Diagnostic anoscopy spx 46600 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

$264.80

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.

$331.00

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.

$41.28 with Sanford Health Plan vs $297.90 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 SD Exchange Commercial $41.28 ↓ -84%
Sanford Health Plan Group Health/True $41.28 ↓ -84%
Sanford Health Plan Commercial/ND Pers $41.28 ↓ -84%
Sanford Health Plan SD Exchange True $41.28 ↓ -84%
Sanford Health Plan Align Medicare Replacement $122.46 ↓ -54%
Ucare Medicare Replacement $131.48 ↓ -50%
Health Partners Medicare Replacement $132.77 ↓ -50%
Aetna Medicare Replacement $132.77 ↓ -50%
United Healthcare Medicare Replacement $132.77 ↓ -50%
Blue Cross Blue Shield of North Dakota Medicare Replacement $132.77 ↓ -50%
Great Plains Medicare Advantage Medicare Replacement $132.77 ↓ -50%
Primewest Medicare Replacement $135.35 ↓ -49%
Health Partners Commercial $152.26 ↓ -43%
Security Health Plan Commercial $182.05 ↓ -31%
Medica Choice $225.41 ↓ -15%
Ucare Commercial $232.66 ↓ -12%
Medica Elect $241.30 ↓ -9%
United Healthcare CSP Top 20 $241.63 ↓ -9%
United Healthcare Commercial $274.73 ↑ +4%
Aetna Commercial $280.03 ↑ +6%
Multiplan Commercial $297.90 ↑ +13%
Healthez Commercial $297.90 ↑ +13%
First Choice Health Network Commercial $297.90 ↑ +13%
Cigna Commercial $297.90 ↑ +13%
Blue Cross Blue Shield of North Dakota Commercial not published by hospital —

Visitor-reported prices

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Diagnostic anoscopy spx 46600 at other North-dakota hospitals

Hospital City Cash price Negotiated range
Sanford Fargo Medical Center Fargo $531.20 $41.28 – $597.60

All North-dakota hospitals for this procedure →