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 |
|---|---|---|---|---|
| Infect ag na hpv high-risk types CPT 87624 | not published | not published | $33.34 – $71.86 | 9 |
| Infect ag na influenza r/amp 1st 2 types CPT 87502 | not published | not published | $91.01 – $196.19 | 9 |
| Infect ag na influenza revr/amp ea type CPT 87501 | not published | not published | $48.74 – $105.08 | 9 |
| Infect ag na orthopoxvirus amp prb each CPT 87593 | not published | not published | $48.74 – $105.08 | 9 |
| Infect ag na resp virus 12-25 targets CPT 87633 | not published | not published | $395.94 – $853.52 | 9 |
| Infect ag phenotype na hiv-1 1-10 drugs CPT 87903 | not published | not published | $464.23 – $1,000.73 | 9 |
| Infect ag phenotype na hiv-1 ea addl drg CPT 87904 | not published | not published | $24.77 – $53.39 | 9 |
| Infectious agent antigen immunoassay direct optical observation sars-cov-2 CPT 87811 | not published | not published | $39.31 – $84.74 | 9 |
| Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin CPT 87324 | not published | not published | $11.38 – $24.53 | 9 |
| Infectious agent antigen immunoassay ql/sq multi step cryptococcus neoformans CPT 87327 | not published | not published | $12.75 – $27.48 | 9 |
| Infectious agent antigen immunoassay ql/sq multi step cryptosporidium CPT 87328 | not published | not published | $13.13 – $28.30 | 9 |
| Infectious agent antigen immunoassay ql/sq multi step giardia CPT 87329 | not published | not published | $11.38 – $24.53 | 9 |
| Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool CPT 87338 | not published | not published | $13.66 – $29.45 | 9 |
| Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn CPT 87340 | not published | not published | $9.81 – $21.15 | 9 |
| Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization CPT 87341 | not published | not published | $9.81 – $21.15 | 9 |
| Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies CPT 87389 | not published | not published | $22.88 – $49.31 | 9 |
| Infectious agent antigen immunoassay ql/sq multi step legionella urine CPT 87449 | not published | not published | $11.38 – $24.53 | 9 |
| Infectious agent antigen immunoassay ql/sq multi step rotavirus CPT 87425 | not published | not published | $11.38 – $24.53 | 9 |
| Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin CPT 87427 | not published | not published | $11.38 – $24.53 | 9 |
| Infectious agent nucleic acid amplified probe CPT 87798 | not published | not published | $33.34 – $71.86 | 9 |
| Infectious agent nucleic acid amplified probe chlamydia trachomatis CPT 87491 | not published | not published | $33.34 – $71.86 | 9 |
| Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s) CPT 87493 | not published | not published | $35.41 – $76.33 | 9 |
| Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets CPT 87483 | not published | not published | $395.94 – $853.52 | 9 |
| Infectious agent nucleic acid amplified probe hsv-1 CPT 87529 | not published | not published | $33.34 – $71.86 | 9 |
| Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus CPT 87641 | not published | not published | $33.34 – $71.86 | 9 |
| Infectious agent nucleic acid amplified probe mycobacteria tuberculosis CPT 87556 | not published | not published | $39.60 – $85.36 | 9 |
| Infectious agent nucleic acid amplified probe neisseria gonorrhoeae CPT 87591 | not published | not published | $33.34 – $71.86 | 9 |
| Infectious agent nucleic acid amplified probe sars-cov-2/covid-19 CPT 87635 | not published | not published | $48.74 – $105.08 | 9 |
| Infectious agent nucleic acid amplified probe sars-cov-2/inf a & b CPT 87636 | not published | not published | $135.50 – $292.09 | 9 |
| Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv CPT 87637 | not published | not published | $135.50 – $292.09 | 9 |
| Infectious agent nucleic acid amplified probe streptococcus group a CPT 87651 | not published | not published | $33.34 – $71.86 | 9 |
| Infectious agent nucleic acid amplified probe trichomonas vaginalis CPT 87661 | not published | not published | $33.34 – $71.86 | 9 |
| Infectious agent nucleic acid amp probe mycobacterium tuberculosis rifampin resistance CPT 87564 | not published | not published | $72.93 – $157.22 | 9 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets CPT 87507 | not published | not published | $395.94 – $853.52 | 9 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 3-5 targets CPT 87505 | not published | not published | $121.88 – $262.73 | 9 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 6-11 targets CPT 87506 | not published | not published | $249.84 – $538.58 | 9 |
| Infectious agent nucleic acid quantification bk virus CPT 87799 | not published | not published | $40.70 – $87.73 | 9 |
| Infectious agent nucleic acid quantification hepatitis b CPT 87517 | not published | not published | $40.70 – $87.73 | 9 |
| Infectious agent nucleic acid quantification hepatitis c CPT 87522 | not published | not published | $40.70 – $87.73 | 9 |
| Infectious agent nucleic acid quantification hiv-1 CPT 87536 | not published | not published | $80.85 – $174.28 | 9 |
| Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets CPT 87631 | not published | not published | $135.50 – $292.09 | 9 |
| Infliximab 100 mg intravenous solution HCPCS J1745 | $1,892.43 | $2,365.53 | $29.54 – $970.75 | 15 |
| Infliximab-axxq 100 mg intravenous solution HCPCS Q5121 | $839.53 | $1,049.41 | $19.38 – $944.47 | 15 |
| Infliximab-dyyb 100 mg intravenous solution HCPCS Q5103 | $1,114.15 | $1,392.68 | $13.88 – $1,253.41 | 15 |
| Influenza dna amp prob addl CPT 87503 | not published | not published | $27.76 – $59.84 | 9 |
| Influenza virus vaccine, inact hemagglutinin tiv pf inj CPT 90673 | not published | not published | $93.25 – $103.07 | 9 |
| Influenza virus vaccine, live trivalent intranasal CPT 90660 | not published | not published | $28.23 – $31.20 | 9 |
| Inf lwr xtr fscl pln blk uni w/wo image CPT 64474 | not published | not published | $205.97 – $227.65 | 8 |
| Infratemporal approach/skull CPT 61591 | not published | not published | $2,691.60 – $3,074.77 | 9 |
| Infratemporal approach/skull CPT 61590 | not published | not published | $2,647.51 – $3,020.17 | 9 |
| Inf thrc fascial pln blk bi w/wo image CPT 64469 | $1,648.00 | $2,060.00 | $319.36 – $1,854.00 | 15 |
| Inf thrc fascial pln blk uni w/wo image CPT 64467 | $1,153.60 | $1,442.00 | $208.43 – $1,297.80 | 15 |
| Infuse radioactive materials CPT 77750 | not published | not published | $249.83 – $392.79 | 9 |
| Ingest challenge ea addl 60 min CPT 95079 | not published | not published | $66.91 – $86.81 | 9 |
| Ingest challenge ini 120 min CPT 95076 | not published | not published | $72.57 – $557.13 | 9 |
| Inhalation aerosol pentamidine pneumocystis pneumonia treatment/prophylaxis CPT 94642 | $479.20 | $599.00 | $189.94 – $539.10 | 15 |
| Init ak ischal plstr direct HCPCS L5505 | not published | not published | $2,245.57 – $2,481.95 | 9 |
| Init bk ptb plaster direct HCPCS L5500 | not published | not published | $1,929.14 – $2,132.20 | 9 |
| Initial care training 30 m HCPCS G0539 | not published | not published | $49.03 – $54.19 | 8 |
| Initial custom socket insert HCPCS L5683 | not published | not published | $1,528.17 – $1,689.03 | 9 |
| Initial foot exam pt lops HCPCS G0245 | not published | not published | $39.28 – $135.31 | 9 |
| Initial hosp neonate 28 d/less than not critically ill 99477 CPT 99477 | not published | not published | $300.33 – $333.87 | 9 |
| Initial nursing facility care/day 35 minutes CPT 99305 | not published | not published | $119.62 – $132.21 | 9 |
| Initial nursing facility care/day 45 minutes CPT 99306 | not published | not published | $163.29 – $180.47 | 9 |
| Initial nursing facility care/day low severity 99304 CPT 99304 | not published | not published | $71.97 – $79.56 | 9 |
| Init nb em per day non-fac CPT 99461 | not published | not published | $60.25 – $91.75 | 9 |
| Init pm e/m new pat 65+ yrs CPT 99387 | not published | not published | $120.50 – $163.12 | 9 |
| Init/sub psych care m 1st 30 HCPCS G2214 | not published | not published | $37.95 – $97.13 | 9 |
| Inj, abilify asimtufii, 1 mg HCPCS J0402 | not published | not published | $5.73 – $6.60 | 9 |
| Inj, abilify maintena, 1 mg HCPCS J0401 | not published | not published | $6.91 – $7.96 | 9 |
| Inj acetaminoph 10mg/ibu 3mg HCPCS J0138 | not published | not published | $0.04 – $0.05 | 9 |
| Inj, acetaminophen (b braun) HCPCS J0136 | $68.56 | $85.70 | $27.18 – $77.13 | 11 |
| Inj acetaminophen -fresenius HCPCS J0134 | $68.48 | $85.60 | $27.14 – $77.04 | 11 |
| Inj, acetaminophen (hikma) HCPCS J0137 | $89.68 | $112.10 | $27.68 – $78.57 | 11 |
| Inj, adalimumab, 1 mg HCPCS J0139 | not published | not published | $87.14 – $96.31 | 9 |
| Inj adalimumab-ryvk, 1 mg HCPCS Q5142 | not published | not published | $9.95 – $13.23 | 9 |
| Inj, adstiladrin, per tx dos HCPCS J9029 | $16,000.00 | $20,000.00 | $9,200.00 – $69,317.97 | 15 |
| Inj, aducanumab-avwa, 2 mg HCPCS J0172 | not published | not published | $5.68 – $6.54 | 9 |
| Inj, adzynma, 10 iu HCPCS J7171 | not published | not published | $33.81 – $38.94 | 9 |
| Inj, aflibercept-ayyh, 1 mg HCPCS Q5147 | not published | not published | $816.39 – $946.20 | 9 |
| Inj, aflibercept hd, 1 mg HCPCS J0177 | not published | not published | $295.81 – $340.76 | 9 |
| Inj, afstyla, 1 i.u HCPCS J7210 | not published | not published | $1.49 – $1.72 | 9 |
| Inj, alfentanil hcl, 500mcg HCPCS J0216 | $25.95 | $32.43 | $10.28 – $29.19 | 11 |
| Inj allopurinol sodium 1 mg HCPCS J0206 | $4,499.41 | $5,624.26 | $4.48 – $5,061.83 | 15 |
| Inj, alyglo, 500 mg HCPCS J1552 | not published | not published | $123.72 – $142.52 | 9 |
| Inj alymsys 10 mg HCPCS Q5126 | $2,964.29 | $3,705.36 | $35.93 – $1,002.47 | 15 |
| Inj, amisulpride, 1 mg HCPCS J0184 | not published | not published | $9.13 – $10.09 | 9 |
| Inj andexxa, 10 mg HCPCS J7169 | not published | not published | $124.81 – $137.94 | 9 |
| Inj anifrolumab-fnia 1mg HCPCS J0491 | $6,304.63 | $7,880.78 | $17.18 – $7,092.70 | 15 |
| Inj, aponvie, 1 mg HCPCS C9145 | not published | not published | $1.81 – $2.01 | 9 |
| Inj., aristada initio, 1 mg HCPCS J1943 | not published | not published | $3.08 – $3.55 | 9 |
| Inj, artesunate, 1mg HCPCS J0391 | $5,957.07 | $7,446.33 | $49.24 – $6,701.70 | 15 |
| Inj. asceniv HCPCS J1554 | not published | not published | $471.90 – $543.60 | 9 |
| Inj, aspara, rylaze, 0.1 mg HCPCS J9021 | $5,806.34 | $7,257.92 | $52.70 – $6,063.75 | 15 |
| Inj atezolizumb 5mg hya-tqjs HCPCS J9024 | not published | not published | $30.00 – $34.57 | 9 |
| Inj avacincaptad pegol 0.1mg HCPCS J2782 | not published | not published | $99.87 – $115.04 | 9 |
| Inj aval alfa-nqpt 4mg HCPCS J0219 | not published | not published | $76.87 – $88.54 | 9 |
| Inj belantamab mafodot blmf HCPCS J9037 | not published | not published | $45.02 – $45.02 | 1 |
| Inj., benralizumab, 1 mg HCPCS J0517 | $5,752.12 | $7,190.15 | $156.36 – $6,471.14 | 15 |
| Inj beta interferon sq 1 mcg HCPCS Q3028 | not published | not published | $42.46 – $42.46 | 1 |
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.