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 |
|---|---|---|---|---|
| Ped critical care initial CPT 99471 | not published | not published | $680.66 – $763.62 | 10 |
| Ped critical care subsq CPT 99472 | not published | not published | $349.26 – $391.13 | 10 |
| Ped home apnea mntr att only CPT 94775 | not published | not published | $113.81 – $164.28 | 9 |
| Ped home apnea mntr dl&alys CPT 94776 | not published | not published | $113.81 – $163.71 | 9 |
| Pediatric electric hand HCPCS L7008 | not published | not published | $6,343.47 – $7,297.77 | 10 |
| Pediatric electric hook HCPCS L7045 | not published | not published | $1,799.79 – $2,036.99 | 10 |
| Pedicle enel/ntroral 15576 CPT 15576 | not published | not published | $646.44 – $1,911.28 | 10 |
| Ped term dev, hand, vol clos HCPCS L6714 | not published | not published | $1,482.01 – $1,695.72 | 10 |
| Ped term dev, hand, vol open HCPCS L6713 | not published | not published | $1,749.73 – $2,002.08 | 10 |
| Ped term dev, hook, vol clos HCPCS L6712 | not published | not published | $1,386.40 – $1,586.30 | 10 |
| Ped term dev, hook, vol open HCPCS L6711 | not published | not published | $752.97 – $861.60 | 10 |
| Pegademase bovine, 25 iu HCPCS J2504 | not published | not published | $354.08 – $354.08 | 1 |
| Pegaptanib sodium injection HCPCS J2503 | not published | not published | $755.86 – $755.86 | 1 |
| Pegaspargase injection HCPCS J9266 | $41,065.49 | $51,331.86 | $21,046.06 – $46,198.67 | 16 |
| Pegfilgrastim 6 mg/0.6 ml (deliverable) wearable subcutaneous injector HCPCS J2506 | $7,055.11 | $8,818.88 | $31.73 – $7,936.99 | 16 |
| Pegfilgrastim-apgf 6 mg/0.6 ml subcutaneous syringe HCPCS Q5122 | not published | not published | $88.98 – $146.28 | 10 |
| Pegfilgrastim-cbqv 6 mg/0.6 ml subcutaneous syringe HCPCS Q5111 | $2,665.27 | $3,331.58 | $101.02 – $2,959.97 | 16 |
| Pegfilgrastim-fpgk 6 mg/0.6 ml subcutaneous syringe HCPCS Q5127 | not published | not published | $175.66 – $208.63 | 10 |
| Pegfilgrastim-jmdb 6 mg/0.6 ml subcutaneous syringe HCPCS Q5108 | not published | not published | $94.17 – $109.12 | 10 |
| Pegfilgrastim-pbbk 6 mg/0.6 ml subcutaneous syringe HCPCS Q5130 | not published | not published | $131.07 – $154.18 | 10 |
| Peginesatide injection HCPCS J0890 | not published | not published | $9.70 – $9.70 | 1 |
| Peg interferon alfa-2a/180 HCPCS S0145 | not published | not published | $1,135.69 – $1,135.69 | 2 |
| Pegloticase 8 mg/ml intravenous solution HCPCS J2507 | not published | not published | $3,307.05 – $4,006.20 | 10 |
| Pegunigalsidase alfa-iwxj HCPCS J2508 | not published | not published | $216.75 – $249.68 | 10 |
| Pelv band/spread bar thigh c HCPCS L1640 | not published | not published | $529.16 – $669.70 | 10 |
| Pelvic band & belt thigh fla HCPCS L2192 | not published | not published | $372.67 – $421.77 | 10 |
| Pelvic control band & belt b HCPCS L2640 | not published | not published | $351.23 – $397.52 | 10 |
| Pelvic control band & belt u HCPCS L2630 | not published | not published | $258.81 – $390.56 | 10 |
| Pelvic control hip heavy dut HCPCS L2620 | not published | not published | $279.45 – $316.28 | 10 |
| Pelvic control pelvic sling HCPCS L2580 | not published | not published | $485.08 – $718.08 | 10 |
| Pelvic CT scan (with and without contrast) CPT 72194 | $2,576.80 | $3,221.00 | $133.87 – $2,898.90 | 16 |
| Pelvic CT scan (with contrast) CPT 72193 | $2,252.80 | $2,816.00 | $133.87 – $2,534.40 | 16 |
| Pelvic CT scan (without contrast) CPT 72192 | $2,039.20 | $2,549.00 | $80.11 – $2,294.10 | 16 |
| Pelvic exenteration CPT 45126 | not published | not published | $2,322.40 – $2,715.93 | 10 |
| Pelvic & hip control thigh c HCPCS L1680 | not published | not published | $1,273.47 – $1,441.29 | 10 |
| Pelvic MRI (with and without contrast) CPT 72197 | $4,402.40 | $5,503.00 | $280.20 – $4,952.70 | 16 |
| Pelvic MRI (with contrast) CPT 72196 | $3,724.80 | $4,656.00 | $275.62 – $4,190.40 | 16 |
| Pelvic MRI (without contrast) CPT 72195 | $3,293.60 | $4,117.00 | $178.53 – $3,705.30 | 16 |
| Pelvic ring fracture uni/bil HCPCS G0413 | not published | not published | $1,069.19 – $7,497.96 | 10 |
| Pelvic ring fx treat int fix HCPCS G0414 | not published | not published | $883.11 – $1,008.94 | 10 |
| Pelvic Ultrasound (complete) CPT 76856 | $902.40 | $1,128.00 | $80.11 – $1,015.20 | 16 |
| Pelvic Ultrasound (limited) CPT 76857 | $474.40 | $593.00 | $49.27 – $533.70 | 16 |
| Pelvis X-ray (1 to 2 views) CPT 72170 | $389.60 | $487.00 | $27.96 – $438.30 | 16 |
| Pelvis X-ray (complete, 4 or more views) CPT 72190 | $468.00 | $585.00 | $42.28 – $526.50 | 16 |
| Pelv & thor control gluteal HCPCS L2650 | not published | not published | $128.44 – $141.96 | 10 |
| Pembrolizumab 25 mg/ml intravenous solution HCPCS J9271 | $8,720.99 | $10,901.23 | $56.41 – $8,537.39 | 16 |
| Pemetrexed disodium 100 mg intravenous powder for solution HCPCS J9305 | $5,014.24 | $6,267.80 | $3.22 – $41.38 | 16 |
| Pemivibart infusion HCPCS M0224 | $783.20 | $979.00 | $271.87 – $881.10 | 16 |
| Peng benzathine/procaine inj HCPCS J0558 | $311.19 | $388.98 | $15.74 – $188.97 | 16 |
| Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe HCPCS J0561 | $511.92 | $639.89 | $20.16 – $332.42 | 16 |
| Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr HCPCS J2540 | $394.44 | $493.04 | $1.00 – $18.90 | 12 |
| Penicillin g procaine inj HCPCS J2510 | $47.60 | $59.49 | $24.39 – $53.54 | 16 |
| Penile injection CPT 54235 | $526.40 | $658.00 | $73.57 – $592.20 | 16 |
| Penile rear tip xtnd 0.5cm HCPCS C2622 | $24,595.20 | $30,744.00 | $1.00 – $26,423.28 | 12 |
| Penile vascular study CPT 93980 | $462.40 | $578.00 | $80.11 – $520.20 | 16 |
| Penile vascular study CPT 93981 | not published | not published | $70.57 – $111.66 | 10 |
| Penile venous occlusion CPT 37790 | not published | not published | $484.00 – $3,621.42 | 10 |
| Penis plastic surgery CPT 54360 | not published | not published | $717.68 – $3,621.42 | 10 |
| Penis study CPT 54240 | not published | not published | $107.19 – $326.97 | 10 |
| Pentamidine non-comp unit HCPCS J2545 | $216.16 | $270.19 | $52.22 – $182.62 | 12 |
| Pentastarch 10% solution HCPCS J2513 | not published | not published | $13.99 – $13.99 | 1 |
| Pentazocine injection HCPCS J3070 | not published | not published | $1.00 – $1.00 | 1 |
| Pentobarbital sodium inj HCPCS J2515 | $3,135.60 | $3,919.50 | $1.00 – $58.82 | 12 |
| Pentostatin 10 mg intravenous solution HCPCS J9268 | $4,464.63 | $5,580.78 | $2,288.12 – $5,022.70 | 16 |
| Perc cryo ablate renal tum CPT 50593 | $11,413.60 | $14,267.00 | $445.72 – $12,840.30 | 16 |
| Perc d-e cor revasc chro add HCPCS C9608 | $12,596.00 | $15,745.00 | $1.00 – $14,170.50 | 12 |
| Perc d-e cor revasc chro sin HCPCS C9607 | $17,990.40 | $22,488.00 | $6,244.92 – $20,239.20 | 16 |
| Perc d-e cor revasc t cabg b HCPCS C9605 | $13,254.40 | $16,568.00 | $1.00 – $14,911.20 | 12 |
| Perc d-e cor revasc t cabg s HCPCS C9604 | $16,113.60 | $20,142.00 | $5,593.43 – $18,127.80 | 16 |
| Perc d-e cor stent ather br HCPCS C9603 | $11,957.60 | $14,947.00 | $1.00 – $13,452.30 | 12 |
| Perc d-e cor stent ather s HCPCS C9602 | $26,470.40 | $33,088.00 | $9,188.54 – $29,779.20 | 16 |
| Perc drug-el cor stent bran HCPCS C9601 | $14,565.60 | $18,207.00 | $1.00 – $16,386.30 | 12 |
| Perc drug-el cor stent sing HCPCS C9600 | $17,790.40 | $22,238.00 | $6,175.49 – $20,014.20 | 16 |
| Perc rf ablate renal tumor CPT 50592 | $9,214.40 | $11,518.00 | $334.21 – $10,366.20 | 16 |
| Percut ablate liver rf CPT 47382 | $9,884.80 | $12,356.00 | $716.01 – $11,120.40 | 16 |
| Percutaneous islet celltrans HCPCS G0341 | not published | not published | $304.25 – $1,576.42 | 10 |
| Perflutren lipid microspheres 1.1 mg/ml intravenous suspension HCPCS Q9957 | $480.24 | $600.30 | $1.00 – $540.27 | 12 |
| Pericardial drain w/cath pq w/ct guid CPT 33019 | $3,152.80 | $3,941.00 | $179.49 – $3,546.90 | 16 |
| Pericardiectomy/sub or com/w bypas 33031 CPT 33031 | not published | not published | $2,038.66 – $2,421.67 | 10 |
| Pericardiocentesis wwo imaging CPT 33016 | $2,623.20 | $3,279.00 | $228.69 – $2,951.10 | 16 |
| Pericardiotomy/clot/for bod remove 33020 CPT 33020 | not published | not published | $692.48 – $811.22 | 10 |
| Peri-implt capslc brst compl CPT 19371 | not published | not published | $713.35 – $3,994.97 | 10 |
| Perineoplasty rpr per nonob CPT 56810 | not published | not published | $274.95 – $3,276.65 | 10 |
| Peripheral vascular rehab CPT 93668 | $141.60 | $177.00 | $14.65 – $159.30 | 16 |
| Peri-proc device eval icd CPT 93287 | $220.80 | $276.00 | $1.00 – $248.40 | 16 |
| Peri-proc device eval pm CPT 93286 | $198.40 | $248.00 | $1.00 – $223.20 | 16 |
| Peritoneal cath sub q resv per CPT 49419 | $6,588.00 | $8,235.00 | $415.43 – $7,411.50 | 16 |
| Peritoneogram rs&i CPT 74190 | $466.40 | $583.00 | $161.90 – $575.72 | 16 |
| Perit-vens shunt pat tst CPT 78291 | $1,048.80 | $1,311.00 | $242.00 – $1,179.90 | 16 |
| Permanent tear duct plug HCPCS A4263 | $432.00 | $540.00 | $1.00 – $267.30 | 12 |
| Peroneal straps pair pre ots HCPCS L0980 | not published | not published | $18.69 – $20.65 | 10 |
| Perp bk ptb thermopls direct HCPCS L5520 | not published | not published | $1,639.71 – $1,812.31 | 10 |
| Perphenazine 4mg oral HCPCS Q0175 | not published | not published | $1.00 – $1.00 | 1 |
| Perphenazine injeciton HCPCS J3310 | not published | not published | $1.00 – $1.00 | 1 |
| Perq art m-thrombect &/nfs CPT 61645 | $10,435.20 | $13,044.00 | $700.00 – $11,739.60 | 16 |
| Perq clsr tcat l atr apndge CPT 33340 | $15,208.00 | $19,010.00 | $643.15 – $17,109.00 | 16 |
| Perq dev breast 1st mr guide CPT 19287 | $873.60 | $1,092.00 | $122.83 – $982.80 | 16 |
| Perq dev breast 1st strtctc CPT 19283 | $2,096.80 | $2,621.00 | $97.20 – $2,358.90 | 16 |
| Perq nl/pl lithotrp cplx>2cm CPT 50081 | not published | not published | $1,113.13 – $9,655.15 | 10 |
| Perq nl/pl lithotrp smpl<2cm CPT 50080 | not published | not published | $692.05 – $9,655.15 | 10 |
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.