Famotidine in ns IV syringe 0.4 mg/ml (neo/ped) - cnr at Sanford Luverne Medical Center

1600 N Kniss Ave, Luverne, MN · Sanford Health · · NPI 1497703045

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

$153.88

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.

$192.34

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.

$18.28 with Blue Cross Blue Shield of Minnesota vs $71.41 with Medica — 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
Blue Cross Blue Shield of Minnesota PMAP $18.28 ↓ -88%
Sanford Health Plan Align Medicare Replacement $26.57 ↓ -83%
Ucare Medicare Replacement $28.46 ↓ -82%
Blue Cross Blue Shield of Minnesota Medicare Replacement $28.76 ↓ -81%
Health Partners Medicare Replacement $28.76 ↓ -81%
Aetna Medicare Replacement $28.76 ↓ -81%
United Healthcare Medicare Replacement $28.76 ↓ -81%
Great Plains Medicare Advantage Medicare Replacement $28.76 ↓ -81%
Primewest Medicare Replacement $29.33 ↓ -81%
Primewest Medicaid Managed Care $35.71 ↓ -77%
Sanford Health Plan Group Health/True $40.45 ↓ -74%
Sanford Health Plan SD Exchange True $40.45 ↓ -74%
Security Health Plan Commercial $41.52 ↓ -73%
Sanford Health Plan SD Exchange Commercial $47.58 ↓ -69%
Sanford Health Plan Commercial/ND Pers $47.58 ↓ -69%
Health Partners State Employees $52.01 ↓ -66%
Health Partners Commercial $60.39 ↓ -61%
Blue Cross Blue Shield of Minnesota State Employees $61.75 ↓ -60%
United Healthcare Commercial + Top 20 $63.03 ↓ -59%
Aetna Commercial $65.60 ↓ -57%
Ucare Commercial $66.33 ↓ -57%
Medica Choice $66.36 ↓ -57%
Multiplan Commercial $67.94 ↓ -56%
Healthez Commercial $67.94 ↓ -56%
First Choice Health Network Commercial $67.94 ↓ -56%
Cigna Commercial $67.94 ↓ -56%
Blue Cross Blue Shield of Minnesota Commercial/Federal $69.84 ↓ -55%
Medica Elect $71.41 ↓ -54%
Ucare Medicaid Managed Care not published by hospital —

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 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
Sanford Thief River Falls Medical Center Thief River Falls $35.24 $15.00 – $39.31

All Minnesota hospitals for this procedure →