Sanford Health · Worthington, MN
18
In-network payers
255
Disclosed rate categories
48
Beds
4
Care quality
Sanford Regional Hospital Worthington is a 48-bed voluntary non-profit - private hospital in Worthington, MN, affiliated with Sanford Health. Below you'll find publicly disclosed negotiated rates and facility details, including 18 in-network payers and 255 disclosed rate categories.
CCN (Medicare provider number)
240022
NPI
1396712618
Type
Short Term Acute Care Hospital
Ownership
Voluntary Non-Profit - Private
Beds
48
Care Quality
4
Insurance acceptance may vary by specific plan, network status, and services required. Contact your insurance provider or the hospital's billing department to confirm coverage details.
The 24 services Sanford Regional Hospital Worthington most likely performs, ranked by likely volume and what it is paid. Each service names one insurer. * marks hidden insurer names; A, B and C rank the remaining rates from low to high and reset for each service.
Book a demo to see hidden insurer names, more payer rates, and hospital data.
CT imaging
CPT 74177
$1,215 - $4,515
from 4 insurers · median $4,222
Common here, based on CMS Medicare volume
CT imaging
CPT 70450
$357 - $1,964
from 4 insurers · median $1,887
Common here, based on CMS Medicare volume
CT imaging
CPT 74176
$805 - $3,963
from 4 insurers · median $3,673
Common here, based on CMS Medicare volume
CT imaging
CPT 71275
$597 - $3,051
from 4 insurers · median $2,819
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 66984
$4,695 - $6,412
from 2 insurers · median $5,554
95 Medicare claims in Level 1 Intraocular Procedures (CMS 2024)
MRI imaging
CPT 70553
$1,215 - $4,238
from 4 insurers · median $4,056
Common here, based on CMS Medicare volume
Nuclear imaging
CPT 78815
$4,101 - $7,134
from 4 insurers · median $6,842
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 47562
$8,306 - $16,403
from 2 insurers · median $12,355
12 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Gynecology
CPT 58571
$22,686 - $29,271
from 2 insurers · median $25,979
Typical for a hospital with this service line
Digestive procedures
CPT 49650
$15,951 - $16,403
from 2 insurers · median $16,177
12 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Mammography
CPT 77067
$478 - $528
from 4 insurers · median $501
Common here, based on CMS Medicare volume
Cardiology and vascular testing
CPT 93306
$1,697 - $2,368
from 4 insurers · median $2,263
Common here, based on CMS Medicare volume
X-ray and bone density
CPT 71046
$295 - $372
from 4 insurers · median $321
Common here, based on CMS Medicare volume
MRI imaging
CPT 70551
$805 - $3,383
from 4 insurers · median $3,116
Common here, based on CMS Medicare volume
MRI imaging
CPT 72148
$805 - $3,466
from 4 insurers · median $3,316
Common here, based on CMS Medicare volume
MRI imaging
CPT 73721
$805 - $3,185
from 4 insurers · median $2,953
Common here, based on CMS Medicare volume
Digestive procedures
CPT 47563
$9,285 - $16,403
from 2 insurers · median $12,844
12 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Ultrasound
CPT 76705
$299 - $863
from 4 insurers · median $774
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 29881
$6,868 - $9,122
from 2 insurers · median $7,995
13 Medicare claims in Level 3 Musculoskeletal Procedures (CMS 2024)
Digestive procedures
CPT 45380
$3,643 - $4,178
from 2 insurers · median $3,910
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45385
$1,785 - $3,643
from 2 insurers · median $2,714
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 42820
$5,307 - $16,632
from 2 insurers · median $10,970
Typical for a hospital with this service line
Gynecology
CPT 58661
$8,004 - $17,267
from 2 insurers · median $12,635
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93971
$299 - $1,015
from 4 insurers · median $883
Common here, based on CMS Medicare volume
Median rate as a percent of Medicare across the outpatient services above, and how many services sit above or below the same insurer's median at nearby hospitals. * marks hidden insurer names. These table labels track the same insurers across services; the labels on each service card reset.
| Insurer | Services | Median % of Medicare | Above nearby | Below nearby |
|---|---|---|---|---|
| Insurer A* | 14 | 1228% | 3 | 0 |
| Insurer B* | 14 | 1172% | 11 | 1 |
| Insurer C* | 24 | 445% | 17 | 4 |
| Insurer D* | 24 | 298% | 15 | 7 |
How we chose these services: 5 appear in this hospital's own Medicare claims, 16 are common here based on CMS Medicare volume, and 3 are typical for the service lines it reports to CMS. Rates come from insurer and hospital price transparency files as of October 2026. Rates under a quarter of Medicare or over 20 times Medicare are left out as likely physician-fee rows or file errors. Book a demo to see all 300 CMS shoppable services for Sanford Regional Hospital Worthington.
1018 Sixth Avenue, Worthington, MN 56187
(507) 372-3110
The nearest hospitals of similar type and size. Their rates are compared with Sanford Regional Hospital Worthington for the same insurers and services above.
Lakes Regional Healthcare
Rates about the same as Sanford Regional Hospital Worthington (24 services)
Mayo Clinic Health System-Fairmont
▼ Rates typically 20% lower than Sanford Regional Hospital Worthington (24 services)
Brookings Health System
▼ Rates typically 7% lower than Sanford Regional Hospital Worthington (21 services)
Hutchinson Health
▲ Rates typically 13% higher than Sanford Regional Hospital Worthington (24 services)
Prairie Lakes Health Care Center
▼ Rates typically 20% lower than Sanford Regional Hospital Worthington (19 services)
Owatonna Hospital
▼ Rates typically 64% lower than Sanford Regional Hospital Worthington (24 services)
Sanford Bemidji
Winona Health
Essentia Health - Duluth
M Health Fairview Ridges Hospital
About Sanford Regional Hospital Worthington's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Sanford Regional Hospital Worthington range from $1,215 to $4,238 across 4 insurers. UnitedHealthcare's rate is $4,045. The median at nearby comparable hospitals is $2,995. What a patient pays depends on their plan's deductible, coinsurance and network status.
For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Sanford Regional Hospital Worthington range from $1,215 to $4,515 across 4 insurers. Aetna's rate is $4,136. The median at nearby comparable hospitals is $1,364. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Colonoscopy with biopsy (CPT 45380), published negotiated rates at Sanford Regional Hospital Worthington range from $3,643 to $4,178 across 2 insurers. Aetna's rate is $4,178. The median at nearby comparable hospitals is $1,797. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Sanford Regional Hospital Worthington range from $478 to $528 across 4 insurers. Blue Cross Blue Shield's rate is $498. The median at nearby comparable hospitals is $230. What a patient pays depends on their plan's deductible, coinsurance and network status.
Sanford Regional Hospital Worthington has 48 beds. Facility type: Short Term Acute Care Hospital.
Sanford Regional Hospital Worthington is located at 1018 Sixth Avenue, Worthington, MN 56187. Its main phone number is (507) 372-3110.
Sanford Regional Hospital Worthington's CMS Certification Number (CCN), also called its Medicare provider number, is 240022.
The National Provider Identifier (NPI) on file for Sanford Regional Hospital Worthington is 1396712618.
Sanford Regional Hospital Worthington is affiliated with Sanford Health.
Sanford Regional Hospital Worthington lists 18 in-network payers, including Aetna, Aspirus Health Plan, Avera Health Plans, BCBS, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.
255 disclosed rate categories. Each shows the payer, category, code type and group with its code range, and contract type, along with how the rate compares with the state average.
Under 45 CFR Part 180, every US hospital must publish a machine-readable file of its standard charges, including gross charges, discounted cash prices and payer-specific negotiated rates, in the CMS template format. PayerPrice can help hospitals publish and maintain these files.
A chargemaster (charge description master, or CDM) is a hospital's master list of billable items, with codes, descriptions and gross charges. A chargemaster review looks at those lines for accuracy and pricing. PayerPrice can help hospitals review their chargemaster; contact us to discuss your needs.
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{
"description": "MRI of brain (no contrast)",
"code_information": [
{ "code": "611", "type": "RC" },
{ "code": "70551", "type": "CPT" }
],
"standard_charges": [{
"setting": "outpatient",
"minimum": 250,
"maximum": 400,
"gross_charge": 1200,
"discounted_cash": 1080,
"payers_information": [
{
"payer_name": "Platform Health Insurance",
"plan_name": "PPO",
"methodology": "fee schedule",
"standard_charge_dollar": 400
},
{
"payer_name": "Region Health Insurance",
"plan_name": "HMO",
"methodology": "fee schedule",
"standard_charge_dollar": 250
}
]
}]
}Your chargemaster sets the gross charge on every claim, and many payer contracts base payment on it through percent-of-charge, lesser-of and stop-loss terms. We audit it line by line and show how your charges and negotiated rates compare with peer hospitals before your next negotiation.
What a review covers