Romiplostim 125 mcg subcutaneous 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

$8,807.64

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.

Full explanation →

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

$11,009.55

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.

$10.46 with Sanford Health Plan Align vs $4,954.31 with First Choice Health Network — 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
Sanford Health Plan Align Medicare Replacement $10.46 ↓ -100%
Ucare Medicare Replacement $11.23 ↓ -100%
United Healthcare Medicare Replacement $11.34 ↓ -100%
Blue Cross Blue Shield of Minnesota Medicare Replacement $11.34 ↓ -100%
Aetna Medicare Replacement $11.34 ↓ -100%
Great Plains Medicare Advantage Medicare Replacement $11.34 ↓ -100%
Blue Cross Blue Shield of North Dakota Medicare Replacement $11.34 ↓ -100%
Health Partners Medicare Replacement $11.34 ↓ -100%
Primewest Medicare Replacement $11.56 ↓ -100%
Sanford Health Plan SD Exchange True $12.05 ↓ -100%
Sanford Health Plan Commercial/ND Pers $12.05 ↓ -100%
Sanford Health Plan Group Health/True $12.05 ↓ -100%
Sanford Health Plan SD Exchange Commercial $12.05 ↓ -100%
Health Partners Commercial $2,256.96 ↓ -74%
Medica Choice $2,477.16 ↓ -72%
Blue Cross Blue Shield of Minnesota PMAP $2,477.16 ↓ -72%
Blue Cross Blue Shield of Minnesota Commercial $2,477.16 ↓ -72%
Medica Elect $2,647.80 ↓ -70%
Security Health Plan Commercial $3,027.63 ↓ -66%
United Healthcare CSP Top 20 $3,490.04 ↓ -60%
Ucare Commercial $3,869.32 ↓ -56%
Aetna Commercial $4,706.60 ↓ -47%
United Healthcare Commercial $4,794.67 ↓ -46%
Cigna Commercial $4,954.31 ↓ -44%
Healthez Commercial $4,954.31 ↓ -44%
Multiplan Commercial $4,954.31 ↓ -44%
First Choice Health Network Commercial $4,954.31 ↓ -44%
Blue Cross Blue Shield of North Dakota Commercial not published by hospital —
Ucare Medicaid Managed Care not published by hospital —
Primewest Medicaid Managed Care not published by hospital —

Visitor-reported prices

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Romiplostim 125 mcg subcutaneous solution at other North-dakota hospitals

Hospital City Cash price Negotiated range
Sanford Medical Center Bismarck Bismarck $5,129.36 $10.46 – $1,697.85
Sanford Medical Center Hillsboro Hillsboro $4,660.87 $483.48 – $1,797.31
Sanford Medical Center Mayville Mayville $1,580.10 $478.18 – $1,777.61

All North-dakota hospitals for this procedure →