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.
11 prices shown (filtered).
| Service | Code | List price | Cash price | Negotiated range | Allowed (median) | |
|---|---|---|---|---|---|---|
| ACUTE MAJOR EYE INFECTIONS WITH CC/MCC Inpatient | 121 MS-DRG | — | — | $8,692 – $15,122 | — | |
| HC ADM SARSCV2 BVL 30UN/.3ML 1 Inpatient | 0121A CPT | $79.00 | $40.29 | $58.46 – $71.10 | — | |
| HC ADM SARSCV2 BVL 30UN/.3ML 1 Outpatient | 0121A CPT | $79.00 | $40.29 | $52.14 – $71.10 | — | |
| HC FOREIGMN BODY REMOVAL COMPLEX Inpatient | 10121 CPT | $1,955 | $997 | $1,447 – $1,760 | — | |
| HC FOREIGMN BODY REMOVAL COMPLEX Outpatient | 10121 CPT | $1,955 | $997 | $1,290 – $2,803 | — | |
| HC LCW COMPLEX S/A/L 2.6-7.5CM Inpatient | 13121 CPT | $898 | $458 | $664 – $808 | — | |
| HC LCW COMPLEX S/A/L 2.6-7.5CM Outpatient | 13121 CPT | $898 | $458 | $592 – $1,059 | — | |
| OTHER RESPIRATORY AND CHEST PROCEDURES Inpatient | 1211 APR-DRG | — | — | $25,177 – $39,422 | — | |
| OTHER RESPIRATORY AND CHEST PROCEDURES Inpatient | 1212 APR-DRG | — | — | $29,918 – $46,845 | — | |
| OTHER RESPIRATORY AND CHEST PROCEDURES Inpatient | 1213 APR-DRG | — | — | $48,864 – $76,511 | — | |
| OTHER RESPIRATORY AND CHEST PROCEDURES Inpatient | 1214 APR-DRG | — | — | $63,170 – $98,910 | — |