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 |
|---|---|---|---|---|
| Full mouth x-ray of teeth CPT 70320 | not published | not published | $53.26 – $253.81 | 9 |
| Full sole/heel wedge btween HCPCS L3420 | not published | not published | $63.27 – $69.93 | 9 |
| Full Spine X-ray (Scoliosis Survey) CPT 72082 | $301.60 | $377.00 | $70.24 – $339.30 | 15 |
| Full thick gft/nose/ear/lid/lip/20sqcm or< 15260 CPT 15260 | not published | not published | $843.84 – $1,920.69 | 9 |
| Full thick gft/scalp/arm/leg/20sqcm or< 15220 CPT 15220 | not published | not published | $610.49 – $1,920.69 | 9 |
| Full thick gft/scalp/arm/leg/add 20sqcm 15221 CPT 15221 | not published | not published | $68.24 – $125.96 | 9 |
| Full thick gft w/close donor fccmnaghf <=20sqcm 15240 CPT 15240 | $4,473.60 | $5,592.00 | $796.24 – $5,032.80 | 15 |
| Fundus photography with i&r 92250 CPT 92250 | $224.80 | $281.00 | $36.95 – $252.90 | 15 |
| Furnsh initial orthosis only HCPCS L1200 | not published | not published | $2,010.94 – $2,222.62 | 9 |
| Furosemide 10 mg/ml injection solution HCPCS J1938 | $26.02 | $32.52 | $9.56 – $27.14 | 11 |
| Fuse bile ducts and bowel 47785 CPT 47785 | not published | not published | $2,770.52 – $3,218.90 | 9 |
| Fuse esophagus & intestine CPT 43340 | not published | not published | $1,192.59 – $1,378.77 | 9 |
| Fuse esophagus & intestine CPT 43341 | not published | not published | $1,194.01 – $1,384.09 | 9 |
| Fuse esophagus & stomach CPT 43320 | not published | not published | $1,207.38 – $1,395.74 | 9 |
| Fuse gallbladder & bowel CPT 47740 | not published | not published | $1,137.03 – $1,312.86 | 9 |
| Fuse gallbladder & bowel CPT 47741 | not published | not published | $1,275.26 – $1,473.97 | 9 |
| Fuse/graft added joint CPT 26863 | not published | not published | $197.96 – $225.02 | 9 |
| Fuse liver duct & intestine CPT 47802 | not published | not published | $1,522.57 – $1,522.57 | 1 |
| Fuse liver ducts & bowel CPT 47765 | not published | not published | $2,595.41 – $3,013.85 | 9 |
| Fuse pancreas and bowel CPT 48548 | not published | not published | $1,440.17 – $1,667.70 | 9 |
| Fuse pancreas cyst and bowel CPT 48540 | not published | not published | $1,127.77 – $1,304.87 | 9 |
| Fuse pancreas cyst and bowel 48520 CPT 48520 | not published | not published | $951.48 – $1,099.49 | 9 |
| Fuse upper gi structures CPT 47721 | not published | not published | $1,172.49 – $1,354.14 | 9 |
| Fusion/graft of finger joint CPT 26862 | not published | not published | $776.60 – $3,406.84 | 9 |
| Fusion/graft of hand joint CPT 26844 | not published | not published | $870.47 – $7,500.92 | 9 |
| Fusion of ankle joint open CPT 27870 | not published | not published | $1,012.94 – $13,510.16 | 9 |
| Fusion of big toe joint CPT 28750 | not published | not published | $580.20 – $7,500.92 | 9 |
| Fusion of big toe joint CPT 28755 | not published | not published | $337.87 – $7,500.92 | 9 |
| Fusion of facial/other nerve CPT 64866 | not published | not published | $1,104.48 – $1,240.63 | 9 |
| Fusion of finger jnt add-on CPT 26861 | not published | not published | $88.83 – $100.86 | 9 |
| Fusion of finger joint CPT 26860 | not published | not published | $621.48 – $3,406.84 | 9 |
| Fusion of finger tendons CPT 26471 | not published | not published | $669.08 – $3,406.84 | 9 |
| Fusion of finger tendons CPT 26474 | not published | not published | $661.42 – $1,680.43 | 9 |
| Fusion of foot bones CPT 28730 | not published | not published | $729.99 – $13,510.16 | 9 |
| Fusion of foot bones CPT 28735 | not published | not published | $779.93 – $13,510.16 | 9 |
| Fusion of foot bones CPT 28740 | not published | not published | $620.81 – $7,500.92 | 9 |
| Fusion of hand joint CPT 26843 | not published | not published | $792.24 – $7,500.92 | 9 |
| Fusion of knee CPT 27580 | not published | not published | $1,308.70 – $1,481.29 | 9 |
| Fusion of knuckle CPT 26850 | not published | not published | $743.64 – $7,500.92 | 9 |
| Fusion of knuckle joint CPT 26516 | not published | not published | $752.63 – $3,406.84 | 9 |
| Fusion of knuckle joints CPT 26517 | not published | not published | $876.13 – $3,406.84 | 9 |
| Fusion of knuckle joints CPT 26518 | not published | not published | $887.11 – $7,500.92 | 9 |
| Fusion of knuckle with graft CPT 26852 | not published | not published | $843.84 – $7,500.92 | 9 |
| Fusion of skull arteries CPT 61711 | not published | not published | $2,211.77 – $2,636.37 | 9 |
| Fusion of spermatic ducts CPT 54900 | not published | not published | $795.90 – $2,150.94 | 9 |
| Fusion of spermatic ducts CPT 54901 | not published | not published | $1,049.55 – $3,621.42 | 9 |
| Fusion of tendons at wrist CPT 25300 | not published | not published | $701.37 – $3,406.84 | 9 |
| Fusion of tendons at wrist CPT 25301 | not published | not published | $654.10 – $3,406.84 | 9 |
| Fusion of thumb CPT 26841 | not published | not published | $785.25 – $7,500.92 | 9 |
| Fusion of tibiofibular joint CPT 27871 | not published | not published | $698.37 – $13,510.16 | 9 |
| Fusion of toes CPT 28280 | not published | not published | $347.52 – $3,406.84 | 9 |
| Fusion of ureter & bowel CPT 50810 | not published | not published | $1,221.26 – $1,407.40 | 9 |
| Fusion of ureter & kidney CPT 50740 | not published | not published | $1,062.06 – $1,225.98 | 9 |
| Fusion of ureter & kidney CPT 50750 | not published | not published | $1,021.85 – $1,141.10 | 9 |
| Fxn gene charac alleles CPT 81285 | not published | not published | $261.09 – $562.82 | 9 |
| Fxn gene detc abnor alleles CPT 81284 | not published | not published | $130.15 – $280.56 | 9 |
| Fxn gene full gene sequence CPT 81286 | not published | not published | $261.09 – $562.82 | 9 |
| Fxn gene known famil variant CPT 81289 | not published | not published | $175.94 – $379.27 | 9 |
| G0180 home health certification HCPCS G0180 | not published | not published | $48.88 – $54.03 | 9 |
| G6pc gene CPT 81250 | not published | not published | $55.57 – $119.78 | 9 |
| G6pd full gene sequence CPT 81249 | not published | not published | $570.00 – $1,228.74 | 9 |
| G6pd gene alys cmn variant CPT 81247 | not published | not published | $166.07 – $357.99 | 9 |
| G6pd known familial variant CPT 81248 | not published | not published | $356.49 – $768.47 | 9 |
| Ga-68 gallium 68 dotatate HCPCS A9587 | $136.00 | $170.00 | $48.54 – $153.00 | 15 |
| Gadobutrol 1 mmol/ml intravenous solution (wrapper) HCPCS A9585 | $180.00 | $225.00 | $71.35 – $202.50 | 11 |
| Gadoxetate 0.25 mmol/ml (181.43 mg/ml) intravenous solution HCPCS A9581 | $208.00 | $260.00 | $82.45 – $234.00 | 11 |
| Galac-1-phosphate uridyltran - sendout CPT 82775 | not published | not published | $20.02 – $43.15 | 9 |
| Galactokinase - sendout CPT 82759 | not published | not published | $20.41 – $43.99 | 9 |
| Galactose transferase test CPT 82776 | not published | not published | $11.15 – $24.04 | 9 |
| Galectin-3 CPT 82777 | not published | not published | $42.04 – $90.62 | 9 |
| Gallbladder and Bile Duct Scan (HIDA Scan) CPT 78226 | $1,564.80 | $1,956.00 | $296.26 – $1,760.40 | 15 |
| Gallbladder Function Scan (HIDA with Medication) CPT 78227 | $1,972.00 | $2,465.00 | $397.45 – $2,218.50 | 15 |
| Gallbladder Removal (Laparoscopic) CPT 47562 | not published | not published | $663.09 – $6,126.08 | 9 |
| Gallium ga-68 dotatoc HCPCS C9067 | not published | not published | $3.85 – $3,092.23 | 9 |
| Gallium ga-68 psma-11, ucla HCPCS A9594 | not published | not published | $353.56 – $390.78 | 8 |
| Gallium ga-68 psma-11 ucsf HCPCS A9593 | not published | not published | $508.16 – $561.66 | 8 |
| Gallium illuccix 1 millicure HCPCS A9596 | $1,304.80 | $1,631.00 | $485.97 – $1,467.90 | 15 |
| Gallium locametz 1 millicuri HCPCS A9800 | not published | not published | $361.96 – $624.36 | 9 |
| Galsulfase injection HCPCS J1458 | not published | not published | $493.88 – $493.88 | 1 |
| Gamma globulin > 10 cc inj HCPCS J1560 | not published | not published | $161.95 – $186.56 | 9 |
| Gamma globulin 1 cc inj HCPCS J1460 | $227.11 | $283.88 | $46.58 – $142.50 | 15 |
| Gammaglobulin iga CPT 82784 | not published | not published | $8.84 – $19.05 | 9 |
| Gammaglobulin ige CPT 82785 | not published | not published | $15.64 – $33.71 | 9 |
| Gamma glutamyltransferase CPT 82977 | not published | not published | $6.84 – $14.74 | 9 |
| Gammagraft HCPCS Q4111 | $1,120.00 | $1,400.00 | $15.41 – $43.75 | 11 |
| Gammaplex injection HCPCS J1557 | not published | not published | $59.03 – $69.69 | 9 |
| Gamunex-c/gammaked HCPCS J1561 | $4,993.20 | $6,241.50 | $46.52 – $183.78 | 15 |
| Ganciclovir in ns IV syringe 10 mg/ml (neo/ped) - cnr HCPCS J1570 | $193.29 | $241.61 | $25.10 – $71.25 | 11 |
| Gardner vag dna amp probe CPT 87511 | not published | not published | $33.34 – $71.86 | 9 |
| Gardner vag dna quant CPT 87512 | not published | not published | $39.67 – $85.52 | 9 |
| Gastric analy w/ph ea spec CPT 82930 | not published | not published | $6.37 – $13.74 | 9 |
| Gastric emptying imag study CPT 78265 | not published | not published | $358.51 – $421.92 | 9 |
| Gastric emptying imag study CPT 78266 | not published | not published | $407.77 – $565.18 | 9 |
| Gastric motility studies CPT 91020 | not published | not published | $275.95 – $557.13 | 9 |
| Gastric mucosa imaging CPT 78261 | not published | not published | $184.41 – $421.92 | 9 |
| Gastrin test CPT 82938 | not published | not published | $16.81 – $36.23 | 9 |
| Gastroduodenostomy CPT 43810 | not published | not published | $880.95 – $1,017.27 | 9 |
| Gastroesophageal reflux study CPT 78262 | $1,348.00 | $1,685.00 | $226.02 – $1,516.50 | 15 |
| Gastroesophageal reflux test CPT 91034 | $1,057.60 | $1,322.00 | $191.07 – $1,189.80 | 15 |
| Gastrointestinal repair CPT 43360 | not published | not published | $1,905.25 – $2,215.95 | 9 |
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.