Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr at River Falls Area Hospital

1617 E Division St, River Falls, MN · Allinahealth · · NPI 1285691725

Source: hospital's published price file ↗ · Published Jun 15, 2026 · Ingested Sep 17, 2026

$91.96

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.

$164.21

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.

$0.04 with blue cross blue shield of minnesota vs $52.07 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 (r) $0.04 ↓ -100%
blue cross blue shield of minnesota bc premier (r) $0.05 ↓ -100%
bcbs bc aehp (r) $0.05 ↓ -100%
blue cross blue shield of minnesota bc state health plan (r) $0.06 ↓ -100%
bc high value/ performance network (r) bc high value/ performance network (r) $0.06 ↓ -100%
bc aware/blue plus (nr) bc aware/blue plus (nr) $0.10 ↓ -100%
ucare pmap (a b c d e g n o s u r h) ucare pmap (abdmnorsuv) $10.48 ↓ -89%
medica health system medica pmap (r) $14.01 ↓ -85%
medicare other all other medicare (r) $22.03 ↓ -76%
bcbs bc medicare (r) $23.13 ↓ -75%
medica medica medicare (r) $23.13 ↓ -75%
medica health system medica dual solutions (r) $23.43 ↓ -75%
south country health alliance scha msho (r) $24.23 ↓ -74%
all other medicaid all other medicaid (r) $24.99 ↓ -73%
south country health alliance scha pmap (r) $25.74 ↓ -72%
aetna aetna elevate (n r) $31.90 ↓ -65%
aetna aetna performance (n r) $34.47 ↓ -63%
americas ppo (araz)(b d n o r s v) americas ppo (araz)(b d n o r s v) $40.17 ↓ -56%
first health (a c e g h u b d n o r s) first health (abdmnosurv) $43.74 ↓ -52%
americas ppo (araz) (b d n h o r s) americas ppo (araz) (b d n h o r s v) $43.74 ↓ -52%
aetna direct/indirect network aetna direct/indirect network (n r) $44.04 ↓ -52%
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) $52.07 ↓ -43%

Visitor-reported prices

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Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr at other Minnesota hospitals

Hospital City Cash price Negotiated range
Sanford Canby Medical Center Canby $62.48 $18.58 – $69.08
Sanford Bagley Medical Center Bagley $51.17 $15.48 – $57.56
Sanford Wheaton Wheaton $26.80 $8.11 – $30.15
Sanford Luverne Medical Center Luverne $61.83 $18.67 – $69.42
Sanford Bemidji Medical Center Bemidji $50.71 $1.02 – $52.54
Sanford Worthington Medical Center Worthington $62.16 $1.00 – $69.37
Sanford Tracy Hospital Tracy $62.17 $18.81 – $69.94
Sanford Thief River Falls Medical Center Thief River Falls $37.62 $16.12 – $42.25

All Minnesota hospitals for this procedure →