Fomepizole 1 gram/ml intravenous solution at Sanford Tracy Hospital
251 5th St E, Tracy, MN · Sanford Health · · NPI 1003851171
$804.56
Cash price 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.
$1,005.70
Gross charge 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.
$243.48 with Blue Cross Blue Shield of Minnesota vs $945.36 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 →
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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 ?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 ?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 | $243.48 | ↓ -70% |
| Sanford Health Plan Align | Medicare Replacement | $392.22 | ↓ -51% |
| Ucare | Medicare Replacement | $420.38 | ↓ -48% |
| Wellmark SD | Medicare Replacement | $420.38 | ↓ -48% |
| Aetna | Medicare Replacement | $424.41 | ↓ -47% |
| United Healthcare | Medicare Replacement | $424.41 | ↓ -47% |
| Health Partners | Medicare Replacement | $424.41 | ↓ -47% |
| Great Plains Medicare Advantage | Medicare Replacement | $424.41 | ↓ -47% |
| Primewest | Medicare Replacement | $432.95 | ↓ -46% |
| Primewest | Medicaid Managed Care | $486.76 | ↓ -39% |
| Security Health Plan | Commercial | $553.14 | ↓ -31% |
| Health Partners | State Employees | $692.93 | ↓ -14% |
| Sanford Health Plan | SD Exchange True | $793.90 | ↓ -1% |
| Sanford Health Plan | Group Health/True | $793.90 | ↓ -1% |
| Health Partners | Commercial | $804.56 | ↑ +0% |
| Blue Cross Blue Shield of Minnesota | State Employees | $822.66 | ↑ +2% |
| United Healthcare | Commercial + Top 20 | $839.76 | ↑ +4% |
| Aetna | Commercial | $873.95 | ↑ +9% |
| Ucare | Commercial | $883.61 | ↑ +10% |
| Medica | Choice | $884.01 | ↑ +10% |
| Healthez | Commercial | $905.13 | ↑ +13% |
| Cigna | Commercial | $905.13 | ↑ +13% |
| Multiplan | Commercial | $905.13 | ↑ +13% |
| First Choice Health Network | Commercial | $905.13 | ↑ +13% |
| Blue Cross Blue Shield of Minnesota | Commercial/Federal | $930.47 | ↑ +16% |
| Sanford Health Plan | SD Exchange Commercial | $933.99 | ↑ +16% |
| Sanford Health Plan | Commercial/ND Pers | $933.99 | ↑ +16% |
| Medica | Elect | $945.36 | ↑ +18% |
| Ucare | Medicaid Managed Care | not published by hospital | — |
Visitor-reported prices
Comments
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 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 |
| Owatonna Hospital | Owatonna | $1,924.23 | $6.11 – $1,295.08 |