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 |
|---|---|---|---|---|
| Bone Age X-ray (hand and wrist) CPT 77072 | $314.40 | $393.00 | $25.96 – $353.70 | 16 |
| Bone biopsy open superficial CPT 20240 | $3,296.00 | $4,120.00 | $139.14 – $3,708.00 | 16 |
| Bone Density Scan (DEXA) CPT 77080 | $242.40 | $303.00 | $38.95 – $272.70 | 16 |
| Bone filler cerament 10cc HCPCS C1602 | $15,760.00 | $19,700.00 | $3,249.09 – $10,530.00 | 12 |
| Bone imaging (3d) CPT 78320 | not published | not published | $300.50 – $300.50 | 1 |
| Bone imaging multiple areas CPT 78305 | $1,417.60 | $1,772.00 | $248.99 – $1,594.80 | 16 |
| Bone/joint imaging ltd area CPT 78300 | $956.80 | $1,196.00 | $206.38 – $1,076.40 | 16 |
| Bone marrow;aspiration only 38220 CPT 38220 | $2,192.00 | $2,740.00 | $66.24 – $2,466.00 | 16 |
| Bone marrow aspir bone grfg CPT 20939 | not published | not published | $1.00 – $69.24 | 10 |
| Bone marrow biopsyneedle/trocar 38221 CPT 38221 | $2,354.40 | $2,943.00 | $69.24 – $2,648.70 | 16 |
| Bone marrow harvest allogen CPT 38230 | not published | not published | $201.06 – $1,688.46 | 10 |
| Bone marrow harvest autolog CPT 38232 | not published | not published | $186.74 – $4,850.27 | 10 |
| Bone marrow imaging body CPT 78104 | $1,556.00 | $1,945.00 | $229.35 – $1,750.50 | 16 |
| Bone marrow imaging ltd CPT 78102 | $717.60 | $897.00 | $160.11 – $807.30 | 16 |
| Bone marrow imaging mult CPT 78103 | not published | not published | $170.76 – $421.92 | 10 |
| Bone marrow interpretation CPT 85097 | not published | not published | $46.94 – $857.75 | 10 |
| Bone mineral dual photon CPT 78351 | not published | not published | $13.14 – $14.65 | 10 |
| Bone mineral single photon CPT 78350 | not published | not published | $29.12 – $32.19 | 10 |
| Bone/skin graft great toe CPT 20973 | not published | not published | $2,988.22 – $7,497.96 | 10 |
| Bone/skin graft iliac crest CPT 20970 | not published | not published | $1,171.00 – $2,837.76 | 10 |
| Bone/skin graft metatarsal CPT 20972 | not published | not published | $2,829.44 – $7,497.96 | 10 |
| Bone/skin graft microvasc CPT 20969 | not published | not published | $2,358.35 – $2,700.28 | 10 |
| Bone survey-lead poisoning CPT 77074 | $360.80 | $451.00 | $65.24 – $405.90 | 16 |
| Bone tendon board add on HCPCS C9356 | $258.35 | $322.93 | $1.00 – $290.64 | 12 |
| Bone void filler nanoss 10cc HCPCS C9362 | not published | not published | $1.00 – $1.00 | 1 |
| Boot cast sandal rocker med HCPCS L3265 | not published | not published | $14.40 – $14.40 | 1 |
| Boot heel care softcare one sz HCPCS E0191 | not published | not published | $11.97 – $11.97 | 1 |
| Boot j walker l HCPCS L4386 | $307.16 | $383.94 | $46.40 – $202.78 | 16 |
| Boot mlti podous univ xlg HCPCS L4396 | $1,618.18 | $2,022.72 | $49.90 – $210.77 | 16 |
| Boot softgait shrt m HCPCS L4387 | $362.80 | $453.50 | $81.46 – $202.78 | 16 |
| Boot walker genesis full shell 3-strap s HCPCS L4360 | $376.85 | $471.06 | $57.52 – $353.45 | 16 |
| Boot walker genesis mid-calf full shell s HCPCS L4361 | $540.00 | $675.00 | $55.45 – $353.45 | 16 |
| Borrelia antibody CPT 86619 | not published | not published | $12.71 – $27.40 | 10 |
| Borrelia burgdorferi (lyme disease) antibody nonspecific CPT 86618 | not published | not published | $16.18 – $34.88 | 10 |
| Borrelia miyamotoi amp prb CPT 87478 | not published | not published | $33.34 – $71.86 | 10 |
| Bortezomib 3.5 mg (2.5 mg/ml) solution for subcutaneous injection HCPCS J9041 | $3,654.84 | $4,568.55 | $2.29 – $32.24 | 12 |
| (both sides) donor search management CPT 38204 | not published | not published | $1.00 – $99.53 | 10 |
| (both sides) smear without diff wbc count CPT 85008 | not published | not published | $3.26 – $7.02 | 10 |
| Botulism ig IV CPT 90288 | not published | not published | $48,705.00 – $58,905.00 | 2 |
| Bowel imaging CPT 78290 | $1,259.20 | $1,574.00 | $299.92 – $1,416.60 | 16 |
| Bpg axillary-pop/-tibial CPT 35623 | not published | not published | $1,065.53 – $1,281.90 | 10 |
| Bpg carotid-vertebral CPT 35642 | not published | not published | $806.95 – $966.00 | 10 |
| Bpg ilio-celiac CPT 35632 | not published | not published | $1,459.20 – $1,760.24 | 10 |
| Bpg ilio-mesenteric CPT 35633 | not published | not published | $1,597.98 – $1,930.68 | 10 |
| Bpg iliorenal CPT 35634 | not published | not published | $1,428.28 – $1,722.63 | 10 |
| Bpg pop-tibl/-prnl artery CPT 35671 | not published | not published | $918.63 – $1,105.15 | 10 |
| Bpg splenorenal CPT 35636 | not published | not published | $1,289.93 – $1,554.53 | 10 |
| Bpg subclavian-axillary CPT 35616 | not published | not published | $892.65 – $1,074.52 | 10 |
| Bpg subclavian-vertebral CPT 35645 | not published | not published | $770.39 – $925.39 | 10 |
| Brace adj motion lerman type HCPCS L2186 | not published | not published | $172.19 – $213.24 | 10 |
| Brace afo dbl upright cust HCPCS L1990 | $953.03 | $1,191.28 | $477.07 – $1,072.15 | 16 |
| Brace afo lg left 6607 HCPCS L1930 | $36.10 | $45.12 | $17.22 – $305.42 | 16 |
| Brace afopos solid ankle cust HCPCS L1960 | $1,618.08 | $2,022.59 | $243.95 – $655.68 | 16 |
| Brace afo spiral prefab HCPCS L1951 | $1,392.86 | $1,741.07 | $132.02 – $1,074.14 | 16 |
| Brace ank aftr bioskn med lg HCPCS L1906 | $871.20 | $1,089.00 | $11.55 – $189.68 | 16 |
| Brace ank air stirrup univ HCPCS L4350 | $341.76 | $427.20 | $29.69 – $105.74 | 16 |
| Brace ankle joint dflxn assist HCPCS L2210 | $252.43 | $315.53 | $70.25 – $283.98 | 16 |
| Brace ankle stablizing lg HCPCS L1902 | $190.32 | $237.90 | $6.20 – $94.43 | 16 |
| Brace back epic lo 627 HCPCS L0642 | $444.57 | $555.71 | $151.31 – $332.14 | 16 |
| Brace back epic lso 637 HCPCS L0650 | not published | not published | $836.84 – $924.92 | 10 |
| Brace back epic tslo 456 HCPCS L0457 | not published | not published | $700.54 – $774.28 | 10 |
| Brace back pinnacle lo 627 lumbar HCPCS L0627 | $400.11 | $500.13 | $34.85 – $526.77 | 16 |
| Brace back pinnacle tlso 464 HCPCS L0464 | $944.84 | $1,181.04 | $96.44 – $1,901.12 | 16 |
| Brace back t-lso custom HCPCS L0486 | $5,431.42 | $6,789.27 | $994.14 – $2,559.40 | 16 |
| Brace back vista 464 tlso HCPCS L0648 | $671.08 | $838.85 | $70.52 – $799.37 | 16 |
| Brace cust back lso HCPCS L0631 | not published | not published | $1,147.48 – $1,315.60 | 10 |
| Brace fx hum ovr shldr lg HCPCS L3981 | not published | not published | $1,023.97 – $1,174.02 | 10 |
| Brace fx hum ovr shldr sm HCPCS L3980 | $631.10 | $788.87 | $32.58 – $357.85 | 16 |
| Brace halo bremer l2830 HCPCS L2830 | not published | not published | $98.19 – $148.18 | 10 |
| Brace kafo dbl upright cust HCPCS L2036 | not published | not published | $2,072.33 – $2,409.15 | 10 |
| Brace knee 32in univ t-scope short lt/rt HCPCS L1852 | $839.78 | $1,049.72 | $395.33 – $867.80 | 16 |
| Brace knee extender plus 22-30in HCPCS L1832 | $590.01 | $737.51 | $46.22 – $719.18 | 16 |
| Brace knee hing pat open med HCPCS L1820 | $345.14 | $431.42 | $41.89 – $167.74 | 16 |
| Brace knee playmaker ii x-rom hook and loop xl HCPCS L1833 | $538.56 | $673.20 | $37.52 – $513.26 | 16 |
| Brace knee postop tscope xl HCPCS L1845 | $2,421.84 | $3,027.30 | $136.10 – $998.59 | 16 |
| Brace knee support neoprene padded open patella med HCPCS L1810 | $313.85 | $392.31 | $43.34 – $119.45 | 16 |
| Brace m arm board HCPCS L3809 | $306.20 | $382.75 | $8.00 – $291.02 | 16 |
| Brace or Splint Fitting and Training (each 15 minutes) CPT 97760 | $134.40 | $168.00 | $43.45 – $151.20 | 16 |
| Brace ortho exos 28-50in sm HCPCS L0637 | $903.95 | $1,129.93 | $170.04 – $1,326.50 | 16 |
| Brace ortho tlso 2xl 19in strnl y bar wst belt pd shldr HCPCS L0456 | $1,043.57 | $1,304.46 | $82.75 – $1,272.05 | 16 |
| Brace oths wrist hnd fngr without HCPCS L3807 | $315.69 | $394.61 | $6.03 – $291.02 | 16 |
| Brace tlso flex cust HCPCS L0450 | $1,257.82 | $1,572.27 | $131.59 – $1,415.04 | 16 |
| Brace wrist classic lft sm HCPCS L3908 | $167.04 | $208.80 | $5.08 – $69.35 | 16 |
| Brachioplasty 15836 CPT 15836 | not published | not published | $798.90 – $2,978.09 | 10 |
| Brach/thor cath 1st CPT 36215 | $3,992.80 | $4,991.00 | $1.00 – $4,491.90 | 16 |
| Brach/thor cath 2nd CPT 36216 | $3,732.80 | $4,666.00 | $1.00 – $4,199.40 | 16 |
| Brach/thor cath 3rd CPT 36217 | $3,978.40 | $4,973.00 | $1.00 – $4,475.70 | 16 |
| Brach/thor cath addl CPT 36218 | $3,012.00 | $3,765.00 | $1.00 – $3,388.50 | 16 |
| Brachy linear, non-str,p-103 HCPCS C2636 | not published | not published | $50.26 – $55.56 | 9 |
| Brachy source i-125 injection HCPCS C2638 | not published | not published | $35.19 – $38.89 | 9 |
| Brachy source iodine-125 nonstranded HCPCS C2639 | not published | not published | $33.35 – $36.87 | 9 |
| Brachy source palladium HCPCS C2640 | not published | not published | $66.21 – $73.17 | 9 |
| Brachy source palladium-103 nonstranded HCPCS C2641 | not published | not published | $73.93 – $83.76 | 9 |
| Brachy source yttrium-90 HCPCS C2616 | $37,407.20 | $46,759.00 | $11,830.02 – $38,340.00 | 16 |
| Brachy src nonstrand c-131 HCPCS C2643 | not published | not published | $80.42 – $101.39 | 9 |
| Brachy src nonstrand hdr ir-192 HCPCS C1717 | $904.00 | $1,130.00 | $313.80 – $1,017.00 | 16 |
| Brachy src stranded c-131 HCPCS C2642 | not published | not published | $97.61 – $113.25 | 9 |
| Brachytx isodose complex CPT 77318 | $2,101.60 | $2,627.00 | $269.21 – $2,364.30 | 16 |
| Brachytx isodose intermed CPT 77317 | $1,696.00 | $2,120.00 | $269.21 – $1,908.00 | 16 |
| Brachytx isodose plan simple CPT 77316 | $1,260.80 | $1,576.00 | $245.99 – $1,418.40 | 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.