CMS Price Transparency Data

Office visit, established patient (30-39 min)

Facility: Sanford Medical Center Fargo

Billing Code: 99214 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$126
about 0.9× the $136 Medicare rate · typically $85–$132
modeled estimate · not a bill or quote
What this hospital charges insurers
$126
About the fair price
0.9× Medicare
Medicare pays $136 Fair price $126 This hospital $126 Cash price $249 Hospital's list price $311

How we calculate the fair BaseRate →

How this hospital compares to other ND hospitals

On the higher side — 6 of 8 other ND hospitals charge less.

Cheapest $73 Priciest $136

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 (30-39 min) is about $126 (about 0.9× the $136 Medicare rate). Sanford Medical Center Fargo charges insurers about $126, or about $249 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 $126 - $271 93%
Blue Cross Blue Shieldmajor $126 - $173 93%
Aetnamajor $126 - $266 93%
Cignamajor $280 206%
Health Net $280 206%
HealthPartners $126 - $128 93%
Medica $140 - $150 103%
Sanford Health Plan $86 - $116 63%
Security Health Plan $171 126%
UCare $125 - $219 92%
+ 2 smaller / regional plans $128 - $280
Government programs also on file: Medicare.
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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.

Enter your details and press estimate to compare.

Facility Profile & Credentials

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