Fomepizole 1 gram/ml intravenous solution 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

$1,924.23

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.

$3,436.13

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.

$6.11 with allina aetna medicare (r) vs $1,755.10 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
allina aetna medicare (r) allina aetna medicare (r) $6.11 ↓ -100%
medicaid medicaid ma (r) $6.25 ↓ -100%
medicare medicare (r) $6.43 ↓ -100%
blue cross blue shield of minnesota bc pmap (r) $12.89 ↓ -99%
blue cross blue shield of minnesota bc premier (r) $14.55 ↓ -99%
bcbs bc aehp (r) $17.11 ↓ -99%
bc high value/ performance network (r) bc high value/ performance network (r) $18.37 ↓ -99%
blue cross blue shield of minnesota bc state health plan (r) $19.34 ↓ -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) $353.13 ↓ -82%
medica health system medica pmap (r) $472.12 ↓ -75%
medicare other all other medicare (r) $742.61 ↓ -61%
medica medica medicare (r) $779.74 ↓ -59%
bcbs bc medicare (r) $779.74 ↓ -59%
medica health system medica dual solutions (r) $789.79 ↓ -59%
south country health alliance scha msho (r) $816.87 ↓ -58%
all other medicaid all other medicaid (r) $842.45 ↓ -56%
south country health alliance scha pmap (r) $867.72 ↓ -55%
aetna aetna elevate (n r) $1,075.35 ↓ -44%
aetna aetna performance (n r) $1,161.70 ↓ -40%
americas ppo (araz)(b d n o r s v) americas ppo (araz)(b d n o r s v) $1,353.88 ↓ -30%
first health (a c e g h u b d n o r s) first health (abdmnosurv) $1,474.28 ↓ -23%
americas ppo (araz) (b d n h o r s) americas ppo (araz) (b d n h o r s v) $1,474.28 ↓ -23%
aetna direct/indirect network aetna direct/indirect network (n r) $1,484.46 ↓ -23%
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) $1,755.10 ↓ -9%

Visitor-reported prices

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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

All Minnesota hospitals for this procedure →