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 |
|---|---|---|---|---|
| Dhea-s (dehydroepiand sulfate) CPT 82627 | not published | not published | $21.12 – $45.52 | 9 |
| Diabetes (HbA1c) Test CPT 83036 | not published | not published | $9.22 – $19.89 | 9 |
| Diabetes training group per 30 min g0109 HCPCS G0136 | not published | not published | $8.99 – $31.28 | 9 |
| Diabetic custom molded shoe HCPCS A5501 | not published | not published | $253.15 – $279.79 | 9 |
| Diabetic shoe with wedge HCPCS A5504 | not published | not published | $43.00 – $47.52 | 9 |
| Diabetic shoe w/off set heel HCPCS A5506 | not published | not published | $43.00 – $47.52 | 9 |
| Diabetic shoe w/roller/rockr HCPCS A5503 | not published | not published | $43.00 – $47.52 | 9 |
| Diab manage trn ind/group HCPCS G0109 | not published | not published | $14.29 – $15.80 | 9 |
| Diab shoe for density insert HCPCS A5500 | not published | not published | $84.41 – $93.29 | 9 |
| Diab shoe w/metatarsal bar HCPCS A5505 | not published | not published | $43.00 – $47.52 | 9 |
| Diag bronchoscope/catheter CPT 31643 | not published | not published | $165.11 – $1,810.69 | 9 |
| Diag laparo separate proc 49320 CPT 49320 | not published | not published | $330.88 – $6,126.08 | 9 |
| Diagnostic anoscopy CPT 46601 | not published | not published | $93.20 – $418.99 | 9 |
| Diagnostic anoscopy & biopsy CPT 46607 | not published | not published | $123.83 – $1,238.03 | 9 |
| Diagnostic anoscopy spx 46600 CPT 46600 | $264.80 | $331.00 | $41.28 – $297.90 | 15 |
| Diagnostic digital breast tomosynthesis bil CPT 77062 | $454.40 | $568.00 | $180.11 – $511.20 | 11 |
| Diagnostic digital breast tomosynthesis unil CPT 77061 | $433.60 | $542.00 | $171.87 – $487.80 | 11 |
| Diagnostic laryngoscopy 31505 CPT 31505 | $304.80 | $381.00 | $49.60 – $342.90 | 15 |
| Diagnostic laryngoscopy 31575 CPT 31575 | $475.20 | $594.00 | $68.57 – $534.60 | 15 |
| Diagnostic Mammogram (both breasts) CPT 77066 | $465.60 | $582.00 | $145.07 – $523.80 | 15 |
| Diagnostic Mammogram (one breast) CPT 77065 | $419.20 | $524.00 | $114.96 – $471.60 | 15 |
| Diagnostic radio unlisted proc CPT 76499 | $766.40 | $958.00 | $83.65 – $366.30 | 15 |
| Dialysis circuit perm vascular embolization 36909 CPT 36909 | $18,169.60 | $22,712.00 | $194.73 – $20,440.80 | 15 |
| Dialysis one evaluation CPT 90945 | $920.00 | $1,150.00 | $364.67 – $1,035.00 | 15 |
| Dialysis repeated eval CPT 90947 | not published | not published | $109.02 – $120.50 | 9 |
| Diathermy eg microwave CPT 97024 | not published | not published | $6.61 – $7.32 | 9 |
| Diatrizoate meglumine 18 % urethral solution HCPCS Q9958 | $60.00 | $75.00 | $2.38 – $6.75 | 11 |
| Diazepam 5 mg/ml injection solution (wrapper) HCPCS J3360 | $33.60 | $41.99 | $10.47 – $29.73 | 11 |
| Dicyclomine injection HCPCS J0500 | $70.08 | $87.59 | $11.81 – $33.52 | 11 |
| Difelikefalin, esrd on dialy HCPCS J0879 | not published | not published | $0.06 – $0.24 | 9 |
| Diffusing capacity CPT 94729 | $364.80 | $456.00 | $51.33 – $410.40 | 15 |
| Digital analysis of eeg CPT 95957 | not published | not published | $266.02 – $294.02 | 9 |
| Digit nerve surgery add-on CPT 64778 | not published | not published | $155.97 – $178.09 | 9 |
| Digoxin 250 mcg/ml (0.25 mg/ml) injection solution HCPCS J1160 | $181.44 | $226.79 | $9.75 – $27.68 | 11 |
| Digoxin immune fab 40 mg intravenous solution HCPCS J1162 | $5,266.96 | $6,583.69 | $3,028.50 – $5,925.32 | 15 |
| Digoxin total therapeutic drug level CPT 80162 | not published | not published | $12.62 – $27.20 | 9 |
| Dihydroergotamine 0.05 mg/ml IV syringe - cnr HCPCS J1110 | $361.34 | $451.67 | $35.05 – $99.49 | 11 |
| Dilate biliary duct/ampulla CPT 47542 | $4,924.00 | $6,155.00 | $130.82 – $5,539.50 | 15 |
| Dilate esophagus CPT 43453 | not published | not published | $85.88 – $1,991.84 | 9 |
| Dilate esophagus 1/mult pass CPT 43450 | not published | not published | $78.89 – $984.44 | 9 |
| Dilate ic vasospasm ea add vsl diff territory CPT 61642 | not published | not published | $284.86 – $327.55 | 9 |
| Dilate ic vasospasm ea add vsl same territory CPT 61641 | not published | not published | $142.43 – $163.77 | 9 |
| Dilate ic vasospasm init CPT 61640 | not published | not published | $405.43 – $466.36 | 9 |
| Dilate tear duct opening CPT 68801 | not published | not published | $79.22 – $418.99 | 9 |
| Dilate urethra stricture CPT 53600 | $618.40 | $773.00 | $62.58 – $695.70 | 15 |
| Dilate urethra stricture CPT 53601 | $201.60 | $252.00 | $52.59 – $226.80 | 15 |
| Dilate urethra stricture CPT 53605 | $4,020.80 | $5,026.00 | $62.91 – $4,523.40 | 15 |
| Dilate urethra stricture CPT 53621 | $479.20 | $599.00 | $70.90 – $539.10 | 15 |
| Dilation/female urethra/initial 53660 CPT 53660 | not published | not published | $41.28 – $164.28 | 9 |
| Dilation of anal sphincter CPT 45905 | not published | not published | $171.10 – $1,238.03 | 9 |
| Dilation of cervical canal 57800 CPT 57800 | not published | not published | $48.27 – $3,338.51 | 9 |
| Dilation of rectal stricture 45910 CPT 45910 | not published | not published | $193.73 – $1,238.03 | 9 |
| Dilation of salivary duct CPT 42660 | not published | not published | $86.55 – $534.71 | 9 |
| Dilation of urethra CPT 53661 | not published | not published | $39.94 – $135.35 | 9 |
| Dilation of urethra CPT 53665 | not published | not published | $37.28 – $2,150.94 | 9 |
| Dilation of vagina CPT 57400 | not published | not published | $130.15 – $3,338.51 | 9 |
| Dilation salivary duct 42650 CPT 42650 | not published | not published | $59.25 – $1,555.34 | 9 |
| Dilation/urethral strict/male/ini 53620 CPT 53620 | $3,261.60 | $4,077.00 | $85.88 – $3,669.30 | 15 |
| Dilator fascial 10fx20cm HCPCS C2627 | $597.00 | $746.25 | $108.88 – $309.02 | 11 |
| Dilat xst trc ndurlgc px CPT 50436 | $7,204.00 | $9,005.00 | $145.80 – $8,104.50 | 15 |
| Dilat xst trc new access rcs CPT 50437 | $8,915.20 | $11,144.00 | $241.33 – $10,029.60 | 15 |
| Diltiazem 5 mg/ml intravenous solution HCPCS J1163 | $35.60 | $44.49 | $9.68 – $27.48 | 11 |
| Dimenhydrinate injection HCPCS J1240 | $27.81 | $34.76 | $11.02 – $31.28 | 11 |
| Dimethyl sulfoxide 50% 50 ml HCPCS J1212 | $491.85 | $614.81 | $282.81 – $819.49 | 15 |
| Diphenhydramine 50 mg/ml injection (wrapper) HCPCS J1200 | $27.57 | $34.46 | $9.66 – $27.42 | 11 |
| Diphtheria-tetanus toxoids 0.5 ml (peds) CPT 90702 | $91.53 | $114.41 | $36.28 – $102.97 | 11 |
| Dir nsl mucous membrane test CPT 95065 | not published | not published | $28.96 – $41.21 | 9 |
| Disability dlco CPT 94727 | not published | not published | $44.61 – $164.28 | 9 |
| Disaccharidases CPT 82657 | not published | not published | $21.06 – $45.40 | 9 |
| Disarticulation sho sec clsr CPT 23921 | not published | not published | $481.67 – $1,920.69 | 9 |
| Disarticulation shoulder CPT 23920 | not published | not published | $1,002.42 – $1,129.78 | 9 |
| Discectomy ant dcmprn cord thoracic 1 ntrspc 63077 CPT 63077 | not published | not published | $1,290.45 – $1,461.65 | 9 |
| Discectomy ant dcmprn cord thoracic ea ntrsp 63078 CPT 63078 | not published | not published | $171.56 – $206.72 | 9 |
| Discography cerv/thor spine CPT 72285 | $3,023.20 | $3,779.00 | $131.82 – $3,401.10 | 15 |
| Disconnect insert locking wr HCPCS L6616 | not published | not published | $73.96 – $81.74 | 9 |
| Disconnect locking wrist uni HCPCS L6615 | not published | not published | $222.61 – $246.05 | 9 |
| Dise eval slp do brth flx dx CPT 42975 | not published | not published | $96.87 – $1,810.69 | 9 |
| Dissect brain w/scope CPT 62161 | not published | not published | $1,307.45 – $1,550.86 | 9 |
| Dis site tele svcs rhc/fqhc HCPCS G2025 | not published | not published | $88.24 – $97.53 | 9 |
| Dissolve clot heart vessel CPT 92975 | not published | not published | $314.27 – $365.50 | 9 |
| Dist revas ligation hemo CPT 36838 | not published | not published | $1,111.80 – $5,675.99 | 9 |
| Div aberrant vsl w/reanast CPT 33803 | not published | not published | $974.55 – $1,132.11 | 9 |
| Diverticulectomy/hypophar/esoph 43130 CPT 43130 | not published | not published | $795.90 – $6,211.44 | 9 |
| Division of fallopian tube 58605 CPT 58605 | not published | not published | $299.45 – $339.87 | 9 |
| Dlyd plmt xtn prosth ea addl CPT 34711 | $4,280.00 | $5,350.00 | $242.91 – $4,815.00 | 15 |
| Dmd dup/delet analysis CPT 81161 | not published | not published | $265.05 – $571.36 | 9 |
| Dmpk gene charac alleles CPT 81239 | not published | not published | $261.09 – $562.82 | 9 |
| Dmpk gene detc abnor allele CPT 81234 | not published | not published | $130.15 – $280.56 | 9 |
| Dna antibody native/double stranded CPT 86225 | not published | not published | $13.05 – $28.14 | 9 |
| Dna gardnerella CPT 87510 | not published | not published | $19.05 – $41.06 | 9 |
| Dna probe chlamydia CPT 87490 | not published | not published | $21.61 – $46.59 | 9 |
| Dna probe gc CPT 87590 | not published | not published | $25.54 – $55.05 | 9 |
| Dna trichomonas CPT 87660 | not published | not published | $19.05 – $41.06 | 9 |
| Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution HCPCS J1250 | $69.20 | $86.50 | $10.71 – $30.38 | 11 |
| Docetaxel 20 mg/ml intravenous solution (wrapper) HCPCS J9171 | $848.95 | $1,061.18 | $68.76 – $195.15 | 11 |
| Docetaxel (docivyx), 1 mg HCPCS J9172 | not published | not published | $48.24 – $55.56 | 9 |
| Dopamine 40 mg/ml intravenous solution (wrapper) HCPCS J1265 | $91.20 | $114.00 | $10.11 – $28.70 | 11 |
| Doppler echo complete CPT 93320 | $276.00 | $345.00 | $45.80 – $310.50 | 15 |
| Doppler intravascular pressure flow initial vessel CPT 93571 | $2,106.40 | $2,633.00 | $834.92 – $2,369.70 | 11 |
| Doppler upper/lower extremity arteries complete bilateral CPT 93923 | $823.20 | $1,029.00 | $130.15 – $926.10 | 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.