Leuprolide 30 mg (4 month) intramuscular syringe kit 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

$3,576.66

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.

$4,470.82

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.

$154.89 with Health Partners vs $303.04 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
Health Partners Commercial $154.89 ↓ -96%
Sanford Health Plan Align Medicare Replacement $167.62 ↓ -95%
Ucare Medicare Replacement $179.98 ↓ -95%
Blue Cross Blue Shield of North Dakota Medicare Replacement $181.74 ↓ -95%
Great Plains Medicare Advantage Medicare Replacement $181.74 ↓ -95%
Health Partners Medicare Replacement $181.74 ↓ -95%
Aetna Medicare Replacement $181.74 ↓ -95%
United Healthcare Medicare Replacement $181.74 ↓ -95%
Security Health Plan Commercial $185.19 ↓ -95%
Primewest Medicare Replacement $185.27 ↓ -95%
Sanford Health Plan SD Exchange True $193.09 ↓ -95%
Sanford Health Plan Commercial/ND Pers $193.09 ↓ -95%
Sanford Health Plan Group Health/True $193.09 ↓ -95%
Sanford Health Plan SD Exchange Commercial $193.09 ↓ -95%
Medica Choice $229.30 ↓ -94%
Ucare Commercial $236.67 ↓ -93%
Medica Elect $245.46 ↓ -93%
United Healthcare CSP Top 20 $245.80 ↓ -93%
United Healthcare Commercial $279.47 ↓ -92%
Aetna Commercial $284.86 ↓ -92%
Multiplan Commercial $303.04 ↓ -92%
Healthez Commercial $303.04 ↓ -92%
First Choice Health Network Commercial $303.04 ↓ -92%
Cigna Commercial $303.04 ↓ -92%
Blue Cross Blue Shield of North Dakota Commercial not published by hospital —

Visitor-reported prices

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Leuprolide 30 mg (4 month) intramuscular syringe kit at other North-dakota hospitals

Hospital City Cash price Negotiated range
Sanford Medical Center Hillsboro Hillsboro $1,113.96 $173.59 – $645.33
Sanford Medical Center Mayville Mayville $508.41 $153.86 – $571.96
Sanford Fargo Medical Center Fargo $1,227.23 $128.91 – $282.98

All North-dakota hospitals for this procedure →