Leucovorin calcium 100 mg solution for injection (1 mg rounding) 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

$105.34

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.

$188.11

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.

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The hospital's undiscounted list price — almost no one pays this.

$3.57 with blue cross blue shield of minnesota vs $70.21 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) $3.57 ↓ -97%
blue cross blue shield of minnesota bc premier(n) $4.03 ↓ -96%
bcbs bc aehp (n) $4.74 ↓ -96%
blue cross blue shield of minnesota bc high value/performance network (n) $5.09 ↓ -95%
blue cross blue shield of minnesota bc state health plan (n) $5.36 ↓ -95%
health partners hpi (n) $7.59 ↓ -93%
hpi-cigna hpi cigna (n) $7.59 ↓ -93%
bc aware/blue plus (nr) bc aware/blue plus (nr) $9.10 ↓ -91%
ucare pmap (a b c d e g n o s u r h) ucare pmap (abdmnorsuv) $14.13 ↓ -87%
medica health system medica pmap (n) $22.33 ↓ -79%
medicaid medicaid ma (n) $30.73 ↓ -71%
medicare other all other medicare (n) $31.08 ↓ -70%
medica medica medicare (r) $31.20 ↓ -70%
medica health system medica dual solutions (r) $31.59 ↓ -70%
bcbs bc medicare (n) $32.63 ↓ -69%
all other medicaid all other medicaid (n) $33.70 ↓ -68%
south country health alliance scha msho (n) $34.75 ↓ -67%
south country health alliance scha pmap (n) $36.40 ↓ -65%
aetna aetna elevate (n r) $43.02 ↓ -59%
aetna aetna performance (n r) $46.47 ↓ -56%
medica ubh (n) medica ubh (n) $49.15 ↓ -53%
americas ppo (araz)(b d n o r s v) americas ppo (araz)(b d n o r s v) $54.16 ↓ -49%
medica ubh pmap medica ubh pmap (n) $56.17 ↓ -47%
americas ppo (araz) (b d n h o r s) americas ppo (araz) (b d n h o r s v) $58.98 ↓ -44%
first health (a c e g h u b d n o r s) first health (abdmnosurv) $58.98 ↓ -44%
aetna direct/indirect network aetna direct/indirect network (n r) $59.38 ↓ -44%
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) $70.21 ↓ -33%

Visitor-reported prices

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Leucovorin calcium 100 mg solution for injection (1 mg rounding) at other Minnesota hospitals

Hospital City Cash price Negotiated range
Sanford Canby Medical Center Canby $72.24 $19.87 – $73.85
Sanford Westbrook Hospital Westbrook $73.72 $19.37 – $72.01
Sanford Luverne Medical Center Luverne $73.44 $19.42 – $72.20
Sanford Worthington Medical Center Worthington $111.80 $1.00 – $73.26
Sanford Thief River Falls Medical Center Thief River Falls $292.05 $15.77 – $41.33
Sanford Behavioral Health Thief River Falls Thief River Falls $292.05 $15.77 – $41.33
United Hospital MN | 1175 Nininger Road. Hastings $137.04 $3.57 – $5.70
Owatonna Hospital Owatonna $175.92 $3.57 – $7.59

All Minnesota hospitals for this procedure →