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 |
|---|---|---|---|---|
| Wipe adh remover univ ostomy adh/barrier remover HCPCS A4456 | not published | not published | $0.32 – $0.36 | 10 |
| Wnd prep f/n/hf/g addl cm CPT 15005 | not published | not published | $1.00 – $111.74 | 10 |
| Woman's shoe oxford brace HCPCS L3224 | not published | not published | $65.44 – $72.32 | 10 |
| Wound Cleaning and Dead Tissue Removal (up to 20 sq cm) CPT 97597 | $391.20 | $489.00 | $34.95 – $440.10 | 16 |
| Wound closure by adhesive HCPCS G0168 | not published | not published | $14.65 – $99.48 | 10 |
| Woundfix biowound plus xplus HCPCS Q4217 | not published | not published | $1.00 – $1.00 | 1 |
| Wound pouch each HCPCS A6154 | not published | not published | $1.00 – $21.07 | 10 |
| Wound therapy negative pressure per session <= 50 sq cm CPT 97607 | $159.20 | $199.00 | $20.97 – $417.91 | 16 |
| Wound therapy negative pressure per session > 50 sq cm CPT 97608 | $703.20 | $879.00 | $24.63 – $791.10 | 16 |
| Wound therapy negative pressure per session <= 50 sq cm dme CPT 97605 | $316.00 | $395.00 | $23.97 – $355.50 | 16 |
| Wound therapy negative pressure per session > 50 sq cm dme CPT 97606 | $488.80 | $611.00 | $26.30 – $549.90 | 16 |
| Wrist arthroscopy CPT 29840 | not published | not published | $458.37 – $3,392.43 | 10 |
| Wrist arthroscopy/surgery CPT 29843 | not published | not published | $495.65 – $3,392.43 | 10 |
| Wrist arthroscopy/surgery CPT 29844 | not published | not published | $506.97 – $3,392.43 | 10 |
| Wrist arthroscopy/surgery CPT 29845 | not published | not published | $595.18 – $3,392.43 | 10 |
| Wrist arthroscopy/surgery CPT 29846 | not published | not published | $530.60 – $3,392.43 | 10 |
| Wrist arthroscopy/surgery CPT 29847 | not published | not published | $552.91 – $7,497.96 | 10 |
| Wrist/elbow bowden cable mol HCPCS L6580 | not published | not published | $2,144.90 – $2,370.68 | 10 |
| Wrist/elbow bowden cbl dir f HCPCS L6582 | not published | not published | $1,899.07 – $2,312.67 | 10 |
| Wrist endoscopy/surgery CPT 29848 | not published | not published | $521.95 – $1,680.43 | 10 |
| Wrist X-ray CPT 73110 | $417.60 | $522.00 | $41.28 – $469.80 | 16 |
| Wrist X-ray (2 views, both wrists) CPT 73100 | $379.20 | $474.00 | $33.95 – $426.60 | 16 |
| Wrst mld sck flx hng tri pad HCPCS L6050 | not published | not published | $2,330.96 – $2,576.32 | 10 |
| Xcapsl ctrc rmvl cplx w/ecp CPT 66987 | not published | not published | $2,962.36 – $4,224.00 | 9 |
| Xcapsl ctrc rmvl cplx wo ecp CPT 66982 | not published | not published | $735.99 – $2,394.77 | 10 |
| Xcapsl ctrc rmvl insj 1+ CPT 66991 | not published | not published | $675.07 – $5,417.70 | 10 |
| Xcapsl ctrc rmvl w/ecp CPT 66988 | not published | not published | $2,962.36 – $4,224.00 | 9 |
| Xcellistem, 1 mg HCPCS A2004 | not published | not published | $1.00 – $1.00 | 1 |
| Xcpsl ctrc rmvl cplx insj 1+ CPT 66989 | not published | not published | $844.50 – $5,417.70 | 10 |
| Xe133 xenon 10mci HCPCS A9558 | not published | not published | $1.00 – $1.00 | 1 |
| Xfer tis f/c/c/m/n/a/g/h/f 10sq cm/< CPT 14040 | $2,470.40 | $3,088.00 | $623.47 – $2,779.20 | 16 |
| Xfer tis s/a/l 10 sq cm/< CPT 14020 | not published | not published | $567.88 – $1,911.28 | 10 |
| X-linked intellectual dblt CPT 81470 | not published | not published | $868.30 – $1,871.78 | 10 |
| X-linked intellectual dblt CPT 81471 | not published | not published | $868.30 – $1,871.78 | 10 |
| Xm archive tissue molec anal CPT 88363 | not published | not published | $18.64 – $25.71 | 10 |
| Xpos opn axillary/sbclvn art w/cndt crtn CPT 34716 | not published | not published | $1.00 – $361.84 | 10 |
| Xpos opn fmrl eprst aor uni add-on CPT 34812 | $4,500.00 | $5,625.00 | $165.31 – $5,062.50 | 16 |
| X-ray abdomen >=3 views CPT 74021 | $485.60 | $607.00 | $42.94 – $546.30 | 16 |
| X-ray arthrogram shoulder supervision & interpretation (both sides) CPT 73040 | $1,075.20 | $1,344.00 | $131.49 – $1,209.60 | 16 |
| X-ray assay calculus CPT 82370 | not published | not published | $11.89 – $25.64 | 10 |
| X-ray bone length studies CPT 77073 | $370.40 | $463.00 | $45.27 – $416.70 | 16 |
| X-ray bone survey infant CPT 77076 | $230.40 | $288.00 | $80.11 – $259.20 | 16 |
| X-ray consultation CPT 76140 | not published | not published | $13.97 – $13.97 | 1 |
| Xray endovasc thor ao repr CPT 75956 | not published | not published | $642.94 – $642.94 | 1 |
| Xray endovasc thor ao repr CPT 75957 | not published | not published | $552.22 – $552.22 | 1 |
| X-ray exam entire spi 4/5 vw CPT 72083 | $434.40 | $543.00 | $79.22 – $488.70 | 16 |
| X-ray exam entire spi 6/> vw CPT 72084 | $448.80 | $561.00 | $80.11 – $504.90 | 16 |
| X-ray exam of arm infant CPT 73092 | $152.80 | $191.00 | $31.62 – $171.90 | 16 |
| X-ray exam of femur 1 CPT 73551 | $379.20 | $474.00 | $29.29 – $426.60 | 16 |
| X-ray exam of jaw joint CPT 70328 | $372.80 | $466.00 | $34.62 – $419.40 | 16 |
| X-ray exam of jaw joint CPT 70332 | $382.40 | $478.00 | $82.55 – $430.20 | 16 |
| X-ray exam of mastoids CPT 70120 | $88.00 | $110.00 | $38.28 – $111.66 | 16 |
| X-ray exam of middle ear CPT 70134 | $126.40 | $158.00 | $61.91 – $575.72 | 16 |
| X-ray exam of penis CPT 74445 | $138.40 | $173.00 | $48.04 – $155.70 | 16 |
| X-ray exam of perineum CPT 74775 | $240.80 | $301.00 | $83.59 – $270.90 | 16 |
| X-ray exam of salivary gland CPT 70380 | $86.40 | $108.00 | $37.61 – $97.20 | 16 |
| X-ray exam of tear duct CPT 70170 | not published | not published | $178.53 – $253.81 | 9 |
| X-ray exam of teeth CPT 70300 | $34.40 | $43.00 | $12.98 – $92.45 | 16 |
| X-ray exam of teeth CPT 70310 | $103.20 | $129.00 | $40.61 – $253.81 | 16 |
| X-ray exam si joints CPT 72200 | $88.80 | $111.00 | $33.29 – $111.66 | 16 |
| X-ray exam thorac spine4/>vw CPT 72074 | $132.00 | $165.00 | $44.61 – $148.50 | 16 |
| X-ray eye detection foreign body (both sides) CPT 70030 | $301.60 | $377.00 | $32.62 – $339.30 | 16 |
| X-ray fallopian tube CPT 74742 | $660.00 | $825.00 | $1.00 – $742.50 | 12 |
| X-ray head for orthodontia CPT 70350 | $188.80 | $236.00 | $16.64 – $212.40 | 16 |
| X-ray hip uni w/wo pelvis min 4 views CPT 73503 | $453.60 | $567.00 | $59.92 – $510.30 | 16 |
| X-ray hip with pelvis when performed bilateral >= 5 views CPT 73523 | $601.60 | $752.00 | $61.91 – $676.80 | 16 |
| X-ray joint survey 1 view CPT 77077 | $116.80 | $146.00 | $46.94 – $131.40 | 16 |
| X-ray lower extremities infant > 2 views (both sides) CPT 73592 | $221.60 | $277.00 | $31.62 – $249.30 | 16 |
| X-ray l/s-spine bend vw only 2-3 vw CPT 72120 | $151.20 | $189.00 | $40.61 – $170.10 | 16 |
| X-ray male genital tract CPT 74440 | not published | not published | $97.20 – $253.81 | 10 |
| X-ray mandible ltd <4 views CPT 70100 | $88.00 | $110.00 | $38.95 – $99.00 | 16 |
| X-ray nose to rectum for foreign body child CPT 76010 | $215.20 | $269.00 | $29.29 – $242.10 | 16 |
| X-ray of mammary ducts CPT 77054 | not published | not published | $69.24 – $253.81 | 10 |
| X-ray optic foramina CPT 70190 | $86.40 | $108.00 | $37.61 – $97.20 | 16 |
| Xray place dist ext thor ao CPT 75959 | not published | not published | $321.47 – $321.47 | 1 |
| Xray place prox ext thor ao CPT 75958 | not published | not published | $362.23 – $362.23 | 1 |
| X-ray retrograde pyelogram with or without kidney ureter bladder w/supervision & interpretation CPT 74420 | $1,029.60 | $1,287.00 | $77.89 – $1,158.30 | 16 |
| X-ray ribs 2 views left CPT 71100 | $424.80 | $531.00 | $36.62 – $477.90 | 16 |
| X-ray sella turcica CPT 70240 | $70.40 | $88.00 | $32.95 – $92.45 | 16 |
| X-ray sinus tract/fistula/abscess CPT 76080 | $920.00 | $1,150.00 | $59.58 – $1,035.00 | 16 |
| X-ray slg plne bdy sect without urogr CPT 76100 | $555.20 | $694.00 | $80.11 – $624.60 | 16 |
| X-ray small intestine follow-through study CPT 74248 | $873.60 | $1,092.00 | $74.03 – $982.80 | 16 |
| X-ray sternoclavicular joint(s) > 3 views CPT 71130 | $310.40 | $388.00 | $41.28 – $349.20 | 16 |
| X-ray surgical specimen CPT 76098 | $662.40 | $828.00 | $42.61 – $745.20 | 16 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 1 view CPT 72081 | $148.80 | $186.00 | $42.61 – $167.40 | 16 |
| X-ray xm phrnx&/crv esoph c+ CPT 74210 | $315.20 | $394.00 | $94.54 – $354.60 | 16 |
| Xtrnl ecg rec>48hr<7d CPT 93241 | not published | not published | $246.00 – $271.89 | 10 |
| Xtrnl ecg rec up to 48 hrs CPT 93224 | not published | not published | $64.27 – $71.90 | 10 |
| Xwrap 1 sq cm HCPCS Q4204 | not published | not published | $1.00 – $1.00 | 1 |
| Xylose absorption test blood &/or urine CPT 84620 | not published | not published | $12.26 – $26.44 | 10 |
| Xyntha inj HCPCS J7185 | not published | not published | $1.31 – $1.83 | 10 |
| Yersinia antibody CPT 86793 | not published | not published | $12.53 – $27.01 | 10 |
| Yttrium y-90 ibritumomab ther HCPCS A9543 | not published | not published | $53,983.32 – $69,162.84 | 10 |
| Zenith amniotic membrane psc HCPCS Q4253 | not published | not published | $1.00 – $1.00 | 1 |
| Ziconotide injection HCPCS J2278 | not published | not published | $9.04 – $11.10 | 10 |
| Zidovudine in d5w IV syringe 4 mg/ml (neo/peds) - cnr HCPCS J3485 | not published | not published | $1.00 – $1.00 | 1 |
| Zidovudine, oral, 100 mg HCPCS S0104 | not published | not published | $1.72 – $1.72 | 1 |
| Zika virus dna/rna amp probe CPT 87662 | not published | not published | $48.74 – $105.08 | 10 |
| Zika virus igm antibody CPT 86794 | not published | not published | $16.01 – $34.51 | 10 |
| Zinc paste band w >=3"<5"/yd HCPCS A6456 | not published | not published | $1.00 – $1.84 | 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.