Sodium hyaluronate 20 mg/2 ml syringe 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

$373.91

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.

Full explanation →

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

$467.38

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.

$48.20 with Sanford Health Plan vs $136.80 with Healthez — 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 True $48.20 ↓ -87%
Sanford Health Plan Group Health/True $54.92 ↓ -85%
Sanford Health Plan SD Exchange Commercial $56.71 ↓ -85%
Sanford Health Plan Commercial/ND Pers $64.66 ↓ -83%
Health Partners Commercial $69.92 ↓ -81%
Security Health Plan Commercial $83.60 ↓ -78%
Medica Choice $103.51 ↓ -72%
Ucare Commercial $106.84 ↓ -71%
Medica Elect $110.81 ↓ -70%
United Healthcare CSP Top 20 $110.96 ↓ -70%
United Healthcare Commercial $126.16 ↓ -66%
Aetna Commercial $128.59 ↓ -66%
Multiplan Commercial $136.80 ↓ -63%
Cigna Commercial $136.80 ↓ -63%
First Choice Health Network Commercial $136.80 ↓ -63%
Healthez Commercial $136.80 ↓ -63%
Primewest Medicare Replacement not published by hospital —
Health Partners Medicare Replacement not published by hospital —
Sanford Health Plan Align Medicare Replacement not published by hospital —
Great Plains Medicare Advantage Medicare Replacement not published by hospital —
Blue Cross Blue Shield of North Dakota Medicare Replacement not published by hospital —
Ucare Medicare Replacement not published by hospital —
Blue Cross Blue Shield of North Dakota Commercial not published by hospital —
Aetna Medicare Replacement not published by hospital —
United Healthcare Medicare Replacement not published by hospital —

Visitor-reported prices

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Sodium hyaluronate 20 mg/2 ml syringe at other North-dakota hospitals

Hospital City Cash price Negotiated range
Sanford Fargo Medical Center Fargo not published $1.00 – $1.00

All North-dakota hospitals for this procedure →