D&C (Dilation and Curettage) Cost in North Dakota (2026): Average Prices & What You'll Pay
What does a d&c (dilation and curettage) cost in North Dakota?
Where you have a d&c (dilation and curettage) done in North Dakota swings the bill from $1,087 to $3,226 for identical care. The median cash price across 16 reporting hospitals is $2,318. The numbers are pulled directly from federally mandated hospital price transparency files.
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Where d&c (dilation and curettage) 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 d&c (dilation and curettage) depends on where you go and what is billed separately. Most patients find out after.
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- ✓ Reason for the procedure: Pregnancy-related D&Cs are coded differently and are not included here.
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Cheapest D&C (Dilation and Curettage) Providers in North Dakota
Based on declared cash/self-pay prices from CMS hospital price transparency files.
| # | Facility | City | Price | vs median ($2,318) |
|---|---|---|---|---|
| 1 | First Care Health Center | Park River, ND | $631 | $1,687 below |
| 2 | Jamestown Regional Medical Center | Jamestown, ND | $680 | $1,638 below |
| 3 | Towner County Medical Center | Canado, ND | $984 | $1,334 below |
| 4 | Altru Hospital Devils Lake | Devils Lake, ND | $1,190 | $1,128 below |
| 5 | Altru Hospital | Grand Forks, ND | $1,190 | $1,128 below |
| 6 | Sanford Fargo Medical Center | Fargo, ND | $1,623 | $695 below |
| 7 | Essentia Health Fargo | ND | $3,014 | $696 above |
| 8 | ST. ALEXIUS MEDICAL CENTER | Bismarck, ND | $3,179 | $861 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?
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Quick take
- First Care Health Center is the lowest-cost option at $631 - $1,687 below the median posted price ($2,318), just by choosing where you go.
- Ask for the cash price if your deductible isn't met - the median cash price here is $3,014, 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.
How where you go changes what you pay for d&c (dilation and curettage)
The same d&c (dilation and curettage) 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 $366–$8,936
- Professional fee $347–$924
Estimated from CMS fee schedules + commercial rate multipliers
- Facility fee $631–$8,936
- Professional fee $347–$924
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 (1) report prices above $6,840, including Langdon Prairie Health at $8,936, 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 $2,318 versus $3,272 inpatient (about 1.4× more), so where a procedure happens often matters more than which hospital you pick.
On top of the facility price, your actual bill depends on your deductible, your out-of-pocket maximum, and whether every provider involved - not just the facility - is in-network.
| Your situation | Estimated out-of-pocket |
|---|---|
| Deductible not yet met | ~$2,318 |
| Deductible met - 20% coinsurance | ~$464 |
| Out-of-network provider | $5,100+ |
Frequently asked questions: d&c (dilation and curettage) costs in North Dakota
How much does a d&c (dilation and curettage) cost in North Dakota?
The typical insurer-negotiated rate is $243, with most facilities between $180 and $837 (based on 14 hospitals reporting negotiated rates). Posted cash prices start at $631, with a median of $2,318; outlier facilities 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 d&c (dilation and curettage) in North Dakota?
Based on declared prices, the lowest posted price in our North Dakota data is First Care Health Center in Park River at about $631. By metro, Fargo has the lowest median ($2,338). 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 d&c (dilation and curettage) so much cheaper at some North Dakota hospitals?
Typical prices vary about 4.7× (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 $3,014 versus a median negotiated rate of $243 - about 12.4× higher. 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 d&c (dilation and curettage) 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
- Allowed amount vs negotiated rate: what your EOB is really saying
- How to read your medical bill
- Deductible vs out-of-pocket max
- Already have a bill? Check it for errors
- How to read an EOB line by line
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D&C (Dilation and Curettage), elsewhere
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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