Fomepizole 1 gram/ml intravenous solution at New Ulm Medical Center
1324 5th St N. New Ulm, MN 56073, MN · Allinahealth · · NPI 1558328435
$1,699.45
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.
$3,034.74
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.
$6.11 with allina aetna medicare (n) vs $1,702.89 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 |
|---|---|---|---|
| allina aetna medicare (n) | allina aetna medicare (n) | $6.11 | ↓ -100% |
| medicare | medicare (n) | $6.43 | ↓ -100% |
| blue cross blue shield of minnesota | bc pmap (n) | $13.12 | ↓ -99% |
| blue cross blue shield of minnesota | bc premier(n) | $14.81 | ↓ -99% |
| bcbs | bc aehp (n) | $17.42 | ↓ -99% |
| blue cross blue shield of minnesota | bc high value/performance network (n) | $18.70 | ↓ -99% |
| blue cross blue shield of minnesota | bc state health plan (n) | $19.69 | ↓ -99% |
| bc aware/blue plus (nr) | bc aware/blue plus (nr) | $33.42 | ↓ -98% |
| ucare pmap (a b c d e g n o s u r h) | ucare pmap (abdmnorsuv) | $342.62 | ↓ -80% |
| medica health system | medica pmap (n) | $541.52 | ↓ -68% |
| medicaid | medicaid ma (n) | $745.42 | ↓ -56% |
| medicare other | all other medicare (n) | $754.04 | ↓ -56% |
| medica | medica medicare (r) | $756.55 | ↓ -55% |
| medica health system | medica dual solutions (r) | $766.30 | ↓ -55% |
| bcbs | bc medicare (n) | $791.74 | ↓ -53% |
| all other medicaid | all other medicaid (n) | $817.39 | ↓ -52% |
| south country health alliance | scha msho (n) | $842.93 | ↓ -50% |
| south country health alliance | scha pmap (n) | $882.78 | ↓ -48% |
| aetna | aetna elevate (n r) | $1,043.36 | ↓ -39% |
| aetna | aetna performance (n r) | $1,127.14 | ↓ -34% |
| medica ubh (n) | medica ubh (n) | $1,192.02 | ↓ -30% |
| americas ppo (araz)(b d n o r s v) | americas ppo (araz)(b d n o r s v) | $1,313.61 | ↓ -23% |
| medica ubh pmap | medica ubh pmap (n) | $1,362.31 | ↓ -20% |
| hpi-cigna | hpi cigna (n) | $1,392.61 | ↓ -18% |
| first health (a c e g h u b d n o r s) | first health (abdmnosurv) | $1,430.43 | ↓ -16% |
| americas ppo (araz) (b d n h o r s) | americas ppo (araz) (b d n h o r s v) | $1,430.43 | ↓ -16% |
| aetna direct/indirect network | aetna direct/indirect network (n r) | $1,440.30 | ↓ -15% |
| 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) | $1,702.89 | ↑ +0% |
Visitor-reported prices
Comments
Fomepizole 1 gram/ml intravenous solution at other Minnesota hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Sanford Westbrook Hospital | Westbrook | $871.20 | $263.65 – $980.10 |
| Sanford Luverne Medical Center | Luverne | $974.40 | $268.00 – $996.30 |
| Sanford Bemidji Medical Center | Bemidji | $1,658.51 | $5.96 – $660.38 |
| Sanford Worthington Medical Center | Worthington | $1,526.40 | $5.96 – $745.20 |
| Sanford Tracy Hospital | Tracy | $804.56 | $243.48 – $905.13 |
| Sanford Thief River Falls Medical Center | Thief River Falls | $1,594.03 | $655.06 – $1,716.33 |
| Sanford Behavioral Health Thief River Falls | Thief River Falls | $1,594.03 | $655.06 – $1,716.33 |
| United Hospital | MN | 1175 Nininger Road. Hastings | $1,503.13 | $6.11 – $20.92 |