Emergency Room Visit Cost in North Dakota (2026): Average Prices & What You'll Pay

What does a emergency room visit cost in North Dakota?

Expect roughly $272 to $488 for an emergency room visit in North Dakota if you're commercially insured - that range already folds in both the facility charge and the physician fee. The median reported facility price across 21 hospitals is $180. It's built from CMS fee schedules and federally mandated hospital price transparency data.

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. Emergency room costs are driven by two separate charges: the facility fee (which varies by ER level, E1–E5) and the physician fee (billed by an independent emergency medicine group). Most patients are unaware that ER physicians are frequently out-of-network even when the hospital itself is in-network - the No Surprises Act limits your liability in this case, but billing disputes still occur. Using an urgent care center for non-emergency conditions typically costs 80–90% less than an ER visit for equivalent care.

Example: two commercially insured patients in Bismarck could pay ~$168 and ~$212 for the identical procedure - a $44 difference driven entirely by facility choice.

Where emergency room visit costs vary in North Dakota

Pins show hospitals with price-transparency data (colored by vs. state average) and nearby ambulatory surgery centers, imaging centers, and other facilities (colored by type). Click any pin for facility name and estimated cost range.

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Cheapest Emergency Room Visit Providers in North Dakota

Based on declared cash/self-pay prices from CMS hospital price transparency files.

#	Facility	City	Price	vs Median
1	Sanford Medical Center Bismarck	Bismarck, ND	$151	-$29
2	Altru Hospital	Grand Forks, ND	$151	-$29
3	Essentia Health Fargo	ND	$155	-$25
4	Trinity Hospitals	Minot, ND	$156	-$24
5	CHI St. Alexius Health Turtle Lake	Turtle Lake, ND	$166	-$14
6	CHI St. Alexius Health Williston	Williston, ND	$168	-$12

Prices are declared self-pay rates. Contact each facility for a formal quote before scheduling.

How where you go changes what you pay for emergency room visit

The same emergency room visit 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.

Hospital Outpatient

$72–$1,427

• Facility fee $55–$595
• Professional fee $17–$832

Estimated from CMS fee schedules + commercial rate multipliers

Hospital Inpatient

$72–$1,244

• Facility fee $55–$412
• Professional fee $17–$832

Estimated from CMS fee schedules + commercial rate multipliers

North Dakota Emergency Room Visit prices by facility

All prices below come from hospital chargemasters - the official price lists each hospital must publish under federal law. Gross charge is the undiscounted list price; cash price is the self-pay rate; negotiated range covers the spread across insurance contracts.

How we calculate "Your Price"

We prioritize cash price (the self-pay rate) over the negotiated rate, and only fall back to the gross charge, the inflated list price few people actually pay, when nothing else is reported.

Source: CMS hospital price transparency machine-readable files. vs Median = savings or premium relative to the state median price. Gross Charge = undiscounted list price for reference.

Received a bill? Check it for errors → Estimate YOUR cost before you go →

Why prices vary - and what it means for your coverage

A small number of hospitals (3) report prices above $324, including Mountrail County Medical Center at $595, 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 $180 versus $179 inpatient, so where a procedure happens often matters more than which hospital you pick. Facility fees for emergency care scale with the severity level the hospital assigns your visit, which is why two visits that look similar from the exam table can bill very differently.

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.

Frequently asked questions: emergency room visit costs in North Dakota

How much does an emergency room visit cost in North Dakota?

Across 21 North Dakota hospitals that publish prices, an emergency room visit ranges from $50 to $4,886, with a median of $180. Most facilities fall between $167 and $212. What you pay depends on the facility, your insurance, and whether you have met your deductible.

Where is the cheapest place to get an emergency room visit in North Dakota?

Based on declared prices, the lowest-cost facility in our North Dakota data is Kenmare Community Hospital in Kenmare at about $55. By metro, Turtle Lake has the lowest median ($166). Freestanding ambulatory surgery and imaging centers are often cheaper still and may not appear in hospital price data - ask your doctor whether one is an option.

Why is an emergency room visit so much cheaper at some North Dakota hospitals?

Prices vary up to 97.7× because each hospital sets its own list price, cash discount, and insurer-negotiated rates. In North Dakota, the median cash (self-pay) price is $186 versus a median negotiated rate of $52 - about 3.6× higher. Asking for the cash price or 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 an emergency room visit 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.

Other North Dakota Hospitals for Emergency Room Visit

These hospitals are registered in the CMS National Provider Identifier (NPI) registry as active hospitals in North Dakota. Cost estimates use the bundled service model for each place of service. Contact them directly for a formal quote.

Provider	City	Type	Est. Cost
ALTRU HEALTH SYSTEM 7017802311	GRAND FORKS, ND	General Acute Care Hospital	$72–$1,427 bundled est.
ASHLEY MEDICAL CENTER 7012883433	ASHLEY, ND	Critical Access Hospital	$72–$1,427 bundled est.
AURORA MEDICAL CENTER, LLC 7017322626	GRAND FORKS, ND	General Acute Care Hospital	$72–$1,427 bundled est.
CARRINGTON HEALTH CENTER 7016523141	CARRINGTON, ND	Critical Access Hospital	$72–$1,427 bundled est.
CARRINGTON HEALTH CENTER 7016523141	CARRINGTON, ND	Critical Access Hospital	$72–$1,427 bundled est.
CAVALIER COUNTY MEMORIAL HOSPITAL ASSOCIATION 7012566100	LANGDON, ND	Critical Access Hospital	$72–$1,427 bundled est.
CAVALIER COUNTY MEMORIAL HOSPITAL ASSOCIATION 7012566100	LANGDON, ND	Critical Access Hospital	$72–$1,427 bundled est.
CHI ST. JOSEPH'S HOSPITAL 7014564000	DICKINSON, ND	Rural Acute Care Hospital	$72–$1,427 bundled est.
CHRISTIAN UNITY HOSPITAL CORPORATION 7013521620	GRAFTON, ND	Critical Access Hospital	$72–$1,427 bundled est.
CHRISTIAN UNITY HOSPITAL CORPORATION 7013521620	GRAFTON, ND	Critical Access Hospital	$72–$1,427 bundled est.
COOPERSTOWN MEDICAL CENTER 7017861700	COOPERSTOWN, ND	Critical Access Hospital	$72–$1,427 bundled est.
DAKOTA SPECIALTY INSTITUTE 7013648051	FARGO, ND	General Acute Care Hospital	$72–$1,427 bundled est.
▼ Show 72 more North Dakota hospitals DOCTORS HOSPITAL-GRAND FORKS, LLC 5744851711 GRAND FORKS, ND General Acute Care Hospital $72–$1,427 bundled est. FARGO VAMC 9135784409 FARGO, ND General Acute Care Hospital $72–$1,427 bundled est. FORT YATES IHS HOSPITAL 6058543831 FORT YATES, ND General Acute Care Hospital $72–$1,427 bundled est. FORT YATES IHS HOSPITAL 7018543831 FORT YATES, ND General Acute Care Hospital $72–$1,427 bundled est. FORT YATES INDIAN HEALTH SERVICE HOSPITAL 7018543831 FORT YATES, ND Rural Acute Care Hospital $72–$1,427 bundled est. GOOD SAMARITAN HOSPITAL ASSOCIATION 7017765261 RUGBY, ND General Acute Care Hospital $72–$1,427 bundled est. HAZEN MEMORIAL HOSPITAL ASSOCIATION 7017482225 HAZEN, ND Critical Access Hospital $72–$1,427 bundled est. INNOVIS HEALTH, LLC 7013648000 FARGO, ND General Acute Care Hospital $72–$1,427 bundled est. JACOBSON MEMORIAL HOSPITAL CARE CENTER 7015842792 ELGIN, ND Critical Access Hospital $72–$1,427 bundled est. LINTON HOSPITAL 7012544511 LINTON, ND Critical Access Hospital $72–$1,427 bundled est. LISBON AREA HEALTH SERVICES 7016836400 LISBON, ND Critical Access Hospital $72–$1,427 bundled est. LUTHERAN CHARITY ASSOCIATION 7012521050 JAMESTOWN, ND Critical Access Hospital $72–$1,427 bundled est. MCKENZIE COUNTY HEALTHCARE SYSTEMS, INC 7018423000 WATFORD CITY, ND Critical Access Hospital $72–$1,427 bundled est. MEDCENTER ONE 7013238400 MANDAN, ND General Acute Care Hospital $72–$1,427 bundled est. MEDCENTER ONE 7013238400 MANDAN, ND General Acute Care Hospital $72–$1,427 bundled est. MEDCENTER ONE 7013236048 BISMARCK, ND General Acute Care Hospital $72–$1,427 bundled est. MEDCENTER ONE, INC. 7013236097 BISMARCK, ND General Acute Care Hospital $72–$1,427 bundled est. MERCY MEDICAL CENTER 7017747400 WILLISTON, ND Rural Acute Care Hospital $72–$1,427 bundled est. NELSON COUNTY HEALTH SYSTEM 7013224328 MCVILLE, ND Critical Access Hospital $72–$1,427 bundled est. OAKES COMMUNITY HOSPITAL 7017423291 OAKES, ND Critical Access Hospital $72–$1,427 bundled est. OAKES COMMUNITY HOSPITAL 7017423291 OAKES, ND Critical Access Hospital $72–$1,427 bundled est. P R HEALTH CORPORATION 7012847500 PARK RIVER, ND Critical Access Hospital $72–$1,427 bundled est. PARACELSUS HEALTHCARE CORP 7012802033 FARGO, ND General Acute Care Hospital $72–$1,427 bundled est. PEMBINA COUNTY MEMORIAL HOSPITAL ASSOCIATION 7012658473 CAVALIER, ND Critical Access Hospital $72–$1,427 bundled est. PRESENTATION MEDICAL CENTER 7014773161 ROLLA, ND Critical Access Hospital $72–$1,427 bundled est. PRESENTATION MEDICAL CENTER 7014773161 ROLLA, ND Critical Access Hospital $72–$1,427 bundled est. PRESENTATION MEDICAL CENTER 7014773161 ROLLA, ND Critical Access Hospital $72–$1,427 bundled est. QUENTIN N BURDICK COMPREHENSIVE HEALTH CARE FACILITY 7014776111 BELCOURT, ND Rural Acute Care Hospital $72–$1,427 bundled est. QUENTIN N BURDICK COMPREHENSIVE HEALTH CARE FACILITY 7014776111 BELCOURT, ND Rural Acute Care Hospital $72–$1,427 bundled est. QUENTIN N BURDICK COMPREHENSIVE HEALTH CARE FACILITY 7014776111 BELCOURT, ND Rural Acute Care Hospital $72–$1,427 bundled est. QUENTIN N BURDICK COMPREHENSIVE HEALTH CARE FACILITY 7014776111 BELCOURT, ND Rural Acute Care Hospital $72–$1,427 bundled est. QUENTIN N BURDICK COMPREHENSIVE HEALTH CARE FACILITY 7014776111 BELCOURT, ND Rural Acute Care Hospital $72–$1,427 bundled est. QUENTIN N BURDICK COMPREHENSIVE HEALTH CARE FACILITY 7014776111 BELCOURT, ND Rural Acute Care Hospital $72–$1,427 bundled est. QUENTIN N BURDICK COMPREHENSIVE HEALTH CARE FACILITY 7014776111 BELCOURT, ND Rural Acute Care Hospital $72–$1,427 bundled est. QUENTIN N BURDICK COMPREHENSIVE HEALTH CARE FACILITY 7014776111 BELCOURT, ND Rural Acute Care Hospital $72–$1,427 bundled est. QUENTIN N BURDICK COMPREHENSIVE HEALTH CARE FACILITY 7014776111 BELCOURT, ND Rural Acute Care Hospital $72–$1,427 bundled est. QUENTIN N BURDICK COMPREHENSIVE HEALTH CARE FACILITY 7014776111 BELCOURT, ND Rural Acute Care Hospital $72–$1,427 bundled est. QUENTIN N BURDICK COMPREHENSIVE HEALTH CARE FACILITY 7014776111 BELCOURT, ND Rural Acute Care Hospital $72–$1,427 bundled est. QUENTIN N. BURDICK MEMORIAL HEALTH CARE FACILITY 7014776111 BELCOURT, ND General Acute Care Hospital $72–$1,427 bundled est. QUINTEN BURDICK MEMORIAL HOSPITAL CARE FACILITY 7014778415 BELCOURT, ND General Acute Care Hospital $72–$1,427 bundled est. SANFORD HEALTH NETWORK NORTH 7017883800 MAYVILLE, ND Critical Access Hospital $72–$1,427 bundled est. SANFORD HEALTH ORGANIZATION 7012802212 FARGO, ND General Acute Care Hospital $72–$1,427 bundled est. SANFORD MEDICAL CENTER FARGO 7012348999 FARGO, ND General Acute Care Hospital $72–$1,427 bundled est. SANFORD MEDICAL CENTER FARGO 7012342000 FARGO, ND General Acute Care Hospital $72–$1,427 bundled est. SCCI HOSPITALS OF AMERICA INC. 7012419099 FARGO, ND Long Term Care Hospital $72–$1,427 bundled est. ST ALOISIUS HOSPITAL INC 7013244651 HARVEY, ND Critical Access Hospital $72–$1,427 bundled est. ST ANDREWS HOSPITAL 7012289300 BOTTINEAU, ND Critical Access Hospital $72–$1,427 bundled est. ST JOSEPH'S HOSPITAL AND HEALTH CENTER 7014564000 DICKINSON, ND Critical Access Hospital $72–$1,427 bundled est. ST JOSEPHS HOSPITAL AND HEALTH CENTER 7014564000 DICKINSON, ND Rural Acute Care Hospital $72–$1,427 bundled est. ST LUKES HOPITAL 7019656384 CROSBY, ND Critical Access Hospital $72–$1,427 bundled est. ST. ANDREW'S HOSPITAL 7012289300 BOTTINEAU, ND General Acute Care Hospital $72–$1,427 bundled est. ST. ANDREW'S HOSPITAL 7012289300 BOTTINEAU, ND General Acute Care Hospital $72–$1,427 bundled est. ST. ANDREW'S HOSPITAL 7012289300 BOTTINEAU, ND Critical Access Hospital $72–$1,427 bundled est. ST. LUKE'S HOSPITAL 7019656384 CROSBY, ND Critical Access Hospital $72–$1,427 bundled est. SWEET DREAMS ANESTHESIA PLLC 7017322222 GRAND FORKS, ND Critical Access Hospital $72–$1,427 bundled est. TIOGA MEDICAL CENTER 7016643305 TIOGA, ND Critical Access Hospital $72–$1,427 bundled est. TOWNER COUNTY MEDICAL CENTER INC 7019682541 CANDO, ND Critical Access Hospital $72–$1,427 bundled est. TRINITY HOSPITALS 7018575083 MINOT, ND General Acute Care Hospital $72–$1,427 bundled est. TRINITY HOSPITALS 7018575000 MINOT, ND Rural Acute Care Hospital $72–$1,427 bundled est. TRINITY HOSPITALS 7018575083 MINOT, ND General Acute Care Hospital $72–$1,427 bundled est. TRINITY HOSPITALS 7014775915 BELCOURT, ND General Acute Care Hospital $72–$1,427 bundled est. TRINITY HOSPITALS 7018575000 MINOT, ND General Acute Care Hospital $72–$1,427 bundled est. TRINITY KENMARE HOSPITAL 7013854296 KENMARE, ND Critical Access Hospital $72–$1,427 bundled est. TRINITY KENMARE HOSPITAL 7013854296 KENMARE, ND Critical Access Hospital $72–$1,427 bundled est. UNION HOSPITAL SOCIETY OF MAYVILE ND 7017883800 MAYVILLE, ND Critical Access Hospital $72–$1,427 bundled est. UNION HOSPITAL SOCIETY OF MAYVILLE ND 7017883800 MAYVILLE, ND Critical Access Hospital $72–$1,427 bundled est. UNION HOSPITAL SOCIETY OF MAYVILLE ND 7017883800 MAYVILLE, ND Critical Access Hospital $72–$1,427 bundled est. VETERANS ADMINISTRATION HEALTH CARE 7012393700 FARGO, ND General Acute Care Hospital $72–$1,427 bundled est. VIBRA HOSPITAL OF CENTRAL DAKOTAS LLC 7016672000 MANDAN, ND Long Term Care Hospital $72–$1,427 bundled est. VIBRA HOSPITAL OF FARGO LLC 7012419099 FARGO, ND Long Term Care Hospital $72–$1,427 bundled est. WEST RIVER HEALTH SERVICES 7015674561 HETTINGER, ND Critical Access Hospital $72–$1,427 bundled est. WISHEK HOSPITAL-CLINIC ASSOCIATION 7014522326 WISHEK, ND Critical Access Hospital $72–$1,427 bundled est.

Est. cost = bundled estimate (facility fee + professional fee + anesthesia where applicable) based on CMS fee schedules and commercial rate multipliers. Contact each provider for an actual quote.

Source: CMS NPPES NPI Registry. NPI numbers can be verified at npiregistry.cms.hhs.gov.

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