Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
SURG 10004 FINE NDL ASPIR BX WO GDN EA ADDL
Bismarck, ND
See all hospitals reporting CPT 10004 →Price type
Sanford Medical Center Bismarck’s median price of $286 is 38% below the median hospital's median price ($461), higher than 40% of the 1,449 hospitals reporting CPT 10004. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 8 payers, 23 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
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| # | ||||
|---|---|---|---|---|
| 1 | Sanford Health Plan commercial/nd pers fee schedule · outpatient | $42.94 | $42.94 | $42.94 – $42.94 |
| 2 | Sanford Health Plan group health/true fee schedule · outpatient | $42.94 | $42.94 | $42.94 – $42.94 |
| 3 | Sanford Health Plan sd exchange commercial fee schedule · outpatient | $42.94 | $42.94 | $42.94 – $42.94 |
| 4 | Sanford Health Plan sd exchange true fee schedule · outpatient | $42.94 | $42.94 | $42.94 – $42.94 |
| 5 | Sanford Health Plan medicare replacement case rate · outpatient | $47.24 | $47.24 | $47.24 – $47.24 |
| 6 | Ucare medicare replacement case rate · outpatient | $50.72 | $50.72 | $50.72 – $50.72 |
| 7 | Aetna medicare replacement case rate · outpatient | $51.22 | $51.22 | $51.22 – $51.22 |
| 8 | Bcbs Nd medicare replacement case rate · outpatient | $51.22 | $51.22 | $51.22 – $51.22 |
| 9 | UnitedHealthcare medicare replacement case rate · outpatient | $51.22 | $51.22 | $51.22 – $51.22 |
| 10 | Medica choice percent of total billed charges · outpatientfrom % of charges | $277.17 | $277.17 | $277.17 – $277.17 |
| 11 | Ucare commercial percent of total billed charges · inpatientfrom % of charges | $286.08 | $286.08 | $286.08 – $286.08 |
| 12 | Ucare commercial percent of total billed charges · outpatientfrom % of charges | $294.06 | $294.06 | $294.06 – $294.06 |
| 13 | Medica elect percent of total billed charges · outpatientfrom % of charges | $296.70 | $296.70 | $296.70 – $296.70 |
| 14 | UnitedHealthcare csp top 20 percent of total billed charges · inpatientfrom % of charges | $297.11 | $297.11 | $297.11 – $297.11 |
| 15 | UnitedHealthcare csp top 20 percent of total billed charges · outpatientfrom % of charges | $299.55 | $299.55 | $299.55 – $299.55 |
| 16 | UnitedHealthcare commercial percent of total billed charges · inpatientfrom % of charges | $337.81 | $337.81 | $337.81 – $337.81 |
| 17 | UnitedHealthcare commercial percent of total billed charges · outpatientfrom % of charges | $337.81 | $337.81 | $337.81 – $337.81 |
| 18 | Aetna commercial percent of total billed charges · inpatientfrom % of charges | $344.32 | $344.32 | $344.32 – $344.32 |
| 19 | Aetna commercial percent of total billed charges · outpatientfrom % of charges | $344.32 | $344.32 | $344.32 – $344.32 |
| 20 | Cigna commercial percent of total billed charges · inpatientfrom % of charges | $366.30 | $366.30 | $366.30 – $366.30 |
| 21 | Cigna commercial percent of total billed charges · outpatientfrom % of charges | $366.30 | $366.30 | $366.30 – $366.30 |
| 22 | MultiPlan commercial percent of total billed charges · inpatientfrom % of charges | $366.30 | $366.30 | $366.30 – $366.30 |
| 23 | MultiPlan commercial percent of total billed charges · outpatientfrom % of charges | $366.30 | $366.30 | $366.30 – $366.30 |
Last updated: Mar 4, 2026
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