Repair pm/icd lead sgl at Sanford Fargo Medical Center
5225 23rd Ave S, Fargo, ND · Sanford Health · · NPI 1528009412
$6,806.40
Cash price 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.
$8,508.00
Gross charge 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.
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The hospital's undiscounted list price — almost no one pays this.
$383.47 with Sanford Health Plan vs $7,657.20 with Cigna — 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 →
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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 ?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 ?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 |
|---|---|---|---|
| Sanford Health Plan | Commercial/ND Pers | $383.47 | ↓ -94% |
| Sanford Health Plan | SD Exchange True | $383.47 | ↓ -94% |
| Sanford Health Plan | SD Exchange Commercial | $383.47 | ↓ -94% |
| Sanford Health Plan | Group Health/True | $383.47 | ↓ -94% |
| Blue Cross Blue Shield of Minnesota | PMAP | $2,861.21 | ↓ -58% |
| Sanford Health Plan Align | Medicare Replacement | $3,457.34 | ↓ -49% |
| Health Partners | Commercial | $3,488.28 | ↓ -49% |
| Ucare | Medicare Replacement | $3,712.09 | ↓ -45% |
| Great Plains Medicare Advantage | Medicare Replacement | $3,748.48 | ↓ -45% |
| Blue Cross Blue Shield of Minnesota | Medicare Replacement | $3,748.48 | ↓ -45% |
| Health Partners | Medicare Replacement | $3,748.48 | ↓ -45% |
| Aetna | Medicare Replacement | $3,748.48 | ↓ -45% |
| Blue Cross Blue Shield of North Dakota | Medicare Replacement | $3,748.48 | ↓ -45% |
| United Healthcare | Medicare Replacement | $3,748.48 | ↓ -45% |
| Primewest | Medicare Replacement | $3,821.27 | ↓ -44% |
| Medica | Choice | $3,828.60 | ↓ -44% |
| Medica | Elect | $4,092.35 | ↓ -40% |
| Ucare | Medicaid Managed Care | $4,115.78 | ↓ -40% |
| Primewest | Medicaid Managed Care | $4,115.78 | ↓ -40% |
| Security Health Plan | Commercial | $4,679.40 | ↓ -31% |
| United Healthcare | CSP Top 20 | $5,394.07 | ↓ -21% |
| Ucare | Commercial | $5,980.27 | ↓ -12% |
| Blue Cross Blue Shield of Minnesota | Commercial | $6,934.46 | ↑ +2% |
| Aetna | Commercial | $7,274.34 | ↑ +7% |
| United Healthcare | Commercial | $7,410.47 | ↑ +9% |
| Multiplan | Commercial | $7,657.20 | ↑ +13% |
| Healthez | Commercial | $7,657.20 | ↑ +13% |
| First Choice Health Network | Commercial | $7,657.20 | ↑ +13% |
| Cigna | Commercial | $7,657.20 | ↑ +13% |
| Blue Cross Blue Shield of North Dakota | Commercial | not published by hospital | — |
Visitor-reported prices
Comments
Repair pm/icd lead sgl at other North-dakota hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Sanford Medical Center Bismarck | Bismarck | $6,196.80 | $383.47 – $6,971.40 |