Sterile water/saline, 500 ml 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

$26.79

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.

$33.48

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.

$7.90 with Blue Cross Blue Shield of Minnesota vs $30.31 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 $7.90 ↓ -71%
Sanford Health Plan Align Medicare Replacement $14.88 ↓ -44%
Ucare Medicare Replacement $15.99 ↓ -40%
United Healthcare Medicare Replacement $16.12 ↓ -40%
Blue Cross Blue Shield of North Dakota Medicare Replacement $16.12 ↓ -40%
Great Plains Medicare Advantage Medicare Replacement $16.12 ↓ -40%
Aetna Medicare Replacement $16.12 ↓ -40%
Health Partners Medicare Replacement $16.12 ↓ -40%
Primewest Medicare Replacement $16.45 ↓ -39%
Security Health Plan Commercial $17.95 ↓ -33%
Blue Cross Blue Shield of North Dakota Commercial $21.19 ↓ -21%
Health Partners Commercial $25.46 ↓ -5%
Sanford Health Plan SD Exchange True $25.77 ↓ -4%
Medica Choice $26.93 ↑ +1%
United Healthcare Commercial + Top 20 $27.25 ↑ +2%
Aetna Commercial $28.36 ↑ +6%
Ucare Commercial $28.68 ↑ +7%
Medica Elect $28.79 ↑ +7%
First Choice Health Network Commercial $29.38 ↑ +10%
Healthez Commercial $29.38 ↑ +10%
Multiplan Commercial $29.38 ↑ +10%
Blue Cross Blue Shield of Minnesota Commercial $30.20 ↑ +13%
Sanford Health Plan Commercial/ND Pers/Group Health/True/SD Exchange Commercial $30.31 ↑ +13%

Visitor-reported prices

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Sterile water/saline, 500 ml at other North-dakota hospitals

Hospital City Cash price Negotiated range
Sanford Medical Center Bismarck Bismarck $40.00 $4.01 – $45.00
Sanford Medical Center Mayville Mayville $31.60 $7.94 – $29.52
Sanford Fargo Medical Center Fargo not published $1.00 – $4.60

All North-dakota hospitals for this procedure →