Naloxone 0.4 mg/ml injection (wrapper) at Sanford Wheaton
401 12th St N, Wheaton, MN · Sanford Health · · NPI 1154615573
$25.73
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.
$32.16
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.
$7.79 with Blue Cross Blue Shield of Minnesota vs $30.23 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 | $7.79 | ↓ -70% |
| Sanford Health Plan Align | Medicare Replacement | $16.21 | ↓ -37% |
| Ucare | Medicare Replacement | $17.40 | ↓ -32% |
| Blue Cross Blue Shield of Minnesota | Medicare Replacement | $17.56 | ↓ -32% |
| United Healthcare | Medicare Replacement | $17.56 | ↓ -32% |
| Aetna | Medicare Replacement | $17.56 | ↓ -32% |
| Great Plains Medicare Advantage | Medicare Replacement | $17.56 | ↓ -32% |
| Health Partners | Medicare Replacement | $17.56 | ↓ -32% |
| Security Health Plan | Commercial | $17.69 | ↓ -31% |
| Primewest | Medicare Replacement | $17.90 | ↓ -30% |
| Primewest | Medicaid Managed Care | $19.46 | ↓ -24% |
| Blue Cross Blue Shield of North Dakota | Commercial | $22.14 | ↓ -14% |
| Sanford Health Plan | Group Health/True | $25.39 | ↓ -1% |
| Health Partners | Commercial | $26.05 | ↑ +1% |
| United Healthcare | Commercial + Top 20 | $26.85 | ↑ +4% |
| Aetna | Commercial | $27.95 | ↑ +9% |
| Ucare | Commercial | $28.26 | ↑ +10% |
| Medica | Choice | $28.27 | ↑ +10% |
| Multiplan | Commercial | $28.94 | ↑ +12% |
| First Choice Health Network | Commercial | $28.94 | ↑ +12% |
| Healthez | Commercial | $28.94 | ↑ +12% |
| Blue Cross Blue Shield of Minnesota | Commercial/Federal | $29.75 | ↑ +16% |
| Sanford Health Plan | SD Exchange True | $29.87 | ↑ +16% |
| Sanford Health Plan | Commercial/ND Pers/SD Exchange Commercial | $29.87 | ↑ +16% |
| Medica | Elect | $30.23 | ↑ +17% |
| Ucare | Medicaid Managed Care | not published by hospital | — |
Visitor-reported prices
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Naloxone 0.4 mg/ml injection (wrapper) at other Minnesota hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Sanford Canby Medical Center | Canby | $65.56 | $18.17 – $67.55 |
| Sanford Westbrook Hospital | Westbrook | $63.12 | $1.59 – $5.90 |
| Sanford Bagley Medical Center | Bagley | $51.49 | $15.17 – $56.39 |
| Sanford Luverne Medical Center | Luverne | $64.42 | $18.49 – $68.74 |
| Sanford Bemidji Medical Center | Bemidji | $46.12 | $8.53 – $17.06 |
| Sanford Worthington Medical Center | Worthington | $63.12 | $29.88 – $69.37 |
| Sanford Tracy Hospital | Tracy | $64.46 | $18.67 – $69.41 |
| Sanford Thief River Falls Medical Center | Thief River Falls | $36.27 | $14.86 – $38.93 |