77/100
#439 nationally
Sanford Medical Center Bismarck
300 N 7Th St, Bismarck, ND 58506 · (701) 323-6000
Charges moderately above what care is paid for
For every $1 of care Medicare actually paid for here, Sanford Medical Center Bismarck billed $3.52 in list charges. That gap does not change a Medicare patient's bill — but it is where an uninsured or out-of-network bill starts.
- Charge-to-payment
- 3.5x
- volume-weighted across all its priced work
- Procedures priced
- 127
- inpatient and outpatient combined
- Rank in ND
- #4
- lower markup ranks higher
- CMS quality stars
- 4/5
- shown for context, not in the grade
How this grade was reached
Each component is scored against every other U.S. hospital in the same federal files, so the grade is a position in the country, not a pass mark we invented.
Better than 68% of U.S. hospitals.
Better than 82% of U.S. hospitals.
Better than 81% of U.S. hospitals.
Better than 84% of U.S. hospitals.
What this hospital treats most
The ten procedures it billed Medicare for most often, with its charge beside the national middle.
| Procedure | Patients | Charged | Actually paid | vs national |
|---|---|---|---|---|
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
911 | $14,643 | $2,558 | -25% |
|
Level 2 Urology and Related Services
APC 5372 · Hospital outpatient visit |
646 | $1,301 | $639 | -59% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
441 | $6,315 | $1,510 | -37% |
|
Level 1 Endovascular Procedures
APC 5191 · Hospital outpatient visit |
339 | $22,061 | $3,060 | -13% |
|
Level 3 Urology and Related Services
APC 5373 · Hospital outpatient visit |
272 | $3,682 | $1,892 | -72% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
219 | $35,206 | $12,322 | -44% |
|
Level 3 Vascular Procedures
APC 5183 · Hospital outpatient visit |
213 | $12,090 | $2,988 | -37% |
|
Level 1 Nerve Procedures
APC 5431 · Hospital outpatient visit |
185 | $8,942 | $1,810 | -21% |
|
Level 3 Excision/ Biopsy/ Incision and Drainage
APC 5073 · Hospital outpatient visit |
167 | $10,764 | $2,664 | -39% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
152 | $48,032 | $15,753 | -26% |
Where its charges run furthest above the national middle
Only procedures it performed at least eleven times, so a single unusual case cannot produce the headline.
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Major Hematological and Immunological Diagnoses Except Sickle Cell Crisis and Coagulatio
MS-DRG 809 · Inpatient stay |
$59,403 | $12,452 | +8% |
|
Respiratory Infection (with complications)
MS-DRG 178 · Inpatient stay |
$37,077 | $10,820 | about average |
|
Psychoses
MS-DRG 885 · Inpatient stay |
$35,274 | $12,224 | about average |
|
Respiratory System Diagnosis with Ventilator Support <=96 Hours
MS-DRG 208 · Inpatient stay |
$104,973 | $25,395 | -7% |
|
Cirrhosis and Alcoholic Hepatitis with Major Complications
MS-DRG 432 · Inpatient stay |
$73,074 | $17,579 | -9% |
|
Level 4 Endovascular Procedures
APC 5194 · Hospital outpatient visit |
$86,863 | $16,113 | -9% |
|
Fluid and Electrolyte Disorder (without major complications)
MS-DRG 641 · Inpatient stay |
$27,139 | $6,214 | -11% |
|
Level 1 Endovascular Procedures
APC 5191 · Hospital outpatient visit |
$22,061 | $3,060 | -13% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Level 3 ENT Procedures
APC 5163 · Hospital outpatient visit |
$705 | $1,430 | -89% |
|
Level 3 Urology and Related Services
APC 5373 · Hospital outpatient visit |
$3,682 | $1,892 | -72% |
|
Level 1 Breast/lymphatic Surgery and Related Procedures
APC 5091 · Hospital outpatient visit |
$9,879 | $3,574 | -59% |
|
Level 2 Urology and Related Services
APC 5372 · Hospital outpatient visit |
$1,301 | $639 | -59% |
|
Craniotomy and Endovascular Intracranial Procedures with Major Complications
MS-DRG 025 · Inpatient stay |
$83,025 | $33,616 | -57% |
|
Major Small and Large Bowel Procedures with Major Complications
MS-DRG 329 · Inpatient stay |
$79,304 | $38,250 | -56% |
|
Laparoscopic Cholecystectomy without C.d.e. with Complications
MS-DRG 418 · Inpatient stay |
$36,738 | $13,522 | -55% |
|
Permanent Cardiac Pacemaker Implant with Major Complications
MS-DRG 242 · Inpatient stay |
$62,646 | $25,766 | -55% |
What this page cannot tell you
- It is not your bill. These are averages across Medicare patients. What you pay depends on your insurance, your plan's negotiated rate and your own case.
- It is not a quality rating. A hospital with a high markup may be excellent, and one with a low markup may not be. We checked: across every U.S. hospital, markup and the CMS quality star rating barely move together.
- A charge is not a cost. Hospitals do not collect their list charges from insured patients. The number matters because it is the opening figure on an uninsured or out-of-network bill.
- Ask for the real number. Every U.S. hospital must publish a machine-readable price file and give you a written good-faith estimate on request.