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 |
|---|---|---|---|---|
| Esophagoscopy control bleed CPT 43227 | not published | not published | $162.44 – $1,991.84 | 10 |
| Esophagoscopy flex biopsy CPT 43202 | $2,252.00 | $2,815.00 | $101.86 – $2,533.50 | 16 |
| Esophagoscopy/flex/diagnostic 43200 CPT 43200 | $2,182.40 | $2,728.00 | $87.21 – $2,455.20 | 16 |
| Esophagoscopy flex dx brush CPT 43197 | not published | not published | $81.22 – $965.69 | 10 |
| Esophagoscopy flex remove fb CPT 43215 | $2,497.60 | $3,122.00 | $139.47 – $2,809.80 | 16 |
| Esophagoscopy lesion ablate CPT 43229 | $4,192.80 | $5,241.00 | $193.40 – $4,716.90 | 16 |
| Esophagoscopy lesion removal CPT 43216 | $2,784.00 | $3,480.00 | $131.49 – $3,132.00 | 16 |
| Esophagoscopy retro balloon CPT 43213 | $2,164.00 | $2,705.00 | $255.65 – $2,434.50 | 16 |
| Esophagoscopy rigid balloon CPT 43195 | not published | not published | $184.41 – $3,994.76 | 10 |
| Esophagoscopy/rigid/diagnostic 43191 CPT 43191 | not published | not published | $155.12 – $1,991.84 | 10 |
| Esophagoscopy rigid trnso 43180 CPT 43180 | not published | not published | $547.58 – $6,137.68 | 10 |
| Esophagoscopy snare les remv CPT 43217 | not published | not published | $157.45 – $1,991.84 | 10 |
| Esophagoscopy w/us needle bx CPT 43232 | $3,222.40 | $4,028.00 | $195.40 – $3,625.20 | 16 |
| Esophagoscp guide wire dilat 43196 CPT 43196 | not published | not published | $195.06 – $1,991.84 | 10 |
| Esophagoscp rig trnso biopsy CPT 43193 | not published | not published | $168.77 – $1,991.84 | 10 |
| Esophagoscp rig trnso inject CPT 43192 | not published | not published | $169.43 – $1,991.84 | 10 |
| Esophagoscp rig trnso rem fb CPT 43194 | not published | not published | $189.07 – $1,991.84 | 10 |
| Esophagotomy thrc rmvl fb CPT 43045 | not published | not published | $1,095.42 – $1,291.56 | 10 |
| Esophagus endoscopy/ligation CPT 43205 | $2,379.20 | $2,974.00 | $138.81 – $2,676.60 | 16 |
| Esophagus motility study CPT 91010 | $1,814.40 | $2,268.00 | $220.70 – $2,041.20 | 16 |
| Esoph balloon distension tst CPT 91040 | not published | not published | $390.51 – $557.13 | 10 |
| Esoph egd dilation <30 mm CPT 43249 | $3,017.60 | $3,772.00 | $151.13 – $3,394.80 | 16 |
| Esoph endoscopy dilation CPT 43226 | $2,103.20 | $2,629.00 | $128.82 – $2,366.10 | 16 |
| Esoph fundoplasty lap 43327 CPT 43327 | not published | not published | $710.23 – $815.54 | 10 |
| Esoph fundoplasty thor 43328 CPT 43328 | not published | not published | $931.72 – $1,106.14 | 10 |
| Esophgl motil w/stim/perfus CPT 91013 | $1,390.40 | $1,738.00 | $1.00 – $1,564.20 | 16 |
| Esoph imped function test CPT 91037 | not published | not published | $168.43 – $326.97 | 10 |
| Esoph imped funct test > 1hr CPT 91038 | $1,698.40 | $2,123.00 | $390.51 – $1,910.70 | 16 |
| Esoph optical endomicroscopy CPT 43206 | not published | not published | $130.49 – $1,991.84 | 10 |
| Esoph scope w/sclerosis inj CPT 43204 | $1,671.20 | $2,089.00 | $132.82 – $1,991.84 | 16 |
| Esoph scope w/submucous inj CPT 43201 | $2,046.40 | $2,558.00 | $102.53 – $2,302.20 | 16 |
| Esphg dstl 2/3 w/laps moblj 43287 CPT 43287 | not published | not published | $660.46 – $3,498.52 | 10 |
| Esphg thrsc moblj CPT 43288 | not published | not published | $660.46 – $3,689.59 | 10 |
| Esphg tot w/laps moblj CPT 43286 | not published | not published | $660.46 – $3,130.69 | 10 |
| Esphg tot w/thrcm CPT 43112 | not published | not published | $660.46 – $3,400.65 | 10 |
| Esrd home pt serv p mo 12-19 CPT 90965 | not published | not published | $444.98 – $492.99 | 10 |
| Esrd home pt serv p mo 20+ CPT 90966 | not published | not published | $263.96 – $291.75 | 10 |
| Esrd home pt serv p mo 2-11 CPT 90964 | not published | not published | $462.11 – $513.63 | 10 |
| Esrd home pt serv p mo <2yrs CPT 90963 | not published | not published | $538.81 – $599.18 | 10 |
| Esrd serv 1 visit p mo 20+ CPT 90962 | not published | not published | $182.85 – $202.09 | 10 |
| Esrd serv 1 visit p mo <2yrs CPT 90953 | not published | not published | $884.99 – $884.99 | 1 |
| Esrd serv 1 vst p mo 12-19 CPT 90959 | not published | not published | $291.59 – $322.28 | 10 |
| Esrd serv 2-3 vsts p mo <2yr CPT 90952 | not published | not published | $884.99 – $884.99 | 1 |
| Esrd serv 4 visits p mo <2yr CPT 90951 | not published | not published | $1,032.08 – $1,156.41 | 10 |
| Esrd serv 4 vsts p mo 2-11 CPT 90954 | not published | not published | $890.40 – $991.30 | 10 |
| Esrd srv 1 visit p mo 2-11 CPT 90956 | not published | not published | $312.79 – $345.72 | 10 |
| Esrd srv 2-3 vsts p mo 12-19 CPT 90958 | not published | not published | $445.90 – $493.99 | 10 |
| Esrd srv 2-3 vsts p mo 20+ CPT 90961 | not published | not published | $263.96 – $291.75 | 10 |
| Esrd srv 2-3 vsts p mo 2-11 CPT 90955 | not published | not published | $466.80 – $515.93 | 10 |
| Esrd srv 4 visits p mo 20+ CPT 90960 | not published | not published | $317.75 – $351.20 | 10 |
| Esrd srv 4 vsts p mo 12-19 CPT 90957 | not published | not published | $684.17 – $758.96 | 10 |
| Esrd svc pr day pt 12-19 CPT 90969 | not published | not published | $14.98 – $16.64 | 10 |
| Esrd svc pr day pt <2 CPT 90967 | not published | not published | $15.60 – $17.31 | 10 |
| Esrd svc pr day pt 20+ CPT 90970 | not published | not published | $8.72 – $9.64 | 10 |
| Esrd svc pr day pt 2-11 CPT 90968 | not published | not published | $15.29 – $16.98 | 10 |
| Essure 58565 CPT 58565 | not published | not published | $460.70 – $5,183.27 | 10 |
| Establish access to aorta CPT 36160 | not published | not published | $1.00 – $538.45 | 10 |
| Establish access to artery CPT 36100 | not published | not published | $1.00 – $520.11 | 10 |
| Establish brain cavity shunt CPT 62223 | not published | not published | $873.69 – $1,050.55 | 10 |
| Establish brain cavity shunt CPT 62180 | not published | not published | $1,331.15 – $1,625.43 | 10 |
| Establish brain cavity shunt CPT 62190 | not published | not published | $787.40 – $950.03 | 10 |
| Establish brain cavity shunt CPT 62192 | not published | not published | $837.13 – $1,013.60 | 10 |
| Establish brain cavity shunt CPT 62200 | not published | not published | $1,148.02 – $1,399.74 | 10 |
| Establish brain cavity shunt CPT 62220 | not published | not published | $816.95 – $989.97 | 10 |
| Established Patient Office Visit (level 1) CPT 99211 | $388.00 | $485.00 | $15.55 – $144.00 | 16 |
| Established Patient Office Visit (level 2) CPT 99212 | $167.20 | $209.00 | $51.29 – $188.10 | 16 |
| Established Patient Office Visit (level 3) CPT 99213 | $193.60 | $242.00 | $67.20 – $217.80 | 16 |
| Established Patient Office Visit (level 4) CPT 99214 | $248.80 | $311.00 | $86.36 – $279.90 | 16 |
| Established Patient Office Visit (level 5) CPT 99215 | $311.20 | $389.00 | $108.03 – $350.10 | 16 |
| Estim aid bone healg invasiv CPT 20975 | not published | not published | $1.00 – $176.09 | 10 |
| Estradiol total CPT 82670 | not published | not published | $26.54 – $57.22 | 10 |
| Estradiol valerate 10 mg inj HCPCS J1380 | not published | not published | $1.00 – $1.00 | 1 |
| Estrogens total-sendout CPT 82672 | not published | not published | $20.62 – $44.44 | 10 |
| Etanercept injection HCPCS J1438 | not published | not published | $790.78 – $1,134.93 | 10 |
| Ethanolamine oleate 100 mg HCPCS J1430 | $1,257.65 | $1,572.06 | $469.26 – $1,414.85 | 16 |
| Eth estr and eton monthly HCPCS J7295 | not published | not published | $157.59 – $157.59 | 2 |
| Ethmoidectomy extranasal total 31205 CPT 31205 | not published | not published | $943.03 – $3,374.38 | 10 |
| Ethylene glycol -sendout CPT 82693 | not published | not published | $14.16 – $30.51 | 10 |
| Etonogestrel implant system HCPCS J7307 | $3,050.70 | $3,813.37 | $1,179.41 – $3,432.03 | 12 |
| Etoposide 20 mg/ml intravenous solution HCPCS J9181 | $263.35 | $329.18 | $1.00 – $10.87 | 12 |
| Etoposide 50 mg cap HCPCS J8560 | $151.13 | $188.91 | $38.85 – $125.92 | 12 |
| Euflexxa inj per dose HCPCS J7323 | not published | not published | $106.83 – $123.06 | 10 |
| Euglobulin lysis CPT 85360 | not published | not published | $7.99 – $17.22 | 10 |
| Evacuate mole of uterus CPT 59870 | not published | not published | $543.25 – $3,276.65 | 10 |
| Eval aud funcj ea addl 15 CPT 92627 | $68.00 | $85.00 | $1.00 – $76.50 | 16 |
| Eval aud rehab status/first hr 92626 CPT 92626 | $267.20 | $334.00 | $73.23 – $300.60 | 16 |
| Eval/fit voice prosthesis iii, st CPT 92607 | $473.60 | $592.00 | $113.81 – $532.80 | 16 |
| Evaluation cervical mucus CPT 89330 | not published | not published | $9.86 – $21.26 | 10 |
| Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen CPT 84112 | not published | not published | $93.20 – $200.92 | 10 |
| Evaluation heart device CPT 93640 | $1,671.20 | $2,089.00 | $1.00 – $1,880.10 | 12 |
| Evaluation of speech fluency 92521 CPT 92521 | $388.80 | $486.00 | $113.81 – $437.40 | 16 |
| Evaluation psychiatric diagnostic CPT 90791 | $426.40 | $533.00 | $116.17 – $479.70 | 16 |
| Evasc prlng admn rx agnt 1st CPT 61650 | $5,438.40 | $6,798.00 | $479.42 – $6,118.20 | 16 |
| Evasc prlng admn rx agnt add CPT 61651 | $2,734.40 | $3,418.00 | $204.69 – $3,076.20 | 16 |
| Evasc repair of iliac artery; endograft 34718 CPT 34718 | $25,407.20 | $31,759.00 | $1,000.88 – $28,583.10 | 16 |
| Evasc rpr a-ao ndgft 34701 CPT 34701 | $13,777.60 | $17,222.00 | $1,005.31 – $15,499.80 | 16 |
| Evasc rpr a-ao ndgft rpt 34702 CPT 34702 | $17,221.60 | $21,527.00 | $1,446.68 – $19,374.30 | 16 |
| Evasc rpr a-biiliac ndgft rptr CPT 34706 | $22,272.00 | $27,840.00 | $1,841.48 – $25,056.00 | 16 |
| Evasc rpr a-iliac ndgft 34717 CPT 34717 | $25,407.20 | $31,759.00 | $355.39 – $28,583.10 | 16 |
| Evasc rpr a-unilac ndgft 34703 CPT 34703 | $15,727.20 | $19,659.00 | $1,112.28 – $17,693.10 | 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.