Darbepoetin alfa 100 mcg/0.5 ml in polysorbate injection syringe at Sanford Medical Center Hillsboro

12 3rd St SE, Hillsboro, ND · Sanford Health · · NPI 1184725194

Source: hospital's published price file ↗ · Published Mar 4, 2026 · Ingested Aug 12, 2026

$1,399.20

Cash price

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Discounted cash price

What a hospital charges a self-pay patient who pays directly, without going through insurance — usually well below the gross charge.

Example: A CT scan has a $3,200 gross charge but an $850 discounted cash price. Ask for it by name when scheduling — hospitals don't always advertise it up front.

Full explanation →

What you pay up front if you don't use insurance.

$1,749.00

Gross charge

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Gross charge (chargemaster price)

The hospital's full, undiscounted list price — pulled from its internal "chargemaster" price list. Almost no one actually pays this.

Example: A chest X-ray has a gross charge of $1,450. The same hospital's discounted cash price for the same X-ray is $180 — the gross charge mostly anchors negotiations, not what patients pay.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$59.07 with Blue Cross Blue Shield of Minnesota vs $226.60 with Sanford Health Plan — same scan, same building. Share

Negotiated rates by payer
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Negotiated rate

The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.

Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.

Full explanation →

Payer
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Payer

The insurance company footing the bill — Aetna, UnitedHealthcare, Medicare, and so on.

Example: "Blue Cross Blue Shield" is the payer. Its negotiated rate for an MRI might be $904, while a different payer's negotiated rate for the same scan is $1,509.

Full explanation →
Plan
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Plan

The specific product an insurer sells — e.g. "Blue Cross PPO 500" — which sets your deductible, coinsurance and negotiated rates.

Example: Two people both insured by Aetna can owe very different amounts for the same MRI: $50 with an HMO plan's flat copay, or the full $1,200 toward a high-deductible PPO plan's unmet deductible.

Full explanation →
Negotiated rate vs. cash
Blue Cross Blue Shield of Minnesota PMAP $59.07 ↓ -96%
Sanford Health Plan Align Medicare Replacement $111.26 ↓ -92%
Ucare Medicare Replacement $119.56 ↓ -91%
Blue Cross Blue Shield of North Dakota Medicare Replacement $120.54 ↓ -91%
Health Partners Medicare Replacement $120.54 ↓ -91%
Great Plains Medicare Advantage Medicare Replacement $120.54 ↓ -91%
Aetna Medicare Replacement $120.54 ↓ -91%
United Healthcare Medicare Replacement $120.54 ↓ -91%
Primewest Medicare Replacement $122.98 ↓ -91%
Security Health Plan Commercial $134.20 ↓ -90%
Blue Cross Blue Shield of North Dakota Commercial $158.40 ↓ -89%
Health Partners Commercial $190.32 ↓ -86%
Sanford Health Plan SD Exchange True $192.61 ↓ -86%
Medica Choice $201.30 ↓ -86%
United Healthcare Commercial + Top 20 $203.74 ↓ -85%
Aetna Commercial $212.04 ↓ -85%
Ucare Commercial $214.38 ↓ -85%
Medica Elect $215.21 ↓ -85%
Multiplan Commercial $219.60 ↓ -84%
Healthez Commercial $219.60 ↓ -84%
First Choice Health Network Commercial $219.60 ↓ -84%
Blue Cross Blue Shield of Minnesota Commercial $225.75 ↓ -84%
Sanford Health Plan Commercial/ND Pers/Group Health/True/SD Exchange Commercial $226.60 ↓ -84%

Visitor-reported prices

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Darbepoetin alfa 100 mcg/0.5 ml in polysorbate injection syringe at other North-dakota hospitals

Hospital City Cash price Negotiated range
Sanford Medical Center Bismarck Bismarck $2,758.36 $2.78 – $183.38
Sanford Fargo Medical Center Fargo $2,952.39 $2.78 – $265.40

All North-dakota hospitals for this procedure →