Office visit, established patient (level 4) cost in North Dakota

Prices at 14 hospitals in North Dakota, from their machine-readable files. Here the median cash price is $264 — 36% above the US median ($194), roughly 1.9× the Medicare rate.

Lowest cash prices

HospitalLocationCashInsurerCMS ratingER waitReadmit
CHI St Alexius Health Dickinson Dickinson, ND $119 $108 ★ 2/5 174 min —
Essentia Health Fargo, ND $151 $107 ★ 3/5 108 min —
CHI St Alexius Health Williston Williston, ND $159 $166 ★ 3/5 156 min —
Linton Hospital-CAH Linton, ND $215 $82 — 108 min —
Sanford Medical Center Bismarck Bismarck, ND $234 $205 ★ 4/5 180 min —
Sanford Medical Center Fargo Fargo, ND $249 $172 ★ 4/5 181 min —
South Central Health Wishek, ND $258 — — 98 min —
Mountrail County Medical Center Inc Stanley, ND $270 $225 — 83 min —
Presentation Medical Center Rolla, ND $288 $200 — 101 min —
Smp Health St Aloisius Harvey, ND $288 $200 ★ 1/5 76 min —
Jamestown Regional Medical Center Jamestown, ND $294 $262 ★ 4/5 109 min —
Tioga Medical Center Tioga, ND $302 $302 — 82 min —
St Andrew's Hospital Bottineau, ND $332 $282 — 105 min —
Altru Hospital Grand Forks, ND $789 $169 ★ 3/5 177 min —

CMS rating = overall hospital star rating (1–5); ER wait = median minutes in the emergency department; Readmit = 30-day readmission rate (lower is better) — all from Medicare’s Care Compare; “—” = not reported. Data last updated October 2026. Prices from hospitals’ machine-readable files (45 CFR §180); Medicare benchmark from CMS PFS/CLFS/IPPS. Prices below 15% of the median are excluded as likely partial or mis-coded charges. Estimates — confirm with the hospital. Report an incorrect price.

Price comparison (median)

Chargemaster (list price)
$301
Cash / self-pay
$264
Insurer-negotiated
$200
Medicare pays
$136
$153$323
Median cash $264  ·  Medicare $136  ·  bar = typical cash range (10th–90th percentile)
Is this a fair price?
1× Medicarefair ≈2×5×+

Typical cash price here is $264 — about 1.9× the Medicare rate ($136). Reasonable. A fair cash price is usually within ~2× Medicare ($271).

💡 Asking for the cash price instead of the $301 list price could save about $37 (12%).

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Rough estimate from this procedure’s median insurer-negotiated rate. Your actual cost depends on your plan — confirm with your insurer.

Office visit, established patient (level 4) cost in other states

All Office visit, established patient (level 4) prices (national) → · All hospitals in North Dakota →