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Sanford Medical Center Bismarck

SANFORD MEDICAL CENTER BISMARCK charges 3.8x the Medicare reimbursement rate across 102 analyzed procedures, positioning this Bismarck nonprofit hospital above typical Medicare pricing benchmarks.

Bismarck, ND 58506 · Acute Care Hospitals · CMS Rating: 4/5

By Elena Vasquez , Medical Billing Research Lead · ·
Data from CMS files published FY 2024 CMS IPPS. Refreshed weekly.
About the analyst

Elena Vasquez leads hospital billing pattern analysis at BillRazor Research. She focuses on identifying overcharges, markup outliers, and patient advocacy strategies. Expertise: hospital billing patterns, overcharge analysis, patient advocacy.

102 procedures analyzed
CMS price transparency data
Updated 2026-04-03
Median 3.0x1.5x15.0x
3.8x
Medicare markup ratio
ND lowestSanford Medical Center...ND highest
3.8x
Avg markup ratio
3.8x
Median markup
102
Procedures
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Pricing grade

C

Average

Avg markup vs Medicare

3.83x

Charge / Medicare rate

Max markup

6.47x

Worst procedure

Procedures analyzed

102

With pricing data

Outlier procedures

0%

Above 90th percentile

Pricing grades reflect how this hospital's chargemaster (list) rates compare to Medicare reimbursement benchmarks within the same state. Grades measure pricing patterns only — not quality of care, patient outcomes, or clinical performance. A lower grade does not mean a hospital provides inferior care. Based on publicly available federal data. Not endorsed by or affiliated with any government agency.

ProcedureCodeGross chargeCash priceMedicareMarkup
PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC322$73,502$36,7516.5x
SIGNS AND SYMPTOMS WITHOUT MCC948$30,594$15,2976.3x
MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES483$63,979$31,9896.2x
PULMONARY EMBOLISM WITHOUT MCC176$22,450$11,2256.1x
PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC247$68,824$34,4125.9x
SIMPLE PNEUMONIA AND PLEURISY WITH CC194$26,973$13,4875.5x
ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC282$21,955$10,9785.4x
OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC271$114,054$57,0275.1x
TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC083$45,419$22,7105x
DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC439$27,525$13,7635x
PERIPHERAL VASCULAR DISORDERS WITH CC300$29,578$14,7894.9x
KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC660$39,761$19,8814.9x
SYNCOPE AND COLLAPSE312$28,186$14,0934.8x
ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC391$35,081$17,5404.8x
DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC057$40,996$20,4984.8x
ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC392$21,133$10,5664.8x
MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC641$21,525$10,7634.6x
PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES O246$93,242$46,6214.6x
INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS065$27,484$13,7424.6x
CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC287$30,994$15,4974.6x
SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC872$26,413$13,2064.5x
NERVOUS SYSTEM NEOPLASMS WITH MCC054$40,447$20,2244.5x
OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC699$26,990$13,4954.4x
KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC690$21,283$10,6414.4x
PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC243$59,906$29,9534.2x
OTHER DISORDERS OF NERVOUS SYSTEM WITH CC092$27,036$13,5184.2x
CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC310$10,920$5,4604.2x
INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC064$53,752$26,8764.2x
AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC269$108,380$54,1904.2x
DIABETES WITH CC638$22,274$11,1374.1x
GASTROINTESTINAL HEMORRHAGE WITH CC378$25,273$12,6364.1x
RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC178$24,656$12,3284.1x
KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC659$90,351$45,1764.1x
SIMPLE PNEUMONIA AND PLEURISY WITH MCC193$32,919$16,4604.1x
MEDICAL BACK PROBLEMS WITHOUT MCC552$23,941$11,9714x
ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC281$22,281$11,1414x
OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC393$45,696$22,8484x
OTHER VASCULAR PROCEDURES WITH MCC252$95,552$47,7764x
OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC516$49,867$24,9334x
ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC267$138,211$69,1054x
OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC698$45,062$22,5314x
RED BLOOD CELL DISORDERS WITHOUT MCC812$21,615$10,8073.9x
KIDNEY AND URINARY TRACT INFECTIONS WITH MCC689$30,148$15,0743.9x
PULMONARY EDEMA AND RESPIRATORY FAILURE189$30,447$15,2233.9x
RED BLOOD CELL DISORDERS WITH MCC811$37,029$18,5153.9x
PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE175$34,056$17,0283.9x
OTHER VASCULAR PROCEDURES WITH CC253$64,854$32,4273.9x
BRONCHITIS AND ASTHMA WITH CC/MCC202$22,621$11,3103.9x
OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC394$19,583$9,7923.8x
LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC417$55,224$27,6123.8x

Showing 50 of 102 procedures

How SANFORD MEDICAL CENTER BISMARCK compares to nearby hospitals

Comparison based on average markup ratios from federal hospital pricing data (FY 2024). Chargemaster rates are gross charges — they are not what most insured patients pay. Actual costs depend on your insurance plan, negotiated rates, and coverage terms. This comparison is for informational purposes only and does not constitute medical, financial, or legal advice. Verify costs directly with your provider and insurer.

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Pricing data from federal hospital transparency files and physician fee schedules. Last updated: . All data is publicly available under federal law.

Rates shown are from the 2026 Medicare Physician Fee Schedule and CMS IPPS. BillRazor compares your bill against these data sources. See how it works →

Related pricing data

Data: Federal hospital pricing data, updated annually. All data publicly available under federal law.

Methodology: Hospital gross charges divided by Medicare payment for the same DRG. A ratio of 3.0x means the hospital's listed price is 3 times what Medicare pays. Chargemaster rates are list prices — they are not what most insured patients pay. Grades measure pricing patterns only — not quality of care or clinical performance.

This information is for educational purposes only and is not medical, financial, or legal advice. Actual costs depend on your insurance and provider. We recommend verifying costs directly with your provider. Full methodology · Terms of use

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