Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial) 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

$6,011.74

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.

$7,514.67

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.

$1,819.30 with Blue Cross Blue Shield of Minnesota vs $6,978.87 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 $1,819.30 ↓ -70%
Sanford Health Plan Align Medicare Replacement $3,712.25 ↓ -38%
Ucare Medicare Replacement $3,982.78 ↓ -34%
Blue Cross Blue Shield of North Dakota Medicare Replacement $4,027.86 ↓ -33%
Health Partners Medicare Replacement $4,027.86 ↓ -33%
Great Plains Medicare Advantage Medicare Replacement $4,027.86 ↓ -33%
Aetna Medicare Replacement $4,027.86 ↓ -33%
United Healthcare Medicare Replacement $4,027.86 ↓ -33%
Primewest Medicare Replacement $4,103.01 ↓ -32%
Security Health Plan Commercial $4,133.07 ↓ -31%
Blue Cross Blue Shield of North Dakota Commercial $5,093.44 ↓ -15%
Health Partners Commercial $5,861.44 ↓ -3%
Sanford Health Plan Group Health/True/SD Exchange True $5,932.08 ↓ -1%
Medica Choice $6,199.60 ↑ +3%
United Healthcare Commercial $6,274.75 ↑ +4%
Aetna Commercial $6,530.25 ↑ +9%
Ucare Commercial $6,602.39 ↑ +10%
Medica Elect $6,627.94 ↑ +10%
Multiplan Commercial $6,763.20 ↑ +12%
Healthez Commercial $6,763.20 ↑ +12%
First Choice Health Network Commercial $6,763.20 ↑ +12%
Blue Cross Blue Shield of Minnesota Commercial $6,952.57 ↑ +16%
Sanford Health Plan Commercial/ND Pers/SD Exchange Commercial $6,978.87 ↑ +16%

Visitor-reported prices

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Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial) at other North-dakota hospitals

Hospital City Cash price Negotiated range
Sanford Medical Center Bismarck Bismarck $8,691.56 $163.61 – $8,364.01
Sanford Medical Center Hillsboro Hillsboro $6,011.74 $1,819.30 – $6,763.20
Sanford Fargo Medical Center Fargo $10,346.96 $153.10 – $10,448.93

All North-dakota hospitals for this procedure →