CMS Price Transparency Data

Office visit, established patient (30-39 min)

Facility: Sanford Worthington Medical Center

Billing Code: 99214 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$121
about 0.9× the $136 Medicare rate · typically $94–$127
modeled estimate · not a bill or quote
What this hospital charges insurers
$127
About the fair price
about $6 over the fair price · 0.9× Medicare
Medicare pays $136 Fair price $121 This hospital $127 Cash price $245 Hospital's list price $306

How we calculate the fair BaseRate →

How this hospital compares to other MN hospitals

Highest price of the 9 MN hospitals we have prices for — worth calling around.

Cheapest $82 Priciest $127

Black dot = this hospital, among the 9 MN hospitals with a price for this procedure. Full list below.

A fair price for a Office visit, established patient (30-39 min) is about $121 (about 0.9× the $136 Medicare rate). Sanford Worthington Medical Center charges insurers about $127, or about $245 in cash — about the fair price. Located in Worthington, MN.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

3 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna CignaHumanaKaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $127 - $711 94%
Blue Cross Blue Shieldmajor $103 - $383 76%
Aetnamajor $127 - $698 94%
Health Net $206 - $766 152%
HealthPartners $127 - $604 94%
Medica $204 - $813 150%
Sanford Health Plan $89 - $388 66%
Security Health Plan $126 - $468 93%
UCare $126 - $665 93%
+ 2 smaller / regional plans $129 - $766
Government programs also on file: Medicare.
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 1018 Sixth Avenue Po Box 997, Worthington, MN 56187
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals