Sanford Fargo Medical Center
5225 23rd Ave S, Fargo, ND · Sanford Health · · NPI 1528009412
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 |
|---|---|---|---|---|
| Somatropin injection HCPCS J2941 | not published | not published | $46.47 – $158.20 | 10 |
| So neo gsap dna/dna&rna CPT 81459 | not published | not published | $2,189.70 – $6,122.30 | 10 |
| So neo gsap dna mcrstl ins CPT 81457 | not published | not published | $852.03 – $1,836.70 | 10 |
| Sotalol hydrochloride IV HCPCS C9482 | $114,699.07 | $143,373.83 | $20.67 – $129,036.45 | 16 |
| So vest canvas/web pre ots HCPCS L3675 | $410.80 | $513.50 | $178.55 – $462.15 | 16 |
| Spacer bag/reservoir HCPCS A4627 | not published | not published | $32.00 – $32.00 | 1 |
| Sp bone agrft morsel add-on CPT 20937 | not published | not published | $1.00 – $165.77 | 10 |
| Sp bone agrft struct add-on CPT 20938 | not published | not published | $1.00 – $182.75 | 10 |
| Sp bone algrft morsel add-on CPT 20930 | not published | not published | $1.00 – $1.00 | 1 |
| Special casting material HCPCS A4590 | not published | not published | $27.20 – $27.20 | 1 |
| Special physics consult CPT 77370 | $1,028.80 | $1,286.00 | $98.86 – $1,157.40 | 16 |
| Special pump services CPT 99190 | not published | not published | $205.80 – $205.80 | 1 |
| Special pump services CPT 99191 | not published | not published | $147.70 – $147.70 | 1 |
| Special pump services CPT 99192 | not published | not published | $178.52 – $178.52 | 1 |
| Special radiation dosimetry CPT 77331 | $709.60 | $887.00 | $64.91 – $798.30 | 16 |
| Special radiation treatment CPT 77470 | $3,086.40 | $3,858.00 | $141.80 – $3,472.20 | 16 |
| Special teletx port plan CPT 77321 | $1,494.40 | $1,868.00 | $94.20 – $1,681.20 | 16 |
| Specific gravity body fluid CPT 84315 | not published | not published | $3.12 – $6.72 | 10 |
| Specimen fat stain CPT 89125 | not published | not published | $5.59 – $12.04 | 10 |
| Speech and Language Evaluation (comprehensive) CPT 92523 | $500.00 | $625.00 | $113.81 – $562.50 | 16 |
| Speech audiometry complete CPT 92556 | $121.60 | $152.00 | $44.57 – $136.80 | 16 |
| Speech evaluation complex CPT 70371 | not published | not published | $109.18 – $253.81 | 10 |
| Speech recep thresh CPT 92555 | $78.40 | $98.00 | $28.96 – $88.20 | 16 |
| Speech Therapy Session (one-on-one) CPT 92507 | $283.20 | $354.00 | $70.72 – $318.60 | 16 |
| Sperm antibody test CPT 89325 | not published | not published | $10.14 – $21.85 | 10 |
| Sperm evaluation test CPT 89329 | not published | not published | $18.61 – $40.12 | 10 |
| Sperm identification CPT 89257 | not published | not published | $39.48 – $56.10 | 9 |
| Sperm isolation complex CPT 89261 | $260.00 | $325.00 | $39.48 – $292.50 | 16 |
| Sperm isolation simple CPT 89260 | $200.00 | $250.00 | $39.48 – $225.00 | 16 |
| Sperm washing 58323 CPT 58323 | not published | not published | $11.98 – $211.23 | 10 |
| Sphenoid sinus surgery CPT 31051 | not published | not published | $698.37 – $6,137.68 | 10 |
| Sphincteroplasty inc/prolapse adult 46750 CPT 46750 | not published | not published | $748.64 – $2,879.51 | 10 |
| Spinal bone allograftstructural 20931 CPT 20931 | not published | not published | $1.00 – $109.85 | 10 |
| Spinal bone autograftlocal 20936 CPT 20936 | not published | not published | $1.00 – $1.00 | 1 |
| Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance CPT 62328 | $1,884.00 | $2,355.00 | $83.88 – $2,119.50 | 16 |
| Spine device implant surgery HCPCS C9757 | not published | not published | $9,589.17 – $13,510.16 | 9 |
| Spine X-ray (single view, one level) CPT 72020 | $414.40 | $518.00 | $24.30 – $466.20 | 16 |
| Spirmtry w/brnchdil inf-2 yr CPT 94012 | not published | not published | $136.48 – $326.97 | 10 |
| Spirometry up to 2 yrs old CPT 94011 | not published | not published | $83.55 – $163.71 | 10 |
| Spleen imaging CPT 78185 | not published | not published | $154.45 – $421.92 | 10 |
| Splenectomy total open 38100 CPT 38100 | not published | not published | $975.96 – $1,146.75 | 10 |
| Splice spleen/kidney veins CPT 37181 | not published | not published | $1,945.54 – $2,306.82 | 10 |
| Splicing of ureters CPT 50770 | not published | not published | $1,011.23 – $1,141.10 | 10 |
| Splint arm vnyl coated padded lft med HCPCS Q4051 | not published | not published | $14.86 – $14.86 | 1 |
| Splint dorsal bloc wh med perf 3.2mm lf polyflex ii HCPCS L3906 | $449.96 | $562.44 | $60.60 – $473.37 | 16 |
| Splint extn xsm w sof-stretch rolyan HCPCS L3925 | $61.35 | $76.68 | $6.04 – $57.14 | 16 |
| Splint finger 4 prong foam sm HCPCS A4570 | not published | not published | $15.27 – $15.27 | 1 |
| Splint finger fold over sm HCPCS L3924 | $34.80 | $43.49 | $17.83 – $100.70 | 16 |
| Splint finger frog med HCPCS L3927 | $4.98 | $6.22 | $2.44 – $40.72 | 16 |
| Splint fing stax assort 1-7in HCPCS Q4049 | not published | not published | $2.44 – $2.76 | 10 |
| Splint func pos polyflex ii med HCPCS L3999 | $316.73 | $395.91 | $4.27 – $13.82 | 12 |
| Splint rstrc wrst/cmc right med HCPCS L3923 | $209.60 | $262.00 | $12.89 – $100.70 | 16 |
| Split atogrft f/s/n/h/f/g/m/d gt 1st 100sqcm/</1 % CPT 15120 | not published | not published | $690.05 – $3,770.80 | 10 |
| Split blood or products CPT 86985 | not published | not published | $124.46 – $179.93 | 9 |
| Split flat caliper stirr & p HCPCS L2230 | not published | not published | $89.59 – $99.02 | 10 |
| Splt agrft f/s/n/h/f/g/m ea CPT 15121 | not published | not published | $1.00 – $200.06 | 10 |
| Spontaneous nystagmus study CPT 92531 | not published | not published | $1.00 – $1.00 | 1 |
| Sprchoroidal spc njx rx agt CPT 67516 | not published | not published | $95.54 – $348.27 | 10 |
| Spring-ass rot wrst with latch HCPCS L6623 | not published | not published | $731.41 – $808.41 | 10 |
| Sputum specimen collection CPT 89220 | not published | not published | $19.31 – $179.93 | 10 |
| Sr-89 stront chlor ther / mci HCPCS A9600 | not published | not published | $3,825.00 – $4,353.65 | 10 |
| Srs cranial lesion complex CPT 61798 | not published | not published | $1,148.75 – $1,401.40 | 10 |
| Srs cranial lesion simple CPT 61796 | not published | not published | $855.61 – $1,036.91 | 10 |
| Srs cran les complex addl CPT 61799 | not published | not published | $243.03 – $303.58 | 10 |
| Srs cran les simple addl CPT 61797 | not published | not published | $175.96 – $219.70 | 10 |
| Srsf2 gene common variants CPT 81348 | not published | not published | $166.63 – $359.20 | 10 |
| Srs linear based CPT 77372 | $12,160.00 | $15,200.00 | $951.69 – $13,680.00 | 16 |
| Srs multisource CPT 77371 | not published | not published | $5,673.79 – $8,026.71 | 9 |
| Srs spinal lesion CPT 63620 | not published | not published | $941.92 – $1,145.76 | 10 |
| Srs spinal lesion addl CPT 63621 | not published | not published | $202.40 – $252.32 | 10 |
| Staggered spondaic word test CPT 92572 | not published | not published | $53.26 – $163.71 | 10 |
| Staging lapro hodgkins disease/lymphoma 49220 CPT 49220 | not published | not published | $2,322.40 – $2,322.40 | 1 |
| Stainless steel any wrist HCPCS L6630 | not published | not published | $245.75 – $271.61 | 10 |
| St analysis behavior qualitative voice/resonance CPT 92524 | $444.00 | $555.00 | $100.46 – $499.50 | 16 |
| Stance phase only HCPCS L5858 | not published | not published | $20,814.95 – $23,816.40 | 10 |
| Standard control cable extra HCPCS L6655 | not published | not published | $85.65 – $94.67 | 10 |
| Staph a dna amp probe CPT 87640 | not published | not published | $33.34 – $71.86 | 10 |
| Static or dynami afo pre ots HCPCS L4397 | not published | not published | $187.58 – $210.77 | 10 |
| Stationary o2 contents, gas HCPCS E0441 | not published | not published | $63.80 – $70.52 | 10 |
| Stationary o2 contents, liq HCPCS E0442 | not published | not published | $63.80 – $70.52 | 10 |
| St cognitve performance testing healthcare professional each hour CPT 96125 | $340.80 | $426.00 | $21.70 – $383.40 | 16 |
| Stem cells total count CPT 86367 | $205.60 | $257.00 | $73.89 – $231.30 | 16 |
| Stenger test pure tone CPT 92565 | not published | not published | $20.97 – $62.37 | 10 |
| Stenger test speech CPT 92577 | not published | not published | $21.97 – $557.13 | 10 |
| Stent/athrectomy/fem/pop/unilat 37227 CPT 37227 | not published | not published | $693.38 – $18,495.42 | 10 |
| Stent axios caut enh 15x10mm electrocaut HCPCS C1874 | $35,903.99 | $44,879.98 | $1.00 – $1,493.10 | 12 |
| Stent bili dbl pgtl 10fx5cm HCPCS C2617 | $10,389.60 | $12,987.00 | $1.00 – $149.88 | 12 |
| Stent bili rx wallflx 10x80 uncvr HCPCS C1876 | $29,942.84 | $37,428.55 | $1.00 – $247.05 | 12 |
| Stent bronch dumon sil 10x40mm HCPCS C1875 | not published | not published | $1.00 – $1.00 | 1 |
| Stent iliac/open or perc/uni/init 37221 CPT 37221 | not published | not published | $477.34 – $11,680.79 | 10 |
| Stent iliac/open/perc/ea ad/ipsila 37223 CPT 37223 | not published | not published | $1.00 – $1,192.96 | 10 |
| Stent placemt retro carotid CPT 37217 | $8,537.60 | $10,672.00 | $883.37 – $9,604.80 | 16 |
| Stent/tib/peroneal/unilat/initial 37230 CPT 37230 | not published | not published | $671.08 – $18,495.42 | 10 |
| Stereoscopic x-ray guidance HCPCS G6002 | not published | not published | $69.19 – $76.47 | 10 |
| Stereotactic bx aspir/exc burr intracranial les 61750 CPT 61750 | not published | not published | $1,174.34 – $1,430.03 | 10 |
| Stereotactic radiation trmt CPT 77432 | not published | not published | $383.83 – $424.23 | 10 |
| Sterile gauze <= 16 sq in HCPCS A6402 | not published | not published | $0.14 – $0.16 | 10 |
| Sterile needle HCPCS A4215 | not published | not published | $1.00 – $1.00 | 1 |
| Sterile water/saline, 10 ml HCPCS A4216 | not published | not published | $0.50 – $0.56 | 10 |
| Sterile water/saline, 500 ml HCPCS A4217 | not published | not published | $1.00 – $4.60 | 10 |
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.