Sanford Medical Center Bismarck — price list
← Hospital overviewVerified from Sanford Medical Center 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.
1,411 prices shown.
| Service | Code | List price | Cash price | Negotiated range | Allowed (median) | |
|---|---|---|---|---|---|---|
| Abacavir Sulfate Tab 300 MG (Base Equiv) Outpatient | 0250 RC | $17.71 | $14.17 | $5.62 – $15.94 | — | |
| Abacavir Sulfate-Lamivudine-Zidovudine Tab 300-150-300 MG Outpatient | 0250 RC | $48.39 | $38.72 | $15.34 – $43.55 | — | |
| Abacavir-Dolutegravir-Lamivudine Tab 600-50-300 MG Outpatient | 0250 RC | $139 | $111 | $44.11 – $125 | — | |
| Abiraterone Acetate Tab 250 MG Outpatient | J8999 HCPCS | $4.44 | $3.56 | $1.41 – $4.00 | — | |
| Acarbose Tab 25 MG Outpatient | 0250 RC | $2.00 | $1.60 | $0.63 – $1.80 | — | |
| Acetaminophen Suppos 325 MG Outpatient | 0250 RC | $2.00 | $1.60 | $0.63 – $1.80 | — | |
| Acetaminophen Suppos 650 MG Outpatient | 0250 RC | $2.00 | $1.60 | $0.63 – $1.80 | — | |
| Acetaminophen w/ Codeine Soln 120-12 MG/5ML Outpatient | 0250 RC | $4.25 | $3.40 | $1.35 – $3.83 | — | |
| Acetaminophen w/ Codeine Tab 300-30 MG Outpatient | 0250 RC | $2.00 | $1.60 | $0.63 – $1.80 | — | |
| Acetazolamide Cap ER 12HR 500 MG Outpatient | 0250 RC | $6.02 | $4.82 | $1.91 – $5.42 | — | |
| Acetazolamide Tab 250 MG Outpatient | 0250 RC | $6.16 | $4.93 | $1.95 – $5.54 | — | |
| Acetic Acid Irrigation Soln 0.25% Outpatient | 0250 RC | $12.00 | $9.60 | $3.81 – $10.80 | — | |
| Acetic Acid Otic Soln 2% Outpatient | 0250 RC | $46.39 | $37.12 | $14.71 – $41.75 | — | |
| Acetylcholine Chloride Intraocular For Soln 20 MG (1:100) Outpatient | 0250 RC | $110 | $88.15 | $34.94 – $99.16 | — | |
| Acetylcysteine Inhal Soln 10% Outpatient | 0250 RC | $15.08 | $12.07 | $4.78 – $13.57 | — | |
| Acetylcysteine Inhal Soln 20% Outpatient | 0250 RC | $26.64 | $21.32 | $8.45 – $23.98 | — | |
| Acetylcysteine Inhal Soln 20% Outpatient | J7608 HCPCS | $26.64 | $21.32 | $9.48 – $23.98 | — | |
| Adapalene Cream 0.1% Outpatient | 0250 RC | $497 | $397 | $157 – $447 | — | |
| Adapalene Gel 0.1% Outpatient | 0250 RC | $184 | $147 | $58.25 – $165 | — | |
| Albuterol Sulfate Aer Pow BA 108 MCG/ACT (90 MCG Base Equiv) Outpatient | 0250 RC | $102 | $81.51 | $32.31 – $91.69 | — | |
| Albuterol Sulfate Inhal Aero 108 MCG/ACT (90MCG Base Equiv) Outpatient | 0250 RC | $71.89 | $57.52 | $22.80 – $64.70 | — | |
| Albuterol Sulfate Inhal Aero 108 MCG/ACT (90MCG Base Equiv) Outpatient | 0637 RC | $33.92 | $27.14 | $10.76 – $30.53 | — | |
| Albuterol Sulfate Soln Nebu 0.083% (2.5 MG/3ML) Outpatient | J7613 HCPCS | $3.00 | $2.40 | $0.08 – $2.70 | — | |
| Albuterol Sulfate Soln Nebu 0.5% (5 MG/ML) Outpatient | J7611 HCPCS | $3.00 | $2.40 | $0.19 – $2.70 | — | |
| Albuterol Sulfate Soln Nebu 0.63 MG/3ML (Base Equiv) Outpatient | J7613 HCPCS | $4.25 | $3.40 | $0.08 – $3.83 | — | |
| Albuterol Sulfate Soln Nebu 1.25 MG/3ML (Base Equiv) Outpatient | J7613 HCPCS | $3.68 | $2.95 | $0.08 – $3.31 | — | |
| Albuterol Sulfate Syrup 2 MG/5ML Outpatient | 0250 RC | $4.25 | $3.40 | $1.35 – $3.83 | — | |
| Alendronate Sodium Tab 10 MG Outpatient | 0250 RC | $2.00 | $1.60 | $0.63 – $1.80 | — | |
| Alendronate Sodium Tab 70 MG Outpatient | 0250 RC | $57.46 | $45.97 | $18.22 – $51.71 | — | |
| Allopurinol Tab 100 MG Outpatient | 0250 RC | $2.00 | $1.60 | $0.63 – $1.80 | — |