Hepatitis b vaccine 40 mcg/ml inj-adult 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

$171.99

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.

Full explanation →

What you pay up front if you don't use insurance.

$214.98

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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$98.60 with Health Partners vs $192.91 with Cigna — same scan, same building. Share

Negotiated rates by payer
?

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
Health Partners Commercial $98.60 ↓ -43%
Security Health Plan Commercial $117.89 ↓ -31%
Sanford Health Plan Align Medicare Replacement $133.71 ↓ -22%
Ucare Medicare Replacement $143.57 ↓ -17%
Blue Cross Blue Shield of North Dakota Medicare Replacement $144.97 ↓ -16%
Great Plains Medicare Advantage Medicare Replacement $144.97 ↓ -16%
United Healthcare Medicare Replacement $144.97 ↓ -16%
Health Partners Medicare Replacement $144.97 ↓ -16%
Aetna Medicare Replacement $144.97 ↓ -16%
Medica Choice $145.97 ↓ -15%
Sanford Health Plan SD Exchange Commercial $147.12 ↓ -14%
Sanford Health Plan Commercial/ND Pers $147.12 ↓ -14%
Sanford Health Plan Group Health/True $147.12 ↓ -14%
Sanford Health Plan SD Exchange True $147.12 ↓ -14%
Primewest Medicare Replacement $147.79 ↓ -14%
Ucare Commercial $150.66 ↓ -12%
Medica Elect $156.25 ↓ -9%
United Healthcare CSP Top 20 $156.47 ↓ -9%
United Healthcare Commercial $177.90 ↑ +3%
Aetna Commercial $181.33 ↑ +5%
Multiplan Commercial $192.91 ↑ +12%
Healthez Commercial $192.91 ↑ +12%
First Choice Health Network Commercial $192.91 ↑ +12%
Cigna Commercial $192.91 ↑ +12%
Blue Cross Blue Shield of North Dakota Commercial not published by hospital —

Visitor-reported prices

visitor-reported
Report what you paid sign in to post

Comments

Add a comment sign in to post

Hepatitis b vaccine 40 mcg/ml inj-adult at other North-dakota hospitals

Hospital City Cash price Negotiated range
Sanford Fargo Medical Center Fargo $339.76 $133.71 – $382.22

All North-dakota hospitals for this procedure →