Alteplase 100 mg infusion from pyxis vial at Sanford Tracy Hospital

251 5th St E, Tracy, MN · Sanford Health · · NPI 1003851171

Source: hospital's published price file ↗ · Published Mar 4, 2026 · Ingested Aug 12, 2026

$334.64

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.

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

$418.30

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.

$101.27 with Blue Cross Blue Shield of Minnesota vs $393.20 with Medica — 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 PMAP $101.27 ↓ -70%
Sanford Health Plan Align Medicare Replacement $163.14 ↓ -51%
Ucare Medicare Replacement $174.85 ↓ -48%
Wellmark SD Medicare Replacement $174.85 ↓ -48%
Aetna Medicare Replacement $176.52 ↓ -47%
United Healthcare Medicare Replacement $176.52 ↓ -47%
Health Partners Medicare Replacement $176.52 ↓ -47%
Great Plains Medicare Advantage Medicare Replacement $176.52 ↓ -47%
Primewest Medicare Replacement $180.08 ↓ -46%
Primewest Medicaid Managed Care $202.46 ↓ -39%
Security Health Plan Commercial $230.07 ↓ -31%
Health Partners State Employees $288.21 ↓ -14%
Sanford Health Plan SD Exchange True $330.21 ↓ -1%
Sanford Health Plan Group Health/True $330.21 ↓ -1%
Health Partners Commercial $334.64 ↑ +0%
Blue Cross Blue Shield of Minnesota State Employees $342.17 ↑ +2%
United Healthcare Commercial + Top 20 $349.28 ↑ +4%
Aetna Commercial $363.50 ↑ +9%
Ucare Commercial $367.52 ↑ +10%
Medica Choice $367.69 ↑ +10%
Healthez Commercial $376.47 ↑ +13%
Cigna Commercial $376.47 ↑ +13%
Multiplan Commercial $376.47 ↑ +13%
First Choice Health Network Commercial $376.47 ↑ +13%
Blue Cross Blue Shield of Minnesota Commercial/Federal $387.01 ↑ +16%
Sanford Health Plan SD Exchange Commercial $388.48 ↑ +16%
Sanford Health Plan Commercial/ND Pers $388.48 ↑ +16%
Medica Elect $393.20 ↑ +17%
Ucare Medicaid Managed Care not published by hospital —

Visitor-reported prices

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Alteplase 100 mg infusion from pyxis vial at other Minnesota hospitals

Hospital City Cash price Negotiated range
Sanford Westbrook Hospital Westbrook $12,473.57 $3,774.81 – $14,032.76
Sanford Wheaton Wheaton $8,973.77 $86.73 – $322.41
Sanford Luverne Medical Center Luverne $13,238.02 $98.82 – $367.34
Sanford Bemidji Medical Center Bemidji $4,197.25 $46.44 – $99.17
Sanford Thief River Falls Medical Center Thief River Falls $11,385.60 $192.44 – $504.21
Sanford Behavioral Health Thief River Falls Thief River Falls $11,385.60 $192.44 – $504.21
United Hospital MN | 1175 Nininger Road. Hastings $11,935.98 $80.40 – $148.43
Owatonna Hospital Owatonna $13,925.31 $80.40 – $618.25

All Minnesota hospitals for this procedure →