Sanford Mayville Medical Center
Sanford Mayville Medical Center in Mayville, ND publishes cash prices for 47 common procedures listed here, from its own machine-readable price file updated Mar 4, 2026. Click a procedure to compare it with other hospitals nearby.
42 6th Ave SE, Mayville, ND 58257 Collected Sep 23, 2026 Source price file
Scans and imaging
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABD PELVIS W CONTRAST | $2,492.80 | $3,116.00 | 20% |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT ABD PELVIS W CONTRAST | $2,492.80 | $3,116.00 | 20% |
| CT scan of the head or brain, no contrast dye CPT 70450 CT HEAD WO CONTRAST | $1,468.80 | $1,836.00 | 20% |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT HEAD WO CONTRAST | $1,468.80 | $1,836.00 | 20% |
| CT scan of the pelvis, with contrast dye CPT 72193 CT PELVIS W CONTRAST | $2,152.80 | $2,691.00 | 20% |
| CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT PELVIS W CONTRAST | $2,152.80 | $2,691.00 | 20% |
| Diagnostic mammogram, both breasts both sides CPT 77066 MAMMO DX BILAT INCL CAD | $494.40 | $618.00 | 20% |
| Diagnostic mammogram, both breasts inpatient both sides CPT 77066 MAMMO DX BILAT INCL CAD | $494.40 | $618.00 | 20% |
| Diagnostic mammogram, one breast one side CPT 77065 MAMMO DX UNILAT INCL CAD | $389.60 | $487.00 | 20% |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 MAMMO DX UNILAT INCL CAD | $389.60 | $487.00 | 20% |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MRI LOWER EXT JT WO CONTRAST | $2,511.20 | $3,139.00 | 20% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 MRI LOWER EXT JT WO CONTRAST | $2,511.20 | $3,139.00 | 20% |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 MRI LOWER EXT JT WO THEN W CONT | $3,511.20 | $4,389.00 | 20% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 MRI LOWER EXT JT WO THEN W CONT | $3,511.20 | $4,389.00 | 20% |
| MRI of the brain, no contrast dye CPT 70551 MRI BRAIN WO CONTRAST | $2,140.00 | $2,675.00 | 20% |
| MRI of the brain, no contrast dye inpatient CPT 70551 MRI BRAIN WO CONTRAST | $2,140.00 | $2,675.00 | 20% |
| MRI of the brain, with and without contrast dye CPT 70553 MRI BRAIN WO THEN W CONT | $3,730.40 | $4,663.00 | 20% |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI BRAIN WO THEN W CONT | $3,730.40 | $4,663.00 | 20% |
| MRI of the lower back, no contrast dye CPT 72148 MRI L SPINE WO CONTRAST | $2,202.40 | $2,753.00 | 20% |
| MRI of the lower back, no contrast dye inpatient CPT 72148 MRI L SPINE WO CONTRAST | $2,202.40 | $2,753.00 | 20% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US PG UTR 2-3TRI SGL 1ST | $554.40 | $693.00 | 20% |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 US PG UTR 2-3TRI SGL 1ST | $554.40 | $693.00 | 20% |
| Screening mammogram, both breasts both sides CPT 77067 MAMMO SCREEN BILAT INCL CAD | $403.20 | $504.00 | 20% |
| Screening mammogram, both breasts one side CPT 77067 MAMMO SCREEN UNILAT INCL CAD M52 | $403.20 | $504.00 | 20% |
| Screening mammogram, both breasts inpatient both sides CPT 77067 MAMMO SCREEN BILAT INCL CAD | $403.20 | $504.00 | 20% |
| Screening mammogram, both breasts inpatient one side CPT 77067 MAMMO SCREEN UNILAT INCL CAD M52 | $403.20 | $504.00 | 20% |
| Sleep study in a lab (polysomnography) CPT 95810 PSG 4+ PARAMETERS | $3,964.80 | $4,956.00 | 20% |
| Sleep study in a lab (polysomnography) CPT 95810 OUTREACH PSG | $3,964.80 | $4,956.00 | 20% |
| Sleep study in a lab (polysomnography) inpatient CPT 95810 PSG 4+ PARAMETERS | $3,964.80 | $4,956.00 | 20% |
| Sleep study in a lab (polysomnography) inpatient CPT 95810 OUTREACH PSG | $3,964.80 | $4,956.00 | 20% |
| Transvaginal pelvic ultrasound CPT 76830 US TRANSVAGINAL | $523.20 | $654.00 | 20% |
| Transvaginal pelvic ultrasound inpatient CPT 76830 US TRANSVAGINAL | $523.20 | $654.00 | 20% |
| Ultrasound of the abdomen, complete CPT 76700 US ABD COMPLETE | $582.40 | $728.00 | 20% |
| Ultrasound of the abdomen, complete inpatient CPT 76700 US ABD COMPLETE | $582.40 | $728.00 | 20% |
| X-ray of the lower back, 4 or more views CPT 72110 RAD EXAM SPINE LUMB MIN 4 VWS | $368.80 | $461.00 | 20% |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 RAD EXAM SPINE LUMB MIN 4 VWS | $368.80 | $461.00 | 20% |
Lab tests
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Basic metabolic panel (blood test) CPT 80048 BASIC METABOLIC PANEL 80048 | $97.60 | $122.00 | 20% |
| Basic metabolic panel (blood test) inpatient CPT 80048 BASIC METABOLIC PANEL 80048 | $97.60 | $122.00 | 20% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL 80061 | $112.80 | $141.00 | 20% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID PANEL 80061 | $112.80 | $141.00 | 20% |
| Complete blood count (CBC) with differential CPT 85025 COMPLETE CBC W/AUTO DIFF WBC 85025 | $76.80 | $96.00 | 20% |
| Complete blood count (CBC) with differential inpatient CPT 85025 COMPLETE CBC W/AUTO DIFF WBC 85025 | $76.80 | $96.00 | 20% |
| Complete blood count (CBC), no differential CPT 85027 BLOOD COUNT COMPLETE AUTOMATED 85027 | $36.80 | $46.00 | 20% |
| Complete blood count (CBC), no differential inpatient CPT 85027 BLOOD COUNT COMPLETE AUTOMATED 85027 | $36.80 | $46.00 | 20% |
| Comprehensive metabolic panel (blood test) CPT 80053 COMPREHENSIVE METABOLIC PANEL 80053 | $136.00 | $170.00 | 20% |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 COMPREHENSIVE METABOLIC PANEL 80053 | $136.00 | $170.00 | 20% |
| Kidney function blood test panel CPT 80069 RENAL FUNCTION PANEL 80069 | $65.60 | $82.00 | 20% |
| Kidney function blood test panel inpatient CPT 80069 RENAL FUNCTION PANEL 80069 | $65.60 | $82.00 | 20% |
| Liver function blood test panel CPT 80076 HEPATIC FUNCTION PANEL 80076 | $112.80 | $141.00 | 20% |
| Liver function blood test panel inpatient CPT 80076 HEPATIC FUNCTION PANEL 80076 | $112.80 | $141.00 | 20% |
| Obstetric blood test panel CPT 80055 OBSTETRIC PANEL 80055 | $303.20 | $379.00 | 20% |
| Obstetric blood test panel inpatient CPT 80055 OBSTETRIC PANEL 80055 | $303.20 | $379.00 | 20% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 PROSTATE HEALTH INDEX SERUM 84154.900 | $57.60 | $72.00 | 20% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 PSA FREE 84154 | $88.80 | $111.00 | 20% |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 PROSTATE HEALTH INDEX SERUM 84154.900 | $57.60 | $72.00 | 20% |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 PSA FREE 84154 | $88.80 | $111.00 | 20% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 CDMR ASSAY OF PSA TOTAL 84153 | $89.60 | $112.00 | 20% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PROSTATE HEALTH INDEX SO 84153.900 | $121.60 | $152.00 | 20% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 CDMR ASSAY OF PSA TOTAL 84153 | $89.60 | $112.00 | 20% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PROSTATE HEALTH INDEX SO 84153.900 | $121.60 | $152.00 | 20% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 LUPUS ANTICOAG PANEL PTT 85730.900 | $15.20 | $19.00 | 20% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 THROMBOPLASTIN TIME PARTIAL PLASMA WHOLE BLOOD (PTT) 85730 | $38.40 | $48.00 | 20% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 LUPUS ANTICOAG PANEL PTT 85730.900 | $15.20 | $19.00 | 20% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 THROMBOPLASTIN TIME PARTIAL PLASMA WHOLE BLOOD (PTT) 85730 | $38.40 | $48.00 | 20% |
| Prothrombin time (PT/INR) clotting test CPT 85610 LUPUS ANTICOAG PANEL PT 85610.900 | $11.20 | $14.00 | 20% |
| Prothrombin time (PT/INR) clotting test CPT 85610 PT INR FINGERSTICK-QW 85610 | $28.00 | $35.00 | 20% |
| Prothrombin time (PT/INR) clotting test CPT 85610 PROTIME 85610 | $31.20 | $39.00 | 20% |
| Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME | $35.20 | $44.00 | 20% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 LUPUS ANTICOAG PANEL PT 85610.900 | $11.20 | $14.00 | 20% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PT INR FINGERSTICK-QW 85610 | $28.00 | $35.00 | 20% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTIME 85610 | $31.20 | $39.00 | 20% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTHROMBIN TIME | $35.20 | $44.00 | 20% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 THYROID STIMULATING HORMONE (TSH) 84443 | $85.60 | $107.00 | 20% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 THYROID STIMULATING HORMONE (TSH) 84443 | $85.60 | $107.00 | 20% |
| Urinalysis with microscope exam, automated CPT 81001 URINALYSIS AUTO W/SCOPE 81001 | $36.00 | $45.00 | 20% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 URINALYSIS AUTO W/SCOPE 81001 | $36.00 | $45.00 | 20% |
| Urinalysis with microscope exam, manual CPT 81000 UA NON-AUTOMATED W MICROS81000 | $26.40 | $33.00 | 20% |
| Urinalysis with microscope exam, manual inpatient CPT 81000 UA NON-AUTOMATED W MICROS81000 | $26.40 | $33.00 | 20% |
| Urinalysis without microscope exam, automated CPT 81003 DOT URINE AUTO DIPSTICK 81003 | $17.60 | $22.00 | 20% |
| Urinalysis without microscope exam, automated CPT 81003 URINALYSIS-DIPSTICK ONLY 81003 | $24.00 | $30.00 | 20% |
| Urinalysis without microscope exam, automated CPT 81003 URINE AUTO NO MICRO SGL ANALYT | $24.00 | $30.00 | 20% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 DOT URINE AUTO DIPSTICK 81003 | $17.60 | $22.00 | 20% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 URINE AUTO NO MICRO SGL ANALYT | $24.00 | $30.00 | 20% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 URINALYSIS-DIPSTICK ONLY 81003 | $24.00 | $30.00 | 20% |
| Urinalysis without microscope exam, manual CPT 81002 CLINITEST DIPSTICK TABLET81002 | $16.00 | $20.00 | 20% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 CLINITEST DIPSTICK TABLET81002 | $16.00 | $20.00 | 20% |
Surgery and procedures
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Cataract surgery with lens implant CPT 66984 SURG 66984 EXTRACAP CATARCT RMVL INSERT IO LENS PROSTH W/O ECP | $4,160.80 | $5,201.00 | 20% |
| Cataract surgery with lens implant inpatient CPT 66984 SURG 66984 EXTRACAP CATARCT RMVL INSERT IO LENS PROSTH W/O ECP | $4,160.80 | $5,201.00 | 20% |
| Colonoscopy with polyp removal CPT 45385 COLON WREM TUMOR SNARE | $1,958.40 | $2,448.00 | 20% |
| Colonoscopy with polyp removal inpatient CPT 45385 COLON WREM TUMOR SNARE | $1,958.40 | $2,448.00 | 20% |
| Colonoscopy with tissue sample CPT 45380 SURG 45380 COLONOSCOPY WBX | $1,846.40 | $2,308.00 | 20% |
| Colonoscopy with tissue sample inpatient CPT 45380 SURG 45380 COLONOSCOPY WBX | $1,846.40 | $2,308.00 | 20% |
| Colonoscopy, diagnostic CPT 45378 SURG 45378 COLONOSCOPY FLEXIBLE | $1,846.40 | $2,308.00 | 20% |
| Colonoscopy, diagnostic inpatient CPT 45378 SURG 45378 COLONOSCOPY FLEXIBLE | $1,846.40 | $2,308.00 | 20% |
| Upper endoscopy (EGD) with biopsy CPT 43239 EGD WBIOP SING MULT | $1,760.00 | $2,200.00 | 20% |
| Upper endoscopy (EGD) with biopsy inpatient CPT 43239 EGD WBIOP SING MULT | $1,760.00 | $2,200.00 | 20% |
| Upper endoscopy (EGD), diagnostic CPT 43235 EGD DIAG | $1,760.00 | $2,200.00 | 20% |
| Upper endoscopy (EGD), diagnostic inpatient CPT 43235 EGD DIAG | $1,760.00 | $2,200.00 | 20% |
Doctor visits and therapy
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Electrocardiogram (ECG/EKG) with interpretation CPT 93000 EKG 12 LEAD W INTERP & REPORT | $103.20 | $129.00 | 20% |
| Electrocardiogram (ECG/EKG) with interpretation inpatient CPT 93000 EKG 12 LEAD W INTERP & REPORT | $103.20 | $129.00 | 20% |
| Family therapy with the patient, 50 minutes CPT 90847 PSYCH THERAPY FAMILY WPATIENT | $676.00 | $845.00 | 20% |
| Family therapy with the patient, 50 minutes inpatient CPT 90847 PSYCH THERAPY FAMILY WPATIENT | $676.00 | $845.00 | 20% |
| Family therapy without the patient, 50 minutes CPT 90846 PSYCH THERAPY FAMILY WO PATIENT | $644.00 | $805.00 | 20% |
| Family therapy without the patient, 50 minutes inpatient CPT 90846 PSYCH THERAPY FAMILY WO PATIENT | $644.00 | $805.00 | 20% |
| Group psychotherapy session CPT 90853 PSYCH THERAPY GROUP | $588.00 | $735.00 | 20% |
| Group psychotherapy session inpatient CPT 90853 PSYCH THERAPY GROUP | $588.00 | $735.00 | 20% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THER EXERCISE EA 15 MIN 97110 | $109.60 | $137.00 | 20% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 THER EXERCISE EA 15 MIN 97110 | $109.60 | $137.00 | 20% |
| Psychotherapy session, 30 minutes CPT 90832 PSYCHOTHERAPY W/PATIENT 16-37 MINUTES | $488.00 | $610.00 | 20% |
| Psychotherapy session, 30 minutes inpatient CPT 90832 PSYCHOTHERAPY W/PATIENT 16-37 MINUTES | $488.00 | $610.00 | 20% |
| Psychotherapy session, 45 minutes CPT 90834 PSYCHOTHERAPY W/PATIENT 38-52 MINUTES | $604.00 | $755.00 | 20% |
| Psychotherapy session, 45 minutes inpatient CPT 90834 PSYCHOTHERAPY W/PATIENT 38-52 MINUTES | $604.00 | $755.00 | 20% |
| Psychotherapy session, 60 minutes CPT 90837 PSYCHOTHERAPY W/PATIENT 53+ MINUTES | $616.00 | $770.00 | 20% |
| Psychotherapy session, 60 minutes inpatient CPT 90837 PSYCHOTHERAPY W/PATIENT 53+ MINUTES | $616.00 | $770.00 | 20% |