Carpal Tunnel Surgery Cost in North Dakota (2026): Average Prices & What You'll Pay
What does a carpal tunnel surgery cost in North Dakota?
The same carpal tunnel surgery in North Dakota might cost you $525 at one facility and $1,489 at another - the building you walk into drives the difference. The median cash price across 18 reporting hospitals is $1,083. These figures come straight from hospital price transparency files published under federal law. The sections below break this down by coverage and by insurer.
Once you have a bill or an appointment on the calendar, CostKits can help you keep it all organized.
Where carpal tunnel surgery costs vary in North Dakota
Pins show hospitals with price-transparency data (colored by vs. state average) and nearby ambulatory surgery centers and other facilities (colored by type). Click any pin for facility name and estimated cost range.
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What you pay for a carpal tunnel surgery depends on where you go and what is billed separately. Most patients find out after.
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Cheapest Carpal Tunnel Surgery Providers in North Dakota
Based on declared cash/self-pay prices from CMS hospital price transparency files.
| # | Facility | City | Price | vs median ($1,083) |
|---|---|---|---|---|
| 1 | Altru Hospital Devils Lake | Devils Lake, ND | $477 | $606 below |
| 2 | Altru Hospital | Grand Forks, ND | $477 | $606 below |
| 3 | Essentia Health Fargo | ND | $519 | $564 below |
| 4 | Sanford Fargo Medical Center | Fargo, ND | $521 | $562 below |
| 5 | Sanford Medical Center Bismarck | Bismarck, ND | $521 | $562 below |
| 6 | Tioga Medical Center dba Tioga Medical Center | Tioga, ND | $561 | $522 below |
| 7 | CHI St. Alexius Health Williston | Williston, ND | $739 | $344 below |
| 8 | McKenzie County Healthcare System | Watford City, ND | $975 | $108 below |
Prices are declared self-pay rates. Contact each facility for a formal quote before scheduling.
Before you book: three questions that change the price
- Is this the self-pay price, and does it include the doctor, anesthesia and any lab or pathology? Those are often billed separately.
- Can you give me the price in writing, with the billing codes it covers?
- What happens to the price if something extra is needed during the procedure?
Estimate your out-of-pocket cost → · When the bills arrive, we check them for errors →
Quick take
- Altru Hospital Devils Lake is the lowest-cost option at $477 - $606 below the median posted price ($1,083), just by choosing where you go.
- Ask for the cash price if your deductible isn't met - the median cash price here is $1,083, and it's often lower than what insurance pays before your deductible is satisfied.
- This dataset covers hospitals only - freestanding ASCs, which routinely run 30-60% cheaper for the same procedure, aren't included, so it's worth asking your doctor whether one is an option.
| Coverage | Hospitals with a rate | Typical range | Median |
|---|---|---|---|
| Medicare (national rate) | — | $1,678 to $1,960 | $1,819 |
| With insurance (commercial, average) | 13 | $851 to $3,230 | $2,200 |
| Without insurance (cash price) | 18 | $477 to $3,536 | $1,083 |
| Blue Cross Blue Shield of North Dakota | 9 | $848 to $2,969 | $1,289 |
| Aetna | 6 | $1,345 to $3,966 | $2,330 |
| UnitedHealthcare | 6 | $1,338 to $3,884 | $3,157 |
| Cigna | 3 | $1,959 to $4,258 | $4,094 |
Rates are negotiated allowed amounts and cash prices from hospital price-transparency files (October 2026), shown at each hospital’s lowest-priced typical billing code for this procedure. Facility fees only. The typical range is the middle 80% of hospitals, not a quote for your visit.
How much does a carpal tunnel surgery cost with Medicare in North Dakota?
Medicare's national hospital outpatient payment for carpal tunnel surgery is about $1,678 to $1,960 (typically near $1,819). After the $257 Part B deductible, you generally pay 20% of the Medicare-approved amount, about $364 on a $1,819 payment, with no out-of-pocket cap unless you have supplemental coverage or a Medicare Advantage plan.
Doctor, anesthesia and pathology fees are billed separately. Medicare rates are national CMS amounts, adjusted slightly by local wage levels.
How much does a carpal tunnel surgery cost with insurance in North Dakota?
Across 13 North Dakota hospitals, the negotiated rates commercial insurers pay for carpal tunnel surgery average $851 to $3,230 per hospital, with a median near $2,200. That is the amount your plan and you pay the hospital together; you owe your deductible, then coinsurance, up to your out-of-pocket maximum.
Each hospital’s figure is the average of the commercial insurers it lists. Medicare, Medicare Advantage and Medicaid rates are excluded.
How much does a carpal tunnel surgery cost without insurance in North Dakota?
Cash (self-pay) prices for carpal tunnel surgery at 18 North Dakota hospitals range from $477 to $3,536, with a median of $1,083. Ask for the cash or self-pay price and for any financial-assistance discount before you book; both can be lower than the posted price.
Cash prices are the hospital’s published discounted rate for patients paying without insurance.
How much does a carpal tunnel surgery cost with Blue Cross Blue Shield of North Dakota?
Blue Cross Blue Shield of North Dakota negotiated rates for carpal tunnel surgery at 9 North Dakota hospitals range from $848 to $2,969, with a median near $1,289. Your own cost depends on your plan’s deductible and coinsurance, and on whether the hospital is in your network.
Includes Blue Cross and Blue Shield and Anthem plans listed by each hospital.
How much does a carpal tunnel surgery cost with Aetna in North Dakota?
Aetna negotiated rates for carpal tunnel surgery at 6 North Dakota hospitals range from $1,345 to $3,966, with a median near $2,330. If a hospital is out of network for your Aetna plan, you may owe more than the negotiated rate, so check the network first.
How much does a carpal tunnel surgery cost with UnitedHealthcare in North Dakota?
UnitedHealthcare negotiated rates for carpal tunnel surgery at 6 North Dakota hospitals range from $1,338 to $3,884, with a median near $3,157. If a hospital is out of network for your UnitedHealthcare plan, you may owe more than the negotiated rate, so check the network first.
How much does a carpal tunnel surgery cost with Cigna in North Dakota?
Cigna negotiated rates for carpal tunnel surgery at 3 North Dakota hospitals range from $1,959 to $4,258, with a median near $4,094. If a hospital is out of network for your Cigna plan, you may owe more than the negotiated rate, so check the network first.
How where you go changes what you pay for carpal tunnel surgery
The same carpal tunnel surgery bundles different services depending on the setting - facility fee, surgeon fee, and anesthesia each arrive as separate bills. Estimated ranges below reflect the typical full bundled cost, including all expected charges.
- Facility fee $458–$3,967
- Professional fee $668–$2,088
Estimated from CMS fee schedules + commercial rate multipliers
- Facility fee $458–$3,967
- Professional fee $668–$2,088
Estimated from CMS fee schedules + commercial rate multipliers
Sanford Health and CHI St. Alexius divide most of North Dakota's hospital market, with Bismarck and Fargo each effectively dominated by one system. The state's oil-economy wage growth has increased hospital labor costs, pushing prices above what the rural market structure would otherwise suggest. Critical access hospitals cover most of the rural tier.
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Why prices vary - and what it means for your coverage
A small number of hospitals (3) report prices above $3,166, including Hazen Memorial Hospital Association at $3,967, which drives most of the overall spread - excluding them, most facilities cluster in a much tighter band. Setting matters too: the median outpatient price is $1,083 versus $2,432 inpatient (about 2.2× more), so where a procedure happens often matters more than which hospital you pick. Setting drives most of the spread here: an ambulatory surgical center (ASC) is usually meaningfully cheaper than a hospital operating room for the same procedure, when your case qualifies.
What you pay out of pocket on top of this depends on your deductible, your plan's out-of-pocket maximum, and whether every provider involved is in-network - not just the facility.
| Your situation | Estimated out-of-pocket |
|---|---|
| Deductible not yet met | ~$1,083 |
| Deductible met - 20% coinsurance | ~$217 |
| Out-of-network provider | $2,383+ |
Frequently asked questions: carpal tunnel surgery costs in North Dakota
How much does a carpal tunnel surgery cost in North Dakota?
The typical insurer-negotiated rate is $561, with most facilities between $287 and $1,182 (based on 16 hospitals reporting negotiated rates). Posted cash prices at the middle 80% of North Dakota hospitals run $477–$3,536; outlier facilities above and below that range are left out. What you pay depends on the facility, your insurance, and whether you have met your deductible.
Where is the cheapest place to get a carpal tunnel surgery in North Dakota?
Based on declared prices, the lowest posted price in our North Dakota data is Altru Hospital Devils Lake in Devils Lake at about $477. By metro, Fargo has the lowest median ($1,019). Freestanding ambulatory surgery centers are often cheaper still and may not appear in hospital price data - ask your doctor whether one is an option.
Why is a carpal tunnel surgery so much cheaper at some North Dakota hospitals?
Typical prices vary about 4.1× (25th to 70th percentile of negotiated rates) because each hospital sets its own list price, cash discount, and insurer-negotiated rates. In North Dakota, the median cash (self-pay) price is $1,083 versus a median negotiated rate of $2,200 - cash is the lower number at many hospitals. Asking for the cash price as well as your insurer's negotiated rate is often the single biggest lever on what you pay.
How much will I actually pay out of pocket for a carpal tunnel surgery in North Dakota?
Your out-of-pocket cost depends on your deductible, coinsurance, out-of-pocket maximum, and whether the facility is in-network - not just the sticker price. If you have not met your deductible, you will typically pay the negotiated rate in full until you do. Use the CostKits cost forecaster to estimate your specific out-of-pocket amount before you go.
Before you book
- Deductible vs out-of-pocket max
- How to negotiate your medical bills
- EOB vs medical bill: complete guide
- Already have a bill? Check it for errors
- How to read a Medicare Summary Notice
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CostKits compiles hospital price transparency data to help families make informed decisions. Track and manage your healthcare costs (free account).
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About the Author
John Caruso, FSA, MAAA
Healthcare actuary with 20+ years of experience in insurance pricing, medical billing systems, and healthcare cost analytics.
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