Inj, levothyroxine, freskabi 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

$86.52

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.

Full explanation →

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

$108.14

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.

$26.18 with Blue Cross Blue Shield of Minnesota vs $101.65 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 $26.18 ↓ -70%
Sanford Health Plan Align Medicare Replacement $42.17 ↓ -51%
Ucare Medicare Replacement $45.20 ↓ -48%
Wellmark SD Medicare Replacement $45.20 ↓ -48%
Aetna Medicare Replacement $45.64 ↓ -47%
United Healthcare Medicare Replacement $45.64 ↓ -47%
Health Partners Medicare Replacement $45.64 ↓ -47%
Great Plains Medicare Advantage Medicare Replacement $45.64 ↓ -47%
Primewest Medicare Replacement $46.55 ↓ -46%
Primewest Medicaid Managed Care $52.34 ↓ -40%
Security Health Plan Commercial $59.48 ↓ -31%
Health Partners State Employees $74.51 ↓ -14%
Sanford Health Plan SD Exchange True $85.37 ↓ -1%
Sanford Health Plan Group Health/True $85.37 ↓ -1%
Health Partners Commercial $86.51 ↓ -0%
Blue Cross Blue Shield of Minnesota State Employees $88.46 ↑ +2%
United Healthcare Commercial + Top 20 $90.30 ↑ +4%
Aetna Commercial $93.97 ↑ +9%
Ucare Commercial $95.01 ↑ +10%
Medica Choice $95.06 ↑ +10%
Healthez Commercial $97.33 ↑ +12%
Cigna Commercial $97.33 ↑ +12%
Multiplan Commercial $97.33 ↑ +12%
First Choice Health Network Commercial $97.33 ↑ +12%
Blue Cross Blue Shield of Minnesota Commercial/Federal $100.05 ↑ +16%
Sanford Health Plan SD Exchange Commercial $100.43 ↑ +16%
Sanford Health Plan Commercial/ND Pers $100.43 ↑ +16%
Medica Elect $101.65 ↑ +17%
Ucare Medicaid Managed Care not published by hospital —

Visitor-reported prices

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Inj, levothyroxine, freskabi at other Minnesota hospitals

Hospital City Cash price Negotiated range
Sanford Bemidji Medical Center Bemidji $84.86 $6.49 – $95.46
United Hospital MN | 1175 Nininger Road. Hastings $667.39 $6.13 – $10.38
Owatonna Hospital Owatonna $778.62 $6.46 – $244.52
Abbott Northwestern Hospital MN 55407 $667.39 $6.13 – $11.45
Allina Health Faribault Medical Center Faribualt $778.62 $6.46 – $244.52
New Ulm Medical Center MN 56073 $177.88 $6.52 – $259.76
Mercy Hospital MN 55443 | 550 Osborne Road NE. Fridley $667.39 $6.13 – $8.07
Buffalo Hospital Buffalo $778.62 $6.46 – $224.33

All Minnesota hospitals for this procedure →