Prices at 18 hospitals in North Dakota, from their machine-readable files. Here the median cash price is $351 — 6% below the US median ($374), roughly 2.9× the Medicare rate.
Lowest cash prices
| Hospital | Location | Cash | Insurer | CMS rating | ER wait | Readmit |
|---|---|---|---|---|---|---|
| CHI St Alexius Health | Bismarck, ND | $111 | $139 | ★ 4/5 | 164 min | 14.7% |
| Garrison Memorial Hospital | Garrison, ND | $111 | $139 | — | 111 min | — |
| CHI St Alexius Health Turtle Lake | Turtle Lake, ND | $141 | $164 | — | 105 min | — |
| CHI St Alexius Health Williston | Williston, ND | $153 | $193 | ★ 3/5 | 157 min | 15.6% |
| CHI St Alexius Health Dickinson | Dickinson, ND | $166 | $180 | ★ 2/5 | 185 min | 13.6% |
| Mountrail County Medical Center Inc | Stanley, ND | $326 | $326 | — | 79 min | — |
| Presentation Medical Center | Rolla, ND | $335 | — | — | 104 min | 15.0% |
| Smp Health St Aloisius | Harvey, ND | $335 | — | ★ 1/5 | 76 min | 15.8% |
| Essentia Health | Fargo, ND | $343 | $223 | ★ 3/5 | 104 min | 14.8% |
| Jamestown Regional Medical Center | Jamestown, ND | $360 | $367 | ★ 4/5 | 110 min | 14.7% |
| St Andrew's Hospital | Bottineau, ND | $401 | $339 | — | 105 min | 15.6% |
| Sanford Medical Center Bismarck | Bismarck, ND | $436 | $412 | ★ 4/5 | 175 min | 13.9% |
| Altru Hospital | Grand Forks, ND | $489 | $470 | ★ 3/5 | 167 min | 13.9% |
| Sanford Medical Center Fargo | Fargo, ND | $489 | $412 | ★ 4/5 | 189 min | 14.6% |
| Jacobson Memorial Hospital Care Center | Elgin, ND | $518 | $656 | — | 111 min | — |
| Tioga Medical Center | Tioga, ND | $553 | $553 | — | 84 min | 15.4% |
| South Central Health | Wishek, ND | $559 | — | — | 96 min | 14.9% |
| Sakakawea Medical Center-CAH | Hazen, ND | $652 | $309 | — | 119 min | 15.2% |
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 June 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)
Typical cash price here is $351 — about 2.9× the Medicare rate ($121). On the higher side. A fair cash price is usually within ~2× Medicare ($242).
💡 Asking for the cash price instead of the $448 list price could save about $96 (21%).
Rough estimate from this procedure’s median insurer-negotiated rate. Your actual cost depends on your plan — confirm with your insurer.
Skin biopsy (punch) cost in other states
All Skin biopsy (punch) prices (national) → · All hospitals in North Dakota →