Sanford Health · Hillsboro, ND
19
In-network payers
333
Disclosed rate categories
16
Beds
Sanford Hillsboro is a 16-bed voluntary non-profit - private hospital in Hillsboro, ND, affiliated with Sanford Health. Below you'll find publicly disclosed negotiated rates and facility details, including 19 in-network payers and 333 disclosed rate categories.
CCN (Medicare provider number)
351329
NPI
1184725194
Type
Critical Access Hospital
Ownership
Voluntary Non-Profit - Private
Beds
16
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 Sanford Hillsboro 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.
CT imaging
CPT 74177
$1,419 - $4,139
from 3 insurers · median $2,602
Typical for a hospital with this service line
CT imaging
CPT 70450
$1,047 - $1,841
from 3 insurers · median $1,533
Typical for a hospital with this service line
CT imaging
CPT 74176
$1,422 - $3,567
from 3 insurers · median $2,172
Typical for a hospital with this service line
CT imaging
CPT 71275
$1,680 - $2,729
from 3 insurers · median $2,548
Typical for a hospital with this service line
MRI imaging
CPT 70553
$2,845 - $4,068
from 3 insurers · median $3,894
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93306
$1,197 - $2,267
from 3 insurers · median $1,734
Typical for a hospital with this service line
Mammography
CPT 77067
$327 - $467
from 3 insurers · median $421
Typical for a hospital with this service line
Digestive procedures
CPT 43239
$1,211 - $3,940
from 3 insurers · median $1,837
Typical for a hospital with this service line
Digestive procedures
CPT 45385
$1,371 - $3,509
from 3 insurers · median $2,044
Typical for a hospital with this service line
MRI imaging
CPT 72148
$1,787 - $3,312
from 3 insurers · median $2,299
Typical for a hospital with this service line
MRI imaging
CPT 70551
$1,545 - $2,796
from 3 insurers · median $2,234
Typical for a hospital with this service line
Digestive procedures
CPT 45380
$1,270 - $4,200
from 3 insurers · median $1,927
Typical for a hospital with this service line
MRI imaging
CPT 73721
$1,930 - $2,866
from 3 insurers · median $2,621
Typical for a hospital with this service line
X-ray and bone density
CPT 71046
$111 - $368
from 3 insurers · median $229
Typical for a hospital with this service line
Gynecology
CPT 58571
$23,392
negotiated rate
Typical for a hospital with this service line
Medicine & Surgery
CPT 66984
$3,376 - $4,343
from 3 insurers · median $4,018
Typical for a hospital with this service line
Digestive procedures
CPT 45378
$1,293 - $2,920
from 3 insurers · median $1,927
Typical for a hospital with this service line
Ultrasound
CPT 76705
$315 - $720
from 3 insurers · median $511
Typical for a hospital with this service line
Laboratory and pathology
CPT 80053
$101 - $148
from 3 insurers · median $142
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93971
$490 - $846
from 3 insurers · median $630
Typical for a hospital with this service line
Lung function and sleep
CPT 95810
$3,217 - $4,138
from 3 insurers · median $3,825
Typical for a hospital with this service line
Ultrasound
CPT 76830
$290 - $634
from 3 insurers · median $546
Typical for a hospital with this service line
Ultrasound
CPT 76856
$303 - $678
from 3 insurers · median $573
Typical for a hospital with this service line
X-ray and bone density
CPT 77080
$367 - $495
from 3 insurers · median $421
Typical for a hospital with this service line
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* | 24 | 614% | 15 | 1 |
| Insurer B* | 23 | 511% | 18 | 1 |
| Insurer C* | 23 | 354% | 10 | 12 |
How we chose these services: 0 appear in this hospital's own Medicare claims, 0 are common here based on CMS Medicare volume, and 24 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 Sanford Hillsboro.
12 Third Street Se, Hillsboro, ND 58045
(701) 636-3200
The nearest hospitals of similar type and size. Their rates are compared with Sanford Hillsboro for the same insurers and services above.
Essentia Health - Ada
▲ Rates typically 12% higher than Sanford Hillsboro (22 services)
Northwood Deaconess Health Center
▼ Rates typically 17% lower than Sanford Hillsboro (17 services)
Riverview Health
▼ Rates typically 21% lower than Sanford Hillsboro (23 services)
Rio Grande Hospital
▼ Rates typically 50% lower than Sanford Hillsboro (21 services)
Cooperstown Medical Center
▼ Rates typically 49% lower than Sanford Hillsboro (12 services)
Mahnomen Health Center
▲ Rates typically 13% higher than Sanford Hillsboro (22 services)
Sanford Mayville
Chi St. Alexius Health Turtle Lake Hospital
Chi Oakes Hospital
Chi St. Alexius Health Williston
About Sanford Hillsboro's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Sanford Hillsboro range from $2,845 to $4,068 across 3 insurers. Blue Cross Blue Shield's rate is $2,845. The median at nearby comparable hospitals is $2,952. 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 Sanford Hillsboro range from $1,419 to $4,139 across 3 insurers. Aetna's rate is $4,139. The median at nearby comparable hospitals is $2,618. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Colonoscopy with polyp removal (CPT 45385), published negotiated rates at Sanford Hillsboro range from $1,371 to $3,509 across 3 insurers. UnitedHealthcare's rate is $2,044. The median at nearby comparable hospitals is $1,630. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Sanford Hillsboro range from $327 to $467 across 3 insurers. Aetna's rate is $467. The median at nearby comparable hospitals is $381. What a patient pays depends on their plan's deductible, coinsurance and network status.
Sanford Hillsboro has 16 beds. Facility type: Critical Access Hospital.
Sanford Hillsboro is located at 12 Third Street Se, Hillsboro, ND 58045. Its main phone number is (701) 636-3200.
Sanford Hillsboro's CMS Certification Number (CCN), also called its Medicare provider number, is 351329.
The National Provider Identifier (NPI) on file for Sanford Hillsboro is 1184725194.
Sanford Hillsboro is affiliated with Sanford Health.
Sanford Hillsboro lists 19 in-network payers, including Aetna, Aspirus Health Plan, Avera Health Plans, BCBS, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.
333 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