Acetazolamide 500 mg solution for injection at New Ulm Medical Center

1324 5th St N. New Ulm, MN 56073, MN · Allinahealth · · NPI 1558328435

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

$96.07

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.

$171.55

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.

$19.40 with blue cross blue shield of minnesota vs $105.28 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
blue cross blue shield of minnesota bc pmap (n) $19.40 ↓ -80%
ucare pmap (a b c d e g n o s u r h) ucare pmap (abdmnorsuv) $21.18 ↓ -78%
blue cross blue shield of minnesota bc premier(n) $21.90 ↓ -77%
bcbs bc aehp (n) $25.76 ↓ -73%
blue cross blue shield of minnesota bc high value/performance network (n) $27.65 ↓ -71%
blue cross blue shield of minnesota bc state health plan (n) $29.10 ↓ -70%
medica health system medica pmap (n) $33.48 ↓ -65%
medicaid medicaid ma (n) $46.09 ↓ -52%
medicare other all other medicare (n) $46.62 ↓ -51%
medica medica medicare (r) $46.78 ↓ -51%
medica health system medica dual solutions (r) $47.38 ↓ -51%
bcbs bc medicare (n) $48.95 ↓ -49%
bc aware/blue plus (nr) bc aware/blue plus (nr) $49.42 ↓ -49%
all other medicaid all other medicaid (n) $50.53 ↓ -47%
south country health alliance scha msho (n) $52.12 ↓ -46%
south country health alliance scha pmap (n) $54.58 ↓ -43%
aetna aetna elevate (n r) $64.51 ↓ -33%
aetna aetna performance (n r) $69.68 ↓ -27%
medica ubh (n) medica ubh (n) $73.70 ↓ -23%
americas ppo (araz)(b d n o r s v) americas ppo (araz)(b d n o r s v) $81.21 ↓ -15%
medica ubh pmap medica ubh pmap (n) $84.22 ↓ -12%
hpi-cigna hpi cigna (n) $86.10 ↓ -10%
americas ppo (araz) (b d n h o r s) americas ppo (araz) (b d n h o r s v) $88.44 ↓ -8%
first health (a c e g h u b d n o r s) first health (abdmnosurv) $88.44 ↓ -8%
aetna direct/indirect network aetna direct/indirect network (n r) $89.05 ↓ -7%
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) $105.28 ↑ +10%

Visitor-reported prices

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Acetazolamide 500 mg solution for injection at other Minnesota hospitals

Hospital City Cash price Negotiated range
Sanford Wheaton Wheaton $59.55 $17.52 – $65.13
Sanford Luverne Medical Center Luverne $79.87 $23.73 – $88.20
Sanford Bemidji Medical Center Bemidji $81.15 $1.02 – $71.33
Sanford Worthington Medical Center Worthington $89.72 $1.00 – $91.92
United Hospital MN | 1175 Nininger Road. Hastings $86.99 $19.40 – $30.94
Owatonna Hospital Owatonna $101.49 $19.40 – $83.47
Abbott Northwestern Hospital MN 55407 $86.99 $19.40 – $25.76
Allina Health Faribault Medical Center Faribualt $101.49 $19.40 – $83.47

All Minnesota hospitals for this procedure →