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.
35 prices shown (filtered).
| Service | Code | List price | Cash price | Negotiated range | Allowed (median) | |
|---|---|---|---|---|---|---|
| Albuterol Sulfate Inhal Aero 108 MCG/ACT (90MCG Base Equiv) Outpatient | 0637 RC | $33.92 | $27.14 | $10.76 – $30.53 | — | |
| Betamethasone Dipropionate Lotion 0.05% Outpatient | 0637 RC | $51.26 | $41.01 | $16.25 – $46.13 | — | |
| Bimatoprost Ophth Soln 0.03% Outpatient | 0637 RC | $43.44 | $34.76 | $13.77 – $39.10 | — | |
| Brinzolamide Ophth Susp 1% Outpatient | 0637 RC | $390 | $312 | $124 – $351 | — | |
| Carbamazepine Tab ER 12HR 200 MG Outpatient | 0637 RC | $2.00 | $1.60 | $0.63 – $1.80 | — | |
| Chlorthalidone Tab 25 MG Outpatient | 0637 RC | $3.77 | $3.02 | $1.20 – $3.39 | — | |
| Clonidine TD Patch Weekly 0.1 MG/24HR Outpatient | 0637 RC | $54.07 | $43.26 | $17.15 – $48.66 | — | |
| Cyclosporine (Ophth) Emulsion 0.05% Outpatient | 0637 RC | $16.65 | $13.32 | $5.28 – $14.99 | — | |
| Diltiazem HCl Cap ER 12HR 60 MG Outpatient | 0637 RC | $6.37 | $5.10 | $2.02 – $5.73 | — | |
| Efavirenz-Emtricitabine-Tenofovir DF Tab 600-200-300 MG Outpatient | 0637 RC | $6.52 | $5.22 | $2.07 – $5.87 | — | |
| Fentanyl TD Patch 72HR 75 MCG/HR Outpatient | 0637 RC | $14.98 | $11.99 | $4.75 – $13.48 | — | |
| Fluconazole Tab 100 MG Outpatient | 0637 RC | $3.97 | $3.18 | $1.26 – $3.57 | — | |
| Glimepiride Tab 2 MG Outpatient | 0637 RC | $2.00 | $1.60 | $0.63 – $1.80 | — | |
| Glipizide Tab 5 MG Outpatient | 0637 RC | $2.00 | $1.60 | $0.63 – $1.80 | — | |
| Hydrocortisone Tab 5 MG Outpatient | 0637 RC | $2.00 | $1.60 | $0.63 – $1.80 | — | |
| Hydromorphone HCl Liqd 1 MG/ML Outpatient | 0637 RC | $4.25 | $3.40 | $1.35 – $3.83 | — | |
| Iodine Solution Strong 5% (Lugol's) Outpatient | 0637 RC | $6.00 | $4.80 | $1.90 – $5.40 | — | |
| Ipratropium bromide nasal soln 0.06% (42 mcg/spray) Outpatient | 0637 RC | $30.65 | $24.52 | $9.72 – $27.59 | — | |
| Irbesartan Tab 150 MG Outpatient | 0637 RC | $2.00 | $1.60 | $0.63 – $1.80 | — | |
| Ketoconazole Cream 2% Outpatient | 0637 RC | $12.76 | $10.21 | $4.05 – $11.48 | — | |
| Ketorolac Tromethamine Ophth Soln 0.4% Outpatient | 0637 RC | $82.15 | $65.72 | $26.05 – $73.94 | — | |
| Ketorolac Tromethamine Ophth Soln 0.5% Outpatient | 0637 RC | $18.71 | $14.97 | $5.93 – $16.84 | — | |
| Lovastatin Tab 40 MG Outpatient | 0637 RC | $2.00 | $1.60 | $0.63 – $1.80 | — | |
| Mesalamine Cap DR 400 MG Outpatient | 0637 RC | $7.31 | $5.85 | $2.32 – $6.58 | — | |
| Mometasone Furoate Nasal Susp 50 MCG/ACT Outpatient | 0637 RC | $45.53 | $36.43 | $14.44 – $40.98 | — | |
| Nitroglycerin TD Patch 24HR 0.4 MG/HR Outpatient | 0637 RC | $3.66 | $2.93 | $1.16 – $3.29 | — | |
| Ofloxacin Ophth Soln 0.3% Outpatient | 0637 RC | $44.72 | $35.78 | $14.18 – $40.25 | — | |
| Olmesartan Medoxomil-Hydrochlorothiazide Tab 40-25 MG Outpatient | 0637 RC | $2.00 | $1.60 | $0.63 – $1.80 | — | |
| Pravastatin Sodium Tab 40 MG Outpatient | 0637 RC | $2.00 | $1.60 | $0.63 – $1.80 | — | |
| Rabeprazole Sodium EC Tab 20 MG Outpatient | 0637 RC | $2.00 | $1.60 | $0.63 – $1.80 | — |