Essentia Health · Fargo, ND
39
In-network payers
312
Disclosed rate categories
145
Beds
5
Care quality
Essentia Health-Fargo is a 145-bed voluntary non-profit - private hospital in Fargo, ND, affiliated with Essentia Health. Below you'll find publicly disclosed negotiated rates and facility details, including 39 in-network payers and 312 disclosed rate categories.
CCN (Medicare provider number)
350070
NPI
1215125463
Type
Short Term Acute Care Hospital
Ownership
Voluntary Non-Profit - Private
Beds
145
Care Quality
5
Insurance acceptance may vary by specific plan, network status, and services required. Contact your insurance provider or the hospital's billing department to confirm coverage details.
The 24 services Essentia Health-Fargo most likely performs, ranked by likely volume and what it is paid. Each service names one insurer. * marks hidden insurer names; A, B and C rank the remaining rates from low to high and reset for each service.
Book a demo to see hidden insurer names, more payer rates, and hospital data.
Childbirth · Inpatient
MS-DRG 807
$10,215 - $13,110
from 2 insurers · median $11,663
CMS lists this service as CPT 59400, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 807, so these are facility case rates.
Hospital reports neonatal nursery services to CMS
Childbirth · Inpatient
MS-DRG 788
$13,213 - $18,645
from 2 insurers · median $15,929
CMS lists this service as CPT 59510, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 788, so these are facility case rates.
Hospital reports neonatal nursery services to CMS
Medicine & Surgery · Inpatient
MS-DRG 460
$61,552 - $69,317
from 2 insurers · median $65,434
25 Medicare discharges for this DRG in CMS hospital data
CT imaging
CPT 74177
$283 - $3,114
from 4 insurers · median $1,833
Common here, based on CMS Medicare volume
Medicine & Surgery · Inpatient
MS-DRG 470
$32,821 - $39,079
from 3 insurers · median $33,656
24 Medicare discharges for this DRG in CMS hospital data
Cardiology and vascular testing
CPT 93306
$215 - $1,776
from 4 insurers · median $1,352
Common here, based on CMS Medicare volume
Medicine & Surgery · Inpatient
MS-DRG 216
$171,090 - $190,236
from 2 insurers · median $180,663
Hospital reports cardiac thoracic surgery services to CMS
CT imaging
CPT 70450
$98 - $1,443
from 4 insurers · median $1,053
Common here, based on CMS Medicare volume
MRI imaging
CPT 70553
$348 - $3,308
from 4 insurers · median $1,972
Common here, based on CMS Medicare volume
CT imaging
CPT 74176
$169 - $2,433
from 4 insurers · median $1,500
Common here, based on CMS Medicare volume
Nuclear imaging
CPT 78815
$1,296 - $4,691
from 4 insurers · median $3,299
Common here, based on CMS Medicare volume
MRI imaging
CPT 72148
$208 - $2,300
from 4 insurers · median $1,677
Common here, based on CMS Medicare volume
Gynecology
CPT 58571
$23,519
negotiated rate
38 Medicare claims in Level 2 Laparoscopy and Related Services (CMS 2024)
CT imaging
CPT 71275
$234 - $2,181
from 4 insurers · median $1,457
Common here, based on CMS Medicare volume
Childbirth · Inpatient
MS-DRG 807
$10,215 - $13,110
from 2 insurers · median $11,663
CMS lists this service as CPT 59610, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 807, so these are facility case rates.
Hospital reports neonatal nursery services to CMS
Nuclear imaging
CPT 78452
$472 - $3,094
from 4 insurers · median $2,475
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 49505
$3,197 - $5,015
from 3 insurers · median $3,802
60 Medicare claims in Level 1 Abdominal/Peritoneal/Biliary and Related Procedures (CMS 2024)
Digestive procedures
CPT 45380
$800 - $2,442
from 3 insurers · median $2,053
Common here, based on CMS Medicare volume
Laboratory and pathology
CPT 80053
$9 - $203
from 4 insurers · median $113
Typical for a hospital with this service line
Urology
CPT 52000
$1,316 - $1,565
from 3 insurers · median $1,513
405 Medicare claims in Level 2 Urology and Related Services (CMS 2024)
MRI imaging
CPT 73721
$221 - $2,398
from 4 insurers · median $1,384
Common here, based on CMS Medicare volume
Mammography
CPT 77067
$113 - $137
from 2 insurers · median $125
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45385
$343 - $2,664
from 4 insurers · median $1,698
Common here, based on CMS Medicare volume
Digestive procedures
CPT 43239
$781 - $2,468
from 3 insurers · median $2,074
Common here, based on CMS Medicare volume
Median rate as a percent of Medicare across the outpatient services above, and how many services sit above or below the same insurer's median at nearby hospitals. * marks hidden insurer names. These table labels track the same insurers across services; the labels on each service card reset.
| Insurer | Services | Median % of Medicare | Above nearby | Below nearby |
|---|---|---|---|---|
| Insurer A* | 22 | 597% | 11 | 1 |
| Insurer B* | 22 | 502% | 0 | 0 |
| Insurer C* | 19 | 217% | 4 | 14 |
| Insurer D* | 13 | 85% | 0 | 11 |
How we chose these services: 5 appear in this hospital's own Medicare claims, 14 are common here based on CMS Medicare volume, and 5 are typical for the service lines it reports to CMS. Rates come from insurer and hospital price transparency files as of October 2026. Rates under a quarter of Medicare or over 20 times Medicare are left out as likely physician-fee rows or file errors. Book a demo to see all 300 CMS shoppable services for Essentia Health-Fargo.
3000 32nd Avenue South, Fargo, ND 58103
(701) 364-8000
The nearest hospitals of similar type and size. Their rates are compared with Essentia Health-Fargo for the same insurers and services above.
Fergus Falls Hospital
▲ Rates typically 23% higher than Essentia Health-Fargo (19 services)
Alomere Health
▼ Rates typically 16% lower than Essentia Health-Fargo (20 services)
Sanford Bemidji
▲ Rates typically 69% higher than Essentia Health-Fargo (19 services)
Prairie Lakes Health Care Center
▲ Rates typically 627% higher than Essentia Health-Fargo (15 services)
Centracare - Rice Memorial Hospital
▲ Rates typically 56% higher than Essentia Health-Fargo (18 services)
Chi St. Alexius Health Bismarck Medical Center
▼ Rates typically 22% lower than Essentia Health-Fargo (21 services)
Sanford South University Medical Center
Trinity Hospitals/St Joes
Sanford Bismarck
About Essentia Health-Fargo's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Essentia Health-Fargo range from $348 to $3,308 across 4 insurers. Blue Cross Blue Shield's rate is $1,164. The median at nearby comparable hospitals is $1,373. What a patient pays depends on their plan's deductible, coinsurance and network status.
For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Essentia Health-Fargo range from $283 to $3,114 across 4 insurers. Aetna's rate is $283. The median at nearby comparable hospitals is $1,976. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Colonoscopy with biopsy (CPT 45380), published negotiated rates at Essentia Health-Fargo range from $800 to $2,442 across 3 insurers. Blue Cross Blue Shield's rate is $800. The median at nearby comparable hospitals is $3,278. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Vaginal delivery, hospital stay (MS-DRG 807), published negotiated rates at Essentia Health-Fargo range from $10,215 to $13,110 across 2 insurers. UnitedHealthcare's rate is $10,215. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Essentia Health-Fargo range from $113 to $137 across 2 insurers. Aetna's rate is $137. The median at nearby comparable hospitals is $285. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Major lower-extremity joint replacement without MCC (MS-DRG 470), published negotiated rates at Essentia Health-Fargo range from $32,821 to $39,079 across 3 insurers. Cigna's rate is $39,079. The median at nearby comparable hospitals is $13,576. What a patient pays depends on their plan's deductible, coinsurance and network status.
Essentia Health-Fargo has 145 beds. Facility type: Short Term Acute Care Hospital.
Essentia Health-Fargo is located at 3000 32nd Avenue South, Fargo, ND 58103. Its main phone number is (701) 364-8000.
Essentia Health-Fargo's CMS Certification Number (CCN), also called its Medicare provider number, is 350070.
The National Provider Identifier (NPI) on file for Essentia Health-Fargo is 1215125463.
Essentia Health-Fargo is affiliated with Essentia Health.
Essentia Health-Fargo lists 39 in-network payers, including Aetna, Ameri Health, Aspirus Health Plan, Avera Health Plans, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.
312 disclosed rate categories. Each shows the payer, category, code type and group with its code range, and contract type, along with how the rate compares with the state average.
Under 45 CFR Part 180, every US hospital must publish a machine-readable file of its standard charges, including gross charges, discounted cash prices and payer-specific negotiated rates, in the CMS template format. PayerPrice can help hospitals publish and maintain these files.
A chargemaster (charge description master, or CDM) is a hospital's master list of billable items, with codes, descriptions and gross charges. A chargemaster review looks at those lines for accuracy and pricing. PayerPrice can help hospitals review their chargemaster; contact us to discuss your needs.
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{
"description": "MRI of brain (no contrast)",
"code_information": [
{ "code": "611", "type": "RC" },
{ "code": "70551", "type": "CPT" }
],
"standard_charges": [{
"setting": "outpatient",
"minimum": 250,
"maximum": 400,
"gross_charge": 1200,
"discounted_cash": 1080,
"payers_information": [
{
"payer_name": "Platform Health Insurance",
"plan_name": "PPO",
"methodology": "fee schedule",
"standard_charge_dollar": 400
},
{
"payer_name": "Region Health Insurance",
"plan_name": "HMO",
"methodology": "fee schedule",
"standard_charge_dollar": 250
}
]
}]
}Your chargemaster sets the gross charge on every claim, and many payer contracts base payment on it through percent-of-charge, lesser-of and stop-loss terms. We audit it line by line and show how your charges and negotiated rates compare with peer hospitals before your next negotiation.
What a review covers