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

What does a endoscopy cost in North Dakota?

You could pay $363 or $921 for the same endoscopy in North Dakota - depending entirely on which facility you choose. The median cash price across 28 reporting hospitals is $681. This data comes directly from hospital price transparency files published under federal law.

Where endoscopy 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.

Hospital (below avg) Hospital (above avg) Click a pin for details.

26+ people checked prices near them this month.

One upper endoscopy can become four separate bills - and a biopsy adds a fifth surprise weeks later.

Your personalized cost report includes:

  • ✓ The four separate bills (facility, gastroenterologist, anesthesia, pathology) and which to scrutinize
  • ✓ How a biopsy adds a pathology bill that arrives weeks after the procedure
  • ✓ Why anesthesia ends up out-of-network even at an in-network surgery center
  • ✓ Why an ambulatory surgery center costs less than a hospital for the identical procedure
  • ✓ A real patient billing breakdown, line by line

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Cheapest Endoscopy Providers in North Dakota

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

# Facility City Price vs Median
1 SOUTHWEST HEALTHCARE SERVICES Bowman, ND $210 -$471
2 CHI St. Alexius Health Bismarck Bismarck, ND $210 -$471
3 PAM Cubed Rehabilitation Hospital of Fargo LLC Fargo, ND $213 -$468
4 Northwood Deaconess Health Center Northwood, ND $259 -$422
5 Sanford Medical Center Bismarck Bismarck, ND $322 -$359
6 Ashley Medical Center Po Box 450, ND $331 -$350
7 CHI St. Alexius Health Williston Williston, ND $360 -$321
8 First Care Health Center Park River, ND $394 -$287

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

Quick take

  • SOUTHWEST HEALTHCARE SERVICES is the lowest-cost option at $210 - $471 below the state median, just by choosing where you go.
  • Ask for the cash price if your deductible isn't met - the median cash price here is $681, 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 endoscopy

The same endoscopy 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
$383–$3,854
  • Facility fee $203–$2,338
  • Professional fee $180–$1,516

Estimated from CMS fee schedules + commercial rate multipliers

Hospital Inpatient
$388–$3,992
  • Facility fee $208–$2,476
  • Professional fee $180–$1,516

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.

Received a bill? Check it for errors → Estimate YOUR cost before you go → Managing more than one bill? See the family tracker →

Why prices vary - and what it means for your coverage

Setting matters too: the median outpatient price is $566 versus $802 inpatient (about 1.4× more), so where a procedure happens often matters more than which hospital you pick. The biggest swing for this procedure is screening versus diagnostic coding - a polyp removed during a routine screening can recode the whole visit as diagnostic and trigger cost-sharing you weren't expecting.

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 ~$681
Deductible met - 20% coinsurance ~$136
Out-of-network provider $1,498+

Frequently asked questions: endoscopy costs in North Dakota

How much does an endoscopy cost in North Dakota?

Across 28 North Dakota hospitals that publish prices, an endoscopy ranges from $203 to $13,021, with a median of $681. Most facilities fall between $329 and $921. What you pay depends on the facility, your insurance, and whether you have met your deductible.

Where is the cheapest place to get an endoscopy in North Dakota?

Based on declared prices, the lowest-cost facility in our North Dakota data is Altru Hospital in Grand Forks at about $203. By metro, Bismarck has the lowest median ($266). 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 endoscopy so much cheaper at some North Dakota hospitals?

Prices vary up to 64.1× because each hospital sets its own list price, cash discount, and insurer-negotiated rates. In North Dakota, the median cash (self-pay) price is $681 versus a median negotiated rate of $325 - about 2.1× 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 endoscopy 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

Other procedures in North Dakota

Endoscopy, elsewhere

Other North Dakota Hospitals and ambulatory surgery centers for Endoscopy

These hospitals and ambulatory surgery centers are registered in the CMS National Provider Identifier (NPI) registry as active hospitals and ambulatory surgery centers 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
ABDULLAH SURGICAL CENTER LLC
7012937408
FARGO, ND Ambulatory Surgical Center -
ALTRU HEALTH SYSTEM
7017802311
GRAND FORKS, ND General Acute Care Hospital $383–$3,854 bundled est.
ASHLEY MEDICAL CENTER
7012883433
ASHLEY, ND Critical Access Hospital $383–$3,854 bundled est.
AURORA MEDICAL CENTER, LLC
7017322626
GRAND FORKS, ND General Acute Care Hospital $383–$3,854 bundled est.
AURORA SURGERY CENTER, LLC
7017322222
GRAND FORKS, ND Ambulatory Surgical Center -
BECKER PLASTIC SURGERY CENTER
7015303333
BISMARCK, ND Ambulatory Surgical Center -
BISMARCK SINUS CENTER
7019341393
BISMARCK, ND Ambulatory Surgical Center -
BISMARCK SURGICAL ASSOCIATES LLC
7012212299
BISMARCK, ND Ambulatory Surgical Center -
BRIGHTSIDE SURGICAL, LLC
7018771550
BISMARCK, ND Ambulatory Surgical Center -
CARRINGTON HEALTH CENTER
7016523141
CARRINGTON, ND Critical Access Hospital $383–$3,854 bundled est.
CARRINGTON HEALTH CENTER
7016523141
CARRINGTON, ND Critical Access Hospital $383–$3,854 bundled est.
CAVALIER COUNTY MEMORIAL HOSPITAL ASSOCIATION
7012566100
LANGDON, ND Critical Access Hospital $383–$3,854 bundled est.
▼ Show 88 more North Dakota hospitals and ambulatory surgery centers (of 121 registered)
CAVALIER COUNTY MEMORIAL HOSPITAL ASSOCIATION
7012566100
LANGDON, ND Critical Access Hospital $383–$3,854 bundled est.
CHI ST. JOSEPH'S HOSPITAL
7014564000
DICKINSON, ND Rural Acute Care Hospital $383–$3,854 bundled est.
CHRISTIAN UNITY HOSPITAL CORPORATION
7013521620
GRAFTON, ND Critical Access Hospital $383–$3,854 bundled est.
CHRISTIAN UNITY HOSPITAL CORPORATION
7013521620
GRAFTON, ND Critical Access Hospital $383–$3,854 bundled est.
COOPERSTOWN MEDICAL CENTER
7017861700
COOPERSTOWN, ND Critical Access Hospital $383–$3,854 bundled est.
DAKOTA CLINIC LTD
7016422000
WAHPETON, ND Ambulatory Surgical Center -
DAKOTA CLINIC, LTD.
7013648000
FARGO, ND Ambulatory Surgical Center -
DAKOTA GASTROENTEROLOGY, LTD
7013561001
FARGO, ND Ambulatory Surgical Center -
DAKOTA SPECIALTY INSTITUTE
7013648051
FARGO, ND General Acute Care Hospital $383–$3,854 bundled est.
DOCTORS HOSPITAL-GRAND FORKS, LLC
5744851711
GRAND FORKS, ND General Acute Care Hospital $383–$3,854 bundled est.
ESSENTIA HEALTH SURGERY CENTERS-NORTH DAKOTA, LLC
7016452000
WAHPETON, ND Ambulatory Surgical Center -
FARGO VAMC
9135784409
FARGO, ND General Acute Care Hospital $383–$3,854 bundled est.
FM ENDOSCOPY CENTER LLC
7013564770
WEST FARGO, ND Ambulatory Surgical Center -
FORT YATES IHS HOSPITAL
6058543831
FORT YATES, ND General Acute Care Hospital $383–$3,854 bundled est.
FORT YATES IHS HOSPITAL
7018543831
FORT YATES, ND General Acute Care Hospital $383–$3,854 bundled est.
FORT YATES INDIAN HEALTH SERVICE HOSPITAL
7018543831
FORT YATES, ND Rural Acute Care Hospital $383–$3,854 bundled est.
GARRISON MEMORIAL HOSPITAL
7014632275
GARRISON, ND Critical Access Hospital $383–$3,854 bundled est.
GOOD SAMARITAN HOSPITAL ASSOCIATION
7017765261
RUGBY, ND General Acute Care Hospital $383–$3,854 bundled est.
GREAT PLAINS CLINIC P.C.
7014836017
DICKINSON, ND Ambulatory Surgical Center -
HAZEN MEMORIAL HOSPITAL ASSOCIATION
7017482225
HAZEN, ND Critical Access Hospital $383–$3,854 bundled est.
INDEPENDENT PRACTIONERS OF AMERICA, LLC
7012552252
BISMARCK, ND Ambulatory Surgical Center -
INNOVIS HEALTH, LLC
7016422000
WAHPETON, ND Ambulatory Surgical Center -
INNOVIS HEALTH, LLC
7013648000
FARGO, ND General Acute Care Hospital $383–$3,854 bundled est.
INSTITUTE OF SPECIALTY SURGERY LLC
7012711045
FARGO, ND Ambulatory Surgical Center -
JACOBSON MEMORIAL HOSPITAL CARE CENTER
7015842792
ELGIN, ND Critical Access Hospital $383–$3,854 bundled est.
JUDITH K. SCHMIDT, D.D.S., P.C.
7016729595
WAHPETON, ND Ambulatory Surgical Center -
LASER & SURGERY CENTER, LLC
7012938242
FARGO, ND Ambulatory Surgical Center -
LINTON HOSPITAL
7012544511
LINTON, ND Critical Access Hospital $383–$3,854 bundled est.
LISBON AREA HEALTH SERVICES
7016836400
LISBON, ND Critical Access Hospital $383–$3,854 bundled est.
LUTHERAN CHARITY ASSOCIATION
7012521050
JAMESTOWN, ND Critical Access Hospital $383–$3,854 bundled est.
M SPINE & JOINT SURGERY CENTER LLC
7012488126
FARGO, ND Ambulatory Surgical Center -
MCKENZIE COUNTY HEALTHCARE SYSTEMS, INC
7018423000
WATFORD CITY, ND Critical Access Hospital $383–$3,854 bundled est.
MEDCENTER ONE
7013238400
MANDAN, ND General Acute Care Hospital $383–$3,854 bundled est.
MEDCENTER ONE
7013238400
MANDAN, ND General Acute Care Hospital $383–$3,854 bundled est.
MEDCENTER ONE
7013236048
BISMARCK, ND General Acute Care Hospital $383–$3,854 bundled est.
MEDCENTER ONE, INC.
7013236097
BISMARCK, ND General Acute Care Hospital $383–$3,854 bundled est.
MEDPARK SPECIALIZED SURGERY, LLC
7012939829
FARGO, ND Ambulatory Surgical Center -
MERCY HOSPITAL OF DEVILS LAKE
7016622131
DEVILS LAKE, ND Ambulatory Surgical Center -
MERCY HOSPITAL OF VALLEY CITY
7018456400
VALLEY CITY, ND Ambulatory Surgical Center -
MERCY MEDICAL CENTER
7017747400
WILLISTON, ND Rural Acute Care Hospital $383–$3,854 bundled est.
MID DAKOTA CLINIC, INC.
7015306100
BISMARCK, ND Ambulatory Surgical Center -
MOUNTRAIL COUNTY MEDICAL CENTER, INC.
7016282424
STANLEY, ND General Acute Care Hospital $383–$3,854 bundled est.
NELSON COUNTY HEALTH SYSTEM
7013224328
MCVILLE, ND Critical Access Hospital $383–$3,854 bundled est.
NORTH DAKOTA SURGERY CENTER, LLC
7017384248
GRAND FORKS, ND Ambulatory Surgical Center -
NORTHERN FACIAL SURGEONS, P.C.
7012554000
BISMARCK, ND Ambulatory Surgical Center -
NORTHERN PLAINS SURGERY CENTER LLC
7012329200
FARGO, ND Ambulatory Surgical Center -
O.M.S. ASSOCIATES LTD
7012329565
FARGO, ND Ambulatory Surgical Center -
OAKES COMMUNITY HOSPITAL
7017423291
OAKES, ND Critical Access Hospital $383–$3,854 bundled est.
OAKES COMMUNITY HOSPITAL
7017423291
OAKES, ND Critical Access Hospital $383–$3,854 bundled est.
OAKES COMMUNITY HOSPITAL
7017423291
OAKES, ND Ambulatory Surgical Center -
P R HEALTH CORPORATION
7012847500
PARK RIVER, ND Critical Access Hospital $383–$3,854 bundled est.
PARACELSUS HEALTHCARE CORP
7012802033
FARGO, ND General Acute Care Hospital $383–$3,854 bundled est.
PEMBINA COUNTY MEMORIAL HOSPITAL ASSOCIATION
7012658473
CAVALIER, ND Critical Access Hospital $383–$3,854 bundled est.
PRESENTATION MEDICAL CENTER
7014773161
ROLLA, ND Critical Access Hospital $383–$3,854 bundled est.
PRESENTATION MEDICAL CENTER
7014773161
ROLLA, ND Critical Access Hospital $383–$3,854 bundled est.
PRESENTATION MEDICAL CENTER
7014773161
ROLLA, ND Critical Access Hospital $383–$3,854 bundled est.
PSI SURGICAL CENTER LLC
7012937408
FARGO, ND Ambulatory Surgical Center -
QUENTIN N BURDICK COMPREHENSIVE HEALTH CARE FACILITY
7014776111
BELCOURT, ND Rural Acute Care Hospital $383–$3,854 bundled est.
QUENTIN N BURDICK COMPREHENSIVE HEALTH CARE FACILITY
7014776111
BELCOURT, ND Rural Acute Care Hospital $383–$3,854 bundled est.
QUENTIN N BURDICK COMPREHENSIVE HEALTH CARE FACILITY
7014776111
BELCOURT, ND Rural Acute Care Hospital $383–$3,854 bundled est.
QUENTIN N BURDICK COMPREHENSIVE HEALTH CARE FACILITY
7014776111
BELCOURT, ND Rural Acute Care Hospital $383–$3,854 bundled est.
QUENTIN N BURDICK COMPREHENSIVE HEALTH CARE FACILITY
7014776111
BELCOURT, ND Rural Acute Care Hospital $383–$3,854 bundled est.
QUENTIN N BURDICK COMPREHENSIVE HEALTH CARE FACILITY
7014776111
BELCOURT, ND Rural Acute Care Hospital $383–$3,854 bundled est.
QUENTIN N BURDICK COMPREHENSIVE HEALTH CARE FACILITY
7014776111
BELCOURT, ND Rural Acute Care Hospital $383–$3,854 bundled est.
QUENTIN N BURDICK COMPREHENSIVE HEALTH CARE FACILITY
7014776111
BELCOURT, ND Rural Acute Care Hospital $383–$3,854 bundled est.
QUENTIN N BURDICK COMPREHENSIVE HEALTH CARE FACILITY
7014776111
BELCOURT, ND Rural Acute Care Hospital $383–$3,854 bundled est.
QUENTIN N BURDICK COMPREHENSIVE HEALTH CARE FACILITY
7014776111
BELCOURT, ND Rural Acute Care Hospital $383–$3,854 bundled est.
QUENTIN N BURDICK COMPREHENSIVE HEALTH CARE FACILITY
7014776111
BELCOURT, ND Rural Acute Care Hospital $383–$3,854 bundled est.
QUENTIN N. BURDICK MEMORIAL HEALTH CARE FACILITY
7014776111
BELCOURT, ND General Acute Care Hospital $383–$3,854 bundled est.
QUINTEN BURDICK MEMORIAL HOSPITAL CARE FACILITY
7014778415
BELCOURT, ND General Acute Care Hospital $383–$3,854 bundled est.
RURAL SURGICAL SOLUTIONS, PLLC
7018526143
MINOT, ND Ambulatory Surgical Center -
SANFORD BISMARCK
7013235550
BISMARCK, ND Ambulatory Surgical Center -
SANFORD BISMARCK
7014566000
DICKINSON, ND Ambulatory Surgical Center -
SANFORD HEALTH NETWORK NORTH
7017883800
MAYVILLE, ND Critical Access Hospital $383–$3,854 bundled est.
SANFORD HEALTH ORGANIZATION
7012802212
FARGO, ND General Acute Care Hospital $383–$3,854 bundled est.
SANFORD MEDICAL CENTER FARGO
7012348999
FARGO, ND General Acute Care Hospital $383–$3,854 bundled est.
SANFORD MEDICAL CENTER FARGO
7012342000
FARGO, ND General Acute Care Hospital $383–$3,854 bundled est.
SCCI HOSPITALS OF AMERICA INC.
7012419099
FARGO, ND Long Term Care Hospital $383–$3,854 bundled est.
ST ALEXIUS SAME DAY SURGERY CENTER
7015305000
BISMARCK, ND Ambulatory Surgical Center -
ST ALOISIUS HOSPITAL INC
7013244651
HARVEY, ND Critical Access Hospital $383–$3,854 bundled est.
ST ANDREWS HOSPITAL
7012289300
BOTTINEAU, ND Critical Access Hospital $383–$3,854 bundled est.
ST JOSEPH'S HOSPITAL AND HEALTH CENTER
7014564000
DICKINSON, ND Critical Access Hospital $383–$3,854 bundled est.
ST JOSEPHS HOSPITAL AND HEALTH CENTER
7014564000
DICKINSON, ND Rural Acute Care Hospital $383–$3,854 bundled est.
ST LUKES HOPITAL
7019656384
CROSBY, ND Critical Access Hospital $383–$3,854 bundled est.
ST. ALEXIUS MEDICAL CENTER
7015307000
BISMARCK, ND Ambulatory Surgical Center -
ST. ANDREW'S HOSPITAL
7012289300
BOTTINEAU, ND General Acute Care Hospital $383–$3,854 bundled est.
ST. ANDREW'S HOSPITAL
7012289300
BOTTINEAU, ND General Acute Care Hospital $383–$3,854 bundled est.
ST. ANDREW'S HOSPITAL
7012289300
BOTTINEAU, ND Critical Access Hospital $383–$3,854 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.

What matters before you schedule

ASC vs. hospital

Hospital outpatient departments typically charge 2-4x more than ASCs or independent centers for the same endoscopy - same outcome, very different bill. Call ahead and ask for a self-pay or cash quote at each setting you're considering.

What's on your bill

A endoscopy involves multiple providers who bill separately - typically Facility Fee, Gastroenterologist Fee, Anesthesia. Check each line item against your Explanation of Benefits to catch billing errors.

Cost by type

Which type your doctor orders for this endoscopy changes the billing code, and what you pay. For example: Ordered to investigate symptoms or a prior finding - standard cost-sharing (deductible, coinsurance) applies.

What to ask before you book

Get the CPT code from your doctor, confirm every provider involved (not just the facility) is in-network, ask for the cash-pay rate if you're uninsured or haven't met your deductible, and request a written estimate for endoscopy before you schedule.


CostKits compiles hospital price transparency data to help families make informed decisions. Track and manage your healthcare costs (free account).

Other Procedure Costs in North Dakota

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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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Published July 17, 2026

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