CHI St. Alexius Health Bismarck — price list
← Hospital overviewVerified from CHI St. Alexius Health Bismarck’s published price file
Includes cash prices, list prices, insurance-negotiated rates. Open any row for plan-level negotiated rates. This is public hospital price transparency data, not a guaranteed estimate of your bill.
How to read these columns
- List
- The hospital’s full undiscounted (gross) charge — rarely what anyone actually pays.
- Cash
- The discounted self-pay price for paying directly, without insurance.
- Negotiated
- Rates agreed with insurers; open a row for plan-level detail. Your share depends on your benefits.
These are the hospital’s published reference prices, not a personalized estimate of your bill.
12 prices shown (filtered).
| Service | Code | List price | Cash price | Negotiated range | Allowed (median) | |
|---|---|---|---|---|---|---|
| ALLOGENEIC BONE MARROW TRANSPLANT Inpatient | 014 MS-DRG | — | — | $94,621 – $170,323 | — | |
| HC ADM SRSCV2 BVL 25UN/.25ML 1 Inpatient | 0141A CPT | $79.00 | $40.29 | $58.46 – $71.10 | — | |
| HC ADM SRSCV2 BVL 25UN/.25ML 1 Outpatient | 0141A CPT | $79.00 | $40.29 | $52.14 – $71.10 | — | |
| HC ADM SRSCV2 BVL 25UN/.25ML 2 Inpatient | 0142A CPT | $79.00 | $40.29 | $58.46 – $71.10 | — | |
| HC ADM SRSCV2 BVL 25UN/.25ML 2 Outpatient | 0142A CPT | $79.00 | $40.29 | $52.14 – $71.10 | — | |
| HC ADM SRSCV2 BVL 25UN/.25ML B Inpatient | 0144A CPT | $79.00 | $40.29 | $58.46 – $71.10 | — | |
| HC ADM SRSCV2 BVL 25UN/.25ML B Outpatient | 0144A CPT | $79.00 | $40.29 | $52.14 – $71.10 | — | |
| HC DRAIN HEMATOM SEROM FLUID COLL Inpatient | 10140 CPT | $1,916 | $977 | $1,418 – $1,724 | — | |
| HC DRAIN HEMATOM SEROM FLUID COLL Outpatient | 10140 CPT | $1,916 | $977 | $1,265 – $2,803 | — | |
| HC RSW SIMPLE FACE 5.1CM-7.5CM Inpatient | 12014 CPT | $486 | $248 | $360 – $437 | — | |
| HC RSW SIMPLE FACE 5.1CM-7.5CM Outpatient | 12014 CPT | $486 | $248 | $199 – $437 | — | |
| LIVER TRANSPLANT AND/OR INTESTINAL TRANSPLANT Inpatient | 0014 APR-DRG | — | — | $246,700 – $386,278 | — |