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 |
|---|---|---|---|---|
| Graft puraplyam antimicrob 1.6-q4196-cost per sq cm HCPCS Q4196 | $756.00 | $945.00 | $1.00 – $205.20 | 12 |
| Graft repair of spine defect 63710 CPT 63710 | not published | not published | $933.30 – $1,095.49 | 10 |
| Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm HCPCS Q4133 | $715.20 | $894.00 | $1.00 – $97.71 | 12 |
| Graft sft tiss theraskin lg 5.1x7.6cm meshed 39 sq cm-q4121-cost per sq cm HCPCS Q4121 | $73.24 | $91.54 | $1.00 – $27.70 | 12 |
| Graft tis hmatrix dermis 10x5 -cost per sq cm HCPCS Q4134 | not published | not published | $1.00 – $1.00 | 1 |
| Graft tiss strattice 10x10 frm 10x10cm firm -cost per sq cm HCPCS Q4130 | $54.68 | $68.35 | $1.00 – $19.63 | 12 |
| Graft viashield 2layer amnion patch 2x2cm-cost per sq cm HCPCS Q4211 | not published | not published | $1.00 – $1.00 | 1 |
| Graft wnd mtrx grfx core 1.5x2cm-q4132-cost per sq cm HCPCS Q4132 | $748.44 | $935.55 | $1.00 – $175.13 | 12 |
| Graft xenmtrx sft rect 15x20cm HCPCS C1781 | $58,464.00 | $73,080.00 | $1.00 – $142.74 | 12 |
| Graft xenmtrx sft rect 19x28cm HCPCS C2625 | $2,279.43 | $2,849.28 | $1.00 – $247.86 | 12 |
| Granisetron 1 mg tab HCPCS Q0166 | $6.03 | $7.53 | $0.73 – $2.36 | 12 |
| Granisetron hcl injection HCPCS J1626 | $32.33 | $40.41 | $1.00 – $18.90 | 12 |
| Granulocyte pheresis ea unit HCPCS P9050 | $2,484.00 | $3,105.00 | $862.26 – $2,794.50 | 12 |
| Great toe-hand transfer CPT 26551 | not published | not published | $1,171.00 – $3,289.80 | 10 |
| Great toe with reduction 28495 CPT 28495 | $632.00 | $790.00 | $153.79 – $711.00 | 16 |
| Grfg autol fat lipo 25 cc/< CPT 15773 | not published | not published | $502.97 – $1,911.28 | 10 |
| Grfg autol fat lipo 50 cc/< CPT 15771 | not published | not published | $513.96 – $3,770.80 | 10 |
| Grfg autol fat lipo ea addl CPT 15772 | not published | not published | $1.00 – $187.25 | 10 |
| Grfg autol soft tiss dir exc CPT 15769 | not published | not published | $482.00 – $3,770.80 | 10 |
| Group behave couns 2-10 HCPCS G0473 | not published | not published | $11.32 – $31.28 | 10 |
| Group health education CPT 99078 | not published | not published | $1.00 – $1.00 | 1 |
| Group mnt 2 or more 30 mins HCPCS G0271 | not published | not published | $15.31 – $17.11 | 10 |
| Group train without patient HCPCS G0543 | $55.20 | $69.00 | $19.16 – $62.10 | 16 |
| Growth hormone antibody CPT 86277 | not published | not published | $14.95 – $32.23 | 10 |
| Growth hormone panel CPT 80428 | not published | not published | $63.37 – $136.59 | 10 |
| Growth hormone panel CPT 80430 | not published | not published | $122.86 – $264.85 | 10 |
| Growth stimulation gene 2 CPT 83006 | not published | not published | $71.82 – $154.82 | 10 |
| Grp adapt bhv tx by phy/qhp CPT 97158 | not published | not published | $20.92 – $31.28 | 9 |
| Grp adapt bhv tx by tech CPT 97154 | not published | not published | $20.92 – $30.68 | 9 |
| Gstrct prtl dstl w/roux-en-y rcnstj 43633 CPT 43633 | not published | not published | $660.46 – $1,918.03 | 10 |
| Gstr rstcv oth/thn v-band CPT 43843 | not published | not published | $1,089.74 – $1,284.56 | 10 |
| Gstr rstcv px shrt roux-en-y CPT 43846 | not published | not published | $1,399.29 – $1,650.73 | 10 |
| Gstr rstcv px sm int rcnstj CPT 43847 | not published | not published | $1,528.94 – $1,805.51 | 10 |
| Gstr rstcv px v-banded gstp CPT 43842 | not published | not published | $1,022.47 – $1,148.42 | 10 |
| Gstrst open wo constj tube CPT 43830 | not published | not published | $705.36 – $1,991.84 | 10 |
| G-tube reposition CPT 43761 | $1,591.20 | $1,989.00 | $102.86 – $1,790.10 | 16 |
| Gu dilat ureter/urethra s&i CPT 74485 | $1,042.40 | $1,303.00 | $119.17 – $2,134.73 | 16 |
| Guided cath fluid drainage 10030 CPT 10030 | $1,816.80 | $2,271.00 | $132.15 – $2,043.90 | 16 |
| Guide endoanchr sg-64 aaa 62cm HCPCS L8670 | not published | not published | $1.00 – $701.54 | 10 |
| Guide wire threaded 1.4x150mm HCPCS C1769 | $5,600.00 | $7,000.00 | $1.00 – $12.91 | 12 |
| Guide worley csg 9fx50cm std HCPCS C1892 | $2,531.20 | $3,164.00 | $1.00 – $175.68 | 12 |
| Guid loc target vol rad tx CPT 77387 | $873.60 | $1,092.00 | $1.00 – $982.80 | 12 |
| Gum graft CPT 41870 | not published | not published | $1,111.14 – $1,555.34 | 9 |
| Gw stiffened micro access kit HCPCS C1894 | $8,430.35 | $10,537.93 | $1.00 – $29.65 | 12 |
| Gynecomastia (males) 19300 CPT 19300 | not published | not published | $435.07 – $3,994.97 | 10 |
| Hair analysis HCPCS P2031 | not published | not published | $4.70 – $10.14 | 10 |
| Hair removal by electrolysis 17380 CPT 17380 | not published | not published | $457.59 – $642.74 | 9 |
| Hair trnspl 1-15 punch grfts CPT 15775 | not published | not published | $253.32 – $417.91 | 10 |
| Hair trnspl >15 punch grafts CPT 15776 | not published | not published | $290.53 – $417.91 | 10 |
| Hallus-valgus nt dyn pre ots HCPCS L3100 | $19.04 | $23.79 | $9.75 – $55.28 | 16 |
| Halo cervical into body jack HCPCS L0820 | not published | not published | $2,350.27 – $2,757.77 | 10 |
| Halo cervical into jckt vest HCPCS L0810 | $3,752.00 | $4,690.00 | $1,074.20 – $3,187.71 | 16 |
| Halo cerv into milwaukee typ HCPCS L0830 | not published | not published | $3,356.10 – $3,709.38 | 10 |
| Haloperidol decanoate 50 mg/ml intramuscular solution HCPCS J1631 | $133.53 | $166.91 | $1.00 – $26.42 | 12 |
| Haloperidol lactate 5 mg/ml injection solution HCPCS J1630 | $18.32 | $22.90 | $1.00 – $18.90 | 12 |
| Halo repl liner/interface HCPCS L0861 | not published | not published | $240.93 – $275.67 | 10 |
| Hand-held pefr meter a4614 HCPCS A4614 | not published | not published | $1.00 – $34.89 | 10 |
| Handle/convey/speciman/office-lab 99000 CPT 99000 | not published | not published | $3.00 – $3.00 | 1 |
| Hand orthosis metacarpal fracture orthosis prefa l3918 HCPCS L3918 | not published | not published | $107.43 – $122.92 | 10 |
| Handpiece aquabeam hp2000 HCPCS C2596 | not published | not published | $1.00 – $1.00 | 1 |
| Hand restoration multiple fi HCPCS L6905 | not published | not published | $1,674.10 – $1,850.32 | 10 |
| Hand restoration no fingers HCPCS L6910 | not published | not published | $1,630.91 – $1,802.59 | 10 |
| Hand restoration replacmnt g HCPCS L6915 | not published | not published | $713.81 – $788.95 | 10 |
| Hand restorat thumb/1 finger HCPCS L6900 | not published | not published | $1,722.27 – $1,903.57 | 10 |
| Hands-On Manual Therapy (each 15 minutes) CPT 97140 | $125.60 | $157.00 | $25.62 – $141.30 | 16 |
| Hand tendon/muscle transfer CPT 26494 | not published | not published | $852.16 – $3,392.43 | 10 |
| Hand tendon reconstruction CPT 26500 | not published | not published | $697.37 – $7,497.96 | 10 |
| Hand tendon reconstruction CPT 26502 | not published | not published | $765.61 – $3,392.43 | 10 |
| Hand X-ray CPT 73130 | $415.20 | $519.00 | $37.28 – $467.10 | 16 |
| Hand X-ray (2 views, both hands) CPT 73120 | $419.20 | $524.00 | $31.62 – $471.60 | 16 |
| Haptoglobin quantitative CPT 83010 | not published | not published | $11.95 – $25.76 | 10 |
| Harness chest/shlder saddle HCPCS L6672 | not published | not published | $230.58 – $254.86 | 10 |
| Harness figure of 8 dual con HCPCS L6676 | not published | not published | $139.91 – $178.44 | 10 |
| Harness figure of 8 sing con HCPCS L6675 | not published | not published | $133.72 – $151.35 | 10 |
| Harvest allogeneic stem cell CPT 38205 | $4,389.60 | $5,487.00 | $74.31 – $4,938.30 | 16 |
| Harvest auto stem cells CPT 38206 | $4,849.60 | $6,062.00 | $81.22 – $5,455.80 | 16 |
| Harvest cultured skin graft 15040 CPT 15040 | not published | not published | $124.50 – $1,911.28 | 10 |
| Harvest eye tissue alograft CPT 68371 | not published | not published | $408.44 – $2,449.13 | 10 |
| Harvest femoropopliteal vein 35572 CPT 35572 | not published | not published | $1.00 – $333.21 | 10 |
| Harvest stem cell concentrte CPT 38215 | $3,390.40 | $4,238.00 | $46.60 – $3,814.20 | 16 |
| Harvest vein for bypass 35500 CPT 35500 | not published | not published | $1.00 – $308.91 | 10 |
| Hast w/i&r phys/qhp CPT 94452 | $265.60 | $332.00 | $50.26 – $298.80 | 16 |
| Hast w/oxygen titrate CPT 94453 | $310.40 | $388.00 | $66.91 – $349.20 | 16 |
| Hba1/hba2 full gene sequence CPT 81259 | not published | not published | $570.00 – $1,228.74 | 10 |
| Hba1/hba2 gene dup/del vrnts CPT 81269 | not published | not published | $192.28 – $414.49 | 10 |
| Hba1/hba2 gene fam vrnt CPT 81258 | not published | not published | $356.49 – $768.47 | 10 |
| Hbb full gene sequence CPT 81364 | not published | not published | $308.35 – $664.71 | 10 |
| Hbb gene com variants CPT 81361 | not published | not published | $166.07 – $357.99 | 10 |
| Hbb gene dup/del variants CPT 81363 | not published | not published | $192.28 – $414.49 | 10 |
| Hbb gene known fam variant CPT 81362 | not published | not published | $356.49 – $768.47 | 10 |
| Hb glycosylated a1c home dev CPT 83037 | not published | not published | $9.22 – $19.89 | 10 |
| Hbot, full body chamber, 30m HCPCS G0277 | $473.60 | $592.00 | $56.25 – $532.80 | 16 |
| Hc ea ha check monaural CPT 92594 | not published | not published | $15.61 – $15.61 | 1 |
| Hc fl sm bowel enteroclss tube w kub double contrast CPT 74251 | $1,164.80 | $1,456.00 | $133.87 – $1,310.40 | 16 |
| Hcg free betachain test CPT 84704 | not published | not published | $14.53 – $31.31 | 10 |
| Hcg qualitative CPT 84703 | not published | not published | $7.14 – $15.40 | 10 |
| Hcg quantitative CPT 84702 | not published | not published | $14.30 – $30.82 | 10 |
| Hc hearing aid chck binaurl CPT 92593 | not published | not published | $26.77 – $26.77 | 1 |
| Hc hearing aid chck monarl CPT 92592 | not published | not published | $16.36 – $16.36 | 1 |
| Hc hearing aid exam both ears CPT 92591 | not published | not published | $52.30 – $52.30 | 1 |
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.