Diphenhydramine 12.5 mg/5 ml oral elixir at New Ulm Medical Center
1324 5th St N. New Ulm, MN 56073, MN · Allinahealth · · NPI 1558328435
$9.41
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.
$16.81
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.
$0.03 with blue cross blue shield of minnesota vs $3.73 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 →
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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 | bc premier(n) | $0.03 | ↓ -100% |
| blue cross blue shield of minnesota | bc pmap (n) | $0.03 | ↓ -100% |
| blue cross blue shield of minnesota | bc high value/performance network (n) | $0.04 | ↓ -100% |
| bcbs | bc aehp (n) | $0.04 | ↓ -100% |
| blue cross blue shield of minnesota | bc state health plan (n) | $0.05 | ↓ -99% |
| bc aware/blue plus (nr) | bc aware/blue plus (nr) | $0.07 | ↓ -99% |
| ucare pmap (a b c d e g n o s u r h) | ucare pmap (abdmnorsuv) | $0.75 | ↓ -92% |
| medica health system | medica pmap (n) | $1.19 | ↓ -87% |
| medicaid | medicaid ma (n) | $1.63 | ↓ -83% |
| medicare other | all other medicare (n) | $1.65 | ↓ -82% |
| medica | medica medicare (r) | $1.65 | ↓ -82% |
| medica health system | medica dual solutions (r) | $1.68 | ↓ -82% |
| bcbs | bc medicare (n) | $1.73 | ↓ -82% |
| all other medicaid | all other medicaid (n) | $1.79 | ↓ -81% |
| south country health alliance | scha msho (n) | $1.85 | ↓ -80% |
| south country health alliance | scha pmap (n) | $1.93 | ↓ -79% |
| aetna | aetna elevate (n r) | $2.29 | ↓ -76% |
| aetna | aetna performance (n r) | $2.47 | ↓ -74% |
| medica ubh (n) | medica ubh (n) | $2.61 | ↓ -72% |
| americas ppo (araz)(b d n o r s v) | americas ppo (araz)(b d n o r s v) | $2.88 | ↓ -69% |
| medica ubh pmap | medica ubh pmap (n) | $2.98 | ↓ -68% |
| hpi-cigna | hpi cigna (n) | $3.05 | ↓ -68% |
| first health (a c e g h u b d n o r s) | first health (abdmnosurv) | $3.13 | ↓ -67% |
| americas ppo (araz) (b d n h o r s) | americas ppo (araz) (b d n h o r s v) | $3.13 | ↓ -67% |
| aetna direct/indirect network | aetna direct/indirect network (n r) | $3.15 | ↓ -67% |
| 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) | $3.73 | ↓ -60% |
Visitor-reported prices
Comments
Diphenhydramine 12.5 mg/5 ml oral elixir at other Minnesota hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Sanford Canby Medical Center | Canby | $1.20 | $0.36 – $1.35 |
| Sanford Westbrook Hospital | Westbrook | $5.10 | $0.36 – $1.35 |
| Sanford Bagley Medical Center | Bagley | $4.84 | $1.46 – $5.44 |
| Sanford Wheaton | Wheaton | $2.40 | $0.73 – $2.70 |
| Sanford Luverne Medical Center | Luverne | $1.20 | $0.36 – $1.35 |
| Sanford Bemidji Medical Center | Bemidji | $4.83 | $0.48 – $1.02 |
| Sanford Worthington Medical Center | Worthington | $1.20 | $0.58 – $1.35 |
| Sanford Tracy Hospital | Tracy | $1.20 | $0.36 – $1.35 |