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 |
|---|---|---|---|---|
| Ped crit care transport addl CPT 99467 | not published | not published | $103.03 – $114.84 | 9 |
| Ped critical care initial CPT 99471 | not published | not published | $685.22 – $763.62 | 9 |
| Ped critical care subsq CPT 99472 | not published | not published | $352.57 – $391.13 | 9 |
| Ped home apnea mntr att only CPT 94775 | not published | not published | $148.64 – $164.28 | 8 |
| Ped home apnea mntr dl&alys CPT 94776 | not published | not published | $148.64 – $164.28 | 8 |
| Pediatric electric hand HCPCS L7008 | not published | not published | $6,602.75 – $7,297.77 | 9 |
| Pediatric electric hook HCPCS L7045 | not published | not published | $1,842.99 – $2,036.99 | 9 |
| Pedicle enel/ntroral 15576 CPT 15576 | not published | not published | $646.44 – $1,920.69 | 9 |
| Ped term dev, hand, vol clos HCPCS L6714 | not published | not published | $1,534.22 – $1,695.72 | 9 |
| Ped term dev, hand, vol open HCPCS L6713 | not published | not published | $1,811.40 – $2,002.08 | 9 |
| Ped term dev, hook, vol clos HCPCS L6712 | not published | not published | $1,435.22 – $1,586.30 | 9 |
| Ped term dev, hook, vol open HCPCS L6711 | not published | not published | $779.54 – $861.60 | 9 |
| Pegaspargase injection HCPCS J9266 | $19,601.39 | $24,501.73 | $11,270.80 – $31,105.57 | 15 |
| Pegfilgrastim 6 mg/0.6 ml (deliverable) wearable subcutaneous injector HCPCS J2506 | $5,920.86 | $7,401.07 | $31.73 – $6,529.78 | 15 |
| Pegfilgrastim-apgf 6 mg/0.6 ml subcutaneous syringe HCPCS Q5122 | $2,635.41 | $3,294.26 | $98.36 – $2,964.83 | 15 |
| Pegfilgrastim-cbqv 6 mg/0.6 ml subcutaneous syringe HCPCS Q5111 | $4,412.03 | $5,515.03 | $101.02 – $3,832.04 | 15 |
| Pegfilgrastim-fpgk 6 mg/0.6 ml subcutaneous syringe HCPCS Q5127 | $5,097.60 | $6,372.00 | $175.66 – $5,734.80 | 15 |
| Pegfilgrastim-jmdb 6 mg/0.6 ml subcutaneous syringe HCPCS Q5108 | $2,732.51 | $3,415.63 | $94.17 – $2,361.16 | 15 |
| Pegfilgrastim-pbbk 6 mg/0.6 ml subcutaneous syringe HCPCS Q5130 | not published | not published | $131.07 – $154.18 | 9 |
| Peg interferon alfa-2a/180 HCPCS S0145 | $4,983.81 | $6,229.76 | $917.67 – $1,795.45 | 11 |
| Pegloticase 8 mg/ml intravenous solution HCPCS J2507 | $29,491.21 | $36,864.01 | $3,477.79 – $33,177.61 | 15 |
| Pegunigalsidase alfa-iwxj HCPCS J2508 | not published | not published | $216.75 – $249.68 | 9 |
| Pelv band/spread bar thigh c HCPCS L1640 | not published | not published | $605.92 – $669.70 | 9 |
| Pelvic band & belt thigh fla HCPCS L2192 | not published | not published | $381.61 – $421.77 | 9 |
| Pelvic control band & belt b HCPCS L2640 | not published | not published | $359.66 – $397.52 | 9 |
| Pelvic control band & belt u HCPCS L2630 | not published | not published | $353.36 – $390.56 | 9 |
| Pelvic control hip heavy dut HCPCS L2620 | not published | not published | $286.16 – $316.28 | 9 |
| Pelvic control pelvic sling HCPCS L2580 | not published | not published | $649.70 – $718.08 | 9 |
| Pelvic CT scan (with and without contrast) CPT 72194 | $2,065.60 | $2,582.00 | $169.12 – $2,323.80 | 15 |
| Pelvic CT scan (with contrast) CPT 72193 | $1,599.20 | $1,999.00 | $169.12 – $1,799.10 | 15 |
| Pelvic CT scan (without contrast) CPT 72192 | $1,287.20 | $1,609.00 | $101.02 – $1,448.10 | 15 |
| Pelvic exenteration CPT 45126 | not published | not published | $2,387.53 – $2,715.93 | 9 |
| Pelvic & hip control thigh c HCPCS L1680 | not published | not published | $1,304.03 – $1,441.29 | 9 |
| Pelvic MRI (with and without contrast) CPT 72197 | $3,496.00 | $4,370.00 | $339.27 – $3,933.00 | 15 |
| Pelvic MRI (with contrast) CPT 72196 | $2,519.20 | $3,149.00 | $275.62 – $2,834.10 | 15 |
| Pelvic MRI (without contrast) CPT 72195 | $2,403.20 | $3,004.00 | $229.63 – $2,703.60 | 15 |
| Pelvic ring fracture uni/bil HCPCS G0413 | not published | not published | $1,069.19 – $7,500.92 | 9 |
| Pelvic ring fx treat int fix HCPCS G0414 | not published | not published | $895.47 – $1,008.94 | 9 |
| Pelvic Ultrasound (complete) CPT 76856 | $575.20 | $719.00 | $101.02 – $647.10 | 15 |
| Pelvic Ultrasound (limited) CPT 76857 | $454.40 | $568.00 | $49.27 – $511.20 | 15 |
| Pelvis X-ray (1 to 2 views) CPT 72170 | $193.60 | $242.00 | $27.96 – $217.80 | 15 |
| Pelvis X-ray (complete, 4 or more views) CPT 72190 | $249.60 | $312.00 | $42.28 – $280.80 | 15 |
| Pelv & thor control gluteal HCPCS L2650 | not published | not published | $128.44 – $141.96 | 9 |
| Pembrolizumab 25 mg/ml intravenous solution HCPCS J9271 | $5,717.04 | $7,146.30 | $57.28 – $6,431.67 | 15 |
| Pemetrexed disodium 100 mg intravenous powder for solution HCPCS J9305 | $3,379.44 | $4,224.29 | $4.14 – $141.81 | 15 |
| Pemivibart infusion HCPCS M0224 | $783.20 | $979.00 | $310.44 – $881.10 | 15 |
| Peng benzathine/procaine inj HCPCS J0558 | not published | not published | $18.55 – $21.37 | 9 |
| Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe HCPCS J0561 | $879.08 | $1,098.85 | $28.51 – $240.56 | 15 |
| Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr HCPCS J2540 | $69.36 | $86.70 | $10.69 – $30.34 | 11 |
| Penicillin g procaine inj HCPCS J2510 | not published | not published | $39.40 – $49.55 | 9 |
| Penile injection CPT 54235 | $464.00 | $580.00 | $73.57 – $522.00 | 15 |
| Penile rear tip xtnd 0.5cm HCPCS C2622 | $24,631.20 | $30,789.00 | $8,533.99 – $24,221.34 | 11 |
| Penile vascular study CPT 93980 | $681.60 | $852.00 | $101.02 – $766.80 | 15 |
| Penile vascular study CPT 93981 | not published | not published | $70.57 – $111.66 | 9 |
| Penile venous occlusion CPT 37790 | not published | not published | $484.00 – $3,621.42 | 9 |
| Penis plastic surgery CPT 54360 | not published | not published | $717.68 – $3,621.42 | 9 |
| Penis study CPT 54240 | not published | not published | $107.19 – $326.97 | 9 |
| Pentamidine non-comp unit HCPCS J2545 | $132.68 | $165.84 | $69.07 – $135.14 | 11 |
| Pentobarbital sodium inj HCPCS J2515 | $1,801.08 | $2,251.35 | $38.07 – $108.05 | 11 |
| Pentostatin 10 mg intravenous solution HCPCS J9268 | $2,248.84 | $2,811.05 | $1,293.08 – $2,854.21 | 15 |
| Perc cryo ablate renal tum CPT 50593 | $11,820.00 | $14,775.00 | $445.72 – $13,297.50 | 15 |
| Perc d-e cor revasc chro add HCPCS C9608 | $11,352.00 | $14,190.00 | $4,499.65 – $12,771.00 | 11 |
| Perc d-e cor revasc chro sin HCPCS C9607 | $25,545.60 | $31,932.00 | $10,125.64 – $28,738.80 | 15 |
| Perc d-e cor revasc t cabg b HCPCS C9605 | $11,352.00 | $14,190.00 | $4,499.65 – $12,771.00 | 11 |
| Perc d-e cor revasc t cabg s HCPCS C9604 | $22,618.40 | $28,273.00 | $8,965.37 – $25,445.70 | 15 |
| Perc d-e cor stent ather br HCPCS C9603 | $3,020.80 | $3,776.00 | $1,197.37 – $3,398.40 | 11 |
| Perc d-e cor stent ather s HCPCS C9602 | $28,672.00 | $35,840.00 | $11,364.86 – $32,256.00 | 15 |
| Perc drug-el cor stent bran HCPCS C9601 | $11,564.80 | $14,456.00 | $4,584.00 – $13,010.40 | 11 |
| Perc drug-el cor stent sing HCPCS C9600 | $21,514.40 | $26,893.00 | $8,527.77 – $24,203.70 | 15 |
| Perc rf ablate renal tumor CPT 50592 | $9,046.40 | $11,308.00 | $334.21 – $10,177.20 | 15 |
| Percut ablate liver rf CPT 47382 | $8,880.80 | $11,101.00 | $716.01 – $9,990.90 | 15 |
| Percutaneous islet celltrans HCPCS G0341 | not published | not published | $304.25 – $1,580.32 | 9 |
| Perflutren lipid microspheres 1.1 mg/ml intravenous suspension HCPCS Q9957 | $273.00 | $341.25 | $108.21 – $307.13 | 11 |
| Pericardial drain w/cath pq w/ct guid CPT 33019 | $2,324.80 | $2,906.00 | $181.56 – $2,615.40 | 15 |
| Pericardiectomy/sub or com/w bypas 33031 CPT 33031 | not published | not published | $2,083.21 – $2,421.67 | 9 |
| Pericardiocentesis wwo imaging CPT 33016 | $2,432.00 | $3,040.00 | $228.69 – $2,736.00 | 15 |
| Pericardiotomy/clot/for bod remove 33020 CPT 33020 | not published | not published | $706.54 – $811.22 | 9 |
| Peri-implt capslc brst compl CPT 19371 | not published | not published | $713.35 – $4,020.74 | 9 |
| Perineoplasty rpr per nonob CPT 56810 | not published | not published | $274.95 – $3,338.51 | 9 |
| Peripheral vascular rehab CPT 93668 | $136.80 | $171.00 | $14.65 – $153.90 | 15 |
| Peri-proc device eval icd CPT 93287 | $99.20 | $124.00 | $47.03 – $111.60 | 15 |
| Peri-proc device eval pm CPT 93286 | $88.80 | $111.00 | $40.57 – $99.90 | 15 |
| Peritoneal cath sub q resv per CPT 49419 | not published | not published | $415.43 – $5,675.99 | 9 |
| Peritoneogram rs&i CPT 74190 | $852.80 | $1,066.00 | $338.03 – $959.40 | 15 |
| Perit-vens shunt pat tst CPT 78291 | $789.60 | $987.00 | $242.00 – $888.30 | 15 |
| Permanent tear duct plug HCPCS A4263 | $360.00 | $450.00 | $74.12 – $210.38 | 11 |
| Peroneal straps pair pre ots HCPCS L0980 | not published | not published | $18.69 – $20.65 | 9 |
| Perp bk ptb thermopls direct HCPCS L5520 | not published | not published | $1,639.71 – $1,812.31 | 9 |
| Perq art m-thrombect &/nfs CPT 61645 | $11,601.60 | $14,502.00 | $717.59 – $13,051.80 | 15 |
| Perq clsr tcat l atr apndge CPT 33340 | $15,883.20 | $19,854.00 | $656.17 – $17,868.60 | 15 |
| Perq dev breast 1st mr guide CPT 19287 | $3,105.60 | $3,882.00 | $122.83 – $3,493.80 | 15 |
| Perq dev breast 1st strtctc CPT 19283 | $2,087.20 | $2,609.00 | $97.20 – $2,348.10 | 15 |
| Perq nl/pl lithotrp cplx>2cm CPT 50081 | not published | not published | $1,113.13 – $9,709.51 | 9 |
| Perq nl/pl lithotrp smpl<2cm CPT 50080 | not published | not published | $692.05 – $9,709.51 | 9 |
| Perq p-art revsc 1 abnor bi CPT 33903 | not published | not published | $844.17 – $11,907.60 | 9 |
| Perq p-art revsc 1 abnor uni CPT 33902 | not published | not published | $716.35 – $18,854.56 | 9 |
| Perq p-art revsc 1 nm nt bi CPT 33901 | not published | not published | $741.98 – $11,907.60 | 9 |
| Perq p-art revsc 1 nm nt uni CPT 33900 | not published | not published | $564.56 – $11,907.60 | 9 |
| Perq p-art revsc each addl CPT 33904 | not published | not published | $248.49 – $283.61 | 9 |
| Perq plmt bile duct stent CPT 47538 | $10,037.60 | $12,547.00 | $226.36 – $11,292.30 | 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.