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 |
|---|---|---|---|---|
| Vaccine dtap-ipv 4-6 years im CPT 90696 | $143.68 | $179.59 | $1.00 – $161.63 | 12 |
| Vaccine dtap-ipv-hib-hepb im CPT 90697 | $480.00 | $600.00 | $149.28 – $509.68 | 12 |
| Vaccine dtap-ipv/hib im CPT 90698 | $248.80 | $311.00 | $1.00 – $241.43 | 12 |
| Vaccine haemophilus influenzae type b (hib) prp-omp 3 dose im CPT 90647 | not published | not published | $1.00 – $1.00 | 1 |
| Vaccine haemophilus influenzae type b (hib) prp-t 4 dose im CPT 90648 | $44.00 | $55.00 | $1.00 – $35.00 | 12 |
| Vaccine hepatitis a (hepa) adult im CPT 90632 | not published | not published | $1.00 – $1.00 | 1 |
| Vaccine hepatitis a (hepa) hepatitis b (hepb) adult im CPT 90636 | not published | not published | $1.00 – $1.00 | 1 |
| Vaccine hepatitis a (hepa) pediatric/adolescent 2 dose im CPT 90633 | $88.80 | $111.00 | $1.00 – $99.90 | 12 |
| Vaccine hepatitis a (hepa) pediatric/adolescent 3 dose im CPT 90634 | not published | not published | $38.64 – $38.64 | 1 |
| Vaccine hepatitis b (hepb) adolescent 2 dose im CPT 90743 | not published | not published | $71.39 – $78.90 | 10 |
| Vaccine hepatitis b (hepb) adult 3 dose im CPT 90746 | $186.40 | $232.99 | $66.86 – $203.52 | 16 |
| Vaccine hepatitis b (hepb) adult dosage 2 dose schedule im CPT 90739 | $321.04 | $401.29 | $158.87 – $361.16 | 16 |
| Vaccine hepatitis b (hepb) pediatric/adolescent 3 dose im CPT 90744 | $43.44 | $54.29 | $22.26 – $48.86 | 16 |
| Vaccine hpv types 6/11/16/18/31/33/45/52/58 nonvalent (9vhpv) 2 or 3 dose im CPT 90651 | not published | not published | $293.16 – $335.55 | 2 |
| Vaccine hpv types 6/11/16/18 quadrivalent (4vhpv) 3 dose im CPT 90649 | not published | not published | $163.41 – $163.41 | 1 |
| Vaccine influenza (iiv) preservative free antigen content im CPT 90662 | $98.40 | $123.00 | $50.43 – $110.70 | 16 |
| Vaccine influenza inactivated adjuvant im CPT 90653 | $221.20 | $276.49 | $53.27 – $185.18 | 16 |
| Vaccine influenza nos 0.5ml dose im CPT 90658 | not published | not published | $12.50 – $23.17 | 10 |
| Vaccine influenza preservative free trivalent (iiv3) 0.5ml dose im CPT 90656 | not published | not published | $19.77 – $24.38 | 10 |
| Vaccine influenza quadrivalent (iiv4) 0.5ml dose im CPT 90688 | not published | not published | $20.88 – $20.88 | 2 |
| Vaccine influenza quadrivalent (iiv4) inactivated adjuvanted preservative free 0.5ml dose im CPT 90694 | not published | not published | $77.36 – $77.36 | 2 |
| Vaccine influenza quadrivalent (iiv4) preservative free 0.25ml dose im CPT 90685 | $25.60 | $32.00 | $8.89 – $28.80 | 12 |
| Vaccine influenza quadrivalent (iiv4) preservative free 0.5ml dose im CPT 90686 | $26.40 | $33.00 | $13.53 – $29.70 | 12 |
| Vaccine influenza quadrivalent (iiv4) split virus 0.25 ml im CPT 90687 | not published | not published | $10.44 – $10.44 | 2 |
| Vaccine influenza quadrivalent live (laiv4) intranasal CPT 90672 | not published | not published | $27.79 – $27.79 | 2 |
| Vaccine influenza quadrivalent (riv4) rdna antibiotic/preservative free im CPT 90682 | not published | not published | $73.40 – $73.41 | 2 |
| Vaccine influenza trivalent (cciiv3) cell cultures subunit antibiotic free 0.5 ml im CPT 90661 | $66.56 | $83.19 | $22.29 – $74.87 | 16 |
| Vaccine influenza trivalent (iiv3) 0.25ml dose im CPT 90657 | not published | not published | $6.02 – $11.59 | 10 |
| Vaccine mengingoccocal serogroup b 2 dose im CPT 90620 | $442.48 | $553.10 | $226.77 – $497.79 | 12 |
| Vaccine mengingoccocal serogroup b 2 or 3 dose im CPT 90621 | $315.07 | $393.83 | $96.10 – $211.34 | 12 |
| Vaccine menigococcal serogroups a/c/w/y quadrivalent tetanus toxoid(menacwy-tt) im CPT 90619 | $349.15 | $436.43 | $106.60 – $234.00 | 12 |
| Vaccine meningococcal serogroups a/c/w/y quadrivalent diphtheria toxoid(menacwy-d/menacwy-crm) im CPT 90734 | not published | not published | $151.60 – $169.96 | 2 |
| Vaccine mmr live subcutaneous CPT 90707 | $220.29 | $275.36 | $1.00 – $197.76 | 12 |
| Vaccine mmrv live subcutaneous CPT 90710 | not published | not published | $122.22 – $122.22 | 1 |
| Vaccine pneumococcal 23 valent (ppsv23) subcutaneous/im CPT 90732 | $292.43 | $365.53 | $114.73 – $251.86 | 16 |
| Vaccine pneumococcal conjugate 13 valent (pcv13) im CPT 90670 | $620.80 | $776.00 | $230.83 – $619.77 | 16 |
| Vaccine pneumonococcal conjugate 15 valent (pcv15) im CPT 90671 | $704.80 | $881.00 | $245.31 – $746.78 | 16 |
| Vaccine pneumonococcal conjugate 20 valent (pcv20) im CPT 90677 | not published | not published | $279.96 – $328.55 | 10 |
| Vaccine polio (ipv) subcutaneous/im CPT 90713 | $734.64 | $918.29 | $1.00 – $772.16 | 12 |
| Vaccine rabies im CPT 90675 | $890.76 | $1,113.44 | $250.98 – $1,002.10 | 16 |
| Vaccine respiratory syncytial virus bivalent subunit/preservative free im CPT 90678 | $847.53 | $1,059.41 | $312.94 – $953.47 | 12 |
| Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 0.5 ml im CPT 90380 | $1,226.48 | $1,533.10 | $504.90 – $1,379.79 | 12 |
| Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 1 ml im CPT 90381 | $1,226.48 | $1,533.10 | $504.90 – $1,379.79 | 12 |
| Vaccine respiratory syncytial virus recombinant subunit adjuvanted/preservative free im CPT 90679 | not published | not published | $312.48 – $312.48 | 1 |
| Vaccine rotavirus attenuated (rv1) live 2 dose oral CPT 90681 | not published | not published | $141.39 – $149.83 | 2 |
| Vaccine rotavirus pentavalent (rv5) live 3 dose oral CPT 90680 | $173.60 | $217.00 | $88.97 – $195.30 | 12 |
| Vaccine tdap >=7 years im CPT 90715 | $115.36 | $144.20 | $1.00 – $125.28 | 12 |
| Vaccine td preservative free >= 7 years im CPT 90714 | $97.37 | $121.71 | $1.00 – $72.31 | 12 |
| Vaccine typhoid vicps im CPT 90691 | not published | not published | $1.00 – $1.00 | 1 |
| Vaccine varicella live subcutaneous CPT 90716 | $404.00 | $505.00 | $177.68 – $428.45 | 12 |
| Vaccine yellow fever live subcutaneous CPT 90717 | not published | not published | $1.00 – $1.00 | 1 |
| Vaccinia vrs vac 0.3 ml perq CPT 90622 | not published | not published | $0.01 – $0.01 | 9 |
| Vacuum drain bottle/tube kit HCPCS A7048 | not published | not published | $1.00 – $62.85 | 10 |
| Vad battery clip set hmii 14-v li-ion HCPCS Q0497 | not published | not published | $524.30 – $601.15 | 10 |
| Vad cable power module dc input HCPCS Q0478 | not published | not published | $205.81 – $235.96 | 10 |
| Vad univ batt charger hm 1440 HCPCS Q0495 | not published | not published | $4,678.21 – $5,363.52 | 10 |
| Vag hys/<250g/rmv tube/rpr entero 58263 CPT 58263 | not published | not published | $997.29 – $5,183.27 | 10 |
| Vag hyst incl t/o complex CPT 58291 | not published | not published | $1,245.29 – $5,183.27 | 10 |
| Vag hyst including t/o CPT 58262 | not published | not published | $930.72 – $5,183.27 | 10 |
| Vag hyst t/o & repair compl CPT 58292 | not published | not published | $1,312.19 – $7,764.55 | 10 |
| Vag hyst w/enterocele compl 58294 CPT 58294 | not published | not published | $1,218.66 – $5,183.27 | 10 |
| Vag hyst w/enterocele repair CPT 58270 | not published | not published | $897.10 – $5,183.27 | 10 |
| Vag hyst w/uro repair compl 58293 CPT 58293 | not published | not published | $2,277.87 – $2,277.87 | 1 |
| Vaginal bx CPT 58999 | $2,480.00 | $3,100.00 | $145.19 – $1,042.20 | 16 |
| Vaginal delivery after cesarean delivery 59612 CPT 59612 | not published | not published | $905.75 – $3,276.65 | 10 |
| Vaginal Delivery (full care) CPT 59400 | not published | not published | $2,046.65 – $2,429.99 | 10 |
| Vaginal hysterectomy CPT 58260 | not published | not published | $842.51 – $5,183.27 | 10 |
| Vaginectomy partial w/nodes CPT 57109 | not published | not published | $1,739.27 – $3,276.65 | 10 |
| Vag inser rectal control sys HCPCS A4563 | not published | not published | $1,528.56 – $1,752.44 | 10 |
| Vagnc compl rmvl paravag tis CPT 57111 | not published | not published | $1,516.93 – $1,739.27 | 10 |
| Vagnc compl rmvl vag wall CPT 57110 | not published | not published | $787.51 – $906.09 | 10 |
| Vagotomy pfrmd w/prtl dstl gstrct 43635 CPT 43635 | not published | not published | $93.37 – $111.18 | 10 |
| Vagotomy & pylorus repair CPT 43641 | not published | not published | $660.46 – $1,205.67 | 10 |
| Vagotomy & pylorus repair 43640 CPT 43640 | not published | not published | $660.46 – $1,192.03 | 10 |
| Valproic acid total therapeutic drug level CPT 80164 | not published | not published | $12.86 – $27.73 | 10 |
| Valrubicin injection HCPCS J9357 | not published | not published | $1,257.18 – $1,448.19 | 10 |
| Valvuloplasty aortic CPT 92986 | $11,906.40 | $14,883.00 | $1,297.55 – $13,394.70 | 16 |
| Valvuloplasty aortic valve CPT 33390 | not published | not published | $1,591.38 – $1,880.08 | 10 |
| Valvuloplasty aortic valve CPT 33391 | not published | not published | $1,884.64 – $2,228.27 | 10 |
| Valvuloplasty mitral CPT 92987 | $16,380.00 | $20,475.00 | $1,337.16 – $18,427.50 | 16 |
| Valvuloplasty pulmonary CPT 92990 | $13,767.20 | $17,209.00 | $1,070.86 – $15,488.10 | 16 |
| Valvuloplasty/tv without ring insert 33463 CPT 33463 | not published | not published | $2,533.63 – $3,005.53 | 10 |
| Valvuloplasty/tv w/ring insertion 33464 CPT 33464 | not published | not published | $2,013.73 – $2,384.38 | 10 |
| Vancomycin 1,000 mg intravenous injection HCPCS J3373 | $691.48 | $864.35 | $5.83 – $18.90 | 12 |
| Vancomycin hcl injection HCPCS J3370 | not published | not published | $1.00 – $1.00 | 1 |
| Vancomycin peak therapeutic drug level CPT 80202 | not published | not published | $12.86 – $27.73 | 10 |
| Vanomycin dna amp probe CPT 87500 | not published | not published | $33.34 – $71.86 | 10 |
| Vantas implant HCPCS J9225 | not published | not published | $5,166.29 – $5,166.29 | 1 |
| Variable concentration mask HCPCS A4620 | not published | not published | $0.85 – $0.93 | 10 |
| Varicella zoster antibody igg CPT 86787 | not published | not published | $12.24 – $26.38 | 10 |
| Varicella-zoster immue globin im CPT 90396 | not published | not published | $2,049.23 – $2,479.91 | 10 |
| Varus/valgus strap padded/li HCPCS L2270 | $52.88 | $66.10 | $27.10 – $69.75 | 16 |
| Vasc emb/occ w/prs cath HCPCS C9797 | $27,533.60 | $34,417.00 | $9,557.60 – $30,975.30 | 16 |
| Vasc graft into carpal bone CPT 25430 | not published | not published | $742.98 – $3,392.43 | 10 |
| Vasectomy CPT 55250 | not published | not published | $230.68 – $2,134.73 | 10 |
| Vasopressin 20 unit/ml intravenous solution HCPCS J2598 | $76.96 | $96.19 | $2.56 – $18.90 | 12 |
| Vbac delivery 59610 CPT 59610 | not published | not published | $2,121.07 – $2,547.49 | 10 |
| Vbac/include postpartum care 59614 CPT 59614 | not published | not published | $961.51 – $1,170.06 | 10 |
| Vedolizumab 300 mg intravenous solution HCPCS J3380 | $14,973.97 | $18,717.46 | $20.25 – $16,845.71 | 16 |
| Veeg cont 2-12 hrs CPT 95713 | $3,673.60 | $4,592.00 | $390.51 – $4,132.80 | 16 |
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.