Pemetrexed disodium 100 mg intravenous powder for solution at Sanford Medical Center Bismarck

300 N 7th Street, Bismarck, ND · Sanford Health · · NPI 1538245634

Source: hospital's published price file ↗ · Published Mar 4, 2026 · Ingested Aug 12, 2026

$3,379.44

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.

$4,224.29

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.

$4.14 with Sanford Health Plan Align vs $141.81 with Cigna — 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
Sanford Health Plan Align Medicare Replacement $4.14 ↓ -100%
Ucare Medicare Replacement $4.44 ↓ -100%
United Healthcare Medicare Replacement $4.49 ↓ -100%
Blue Cross Blue Shield of North Dakota Medicare Replacement $4.49 ↓ -100%
Great Plains Medicare Advantage Medicare Replacement $4.49 ↓ -100%
Health Partners Medicare Replacement $4.49 ↓ -100%
Aetna Medicare Replacement $4.49 ↓ -100%
Primewest Medicare Replacement $4.57 ↓ -100%
Sanford Health Plan SD Exchange True $4.77 ↓ -100%
Sanford Health Plan Commercial/ND Pers $4.77 ↓ -100%
Sanford Health Plan Group Health/True $4.77 ↓ -100%
Sanford Health Plan SD Exchange Commercial $4.77 ↓ -100%
Health Partners Commercial $72.48 ↓ -98%
Security Health Plan Commercial $86.66 ↓ -97%
Medica Choice $107.31 ↓ -97%
Ucare Commercial $110.76 ↓ -97%
Medica Elect $114.87 ↓ -97%
United Healthcare CSP Top 20 $115.03 ↓ -97%
United Healthcare Commercial $130.78 ↓ -96%
Aetna Commercial $133.30 ↓ -96%
Multiplan Commercial $141.81 ↓ -96%
Healthez Commercial $141.81 ↓ -96%
First Choice Health Network Commercial $141.81 ↓ -96%
Cigna Commercial $141.81 ↓ -96%
Blue Cross Blue Shield of North Dakota Commercial not published by hospital —

Visitor-reported prices

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Pemetrexed disodium 100 mg intravenous powder for solution at other North-dakota hospitals

Hospital City Cash price Negotiated range
Sanford Fargo Medical Center Fargo $5,014.24 $3.22 – $41.38

All North-dakota hospitals for this procedure →