Famotidine in ns IV syringe 0.4 mg/ml (neo/ped) - cnr at Allina Health Faribault Medical Center

200 State Avenue, Faribualt, MN · Allinahealth · · NPI 1154741577

Source: hospital's published price file ↗ · Published Jun 16, 2026 · Ingested Sep 17, 2026

$27.67

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.

$49.41

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.

$0.01 with united healthcare (bdohsv) vs $46.77 with all other contracted care (a b c d e g h n o r s u) — 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
united healthcare (bdohsv) united healthcare (bdosv) $0.01 ↓ -100%
blue cross blue shield bc aehp (b d o s v) $0.01 ↓ -100%
blue cross blue shield bc pmap (b d o s v) $0.01 ↓ -100%
blue cross blue shield of minnesota bc high value/performance network (bdosv) $0.01 ↓ -100%
blue cross blue shield of minnesota bc premier (b d o s v) $0.01 ↓ -100%
blue cross blue shield bc state health plan (b d o s v) $0.02 ↓ -100%
blue cross allina health blueprint (bdoshv) $0.02 ↓ -100%
blue cross blue shield bc aware/blue plus (b d o s v) $0.02 ↓ -100%
ucare pmap (a b c d e g n o s u r h) ucare pmap (abdmnorsuv) $9.41 ↓ -66%
aetna aetna elevate (bdosv) $20.78 ↓ -25%
aetna aetna performance (bdosv) $21.95 ↓ -21%
medica health system medica dual solutions (b d v o s) $23.85 ↓ -14%
aetna direct/indirect regional network aetna direct/indirect regional (bdosv) $27.73 ↑ +0%
healthpartners hpi (bdov) $31.66 ↑ +14%
medica health system medica elect (b d o s v) $33.54 ↑ +21%
health partners hpi cigna (bdov) $34.51 ↑ +25%
medica medica essentials (b d o s v) $35.02 ↑ +27%
medica mhps medica mhps (bdosv) $35.02 ↑ +27%
americas ppo (araz)(b d n o r s v) americas ppo (araz)(b d n o r s v) $36.08 ↑ +30%
medica health system medica choice (b d o s v) $36.86 ↑ +33%
first health (a c e g h u b d n o r s) first health (abdmnosurv) $39.29 ↑ +42%
americas ppo (araz) (b d n h o r s) americas ppo (araz) (b d n h o r s v) $39.29 ↑ +42%
all other contracted care (a b c d e g h n o r s u) all other contracted care (a b c d m h n o r s u v) $46.77 ↑ +69%

Visitor-reported prices

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Famotidine in ns IV syringe 0.4 mg/ml (neo/ped) - cnr at other Minnesota hospitals

Hospital City Cash price Negotiated range
Sanford Canby Medical Center Canby $60.81 $18.28 – $67.95
Sanford Westbrook Hospital Westbrook $60.52 $18.28 – $67.94
Sanford Bagley Medical Center Bagley $48.71 $14.67 – $54.54
Sanford Wheaton Wheaton $24.53 $7.38 – $27.45
Sanford Luverne Medical Center Luverne $153.88 $18.28 – $67.94
Sanford Bemidji Medical Center Bemidji $46.80 $25.02 – $50.04
Sanford Worthington Medical Center Worthington $104.82 $29.26 – $67.93
Sanford Tracy Hospital Tracy $95.52 $18.31 – $68.09

All Minnesota hospitals for this procedure →