Vaccine influenza inactivated adjuvant im 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

$45.84

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.

$57.30

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.

$26.36 with Health Partners vs $103.07 with Primewest — 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 $26.36 ↓ -42%
Security Health Plan Commercial $31.52 ↓ -31%
Medica Choice $39.02 ↓ -15%
Ucare Commercial $40.28 ↓ -12%
Medica Elect $41.77 ↓ -9%
United Healthcare CSP Top 20 $41.83 ↓ -9%
United Healthcare Commercial $47.56 ↑ +4%
Aetna Commercial $48.48 ↑ +6%
Multiplan Commercial $51.57 ↑ +13%
Cigna Commercial $51.57 ↑ +13%
First Choice Health Network Commercial $51.57 ↑ +13%
Healthez Commercial $51.57 ↑ +13%
Sanford Health Plan Align Medicare Replacement $93.25 ↑ +103%
Sanford Health Plan Commercial/ND Pers $98.16 ↑ +114%
Sanford Health Plan Group Health/True $98.16 ↑ +114%
Sanford Health Plan SD Exchange Commercial $98.16 ↑ +114%
Sanford Health Plan SD Exchange True $98.16 ↑ +114%
Ucare Medicare Replacement $100.12 ↑ +118%
United Healthcare Medicare Replacement $101.10 ↑ +121%
Great Plains Medicare Advantage Medicare Replacement $101.10 ↑ +121%
Blue Cross Blue Shield of North Dakota Medicare Replacement $101.10 ↑ +121%
Aetna Medicare Replacement $101.10 ↑ +121%
Health Partners Medicare Replacement $101.10 ↑ +121%
Primewest Medicare Replacement $103.07 ↑ +125%
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

Vaccine influenza inactivated adjuvant im at other North-dakota hospitals

Hospital City Cash price Negotiated range
Sanford Medical Center Mayville Mayville $49.84 $15.08 – $56.07
Sanford Fargo Medical Center Fargo $221.20 $53.27 – $185.18

All North-dakota hospitals for this procedure →