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 |
|---|---|---|---|---|
| Device ablt adv novasure HCPCS C1886 | $12,960.00 | $16,200.00 | $1.00 – $958.99 | 12 |
| Device hemospray 7frx220cm endo hemostat min access HCPCS C1052 | $5,600.00 | $7,000.00 | $1.00 – $6,300.00 | 12 |
| Device intraute mirena HCPCS J7298 | $692.26 | $865.32 | $354.78 – $1,238.93 | 12 |
| Device sut capio slim opn HCPCS C2631 | $1,668.91 | $2,086.13 | $1.00 – $1,877.52 | 12 |
| Device tiss remov myosure reach HCPCS C1782 | not published | not published | $1.00 – $1.00 | 1 |
| Dev interrog remote 1/2/mlt CPT 93295 | not published | not published | $32.12 – $35.95 | 10 |
| Devise bowel pouch CPT 44316 | not published | not published | $660.46 – $1,413.39 | 10 |
| Devlopment test interpt&rep HCPCS G0451 | not published | not published | $11.65 – $95.28 | 10 |
| Dev tst admin phys/qhp ea addl 30 min CPT 96113 | not published | not published | $21.70 – $56.26 | 10 |
| Dexa bone density study >=1 sites appendicular skeleton (peripheral) CPT 77081 | $95.20 | $119.00 | $31.62 – $107.10 | 16 |
| Dexametha opth insert 0.1 mg HCPCS J1096 | not published | not published | $1.00 – $112.65 | 10 |
| Dexamethasone 0.4 mg/0.1 ml intraocular injection - cnr HCPCS J1095 | not published | not published | $1.00 – $1.00 | 1 |
| Dexamethasone 4 mg tablet HCPCS J8540 | $92.28 | $115.34 | $0.42 – $1.35 | 12 |
| Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr HCPCS J1100 | $48.65 | $60.81 | $0.61 – $1.98 | 12 |
| Dexamethasone intra implant HCPCS J7312 | not published | not published | $194.38 – $223.91 | 10 |
| Dexamethasone panel CPT 80420 | not published | not published | $153.79 – $331.51 | 10 |
| Dexmedetomidine film, 1 mcg HCPCS J1105 | not published | not published | $0.60 – $0.74 | 10 |
| Dexrazoxane hcl 250 mg intravenous solution HCPCS J1190 | $1,642.66 | $2,053.32 | $59.91 – $174.83 | 16 |
| Dextran 40 infusion HCPCS J7100 | not published | not published | $1.00 – $1.00 | 1 |
| Dextran 75 infusion HCPCS J7110 | not published | not published | $1.00 – $1.00 | 1 |
| Dextroamphetamine HCPCS S0160 | not published | not published | $2.47 – $3.44 | 2 |
| Dextrose 5 % and 0.9 % sodium chloride intravenous solution HCPCS J7042 | $16.80 | $21.00 | $1.00 – $18.90 | 12 |
| Dextrose 5 % and lactated ringers intravenous solution HCPCS J7121 | not published | not published | $1.00 – $1.00 | 1 |
| Dextrose 5 % in water (d5w) intravenous solution (non-pvc) HCPCS J7060 | not published | not published | $1.00 – $1.00 | 1 |
| Dextrose 5 % IV bolus HCPCS J7070 | not published | not published | $1.00 – $1.00 | 1 |
| Dhea-s (dehydroepiand sulfate) CPT 82627 | not published | not published | $21.12 – $45.52 | 10 |
| Diabetes (HbA1c) Test CPT 83036 | not published | not published | $9.22 – $19.89 | 10 |
| Diabetes training group per 30 min g0109 HCPCS G0136 | not published | not published | $8.99 – $30.68 | 10 |
| Diabetic custom molded shoe HCPCS A5501 | not published | not published | $247.21 – $279.79 | 10 |
| Diabetic shoe with wedge HCPCS A5504 | not published | not published | $42.04 – $47.52 | 10 |
| Diabetic shoe w/off set heel HCPCS A5506 | not published | not published | $42.04 – $47.52 | 10 |
| Diabetic shoe w/roller/rockr HCPCS A5503 | not published | not published | $42.04 – $47.52 | 10 |
| Diab manage trn ind/group HCPCS G0109 | not published | not published | $14.25 – $15.75 | 10 |
| Diab shoe for density insert HCPCS A5500 | not published | not published | $82.43 – $93.29 | 10 |
| Diab shoe w/metatarsal bar HCPCS A5505 | not published | not published | $42.04 – $47.52 | 10 |
| Diag bronchoscope/catheter CPT 31643 | $2,948.00 | $3,685.00 | $165.11 – $3,316.50 | 16 |
| Diag laparo separate proc 49320 CPT 49320 | not published | not published | $330.88 – $6,047.35 | 10 |
| Diagnostic anoscopy CPT 46601 | not published | not published | $93.07 – $411.01 | 10 |
| Diagnostic anoscopy & biopsy CPT 46607 | not published | not published | $123.83 – $1,236.80 | 10 |
| Diagnostic anoscopy spx 46600 CPT 46600 | $531.20 | $664.00 | $41.28 – $597.60 | 16 |
| Diagnostic digital breast tomosynthesis bil CPT 77062 | $332.80 | $416.00 | $31.81 – $374.40 | 12 |
| Diagnostic digital breast tomosynthesis unil CPT 77061 | $270.40 | $338.00 | $15.52 – $304.20 | 12 |
| Diagnostic laryngoscopy 31505 CPT 31505 | $569.60 | $712.00 | $49.60 – $640.80 | 16 |
| Diagnostic laryngoscopy 31575 CPT 31575 | $789.60 | $987.00 | $68.57 – $888.30 | 16 |
| Diagnostic Mammogram (both breasts) CPT 77066 | $474.40 | $593.00 | $144.82 – $533.70 | 16 |
| Diagnostic Mammogram (one breast) CPT 77065 | $394.40 | $493.00 | $114.71 – $443.70 | 16 |
| Diagnostic radio unlisted proc CPT 76499 | $317.60 | $397.00 | $66.21 – $357.30 | 16 |
| Dialysis circuit perm vascular embolization 36909 CPT 36909 | $14,204.00 | $17,755.00 | $1.00 – $15,979.50 | 16 |
| Dialysis one evaluation CPT 90945 | $920.00 | $1,150.00 | $319.36 – $1,035.00 | 16 |
| Dialysis repeated eval CPT 90947 | not published | not published | $108.32 – $120.50 | 10 |
| Dialysis training complete CPT 90989 | not published | not published | $305.66 – $305.66 | 1 |
| Dialysis training incompl CPT 90993 | not published | not published | $61.55 – $61.55 | 1 |
| Diathermy eg microwave CPT 97024 | not published | not published | $6.57 – $7.32 | 10 |
| Diatrizoate meglumine 18 % urethral solution HCPCS Q9958 | $18.00 | $22.50 | $0.56 – $1.80 | 12 |
| Diazepam 5 mg/ml injection solution (wrapper) HCPCS J3360 | $41.45 | $51.81 | $1.00 – $18.90 | 12 |
| Dicyclomine injection HCPCS J0500 | $298.17 | $372.71 | $1.00 – $28.50 | 12 |
| Difelikefalin, esrd on dialy HCPCS J0879 | $444.00 | $555.00 | $0.06 – $499.50 | 16 |
| Diffusing capacity CPT 94729 | $402.40 | $503.00 | $1.00 – $452.70 | 16 |
| Digital analysis of eeg CPT 95957 | not published | not published | $1.00 – $293.52 | 10 |
| Digit nerve surgery add-on CPT 64778 | not published | not published | $1.00 – $178.09 | 10 |
| Digoxin 250 mcg/ml (0.25 mg/ml) injection solution HCPCS J1160 | $371.64 | $464.54 | $1.00 – $18.90 | 12 |
| Digoxin immune fab 40 mg intravenous solution HCPCS J1162 | $6,604.30 | $8,255.37 | $3,384.70 – $7,429.83 | 16 |
| Digoxin total therapeutic drug level CPT 80162 | not published | not published | $12.62 – $27.20 | 10 |
| Dihydroergotamine 0.05 mg/ml IV syringe - cnr HCPCS J1110 | $925.51 | $1,156.88 | $1.00 – $163.65 | 12 |
| Dilate biliary duct/ampulla CPT 47542 | $4,451.20 | $5,564.00 | $1.00 – $5,007.60 | 16 |
| Dilate esophagus CPT 43453 | $2,228.80 | $2,786.00 | $85.88 – $2,507.40 | 16 |
| Dilate esophagus 1/mult pass CPT 43450 | $1,620.00 | $2,025.00 | $78.89 – $1,822.50 | 16 |
| Dilate ic vasospasm ea add vsl diff territory CPT 61642 | $1,523.20 | $1,904.00 | $279.97 – $1,713.60 | 16 |
| Dilate ic vasospasm ea add vsl same territory CPT 61641 | $2,529.60 | $3,162.00 | $139.98 – $2,845.80 | 16 |
| Dilate ic vasospasm init CPT 61640 | $5,250.40 | $6,563.00 | $398.42 – $5,906.70 | 16 |
| Dilate tear duct opening CPT 68801 | not published | not published | $79.22 – $417.59 | 10 |
| Dilate urethra stricture CPT 53600 | $622.40 | $778.00 | $62.58 – $700.20 | 16 |
| Dilate urethra stricture CPT 53601 | not published | not published | $52.59 – $133.88 | 10 |
| Dilate urethra stricture CPT 53605 | $2,410.40 | $3,013.00 | $62.91 – $3,621.42 | 16 |
| Dilate urethra stricture CPT 53621 | not published | not published | $70.90 – $255.37 | 10 |
| Dilation/female urethra/initial 53660 CPT 53660 | $222.40 | $278.00 | $41.28 – $250.20 | 16 |
| Dilation of anal sphincter CPT 45905 | $2,541.60 | $3,177.00 | $171.10 – $2,859.30 | 16 |
| Dilation of cervical canal 57800 CPT 57800 | $3,652.00 | $4,565.00 | $48.27 – $4,108.50 | 16 |
| Dilation of rectal stricture 45910 CPT 45910 | $3,159.20 | $3,949.00 | $193.73 – $3,554.10 | 16 |
| Dilation of salivary duct CPT 42660 | not published | not published | $86.55 – $534.71 | 10 |
| Dilation of urethra CPT 53661 | not published | not published | $39.94 – $133.88 | 10 |
| Dilation of urethra CPT 53665 | $2,871.20 | $3,589.00 | $37.28 – $3,230.10 | 16 |
| Dilation of vagina CPT 57400 | not published | not published | $130.15 – $3,276.65 | 10 |
| Dilation salivary duct 42650 CPT 42650 | not published | not published | $59.25 – $1,555.34 | 10 |
| Dilation/urethral strict/male/ini 53620 CPT 53620 | $2,622.40 | $3,278.00 | $85.88 – $2,950.20 | 16 |
| Dilator fascial 10fx20cm HCPCS C2627 | $716.40 | $895.50 | $1.00 – $267.36 | 12 |
| Dilat xst trc ndurlgc px CPT 50436 | $4,952.80 | $6,191.00 | $145.80 – $5,571.90 | 16 |
| Dilat xst trc new access rcs CPT 50437 | $4,952.80 | $6,191.00 | $241.33 – $5,571.90 | 16 |
| Diltiazem 5 mg/ml intravenous solution HCPCS J1163 | $16.80 | $21.00 | $5.83 – $18.90 | 12 |
| Dimecaprol injection HCPCS J0470 | not published | not published | $59.81 – $59.81 | 1 |
| Dimenhydrinate injection HCPCS J1240 | not published | not published | $1.00 – $1.00 | 1 |
| Dimethyl sulfoxide 50% 50 ml HCPCS J1212 | $976.00 | $1,220.00 | $0.62 – $819.49 | 16 |
| Diphenhydramine 12.5 mg/5 ml oral elixir HCPCS Q0163 | $1.20 | $1.50 | $0.42 – $1.35 | 12 |
| Diphenhydramine 50 mg/ml injection (wrapper) HCPCS J1200 | $16.80 | $21.00 | $1.00 – $18.90 | 12 |
| Diphtheria-tetanus toxoids 0.5 ml (peds) CPT 90702 | not published | not published | $1.00 – $1.00 | 1 |
| Dipyridamole injection HCPCS J1245 | $16.80 | $21.00 | $1.00 – $18.90 | 12 |
| Direct advanced life support CPT 99288 | not published | not published | $91.77 – $91.77 | 1 |
| Dir nsl mucous membrane test CPT 95065 | not published | not published | $28.96 – $41.21 | 10 |
| Disability dlco CPT 94727 | $404.00 | $505.00 | $44.61 – $454.50 | 16 |
| Disaccharidases CPT 82657 | not published | not published | $21.06 – $45.40 | 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.