Chemotherapy Infusion Cost in North Dakota (2026): Average Prices & What You'll Pay
What does a chemotherapy infusion cost in North Dakota?
You could pay $196 or $704 for the same chemotherapy infusion in North Dakota - depending entirely on which facility you choose. The median cash price across 20 reporting hospitals is $320. This data comes directly 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 chemotherapy infusion costs vary in North Dakota
Pins show hospitals with price-transparency data (colored by vs. state average) and nearby outpatient clinics and other facilities (colored by type). Click any pin for facility name and estimated cost range.
26+ people checked prices near them this month.
What you pay for a chemotherapy infusion depends on where you go and what is billed separately. Most patients find out after.
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Cheapest Chemotherapy Infusion Providers in North Dakota
Based on declared cash/self-pay prices from CMS hospital price transparency files.
| # | Facility | City | Price | vs median ($320) |
|---|---|---|---|---|
| 1 | West River Health Services | Hetting, ND | $125 | $195 below |
| 2 | Tioga Medical Center dba Tioga Medical Center | Tioga, ND | $150 | $170 below |
| 3 | Kenmare Community Hospital | Kenmare, ND | $176 | $144 below |
| 4 | ST. ALEXIUS MEDICAL CENTER | Bismarck, ND | $178 | $142 below |
| 5 | Jamestown Regional Medical Center | Jamestown, ND | $203 | $117 below |
| 6 | McKenzie County Healthcare System | Watford City, ND | $310 | $10 below |
| 7 | Trinity Hospitals | Minot, ND | $313 | $7 below |
| 8 | Essentia Health Fargo | ND | $326 | $6 above |
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
- West River Health Services is the lowest-cost option at $125 - $195 below the median posted price ($320), just by choosing where you go.
- Ask for the cash price if your deductible isn't met - the median cash price here is $320, and it's often lower than what insurance pays before your deductible is satisfied.
- Doctor offices and independent clinics may charge differently from hospitals for the same service and may not appear in this hospital-only dataset. Ask your doctor whether another site is an option.
| Coverage | Hospitals with a rate | Typical range | Median |
|---|---|---|---|
| Medicare (national rate) | — | $337 to $337 | $337 |
| With insurance (commercial, average) | 15 | $347 to $798 | $603 |
| Without insurance (cash price) | 20 | $125 to $847 | $320 |
| Blue Cross Blue Shield of North Dakota | 9 | $283 to $776 | $362 |
| Aetna | 8 | $508 to $893 | $710 |
| UnitedHealthcare | 7 | $554 to $772 | $715 |
| Cigna | 3 | $589 to $1,084 | $863 |
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 chemotherapy infusion cost with Medicare in North Dakota?
Medicare's national hospital outpatient payment for chemotherapy infusion is about $337 to $337 (typically near $337). After the $257 Part B deductible, you generally pay 20% of the Medicare-approved amount, about $67 on a $337 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 chemotherapy infusion cost with insurance in North Dakota?
Across 15 North Dakota hospitals, the negotiated rates commercial insurers pay for chemotherapy infusion average $347 to $798 per hospital, with a median near $603. 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 chemotherapy infusion cost without insurance in North Dakota?
Cash (self-pay) prices for chemotherapy infusion at 20 North Dakota hospitals range from $125 to $847, with a median of $320. 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 chemotherapy infusion cost with Blue Cross Blue Shield of North Dakota?
Blue Cross Blue Shield of North Dakota negotiated rates for chemotherapy infusion at 9 North Dakota hospitals range from $283 to $776, with a median near $362. 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 chemotherapy infusion cost with Aetna in North Dakota?
Aetna negotiated rates for chemotherapy infusion at 8 North Dakota hospitals range from $508 to $893, with a median near $710. 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 chemotherapy infusion cost with UnitedHealthcare in North Dakota?
UnitedHealthcare negotiated rates for chemotherapy infusion at 7 North Dakota hospitals range from $554 to $772, with a median near $715. 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 chemotherapy infusion cost with Cigna in North Dakota?
Cigna negotiated rates for chemotherapy infusion at 3 North Dakota hospitals range from $589 to $1,084, with a median near $863. 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 chemotherapy infusion
The same chemotherapy infusion 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 $124–$1,012
- Professional fee $185–$492
Estimated from CMS fee schedules + commercial rate multipliers
- Facility fee $125–$995
- Professional fee $185–$492
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
Setting matters too: the median outpatient price is $320 versus $176 inpatient, so where a procedure happens often matters more than which hospital you pick.
None of the prices above are what you'll necessarily owe: your deductible, out-of-pocket maximum, and each provider's network status all still apply.
| Your situation | Estimated out-of-pocket |
|---|---|
| Deductible not yet met | ~$320 |
| Deductible met - 20% coinsurance | ~$64 |
| Out-of-network provider | $704+ |
Frequently asked questions: chemotherapy infusion costs in North Dakota
How much does a chemotherapy infusion cost in North Dakota?
The typical insurer-negotiated rate is $212, with most facilities between $129 and $247 (based on 17 hospitals reporting negotiated rates). Posted cash prices at the middle 80% of North Dakota hospitals run $125–$847; 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 chemotherapy infusion in North Dakota?
Based on declared prices, the lowest posted price in our North Dakota data is West River Health Services in Hetting at about $125. By metro, Bismarck has the lowest median ($472).
Why is a chemotherapy infusion so much cheaper at some North Dakota hospitals?
Typical prices vary about 1.9× (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 $320 versus a median negotiated rate of $603 - 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 chemotherapy infusion 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
- How to read your medical bill
- How to stop medical bill problems before they start
- How to negotiate your medical bills
- Allowed amount vs negotiated rate: what your EOB is really saying
- 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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