Office visit, established patient (20-29 min)
Facility: Sanford Medical Center Fargo
Billing Code: 99213 (CPT)
A typical price — 2 charge more and 5 charge less, among the 9 ND hospitals compared.
Black dot = this hospital, among the 9 ND hospitals with a price for this procedure. Full list below.
A fair price for a Office visit, established patient (20-29 min) is about $85 (about 0.9× the $95 Medicare rate). Sanford Medical Center Fargo charges insurers about $90, or about $194 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
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 | $90 - $211 | 95% |
| Blue Cross Blue Shieldmajor | $90 - $117 | 95% |
| Aetnamajor | $90 - $207 | 95% |
| Cignamajor | $218 | 229% |
| Health Net | $218 | 229% |
| HealthPartners | $90 - $99 | 95% |
| Medica | $109 - $116 | 115% |
| Sanford Health Plan | $67 - $90 | 70% |
| Security Health Plan | $133 | 140% |
| UCare | $89 - $170 | 93% |
| + 2 smaller / regional plans | $91 - $218 |
Self-Pay How to get the cash price
Insurance Before you use insurance
Estimate your out-of-pocket cost
A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.
Other Procedures at Sanford Medical Center Fargo
Compare: Office visit, established patient (20-29 min) at other ND hospitals
- Linton Hospital - Cah · Linton $57
- PAM Rehabilitation Hospital of Fargo · Fargo $68
- Towner County Medical Center · Cando $76
- CHI St Alexius Health Dickinson · Dickinson $80
- CHI St Alexius Health Williston · Williston $86
- Sanford Medical Center Bismarck · Bismarck $90
- Altru Hospital · Grand Forks $92
- Trinity Kenmare Community Hospital · Kenmare $158
Insurance negotiated median for the same procedure, sorted lowest first.