Dactinomycin 0.5 mg intravenous solution at Sanford Fargo Medical Center

5225 23rd Ave S, Fargo, ND · Sanford Health · · NPI 1528009412

Source: hospital's published price file ↗ · Published Mar 4, 2026 · Ingested Aug 12, 2026

$1,975.76

Cash price

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Discounted cash price

What a hospital charges a self-pay patient who pays directly, without going through insurance — usually well below the gross charge.

Example: A CT scan has a $3,200 gross charge but an $850 discounted cash price. Ask for it by name when scheduling — hospitals don't always advertise it up front.

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What you pay up front if you don't use insurance.

$2,469.69

Gross charge

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Gross charge (chargemaster price)

The hospital's full, undiscounted list price — pulled from its internal "chargemaster" price list. Almost no one actually pays this.

Example: A chest X-ray has a gross charge of $1,450. The same hospital's discounted cash price for the same X-ray is $180 — the gross charge mostly anchors negotiations, not what patients pay.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$267.38 with Health Partners vs $838.46 with Blue Cross Blue Shield of Minnesota — same scan, same building. Share

Negotiated rates by payer
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Negotiated rate

The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.

Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.

Full explanation →

Payer
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Payer

The insurance company footing the bill — Aetna, UnitedHealthcare, Medicare, and so on.

Example: "Blue Cross Blue Shield" is the payer. Its negotiated rate for an MRI might be $904, while a different payer's negotiated rate for the same scan is $1,509.

Full explanation →
Plan
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Plan

The specific product an insurer sells — e.g. "Blue Cross PPO 500" — which sets your deductible, coinsurance and negotiated rates.

Example: Two people both insured by Aetna can owe very different amounts for the same MRI: $50 with an HMO plan's flat copay, or the full $1,200 toward a high-deductible PPO plan's unmet deductible.

Full explanation →
Negotiated rate vs. cash
Health Partners Commercial $267.38 ↓ -86%
Medica Choice $293.46 ↓ -85%
Sanford Health Plan Align Medicare Replacement $311.92 ↓ -84%
Medica Elect $313.68 ↓ -84%
Ucare Medicare Replacement $334.90 ↓ -83%
Great Plains Medicare Advantage Medicare Replacement $338.19 ↓ -83%
Health Partners Medicare Replacement $338.19 ↓ -83%
Aetna Medicare Replacement $338.19 ↓ -83%
United Healthcare Medicare Replacement $338.19 ↓ -83%
Blue Cross Blue Shield of Minnesota Medicare Replacement $338.19 ↓ -83%
Blue Cross Blue Shield of North Dakota Medicare Replacement $338.19 ↓ -83%
Primewest Medicare Replacement $344.75 ↓ -83%
Security Health Plan Commercial $358.68 ↓ -82%
Sanford Health Plan Commercial/ND Pers $359.31 ↓ -82%
Sanford Health Plan SD Exchange Commercial $359.31 ↓ -82%
Sanford Health Plan Group Health/True $359.31 ↓ -82%
Sanford Health Plan SD Exchange True $359.31 ↓ -82%
United Healthcare CSP Top 20 $413.46 ↓ -79%
Ucare Commercial $458.39 ↓ -77%
Aetna Commercial $557.58 ↓ -72%
United Healthcare Commercial $568.01 ↓ -71%
First Choice Health Network Commercial $586.93 ↓ -70%
Multiplan Commercial $586.93 ↓ -70%
Healthez Commercial $586.93 ↓ -70%
Cigna Commercial $586.93 ↓ -70%
Blue Cross Blue Shield of Minnesota Commercial $838.46 ↓ -58%
Blue Cross Blue Shield of Minnesota PMAP $838.46 ↓ -58%
Ucare Medicaid Managed Care not published by hospital —
Primewest Medicaid Managed Care not published by hospital —
Blue Cross Blue Shield of North Dakota Commercial not published by hospital —

Visitor-reported prices

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Dactinomycin 0.5 mg intravenous solution at other North-dakota hospitals

Hospital City Cash price Negotiated range
Sanford Medical Center Bismarck Bismarck $1,708.71 $311.92 – $668.53

All North-dakota hospitals for this procedure →