Metoclopramide in d5w IV syringe 0.2 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

$60.60

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.

$75.75

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.

$18.25 with Blue Cross Blue Shield of Minnesota vs $70.88 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 $18.25 ↓ -70%
Sanford Health Plan Align Medicare Replacement $29.41 ↓ -51%
Ucare Medicare Replacement $31.52 ↓ -48%
Wellmark SD Medicare Replacement $31.52 ↓ -48%
Aetna Medicare Replacement $31.82 ↓ -47%
United Healthcare Medicare Replacement $31.82 ↓ -47%
Health Partners Medicare Replacement $31.82 ↓ -47%
Great Plains Medicare Advantage Medicare Replacement $31.82 ↓ -47%
Primewest Medicare Replacement $32.46 ↓ -46%
Primewest Medicaid Managed Care $36.49 ↓ -40%
Security Health Plan Commercial $41.47 ↓ -32%
Health Partners State Employees $51.95 ↓ -14%
Sanford Health Plan SD Exchange True $59.52 ↓ -2%
Sanford Health Plan Group Health/True $59.52 ↓ -2%
Health Partners Commercial $60.32 ↓ -0%
Blue Cross Blue Shield of Minnesota State Employees $61.68 ↑ +2%
United Healthcare Commercial + Top 20 $62.96 ↑ +4%
Aetna Commercial $65.52 ↑ +8%
Ucare Commercial $66.25 ↑ +9%
Medica Choice $66.28 ↑ +9%
Healthez Commercial $67.86 ↑ +12%
Cigna Commercial $67.86 ↑ +12%
Multiplan Commercial $67.86 ↑ +12%
First Choice Health Network Commercial $67.86 ↑ +12%
Blue Cross Blue Shield of Minnesota Commercial/Federal $69.76 ↑ +15%
Sanford Health Plan SD Exchange Commercial $70.02 ↑ +16%
Sanford Health Plan Commercial/ND Pers $70.02 ↑ +16%
Medica Elect $70.88 ↑ +17%
Ucare Medicaid Managed Care not published by hospital —

Visitor-reported prices

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Metoclopramide in d5w IV syringe 0.2 mg/ml (neo/ped) - cnr at other Minnesota hospitals

Hospital City Cash price Negotiated range
Sanford Canby Medical Center Canby $60.92 $18.25 – $67.83
Sanford Westbrook Hospital Westbrook $60.94 $18.29 – $68.00
Sanford Bagley Medical Center Bagley $50.50 $14.64 – $54.41
Sanford Wheaton Wheaton $25.06 $7.38 – $27.43
Sanford Luverne Medical Center Luverne $60.94 $18.34 – $68.18
Sanford Bemidji Medical Center Bemidji $48.08 $1.02 – $50.82
Sanford Worthington Medical Center Worthington $60.92 $1.00 – $68.17
Sanford Thief River Falls Medical Center Thief River Falls $35.48 $15.09 – $39.55

All Minnesota hospitals for this procedure →