Group Health/True: $426.47 Sanford Health Plan — SD Exchange Commercial: $501.71 Sanford Health Plan — SD Exchange True: $426.47
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ED 99285 EMER CASE LEVEL V	$1,669	$1,335.20	$473.40 – $1,748.98
Emergency room visit (high): 10 of 28 insurance plan rates Aetna — Commercial: $1,368.58 Aetna — Medicare Replacement: $619.75 Blue Cross Blue Shield of Minnesota — Commercial/Federal: $1,748.98 Blue Cross Blue Shield of Minnesota — Medicare Replacement: $619.75 Blue Cross Blue Shield of Minnesota — PMAP: $473.40 Blue Cross Blue Shield of Minnesota — State Employees: $751.05 First Choice Health Network — Commercial: $1,502.10 Great Plains Medicare Advantage — Medicare Replacement: $619.75 Health Partners — Commercial: $1,184.99 Health Partners — Medicare Replacement: $619.75
Emergency room visit (high) CPT 99285 · Inpatient (hospital stay) · Hospital (facility) fee In the file: ED 99285 EMER CASE LEVEL V	$1,669	$1,335.20	$647.07 – $1,593.90
Emergency room visit (high): 10 of 13 insurance plan rates Aetna — Commercial: $1,368.58 First Choice Health Network — Commercial: $1,502.10 Healthez — Commercial: $1,502.10 Medica — Choice: $1,488.75 Medica — Elect: $1,593.90 Multiplan — Commercial: $1,502.10 Sanford Health Plan — Commercial/ND Pers: $761.23 Sanford Health Plan — Group Health/True: $647.07 Sanford Health Plan — SD Exchange Commercial: $761.23 Sanford Health Plan — SD Exchange True: $647.07

Lab tests

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BASIC METABOLIC PNL TOTAL CA	Not listed in the file	Not listed in the file	$8.04 – $8.88
Basic metabolic panel (blood test): rates for 10 insurance plans Aetna — Medicare Replacement: $8.71 Blue Cross Blue Shield of Minnesota — Commercial/Federal: $8.46 Blue Cross Blue Shield of Minnesota — Medicare Replacement: $8.71 Blue Cross Blue Shield of Minnesota — PMAP: $8.46 Great Plains Medicare Advantage — Medicare Replacement: $8.71 Health Partners — Medicare Replacement: $8.71 Primewest — Medicare Replacement: $8.88 Sanford Health Plan Align — Medicare Replacement: $8.04 Ucare — Medicare Replacement: $8.63 United Healthcare — Medicare Replacement: $8.71
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPREHEN METABOLIC PANEL	Not listed in the file	Not listed in the file	$10.03 – $11.09
Comprehensive metabolic panel (blood test): rates for 10 insurance plans Aetna — Medicare Replacement: $10.88 Blue Cross Blue Shield of Minnesota — Commercial/Federal: $10.56 Blue Cross Blue Shield of Minnesota — Medicare Replacement: $10.88 Blue Cross Blue Shield of Minnesota — PMAP: $10.56 Great Plains Medicare Advantage — Medicare Replacement: $10.88 Health Partners — Medicare Replacement: $10.88 Primewest — Medicare Replacement: $11.09 Sanford Health Plan Align — Medicare Replacement: $10.03 Ucare — Medicare Replacement: $10.77 United Healthcare — Medicare Replacement: $10.88
Obstetric blood test panel CPT 80055 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OBSTETRIC PANEL	Not listed in the file	Not listed in the file	$45.42 – $50.20
Obstetric blood test panel: rates for 10 insurance plans Aetna — Medicare Replacement: $49.24 Blue Cross Blue Shield of Minnesota — Commercial/Federal: $47.81 Blue Cross Blue Shield of Minnesota — Medicare Replacement: $49.24 Blue Cross Blue Shield of Minnesota — PMAP: $47.81 Great Plains Medicare Advantage — Medicare Replacement: $49.24 Health Partners — Medicare Replacement: $49.24 Primewest — Medicare Replacement: $50.20 Sanford Health Plan Align — Medicare Replacement: $45.42 Ucare — Medicare Replacement: $48.77 United Healthcare — Medicare Replacement: $49.24
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LIPID PANEL	Not listed in the file	Not listed in the file	$12.72 – $14.06
Cholesterol panel (lipid panel): rates for 10 insurance plans Aetna — Medicare Replacement: $13.79 Blue Cross Blue Shield of Minnesota — Commercial/Federal: $13.39 Blue Cross Blue Shield of Minnesota — Medicare Replacement: $13.79 Blue Cross Blue Shield of Minnesota — PMAP: $13.39 Great Plains Medicare Advantage — Medicare Replacement: $13.79 Health Partners — Medicare Replacement: $13.79 Primewest — Medicare Replacement: $14.06 Sanford Health Plan Align — Medicare Replacement: $12.72 Ucare — Medicare Replacement: $13.66 United Healthcare — Medicare Replacement: $13.79
Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: RENAL FUNCTION PANEL	Not listed in the file	Not listed in the file	$8.25 – $9.11
Kidney function panel: rates for 10 insurance plans Aetna — Medicare Replacement: $8.94 Blue Cross Blue Shield of Minnesota — Commercial/Federal: $8.68 Blue Cross Blue Shield of Minnesota — Medicare Replacement: $8.94 Blue Cross Blue Shield of Minnesota — PMAP: $8.68 Great Plains Medicare Advantage — Medicare Replacement: $8.94 Health Partners — Medicare Replacement: $8.94 Primewest — Medicare Replacement: $9.11 Sanford Health Plan Align — Medicare Replacement: $8.25 Ucare — Medicare Replacement: $8.85 United Healthcare — Medicare Replacement: $8.94
Liver function panel CPT 80076 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HEPATIC FUNCTION PANEL	Not listed in the file	Not listed in the file	$7.76 – $8.58
Liver function panel: rates for 10 insurance plans Aetna — Medicare Replacement: $8.42 Blue Cross Blue Shield of Minnesota — Commercial/Federal: $8.17 Blue Cross Blue Shield of Minnesota — Medicare Replacement: $8.42 Blue Cross Blue Shield of Minnesota — PMAP: $8.17 Great Plains Medicare Advantage — Medicare Replacement: $8.42 Health Partners — Medicare Replacement: $8.42 Primewest — Medicare Replacement: $8.58 Sanford Health Plan Align — Medicare Replacement: $7.76 Ucare — Medicare Replacement: $8.33 United Healthcare — Medicare Replacement: $8.42
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: URINALYSIS AUTO W/SCOPE	Not listed in the file	Not listed in the file	$3.01 – $3.33
Urine test (automated, with microscope): rates for 10 insurance plans Aetna — Medicare Replacement: $3.27 Blue Cross Blue Shield of Minnesota — Commercial/Federal: $3.17 Blue Cross Blue Shield of Minnesota — Medicare Replacement: $3.27 Blue Cross Blue Shield of Minnesota — PMAP: $3.17 Great Plains Medicare Advantage — Medicare Replacement: $3.27 Health Partners — Medicare Replacement: $3.27 Primewest — Medicare Replacement: $3.33 Sanford Health Plan Align — Medicare Replacement: $3.01 Ucare — Medicare Replacement: $3.23 United Healthcare — Medicare Replacement: $3.27
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: URINALYSIS NONAUTO W/O SCOPE	Not listed in the file	Not listed in the file	$3.31 – $3.65
Urine test (manual, without microscope): rates for 10 insurance plans Aetna — Medicare Replacement: $3.58 Blue Cross Blue Shield of Minnesota — Commercial/Federal: $3.48 Blue Cross Blue Shield of Minnesota — Medicare Replacement: $3.58 Blue Cross Blue Shield of Minnesota — PMAP: $3.48 Great Plains Medicare Advantage — Medicare Replacement: $3.58 Health Partners — Medicare Replacement: $3.58 Primewest — Medicare Replacement: $3.65 Sanford Health Plan Align — Medicare Replacement: $3.31 Ucare — Medicare Replacement: $3.55 United Healthcare — Medicare Replacement: $3.58
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: URINALYSIS AUTO W/O SCOPE	Not listed in the file	Not listed in the file	$2.14 – $2.36
Urine test (automated, without microscope): rates for 10 insurance plans Aetna — Medicare Replacement: $2.32 Blue Cross Blue Shield of Minnesota — Commercial/Federal: $2.25 Blue Cross Blue Shield of Minnesota — Medicare Replacement: $2.32 Blue Cross Blue Shield of Minnesota — PMAP: $2.25 Great Plains Medicare Advantage — Medicare Replacement: $2.32 Health Partners — Medicare Replacement: $2.32 Primewest — Medicare Replacement: $2.36 Sanford Health Plan Align — Medicare Replacement: $2.14 Ucare — Medicare Replacement: $2.30 United Healthcare — Medicare Replacement: $2.32
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ASSAY OF PSA TOTAL	Not listed in the file	Not listed in the file	$17.47 – $19.31
PSA (prostate specific antigen) blood test: rates for 10 insurance plans Aetna — Medicare Replacement: $18.94 Blue Cross Blue Shield of Minnesota — Commercial/Federal: $18.39 Blue Cross Blue Shield of Minnesota — Medicare Replacement: $18.94 Blue Cross Blue Shield of Minnesota — PMAP: $18.39 Great Plains Medicare Advantage — Medicare Replacement: $18.94 Health Partners — Medicare Replacement: $18.94 Primewest — Medicare Replacement: $19.31 Sanford Health Plan Align — Medicare Replacement: $17.47 Ucare — Medicare Replacement: $18.76 United Healthcare — Medicare Replacement: $18.94
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ASSAY THYROID STIM HORMONE	Not listed in the file	Not listed in the file	$15.96 – $17.64
Thyroid stimulating hormone (TSH) test: rates for 10 insurance plans Aetna — Medicare Replacement: $17.30 Blue Cross Blue Shield of Minnesota — Commercial/Federal: $16.80 Blue Cross Blue Shield of Minnesota — Medicare Replacement: $17.30 Blue Cross Blue Shield of Minnesota — PMAP: $16.80 Great Plains Medicare Advantage — Medicare Replacement: $17.30 Health Partners — Medicare Replacement: $17.30 Primewest — Medicare Replacement: $17.64 Sanford Health Plan Align — Medicare Replacement: $15.96 Ucare — Medicare Replacement: $17.14 United Healthcare — Medicare Replacement: $17.30
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPLETE CBC W/AUTO DIFF WBC	Not listed in the file	Not listed in the file	$7.38 – $8.16
Complete blood count (CBC) with differential: rates for 10 insurance plans Aetna — Medicare Replacement: $8 Blue Cross Blue Shield of Minnesota — Commercial/Federal: $7.77 Blue Cross Blue Shield of Minnesota — Medicare Replacement: $8 Blue Cross Blue Shield of Minnesota — PMAP: $7.77 Great Plains Medicare Advantage — Medicare Replacement: $8 Health Partners — Medicare Replacement: $8 Primewest — Medicare Replacement: $8.16 Sanford Health Plan Align — Medicare Replacement: $7.38 Ucare — Medicare Replacement: $7.93 United Healthcare — Medicare Replacement: $8
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPLETE CBC AUTOMATED	Not listed in the file	Not listed in the file	$6.15 – $6.79
Complete blood count (CBC), automated: rates for 10 insurance plans Aetna — Medicare Replacement: $6.66 Blue Cross Blue Shield of Minnesota — Commercial/Federal: $6.47 Blue Cross Blue Shield of Minnesota — Medicare Replacement: $6.66 Blue Cross Blue Shield of Minnesota — PMAP: $6.47 Great Plains Medicare Advantage — Medicare Replacement: $6.66 Health Partners — Medicare Replacement: $6.66 Primewest — Medicare Replacement: $6.79 Sanford Health Plan Align — Medicare Replacement: $6.15 Ucare — Medicare Replacement: $6.60 United Healthcare — Medicare Replacement: $6.66
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PROTHROMBIN TIME	Not listed in the file	Not listed in the file	$4.08 – $4.50
Blood clotting time test (prothrombin time, PT): rates for 10 insurance plans Aetna — Medicare Replacement: $4.42 Blue Cross Blue Shield of Minnesota — Commercial/Federal: $4.29 Blue Cross Blue Shield of Minnesota — Medicare Replacement: $4.42 Blue Cross Blue Shield of Minnesota — PMAP: $4.29 Great Plains Medicare Advantage — Medicare Replacement: $4.42 Health Partners — Medicare Replacement: $4.42 Primewest — Medicare Replacement: $4.50 Sanford Health Plan Align — Medicare Replacement: $4.08 Ucare — Medicare Replacement: $4.38 United Healthcare — Medicare Replacement: $4.42
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: THROMBOPLASTIN TIME PARTIAL	Not listed in the file	Not listed in the file	$5.71 – $6.31
Blood clotting test (partial thromboplastin time, PTT): rates for 10 insurance plans Aetna — Medicare Replacement: $6.19 Blue Cross Blue Shield of Minnesota — Commercial/Federal: $6.01 Blue Cross Blue Shield of Minnesota — Medicare Replacement: $6.19 Blue Cross Blue Shield of Minnesota — PMAP: $6.01 Great Plains Medicare Advantage — Medicare Replacement: $6.19 Health Partners — Medicare Replacement: $6.19 Primewest — Medicare Replacement: $6.31 Sanford Health Plan Align — Medicare Replacement: $5.71 Ucare — Medicare Replacement: $6.13 United Healthcare — Medicare Replacement: $6.19

Imaging (X-ray, CT, MRI, ultrasound, mammogram)

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT HEAD WO CONTRAST	$2,244	$1,795.20	$81.04 – $2,143.02
CT scan of the head or brain, without contrast: 10 of 28 insurance plan rates Aetna — Commercial: $1,840.08 Aetna — Medicare Replacement: $107.49 Blue Cross Blue Shield of Minnesota — Commercial/Federal: $299.39 Blue Cross Blue Shield of Minnesota — Medicare Replacement: $107.49 Blue Cross Blue Shield of Minnesota — PMAP: $81.04 Blue Cross Blue Shield of Minnesota — State Employees: $1,009.80 First Choice Health Network — Commercial: $2,019.60 Great Plains Medicare Advantage — Medicare Replacement: $107.49 Health Partners — Commercial: $1,593.24 Health Partners — Medicare Replacement: $107.49
CT scan of the head or brain, without contrast CPT 70450 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CT HEAD WO CONTRAST	$2,244	$1,795.20	$870 – $2,143.02
CT scan of the head or brain, without contrast: 10 of 13 insurance plan rates Aetna — Commercial: $1,840.08 First Choice Health Network — Commercial: $2,019.60 Healthez — Commercial: $2,019.60 Medica — Choice: $2,001.65 Medica — Elect: $2,143.02 Multiplan — Commercial: $2,019.60 Sanford Health Plan — Commercial/ND Pers: $1,023.49 Sanford Health Plan — Group Health/True: $870 Sanford Health Plan — SD Exchange Commercial: $1,023.49 Sanford Health Plan — SD Exchange True: $870
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI BRAIN WO THEN W CONT	$4,843.89	$3,875.12	$283.44 – $4,625.91
MRI of the brain, before and after contrast: 10 of 28 insurance plan rates Aetna — Commercial: $3,971.99 Aetna — Medicare Replacement: $361 Blue Cross Blue Shield of Minnesota — Commercial/Federal: $1,047.17 Blue Cross Blue Shield of Minnesota — Medicare Replacement: $361 Blue Cross Blue Shield of Minnesota — PMAP: $283.44 Blue Cross Blue Shield of Minnesota — State Employees: $2,179.75 First Choice Health Network — Commercial: $4,359.50 Great Plains Medicare Advantage — Medicare Replacement: $361 Health Partners — Commercial: $3,439.16 Health Partners — Medicare Replacement: $361
MRI of the brain, before and after contrast CPT 70553 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MRI BRAIN WO THEN W CONT	$4,843.89	$3,875.12	$1,877.98 – $4,625.91
MRI of the brain, before and after contrast: 10 of 13 insurance plan rates Aetna — Commercial: $3,971.99 First Choice Health Network — Commercial: $4,359.50 Healthez — Commercial: $4,359.50 Medica — Choice: $4,320.75 Medica — Elect: $4,625.91 Multiplan — Commercial: $4,359.50 Sanford Health Plan — Commercial/ND Pers: $2,209.30 Sanford Health Plan — Group Health/True: $1,877.98 Sanford Health Plan — SD Exchange Commercial: $2,209.30 Sanford Health Plan — SD Exchange True: $1,877.98
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: RAD EXAM CHEST 2 VWS	$375.10	$300.08	$66.97 – $358.22
Chest X-ray, 2 views: 10 of 28 insurance plan rates Aetna — Commercial: $307.58 Aetna — Medicare Replacement: $89 Blue Cross Blue Shield of Minnesota — Commercial/Federal: $247.43 Blue Cross Blue Shield of Minnesota — Medicare Replacement: $89 Blue Cross Blue Shield of Minnesota — PMAP: $66.97 Blue Cross Blue Shield of Minnesota — State Employees: $168.80 First Choice Health Network — Commercial: $337.59 Great Plains Medicare Advantage — Medicare Replacement: $89 Health Partners — Commercial: $266.32 Health Partners — Medicare Replacement: $89
Chest X-ray, 2 views CPT 71046 · Inpatient (hospital stay) · Hospital (facility) fee In the file: RAD EXAM CHEST 2 VWS	$375.10	$300.08	$145.43 – $358.22
Chest X-ray, 2 views: 10 of 13 insurance plan rates Aetna — Commercial: $307.58 First Choice Health Network — Commercial: $337.59 Healthez — Commercial: $337.59 Medica — Choice: $334.59 Medica — Elect: $358.22 Multiplan — Commercial: $337.59 Sanford Health Plan — Commercial/ND Pers: $171.08 Sanford Health Plan — Group Health/True: $145.43 Sanford Health Plan — SD Exchange Commercial: $171.08 Sanford Health Plan — SD Exchange True: $145.43
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: RAD EXAM SPINE LUMB MIN 4 VWS	$490	$392	$81.04 – $467.95
X-ray of the lower spine, at least 4 views: 10 of 28 insurance plan rates Aetna — Commercial: $401.80 Aetna — Medicare Replacement: $107.49 Blue Cross Blue Shield of Minnesota — Commercial/Federal: $299.39 Blue Cross Blue Shield of Minnesota — Medicare Replacement: $107.49 Blue Cross Blue Shield of Minnesota — PMAP: $81.04 Blue Cross Blue Shield of Minnesota — State Employees: $220.50 First Choice Health Network — Commercial: $441 Great Plains Medicare Advantage — Medicare Replacement: $107.49 Health Partners — Commercial: $347.90 Health Partners — Medicare Replacement: $107.49
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient (hospital stay) · Hospital (facility) fee In the file: RAD EXAM SPINE LUMB MIN 4 VWS	$490	$392	$189.97 – $467.95
X-ray of the lower spine, at least 4 views: 10 of 13 insurance plan rates Aetna — Commercial: $401.80 First Choice Health Network — Commercial: $441 Healthez — Commercial: $441 Medica — Choice: $437.08 Medica — Elect: $467.95 Multiplan — Commercial: $441 Sanford Health Plan — Commercial/ND Pers: $223.49 Sanford Health Plan — Group Health/True: $189.97 Sanford Health Plan — SD Exchange Commercial: $223.49 Sanford Health Plan — SD Exchange True: $189.97
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI L SPINE WO CONTRAST	$3,961	$3,168.80	$180.60 – $3,782.76
MRI of the lower back (lumbar spine), without contrast: 10 of 28 insurance plan rates Aetna — Commercial: $3,248.02 Aetna — Medicare Replacement: $244.34 Blue Cross Blue Shield of Minnesota — Commercial/Federal: $667.21 Blue Cross Blue Shield of Minnesota — Medicare Replacement: $244.34 Blue Cross Blue Shield of Minnesota — PMAP: $180.60 Blue Cross Blue Shield of Minnesota — State Employees: $1,782.45 First Choice Health Network — Commercial: $3,564.90 Great Plains Medicare Advantage — Medicare Replacement: $244.34 Health Partners — Commercial: $2,812.31 Health Partners — Medicare Replacement: $244.34
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MRI L SPINE WO CONTRAST	$3,961	$3,168.80	$1,535.68 – $3,782.76
MRI of the lower back (lumbar spine), without contrast: 10 of 13 insurance plan rates Aetna — Commercial: $3,248.02 First Choice Health Network — Commercial: $3,564.90 Healthez — Commercial: $3,564.90 Medica — Choice: $3,533.21 Medica — Elect: $3,782.76 Multiplan — Commercial: $3,564.90 Sanford Health Plan — Commercial/ND Pers: $1,806.61 Sanford Health Plan — Group Health/True: $1,535.68 Sanford Health Plan — SD Exchange Commercial: $1,806.61 Sanford Health Plan — SD Exchange True: $1,535.68
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT PELVIS W CONTRAST	$2,936	$2,348.80	$135.41 – $2,803.88
CT scan of the pelvis, with contrast: 10 of 28 insurance plan rates Aetna — Commercial: $2,407.52 Aetna — Medicare Replacement: $179.95 Blue Cross Blue Shield of Minnesota — Commercial/Federal: $500.29 Blue Cross Blue Shield of Minnesota — Medicare Replacement: $179.95 Blue Cross Blue Shield of Minnesota — PMAP: $135.41 Blue Cross Blue Shield of Minnesota — State Employees: $1,321.20 First Choice Health Network — Commercial: $2,642.40 Great Plains Medicare Advantage — Medicare Replacement: $179.95 Health Partners — Commercial: $2,084.56 Health Partners — Medicare Replacement: $179.95
CT scan of the pelvis, with contrast CPT 72193 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CT PELVIS W CONTRAST	$2,936	$2,348.80	$1,138.29 – $2,803.88
CT scan of the pelvis, with contrast: 10 of 13 insurance plan rates Aetna — Commercial: $2,407.52 First Choice Health Network — Commercial: $2,642.40 Healthez — Commercial: $2,642.40 Medica — Choice: $2,618.91 Medica — Elect: $2,803.88 Multiplan — Commercial: $2,642.40 Sanford Health Plan — Commercial/ND Pers: $1,339.11 Sanford Health Plan — Group Health/True: $1,138.29 Sanford Health Plan — SD Exchange Commercial: $1,339.11 Sanford Health Plan — SD Exchange True: $1,138.29
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI LOWER EXT JT WO CONTRAST	$3,640.35	$2,912.28	$180.60 – $3,476.53
MRI of a leg joint (such as the knee), without contrast: 10 of 28 insurance plan rates Aetna — Commercial: $2,985.09 Aetna — Medicare Replacement: $244.34 Blue Cross Blue Shield of Minnesota — Commercial/Federal: $667.21 Blue Cross Blue Shield of Minnesota — Medicare Replacement: $244.34 Blue Cross Blue Shield of Minnesota — PMAP: $180.60 Blue Cross Blue Shield of Minnesota — State Employees: $1,638.16 First Choice Health Network — Commercial: $3,276.32 Great Plains Medicare Advantage — Medicare Replacement: $244.34 Health Partners — Commercial: $2,584.65 Health Partners — Medicare Replacement: $244.34
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MRI LOWER EXT JT WO CONTRAST	$3,640.35	$2,912.28	$1,411.36 – $3,476.53
MRI of a leg joint (such as the knee), without contrast: 10 of 13 insurance plan rates Aetna — Commercial: $2,985.09 First Choice Health Network — Commercial: $3,276.32 Healthez — Commercial: $3,276.32 Medica — Choice: $3,247.19 Medica — Elect: $3,476.53 Multiplan — Commercial: $3,276.32 Sanford Health Plan — Commercial/ND Pers: $1,660.36 Sanford Health Plan — Group Health/True: $1,411.36 Sanford Health Plan — SD Exchange Commercial: $1,660.36 Sanford Health Plan — SD Exchange True: $1,411.36
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT ABD PELVIS W CONTRAST	$5,159.54	$4,127.64	$283.44 – $4,927.36
CT scan of the abdomen and pelvis, with contrast: 10 of 28 insurance plan rates Aetna — Commercial: $4,230.82 Aetna — Medicare Replacement: $361 Blue Cross Blue Shield of Minnesota — Commercial/Federal: $1,047.17 Blue Cross Blue Shield of Minnesota — Medicare Replacement: $361 Blue Cross Blue Shield of Minnesota — PMAP: $283.44 Blue Cross Blue Shield of Minnesota — State Employees: $2,321.79 First Choice Health Network — Commercial: $4,643.59 Great Plains Medicare Advantage — Medicare Replacement: $361 Health Partners — Commercial: $3,663.27 Health Partners — Medicare Replacement: $361
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CT ABD PELVIS W CONTRAST	$5,159.54	$4,127.64	$2,000.35 – $4,927.36
CT scan of the abdomen and pelvis, with contrast: 10 of 13 insurance plan rates Aetna — Commercial: $4,230.82 First Choice Health Network — Commercial: $4,643.59 Healthez — Commercial: $4,643.59 Medica — Choice: $4,602.31 Medica — Elect: $4,927.36 Multiplan — Commercial: $4,643.59 Sanford Health Plan — Commercial/ND Pers: $2,353.27 Sanford Health Plan — Group Health/True: $2,000.35 Sanford Health Plan — SD Exchange Commercial: $2,353.27 Sanford Health Plan — SD Exchange True: $2,000.35
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: US ABD COMPLETE	$1,171	$936.80	$81.04 – $1,118.31
Ultrasound of the abdomen, complete: 10 of 28 insurance plan rates Aetna — Commercial: $960.22 Aetna — Medicare Replacement: $107.49 Blue Cross Blue Shield of Minnesota — Commercial/Federal: $299.39 Blue Cross Blue Shield of Minnesota — Medicare Replacement: $107.49 Blue Cross Blue Shield of Minnesota — PMAP: $81.04 Blue Cross Blue Shield of Minnesota — State Employees: $526.95 First Choice Health Network — Commercial: $1,053.90 Great Plains Medicare Advantage — Medicare Replacement: $107.49 Health Partners — Commercial: $831.41 Health Partners — Medicare Replacement: $107.49
Ultrasound of the abdomen, complete CPT 76700 · Inpatient (hospital stay) · Hospital (facility) fee In the file: US ABD COMPLETE	$1,171	$936.80	$454 – $1,118.31
Ultrasound of the abdomen, complete: 10 of 13 insurance plan rates Aetna — Commercial: $960.22 First Choice Health Network — Commercial: $1,053.90 Healthez — Commercial: $1,053.90 Medica — Choice: $1,044.53 Medica — Elect: $1,118.31 Multiplan — Commercial: $1,053.90 Sanford Health Plan — Commercial/ND Pers: $534.09 Sanford Health Plan — Group Health/True: $454 Sanford Health Plan — SD Exchange Commercial: $534.09 Sanford Health Plan — SD Exchange True: $454
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: US PG UTR 2-3TRI SGL 1ST	$1,162	$929.60	$81.04 – $1,109.71
Pregnancy ultrasound (after the first trimester): 10 of 28 insurance plan rates Aetna — Commercial: $952.84 Aetna — Medicare Replacement: $107.49 Blue Cross Blue Shield of Minnesota — Commercial/Federal: $299.39 Blue Cross Blue Shield of Minnesota — Medicare Replacement: $107.49 Blue Cross Blue Shield of Minnesota — PMAP: $81.04 Blue Cross Blue Shield of Minnesota — State Employees: $522.90 First Choice Health Network — Commercial: $1,045.80 Great Plains Medicare Advantage — Medicare Replacement: $107.49 Health Partners — Commercial: $825.02 Health Partners — Medicare Replacement: $107.49
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient (hospital stay) · Hospital (facility) fee In the file: US PG UTR 2-3TRI SGL 1ST	$1,162	$929.60	$450.51 – $1,109.71
Pregnancy ultrasound (after the first trimester): 10 of 13 insurance plan rates Aetna — Commercial: $952.84 First Choice Health Network — Commercial: $1,045.80 Healthez — Commercial: $1,045.80 Medica — Choice: $1,036.50 Medica — Elect: $1,109.71 Multiplan — Commercial: $1,045.80 Sanford Health Plan — Commercial/ND Pers: $529.99 Sanford Health Plan — Group Health/True: $450.51 Sanford Health Plan — SD Exchange Commercial: $529.99 Sanford Health Plan — SD Exchange True: $450.51
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: US TRANSVAGINAL	$898	$718.40	$81.04 – $857.59
Transvaginal ultrasound: 10 of 28 insurance plan rates Aetna — Commercial: $736.36 Aetna — Medicare Replacement: $107.49 Blue Cross Blue Shield of Minnesota — Commercial/Federal: $299.39 Blue Cross Blue Shield of Minnesota — Medicare Replacement: $107.49 Blue Cross Blue Shield of Minnesota — PMAP: $81.04 Blue Cross Blue Shield of Minnesota — State Employees: $404.10 First Choice Health Network — Commercial: $808.20 Great Plains Medicare Advantage — Medicare Replacement: $107.49 Health Partners — Commercial: $637.58 Health Partners — Medicare Replacement: $107.49
Transvaginal ultrasound CPT 76830 · Inpatient (hospital stay) · Hospital (facility) fee In the file: US TRANSVAGINAL	$898	$718.40	$348.15 – $857.59
Transvaginal ultrasound: 10 of 13 insurance plan rates Aetna — Commercial: $736.36 First Choice Health Network — Commercial: $808.20 Healthez — Commercial: $808.20 Medica — Choice: $801.02 Medica — Elect: $857.59 Multiplan — Commercial: $808.20 Sanford Health Plan — Commercial/ND Pers: $409.58 Sanford Health Plan — Group Health/True: $348.15 Sanford Health Plan — SD Exchange Commercial: $409.58 Sanford Health Plan — SD Exchange True: $348.15
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MAMMO DX UNILAT INCL CAD	$478	$382.40	$116.79 – $456.49
Diagnostic mammogram, one breast: 10 of 26 insurance plan rates Aetna — Commercial: $391.96 Aetna — Medicare Replacement: $126.62 Blue Cross Blue Shield of Minnesota — Commercial/Federal: $247.18 Blue Cross Blue Shield of Minnesota — Medicare Replacement: $126.62 Blue Cross Blue Shield of Minnesota — PMAP: $247.18 Blue Cross Blue Shield of Minnesota — State Employees: $215.10 First Choice Health Network — Commercial: $430.20 Great Plains Medicare Advantage — Medicare Replacement: $126.62 Health Partners — Commercial: $339.38 Health Partners — Medicare Replacement: $126.62
Diagnostic mammogram, one breast CPT 77065 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MAMMO DX UNILAT INCL CAD	$478	$382.40	$185.32 – $456.49
Diagnostic mammogram, one breast: 10 of 13 insurance plan rates Aetna — Commercial: $391.96 First Choice Health Network — Commercial: $430.20 Healthez — Commercial: $430.20 Medica — Choice: $426.38 Medica — Elect: $456.49 Multiplan — Commercial: $430.20 Sanford Health Plan — Commercial/ND Pers: $218.02 Sanford Health Plan — Group Health/True: $185.32 Sanford Health Plan — SD Exchange Commercial: $218.02 Sanford Health Plan — SD Exchange True: $185.32
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MAMMO DX BILAT INCL CAD	$530	$424	$147.51 – $506.15
Diagnostic mammogram, both breasts: 10 of 26 insurance plan rates Aetna — Commercial: $434.60 Aetna — Medicare Replacement: $159.93 Blue Cross Blue Shield of Minnesota — Commercial/Federal: $312.92 Blue Cross Blue Shield of Minnesota — Medicare Replacement: $159.93 Blue Cross Blue Shield of Minnesota — PMAP: $312.92 Blue Cross Blue Shield of Minnesota — State Employees: $238.50 First Choice Health Network — Commercial: $477 Great Plains Medicare Advantage — Medicare Replacement: $159.93 Health Partners — Commercial: $376.30 Health Partners — Medicare Replacement: $159.93
Diagnostic mammogram, both breasts CPT 77066 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MAMMO DX BILAT INCL CAD	$530	$424	$205.48 – $506.15
Diagnostic mammogram, both breasts: 10 of 13 insurance plan rates Aetna — Commercial: $434.60 First Choice Health Network — Commercial: $477 Healthez — Commercial: $477 Medica — Choice: $472.76 Medica — Elect: $506.15 Multiplan — Commercial: $477 Sanford Health Plan — Commercial/ND Pers: $241.73 Sanford Health Plan — Group Health/True: $205.48 Sanford Health Plan — SD Exchange Commercial: $241.73 Sanford Health Plan — SD Exchange True: $205.48
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MAMMO SCREEN BILAT INCL CAD	$603	$482.40	$119.57 – $575.87
Screening mammogram, both breasts: 10 of 26 insurance plan rates Aetna — Commercial: $494.46 Aetna — Medicare Replacement: $129.64 Blue Cross Blue Shield of Minnesota — Commercial/Federal: $252.44 Blue Cross Blue Shield of Minnesota — Medicare Replacement: $129.64 Blue Cross Blue Shield of Minnesota — PMAP: $252.44 Blue Cross Blue Shield of Minnesota — State Employees: $271.35 First Choice Health Network — Commercial: $542.70 Great Plains Medicare Advantage — Medicare Replacement: $129.64 Health Partners — Commercial: $428.13 Health Partners — Medicare Replacement: $129.64
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MAMMO SCREEN UNILAT INCL CAD M52	$603	$482.40	$119.57 – $575.87
Screening mammogram, both breasts: 10 of 26 insurance plan rates Aetna — Commercial: $494.46 Aetna — Medicare Replacement: $129.64 Blue Cross Blue Shield of Minnesota — Commercial/Federal: $252.44 Blue Cross Blue Shield of Minnesota — Medicare Replacement: $129.64 Blue Cross Blue Shield of Minnesota — PMAP: $252.44 Blue Cross Blue Shield of Minnesota — State Employees: $271.35 First Choice Health Network — Commercial: $542.70 Great Plains Medicare Advantage — Medicare Replacement: $129.64 Health Partners — Commercial: $428.13 Health Partners — Medicare Replacement: $129.64
Screening mammogram, both breasts CPT 77067 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MAMMO SCREEN BILAT INCL CAD	$603	$482.40	$233.78 – $575.87
Screening mammogram, both breasts: 10 of 13 insurance plan rates Aetna — Commercial: $494.46 First Choice Health Network — Commercial: $542.70 Healthez — Commercial: $542.70 Medica — Choice: $537.88 Medica — Elect: $575.87 Multiplan — Commercial: $542.70 Sanford Health Plan — Commercial/ND Pers: $275.03 Sanford Health Plan — Group Health/True: $233.78 Sanford Health Plan — SD Exchange Commercial: $275.03 Sanford Health Plan — SD Exchange True: $233.78

Heart tests and sleep study

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Electrocardiogram (ECG/EKG) with reading CPT 93000 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ELECTROCARDIOGRAM COMPLETE	Not listed in the file	Not listed in the file	$12.97 – $25.01
Electrocardiogram (ECG/EKG) with reading: rates for 10 insurance plans Aetna — Medicare Replacement: $14.06 Blue Cross Blue Shield of Minnesota — Commercial/Federal: $25.01 Blue Cross Blue Shield of Minnesota — Medicare Replacement: $14.06 Blue Cross Blue Shield of Minnesota — PMAP: $25.01 Great Plains Medicare Advantage — Medicare Replacement: $14.06 Health Partners — Medicare Replacement: $14.06 Primewest — Medicare Replacement: $14.33 Sanford Health Plan Align — Medicare Replacement: $12.97 Ucare — Medicare Replacement: $13.92 United Healthcare — Medicare Replacement: $14.06
Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LEFT HRT CATH W/VENTRCLGRPHY	Not listed in the file	Not listed in the file	$2,401.63 – $8,872.85
Left heart catheterization (diagnostic): 10 of 12 insurance plan rates Aetna — Medicare Replacement: $3,251.28 Blue Cross Blue Shield of Minnesota — Commercial/Federal: $8,872.85 Blue Cross Blue Shield of Minnesota — Medicare Replacement: $3,251.28 Blue Cross Blue Shield of Minnesota — PMAP: $2,401.63 Great Plains Medicare Advantage — Medicare Replacement: $3,251.28 Health Partners — Medicare Replacement: $3,251.28 Primewest — Medicaid Managed Care: $3,538.05 Primewest — Medicare Replacement: $3,314.41 Sanford Health Plan Align — Medicare Replacement: $2,998.76 Ucare — Medicaid Managed Care: $3,538.05
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPREHENSIVE EP EVALUATION	Not listed in the file	Not listed in the file	$5,504.20 – $20,335.35
Heart rhythm study (electrophysiology evaluation): 10 of 12 insurance plan rates Aetna — Medicare Replacement: $7,670.37 Blue Cross Blue Shield of Minnesota — Commercial/Federal: $20,335.35 Blue Cross Blue Shield of Minnesota — Medicare Replacement: $7,670.37 Blue Cross Blue Shield of Minnesota — PMAP: $5,504.20 Great Plains Medicare Advantage — Medicare Replacement: $7,670.37 Health Partners — Medicare Replacement: $7,670.37 Primewest — Medicaid Managed Care: $8,346.91 Primewest — Medicare Replacement: $7,819.31 Sanford Health Plan Align — Medicare Replacement: $7,074.61 Ucare — Medicaid Managed Care: $8,346.91
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPRE EP EVAL ABLTJ ATR FIB	Not listed in the file	Not listed in the file	$17,504.54 – $64,670.80
Heart rhythm study with ablation for atrial fibrillation: 10 of 12 insurance plan rates Aetna — Medicare Replacement: $24,798.28 Blue Cross Blue Shield of Minnesota — Commercial/Federal: $64,670.80 Blue Cross Blue Shield of Minnesota — Medicare Replacement: $24,798.28 Blue Cross Blue Shield of Minnesota — PMAP: $17,504.54 Great Plains Medicare Advantage — Medicare Replacement: $24,798.28 Health Partners — Medicare Replacement: $24,798.28 Primewest — Medicaid Managed Care: $26,985.53 Primewest — Medicare Replacement: $25,279.80 Sanford Health Plan Align — Medicare Replacement: $22,872.20 Ucare — Medicaid Managed Care: $26,985.53
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSG 4+ PARAMETERS	$5,473	$4,378.40	$770.59 – $5,226.72
Sleep study (overnight, in a sleep lab): 10 of 28 insurance plan rates Aetna — Commercial: $4,487.86 Aetna — Medicare Replacement: $1,028.42 Blue Cross Blue Shield of Minnesota — Commercial/Federal: $2,846.94 Blue Cross Blue Shield of Minnesota — Medicare Replacement: $1,028.42 Blue Cross Blue Shield of Minnesota — PMAP: $770.59 Blue Cross Blue Shield of Minnesota — State Employees: $2,462.85 First Choice Health Network — Commercial: $4,925.70 Great Plains Medicare Advantage — Medicare Replacement: $1,028.42 Health Partners — Commercial: $3,885.83 Health Partners — Medicare Replacement: $1,028.42
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: SLEEP STUDY PARTIAL 95810 M52	$3,833	$3,066.40	$770.59 – $3,660.52
Sleep study (overnight, in a sleep lab): 10 of 28 insurance plan rates Aetna — Commercial: $3,143.06 Aetna — Medicare Replacement: $1,028.42 Blue Cross Blue Shield of Minnesota — Commercial/Federal: $2,846.94 Blue Cross Blue Shield of Minnesota — Medicare Replacement: $1,028.42 Blue Cross Blue Shield of Minnesota — PMAP: $770.59 Blue Cross Blue Shield of Minnesota — State Employees: $1,724.85 First Choice Health Network — Commercial: $3,449.70 Great Plains Medicare Advantage — Medicare Replacement: $1,028.42 Health Partners — Commercial: $2,721.43 Health Partners — Medicare Replacement: $1,028.42
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PSG 4+ PARAMETERS	$5,473	$4,378.40	$2,121.88 – $5,226.72
Sleep study (overnight, in a sleep lab): 10 of 13 insurance plan rates Aetna — Commercial: $4,487.86 First Choice Health Network — Commercial: $4,925.70 Healthez — Commercial: $4,925.70 Medica — Choice: $4,881.92 Medica — Elect: $5,226.72 Multiplan — Commercial: $4,925.70 Sanford Health Plan — Commercial/ND Pers: $2,496.24 Sanford Health Plan — Group Health/True: $2,121.88 Sanford Health Plan — SD Exchange Commercial: $2,496.24 Sanford Health Plan — SD Exchange True: $2,121.88

Physical therapy and mental health

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: THER EXERCISE EA 15 MIN 97110	$155.40	$124.32	$27.46 – $148.41
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 26 insurance plan rates Aetna — Commercial: $127.43 Aetna — Medicare Replacement: $29.78 Blue Cross Blue Shield of Minnesota — Commercial/Federal: $38.66 Blue Cross Blue Shield of Minnesota — Medicare Replacement: $29.78 Blue Cross Blue Shield of Minnesota — PMAP: $38.66 Blue Cross Blue Shield of Minnesota — State Employees: $69.93 First Choice Health Network — Commercial: $139.86 Great Plains Medicare Advantage — Medicare Replacement: $29.78 Health Partners — Commercial: $110.33 Health Partners — Medicare Replacement: $29.78
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient (hospital stay) · Hospital (facility) fee In the file: THER EXERCISE EA 15 MIN 97110	$155.40	$124.32	$60.25 – $148.41
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 13 insurance plan rates Aetna — Commercial: $127.43 First Choice Health Network — Commercial: $139.86 Healthez — Commercial: $139.86 Medica — Choice: $138.62 Medica — Elect: $148.41 Multiplan — Commercial: $139.86 Sanford Health Plan — Commercial/ND Pers: $70.88 Sanford Health Plan — Group Health/True: $60.25 Sanford Health Plan — SD Exchange Commercial: $70.88 Sanford Health Plan — SD Exchange True: $60.25
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT EVAL LOW COMPLEXITY 97161	$274	$219.20	$93.36 – $261.67
Physical therapy evaluation (low complexity): 10 of 26 insurance plan rates Aetna — Commercial: $224.68 Aetna — Medicare Replacement: $101.23 Blue Cross Blue Shield of Minnesota — Commercial/Federal: $132.23 Blue Cross Blue Shield of Minnesota — Medicare Replacement: $101.23 Blue Cross Blue Shield of Minnesota — PMAP: $132.23 Blue Cross Blue Shield of Minnesota — State Employees: $123.30 First Choice Health Network — Commercial: $246.60 Great Plains Medicare Advantage — Medicare Replacement: $101.23 Health Partners — Commercial: $194.54 Health Partners — Medicare Replacement: $101.23
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PT EVAL LOW COMPLEXITY 97161	$274	$219.20	$106.23 – $261.67
Physical therapy evaluation (low complexity): 10 of 13 insurance plan rates Aetna — Commercial: $224.68 First Choice Health Network — Commercial: $246.60 Healthez — Commercial: $246.60 Medica — Choice: $244.41 Medica — Elect: $261.67 Multiplan — Commercial: $246.60 Sanford Health Plan — Commercial/ND Pers: $124.97 Sanford Health Plan — Group Health/True: $106.23 Sanford Health Plan — SD Exchange Commercial: $124.97 Sanford Health Plan — SD Exchange True: $106.23
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT EVAL MODERATE COMPLEXITY 97162	$282	$225.60	$93.36 – $269.31
Physical therapy evaluation (moderate complexity): 10 of 26 insurance plan rates Aetna — Commercial: $231.24 Aetna — Medicare Replacement: $101.23 Blue Cross Blue Shield of Minnesota — Commercial/Federal: $132.23 Blue Cross Blue Shield of Minnesota — Medicare Replacement: $101.23 Blue Cross Blue Shield of Minnesota — PMAP: $132.23 Blue Cross Blue Shield of Minnesota — State Employees: $126.90 First Choice Health Network — Commercial: $253.80 Great Plains Medicare Advantage — Medicare Replacement: $101.23 Health Partners — Commercial: $200.22 Health Partners — Medicare Replacement: $101.23
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PT EVAL MODERATE COMPLEXITY 97162	$282	$225.60	$109.33 – $269.31
Physical therapy evaluation (moderate complexity): 10 of 13 insurance plan rates Aetna — Commercial: $231.24 First Choice Health Network — Commercial: $253.80 Healthez — Commercial: $253.80 Medica — Choice: $251.54 Medica — Elect: $269.31 Multiplan — Commercial: $253.80 Sanford Health Plan — Commercial/ND Pers: $128.62 Sanford Health Plan — Group Health/True: $109.33 Sanford Health Plan — SD Exchange Commercial: $128.62 Sanford Health Plan — SD Exchange True: $109.33
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT EVAL HIGH COMPLEXITY 97163	$302	$241.60	$93.36 – $288.41
Physical therapy evaluation (high complexity): 10 of 26 insurance plan rates Aetna — Commercial: $247.64 Aetna — Medicare Replacement: $101.23 Blue Cross Blue Shield of Minnesota — Commercial/Federal: $132.23 Blue Cross Blue Shield of Minnesota — Medicare Replacement: $101.23 Blue Cross Blue Shield of Minnesota — PMAP: $132.23 Blue Cross Blue Shield of Minnesota — State Employees: $135.90 First Choice Health Network — Commercial: $271.80 Great Plains Medicare Advantage — Medicare Replacement: $101.23 Health Partners — Commercial: $214.42 Health Partners — Medicare Replacement: $101.23
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PT EVAL HIGH COMPLEXITY 97163	$302	$241.60	$117.09 – $288.41
Physical therapy evaluation (high complexity): 10 of 13 insurance plan rates Aetna — Commercial: $247.64 First Choice Health Network — Commercial: $271.80 Healthez — Commercial: $271.80 Medica — Choice: $269.38 Medica — Elect: $288.41 Multiplan — Commercial: $271.80 Sanford Health Plan — Commercial/ND Pers: $137.74 Sanford Health Plan — Group Health/True: $117.09 Sanford Health Plan — SD Exchange Commercial: $137.74 Sanford Health Plan — SD Exchange True: $117.09
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSYTX W PT 30 MINUTES	Not listed in the file	Not listed in the file	$117.51 – $434.14
Psychotherapy, 30 minutes: 10 of 12 insurance plan rates Aetna — Medicare Replacement: $162.41 Blue Cross Blue Shield of Minnesota — Commercial/Federal: $434.14 Blue Cross Blue Shield of Minnesota — Medicare Replacement: $162.41 Blue Cross Blue Shield of Minnesota — PMAP: $117.51 Great Plains Medicare Advantage — Medicare Replacement: $162.41 Health Partners — Medicare Replacement: $162.41 Primewest — Medicaid Managed Care: $176.74 Primewest — Medicare Replacement: $165.57 Sanford Health Plan Align — Medicare Replacement: $149.80 Ucare — Medicaid Managed Care: $176.74
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSYTX W PT 45 MINUTES	Not listed in the file	Not listed in the file	$117.51 – $434.14
Psychotherapy, 45 minutes: 10 of 12 insurance plan rates Aetna — Medicare Replacement: $162.41 Blue Cross Blue Shield of Minnesota — Commercial/Federal: $434.14 Blue Cross Blue Shield of Minnesota — Medicare Replacement: $162.41 Blue Cross Blue Shield of Minnesota — PMAP: $117.51 Great Plains Medicare Advantage — Medicare Replacement: $162.41 Health Partners — Medicare Replacement: $162.41 Primewest — Medicaid Managed Care: $176.74 Primewest — Medicare Replacement: $165.57 Sanford Health Plan Align — Medicare Replacement: $149.80 Ucare — Medicaid Managed Care: $176.74
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSYTX W PT 60 MINUTES	Not listed in the file	Not listed in the file	$117.51 – $434.14
Psychotherapy, 60 minutes: 10 of 12 insurance plan rates Aetna — Medicare Replacement: $162.41 Blue Cross Blue Shield of Minnesota — Commercial/Federal: $434.14 Blue Cross Blue Shield of Minnesota — Medicare Replacement: $162.41 Blue Cross Blue Shield of Minnesota — PMAP: $117.51 Great Plains Medicare Advantage — Medicare Replacement: $162.41 Health Partners — Medicare Replacement: $162.41 Primewest — Medicaid Managed Care: $176.74 Primewest — Medicare Replacement: $165.57 Sanford Health Plan Align — Medicare Replacement: $149.80 Ucare — Medicaid Managed Care: $176.74
Family psychotherapy, without the patient CPT 90846 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: FAMILY PSYTX W/O PT 50 MIN	Not listed in the file	Not listed in the file	$117.51 – $434.14
Family psychotherapy, without the patient: 10 of 12 insurance plan rates Aetna — Medicare Replacement: $162.41 Blue Cross Blue Shield of Minnesota — Commercial/Federal: $434.14 Blue Cross Blue Shield of Minnesota — Medicare Replacement: $162.41 Blue Cross Blue Shield of Minnesota — PMAP: $117.51 Great Plains Medicare Advantage — Medicare Replacement: $162.41 Health Partners — Medicare Replacement: $162.41 Primewest — Medicaid Managed Care: $176.74 Primewest — Medicare Replacement: $165.57 Sanford Health Plan Align — Medicare Replacement: $149.80 Ucare — Medicaid Managed Care: $176.74
Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: FAMILY PSYTX W/PT 50 MIN	Not listed in the file	Not listed in the file	$117.51 – $434.14
Family psychotherapy, with the patient: 10 of 12 insurance plan rates Aetna — Medicare Replacement: $162.41 Blue Cross Blue Shield of Minnesota — Commercial/Federal: $434.14 Blue Cross Blue Shield of Minnesota — Medicare Replacement: $162.41 Blue Cross Blue Shield of Minnesota — PMAP: $117.51 Great Plains Medicare Advantage — Medicare Replacement: $162.41 Health Partners — Medicare Replacement: $162.41 Primewest — Medicaid Managed Care: $176.74 Primewest — Medicare Replacement: $165.57 Sanford Health Plan Align — Medicare Replacement: $149.80 Ucare — Medicaid Managed Care: $176.74
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: GROUP PSYCHOTHERAPY	Not listed in the file	Not listed in the file	$65.69 – $242.69
Group psychotherapy: 10 of 12 insurance plan rates Aetna — Medicare Replacement: $93.50 Blue Cross Blue Shield of Minnesota — Commercial/Federal: $242.69 Blue Cross Blue Shield of Minnesota — Medicare Replacement: $93.50 Blue Cross Blue Shield of Minnesota — PMAP: $65.69 Great Plains Medicare Advantage — Medicare Replacement: $93.50 Health Partners — Medicare Replacement: $93.50 Primewest — Medicaid Managed Care: $101.75 Primewest — Medicare Replacement: $95.32 Sanford Health Plan Align — Medicare Replacement: $86.24 Ucare — Medicaid Managed Care: $101.75

Procedures and surgery

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: REMOVAL OF BREAST LESION	Not listed in the file	Not listed in the file	$2,809.32 – $15,568.62
Removal of breast growth (open surgery): 10 of 12 insurance plan rates Aetna — Medicare Replacement: $3,870.80 Blue Cross Blue Shield of Minnesota — Commercial/Federal: $10,379.08 Blue Cross Blue Shield of Minnesota — Medicare Replacement: $3,870.80 Blue Cross Blue Shield of Minnesota — PMAP: $2,809.32 Great Plains Medicare Advantage — Medicare Replacement: $3,870.80 Health Partners — Medicare Replacement: $3,870.80 Primewest — Medicaid Managed Care: $4,212.21 Primewest — Medicare Replacement: $3,945.96 Sanford Health Plan Align — Medicare Replacement: $3,570.15 Ucare — Medicaid Managed Care: $4,212.21
Total hip replacement CPT 27130 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: TOTAL HIP ARTHROPLASTY	Not listed in the file	Not listed in the file	$9,700.03 – $53,755.38
Total hip replacement: 10 of 12 insurance plan rates Aetna — Medicare Replacement: $13,006.32 Blue Cross Blue Shield of Minnesota — Commercial/Federal: $35,836.91 Blue Cross Blue Shield of Minnesota — Medicare Replacement: $13,006.32 Blue Cross Blue Shield of Minnesota — PMAP: $9,700.03 Great Plains Medicare Advantage — Medicare Replacement: $13,006.32 Health Partners — Medicare Replacement: $13,006.32 Primewest — Medicaid Managed Care: $14,153.50 Primewest — Medicare Replacement: $13,258.87 Sanford Health Plan Align — Medicare Replacement: $11,996.12 Ucare — Medicaid Managed Care: $14,153.50
Total knee replacement CPT 27447 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: TOTAL KNEE ARTHROPLASTY	Not listed in the file	Not listed in the file	$9,700.03 – $53,755.38
Total knee replacement: 10 of 12 insurance plan rates Aetna — Medicare Replacement: $13,006.32 Blue Cross Blue Shield of Minnesota — Commercial/Federal: $35,836.91 Blue Cross Blue Shield of Minnesota — Medicare Replacement: $13,006.32 Blue Cross Blue Shield of Minnesota — PMAP: $9,700.03 Great Plains Medicare Advantage — Medicare Replacement: $13,006.32 Health Partners — Medicare Replacement: $13,006.32 Primewest — Medicaid Managed Care: $14,153.50 Primewest — Medicare Replacement: $13,258.87 Sanford Health Plan Align — Medicare Replacement: $11,996.12 Ucare — Medicaid Managed Care: $14,153.50
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: SHO ARTHRS SRG DECOMPRESSION	Not listed in the file	Not listed in the file	$1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $162.21
Shoulder arthroscopy: shaving of shoulder bone: rates for 10 insurance plans Aetna — Medicare Replacement: $159.12 Blue Cross Blue Shield of Minnesota — Commercial/Federal: $1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Blue Cross Blue Shield of Minnesota — Medicare Replacement: $159.12 Blue Cross Blue Shield of Minnesota — PMAP: $1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Great Plains Medicare Advantage — Medicare Replacement: $159.12 Health Partners — Medicare Replacement: $159.12 Primewest — Medicare Replacement: $162.21 Sanford Health Plan Align — Medicare Replacement: $146.76 Ucare — Medicare Replacement: $157.58 United Healthcare — Medicare Replacement: $159.12
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ARTHRS KNE SRG MNISECTMY M/L	Not listed in the file	Not listed in the file	$2,385.62 – $13,220.54
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 12 insurance plan rates Aetna — Medicare Replacement: $3,279.79 Blue Cross Blue Shield of Minnesota — Commercial/Federal: $8,813.69 Blue Cross Blue Shield of Minnesota — Medicare Replacement: $3,279.79 Blue Cross Blue Shield of Minnesota — PMAP: $2,385.62 Great Plains Medicare Advantage — Medicare Replacement: $3,279.79 Health Partners — Medicare Replacement: $3,279.79 Primewest — Medicaid Managed Care: $3,569.07 Primewest — Medicare Replacement: $3,343.47 Sanford Health Plan Align — Medicare Replacement: $3,025.05 Ucare — Medicaid Managed Care: $3,569.07
Removal of tonsils and adenoids (under age 12) CPT 42820 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: REMOVE TONSILS AND ADENOIDS	Not listed in the file	Not listed in the file	$4,316.11 – $15,945.95
Removal of tonsils and adenoids (under age 12): 10 of 12 insurance plan rates Aetna — Medicare Replacement: $5,979.80 Blue Cross Blue Shield of Minnesota — Commercial/Federal: $15,945.95 Blue Cross Blue Shield of Minnesota — Medicare Replacement: $5,979.80 Blue Cross Blue Shield of Minnesota — PMAP: $4,316.11 Great Plains Medicare Advantage — Medicare Replacement: $5,979.80 Health Partners — Medicare Replacement: $5,979.80 Primewest — Medicaid Managed Care: $6,507.23 Primewest — Medicare Replacement: $6,095.91 Sanford Health Plan Align — Medicare Replacement: $5,515.35 Ucare — Medicaid Managed Care: $6,507.23
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EGD DIAGNOSTIC BRUSH WASH	Not listed in the file	Not listed in the file	$668.10 – $2,468.30
Upper GI endoscopy (diagnostic): 10 of 12 insurance plan rates Aetna — Medicare Replacement: $947.73 Blue Cross Blue Shield of Minnesota — Commercial/Federal: $2,468.30 Blue Cross Blue Shield of Minnesota — Medicare Replacement: $947.73 Blue Cross Blue Shield of Minnesota — PMAP: $668.10 Great Plains Medicare Advantage — Medicare Replacement: $947.73 Health Partners — Medicare Replacement: $947.73 Primewest — Medicaid Managed Care: $1,031.32 Primewest — Medicare Replacement: $966.13 Sanford Health Plan Align — Medicare Replacement: $874.12 Ucare — Medicaid Managed Care: $1,031.32
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EGD BIOPSY SINGLE/MULTIPLE	Not listed in the file	Not listed in the file	$668.10 – $2,468.30
Upper GI endoscopy with biopsy: 10 of 12 insurance plan rates Aetna — Medicare Replacement: $947.73 Blue Cross Blue Shield of Minnesota — Commercial/Federal: $2,468.30 Blue Cross Blue Shield of Minnesota — Medicare Replacement: $947.73 Blue Cross Blue Shield of Minnesota — PMAP: $668.10 Great Plains Medicare Advantage — Medicare Replacement: $947.73 Health Partners — Medicare Replacement: $947.73 Primewest — Medicaid Managed Care: $1,031.32 Primewest — Medicare Replacement: $966.13 Sanford Health Plan Align — Medicare Replacement: $874.12 Ucare — Medicaid Managed Care: $1,031.32
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: DIAGNOSTIC COLONOSCOPY	Not listed in the file	Not listed in the file	$673.60 – $2,488.63
Colonoscopy (diagnostic): 10 of 12 insurance plan rates Aetna — Medicare Replacement: $921.59 Blue Cross Blue Shield of Minnesota — Commercial/Federal: $2,488.63 Blue Cross Blue Shield of Minnesota — Medicare Replacement: $921.59 Blue Cross Blue Shield of Minnesota — PMAP: $673.60 Great Plains Medicare Advantage — Medicare Replacement: $921.59 Health Partners — Medicare Replacement: $921.59 Primewest — Medicaid Managed Care: $1,002.88 Primewest — Medicare Replacement: $939.49 Sanford Health Plan Align — Medicare Replacement: $850.01 Ucare — Medicaid Managed Care: $1,002.88
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLONOSCOPY AND BIOPSY	Not listed in the file	Not listed in the file	$869.74 – $3,213.25
Colonoscopy with biopsy: 10 of 12 insurance plan rates Aetna — Medicare Replacement: $1,191.86 Blue Cross Blue Shield of Minnesota — Commercial/Federal: $3,213.25 Blue Cross Blue Shield of Minnesota — Medicare Replacement: $1,191.86 Blue Cross Blue Shield of Minnesota — PMAP: $869.74 Great Plains Medicare Advantage — Medicare Replacement: $1,191.86 Health Partners — Medicare Replacement: $1,191.86 Primewest — Medicaid Managed Care: $1,296.99 Primewest — Medicare Replacement: $1,215.01 Sanford Health Plan Align — Medicare Replacement: $1,099.29 Ucare — Medicaid Managed Care: $1,296.99
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLONOSCOPY W/LESION REMOVAL	Not listed in the file	Not listed in the file	$869.74 – $3,213.25
Colonoscopy with removal of polyps (snare): 10 of 12 insurance plan rates Aetna — Medicare Replacement: $1,191.86 Blue Cross Blue Shield of Minnesota — Commercial/Federal: $3,213.25 Blue Cross Blue Shield of Minnesota — Medicare Replacement: $1,191.86 Blue Cross Blue Shield of Minnesota — PMAP: $869.74 Great Plains Medicare Advantage — Medicare Replacement: $1,191.86 Health Partners — Medicare Replacement: $1,191.86 Primewest — Medicaid Managed Care: $1,296.99 Primewest — Medicare Replacement: $1,215.01 Sanford Health Plan Align — Medicare Replacement: $1,099.29 Ucare — Medicaid Managed Care: $1,296.99
Ultrasound of the lower bowel by endoscope CPT 45391 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLONOSCOPY W/ENDOSCOPE US	Not listed in the file	Not listed in the file	$869.74 – $3,213.25
Ultrasound of the lower bowel by endoscope: 10 of 12 insurance plan rates Aetna — Medicare Replacement: $1,191.86 Blue Cross Blue Shield of Minnesota — Commercial/Federal: $3,213.25 Blue Cross Blue Shield of Minnesota — Medicare Replacement: $1,191.86 Blue Cross Blue Shield of Minnesota — PMAP: $869.74 Great Plains Medicare Advantage — Medicare Replacement: $1,191.86 Health Partners — Medicare Replacement: $1,191.86 Primewest — Medicaid Managed Care: $1,296.99 Primewest — Medicare Replacement: $1,215.01 Sanford Health Plan Align — Medicare Replacement: $1,099.29 Ucare — Medicaid Managed Care: $1,296.99
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Colon ca scrn not hi rsk ind	Not listed in the file	Not listed in the file	$673.60 – $2,488.63
Screening colonoscopy (not high risk): 10 of 12 insurance plan rates Aetna — Medicare Replacement: $921.59 Blue Cross Blue Shield of Minnesota — Commercial/Federal: $2,488.63 Blue Cross Blue Shield of Minnesota — Medicare Replacement: $921.59 Blue Cross Blue Shield of Minnesota — PMAP: $673.60 Great Plains Medicare Advantage — Medicare Replacement: $921.59 Health Partners — Medicare Replacement: $921.59 Primewest — Medicaid Managed Care: $1,002.88 Primewest — Medicare Replacement: $939.49 Sanford Health Plan Align — Medicare Replacement: $850.01 Ucare — Medicaid Managed Care: $1,002.88
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LAPAROSCOPIC CHOLECYSTECTOMY	Not listed in the file	Not listed in the file	$4,252.59 – $15,711.25
Gallbladder removal by laparoscope: 10 of 12 insurance plan rates Aetna — Medicare Replacement: $5,897.62 Blue Cross Blue Shield of Minnesota — Commercial/Federal: $15,711.25 Blue Cross Blue Shield of Minnesota — Medicare Replacement: $5,897.62 Blue Cross Blue Shield of Minnesota — PMAP: $4,252.59 Great Plains Medicare Advantage — Medicare Replacement: $5,897.62 Health Partners — Medicare Replacement: $5,897.62 Primewest — Medicaid Managed Care: $6,417.80 Primewest — Medicare Replacement: $6,012.13 Sanford Health Plan Align — Medicare Replacement: $5,439.55 Ucare — Medicaid Managed Care: $6,417.80
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PRP I/HERN INIT REDUC >5 YR	Not listed in the file	Not listed in the file	$2,549.84 – $14,130.67
Groin (inguinal) hernia repair, age 5 or older: 10 of 12 insurance plan rates Aetna — Medicare Replacement: $3,567.32 Blue Cross Blue Shield of Minnesota — Commercial/Federal: $9,420.44 Blue Cross Blue Shield of Minnesota — Medicare Replacement: $3,567.32 Blue Cross Blue Shield of Minnesota — PMAP: $2,549.84 Great Plains Medicare Advantage — Medicare Replacement: $3,567.32 Health Partners — Medicare Replacement: $3,567.32 Primewest — Medicaid Managed Care: $3,881.97 Primewest — Medicare Replacement: $3,636.59 Sanford Health Plan Align — Medicare Replacement: $3,290.25 Ucare — Medicaid Managed Care: $3,881.97
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Outpatient Services	Not listed in the file	Not listed in the file	$1,501.18 – $5,546.14
Prostate biopsy: rates for 8 insurance plans Aetna — Medicare Replacement: $2,070.72 Blue Cross Blue Shield of Minnesota — Medicare Replacement: $2,070.72 Great Plains Medicare Advantage — Medicare Replacement: $2,070.72 Health Partners — Medicare Replacement: $2,070.72 Primewest — Medicare Replacement: $2,110.93 Sanford Health Plan Align — Medicare Replacement: $1,909.89 Ucare — Medicare Replacement: $2,050.62 United Healthcare — Medicare Replacement: $2,070.72
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Outpatient Services - CPT/HCPCS	Not listed in the file	Not listed in the file	$1,501.18 – $5,546.14
Prostate biopsy: rates for 4 insurance plans Blue Cross Blue Shield of Minnesota — Commercial/Federal: $5,546.14 Blue Cross Blue Shield of Minnesota — PMAP: $1,501.18 Primewest — Medicaid Managed Care: $2,253.36 Ucare — Medicaid Managed Care: $2,253.36
Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LAPS SURG PRST8ECT RPBIC RAD	Not listed in the file	Not listed in the file	$7,586.68 – $28,029.10
Prostate removal by laparoscope (radical prostatectomy): 10 of 12 insurance plan rates Aetna — Medicare Replacement: $10,524.10 Blue Cross Blue Shield of Minnesota — Commercial/Federal: $28,029.10 Blue Cross Blue Shield of Minnesota — Medicare Replacement: $10,524.10 Blue Cross Blue Shield of Minnesota — PMAP: $7,586.68 Great Plains Medicare Advantage — Medicare Replacement: $10,524.10 Health Partners — Medicare Replacement: $10,524.10 Primewest — Medicaid Managed Care: $11,452.33 Primewest — Medicare Replacement: $10,728.45 Sanford Health Plan Align — Medicare Replacement: $9,706.69 Ucare — Medicaid Managed Care: $11,452.33
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HYSTEROSCOPY BIOPSY	Not listed in the file	Not listed in the file	$2,304.20 – $8,512.90
Hysteroscopy with biopsy of the uterus lining: 10 of 12 insurance plan rates Aetna — Medicare Replacement: $3,214 Blue Cross Blue Shield of Minnesota — Commercial/Federal: $8,512.90 Blue Cross Blue Shield of Minnesota — Medicare Replacement: $3,214 Blue Cross Blue Shield of Minnesota — PMAP: $2,304.20 Great Plains Medicare Advantage — Medicare Replacement: $3,214 Health Partners — Medicare Replacement: $3,214 Primewest — Medicaid Managed Care: $3,497.48 Primewest — Medicare Replacement: $3,276.41 Sanford Health Plan Align — Medicare Replacement: $2,964.37 Ucare — Medicaid Managed Care: $3,497.48
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: NJX INTERLAMINAR LMBR/SAC	Not listed in the file	Not listed in the file	$509.68 – $1,883.02
Spinal injection, lower back (epidural), with imaging guidance: 10 of 12 insurance plan rates Aetna — Medicare Replacement: $700.03 Blue Cross Blue Shield of Minnesota — Commercial/Federal: $1,883.02 Blue Cross Blue Shield of Minnesota — Medicare Replacement: $700.03 Blue Cross Blue Shield of Minnesota — PMAP: $509.68 Great Plains Medicare Advantage — Medicare Replacement: $700.03 Health Partners — Medicare Replacement: $700.03 Primewest — Medicaid Managed Care: $761.77 Primewest — Medicare Replacement: $713.62 Sanford Health Plan Align — Medicare Replacement: $645.66 Ucare — Medicaid Managed Care: $761.77
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: NJX AA&/STRD TFRM EPI L/S 1	Not listed in the file	Not listed in the file	$671.78 – $3,722.85
Nerve root injection, lower back, with imaging guidance: 10 of 12 insurance plan rates Aetna — Medicare Replacement: $899.94 Blue Cross Blue Shield of Minnesota — Commercial/Federal: $2,481.89 Blue Cross Blue Shield of Minnesota — Medicare Replacement: $899.94 Blue Cross Blue Shield of Minnesota — PMAP: $671.78 Great Plains Medicare Advantage — Medicare Replacement: $899.94 Health Partners — Medicare Replacement: $899.94 Primewest — Medicaid Managed Care: $979.32 Primewest — Medicare Replacement: $917.42 Sanford Health Plan Align — Medicare Replacement: $830.04 Ucare — Medicaid Managed Care: $979.32
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CARPAL TUNNEL SURGERY	Not listed in the file	Not listed in the file	$1,423.02 – $7,886.06
Carpal tunnel release: 10 of 12 insurance plan rates Aetna — Medicare Replacement: $1,973.94 Blue Cross Blue Shield of Minnesota — Commercial/Federal: $5,257.37 Blue Cross Blue Shield of Minnesota — Medicare Replacement: $1,973.94 Blue Cross Blue Shield of Minnesota — PMAP: $1,423.02 Great Plains Medicare Advantage — Medicare Replacement: $1,973.94 Health Partners — Medicare Replacement: $1,973.94 Primewest — Medicaid Managed Care: $2,148.05 Primewest — Medicare Replacement: $2,012.27 Sanford Health Plan Align — Medicare Replacement: $1,820.63 Ucare — Medicaid Managed Care: $2,148.05
Laser treatment of clouding after cataract surgery CPT 66821 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: AFTER CATARACT LASER SURGERY	Not listed in the file	Not listed in the file	$428.40 – $2,374.12
Laser treatment of clouding after cataract surgery: 10 of 12 insurance plan rates Aetna — Medicare Replacement: $554.55 Blue Cross Blue Shield of Minnesota — Commercial/Federal: $1,582.74 Blue Cross Blue Shield of Minnesota — Medicare Replacement: $554.55 Blue Cross Blue Shield of Minnesota — PMAP: $428.40 Great Plains Medicare Advantage — Medicare Replacement: $554.55 Health Partners — Medicare Replacement: $554.55 Primewest — Medicaid Managed Care: $603.46 Primewest — Medicare Replacement: $565.32 Sanford Health Plan Align — Medicare Replacement: $511.48 Ucare — Medicaid Managed Care: $603.46
Cataract removal with lens implant CPT 66984 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: XCAPSL CTRC RMVL W/O ECP	Not listed in the file	Not listed in the file	$1,717.53 – $9,518.19
Cataract removal with lens implant: 10 of 12 insurance plan rates Aetna — Medicare Replacement: $2,305.46 Blue Cross Blue Shield of Minnesota — Commercial/Federal: $6,345.45 Blue Cross Blue Shield of Minnesota — Medicare Replacement: $2,305.46 Blue Cross Blue Shield of Minnesota — PMAP: $1,717.53 Great Plains Medicare Advantage — Medicare Replacement: $2,305.46 Health Partners — Medicare Replacement: $2,305.46 Primewest — Medicaid Managed Care: $2,508.80 Primewest — Medicare Replacement: $2,350.22 Sanford Health Plan Align — Medicare Replacement: $2,126.39 Ucare — Medicaid Managed Care: $2,508.80

Pregnancy and childbirth

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Vaginal delivery, with care before and after CPT 59400 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OBSTETRICAL CARE	Not listed in the file	Not listed in the file	$2,041.09 – $8,512.90
Vaginal delivery, with care before and after: rates for 10 insurance plans Aetna — Medicare Replacement: $2,212.97 Blue Cross Blue Shield of Minnesota — Commercial/Federal: $8,512.90 Blue Cross Blue Shield of Minnesota — Medicare Replacement: $2,212.97 Blue Cross Blue Shield of Minnesota — PMAP: $2,304.20 Great Plains Medicare Advantage — Medicare Replacement: $2,212.97 Health Partners — Medicare Replacement: $2,212.97 Primewest — Medicare Replacement: $2,255.95 Sanford Health Plan Align — Medicare Replacement: $2,041.09 Ucare — Medicare Replacement: $2,191.49 United Healthcare — Medicare Replacement: $2,212.97
Cesarean delivery (C-section), with care before and after CPT 59510 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CESAREAN DELIVERY	Not listed in the file	Not listed in the file	$2,242.26 – $5,615.34
Cesarean delivery (C-section), with care before and after: rates for 10 insurance plans Aetna — Medicare Replacement: $2,431.08 Blue Cross Blue Shield of Minnesota — Commercial/Federal: $5,615.34 Blue Cross Blue Shield of Minnesota — Medicare Replacement: $2,431.08 Blue Cross Blue Shield of Minnesota — PMAP: $5,615.34 Great Plains Medicare Advantage — Medicare Replacement: $2,431.08 Health Partners — Medicare Replacement: $2,431.08 Primewest — Medicare Replacement: $2,478.29 Sanford Health Plan Align — Medicare Replacement: $2,242.26 Ucare — Medicare Replacement: $2,407.48 United Healthcare — Medicare Replacement: $2,431.08
Vaginal delivery after a previous C-section, with care before and after CPT 59610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: VBAC DELIVERY	Not listed in the file	Not listed in the file	$2,111.33 – $8,512.90
Vaginal delivery after a previous C-section, with care before and after: rates for 10 insurance plans Aetna — Medicare Replacement: $2,289.13 Blue Cross Blue Shield of Minnesota — Commercial/Federal: $8,512.90 Blue Cross Blue Shield of Minnesota — Medicare Replacement: $2,289.13 Blue Cross Blue Shield of Minnesota — PMAP: $2,304.20 Great Plains Medicare Advantage — Medicare Replacement: $2,289.13 Health Partners — Medicare Replacement: $2,289.13 Primewest — Medicare Replacement: $2,333.58 Sanford Health Plan Align — Medicare Replacement: $2,111.33 Ucare — Medicare Replacement: $2,266.90 United Healthcare — Medicare Replacement: $2,289.13

Hospital stays (whole stay, MS-DRG)

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Heart valve or major heart-chest surgery with heart catheterization, with major complications MS-DRG 216 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC	Not listed in the file	Not listed in the file	$77,756.51 – $128,784.59
Heart valve or major heart-chest surgery with heart catheterization, with major complications: rates for 10 insurance plans Aetna — Medicare Replacement: $84,304.43 Blue Cross Blue Shield of Minnesota — Medicare Replacement: $84,304.43 Great Plains Medicare Advantage — Medicare Replacement: $84,304.43 Health Partners — Commercial: $128,784.59 Health Partners — Medicare Replacement: $84,304.43 Health Partners — State Employees: $107,090.49 Primewest — Medicare Replacement: $85,941.41 Sanford Health Plan Align — Medicare Replacement: $77,756.51 Ucare — Medicare Replacement: $83,485.94 United Healthcare — Medicare Replacement: $84,304.43
Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC	Not listed in the file	Not listed in the file	$15,331.46 – $25,162
Hip or knee replacement (major joint of the leg), without major complications: rates for 10 insurance plans Aetna — Medicare Replacement: $16,622.53 Blue Cross Blue Shield of Minnesota — Medicare Replacement: $16,622.53 Great Plains Medicare Advantage — Medicare Replacement: $16,622.53 Health Partners — Commercial: $25,162 Health Partners — Medicare Replacement: $16,622.53 Health Partners — State Employees: $20,923.39 Primewest — Medicare Replacement: $16,945.30 Sanford Health Plan Align — Medicare Replacement: $15,331.46 Ucare — Medicare Replacement: $16,461.15 United Healthcare — Medicare Replacement: $16,622.53
Neck (cervical) spinal fusion, without complications MS-DRG 473 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CERVICAL SPINAL FUSION WITHOUT CC/MCC	Not listed in the file	Not listed in the file	$19,404.16 – $31,590.28
Neck (cervical) spinal fusion, without complications: rates for 10 insurance plans Aetna — Medicare Replacement: $21,038.19 Blue Cross Blue Shield of Minnesota — Medicare Replacement: $21,038.19 Great Plains Medicare Advantage — Medicare Replacement: $21,038.19 Health Partners — Commercial: $31,590.28 Health Partners — Medicare Replacement: $21,038.19 Health Partners — State Employees: $26,268.82 Primewest — Medicare Replacement: $21,446.70 Sanford Health Plan Align — Medicare Replacement: $19,404.16 Ucare — Medicare Replacement: $20,833.94 United Healthcare — Medicare Replacement: $21,038.19
Uterus and ovary surgery (not for cancer), without complications MS-DRG 743 · Inpatient (hospital stay) · Hospital (facility) fee In the file: UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC	Not listed in the file	Not listed in the file	$9,955.47 – $15,995.32
Uterus and ovary surgery (not for cancer), without complications: rates for 10 insurance plans Aetna — Medicare Replacement: $10,793.82 Blue Cross Blue Shield of Minnesota — Medicare Replacement: $10,793.82 Great Plains Medicare Advantage — Medicare Replacement: $10,793.82 Health Partners — Commercial: $15,995.32 Health Partners — Medicare Replacement: $10,793.82 Health Partners — State Employees: $13,300.86 Primewest — Medicare Replacement: $11,003.41 Sanford Health Plan Align — Medicare Replacement: $9,955.47 Ucare — Medicare Replacement: $10,689.03 United Healthcare — Medicare Replacement: $10,793.82

Source: Sanford Worthington Medical Center’s standard charges file (sthpiprd.blob.core.windows.net, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on March 4, 2026; retrieved November 1, 2026. The hospital’s price transparency page →

Found through the hospital’s cms-hpt.txt file, as required by the federal hospital price transparency rule (CMS). We show a selection of common services; the file has every item and service.

Hospital information

Hospital type	Acute Care Hospital
Address	1018 Sixth Avenue PO Box 997, Worthington, MN 56187
County	Nobles County
State	Minnesota
Phone	(507) 372‑3110
Emergency services	Yes
Ownership	Voluntary non-profit - Private
Medicare overall rating	4 of 5 stars
Birthing-friendly designation	Yes (meets CMS criteria)
CMS Certification Number	240022
Name in Medicare records	SANFORD WORTHINGTON MEDICAL CENTER
Profile level	Medicare data + hospital website
Official website	sanfordhealth.org
Corrections	Report an error or suggest an update →

Sources

Hospital General Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-07-22, retrieved 2026-10-29
Medicare Care Compare — official Medicare profile of this hospital
U.S. Census Bureau Geocoder — map position used for distances

From the hospital’s website

Numbers match the citations above. Checked 2026-10-30.

Sanford Worthington Medical Center — sanfordhealth.org