Methotrexate sodium 2.5 mg tablet at Sanford Wheaton
401 12th St N, Wheaton, MN · Sanford Health · · NPI 1154615573
$5.22
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.
?
What you pay up front if you don't use insurance.
$6.52
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.
?
The hospital's undiscounted list price — almost no one pays this.
$0.93 with Blue Cross Blue Shield of Minnesota vs $3.62 with Medica — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $0.93 | ↓ -82% |
| Sanford Health Plan Align | Medicare Replacement | $1.94 | ↓ -63% |
| Ucare | Medicare Replacement | $2.08 | ↓ -60% |
| Blue Cross Blue Shield of Minnesota | Medicare Replacement | $2.10 | ↓ -60% |
| United Healthcare | Medicare Replacement | $2.10 | ↓ -60% |
| Aetna | Medicare Replacement | $2.10 | ↓ -60% |
| Great Plains Medicare Advantage | Medicare Replacement | $2.10 | ↓ -60% |
| Health Partners | Medicare Replacement | $2.10 | ↓ -60% |
| Security Health Plan | Commercial | $2.12 | ↓ -59% |
| Primewest | Medicare Replacement | $2.14 | ↓ -59% |
| Primewest | Medicaid Managed Care | $2.33 | ↓ -55% |
| Blue Cross Blue Shield of North Dakota | Commercial | $2.65 | ↓ -49% |
| Sanford Health Plan | Group Health/True | $3.04 | ↓ -42% |
| Health Partners | Commercial | $3.12 | ↓ -40% |
| United Healthcare | Commercial + Top 20 | $3.21 | ↓ -39% |
| Aetna | Commercial | $3.35 | ↓ -36% |
| Ucare | Commercial | $3.38 | ↓ -35% |
| Medica | Choice | $3.38 | ↓ -35% |
| Multiplan | Commercial | $3.47 | ↓ -34% |
| First Choice Health Network | Commercial | $3.47 | ↓ -34% |
| Healthez | Commercial | $3.47 | ↓ -34% |
| Blue Cross Blue Shield of Minnesota | Commercial/Federal | $3.56 | ↓ -32% |
| Sanford Health Plan | SD Exchange True | $3.58 | ↓ -31% |
| Sanford Health Plan | Commercial/ND Pers/SD Exchange Commercial | $3.58 | ↓ -31% |
| Medica | Elect | $3.62 | ↓ -31% |
| Ucare | Medicaid Managed Care | not published by hospital | — |
Visitor-reported prices
Comments
Methotrexate sodium 2.5 mg tablet at other Minnesota hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Sanford Bagley Medical Center | Bagley | $5.24 | $1.59 – $5.90 |
| Sanford Luverne Medical Center | Luverne | $7.07 | $1.51 – $5.62 |
| Sanford Bemidji Medical Center | Bemidji | $7.37 | $1.02 – $7.84 |
| Sanford Worthington Medical Center | Worthington | $6.78 | $1.00 – $7.62 |
| Sanford Tracy Hospital | Tracy | $7.26 | $2.20 – $8.16 |
| Sanford Thief River Falls Medical Center | Thief River Falls | $8.24 | $2.30 – $6.02 |
| Sanford Behavioral Health Thief River Falls | Thief River Falls | $8.24 | $2.30 – $6.02 |
| United Hospital | MN | 1175 Nininger Road. Hastings | $39.92 | $0.20 – $0.33 |