Fomepizole 1 gram/ml intravenous solution at Sanford Bemidji Medical Center

1300 Anne Street NW, Bemidji, MN · Sanford Health · · NPI 1801870191

Source: hospital's published price file ↗ · Published Mar 4, 2026 · Ingested Aug 12, 2026

$1,658.51

Cash price

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Discounted cash price

What a hospital charges a self-pay patient who pays directly, without going through insurance — usually well below the gross charge.

Example: A CT scan has a $3,200 gross charge but an $850 discounted cash price. Ask for it by name when scheduling — hospitals don't always advertise it up front.

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What you pay up front if you don't use insurance.

$2,073.13

Gross charge

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Gross charge (chargemaster price)

The hospital's full, undiscounted list price — pulled from its internal "chargemaster" price list. Almost no one actually pays this.

Example: A chest X-ray has a gross charge of $1,450. The same hospital's discounted cash price for the same X-ray is $180 — the gross charge mostly anchors negotiations, not what patients pay.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$5.96 with Sanford Health Plan Align vs $660.38 with Cigna — same scan, same building. Share

Negotiated rates by payer
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Negotiated rate

The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.

Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.

Full explanation →

Payer
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Payer

The insurance company footing the bill — Aetna, UnitedHealthcare, Medicare, and so on.

Example: "Blue Cross Blue Shield" is the payer. Its negotiated rate for an MRI might be $904, while a different payer's negotiated rate for the same scan is $1,509.

Full explanation →
Plan
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Plan

The specific product an insurer sells — e.g. "Blue Cross PPO 500" — which sets your deductible, coinsurance and negotiated rates.

Example: Two people both insured by Aetna can owe very different amounts for the same MRI: $50 with an HMO plan's flat copay, or the full $1,200 toward a high-deductible PPO plan's unmet deductible.

Full explanation →
Negotiated rate vs. cash
Sanford Health Plan Align Medicare Replacement $5.96 ↓ -100%
Ucare Medicare Replacement $6.40 ↓ -100%
Blue Cross Blue Shield of Minnesota Medicare Replacement $6.47 ↓ -100%
United Healthcare Medicare Replacement $6.47 ↓ -100%
Health Partners Medicare Replacement $6.47 ↓ -100%
Aetna Medicare Replacement $6.47 ↓ -100%
Great Plains Medicare Advantage Medicare Replacement $6.47 ↓ -100%
Primewest Medicare Replacement $6.59 ↓ -100%
Blue Cross Blue Shield of Minnesota Commercial/Federal $6.73 ↓ -100%
Blue Cross Blue Shield of Minnesota PMAP $6.73 ↓ -100%
Sanford Health Plan SD Exchange True $334.37 ↓ -80%
Sanford Health Plan Group Health/True $381.26 ↓ -77%
Sanford Health Plan SD Exchange Commercial $393.36 ↓ -76%
Security Health Plan Commercial $403.56 ↓ -76%
Sanford Health Plan Commercial $448.54 ↓ -73%
Health Partners Commercial $513.63 ↓ -69%
Ucare Commercial $515.75 ↓ -69%
United Healthcare CSP Top 20 $558.38 ↓ -66%
Aetna Commercial $601.68 ↓ -64%
United Healthcare Commercial $612.68 ↓ -63%
Medica Choice $616.35 ↓ -63%
Medica Elect $659.64 ↓ -60%
First Choice Health Network Commercial $660.38 ↓ -60%
Multiplan Commercial $660.38 ↓ -60%
Healthez Commercial $660.38 ↓ -60%
Cigna Commercial $660.38 ↓ -60%
Ucare Medicaid Managed Care not published by hospital —
Primewest Medicaid Managed Care not published by hospital —

Visitor-reported prices

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Fomepizole 1 gram/ml intravenous solution at other Minnesota hospitals

Hospital City Cash price Negotiated range
Sanford Westbrook Hospital Westbrook $871.20 $263.65 – $980.10
Sanford Luverne Medical Center Luverne $974.40 $268.00 – $996.30
Sanford Worthington Medical Center Worthington $1,526.40 $5.96 – $745.20
Sanford Tracy Hospital Tracy $804.56 $243.48 – $905.13
Sanford Thief River Falls Medical Center Thief River Falls $1,594.03 $655.06 – $1,716.33
Sanford Behavioral Health Thief River Falls Thief River Falls $1,594.03 $655.06 – $1,716.33
United Hospital MN | 1175 Nininger Road. Hastings $1,503.13 $6.11 – $20.92
Owatonna Hospital Owatonna $1,924.23 $6.11 – $1,295.08

All Minnesota hospitals for this procedure →