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 |
|---|---|---|---|---|
| Adrenalectomy expl w/exc retro tumor 60545 CPT 60545 | not published | not published | $1,064.45 – $1,248.61 | 10 |
| Adrenalin epinephrine inject HCPCS J0171 | $206.20 | $257.74 | $1.00 – $231.97 | 12 |
| Advance care planning each additional 30 min 99498 CPT 99498 | not published | not published | $1.00 – $70.24 | 10 |
| Adv prim care mgmt lvl 1 HCPCS G0556 | not published | not published | $28.30 – $31.28 | 9 |
| Adv prim care mgmt lvl 2 HCPCS G0557 | not published | not published | $28.30 – $31.28 | 9 |
| Adv prim care mgmt lvl 3 HCPCS G0558 | not published | not published | $87.88 – $97.13 | 9 |
| Aep hearing status deter i&r CPT 92651 | $299.20 | $374.00 | $82.55 – $336.60 | 16 |
| Aep neurodiagnostic i&r CPT 92653 | $422.40 | $528.00 | $82.89 – $475.20 | 16 |
| Aep thrshld est mlt freq i&r CPT 92652 | $422.40 | $528.00 | $111.85 – $475.20 | 16 |
| Afamelanotide implant, 1 mg HCPCS J7352 | not published | not published | $2,796.25 – $3,213.59 | 10 |
| Afamitresgene autoleucel HCPCS Q2057 | not published | not published | $732,089.00 – $843,320.00 | 10 |
| _afb id by dna probe rflx ast CPT 87149 | not published | not published | $19.05 – $41.06 | 10 |
| #afb mycobacteria suscep. #1 CPT 87190 | not published | not published | $6.94 – $14.97 | 10 |
| _afb org id by sequencing rflx ast-sendout CPT 87153 | not published | not published | $109.59 – $236.25 | 10 |
| Aff2 gen aly detc abnl allel CPT 81171 | not published | not published | $130.15 – $280.56 | 10 |
| Aff2 gen alys charac alleles CPT 81172 | not published | not published | $261.09 – $562.82 | 10 |
| Aflibercept injection HCPCS J0178 | $2,974.80 | $3,718.50 | $732.98 – $3,346.65 | 16 |
| Afluria vacc, 3 yrs & >, im HCPCS Q2035 | not published | not published | $19.36 – $23.49 | 2 |
| Afo molded ankle gauntlet HCPCS L1904 | not published | not published | $503.27 – $556.25 | 10 |
| Afo molded plas rig ant tib HCPCS L1945 | not published | not published | $1,019.38 – $1,126.68 | 10 |
| Afo molded to patient plasti HCPCS L1940 | $779.47 | $974.33 | $399.48 – $876.90 | 16 |
| Afo rig ant tib tcf/= custom HCPCS L1932 | $2,712.56 | $3,390.69 | $5.58 – $1,141.26 | 16 |
| Afo sing bar clasp attach sh HCPCS L1910 | not published | not published | $289.36 – $319.82 | 10 |
| Afo sing solid stirrup calf HCPCS L1980 | not published | not published | $423.51 – $468.09 | 10 |
| Afo sing upright with adjust s HCPCS L1920 | not published | not published | $459.19 – $520.14 | 10 |
| Afo spiral molded to pt plas HCPCS L1950 | $722.49 | $903.11 | $370.28 – $953.28 | 16 |
| Afo sprng wir drsflx calf bd HCPCS L1900 | not published | not published | $314.86 – $348.00 | 10 |
| Afo supramalleolar custom HCPCS L1907 | not published | not published | $629.00 – $719.65 | 10 |
| Afo tib fx cast molded to pt HCPCS L2108 | not published | not published | $1,285.06 – $1,439.26 | 10 |
| Afo tib fx cast plaster mold HCPCS L2106 | not published | not published | $727.69 – $804.29 | 10 |
| Afo tib fx semi-rigid l2114 HCPCS L2114 | not published | not published | $626.31 – $692.23 | 10 |
| Afo tibial fracture rigid HCPCS L2116 | not published | not published | $761.91 – $842.11 | 10 |
| Afo tibial fracture soft HCPCS L2112 | not published | not published | $499.34 – $551.90 | 10 |
| Afo, walk boot type, cus fab HCPCS L4631 | not published | not published | $1,592.69 – $1,760.35 | 10 |
| Afo w/ankle joint, prefab HCPCS L1971 | $255.57 | $319.46 | $130.98 – $599.47 | 16 |
| After cataract laser surgery CPT 66821 | not published | not published | $309.24 – $576.03 | 10 |
| Agalsidase beta 35 mg intravenous solution HCPCS J0180 | $9,106.11 | $11,382.63 | $217.60 – $1,463.48 | 16 |
| Air conduction bilat CPT 92552 | $88.80 | $111.00 | $37.95 – $133.88 | 16 |
| Air injection into abdomen 49400 CPT 49400 | $812.00 | $1,015.00 | $1.00 – $913.50 | 16 |
| Airway resistance by impulse oscillometry 94728 CPT 94728 | $485.60 | $607.00 | $44.27 – $546.30 | 16 |
| Ak 4 bar ling w/hydraul swig HCPCS L5613 | not published | not published | $2,728.87 – $3,871.91 | 10 |
| Ak 4 bar link w/fric swing HCPCS L5611 | not published | not published | $1,794.06 – $2,707.32 | 10 |
| Ak/bk self-aligning unit ea HCPCS L5617 | not published | not published | $626.64 – $714.80 | 10 |
| Ak flex inner socket ext fra HCPCS L5651 | not published | not published | $1,592.67 – $2,017.94 | 10 |
| Ak/knee disartic acrylic soc HCPCS L5631 | not published | not published | $489.25 – $553.73 | 10 |
| Ak/knee disartic pelvic band HCPCS L5697 | not published | not published | $99.74 – $110.24 | 10 |
| Ak/knee disartic pelvic join HCPCS L5696 | not published | not published | $210.97 – $233.17 | 10 |
| Ak/knee disartic silesian ba HCPCS L5698 | not published | not published | $118.94 – $131.46 | 10 |
| Ak open end sach HCPCS L5321 | not published | not published | $3,747.60 – $4,142.08 | 10 |
| Ak pelvic control belt light HCPCS L5692 | not published | not published | $147.96 – $173.29 | 10 |
| Ak pelvic control belt pad/l HCPCS L5694 | not published | not published | $202.01 – $254.88 | 10 |
| Ak sleeve susp neoprene/equa HCPCS L5695 | not published | not published | $181.59 – $249.87 | 10 |
| Ak univ multiplex sys frict HCPCS L5616 | not published | not published | $1,645.42 – $2,247.50 | 10 |
| Albumin body fluid quantitative each specimen CPT 82042 | not published | not published | $7.39 – $15.93 | 10 |
| Albumin (human), 25%, 50ml HCPCS P9047 | $271.44 | $339.30 | $35.33 – $114.52 | 16 |
| Albumin, human 25 % intravenous solution HCPCS P9046 | not published | not published | $20.17 – $28.21 | 10 |
| Albumin (human), 5%, 250 ml HCPCS P9045 | $139.20 | $174.00 | $47.49 – $105.71 | 16 |
| Albumin, human 5 % intravenous solution HCPCS P9041 | not published | not published | $10.08 – $11.15 | 9 |
| Albumin ischemia modified CPT 82045 | not published | not published | $32.24 – $69.51 | 10 |
| Albumin (microalbumin) 24 hour urine quantitative CPT 82043 | not published | not published | $5.49 – $11.84 | 10 |
| Albumin serum plasma or whole blood CPT 82040 | not published | not published | $4.70 – $10.14 | 10 |
| Albuterol comp con HCPCS J7610 | not published | not published | $0.14 – $0.14 | 1 |
| Albuterol comp unit HCPCS J7609 | not published | not published | $0.19 – $0.33 | 2 |
| Albuterol ipratrop non-comp HCPCS J7620 | $1.30 | $1.62 | $0.17 – $1.35 | 12 |
| Albuterol non-comp con HCPCS J7611 | $21.60 | $27.00 | $0.15 – $1.53 | 12 |
| Albuterol non-comp unit HCPCS J7613 | $66.26 | $82.82 | $0.04 – $1.35 | 12 |
| Alcohol (ethanol) any specimen except urine/breath CPT 82077 | not published | not published | $16.41 – $35.37 | 10 |
| Alcohols biomarkers 3/more CPT 80322 | not published | not published | $16.21 – $16.21 | 1 |
| Alcohol/sub misuse assess HCPCS G2011 | not published | not published | $16.64 – $25.71 | 10 |
| Alcohol/subs interv 15-30mn HCPCS G0396 | not published | not published | $20.92 – $31.29 | 10 |
| Alcohol/subs interv >30 min HCPCS G0397 | not published | not published | $63.58 – $167.10 | 10 |
| Aldesleukin injection HCPCS J9015 | not published | not published | $3,628.26 – $6,181.20 | 10 |
| Aldosterone suppression eval CPT 80408 | not published | not published | $119.23 – $257.01 | 10 |
| Alefacept HCPCS J0215 | not published | not published | $41.64 – $41.64 | 1 |
| Alemtuzumab 12 mg/1.2 ml intravenous solution HCPCS J0202 | not published | not published | $2,292.77 – $2,659.13 | 10 |
| Alginate dressing <=16 sq in HCPCS A6196 | not published | not published | $1.00 – $10.79 | 10 |
| Alginate drsg >16 <=48 sq in HCPCS A6197 | not published | not published | $1.00 – $24.13 | 10 |
| Alginate drsg wound filler HCPCS A6199 | not published | not published | $1.00 – $7.74 | 10 |
| Alglucerase injection HCPCS J0205 | not published | not published | $44.97 – $44.97 | 1 |
| Alglucosidase alfa injection HCPCS J0220 | not published | not published | $122.56 – $122.56 | 1 |
| Alkaline phosphatase CPT 84075 | not published | not published | $4.92 – $10.61 | 10 |
| Allergen alpha lactalbumin ige CPT 86008 | not published | not published | $17.03 – $36.72 | 10 |
| Allergen egg white ige CPT 86003 | not published | not published | $4.96 – $10.69 | 10 |
| Allergen specific ige qual multi scrn ea CPT 86005 | not published | not published | $7.57 – $16.32 | 10 |
| Allergy injections; 2 or more 95117 CPT 95117 | not published | not published | $12.32 – $48.45 | 10 |
| Allergy injection; single 95115 CPT 95115 | not published | not published | $10.32 – $48.45 | 10 |
| Allergy Skin Testing CPT 95004 | not published | not published | $3.66 – $1,068.26 | 10 |
| Allg patch or app # of tests 95044 CPT 95044 | not published | not published | $4.99 – $1,068.26 | 10 |
| Allgrft implnt knee w/scope CPT 29867 | not published | not published | $1,285.56 – $13,510.16 | 10 |
| Allograft 160mg placental salera mini membrane HCPCS Q4168 | $46.77 | $58.46 | $1.00 – $52.61 | 12 |
| Allograft allowrap 4x4cm dry 16sqcm HCPCS Q4150 | not published | not published | $1.00 – $1.00 | 1 |
| Allograft amnioexcel plus 17mm disk HCPCS Q4137 | $866.60 | $1,083.24 | $1.00 – $104.43 | 12 |
| Allograft amniotic activebarrier 200 2x2cm-q4100-cost per sheet HCPCS Q4100 | not published | not published | $1.00 – $1.00 | 1 |
| Allograft dermis 20x25x1mm decell w/matracell arthroflex HCPCS Q4125 | $577.03 | $721.28 | $1.00 – $172.13 | 12 |
| Allograft ecm allopatch hd dehydr thick 0.8-1.7mmx2x5cm-cost per sq cm HCPCS Q4128 | $581.34 | $726.67 | $1.00 – $58.28 | 12 |
| Allograft epieffect 2x3cm-q4186-cost per sq cm HCPCS Q4186 | $671.04 | $838.80 | $1.00 – $141.54 | 12 |
| Allograft graftjacket 2x12cm-q4107-cost per sq cm HCPCS Q4107 | $950.20 | $1,187.74 | $1.00 – $421.81 | 12 |
| Allograft membrn amnio 1x2cm hu ambriodry HCPCS V2790 | $6,032.00 | $7,540.00 | $1.00 – $1,455.30 | 12 |
| Allograft umbil cord+amniotic membrane-q4148-cost per sq cm HCPCS Q4148 | not published | not published | $1.00 – $1.00 | 1 |
| Allograft umbilical epicord 15 sq cm-q4187-cost per sq cm HCPCS Q4187 | $504.75 | $630.93 | $1.00 – $567.84 | 12 |
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.