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 |
|---|---|---|---|---|
| Ghs pt - work hardening/int 2hrs CPT 97545 | $269.60 | $337.00 | $93.58 – $303.30 | 12 |
| Ghs quinidine CPT 80194 | not published | not published | $13.87 – $29.90 | 10 |
| Ghs refill of implantable pump CPT 95990 | $517.60 | $647.00 | $90.21 – $582.30 | 16 |
| Ghs removal intranasal foreign body CPT 30300 | $507.20 | $634.00 | $93.07 – $570.60 | 16 |
| Ghs removal pharyngeal foreign body CPT 42809 | $507.20 | $634.00 | $127.82 – $570.60 | 16 |
| Ghs repair extensor tendon hand, ea tendon CPT 26410 | $3,835.20 | $4,794.00 | $609.49 – $4,314.60 | 16 |
| Ghs repair tendon ext forearm/wrist ea CPT 25270 | not published | not published | $504.64 – $3,392.43 | 10 |
| Ghs respiratory syncytical virus igg/m CPT 86756 | not published | not published | $15.10 – $32.54 | 10 |
| Ghs reticulocyte count CPT 85044 | not published | not published | $4.09 – $8.83 | 10 |
| Ghs rsv eia (respir synctial vrs) CPT 87420 | not published | not published | $13.21 – $28.49 | 10 |
| Ghs sedimentation rate CPT 85651 | not published | not published | $4.06 – $8.74 | 10 |
| Ghs semen analysis fert CPT 89320 | $100.00 | $125.00 | $11.69 – $112.50 | 16 |
| Ghs semen analysis, post-vas CPT 89300 | not published | not published | $9.35 – $20.15 | 10 |
| Ghs sensitivity (per antimicro) CPT 87184 | not published | not published | $7.11 – $15.32 | 10 |
| Ghs simple repair 12.6 - 20.0 cm - 12005 CPT 12005 | $684.00 | $855.00 | $94.20 – $769.50 | 16 |
| Ghs simple repair 12.6 - 20.0 cm - 12016 CPT 12016 | $691.20 | $864.00 | $126.83 – $777.60 | 16 |
| Ghs simple repair 20.1 - 30.0 cm - 12006 CPT 12006 | $780.80 | $976.00 | $115.17 – $878.40 | 16 |
| Ghs simple repair 20.1 - 30.0 cm - 12017 CPT 12017 | $745.60 | $932.00 | $153.12 – $838.80 | 16 |
| Ghs simple repair 5.1 - 7.5 cm - 12014 CPT 12014 | $628.00 | $785.00 | $74.56 – $706.50 | 16 |
| Ghs simple repair 7.6 - 12.5 cm - 12004 CPT 12004 | $609.60 | $762.00 | $73.23 – $685.80 | 16 |
| Ghs simple repair 7.6 - 12.5 cm - 12015 CPT 12015 | $628.00 | $785.00 | $93.54 – $706.50 | 16 |
| Ghs simple repair over 30 cm - 12007 CPT 12007 | $759.20 | $949.00 | $143.14 – $854.10 | 16 |
| Ghs simple repair over 30 cm - 12018 CPT 12018 | not published | not published | $145.86 – $208.64 | 10 |
| Ghs sleep study unattended CPT 95800 | $589.60 | $737.00 | $113.81 – $663.30 | 16 |
| Ghs somatosensory testing lower extremit CPT 95926 | $410.40 | $513.00 | $157.45 – $461.70 | 16 |
| Ghs somatosensory testing upper & lower limbs CPT 95938 | $896.00 | $1,120.00 | $374.48 – $1,008.00 | 16 |
| Ghs speech-gen aug dev eval iii, st CPT 92608 | $178.40 | $223.00 | $44.79 – $200.70 | 16 |
| Ghs sphenopalatine ganglion block CPT 64505 | $1,160.00 | $1,450.00 | $105.52 – $1,305.00 | 16 |
| Ghs spont nystagmus CPT 92541 | not published | not published | $24.97 – $133.88 | 10 |
| Ghs sp train/fitting sp device - kx CPT 92609 | $309.60 | $387.00 | $95.12 – $348.30 | 16 |
| Ghs st - eval for alt comm CPT 92567 | $148.80 | $186.00 | $10.65 – $167.40 | 16 |
| Ghs strapping shoulder - 29240 CPT 29240 | $206.40 | $258.00 | $17.64 – $232.20 | 16 |
| Ghs st - re-eval for alt comm CPT 92597 | $432.80 | $541.00 | $66.84 – $486.90 | 16 |
| Ghs subcutaneous infus, for therapy ea. add. hr CPT 96370 | $108.00 | $135.00 | $15.98 – $121.50 | 16 |
| Ghs subcutaneous infus. for therapy init 1 hr CPT 96369 | $360.80 | $451.00 | $141.14 – $405.90 | 16 |
| Ghs superficial wnd dehiscence simp12020 CPT 12020 | $1,570.40 | $1,963.00 | $188.41 – $1,766.70 | 16 |
| Ghs superficial wnd dehis w packing12021 CPT 12021 | $1,299.20 | $1,624.00 | $141.47 – $1,461.60 | 16 |
| Ghs tracheostomy emergency - transtracheal CPT 31603 | $2,224.80 | $2,781.00 | $316.56 – $2,502.90 | 16 |
| Ghs trypsin (fecal) CPT 84488 | not published | not published | $6.94 – $14.95 | 10 |
| Ghs tx distal phalangeal fx with manipulation CPT 26755 | $660.80 | $826.00 | $171.82 – $743.40 | 16 |
| Ghs tx sp hip disloc abd splnt/trac wo CPT 27256 | not published | not published | $171.82 – $247.16 | 10 |
| Ghs urine, hydroxproline total CPT 83505 | not published | not published | $23.09 – $49.76 | 10 |
| Ghs urine, porphyrins quant CPT 84120 | not published | not published | $13.97 – $30.12 | 10 |
| Ghs vaginal delivery only CPT 59409 | not published | not published | $799.23 – $3,276.65 | 10 |
| Ghs veeg 12-26 hr intmt mont CPT 95715 | $3,534.40 | $4,418.00 | $390.51 – $3,976.20 | 16 |
| Ghs windowing of cast CPT 29730 | not published | not published | $44.61 – $165.14 | 10 |
| Giardia ag if CPT 87269 | not published | not published | $12.93 – $27.87 | 10 |
| Giardia lamblia antibody CPT 86674 | not published | not published | $13.98 – $30.15 | 10 |
| Gi endoscopic ultrasound CPT 76975 | not published | not published | $178.53 – $253.81 | 9 |
| Gi inhouse confirmation CPT 87045 | not published | not published | $8.97 – $19.33 | 10 |
| Gingivoplasty each quadrant CPT 41872 | not published | not published | $306.91 – $3,374.38 | 10 |
| Gi protein loss CPT 78282 | not published | not published | $300.50 – $421.92 | 9 |
| Gi tract capsule endoscopy (pillcam) 91110 CPT 91110 | $2,829.60 | $3,537.00 | $660.46 – $3,183.30 | 16 |
| Gi trc img intral colon i&r CPT 91113 | not published | not published | $665.90 – $957.30 | 10 |
| Gi trc img intral esophagus CPT 91111 | not published | not published | $660.46 – $965.69 | 10 |
| Gi wireless capsule measure CPT 91112 | not published | not published | $660.46 – $1,606.79 | 10 |
| Gjb2 gene full sequence CPT 81252 | not published | not published | $96.06 – $207.08 | 10 |
| Gjb2 gene known fam variants CPT 81253 | not published | not published | $58.44 – $125.99 | 10 |
| Gjb6 gene com variants CPT 81254 | not published | not published | $33.25 – $71.68 | 10 |
| Glassia injection HCPCS J0257 | not published | not published | $5.36 – $6.17 | 10 |
| Glaucoma scrn hgh risk direc HCPCS G0117 | not published | not published | $21.70 – $63.58 | 10 |
| Glaucoma scrn hgh risk direc HCPCS G0118 | not published | not published | $29.23 – $41.94 | 10 |
| Glaucoma surgery CPT 66150 | not published | not published | $869.80 – $4,224.00 | 10 |
| Glaucoma surgery CPT 66155 | not published | not published | $869.47 – $4,224.00 | 10 |
| Glaucoma surgery CPT 66160 | not published | not published | $976.66 – $2,394.77 | 10 |
| Glaucoma surgery CPT 66170 | not published | not published | $1,083.18 – $2,394.77 | 10 |
| Glove finger flexion right lg xl HCPCS L3912 | not published | not published | $99.32 – $109.78 | 10 |
| Glucagon 1 mg solution for injection HCPCS J1610 | not published | not published | $173.32 – $199.66 | 10 |
| Glucagon hcl 1 mg/ml solution for injection HCPCS J1611 | $316.01 | $395.01 | $88.10 – $193.40 | 16 |
| Glucagon plasma - sendout CPT 82943 | not published | not published | $13.58 – $29.26 | 10 |
| Glucagon tolerance panel CPT 80422 | not published | not published | $43.77 – $94.35 | 10 |
| Glucagon tolerance panel CPT 80424 | not published | not published | $47.98 – $103.42 | 10 |
| Glucagon tolerance test CPT 82946 | not published | not published | $16.88 – $36.39 | 10 |
| Glucose 1 hr post dose CPT 82950 | not published | not published | $4.51 – $9.73 | 10 |
| Glucose-6-phosphate dhydrogenase screen CPT 82960 | not published | not published | $5.75 – $12.39 | 10 |
| Glucose blood by monitoring device cleared by fda for home use CPT 82962 | not published | not published | $3.12 – $6.72 | 10 |
| Glucose blood quantitative CPT 82947 | not published | not published | $3.73 – $8.05 | 10 |
| Glucose body fluid CPT 82945 | not published | not published | $3.73 – $8.05 | 10 |
| Glucose monitoring continual min 72hr pt CPT 95249 | not published | not published | $44.57 – $65.24 | 10 |
| Glucose tolerance test (gtt) 3 specimens CPT 82951 | not published | not published | $12.23 – $26.36 | 10 |
| Glucose tolerance test (gtt) >3 specimens each additional CPT 82952 | not published | not published | $3.72 – $8.03 | 10 |
| Glycopyrrolate 0.2 mg/ml injection solution HCPCS J1596 | $25.99 | $32.48 | $0.43 – $14.99 | 16 |
| Gold sodium thiomaleate inj HCPCS J1600 | not published | not published | $23.06 – $23.06 | 1 |
| Golimumab 12.5 mg/ml intravenous solution HCPCS J1602 | $3,132.77 | $3,915.96 | $10.49 – $3,524.36 | 16 |
| Gonadotropin follicle stimulating hormone (fsh) CPT 83001 | not published | not published | $17.65 – $38.05 | 10 |
| Gonadotropin hormone panel CPT 80426 | not published | not published | $140.99 – $303.93 | 10 |
| Gonadotropin luteinizing hormone (lh) CPT 83002 | not published | not published | $17.59 – $37.93 | 10 |
| Gonioscopy CPT 92020 | not published | not published | $19.97 – $133.88 | 10 |
| Goniotomy CPT 65820 | not published | not published | $816.88 – $4,224.00 | 10 |
| Goserelin 10.8 mg subcutaneous implant HCPCS J9202 | not published | not published | $611.35 – $802.88 | 10 |
| Graft apligraf 3in 44sqcm-q4101-cost per sq cm HCPCS Q4101 | $211.55 | $264.43 | $1.00 – $237.99 | 12 |
| Graft axiofill 1000mg HCPCS J3590 | $3,970.05 | $4,962.56 | $1.00 – $567.40 | 12 |
| Graft bone flex 2.5cm x 5cm grafton-cost per sq cm HCPCS Q4205 | not published | not published | $1.00 – $1.00 | 1 |
| Graft fish skin 16mm round marigen 2units-cost per sq cm HCPCS Q4158 | $792.00 | $990.00 | $1.00 – $64.49 | 12 |
| Graft hand or finger tendon CPT 26416 | not published | not published | $930.39 – $3,392.43 | 10 |
| Graft impl ult thck 6x12cm -cost per sq cm HCPCS Q4116 | $277.20 | $346.50 | $1.00 – $66.03 | 12 |
| Graft jckt xpress 2ml flowable scaffold-q4113-cost per sq cm HCPCS Q4113 | not published | not published | $1.00 – $1.00 | 1 |
| Graft nerve adv 3-4x70mm HCPCS C1762 | $23,040.00 | $28,800.00 | $1.00 – $903.96 | 12 |
| Graft patch felt ptfe 2x2 HCPCS C1768 | $15,168.00 | $18,960.00 | $1.00 – $700.65 | 12 |
| Graft primatrix xcr 6cm x6cm n-q4110-cost per sq cm HCPCS Q4110 | $134.14 | $167.67 | $1.00 – $86.63 | 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.