Inj levoleucovorin nos 0.5mg 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

$122.64

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.

Full explanation →

What you pay up front if you don't use insurance.

$219.00

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.

$0.02 with blue cross blue shield of minnesota vs $219.00 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 premier(n) $0.02 ↓ -100%
blue cross blue shield of minnesota bc pmap (n) $0.02 ↓ -100%
bcbs bc aehp (n) $0.03 ↓ -100%
blue cross blue shield of minnesota bc state health plan (n) $0.03 ↓ -100%
blue cross blue shield of minnesota bc high value/performance network (n) $0.03 ↓ -100%
bc aware/blue plus (nr) bc aware/blue plus (nr) $0.06 ↓ -100%
hpi-cigna hpi cigna (n) $0.34 ↓ -100%
health partners hpi (n) $0.34 ↓ -100%
ucare pmap (a b c d e g n o s u r h) ucare pmap (abdmnorsuv) $44.06 ↓ -64%
medica health system medica pmap (n) $69.64 ↓ -43%
medicaid medicaid ma (n) $95.87 ↓ -22%
medicare other all other medicare (n) $96.97 ↓ -21%
medica medica medicare (r) $97.29 ↓ -21%
medica health system medica dual solutions (r) $98.55 ↓ -20%
bcbs bc medicare (n) $101.82 ↓ -17%
all other medicaid all other medicaid (n) $105.12 ↓ -14%
south country health alliance scha msho (n) $108.41 ↓ -12%
south country health alliance scha pmap (n) $113.53 ↓ -7%
aetna aetna elevate (n r) $134.18 ↑ +9%
aetna aetna performance (n r) $144.96 ↑ +18%
medica ubh (n) medica ubh (n) $153.30 ↑ +25%
americas ppo (araz)(b d n o r s v) americas ppo (araz)(b d n o r s v) $168.94 ↑ +38%
medica ubh pmap medica ubh pmap (n) $175.20 ↑ +43%
americas ppo (araz) (b d n h o r s) americas ppo (araz) (b d n h o r s v) $183.96 ↑ +50%
first health (a c e g h u b d n o r s) first health (abdmnosurv) $183.96 ↑ +50%
aetna direct/indirect network aetna direct/indirect network (n r) $185.23 ↑ +51%
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) $219.00 ↑ +79%

Visitor-reported prices

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Inj levoleucovorin nos 0.5mg at other Minnesota hospitals

Hospital City Cash price Negotiated range
United Hospital MN | 1175 Nininger Road. Hastings $110.40 $0.02 – $0.03
Abbott Northwestern Hospital MN 55407 $110.40 $0.02 – $0.03
Mercy Hospital MN 55443 | 550 Osborne Road NE. Fridley $110.40 $0.02 – $0.03
Sanford Bemidji Medical Center Bemidji not published $0.06 – $0.06
Sanford Worthington Medical Center Worthington not published $0.06 – $0.06

All Minnesota hospitals for this procedure →