CMS Price Transparency Data

New patient office visit (30-44 min)

Facility: Sanford Medical Center Fargo

Billing Code: 99203 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$113
about 1.0× the $118 Medicare rate · typically $76–$117
modeled estimate · not a bill or quote
What this hospital charges insurers
$109
About the fair price
about $4 under the fair price · 0.9× Medicare
Medicare pays $118 Fair price $113 This hospital $109 Cash price $186 Hospital's list price $233

How we calculate the fair BaseRate →

How this hospital compares to other ND hospitals

One of the lower prices — 7 of 8 other ND hospitals charge more for the same procedure.

Cheapest $83 Priciest $201

Black dot = this hospital, among the 9 ND hospitals with a price for this procedure. Full list below.

A fair price for a New patient office visit (30-44 min) is about $113 (about 1.0× the $118 Medicare rate). Sanford Medical Center Fargo charges insurers about $109, or about $186 in cash — about the fair price. Located in Fargo, ND.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

4 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $109 - $203 93%
Blue Cross Blue Shieldmajor $109 - $146 93%
Aetnamajor $109 - $199 93%
Cignamajor $210 179%
Health Net $210 179%
HealthPartners $96 - $109 82%
Medica $105 - $112 89%
Sanford Health Plan $65 - $101 55%
Security Health Plan $128 109%
UCare $108 - $164 92%
+ 2 smaller / regional plans $111 - $210
Government programs also on file: Medicare.
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 801 Broadway North, Fargo, ND 58122
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals