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

Prices at 13 hospitals in North Dakota, from their machine-readable files. Here the median cash price is $363 — 41% above the US median ($258), roughly 2.0× the Medicare rate.

Lowest cash prices

HospitalLocationCashInsurerCMS ratingER waitReadmit
Essentia Health Fargo, ND $183 $164 ★ 3/5 108 min —
CHI St Alexius Health Williston Williston, ND $206 $243 ★ 3/5 156 min —
CHI St Alexius Health Dickinson Dickinson, ND $224 $243 ★ 2/5 174 min —
Altru Hospital Grand Forks, ND $237 $230 ★ 3/5 177 min —
Sanford Medical Center Fargo Fargo, ND $264 $195 ★ 4/5 181 min —
Sanford Medical Center Bismarck Bismarck, ND $270 $237 ★ 4/5 180 min —
Jamestown Regional Medical Center Jamestown, ND $363 $318 ★ 4/5 109 min —
South Central Health Wishek, ND $378 — — 98 min —
Mountrail County Medical Center Inc Stanley, ND $382 $382 — 83 min —
Presentation Medical Center Rolla, ND $435 $301 — 101 min —
Smp Health St Aloisius Harvey, ND $435 $301 ★ 1/5 76 min —
St Andrew's Hospital Bottineau, ND $496 $420 — 105 min —
Tioga Medical Center Tioga, ND $529 $529 — 82 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)
$420
Cash / self-pay
$363
Insurer-negotiated
$272
Medicare pays
$177
$209$484
Median cash $363  ·  Medicare $177  ·  bar = typical cash range (10th–90th percentile)
Is this a fair price?
1× Medicarefair ≈2×5×+

Typical cash price here is $363 — about 2.0× the Medicare rate ($177). On the higher side. A fair cash price is usually within ~2× Medicare ($355).

💡 Asking for the cash price instead of the $420 list price could save about $57 (14%).

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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, new patient (level 4) cost in other states

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