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Screening Colonoscopy (average risk) at Sanford Medical Center Bismarck
300 N 7th Street, Bismarck, ND · Sanford Health · · NPI 1538245634
not published by hospital
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.
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What you pay up front if you don't use insurance.
not published by hospital
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.
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The hospital's undiscounted list price — almost no one pays this.
$181.75 with Sanford Health Plan vs $957.30 with Primewest — 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 →
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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 ?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 |
|---|---|---|---|
| Sanford Health Plan | Commercial/ND Pers | $181.75 | — |
| Sanford Health Plan | Group Health/True | $181.75 | — |
| Sanford Health Plan | SD Exchange Commercial | $181.75 | — |
| Sanford Health Plan | SD Exchange True | $181.75 | — |
| Sanford Health Plan Align | Medicare Replacement | $866.12 | — |
| Ucare | Medicare Replacement | $929.94 | — |
| Aetna | Medicare Replacement | $939.06 | — |
| Blue Cross Blue Shield of North Dakota | Medicare Replacement | $939.06 | — |
| Great Plains Medicare Advantage | Medicare Replacement | $939.06 | — |
| Health Partners | Medicare Replacement | $939.06 | — |
| United Healthcare | Medicare Replacement | $939.06 | — |
| Primewest | Medicare Replacement | $957.30 | — |
Visitor-reported prices
Comments
Screening Colonoscopy (average risk) at other North-dakota hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Sanford Medical Center Hillsboro | Hillsboro | $1,792.00 | $1,021.44 – $2,016.00 |
| Sanford Medical Center Mayville | Mayville | $1,792.00 | $1,106.56 – $2,016.00 |
| Sanford Fargo Medical Center | Fargo | $2,427.20 | $181.75 – $2,730.60 |