Ustekinumab 130 mg/26 ml intravenous solution at Sanford Luverne Medical Center
1600 N Kniss Ave, Luverne, MN · Sanford Health · · NPI 1497703045
$3,340.66
Cash price 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.
$4,175.82
Gross charge 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.
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The hospital's undiscounted list price — almost no one pays this.
$1,010.97 with Blue Cross Blue Shield of Minnesota vs $3,950.33 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 →
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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 ?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 ?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 | $1,010.97 | ↓ -70% |
| Sanford Health Plan Align | Medicare Replacement | $1,469.89 | ↓ -56% |
| Ucare | Medicare Replacement | $1,574.28 | ↓ -53% |
| Blue Cross Blue Shield of Minnesota | Medicare Replacement | $1,590.99 | ↓ -52% |
| Health Partners | Medicare Replacement | $1,590.99 | ↓ -52% |
| Aetna | Medicare Replacement | $1,590.99 | ↓ -52% |
| United Healthcare | Medicare Replacement | $1,590.99 | ↓ -52% |
| Great Plains Medicare Advantage | Medicare Replacement | $1,590.99 | ↓ -52% |
| Primewest | Medicare Replacement | $1,622.31 | ↓ -51% |
| Primewest | Medicaid Managed Care | $1,975.16 | ↓ -41% |
| Sanford Health Plan | Group Health/True | $2,237.40 | ↓ -33% |
| Sanford Health Plan | SD Exchange True | $2,237.40 | ↓ -33% |
| Security Health Plan | Commercial | $2,296.70 | ↓ -31% |
| Sanford Health Plan | SD Exchange Commercial | $2,632.02 | ↓ -21% |
| Sanford Health Plan | Commercial/ND Pers | $2,632.02 | ↓ -21% |
| Health Partners | State Employees | $2,877.14 | ↓ -14% |
| Health Partners | Commercial | $3,340.66 | ↑ +0% |
| Blue Cross Blue Shield of Minnesota | State Employees | $3,415.82 | ↑ +2% |
| United Healthcare | Commercial + Top 20 | $3,486.81 | ↑ +4% |
| Aetna | Commercial | $3,628.79 | ↑ +9% |
| Ucare | Commercial | $3,668.88 | ↑ +10% |
| Medica | Choice | $3,670.55 | ↑ +10% |
| Multiplan | Commercial | $3,758.24 | ↑ +12% |
| Healthez | Commercial | $3,758.24 | ↑ +12% |
| First Choice Health Network | Commercial | $3,758.24 | ↑ +12% |
| Cigna | Commercial | $3,758.24 | ↑ +12% |
| Blue Cross Blue Shield of Minnesota | Commercial/Federal | $3,863.47 | ↑ +16% |
| Medica | Elect | $3,950.33 | ↑ +18% |
| Ucare | Medicaid Managed Care | not published by hospital | — |
Visitor-reported prices
Comments
Ustekinumab 130 mg/26 ml intravenous solution at other Minnesota hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Sanford Canby Medical Center | Canby | $3,130.79 | $947.45 – $3,522.13 |
| Sanford Wheaton | Wheaton | $2,558.91 | $774.39 – $2,878.77 |
| Sanford Worthington Medical Center | Worthington | $3,281.09 | $12.34 – $3,691.22 |
| Sanford Tracy Hospital | Tracy | $3,281.09 | $992.94 – $3,691.22 |
| Sanford Thief River Falls Medical Center | Thief River Falls | $3,624.45 | $1,556.25 – $4,077.50 |
| Sanford Behavioral Health Thief River Falls | Thief River Falls | $3,624.45 | $1,556.25 – $4,077.50 |
| United Hospital | MN | 1175 Nininger Road. Hastings | $5,717.43 | $11.65 – $20.79 |
| Owatonna Hospital | Owatonna | $6,670.33 | $11.65 – $8,789.32 |