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 |
|---|---|---|---|---|
| Inj dx for sinogram CPT 20501 | $549.60 | $687.00 | $1.00 – $618.30 | 16 |
| Inject for sacroiliac joint HCPCS G0259 | not published | not published | $1.00 – $1.00 | 1 |
| Injection anesthetic agent(s) and/or steroid genicular nerve branches w/guidance (both sides) CPT 64454 | $2,392.80 | $2,991.00 | $81.55 – $2,691.90 | 16 |
| Injection arthrography hip without anesthesia (both sides) CPT 27093 | $794.40 | $993.00 | $1.00 – $893.70 | 16 |
| Injection, belinostat, 10mg HCPCS J9032 | not published | not published | $48.39 – $57.42 | 10 |
| Injection, burosumab-twza 1m HCPCS J0584 | $30,192.00 | $37,740.00 | $433.52 – $11,322.00 | 16 |
| Injection, cangrelor HCPCS C9460 | not published | not published | $18.24 – $20.98 | 10 |
| Injection, caplacizumab-yhdp HCPCS C9047 | $13,188.18 | $16,485.22 | $745.65 – $14,836.70 | 12 |
| Injection carpal tunnel therapeutic (both sides) CPT 20526 | $441.60 | $552.00 | $56.59 – $496.80 | 16 |
| Injection, casimersen, 10 mg HCPCS J1426 | not published | not published | $157.76 – $174.36 | 10 |
| Injection, cimetidine hydroc HCPCS S0023 | not published | not published | $3.38 – $3.38 | 1 |
| Injection, daratumumab 10 mg HCPCS J9145 | $3,262.96 | $4,078.69 | $62.13 – $917.70 | 16 |
| Injection, delafloxacin HCPCS C9462 | not published | not published | $0.48 – $0.51 | 2 |
| Injection, doxercalciferol HCPCS J1270 | $40.68 | $50.85 | $1.00 – $18.90 | 12 |
| Injection during cath supravalvular aortography CPT 93567 | $2,606.40 | $3,258.00 | $1.00 – $2,932.20 | 16 |
| Injection, edaravone, 1 mg HCPCS J1301 | not published | not published | $19.94 – $22.97 | 10 |
| Injection epidural blood patch or clot CPT 62273 | $1,760.00 | $2,200.00 | $112.18 – $1,980.00 | 16 |
| Injection estrone per 1 mg HCPCS J1435 | not published | not published | $0.15 – $0.15 | 1 |
| Injection eye drug CPT 67028 | $592.80 | $741.00 | $90.21 – $666.90 | 16 |
| Injection, famotidine, 20 mg HCPCS S0028 | not published | not published | $0.91 – $0.91 | 2 |
| Injection for arthrography wrist (both sides) CPT 25246 | $587.20 | $734.00 | $1.00 – $660.60 | 16 |
| Injection for bladder x-ray CPT 51600 | $692.00 | $865.00 | $1.00 – $778.50 | 16 |
| Injection for hip x-ray CPT 27095 | not published | not published | $1.00 – $300.72 | 10 |
| Injection for shoulder arthrogram or enhanced ct/mri shoulder arthography (both sides) CPT 23350 | $652.00 | $815.00 | $1.00 – $733.50 | 16 |
| Injection for spleen x-ray CPT 38200 | $77.60 | $97.00 | $1.00 – $127.16 | 16 |
| Injection for tear sac x-ray CPT 68850 | not published | not published | $1.00 – $57.50 | 10 |
| Injection for ureter x-ray CPT 50684 | $393.60 | $492.00 | $1.00 – $442.80 | 16 |
| Injection for ureter x-ray CPT 50690 | $576.00 | $720.00 | $1.00 – $648.00 | 16 |
| Injection, fosphenytoin sodi HCPCS S0078 | not published | not published | $27.03 – $114.75 | 2 |
| Injection, fulvestrant HCPCS J9395 | $2,155.27 | $2,694.08 | $6.39 – $2,424.67 | 16 |
| Injection glatiramer acetate HCPCS J1595 | $642.41 | $803.01 | $153.01 – $722.71 | 16 |
| Injection, glucarpidase HCPCS C9293 | $46,172.12 | $57,715.14 | $440.98 – $51,943.63 | 12 |
| Injection, inclisiran, 1 mg HCPCS J1306 | not published | not published | $11.70 – $13.48 | 10 |
| Injection into brain canal CPT 61026 | $1,289.60 | $1,612.00 | $110.18 – $1,450.80 | 16 |
| Injection into brain canal CPT 61055 | $1,681.60 | $2,102.00 | $116.17 – $1,891.80 | 16 |
| Injection into hemorrhoid(s) CPT 46500 | not published | not published | $184.41 – $957.30 | 10 |
| Injection into spinal artery CPT 62294 | not published | not published | $664.10 – $972.33 | 10 |
| Injection into vocal cord CPT 31513 | not published | not published | $130.82 – $407.73 | 10 |
| Injection intraop add-on CPT 48400 | not published | not published | $88.22 – $105.19 | 10 |
| Injection, isavuconazonium HCPCS J1833 | $1,175.47 | $1,469.33 | $0.94 – $872.37 | 16 |
| Injection jaw joint x-ray CPT 21116 | $245.60 | $307.00 | $1.00 – $276.30 | 16 |
| Injection jugular CPT 36299 | $1,965.60 | $2,457.00 | $1.00 – $2,211.30 | 12 |
| Injection, khapzory, 0.5 mg HCPCS J0642 | not published | not published | $1.06 – $1.06 | 1 |
| Injection, necitumumab, 1 mg HCPCS J9295 | not published | not published | $5.44 – $6.28 | 10 |
| Injection of HIV prep drug HCPCS G0012 | not published | not published | $14.31 – $74.73 | 10 |
| Injection of sinus tract CPT 20500 | $1,656.00 | $2,070.00 | $89.54 – $1,863.00 | 16 |
| Injection,onabotulinumtoxina HCPCS J0585 | $1,046.81 | $1,308.51 | $6.17 – $1,177.66 | 16 |
| Injection, pentamidine iseth HCPCS S0080 | $312.33 | $390.41 | $81.00 – $177.80 | 12 |
| Injection, peramivir HCPCS J2547 | not published | not published | $1.59 – $1.76 | 10 |
| Injection, piperacillin sodi HCPCS S0081 | not published | not published | $2.95 – $2.95 | 1 |
| Injection px peyronie ds CPT 54200 | not published | not published | $87.88 – $255.37 | 10 |
| Injection radioactive tracer sentinel node (both sides) CPT 38792 | $744.80 | $931.00 | $31.62 – $837.90 | 16 |
| Injection, renflexis HCPCS Q5104 | $645.40 | $806.75 | $25.65 – $591.84 | 16 |
| Injection, ruconest HCPCS J0596 | not published | not published | $33.70 – $40.23 | 10 |
| Injection sacroiliac joint anesthesia/steroid without or w/arthrography (both sides) HCPCS G0260 | not published | not published | $503.85 – $724.79 | 9 |
| Injection(s) anesthetic agent(s) and/or steroid femoral nerve left CPT 64447 | $1,545.60 | $1,932.00 | $62.25 – $1,738.80 | 16 |
| Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides) CPT 64450 | $1,300.80 | $1,626.00 | $41.61 – $1,463.40 | 16 |
| Injection(s) anesthetic agent(s)/steroid lumb/s transforaminal epidural w/img single (both sides) CPT 64483 | $1,902.40 | $2,378.00 | $110.51 – $2,140.20 | 16 |
| Injection(s) diagnostic/therapeutic agent facet cervical/thoracic 2nd level CPT 64491 | $1,229.60 | $1,537.00 | $1.00 – $1,383.30 | 16 |
| Injection(s) diagnostic/therapeutic agent facet cervical/thoracic single level CPT 64490 | $2,082.40 | $2,603.00 | $104.52 – $2,342.70 | 16 |
| Injection(s) diagnostic/therapeutic agent facet lumbar/sacral 2nd level w/image guidance CPT 64494 | $1,317.60 | $1,647.00 | $1.00 – $1,482.30 | 16 |
| Injection(s) diagnostic/therapeutic agent facet lumbar/sacral single level CPT 64493 | $2,031.20 | $2,539.00 | $89.88 – $2,285.10 | 16 |
| Injection(s) epidural/subarachnoid cervical/thoracic needle placement w/guidance CPT 62321 | $2,420.80 | $3,026.00 | $106.52 – $2,723.40 | 16 |
| Injection(s) epidural/subarachnoid lumbar/sacral needle placement w/guidance CPT 62323 | $2,304.80 | $2,881.00 | $98.53 – $2,592.90 | 16 |
| Injection, siltuximab HCPCS J2860 | $9,867.30 | $12,334.12 | $148.96 – $2,702.75 | 16 |
| Injection(s) tendon sheath/ligament aponeurosis single (both sides) CPT 20550 | $1,073.60 | $1,342.00 | $38.61 – $1,207.80 | 16 |
| Injection(s) trigger point(s) single/multiple 1 or 2 muscle(s) CPT 20552 | $1,042.40 | $1,303.00 | $36.62 – $1,172.70 | 16 |
| Injection(s) trigger point(s) single/multiple >= 3 muscle(s) CPT 20553 | $1,042.40 | $1,303.00 | $41.61 – $1,172.70 | 16 |
| Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug CPT 96376 | $202.40 | $253.00 | $1.00 – $33.60 | 12 |
| Injection, ticarcillin disod HCPCS S0040 | not published | not published | $13.60 – $13.60 | 1 |
| Injection torsemide 10 mg/ml HCPCS J3265 | not published | not published | $1.09 – $1.09 | 1 |
| Injection treatment of eye CPT 66020 | not published | not published | $130.15 – $2,394.77 | 10 |
| Injection treatment of eye CPT 66030 | $3,223.20 | $4,029.00 | $110.51 – $3,626.10 | 16 |
| Injection treatment of nerve CPT 64605 | not published | not published | $430.07 – $2,023.59 | 10 |
| Injection treatment of nerve CPT 64610 | $5,391.20 | $6,739.00 | $483.67 – $6,065.10 | 16 |
| Injection treatment of nerve CPT 64681 | $1,301.60 | $1,627.00 | $217.03 – $1,464.30 | 16 |
| Injection treatment of nose CPT 30200 | not published | not published | $59.92 – $534.71 | 10 |
| Inject sacroiliac joint CPT 27096 | $912.00 | $1,140.00 | $82.22 – $1,026.00 | 16 |
| Inject/treat eye socket CPT 67500 | not published | not published | $63.58 – $307.90 | 10 |
| Inject/treat eye socket CPT 67505 | not published | not published | $70.90 – $307.90 | 10 |
| Inject/treat eye socket CPT 67515 | not published | not published | $46.27 – $307.90 | 10 |
| Inj, eculizumab-aagh, 2 mg HCPCS Q5151 | not published | not published | $29.79 – $32.92 | 10 |
| Inj, eculizumab-aeeb, 2 mg HCPCS Q5152 | not published | not published | $38.30 – $42.33 | 10 |
| Inj efgart-alfa 2mg hya-qvfc HCPCS J9334 | not published | not published | $32.19 – $37.09 | 10 |
| Inj eflapegrastim-xnst 0.1mg HCPCS J1449 | not published | not published | $19.83 – $22.84 | 10 |
| Inj., emapalumab-lzsg, 1 mg HCPCS J9210 | not published | not published | $365.61 – $421.15 | 10 |
| Inj., emicizumab-kxwh 0.5 mg HCPCS J7170 | not published | not published | $51.22 – $61.40 | 10 |
| Inj epidural sgl cerv-thor without img CPT 62320 | $1,891.20 | $2,364.00 | $99.20 – $2,127.60 | 16 |
| Inj epidural sgl lumb-sacral without img CPT 62322 | $1,868.00 | $2,335.00 | $78.56 – $2,101.50 | 16 |
| Inj, epinephrine (belcher) HCPCS J0173 | not published | not published | $1.71 – $1.71 | 1 |
| Inj., eravacycline, 1 mg HCPCS J0122 | not published | not published | $1.13 – $1.13 | 1 |
| Inj, erzofri, 1 mg HCPCS J2428 | not published | not published | $15.93 – $18.35 | 10 |
| Inj, etelcalcetide, 0.1 mg HCPCS J0606 | $796.58 | $995.72 | $2.61 – $320.05 | 12 |
| Inj, eteplirsen, 10 mg HCPCS J1428 | not published | not published | $158.98 – $175.71 | 10 |
| Inj, evinacumab-dgnb, 5mg HCPCS J1305 | not published | not published | $179.14 – $212.04 | 10 |
| Inj., evomela, 1 mg HCPCS J9246 | not published | not published | $16.08 – $20.24 | 10 |
| Inj, exagamglogene autotem HCPCS J3392 | not published | not published | $2,215,400.00 – $2,448,600.00 | 10 |
| Inj, factor x, (human), 1iu HCPCS J7175 | not published | not published | $9.11 – $10.70 | 10 |
| Inj, faricimab-svoa, 0.1mg HCPCS J2777 | not published | not published | $32.18 – $37.07 | 10 |
| Inj fe-based mr contrast,1ml HCPCS Q9953 | not published | not published | $1.00 – $1.00 | 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.