Inj, levothyroxine, freskabi 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

$778.62

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.

$1,390.39

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 $331.38 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%
all other medicaid (v) all other medicaid (v) $6.46 ↓ -99%
medicaid ma medicaid ma (v) $6.46 ↓ -99%
blue cross blue shield bc pmap (b d o s v) $6.52 ↓ -99%
allina aetna medicare (v) allina aetna medicare (v) $6.59 ↓ -99%
south country health alliance scha pmap (v) $6.65 ↓ -99%
medicare medicare (v) $6.94 ↓ -99%
medicare other all other medicare (v) $6.94 ↓ -99%
medica medicare medica medicare (v) $7.21 ↓ -99%
bcbs bc medicare (v) $7.28 ↓ -99%
blue cross blue shield of minnesota bc premier (b d o s v) $7.35 ↓ -99%
scha msho (v) scha msho (v) $7.63 ↓ -99%
blue cross blue shield bc aehp (b d o s v) $8.65 ↓ -99%
blue cross blue shield of minnesota bc high value/performance network (bdosv) $9.28 ↓ -99%
blue cross blue shield bc aware/blue plus (b d o s v) $9.77 ↓ -99%
blue cross blue shield bc state health plan (b d o s v) $9.77 ↓ -99%
blue cross allina health blueprint (bdoshv) $11.04 ↓ -99%
ucare pmap (a b c d e g n o s u r h) ucare pmap (abdmnorsuv) $66.67 ↓ -91%
aetna aetna elevate (bdosv) $147.23 ↓ -81%
aetna aetna performance (bdosv) $155.52 ↓ -80%
medica health system medica dual solutions (b d v o s) $169.00 ↓ -78%
aetna direct/indirect regional network aetna direct/indirect regional (bdosv) $196.44 ↓ -75%
healthpartners hpi (bdov) $224.33 ↓ -71%
medica health system medica elect (b d o s v) $237.67 ↓ -69%
health partners hpi cigna (bdov) $244.52 ↓ -69%
medica mhps medica mhps (bdosv) $248.14 ↓ -68%
medica medica essentials (b d o s v) $248.14 ↓ -68%
americas ppo (araz)(b d n o r s v) americas ppo (araz)(b d n o r s v) $255.63 ↓ -67%
medica health system medica choice (b d o s v) $261.16 ↓ -66%
americas ppo (araz) (b d n h o r s) americas ppo (araz) (b d n h o r s v) $278.36 ↓ -64%
first health (a c e g h u b d n o r s) first health (abdmnosurv) $278.36 ↓ -64%
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) $331.38 ↓ -57%

Visitor-reported prices

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Inj, levothyroxine, freskabi at other Minnesota hospitals

Hospital City Cash price Negotiated range
Sanford Bemidji Medical Center Bemidji $84.86 $6.49 – $95.46
Sanford Tracy Hospital Tracy $86.52 $26.18 – $97.33
United Hospital MN | 1175 Nininger Road. Hastings $667.39 $6.13 – $10.38
Owatonna Hospital Owatonna $778.62 $6.46 – $244.52
Abbott Northwestern Hospital MN 55407 $667.39 $6.13 – $11.45
New Ulm Medical Center MN 56073 $177.88 $6.52 – $259.76
Mercy Hospital MN 55443 | 550 Osborne Road NE. Fridley $667.39 $6.13 – $8.07
Buffalo Hospital Buffalo $778.62 $6.46 – $224.33

All Minnesota hospitals for this procedure →