PAM Rehabilitation Hospital of Fargo
4671 38Th St S, Fargo, ND 58104 · 129 Priced Procedures
Typical commercial prices here match the fair market benchmark (0.98×) after accounting for local nurse/doctor wages and patient complexity.
Balances commercial hospital prices against CMS clinical safety, infection control, and patient experience.
Aligned Regional Benchmark Peer
PAM Rehabilitation Hospital of Fargo prices shoppable and inpatient services (1.0× to 1.0× Medicare, divergence 1.00×) in alignment with regional hospital peers (0.98× Fair BaseRate). Reviewing plan-specific negotiated rates and cash discounts helps lock in the lowest out-of-pocket tier.
Where They're Good (Patient & Payer Edge)
- Elective shoppable care is priced 2% below peer Fair BaseRate (0.98×)
- Self-pay cash beats commercial insurance on 3% of shoppable procedures (25/100 Cash Honesty)
- CMS clinical safety score (54/100 safety score) with 72% patient recommendation
- Binding Good Faith Estimate rights under 45 CFR § 149.610 protect self-pay patients before scheduling
Where You Can Get Burned (Markup Traps)
- Even at low-cost facilities (0.98× Fair BaseRate), out-of-network or unnegotiated chargemaster bills can exceed commercial medians — confirm in-network status or request a self-pay cash quote up front.
- Commercial insurance median sits at 0.95× Fair BaseRate (1.0× Medicare), so insured patients should always compare the self-pay cash price before paying.
- Even at low-cost facilities (0.98× Fair BaseRate), out-of-network or unnegotiated chargemaster bills can exceed commercial medians — confirm in-network status or request a self-pay cash quote up front.
- Unnegotiated chargemaster list prices average 14.7× Medicare (24¢ true HCRIS cost per $1 gross)
Pre-scheduled outpatient procedures where patients can comparison-shop.
Emergency, inpatient DRG, lab, and specialty drug lines billed after admission.
Detects median-gaming when upper-quartile codes spike above the p50 median.
Procedure Prices at PAM Rehabilitation Hospital of Fargo
High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 129 published procedures.
| Procedure & Billing Code | This Hospital | vs. Fair |
|---|---|---|
| Total hip replacement CPT Code: 27130 | $14,537 | 1.1× |
| Total knee replacement CPT Code: 27447 | $14,537 | 1.1× |
| Gallbladder removal (laparoscopic) CPT Code: 47562 | $6,845 | unverified |
| Breast lump removal CPT Code: 19120 | $4,433 | unverified |
| Inguinal hernia repair CPT Code: 49505 | $4,054 | 1.1× |
| Bunion correction surgery CPT Code: 28296 | $3,705 | unverified |
| Knee arthroscopy with meniscus repair CPT Code: 29881 | $3,705 | unverified |
| C-section delivery (full package) CPT Code: 59510 | $2,658 | 0.9× |
| Cataract surgery with lens implant CPT Code: 66984 | $2,613 | 1.0× |
| Vaginal delivery (full package) CPT Code: 59400 | $2,406 | 0.9× |
| Trauma team activation HCPCS Code: G0390 | $1,824 | unverified |
| Colonoscopy with biopsy CPT Code: 45380 | $1,355 | 1.1× |
| Colonoscopy (diagnostic) CPT Code: 45378 | $1,053 | 1.1× |
| Injection procedure for pain management HCPCS Code: G0260 | $966 | 1.1× |
| Sleep study (overnight, in lab) CPT Code: 95810 | $972 | 1.0× |
| Upper endoscopy with biopsy CPT Code: 43239 | $743 | 0.8× |
| Psychological testing by technician CPT Code: 96138 | $506 | 1.3× |
| Blood transfusion CPT Code: 36430 | $416 | 0.8× |
| Rabies immune globulin HCPCS Code: 90375 | $350 | 1.1× |
| CT scan, abdomen and pelvis (with contrast) CPT Code: 74177 | $329 | 0.7× |
| MRI, brain (with and without contrast) CPT Code: 70553 | $329 | 0.6× |
| Neurobehavioral status check CPT Code: 96116 | $244 | 1.1× |
| CT scan, abdomen and pelvis (no contrast) CPT Code: 74176 | $225 | 0.7× |
| MRI, lower back (no contrast) CPT Code: 72148 | $225 | 0.7× |
| MRI, brain (no contrast) CPT Code: 70551 | $225 | 0.7× |
Audit a Bill or Quote at PAM Rehabilitation Hospital of Fargo (Zero PHI Required)
Above Standard 400% FPL Financial-Assistance Ceiling
At 274% FPL, you exceed the standard 400% FPL tier, though medical-hardship caps (when bills exceed 10% of annual income) may still apply.
Compare Prompt-Pay Cash Rate Against Remaining Deductible
Ask PAM Rehabilitation Hospital of Fargo's billing desk for their written 45 CFR § 180 discounted self-pay cash price and Good Faith Estimate under the No Surprises Act.
Negotiate Toward $13,413 Fair BaseRate ($13,117 Medicare)
Your bill ($34,889) is $21,476 above the denoised Fair BaseRate ($13,413) and 2.7× the $13,117 Medicare rate.
Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)
Public IRS & CMS ownership records classify PAM Rehabilitation Hospital of Fargo as a non-501(c)(3) facility. Federal 26 U.S.C. § 501(r) statutory charity-care caps apply specifically to tax-exempt nonprofit hospitals, though state hospital fair-pricing statutes and prompt-pay self-pay discounts may still apply.
How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings
2D regional comparison of commercial negotiated price index against CMS clinical quality composite for PAM Rehabilitation Hospital of Fargo.
Notable Payer Contract Outliers (SVD Matrix Anomalies)
Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings
Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.