Sanford Medical Center Bismarck
300 N 7th Street, Bismarck, ND · Sanford Health · · NPI 1538245634
Published prices by procedure
Cash price is what you pay without insurance. The negotiated range spans the lowest to highest rate this hospital agreed with insurers.
| Procedure | Cash price | Gross charge | Negotiated range | Payers |
|---|---|---|---|---|
| Upper Back (Thoracic Spine) CT Scan (without contrast) CPT 72128 | $1,360.00 | $1,700.00 | $101.02 – $1,530.00 | 15 |
| Upper Back (Thoracic Spine) MRI (with and without contrast) CPT 72157 | $3,253.60 | $4,067.00 | $329.21 – $3,660.30 | 15 |
| Upper Back (Thoracic Spine) MRI (with contrast) CPT 72147 | $2,558.40 | $3,198.00 | $280.28 – $2,878.20 | 15 |
| Upper Back (Thoracic Spine) MRI (without contrast) CPT 72146 | $2,352.80 | $2,941.00 | $195.40 – $2,646.90 | 15 |
| Upper Back (Thoracic Spine) X-ray (2 views) CPT 72070 | $237.60 | $297.00 | $32.95 – $267.30 | 15 |
| Upper Back (Thoracic Spine) X-ray (3 views) CPT 72072 | $284.00 | $355.00 | $39.61 – $319.50 | 15 |
| Upper Endoscopy (EGD, diagnostic) CPT 43235 | not published | not published | $120.83 – $984.44 | 9 |
| Upper Endoscopy (EGD, with biopsy) CPT 43239 | $1,912.80 | $2,391.00 | $136.48 – $2,151.90 | 15 |
| Upper ext fx orthosis rad/ul HCPCS L3982 | $308.00 | $385.00 | $168.02 – $442.47 | 15 |
| Upper ext harvest for cabg1 seg 35600 CPT 35600 | not published | not published | $154.86 – $181.08 | 9 |
| Upper GI Barium X-ray (barium and gas) CPT 74246 | $492.00 | $615.00 | $138.81 – $553.50 | 15 |
| Upper GI Barium X-ray (barium only) CPT 74240 | $421.60 | $527.00 | $122.50 – $474.30 | 15 |
| Uppr gi scope w/submuc inj CPT 43236 | not published | not published | $136.48 – $984.44 | 9 |
| Urachal cyst/sinus excision 51500 CPT 51500 | not published | not published | $635.46 – $6,126.08 | 9 |
| Urea nitrogen CPT 84520 | not published | not published | $3.75 – $8.09 | 9 |
| Urea nitrogen 24 hour urine CPT 84540 | not published | not published | $5.28 – $11.39 | 9 |
| Urea nitrogen clearance CPT 84545 | not published | not published | $6.84 – $14.74 | 9 |
| Urea nitrogen semi-quant CPT 84525 | not published | not published | $4.87 – $10.51 | 9 |
| Ureteral embolization/occl CPT 50705 | $3,464.00 | $4,330.00 | $172.10 – $3,897.00 | 15 |
| Ureteral reflux study CPT 78740 | $884.00 | $1,105.00 | $210.04 – $994.50 | 15 |
| Ureter endoscopy CPT 50970 | not published | not published | $363.17 – $3,621.42 | 9 |
| Ureter endoscopy & biopsy CPT 50955 | not published | not published | $345.52 – $5,337.80 | 9 |
| Ureter endoscopy & biopsy CPT 50974 | not published | not published | $463.36 – $5,337.80 | 9 |
| Ureter endoscopy & catheter CPT 50972 | not published | not published | $350.52 – $3,621.42 | 9 |
| Ureter endoscopy & treatment CPT 50957 | not published | not published | $347.19 – $5,337.80 | 9 |
| Ureter endoscopy & treatment CPT 50961 | not published | not published | $311.24 – $5,337.80 | 9 |
| Ureter endoscopy & treatment CPT 50976 | not published | not published | $457.04 – $5,337.80 | 9 |
| Ureter endoscopy & treatment CPT 50980 | not published | not published | $348.85 – $5,337.80 | 9 |
| Ureteroneocystostomy 50780 CPT 50780 | not published | not published | $982.56 – $1,104.48 | 9 |
| Ureteroureterostomy 50760 CPT 50760 | not published | not published | $993.86 – $1,122.45 | 9 |
| Urethrcystgrphy rtrgrde s&i CPT 74450 | $797.60 | $997.00 | $229.63 – $897.30 | 15 |
| Urethrlys transvag with scope CPT 53500 | not published | not published | $746.31 – $3,621.42 | 9 |
| Urethrocystography void s&i CPT 74455 | $464.00 | $580.00 | $103.86 – $522.00 | 15 |
| Uric acid blood CPT 84550 | not published | not published | $4.29 – $9.26 | 9 |
| Uric acid urine CPT 84560 | not published | not published | $4.83 – $10.40 | 9 |
| Urinalysis glass test CPT 81020 | not published | not published | $4.47 – $9.63 | 9 |
| Urinalysis microscopic only CPT 81015 | not published | not published | $2.90 – $6.25 | 9 |
| Urinalysis qual/semiquant excpt ia CPT 81005 | not published | not published | $2.06 – $4.44 | 9 |
| Urinalysis (with microscopy) CPT 81001 | not published | not published | $3.01 – $6.49 | 9 |
| Urinalysis (without microscopy) CPT 81003 | not published | not published | $2.14 – $4.61 | 9 |
| Urinary bldr retent nuc study CPT 78730 | $303.20 | $379.00 | $60.70 – $341.10 | 15 |
| Urinary pouch on barr w/flng HCPCS A5073 | not published | not published | $4.16 – $4.60 | 9 |
| Urinary pouch w/barrier HCPCS A5071 | not published | not published | $7.98 – $8.82 | 9 |
| Urinary reflex study CPT 51792 | not published | not published | $56.43 – $273.62 | 9 |
| Urinary suspensory HCPCS A5105 | not published | not published | $53.83 – $59.49 | 9 |
| Urine Culture Test CPT 87086 | not published | not published | $7.67 – $16.53 | 9 |
| Urine flow measurement 51736 CPT 51736 | not published | not published | $13.65 – $135.35 | 9 |
| Urine ost pouch w faucet/tap HCPCS A4428 | not published | not published | $8.65 – $9.57 | 9 |
| Urine pregnancy test CPT 81025 | not published | not published | $8.18 – $17.63 | 9 |
| Urine screen for bacteria CPT 81007 | not published | not published | $28.48 – $61.40 | 9 |
| Urine shunt to intestine CPT 50815 | not published | not published | $1,087.06 – $1,213.00 | 9 |
| Urine specimen collect mult HCPCS P9615 | not published | not published | $8.64 – $18.62 | 9 |
| Urography, antegrade CPT 74425 | $1,440.80 | $1,801.00 | $135.48 – $1,620.90 | 15 |
| Urography inf drip &/or bolus CPT 74410 | not published | not published | $141.47 – $186.92 | 9 |
| Use 1st target lesion CPT 76982 | not published | not published | $93.20 – $111.66 | 9 |
| User adjustable heel height HCPCS L5990 | not published | not published | $2,103.42 – $2,324.84 | 9 |
| Ustekinumab 130 mg/26 ml intravenous solution HCPCS J3358 | $2,600.02 | $3,250.02 | $12.34 – $2,925.02 | 15 |
| Ustekinumab 45 mg/0.5 ml subcutaneous solution HCPCS J3357 | $18,856.28 | $23,570.34 | $82.59 – $21,213.31 | 15 |
| U/s trtmt, not leiomyomata HCPCS C9734 | not published | not published | $12,223.48 – $13,510.16 | 8 |
| Vaccine Administration (one shot) CPT 90471 | $93.60 | $117.00 | $9.05 – $74.73 | 15 |
| Vaccine covid-19 moderna >=12yrs 50mcg/0.5ml CPT 91322 | not published | not published | $144.64 – $169.73 | 9 |
| Vaccine covid-19 moderna 6mos-11yrs 25mcg/0.25ml CPT 91321 | not published | not published | $131.58 – $154.41 | 9 |
| Vaccine covid-19 pfizer tris-sucrose >=12yrs 30mcg/0.3ml im CPT 91320 | $266.68 | $333.34 | $38.01 – $176.79 | 15 |
| Vaccine covid-19 pfizer tris-sucrose 5yrs-11yrs 10mcg/0.3ml im CPT 91319 | $105.60 | $132.00 | $72.60 – $118.80 | 15 |
| Vaccine covid-19 pfizer tris-sucrose 6mos-4yrs 3mcg/0.3ml im CPT 91318 | $78.40 | $98.00 | $53.90 – $88.20 | 15 |
| Vaccine dtap < 7 years im CPT 90700 | $39.76 | $49.70 | $15.49 – $43.96 | 11 |
| Vaccine dtap-hep b-ipv im CPT 90723 | not published | not published | $105.05 – $105.05 | 1 |
| Vaccine dtap-ipv 4-6 years im CPT 90696 | $90.70 | $113.37 | $28.00 – $79.48 | 11 |
| Vaccine dtap-ipv-hib-hepb im CPT 90697 | $173.35 | $216.68 | $99.67 – $195.01 | 11 |
| Vaccine dtap-ipv/hib im CPT 90698 | $123.43 | $154.28 | $48.09 – $136.50 | 11 |
| Vaccine haemophilus influenzae type b (hib) prp-omp 3 dose im CPT 90647 | $56.28 | $70.35 | $22.31 – $63.32 | 11 |
| Vaccine haemophilus influenzae type b (hib) prp-t 4 dose im CPT 90648 | $31.15 | $38.93 | $12.34 – $35.04 | 11 |
| Vaccine hepatitis a (hepa) adult im CPT 90632 | $101.10 | $126.37 | $39.46 – $112.00 | 11 |
| Vaccine hepatitis a (hepa) hepatitis b (hepb) adult im CPT 90636 | $173.97 | $217.46 | $68.96 – $195.71 | 11 |
| Vaccine hepatitis a (hepa) pediatric/adolescent 2 dose im CPT 90633 | $59.24 | $74.05 | $23.48 – $66.65 | 11 |
| Vaccine hepatitis b (hepb) adolescent 2 dose im CPT 90743 | not published | not published | $71.39 – $78.90 | 9 |
| Vaccine hepatitis b (hepb) adult 3 dose im CPT 90746 | $97.64 | $122.04 | $39.31 – $76.91 | 15 |
| Vaccine hepatitis b (hepb) adult dosage 2 dose schedule im CPT 90739 | $275.42 | $344.27 | $158.36 – $309.84 | 15 |
| Vaccine hepatitis b (hepb) pediatric/adolescent 3 dose im CPT 90744 | $35.20 | $44.00 | $20.24 – $39.60 | 15 |
| Vaccine hpv types 6/11/16/18/31/33/45/52/58 nonvalent (9vhpv) 2 or 3 dose im CPT 90651 | $386.21 | $482.76 | $122.62 – $335.55 | 11 |
| Vaccine influenza (iiv) preservative free antigen content im CPT 90662 | not published | not published | $93.25 – $103.07 | 9 |
| Vaccine influenza inactivated adjuvant im CPT 90653 | $45.84 | $57.30 | $26.36 – $103.07 | 15 |
| Vaccine influenza nos 0.5ml dose im CPT 90658 | not published | not published | $20.97 – $23.17 | 9 |
| Vaccine influenza preservative free trivalent (iiv3) 0.5ml dose im CPT 90656 | not published | not published | $22.06 – $24.38 | 9 |
| Vaccine influenza quadrivalent (iiv4) 0.5ml dose im CPT 90688 | not published | not published | $20.88 – $20.88 | 1 |
| Vaccine influenza quadrivalent (iiv4) inactivated adjuvanted preservative free 0.5ml dose im CPT 90694 | not published | not published | $77.36 – $77.36 | 1 |
| Vaccine influenza quadrivalent (iiv4) preservative free 0.5ml dose im CPT 90686 | not published | not published | $22.35 – $22.35 | 1 |
| Vaccine influenza quadrivalent (iiv4) split virus 0.25 ml im CPT 90687 | not published | not published | $10.44 – $10.44 | 1 |
| Vaccine influenza quadrivalent live (laiv4) intranasal CPT 90672 | not published | not published | $27.79 – $27.79 | 1 |
| Vaccine influenza quadrivalent (riv4) rdna antibiotic/preservative free im CPT 90682 | not published | not published | $73.41 – $73.41 | 1 |
| Vaccine influenza trivalent (cciiv3) cell cultures subunit antibiotic free 0.5 ml im CPT 90661 | $23.31 | $29.13 | $13.40 – $51.97 | 15 |
| Vaccine influenza trivalent (iiv3) 0.25ml dose im CPT 90657 | not published | not published | $10.48 – $11.59 | 9 |
| Vaccine mengingoccocal serogroup b 2 dose im CPT 90620 | $287.21 | $359.01 | $165.14 – $323.11 | 11 |
| Vaccine mengingoccocal serogroup b 2 or 3 dose im CPT 90621 | $271.32 | $339.14 | $156.00 – $305.23 | 11 |
| Vaccine menigococcal serogroups a/c/w/y quadrivalent tetanus toxoid(menacwy-tt) im CPT 90619 | $260.33 | $325.41 | $149.69 – $292.87 | 11 |
| Vaccine meningococcal serogroups a/c/w/y quadrivalent diphtheria toxoid(menacwy-d/menacwy-crm) im CPT 90734 | $181.64 | $227.04 | $104.44 – $204.34 | 11 |
| Vaccine mmr live subcutaneous CPT 90707 | $100.84 | $126.05 | $38.21 – $108.44 | 11 |
| Vaccine mmrv live subcutaneous CPT 90710 | $384.39 | $480.48 | $152.36 – $432.43 | 11 |
| Vaccine pneumococcal 23 valent (ppsv23) subcutaneous/im CPT 90732 | $174.22 | $217.77 | $69.33 – $140.14 | 15 |
| Vaccine pneumococcal conjugate 13 valent (pcv13) im CPT 90670 | $366.13 | $457.66 | $114.08 – $270.89 | 15 |
A missing value means the hospital did not publish that price — it never means the price is zero. Real bills can add facility fees, supplies and professional fees; see our methodology.