Hydromorphone 0.2 mg/ml in 0.9% nacl IV pca opioid naive - 4 hr dose limit (wrapper) at Sanford Medical Center Mayville

42 6th Ave SE, Mayville, ND · Sanford Health · · NPI 1518061803

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

$13.66

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.

$17.07

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.

$4.03 with Blue Cross Blue Shield of Minnesota vs $15.45 with Sanford Health Plan — 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 $4.03 ↓ -70%
Sanford Health Plan Align Medicare Replacement $8.22 ↓ -40%
Ucare Medicare Replacement $8.82 ↓ -35%
Blue Cross Blue Shield of North Dakota Medicare Replacement $8.92 ↓ -35%
Health Partners Medicare Replacement $8.92 ↓ -35%
Great Plains Medicare Advantage Medicare Replacement $8.92 ↓ -35%
Aetna Medicare Replacement $8.92 ↓ -35%
United Healthcare Medicare Replacement $8.92 ↓ -35%
Primewest Medicare Replacement $9.09 ↓ -33%
Security Health Plan Commercial $9.15 ↓ -33%
Blue Cross Blue Shield of North Dakota Commercial $11.28 ↓ -17%
Health Partners Commercial $12.98 ↓ -5%
Sanford Health Plan Group Health/True/SD Exchange True $13.14 ↓ -4%
Medica Choice $13.73 ↑ +1%
United Healthcare Commercial $13.89 ↑ +2%
Aetna Commercial $14.46 ↑ +6%
Ucare Commercial $14.62 ↑ +7%
Medica Elect $14.68 ↑ +7%
Multiplan Commercial $14.98 ↑ +10%
Healthez Commercial $14.98 ↑ +10%
First Choice Health Network Commercial $14.98 ↑ +10%
Blue Cross Blue Shield of Minnesota Commercial $15.40 ↑ +13%
Sanford Health Plan Commercial/ND Pers/SD Exchange Commercial $15.45 ↑ +13%

Visitor-reported prices

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Hydromorphone 0.2 mg/ml in 0.9% nacl IV pca opioid naive - 4 hr dose limit (wrapper) at other North-dakota hospitals

Hospital City Cash price Negotiated range
Sanford Medical Center Bismarck Bismarck $171.88 $9.64 – $27.35
Sanford Fargo Medical Center Fargo $394.99 $5.83 – $18.90

All North-dakota hospitals for this procedure →