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 |
|---|---|---|---|---|
| Unlisted px lacrimal system CPT 68899 | not published | not published | $212.25 – $307.90 | 9 |
| Unlisted px leg/ankle CPT 27899 | $4,000.00 | $5,000.00 | $171.82 – $4,500.00 | 16 |
| Unlisted px male genital sys CPT 55899 | not published | not published | $180.07 – $255.37 | 9 |
| Unlisted px mediastinum CPT 39499 | $2,838.40 | $3,548.00 | $246.76 – $3,193.20 | 12 |
| Unlisted px med radj physics CPT 77399 | not published | not published | $98.86 – $139.41 | 9 |
| Unlisted px middle ear CPT 69799 | not published | not published | $177.97 – $243.83 | 9 |
| Unlisted px neck/thorax CPT 21899 | $280.80 | $351.00 | $97.47 – $315.90 | 16 |
| Unlisted px palate uvula CPT 42299 | $2,411.20 | $3,014.00 | $177.97 – $2,712.60 | 16 |
| Unlisted px pelvis/hip joint CPT 27299 | $783.20 | $979.00 | $171.82 – $881.10 | 16 |
| Unlisted px posterior segmnt CPT 67299 | not published | not published | $1,697.90 – $2,394.77 | 9 |
| Unlisted px salivry glnd/dux CPT 42699 | not published | not published | $177.97 – $243.83 | 9 |
| Unlisted px small intestine CPT 44799 | $3,737.60 | $4,672.00 | $483.48 – $1,566.90 | 16 |
| Unlisted px temporal bone CPT 69979 | not published | not published | $177.97 – $243.83 | 9 |
| Unlisted px ther rad tx plng CPT 77299 | not published | not published | $98.86 – $139.41 | 9 |
| Unlisted px tongue flr mouth CPT 41599 | not published | not published | $177.97 – $243.83 | 9 |
| Unlisted px vestibule mouth CPT 40899 | not published | not published | $177.97 – $243.83 | 9 |
| Unlisted reprod med lab proc CPT 89398 | $60.00 | $75.00 | $20.83 – $67.50 | 16 |
| Unlisted resp px dx nuc med CPT 78599 | not published | not published | $300.50 – $421.92 | 9 |
| Unlisted spec derm svc/px CPT 96999 | not published | not published | $145.86 – $208.64 | 9 |
| Unlisted surgical path px CPT 88399 | not published | not published | $39.48 – $56.10 | 9 |
| Unlisted transfusion med px CPT 86999 | not published | not published | $21.70 – $25.71 | 9 |
| Unlisted ultrasound procedure CPT 76999 | $415.20 | $519.00 | $66.21 – $467.10 | 16 |
| Unlisted vasc endoscopy px CPT 37501 | not published | not published | $457.71 – $649.17 | 9 |
| Unlstd hematop ret/endo lymp CPT 78199 | not published | not published | $300.50 – $421.92 | 9 |
| Unlstd laps px mat care&dlvr CPT 59898 | not published | not published | $4,203.99 – $6,047.35 | 9 |
| Unlstd laps px sprmatic cord CPT 55559 | not published | not published | $4,203.99 – $6,047.35 | 9 |
| Unsched dialysis esrd pt hos HCPCS G0257 | $1,620.00 | $2,025.00 | $509.15 – $1,822.50 | 16 |
| Upgrade pm system CPT 33214 | $16,259.20 | $20,324.00 | $470.35 – $18,291.60 | 16 |
| Upper Arm (Humerus) X-ray (left side) CPT 73060 | $393.60 | $492.00 | $31.96 – $442.80 | 16 |
| Upper Back (Thoracic Spine) CT Scan (with contrast) CPT 72129 | $2,820.80 | $3,526.00 | $133.87 – $3,173.40 | 16 |
| Upper Back (Thoracic Spine) CT Scan (without contrast) CPT 72128 | $2,528.80 | $3,161.00 | $80.11 – $2,844.90 | 16 |
| Upper Back (Thoracic Spine) MRI (with and without contrast) CPT 72157 | $4,052.80 | $5,066.00 | $280.20 – $4,559.40 | 16 |
| Upper Back (Thoracic Spine) MRI (with contrast) CPT 72147 | $3,355.20 | $4,194.00 | $280.20 – $3,774.60 | 16 |
| Upper Back (Thoracic Spine) MRI (without contrast) CPT 72146 | $3,093.60 | $3,867.00 | $178.53 – $3,480.30 | 16 |
| Upper Back (Thoracic Spine) X-ray (2 views) CPT 72070 | $388.00 | $485.00 | $32.95 – $436.50 | 16 |
| Upper Back (Thoracic Spine) X-ray (3 views) CPT 72072 | $443.20 | $554.00 | $39.61 – $498.60 | 16 |
| Upper Endoscopy (EGD, diagnostic) CPT 43235 | $2,561.60 | $3,202.00 | $120.83 – $2,881.80 | 16 |
| Upper Endoscopy (EGD, with biopsy) CPT 43239 | $2,573.60 | $3,217.00 | $136.48 – $2,895.30 | 16 |
| Upper ext fx orthosis rad/ul HCPCS L3982 | $227.00 | $283.74 | $39.86 – $442.47 | 16 |
| Upper ext harvest for cabg1 seg 35600 CPT 35600 | not published | not published | $151.33 – $181.08 | 10 |
| Upper GI Barium X-ray (barium and gas) CPT 74246 | $984.00 | $1,230.00 | $133.87 – $1,107.00 | 16 |
| Upper GI Barium X-ray (barium only) CPT 74240 | $893.60 | $1,117.00 | $122.50 – $1,005.30 | 16 |
| Uppr gi scope w/submuc inj CPT 43236 | $2,408.00 | $3,010.00 | $136.48 – $2,709.00 | 16 |
| Urachal cyst/sinus excision 51500 CPT 51500 | not published | not published | $635.46 – $6,047.35 | 10 |
| Urea nitrogen CPT 84520 | not published | not published | $3.75 – $8.09 | 10 |
| Urea nitrogen 24 hour urine CPT 84540 | not published | not published | $5.28 – $11.39 | 10 |
| Urea nitrogen clearance CPT 84545 | not published | not published | $6.84 – $14.74 | 10 |
| Urea nitrogen semi-quant CPT 84525 | not published | not published | $4.87 – $10.51 | 10 |
| Ureteral embolization/occl CPT 50705 | $4,580.80 | $5,726.00 | $1.00 – $5,153.40 | 16 |
| Ureteral reflux study CPT 78740 | $692.00 | $865.00 | $210.04 – $778.50 | 16 |
| Ureter endoscopy CPT 50970 | not published | not published | $363.17 – $3,621.42 | 10 |
| Ureter endoscopy & biopsy CPT 50955 | not published | not published | $345.52 – $5,337.80 | 10 |
| Ureter endoscopy & biopsy CPT 50974 | not published | not published | $463.36 – $5,337.80 | 10 |
| Ureter endoscopy & catheter CPT 50972 | not published | not published | $350.52 – $3,621.42 | 10 |
| Ureter endoscopy & treatment CPT 50957 | not published | not published | $347.19 – $5,337.80 | 10 |
| Ureter endoscopy & treatment CPT 50961 | not published | not published | $311.24 – $5,337.80 | 10 |
| Ureter endoscopy & treatment CPT 50976 | not published | not published | $457.04 – $5,337.80 | 10 |
| Ureter endoscopy & treatment CPT 50980 | not published | not published | $348.85 – $5,337.80 | 10 |
| Ureteroneocystostomy 50780 CPT 50780 | not published | not published | $970.40 – $1,104.48 | 10 |
| Ureteroureterostomy 50760 CPT 50760 | not published | not published | $981.00 – $1,122.45 | 10 |
| Urethrcystgrphy rtrgrde s&i CPT 74450 | $679.20 | $849.00 | $178.53 – $764.10 | 16 |
| Urethrlys transvag with scope CPT 53500 | not published | not published | $746.31 – $3,621.42 | 10 |
| Urethrocystography void s&i CPT 74455 | $915.20 | $1,144.00 | $103.86 – $1,029.60 | 16 |
| Uric acid blood CPT 84550 | not published | not published | $4.29 – $9.26 | 10 |
| Uric acid urine CPT 84560 | not published | not published | $4.83 – $10.40 | 10 |
| Urinalysis glass test CPT 81020 | not published | not published | $4.47 – $9.63 | 10 |
| Urinalysis microscopic only CPT 81015 | not published | not published | $2.90 – $6.25 | 10 |
| Urinalysis qual/semiquant excpt ia CPT 81005 | not published | not published | $2.06 – $4.44 | 10 |
| Urinalysis (with microscopy) CPT 81001 | not published | not published | $3.01 – $6.49 | 10 |
| Urinalysis (without microscopy) CPT 81003 | $9.60 | $12.00 | $2.14 – $10.80 | 16 |
| Urinary bldr retent nuc study CPT 78730 | not published | not published | $1.00 – $68.24 | 10 |
| Urinary pouch on barr w/flng HCPCS A5073 | not published | not published | $1.00 – $4.60 | 10 |
| Urinary pouch w/barrier HCPCS A5071 | not published | not published | $1.00 – $8.82 | 10 |
| Urinary reflex study CPT 51792 | not published | not published | $44.57 – $273.62 | 10 |
| Urinary suspensory HCPCS A5105 | not published | not published | $1.00 – $56.96 | 10 |
| Urine Culture Test CPT 87086 | not published | not published | $7.67 – $16.53 | 10 |
| Urine flow measurement 51736 CPT 51736 | not published | not published | $13.65 – $133.88 | 10 |
| Urine ost pouch w faucet/tap HCPCS A4428 | not published | not published | $1.00 – $9.57 | 10 |
| Urine pregnancy test CPT 81025 | not published | not published | $8.18 – $17.63 | 10 |
| Urine screen for bacteria CPT 81007 | not published | not published | $28.48 – $61.40 | 10 |
| Urine shunt to intestine CPT 50815 | not published | not published | $1,075.94 – $1,213.00 | 10 |
| Urine specimen collect mult HCPCS P9615 | not published | not published | $1.00 – $18.62 | 10 |
| Urofollitropin, 75 iu HCPCS J3355 | not published | not published | $127.66 – $127.66 | 1 |
| Urography, antegrade CPT 74425 | $830.40 | $1,038.00 | $135.48 – $934.20 | 16 |
| Urography inf drip &/or bolus CPT 74410 | not published | not published | $133.87 – $186.92 | 10 |
| Urokinase 250,000 iu inj HCPCS J3365 | not published | not published | $489.77 – $489.77 | 1 |
| Urokinase 5000 iu injection HCPCS J3364 | not published | not published | $10.07 – $10.07 | 1 |
| Use 1st target lesion CPT 76982 | not published | not published | $80.11 – $111.66 | 10 |
| User adjustable heel height HCPCS L5990 | not published | not published | $2,031.80 – $2,324.84 | 10 |
| Ustekinumab 130 mg/26 ml intravenous solution HCPCS J3358 | $2,698.88 | $3,373.59 | $12.34 – $3,036.23 | 16 |
| Ustekinumab 45 mg/0.5 ml subcutaneous solution HCPCS J3357 | not published | not published | $82.59 – $156.87 | 10 |
| U/s trtmt, not leiomyomata HCPCS C9734 | not published | not published | $9,589.17 – $13,510.16 | 9 |
| Vaccine Administration (one shot) CPT 90471 | $95.20 | $119.00 | $8.07 – $74.73 | 16 |
| Vaccine covid-19 moderna >=12yrs 50mcg/0.5ml CPT 91322 | not published | not published | $144.64 – $169.73 | 10 |
| Vaccine covid-19 moderna 6mos-11yrs 25mcg/0.25ml CPT 91321 | not published | not published | $131.58 – $154.41 | 10 |
| Vaccine covid-19 pfizer tris-sucrose >=12yrs 30mcg/0.3ml im CPT 91320 | $369.31 | $461.63 | $131.10 – $343.05 | 16 |
| Vaccine covid-19 pfizer tris-sucrose 5yrs-11yrs 10mcg/0.3ml im CPT 91319 | not published | not published | $84.82 – $99.54 | 10 |
| Vaccine covid-19 pfizer tris-sucrose 6mos-4yrs 3mcg/0.3ml im CPT 91318 | $537.52 | $671.89 | $58.65 – $171.49 | 16 |
| Vaccine dtap < 7 years im CPT 90700 | $86.28 | $107.84 | $1.00 – $73.37 | 12 |
| Vaccine dtap-hep b-ipv im CPT 90723 | not published | not published | $99.29 – $105.05 | 2 |
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.