Famotidine in ns IV syringe 0.4 mg/ml (neo/ped) - cnr 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

$95.52

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.

$119.39

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.

$18.31 with Blue Cross Blue Shield of Minnesota vs $71.11 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 $18.31 ↓ -81%
Sanford Health Plan Align Medicare Replacement $29.50 ↓ -69%
Ucare Medicare Replacement $31.62 ↓ -67%
Wellmark SD Medicare Replacement $31.62 ↓ -67%
Aetna Medicare Replacement $31.92 ↓ -67%
United Healthcare Medicare Replacement $31.92 ↓ -67%
Health Partners Medicare Replacement $31.92 ↓ -67%
Great Plains Medicare Advantage Medicare Replacement $31.92 ↓ -67%
Primewest Medicare Replacement $32.57 ↓ -66%
Primewest Medicaid Managed Care $36.61 ↓ -62%
Security Health Plan Commercial $41.61 ↓ -56%
Health Partners State Employees $52.12 ↓ -45%
Sanford Health Plan SD Exchange True $59.72 ↓ -37%
Sanford Health Plan Group Health/True $59.72 ↓ -37%
Health Partners Commercial $60.52 ↓ -37%
Blue Cross Blue Shield of Minnesota State Employees $61.88 ↓ -35%
United Healthcare Commercial + Top 20 $63.17 ↓ -34%
Aetna Commercial $65.74 ↓ -31%
Ucare Commercial $66.47 ↓ -30%
Medica Choice $66.50 ↓ -30%
Healthez Commercial $68.09 ↓ -29%
Cigna Commercial $68.09 ↓ -29%
Multiplan Commercial $68.09 ↓ -29%
First Choice Health Network Commercial $68.09 ↓ -29%
Blue Cross Blue Shield of Minnesota Commercial/Federal $69.99 ↓ -27%
Sanford Health Plan SD Exchange Commercial $70.26 ↓ -26%
Sanford Health Plan Commercial/ND Pers $70.26 ↓ -26%
Medica Elect $71.11 ↓ -26%
Ucare Medicaid Managed Care not published by hospital —

Visitor-reported prices

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Famotidine in ns IV syringe 0.4 mg/ml (neo/ped) - cnr at other Minnesota hospitals

Hospital City Cash price Negotiated range
Sanford Canby Medical Center Canby $60.81 $18.28 – $67.95
Sanford Westbrook Hospital Westbrook $60.52 $18.28 – $67.94
Sanford Bagley Medical Center Bagley $48.71 $14.67 – $54.54
Sanford Wheaton Wheaton $24.53 $7.38 – $27.45
Sanford Luverne Medical Center Luverne $153.88 $18.28 – $67.94
Sanford Bemidji Medical Center Bemidji $46.80 $25.02 – $50.04
Sanford Worthington Medical Center Worthington $104.82 $29.26 – $67.93
Sanford Thief River Falls Medical Center Thief River Falls $35.24 $15.00 – $39.31

All Minnesota hospitals for this procedure →