SelfPayRates
Hospital

St. Luke's Hospital

St. Luke's Hospital in Crosby, ND publishes cash prices for 311 common procedures listed here, from its own machine-readable price file updated Oct 6, 2026. Compared with other hospitals in the state, its outpatient cash prices are above the North Dakota median for 299 of 311 procedures and below it for 10. By typical cash price it ranks #33 of 33 North Dakota hospitals, cheapest first. Select a procedure to compare it with other hospitals nearby.

702 1ST ST SW, PO BOX 10, CROSBY, ND, 58730 Collected Nov 5, 2026 Source price file Check a bill from this hospital (701) 965-6384

Critical access hospital (rural, 25 beds or fewer) Nonprofit hospital Emergency department CCN 351325 · CMS hospital register NPI 1215942032

The price file shows no self-pay discount

For 618 of the 618 prices listed here, the cash price in St. Luke's Hospital's file equals its full list price (chargemaster), so the file publishes no self-pay discount. That is why it compares as expensive. Many hospitals still reduce bills for uninsured patients or offer financial assistance based on income: before a planned visit, ask the billing office for its self-pay rate and discount policy in writing. Other US hospitals whose cash price is their full list price.

Financial assistance

Nonprofit hospital: it must offer free or discounted care to patients who qualify. How to apply

St. Luke's Hospital is a nonprofit hospital in the CMS register. Under section 501(r) of the federal tax code it must have a written Financial Assistance Policy with a free application, publish both on its website, and charge patients who qualify no more than the amounts generally billed to insured patients for emergency and other medically necessary care. Who qualifies depends on household income; the policy states the limits.

You can apply up to 240 days after the first bill. Before collection actions such as credit reporting or a lawsuit, the hospital must tell you about the policy and wait at least 120 days after that bill. Ask the billing office for the policy and the application before you pay, or search the hospital's website for “financial assistance”. Letters you can copy.

Source: IRS, section 501(r) requirements for nonprofit hospitals.

CMS price transparency record

The federal Centers for Medicare & Medicaid Services (CMS) enforces the rule that makes hospitals publish their prices. Its public enforcement list shows 2 actions for a hospital named St. Luke's Hospital in Crosby, ND:

  • Sep 4, 2025 Corrective action plan requested
  • Nov 14, 2025 Case closed

Corrective action plan requested: CMS asked the hospital to submit a plan to fix the problems it found. Case closed: CMS closed the case after the hospital addressed the problems.

A notice records a step in a CMS review; it is not a court finding. Source: CMS, Hospital Price Transparency Enforcement Activities and Outcomes, actions through Jul 31, 2026.

Scans and imaging

ProcedureCash priceList priceInsurers payvs North DakotaOff list
Abdominal CT scan without and with contrast CPT 74170 HC CT ABD W/WO DYE,TECHNICAL COMPONENT $2,670.89 $2,670.89 $455.31 30% above —
Abdominal CT scan without and with contrast inpatient CPT 74170 HC CT ABD W/WO DYE,TECHNICAL COMPONENT $2,670.89 $2,670.89 $455.31 — —
Abdominal X-ray, 2 views CPT 74019 HC XRAY ABDOMEN 2 VIEWS,TECHNICAL COMPONENT $234.20 $234.20 $59.89 35% above —
Abdominal X-ray, 2 views inpatient CPT 74019 HC XRAY ABDOMEN 2 VIEWS,TECHNICAL COMPONENT $234.20 $234.20 $59.89 — —
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 HC EXTREMITY STUDY VASCULAR $634.65 $634.65 — 116% above —
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 HC EXTREMITY STUDY VASCULAR $634.65 $634.65 — — —
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 HC CTA CHEST,TECHNICAL COMPONENT $2,732.78 $2,732.78 $462.22 31% above —
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 HC CTA CHEST,TECHNICAL COMPONENT $2,732.78 $2,732.78 $462.22 — —
CT scan of abdomen and pelvis, no contrast dye CPT 74176 HC CT ABD/PELVIS W/O CONTRAST,TECHNICAL COMPONENT $1,709.80 $1,709.80 $241.09 4% above —
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 HC CT ABD/PELVIS W/O CONTRAST,TECHNICAL COMPONENT $1,709.80 $1,709.80 $241.09 — —
CT scan of abdomen and pelvis, with contrast dye CPT 74177 HC CT ABD/PELVIS W/CONTRAST,TECHNICAL COMPONENT $2,042.30 $2,042.30 $507.52 17% below —
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 HC CT ABD/PELVIS W/CONTRAST,TECHNICAL COMPONENT $2,042.30 $2,042.30 $507.52 — —
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 HC CT ABD/PELVIS W/O&W CONTRAST,TECHNICAL COMPONENT $2,697.58 $2,697.58 $572.78 8% below —
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 HC CT ABD/PELVIS W/O&W CONTRAST,TECHNICAL COMPONENT $2,697.58 $2,697.58 $572.78 — —
CT scan of the abdomen with contrast CPT 74160 HC CT ABD W/DYE,TECHNICAL COMPONENT $1,977.99 $1,977.99 $401.56 21% above —
CT scan of the abdomen with contrast inpatient CPT 74160 HC CT ABD W/DYE,TECHNICAL COMPONENT $1,977.99 $1,977.99 $401.56 — —
CT scan of the abdomen without contrast CPT 74150 HC CT ABD W/O DYE,TECHNICAL COMPONENT $1,376.10 $1,376.10 $190.41 11% above —
CT scan of the abdomen without contrast inpatient CPT 74150 HC CT ABD W/O DYE,TECHNICAL COMPONENT $1,376.10 $1,376.10 $190.41 — —
CT scan of the face and sinuses, no contrast dye CPT 70486 HC CT FACIAL BONES W/O CONTRAST,TECHNICAL COMPONENT $1,468.32 $1,468.32 $206.54 38% above —
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 HC CT FACIAL BONES W/O CONTRAST,TECHNICAL COMPONENT $1,468.32 $1,468.32 $206.54 — —
CT scan of the head or brain, no contrast dye CPT 70450 HC CT BRAIN W/O CONTRAST,TECHNICAL COMPONENT $1,276.59 $1,276.59 $157.40 18% above —
CT scan of the head or brain, no contrast dye inpatient CPT 70450 HC CT BRAIN W/O CONTRAST,TECHNICAL COMPONENT $1,276.59 $1,276.59 $157.40 — —
CT scan of the head with contrast CPT 70460 HC CT BRAIN W/CONTRAST,TECHNICAL COMPONENT $1,450.12 $1,450.12 $224.97 14% above —
CT scan of the head with contrast inpatient CPT 70460 HC CT BRAIN W/CONTRAST,TECHNICAL COMPONENT $1,450.12 $1,450.12 $224.97 — —
CT scan of the head without and with contrast CPT 70470 HC CT BRAIN W/WO CONTRAST,TECHNICAL COMPONENT $1,522.93 $1,522.93 $267.96 at median —
CT scan of the head without and with contrast inpatient CPT 70470 HC CT BRAIN W/WO CONTRAST,TECHNICAL COMPONENT $1,522.93 $1,522.93 $267.96 — —
CT scan of the lower back (lumbar spine) without contrast CPT 72131 HC CT SPINE LUMBAR W/O DYE,TECHNICAL COMPONENT $1,450.12 $1,450.12 $195.02 11% above —
CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 HC CT SPINE LUMBAR W/O DYE,TECHNICAL COMPONENT $1,450.12 $1,450.12 $195.02 — —
CT scan of the neck (cervical spine), no contrast dye CPT 72125 HC CT SPINE CERVICAL W/O DYE,TECHNICAL COMPONENT $1,457.40 $1,457.40 $196.56 8% above —
CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 HC CT SPINE CERVICAL W/O DYE,TECHNICAL COMPONENT $1,457.40 $1,457.40 $196.56 — —
CT scan of the pelvis, with contrast dye CPT 72193 HC CT PELVIS W/DYE,TECHNICAL COMPONENT $1,704.95 $1,704.95 $404.63 7% above —
CT scan of the pelvis, with contrast dye inpatient CPT 72193 HC CT PELVIS W/DYE,TECHNICAL COMPONENT $1,704.95 $1,704.95 $404.63 — —
Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 HC CAROTID DOPPLER $1,319.06 $1,319.06 — 89% above —
Carotid artery ultrasound (duplex), both sides of the neck inpatient CPT 93880 HC CAROTID DOPPLER $1,319.06 $1,319.06 — — —
Chest CT scan without and with contrast CPT 71270 HC CT THORAX W+WO CONTRAST,TECHNICAL COMPONENT $2,259.51 $2,259.51 $323.24 32% above —
Chest CT scan without and with contrast inpatient CPT 71270 HC CT THORAX W+WO CONTRAST,TECHNICAL COMPONENT $2,259.51 $2,259.51 $323.24 — —
Chest X-ray, 2 views CPT 71046 HC XRAY CHEST 2 VIEWS,TECHNICAL COMPONENT $190.52 $190.52 $53.75 10% above —
Chest X-ray, 2 views inpatient CPT 71046 HC XRAY CHEST 2 VIEWS,TECHNICAL COMPONENT $190.52 $190.52 $53.75 — —
Chest X-ray, single view CPT 71045 HC XRAY CHEST 1 VIEW,TECHNICAL COMPONENT $155.33 $155.33 $39.93 8% above —
Chest X-ray, single view inpatient CPT 71045 HC XRAY CHEST 1 VIEW,TECHNICAL COMPONENT $155.33 $155.33 $39.93 — —
Collarbone (clavicle) X-ray, complete CPT 73000 HC CLAVICLE COMPLETE,TECHNICAL COMPONENT $180.81 $180.81 $56.82 28% above —
Collarbone (clavicle) X-ray, complete inpatient CPT 73000 HC CLAVICLE COMPLETE,TECHNICAL COMPONENT $180.81 $180.81 $56.82 — —
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 HC US RETROPERIT (RENAL LAAA),TECHNICAL COMPONENT $667.42 $667.42 $168.15 53% above —
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 HC US RETROPERIT (RENAL LAAA),TECHNICAL COMPONENT $667.42 $667.42 $168.15 — —
Diagnostic CT scan of the chest, no contrast dye CPT 71250 HC CT THORAX WO CONTRAST,TECHNICAL COMPONENT $1,450.12 $1,450.12 $194.25 19% above —
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 HC CT THORAX WO CONTRAST,TECHNICAL COMPONENT $1,450.12 $1,450.12 $194.25 — —
Diagnostic CT scan of the chest, with contrast dye CPT 71260 HC CT THORAX W CONTRAST,TECHNICAL COMPONENT $1,805.67 $1,805.67 $264.12 28% above —
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 HC CT THORAX W CONTRAST,TECHNICAL COMPONENT $1,805.67 $1,805.67 $264.12 — —
Duplex ultrasound of the leg veins, both legs CPT 93970 HC VENOUS IMAGING $1,436.77 $1,436.77 — 93% above —
Duplex ultrasound of the leg veins, both legs inpatient CPT 93970 HC VENOUS IMAGING $1,436.77 $1,436.77 — — —
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 HC TTE W/DOPPLER COMPLETE $984.14 $984.14 $446.09 28% above —
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 HC TTE W/DOPPLER COMPLETE $984.14 $984.14 $446.09 — —
Eye socket (orbit) CT scan without contrast CPT 70480 HC CT ORBITS/FOSSA/SELLA/IAC,TECHNICAL COMPONENT $1,758.34 $1,758.34 $232.64 28% above —
Eye socket (orbit) CT scan without contrast inpatient CPT 70480 HC CT ORBITS/FOSSA/SELLA/IAC,TECHNICAL COMPONENT $1,758.34 $1,758.34 $232.64 — —
Facial bones X-ray, complete, 3 or more views CPT 70150 HC FACIAL BONES MIN 3 VIEWS,TECHNICAL COMPONENT $270.61 $270.61 $79.08 39% above —
Facial bones X-ray, complete, 3 or more views inpatient CPT 70150 HC FACIAL BONES MIN 3 VIEWS,TECHNICAL COMPONENT $270.61 $270.61 $79.08 — —
In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 HC POLYSOMNOGRAM;SLEEP STG;4+CPAP $3,830.63 $3,830.63 — 58% above —
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 HC US ECHO EXAM OF ABDOMEN,TECHNICAL COMPONENT $524.23 $524.23 $135.90 35% above —
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 HC US ECHO EXAM OF ABDOMEN,TECHNICAL COMPONENT $524.23 $524.23 $135.90 — —
Limited ultrasound of an arm or leg (non-vascular) CPT 76882 HC US XTR NON-VASC LMTD,TECHNICAL COMPONENT $606.74 $606.74 $72.94 150% above —
Limited ultrasound of an arm or leg (non-vascular) inpatient CPT 76882 HC US XTR NON-VASC LMTD,TECHNICAL COMPONENT $606.74 $606.74 $72.94 — —
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 HC LDCT FOR LUNG CANCER SCREEN,TECHNICAL COMPONENT $1,450.12 $1,450.12 $205.00 94% above —
Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 HC LDCT FOR LUNG CANCER SCREEN,TECHNICAL COMPONENT $1,450.12 $1,450.12 $205.00 — —
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 HC MRI-LOWER EXT JOINT W/O DYE $2,622.20 $2,622.20 $475.27 36% above —
MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 HC MRI-LOWER EXT JOINT W/O DYE $2,622.20 $2,622.20 $475.27 — —
MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 HC MRI LOWER EXT JOINT W/WO DYE $4,992.66 $4,992.66 $896.02 60% above —
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 HC MRI LOWER EXT JOINT W/WO DYE $4,992.66 $4,992.66 $896.02 — —
MRI of the abdomen, without and then with contrast dye CPT 74183 HC MRI ABDOMEN W/WO DYE $4,375.92 $4,375.92 $789.30 36% above —
MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 HC MRI ABDOMEN W/WO DYE $4,375.92 $4,375.92 $789.30 — —
MRI of the brain, no contrast dye CPT 70551 HC MRI-BRAIN/BRAIN STEM $2,538.27 $2,538.27 $459.14 45% above —
MRI of the brain, no contrast dye CPT 70551 HC MRA HEAD W/O DYE $2,790.01 $2,790.01 $459.14 59% above —
MRI of the brain, no contrast dye inpatient CPT 70551 HC MRI-BRAIN/BRAIN STEM $2,538.27 $2,538.27 $459.14 — —
MRI of the brain, no contrast dye inpatient CPT 70551 HC MRA HEAD W/O DYE $2,790.01 $2,790.01 $459.14 — —
MRI of the brain, with and without contrast dye CPT 70553 HC MRI-BRAIN W/WO DYE $4,120.02 $4,120.02 $745.53 36% above —
MRI of the brain, with and without contrast dye inpatient CPT 70553 HC MRI-BRAIN W/WO DYE $4,120.02 $4,120.02 $745.53 — —
MRI of the lower back, no contrast dye CPT 72148 HC MRI-L-SPINE W/O DYE $2,475.35 $2,475.35 $446.86 28% above —
MRI of the lower back, no contrast dye inpatient CPT 72148 HC MRI-L-SPINE W/O DYE $2,475.35 $2,475.35 $446.86 — —
MRI of the lower back, without and then with contrast dye CPT 72158 HC MRI L-SPINE W/WO DYE $4,132.60 $4,132.60 $746.30 33% above —
MRI of the lower back, without and then with contrast dye inpatient CPT 72158 HC MRI L-SPINE W/WO DYE $4,132.60 $4,132.60 $746.30 — —
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 HC MRI-T-SPINE W/O DYE $2,462.76 $2,462.76 $446.09 19% above —
MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 HC MRI-T-SPINE W/O DYE $2,462.76 $2,462.76 $446.09 — —
MRI of the neck (cervical spine) without and with contrast CPT 72156 HC MRI C-SPINE W/WO DYE $4,140.97 $4,140.97 $747.84 34% above —
MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 HC MRI C-SPINE W/WO DYE $4,140.97 $4,140.97 $747.84 — —
MRI of the neck (cervical spine), no contrast dye CPT 72141 HC MRI-C-SPINE W/O DYE $2,466.98 $2,466.98 $445.32 28% above —
MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 HC MRI-C-SPINE W/O DYE $2,466.98 $2,466.98 $445.32 — —
MRI of the pelvis without and with contrast CPT 72197 HC MRI PELVIS W/WO DYE $4,359.17 $4,359.17 $786.23 42% above —
MRI of the pelvis without and with contrast inpatient CPT 72197 HC MRI PELVIS W/WO DYE $4,359.17 $4,359.17 $786.23 — —
MRI of the pelvis, no contrast dye CPT 72195 HC MRI PELVIS WO DYE $2,966.25 $2,966.25 $532.85 34% above —
MRI of the pelvis, no contrast dye inpatient CPT 72195 HC MRI PELVIS WO DYE $2,966.25 $2,966.25 $532.85 — —
MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 HC MRI-UPPER EXT JOINT W/O DYE $2,626.42 $2,626.42 $476.04 36% above —
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient CPT 73221 HC MRI-UPPER EXT JOINT W/O DYE $2,626.42 $2,626.42 $476.04 — —
Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 HC CERVICAL SPINE 4 OR 5 VIEWS,TECHNICAL COMPONENT $333.71 $333.71 $94.44 48% above —
Neck (cervical spine) X-ray, 4 or 5 views inpatient CPT 72050 HC CERVICAL SPINE 4 OR 5 VIEWS,TECHNICAL COMPONENT $333.71 $333.71 $94.44 — —
Neck soft tissue CT scan with contrast CPT 70491 HC CT SOFT TISSUE NECK W/DYE,TECHNICAL COMPONENT $1,740.14 $1,740.14 $281.01 21% above —
Neck soft tissue CT scan with contrast inpatient CPT 70491 HC CT SOFT TISSUE NECK W/DYE,TECHNICAL COMPONENT $1,740.14 $1,740.14 $281.01 — —
Neck soft tissue CT scan without contrast CPT 70490 HC CT SOFT TISSUE NECK W/O DYE,TECHNICAL COMPONENT $1,402.79 $1,402.79 $211.91 14% above —
Neck soft tissue CT scan without contrast inpatient CPT 70490 HC CT SOFT TISSUE NECK W/O DYE,TECHNICAL COMPONENT $1,402.79 $1,402.79 $211.91 — —
Neck soft tissue X-ray CPT 70360 HC SOFT TISSUE NECK,TECHNICAL COMPONENT $190.52 $190.52 $52.21 30% above —
Neck soft tissue X-ray inpatient CPT 70360 HC SOFT TISSUE NECK,TECHNICAL COMPONENT $190.52 $190.52 $52.21 — —
Pelvic CT scan without contrast CPT 72192 HC CT PELVIS W/O DYE,TECHNICAL COMPONENT $1,414.93 $1,414.93 $193.49 15% above —
Pelvic CT scan without contrast inpatient CPT 72192 HC CT PELVIS W/O DYE,TECHNICAL COMPONENT $1,414.93 $1,414.93 $193.49 — —
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 HC US PELVIC LIMITED,TECHNICAL COMPONENT $771.78 $771.78 $61.42 134% above —
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 HC US PELVIC LIMITED,TECHNICAL COMPONENT $771.78 $771.78 $61.42 — —
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 HC US PELVIC COMPLETE,TECHNICAL COMPONENT $615.24 $615.24 $166.61 36% above —
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 HC US PELVIC COMPLETE,TECHNICAL COMPONENT $615.24 $615.24 $166.61 — —
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 HC US PREGNANCY >=14WKS SNGL FETUS,TECHNICAL COMPONENT $678.34 $678.34 $200.40 34% above —
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 HC US PREGNANCY >=14WKS SNGL FETUS,TECHNICAL COMPONENT $678.34 $678.34 $200.40 — —
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 HC US OB COMPLETE(<14 WKS),TECHNICAL COMPONENT $577.62 $577.62 $160.47 44% above —
Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 HC US OB COMPLETE(<14 WKS),TECHNICAL COMPONENT $577.62 $577.62 $160.47 — —
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 HC US PREGNANCY LMTD,TECHNICAL COMPONENT $489.04 $489.04 $115.17 52% above —
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 HC US PREGNANCY LMTD,TECHNICAL COMPONENT $489.04 $489.04 $115.17 — —
Rib X-ray, one side, 2 views CPT 71100 HC RIB 2 VIEWS,TECHNICAL COMPONENT $190.52 $190.52 $59.89 11% above —
Rib X-ray, one side, 2 views inpatient CPT 71100 HC RIB 2 VIEWS,TECHNICAL COMPONENT $190.52 $190.52 $59.89 — —
Sinus X-ray, complete, 3 or more views CPT 70220 HC SINUSES COMPLETE MIN 3 VIEWS,TECHNICAL COMPONENT $234.20 $234.20 $62.96 31% above —
Sinus X-ray, complete, 3 or more views inpatient CPT 70220 HC SINUSES COMPLETE MIN 3 VIEWS,TECHNICAL COMPONENT $234.20 $234.20 $62.96 — —
Skull X-ray, fewer than 4 views CPT 70250 HC SKULL <4 VIEWS,TECHNICAL COMPONENT $214.79 $214.79 $62.96 29% above —
Skull X-ray, fewer than 4 views inpatient CPT 70250 HC SKULL <4 VIEWS,TECHNICAL COMPONENT $214.79 $214.79 $62.96 — —
Sleep study in a lab (polysomnography) CPT 95810 HC POLYSOMNOGRAM;SLEEP STG;4+ $3,661.18 $3,661.18 — 51% above —
Thoracic spine (mid back) CT scan without contrast CPT 72128 HC CT SPINE THORACIC W/O DYE,TECHNICAL COMPONENT $1,450.12 $1,450.12 $195.79 12% above —
Thoracic spine (mid back) CT scan without contrast inpatient CPT 72128 HC CT SPINE THORACIC W/O DYE,TECHNICAL COMPONENT $1,450.12 $1,450.12 $195.79 — —
Transvaginal pelvic ultrasound CPT 76830 HC US TRANSVAGINAL,TECHNICAL COMPONENT $598.25 $598.25 $195.79 24% above —
Transvaginal pelvic ultrasound inpatient CPT 76830 HC US TRANSVAGINAL,TECHNICAL COMPONENT $598.25 $598.25 $195.79 — —
Transvaginal ultrasound during pregnancy CPT 76817 HC US TRANSVAGINAL(OB),TECHNICAL COMPONENT $497.53 $497.53 $129.76 50% above —
Transvaginal ultrasound during pregnancy inpatient CPT 76817 HC US TRANSVAGINAL(OB),TECHNICAL COMPONENT $497.53 $497.53 $129.76 — —
Ultrasound of the abdomen, complete CPT 76700 HC US EXAM ABDOMEN COMPLETE,TECHNICAL COMPONENT $686.83 $686.83 $178.13 33% above —
Ultrasound of the abdomen, complete inpatient CPT 76700 HC US EXAM ABDOMEN COMPLETE,TECHNICAL COMPONENT $686.83 $686.83 $178.13 — —
Ultrasound of the scrotum and testicles CPT 76870 HC US SCROTUM,TECHNICAL COMPONENT $624.95 $624.95 $160.47 51% above —
Ultrasound of the scrotum and testicles inpatient CPT 76870 HC US SCROTUM,TECHNICAL COMPONENT $624.95 $624.95 $160.47 — —
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 HC US EXAM HEAD/NECK,TECHNICAL COMPONENT $615.24 $615.24 $190.41 28% above —
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 HC US EXAM HEAD/NECK,TECHNICAL COMPONENT $615.24 $615.24 $190.41 — —
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 HC UNILAT/LTD VENOUS $1,246.25 $1,246.25 — 140% above —
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 HC UNILAT/LTD VENOUS $1,246.25 $1,246.25 — — —
X-ray of the abdomen, 1 view CPT 74018 HC XRAY ABDOMEN 1 VIEW,TECHNICAL COMPONENT $155.33 $155.33 $49.14 11% above —
X-ray of the abdomen, 1 view inpatient CPT 74018 HC XRAY ABDOMEN 1 VIEW,TECHNICAL COMPONENT $155.33 $155.33 $49.14 — —
X-ray of the finger(s), 2 or more views CPT 73140 HC FINGER MIN 2 VIEWS,TECHNICAL COMPONENT $228.14 $228.14 $72.94 47% above —
X-ray of the finger(s), 2 or more views inpatient CPT 73140 HC FINGER MIN 2 VIEWS,TECHNICAL COMPONENT $228.14 $228.14 $72.94 — —
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 HC LUMBAR SPINE 2 VIEWS,TECHNICAL COMPONENT $234.20 $234.20 $66.80 21% above —
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 HC LUMBAR SPINE 2 VIEWS,TECHNICAL COMPONENT $234.20 $234.20 $66.80 — —
X-ray of the lower back, 4 or more views CPT 72110 HC LUMBAR SPINE COM,TECHNICAL COMPONENT $296.09 $296.09 $90.60 25% above —
X-ray of the lower back, 4 or more views inpatient CPT 72110 HC LUMBAR SPINE COM,TECHNICAL COMPONENT $296.09 $296.09 $90.60 — —
X-ray of the mid back (thoracic spine), 2 views CPT 72070 HC SPINE THORACIC 2 VIEWS,TECHNICAL COMPONENT $190.52 $190.52 $53.75 25% above —
X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 HC SPINE THORACIC 2 VIEWS,TECHNICAL COMPONENT $190.52 $190.52 $53.75 — —
X-ray of the nasal bones, 3 or more views CPT 70160 HC NOSE BONES MIN 3 VIEWS,TECHNICAL COMPONENT $214.79 $214.79 $67.57 42% above —
X-ray of the nasal bones, 3 or more views inpatient CPT 70160 HC NOSE BONES MIN 3 VIEWS,TECHNICAL COMPONENT $214.79 $214.79 $67.57 — —
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 HC CERVICAL SPINE 2/3 VIEWS,TECHNICAL COMPONENT $251.19 $251.19 $66.80 54% above —
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 HC CERVICAL SPINE 2/3 VIEWS,TECHNICAL COMPONENT $251.19 $251.19 $66.80 — —
X-ray of the pelvis, 1 or 2 views CPT 72170 HC PELVIS,TECHNICAL COMPONENT $180.81 $180.81 $45.30 17% above —
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 HC PELVIS,TECHNICAL COMPONENT $180.81 $180.81 $45.30 — —
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 HC SACRUN COCCYX MIN 2 VIEWS,TECHNICAL COMPONENT $180.81 $180.81 $56.05 18% above —
X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 HC SACRUN COCCYX MIN 2 VIEWS,TECHNICAL COMPONENT $180.81 $180.81 $56.05 — —

Lab tests

ProcedureCash priceList priceInsurers payvs North DakotaOff list
ACTH blood test CPT 82024 SL ACYLCARNITINES, QUANT. $155.33 $155.33 $77.24 7% above —
ACTH blood test inpatient CPT 82024 SL ACYLCARNITINES, QUANT. $155.33 $155.33 $77.24 — —
ALT (alanine aminotransferase) liver enzyme test CPT 84460 SL ALT SGPT $109.21 $109.21 $10.60 169% above —
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 SL ALT SGPT $109.21 $109.21 $10.60 — —
AST (aspartate aminotransferase) enzyme test CPT 84450 SL AST SGOT $109.21 $109.21 $10.36 164% above —
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 SL AST SGOT $109.21 $109.21 $10.36 — —
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 SL ACUTE HEPATITIS PANEL $592.18 $592.18 $95.26 161% above —
Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 SL ACUTE HEPATITIS PANEL $592.18 $592.18 $95.26 — —
Albumin blood test CPT 82040 SL ASSAY OF ACTH $638.29 $638.29 $9.90 1724% above —
Albumin blood test inpatient CPT 82040 SL ASSAY OF ACTH $638.29 $638.29 $9.90 — —
Aldosterone blood test CPT 82088 SL ALDOLASE-SERUM $155.33 $155.33 $81.50 26% above —
Aldosterone blood test inpatient CPT 82088 SL ALDOLASE-SERUM $155.33 $155.33 $81.50 — —
Alkaline phosphatase (ALP) blood test CPT 84075 SL ASSAY ALK PHOSPHATASE $109.21 $109.21 $10.36 226% above —
Alkaline phosphatase (ALP) blood test inpatient CPT 84075 SL ASSAY ALK PHOSPHATASE $109.21 $109.21 $10.36 — —
Allergy blood test, specific IgE, per allergen CPT 86003 SL ALLERGEN SPECIFIC IGE $109.21 $109.21 $10.44 308% above —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SL ALLERGEN SPECIFIC IGE $109.21 $109.21 $10.44 — —
Alpha-fetoprotein (AFP) blood test CPT 82105 SL ALPHA-1-ANTITTYPSIN;TOTAL $190.52 $190.52 $33.54 98% above —
Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 SL ALPHA-1-ANTITTYPSIN;TOTAL $190.52 $190.52 $33.54 — —
Ammonia blood test CPT 82140 SL AMINO ACIDS 6/>QUANTITATIVE EA SPE $197.80 $197.80 $29.14 299% above —
Ammonia blood test inpatient CPT 82140 SL AMINO ACIDS 6/>QUANTITATIVE EA SPE $197.80 $197.80 $29.14 — —
Amylase blood test CPT 82150 SL AMMONIA $201.44 $201.44 $12.96 343% above —
Amylase blood test inpatient CPT 82150 SL AMMONIA $201.44 $201.44 $12.96 — —
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 SL CCP $320.36 $320.36 $25.90 288% above —
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 SL CCP $320.36 $320.36 $25.90 — —
Antinuclear antibody (ANA) blood test, screen CPT 86038 SL ANTIN ANTIBODIES (ANA) $180.81 $180.81 $24.18 184% above —
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 SL ANTIN ANTIBODIES (ANA) $180.81 $180.81 $24.18 — —
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 SL B-NATRIURETIC PEPTIDE $440.50 $440.50 $78.52 90% above —
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 SL B-NATRIURETIC PEPTIDE $440.50 $440.50 $78.52 — —
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 SL THROAT CULTURE $143.19 $143.19 $17.24 121% above —
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 SL THROAT CULTURE $143.19 $143.19 $17.24 — —
Basic metabolic panel (blood test) CPT 80048 SL CHEM 8 - BMP $143.19 $143.19 $16.92 93% above —
Basic metabolic panel (blood test) inpatient CPT 80048 SL CHEM 8 - BMP $143.19 $143.19 $16.92 — —
Bilirubin blood test, total CPT 82247 SL ASSAY OF BETA-2-M $228.14 $228.14 $10.04 549% above —
Bilirubin blood test, total inpatient CPT 82247 SL ASSAY OF BETA-2-M $228.14 $228.14 $10.04 — —
Biopsy tissue exam by a pathologist (level IV) CPT 88305 SL TISSUE EXAM BY PATHOLOGY,TECHNICAL COMPONENT $475.69 $475.69 $82.15 286% above —
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 SL TISSUE EXAM BY PATHOLOGY,TECHNICAL COMPONENT $475.69 $475.69 $82.15 — —
Blood culture for bacteria CPT 87040 SL BLOOD CULTURE $155.33 $155.33 $20.64 83% above —
Blood culture for bacteria inpatient CPT 87040 SL BLOOD CULTURE $155.33 $155.33 $20.64 — —
Blood draw from a vein (venipuncture), collection fee only CPT 36415 PR COLLECTION VENOUS BLOOD VENIPUNCTURE $21.84 $21.84 $9.09 28% above —
Blood draw from a vein (venipuncture), collection fee only CPT 36415 SL VENIPUNCTURE $55.82 $55.82 $9.09 226% above —
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 PR COLLECTION VENOUS BLOOD VENIPUNCTURE $21.84 $21.84 $9.09 — —
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 SL VENIPUNCTURE $55.82 $55.82 $9.09 — —
Blood glucose (sugar) test CPT 82947 SL GLUCOSE QUANTITATIVE $97.08 $97.08 $7.86 230% above —
Blood glucose (sugar) test inpatient CPT 82947 SL GLUCOSE QUANTITATIVE $97.08 $97.08 $7.86 — —
Blood lead test CPT 83655 SL ASSAY LEAD $214.79 $214.79 $24.22 367% above —
Blood lead test inpatient CPT 83655 SL ASSAY LEAD $214.79 $214.79 $24.22 — —
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 SL HCG QUAL PREGNANCY $131.06 $131.06 $15.04 104% above —
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 SL HCG QUAL PREGNANCY $131.06 $131.06 $15.04 — —
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 SL BLOOD TYPING ABO $70.38 $70.38 $5.98 80% above —
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 SL BLOOD TYPING ABO $70.38 $70.38 $5.98 — —
Blood urea nitrogen (BUN) test CPT 84520 SL ASSAY UREA NITROGEN (BUN) $97.08 $97.08 $7.90 162% above —
Blood urea nitrogen (BUN) test inpatient CPT 84520 SL ASSAY UREA NITROGEN (BUN) $97.08 $97.08 $7.90 — —
C-peptide blood test CPT 84681 SL ASSAY C-PEPTIDE $274.25 $274.25 $41.62 150% above —
C-peptide blood test inpatient CPT 84681 SL ASSAY C-PEPTIDE $274.25 $274.25 $41.62 — —
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 SL C REACTIVE PROTEIN $131.06 $131.06 $10.36 264% above —
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 SL C REACTIVE PROTEIN $131.06 $131.06 $10.36 — —
C. difficile toxin gene test (stool PCR) CPT 87493 SL C DIFF AMPLIFIED PROBE $475.69 $475.69 $74.54 148% above —
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 SL C DIFF AMPLIFIED PROBE $475.69 $475.69 $74.54 — —
CA 19-9 blood test (tumor marker) CPT 86301 SL IMMUNASSAY TUMOR CA 19-9 $274.25 $274.25 $41.62 150% above —
CA 19-9 blood test (tumor marker) inpatient CPT 86301 SL IMMUNASSAY TUMOR CA 19-9 $274.25 $274.25 $41.62 — —
CA-125 blood test (ovarian cancer marker) CPT 86304 SL IMMUNOSSAY TUMOR CA 125 $274.25 $274.25 $41.62 116% above —
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 SL IMMUNOSSAY TUMOR CA 125 $274.25 $274.25 $41.62 — —
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 SL COVID DNA/RNA AMP PROBE $432.41 $432.41 $102.62 246% above —
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 SL COVID DNA/RNA AMP PROBE $432.41 $432.41 $102.62 — —
Calcium blood test, total CPT 82310 SL ASSAY CALCIUM $109.21 $109.21 $10.32 241% above —
Calcium blood test, total inpatient CPT 82310 SL ASSAY CALCIUM $109.21 $109.21 $10.32 — —
Carcinoembryonic antigen (CEA) test CPT 82378 SL CEA $427.15 $427.15 $37.92 245% above —
Carcinoembryonic antigen (CEA) test inpatient CPT 82378 SL CEA $427.15 $427.15 $37.92 — —
Chickenpox (varicella) immunity blood test CPT 86787 SL VARICELLA ZOSTER $136.53 $136.53 $25.76 131% above —
Chickenpox (varicella) immunity blood test inpatient CPT 86787 SL VARICELLA ZOSTER $136.53 $136.53 $25.76 — —
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 SL CHLAMYDIA TRACHOMATIS $451.42 $451.42 $70.18 194% above —
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 SL CHLAMYDIA TRACHOMATIS $451.42 $451.42 $70.18 — —
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 SL LIPID PANEL $189.30 $189.30 $26.78 156% above —
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 SL LIPID PANEL $189.30 $189.30 $26.78 — —
Complete blood count (CBC) with differential CPT 85025 SL CBC W/DIFFERENTIAL $131.06 $131.06 $15.54 125% above —
Complete blood count (CBC) with differential inpatient CPT 85025 SL CBC W/DIFFERENTIAL $131.06 $131.06 $15.54 — —
Complete blood count (CBC), no differential CPT 85027 SL COMPLETE CBC $121.35 $121.35 $12.94 164% above —
Complete blood count (CBC), no differential inpatient CPT 85027 SL COMPLETE CBC $121.35 $121.35 $12.94 — —
Comprehensive metabolic panel (blood test) CPT 80053 SL CHEM 16 - CMP $166.25 $166.25 $21.12 76% above —
Comprehensive metabolic panel (blood test) inpatient CPT 80053 SL CHEM 16 - CMP $166.25 $166.25 $21.12 — —
Cortisol blood test, total CPT 82533 SL ASSAY,TOTAL CORTISOL $296.09 $296.09 $32.60 444% above —
Cortisol blood test, total inpatient CPT 82533 SL ASSAY,TOTAL CORTISOL $296.09 $296.09 $32.60 — —
Creatine kinase (CK) blood test, total CPT 82550 SL ASSAY CK(CPK) $121.35 $121.35 $13.02 158% above —
Creatine kinase (CK) blood test, total inpatient CPT 82550 SL ASSAY CK(CPK) $121.35 $121.35 $13.02 — —
Creatinine blood test CPT 82565 SL ASSAY CREATININE $109.21 $109.21 $10.24 175% above —
Creatinine blood test inpatient CPT 82565 SL ASSAY CREATININE $109.21 $109.21 $10.24 — —
Cytomegalovirus (CMV) antibody test CPT 86644 SL CMV ANTIBODY $129.84 $129.84 $28.78 148% above —
Cytomegalovirus (CMV) antibody test inpatient CPT 86644 SL CMV ANTIBODY $129.84 $129.84 $28.78 — —
D-dimer blood test (blood clot marker) CPT 85379 SL FIBRIN DEGRADATION QUANT $131.06 $131.06 $20.36 78% above —
D-dimer blood test (blood clot marker) inpatient CPT 85379 SL FIBRIN DEGRADATION QUANT $131.06 $131.06 $20.36 — —
DHEA sulfate (DHEA-S) blood test CPT 82627 SL DHEA-S $391.96 $391.96 $44.46 263% above —
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 SL DHEA-S $391.96 $391.96 $44.46 — —
Drug screen by lab instrument (any number of drug classes) CPT 80307 SL DRUG SCR NOT CHROMATOGRAPHIC, ANY NUMBER $448.99 $448.99 $124.28 211% above —
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 SL DRUG SCR NOT CHROMATOGRAPHIC, ANY NUMBER $448.99 $448.99 $124.28 — —
Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 SL ELECTROLYTE PANEL $121.35 $121.35 $14.02 118% above —
Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 SL ELECTROLYTE PANEL $121.35 $121.35 $14.02 — —
Epstein-Barr virus (EBV) antibody test CPT 86665 SL EPSTEIN-BARR CAPSID VCA $270.61 $270.61 $36.28 221% above —
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 SL EPSTEIN-BARR CAPSID VCA $270.61 $270.61 $36.28 — —
Estradiol blood test CPT 82670 SL ASSAY ESTRADIOL $365.26 $365.26 $55.88 183% above —
Estradiol blood test inpatient CPT 82670 SL ASSAY ESTRADIOL $365.26 $365.26 $55.88 — —
FSH (follicle-stimulating hormone) test CPT 83001 SL ASSAY GONADOTROPIN (FSH) $333.71 $333.71 $37.16 213% above —
FSH (follicle-stimulating hormone) test inpatient CPT 83001 SL ASSAY GONADOTROPIN (FSH) $333.71 $333.71 $37.16 — —
Fecal calprotectin (stool inflammation test) CPT 83993 SL CALPROTECTIN, FECES $340.99 $340.99 $39.26 117% above —
Fecal calprotectin (stool inflammation test) inpatient CPT 83993 SL CALPROTECTIN, FECES $340.99 $340.99 $39.26 — —
Ferritin blood test (iron stores) CPT 82728 SL ASSAY FERRITIN $190.52 $190.52 $27.26 104% above —
Ferritin blood test (iron stores) inpatient CPT 82728 SL ASSAY FERRITIN $190.52 $190.52 $27.26 — —
Fibrinogen blood test CPT 85384 SL FIBRINOGEN $143.19 $143.19 $19.44 160% above —
Fibrinogen blood test inpatient CPT 85384 SL FIBRINOGEN $143.19 $143.19 $19.44 — —
Folate (folic acid) blood test CPT 82746 SL FOLATE ACID SERUM $201.44 $201.44 $29.40 114% above —
Folate (folic acid) blood test inpatient CPT 82746 SL FOLATE ACID SERUM $201.44 $201.44 $29.40 — —
Free T3 thyroid hormone test CPT 84481 SL ASSAY FREE ( T-3 ) $228.14 $228.14 $33.88 126% above —
Free T3 thyroid hormone test inpatient CPT 84481 SL ASSAY FREE ( T-3 ) $228.14 $228.14 $33.88 — —
Free T4 (free thyroxine) thyroid blood test CPT 84439 SL ASSAY FREE THYROXINE (FT4) $143.19 $143.19 $18.04 129% above —
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 SL ASSAY FREE THYROXINE (FT4) $143.19 $143.19 $18.04 — —
Free testosterone test CPT 84402 SL ASSAY FREE TESTOSTERONE $362.83 $362.83 $50.94 373% above —
Free testosterone test inpatient CPT 84402 SL ASSAY FREE TESTOSTERONE $362.83 $362.83 $50.94 — —
Gamma-glutamyl transferase (GGT) blood test CPT 82977 SL GLUTAMYLTRANSFERASE (GGT) $131.06 $131.06 $14.40 194% above —
Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 SL GLUTAMYLTRANSFERASE (GGT) $131.06 $131.06 $14.40 — —
General health panel: metabolic panel, blood count and TSH in one order CPT 80050 SL GENERAL HEALTH PANEL $525.44 $525.44 $67.66 123% above —
General health panel: metabolic panel, blood count and TSH in one order inpatient CPT 80050 SL GENERAL HEALTH PANEL $525.44 $525.44 $67.66 — —
Glucose tolerance test, 3 samples CPT 82951 SL GLUCOSE TOLERANCE TEST (GTT) $180.81 $180.81 $25.74 99% above —
Glucose tolerance test, 3 samples inpatient CPT 82951 SL GLUCOSE TOLERANCE TEST (GTT) $180.81 $180.81 $25.74 — —
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 SL N GONORRHOEAE $451.42 $451.42 $70.18 194% above —
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 SL N GONORRHOEAE $451.42 $451.42 $70.18 — —
H. pylori antibody blood test CPT 86677 SL CLO TEST - H PYLORI ANTIBODY $201.44 $201.44 $33.70 137% above —
H. pylori antibody blood test inpatient CPT 86677 SL CLO TEST - H PYLORI ANTIBODY $201.44 $201.44 $33.70 — —
H. pylori stool antigen test CPT 87338 SL HELICOBACTOR PYLORI ANTIGEN; FECAL $180.81 $180.81 $28.76 81% above —
H. pylori stool antigen test inpatient CPT 87338 SL HELICOBACTOR PYLORI ANTIGEN; FECAL $180.81 $180.81 $28.76 — —
HIV-1 and HIV-2 antibody test CPT 86703 SL HIV-1 HIV-2 SGL ASSAY $131.06 $131.06 $27.42 68% above —
HIV-1 and HIV-2 antibody test inpatient CPT 86703 SL HIV-1 HIV-2 SGL ASSAY $131.06 $131.06 $27.42 — —
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 SL HIV SCREENING $247.55 $247.55 $48.16 112% above —
HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 SL HIV SCREENING $247.55 $247.55 $48.16 — —
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 SL GLYCO HEMOGLOBIN A1C $155.33 $155.33 $19.42 123% above —
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 SL GLYCO HEMOGLOBIN A1C $155.33 $155.33 $19.42 — —
Hemoglobin blood test CPT 85018 SL HEMOGLOBIN $70.38 $70.38 $4.74 203% above —
Hemoglobin blood test inpatient CPT 85018 SL HEMOGLOBIN $70.38 $70.38 $4.74 — —
Hepatitis B core antibody test (total) CPT 86704 SL HEPATITIS CORE ANTIGEN $180.81 $180.81 $24.10 172% above —
Hepatitis B core antibody test (total) inpatient CPT 86704 SL HEPATITIS CORE ANTIGEN $180.81 $180.81 $24.10 — —
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 SL HEPATITIS B ANTIBODY $166.25 $166.25 $21.48 196% above —
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 SL HEPATITIS B ANTIBODY $166.25 $166.25 $21.48 — —
Hepatitis B surface antigen (HBsAg) test CPT 87340 SL HEP B SURFACE ANTIGEN $143.19 $143.19 $20.66 165% above —
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 SL HEP B SURFACE ANTIGEN $143.19 $143.19 $20.66 — —
Hepatitis C antibody blood test (screening) CPT 86803 SL HEPATITIS C ANTIBODY $201.44 $201.44 $28.54 170% above —
Hepatitis C antibody blood test (screening) inpatient CPT 86803 SL HEPATITIS C ANTIBODY $201.44 $201.44 $28.54 — —
Hepatitis C viral load (HCV RNA) test CPT 87522 SL HCV, RNA DETECT/QUANT $583.69 $583.69 $85.68 345% above —
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 SL HCV, RNA DETECT/QUANT $583.69 $583.69 $85.68 — —
Herpes blood test, HSV-1 antibody CPT 86695 SL HERPES SIMPLEX TPE 1 TEST $129.84 $129.84 $26.38 129% above —
Herpes blood test, HSV-1 antibody inpatient CPT 86695 SL HERPES SIMPLEX TPE 1 TEST $129.84 $129.84 $26.38 — —
Herpes blood test, HSV-2 antibody CPT 86696 SL HERPES SIMPLEX TYPE 2 TEST $146.83 $146.83 $38.70 118% above —
Herpes blood test, HSV-2 antibody inpatient CPT 86696 SL HERPES SIMPLEX TYPE 2 TEST $146.83 $146.83 $38.70 — —
High-sensitivity CRP (hs-CRP) test CPT 86141 SL C- REACTIVE PROTEIN HS $180.81 $180.81 $25.90 133% above —
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 SL C- REACTIVE PROTEIN HS $180.81 $180.81 $25.90 — —
Homocysteine blood test CPT 83090 SL ASSAY OF HOMOCYSTINE $531.51 $531.51 $35.84 448% above —
Homocysteine blood test inpatient CPT 83090 SL ASSAY OF HOMOCYSTINE $531.51 $531.51 $35.84 — —
Insulin blood test CPT 83525 SL INSULIN SYRUM $134.70 $134.70 $22.86 131% above —
Insulin blood test inpatient CPT 83525 SL INSULIN SYRUM $134.70 $134.70 $22.86 — —
Iron blood test (serum iron) CPT 83540 SL ASSAY IRON $121.35 $121.35 $12.94 216% above —
Iron blood test (serum iron) inpatient CPT 83540 SL ASSAY IRON $121.35 $121.35 $12.94 — —
Iron-binding capacity (TIBC) test CPT 83550 SL IRON BINDING CAPACITY $143.19 $143.19 $17.48 168% above —
Iron-binding capacity (TIBC) test inpatient CPT 83550 SL IRON BINDING CAPACITY $143.19 $143.19 $17.48 — —
Kidney function blood test panel CPT 80069 SL RENAL PANAL $121.35 $121.35 $17.36 81% above —
Kidney function blood test panel inpatient CPT 80069 SL RENAL PANAL $121.35 $121.35 $17.36 — —
LH (luteinizing hormone) test CPT 83002 SL ASSAY GONADOTROPIN (LH) $333.71 $333.71 $37.04 209% above —
LH (luteinizing hormone) test inpatient CPT 83002 SL ASSAY GONADOTROPIN (LH) $333.71 $333.71 $37.04 — —
Lactate (lactic acid) blood test CPT 83605 SL LACTIC ACID ASSAY $166.25 $166.25 $23.14 115% above —
Lactate (lactic acid) blood test inpatient CPT 83605 SL LACTIC ACID ASSAY $166.25 $166.25 $23.14 — —
Lactate dehydrogenase (LDH) blood test CPT 83615 SL LDH $121.35 $121.35 $12.08 179% above —
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 SL LDH $121.35 $121.35 $12.08 — —
Lipase blood test (pancreas enzyme) CPT 83690 SL ASSAY LIPASE $121.35 $121.35 $13.78 126% above —
Lipase blood test (pancreas enzyme) inpatient CPT 83690 SL ASSAY LIPASE $121.35 $121.35 $13.78 — —
Liver function blood test panel CPT 80076 SL LIVER PANEL $143.19 $143.19 $16.34 102% above —
Liver function blood test panel inpatient CPT 80076 SL LIVER PANEL $143.19 $143.19 $16.34 — —
Lyme disease antibody test CPT 86618 SL BORR BURGD LYME DIS $228.14 $228.14 $34.06 248% above —
Lyme disease antibody test inpatient CPT 86618 SL BORR BURGD LYME DIS $228.14 $228.14 $34.06 — —
Magnesium blood test CPT 83735 SL ASSAY MAGNESIUM $121.35 $121.35 $13.40 282% above —
Magnesium blood test inpatient CPT 83735 SL ASSAY MAGNESIUM $121.35 $121.35 $13.40 — —
Measles (rubeola) antibody test CPT 86765 SL ANTIBODY RUBEOLA $150.47 $150.47 $25.76 165% above —
Measles (rubeola) antibody test inpatient CPT 86765 SL ANTIBODY RUBEOLA $150.47 $150.47 $25.76 — —
Mono test (heterophile antibody, Monospot) CPT 86308 SL HETEROPHILE - MONOSPOT $109.21 $109.21 $10.36 148% above —
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 SL HETEROPHILE - MONOSPOT $109.21 $109.21 $10.36 — —
Mumps immunity blood test CPT 86735 SL ANTIBODY MUMPS $150.47 $150.47 $26.10 269% above —
Mumps immunity blood test inpatient CPT 86735 SL ANTIBODY MUMPS $150.47 $150.47 $26.10 — —
PSA (prostate-specific antigen) blood test, total CPT 84153 SL PSA, TOTAL $251.19 $251.19 $36.78 160% above —
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 SL PSA, TOTAL $251.19 $251.19 $36.78 — —
Parathyroid hormone (PTH) blood test CPT 83970 SL ASSAY,PARATHORMONE $531.51 $531.51 $82.56 155% above —
Parathyroid hormone (PTH) blood test inpatient CPT 83970 SL ASSAY,PARATHORMONE $531.51 $531.51 $82.56 — —
Partial thromboplastin time (PTT) clotting test CPT 85730 SL PTT $121.35 $121.35 $12.02 268% above —
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 SL PTT $121.35 $121.35 $12.02 — —
Phosphorus (phosphate) blood test CPT 84100 SL ASSAY PHOSPHORUS $97.08 $97.08 $9.48 189% above —
Phosphorus (phosphate) blood test inpatient CPT 84100 SL ASSAY PHOSPHORUS $97.08 $97.08 $9.48 — —
Potassium blood test CPT 84132 SL ASSAY SERUM POTASSIUM $97.08 $97.08 $9.52 139% above —
Potassium blood test inpatient CPT 84132 SL ASSAY SERUM POTASSIUM $97.08 $97.08 $9.52 — —
Progesterone blood test CPT 84144 SL ASSAY PROGESTERONE $274.25 $274.25 $41.72 129% above —
Progesterone blood test inpatient CPT 84144 SL ASSAY PROGESTERONE $274.25 $274.25 $41.72 — —
Prolactin blood test CPT 84146 SL ASSAY PROLACTIN $344.63 $344.63 $38.76 241% above —
Prolactin blood test inpatient CPT 84146 SL ASSAY PROLACTIN $344.63 $344.63 $38.76 — —
Prothrombin time (PT/INR) clotting test CPT 85610 SL PROTHROMBIN TIME (PT) $97.08 $97.08 $8.58 275% above —
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 SL PROTHROMBIN TIME (PT) $97.08 $97.08 $8.58 — —
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 SL DRUG TEST PRSMV READ DIRECT OPTICAL OBS $201.44 $201.44 $25.20 133% above —
Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 SL DRUG TEST PRSMV READ DIRECT OPTICAL OBS $201.44 $201.44 $25.20 — —
Rapid flu test (influenza antigen) CPT 87804 SL INFLUENZA A OR B $180.81 $180.81 $33.10 115% above —
Rapid flu test (influenza antigen) inpatient CPT 87804 SL INFLUENZA A OR B $180.81 $180.81 $33.10 — —
Rapid strep A antigen test from a throat swab, read visually CPT 87880 SL QUICK STREP $180.81 $180.81 $33.06 130% above —
Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 SL QUICK STREP $180.81 $180.81 $33.06 — —
Renin blood test CPT 84244 SL RENIN, PLASMA $61.89 $61.89 $43.98 18% below —
Renin blood test inpatient CPT 84244 SL RENIN, PLASMA $61.89 $61.89 $43.98 — —
Rh blood typing CPT 86901 SL BLOOD TYPING RH (D) $84.94 $84.94 $5.98 122% above —
Rh blood typing inpatient CPT 86901 SL BLOOD TYPING RH (D) $84.94 $84.94 $5.98 — —
Rheumatoid factor (RF) test CPT 86431 SL RHEUMATOID FACT QUANT $109.21 $109.21 $11.34 198% above —
Rheumatoid factor (RF) test inpatient CPT 86431 SL RHEUMATOID FACT QUANT $109.21 $109.21 $11.34 — —
Rubella antibody test (immunity check) CPT 86762 SL RUBELLA $201.44 $201.44 $28.78 202% above —
Rubella antibody test (immunity check) inpatient CPT 86762 SL RUBELLA $201.44 $201.44 $28.78 — —
Sodium blood test CPT 84295 SL ASSAY SERUM SODIUM $97.08 $97.08 $9.62 149% above —
Sodium blood test inpatient CPT 84295 SL ASSAY SERUM SODIUM $97.08 $97.08 $9.62 — —
Stool ova and parasites exam CPT 87177 SL O & P STOOL SMEARS $143.19 $143.19 $17.80 193% above —
Stool ova and parasites exam inpatient CPT 87177 SL O & P STOOL SMEARS $143.19 $143.19 $17.80 — —
Stool test for hidden blood (guaiac FOBT) CPT 82270 SL OCC BLOOD SCREENING $84.94 $84.94 $8.76 200% above —
Stool test for hidden blood (guaiac FOBT) CPT 82270 SL BILIRUBIN,DIRECT $109.21 $109.21 $8.76 286% above —
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 SL OCC BLOOD SCREENING $84.94 $84.94 $8.76 — —
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 SL BILIRUBIN,DIRECT $109.21 $109.21 $8.76 — —
Stool test for hidden blood by immunoassay (FIT) CPT 82274 SL IFOB $32.76 $32.76 $31.84 61% below —
Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 SL IFOB $32.76 $32.76 $31.84 — —
Syphilis antibody test (Treponema pallidum) CPT 86780 SL SYPHILIS ANTIBODY $180.81 $180.81 $26.48 323% above —
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 SL SYPHILIS ANTIBODY $180.81 $180.81 $26.48 — —
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 SL SYPHILIS TEST QUALITATIVE $97.08 $97.08 $8.54 232% above —
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 SL SYPHILIS TEST QUALITATIVE $97.08 $97.08 $8.54 — —
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 SL QUANTIRECON- TB $735.37 $735.37 $123.96 570% above —
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 SL QUANTIRECON- TB $735.37 $735.37 $123.96 — —
Testosterone blood test, total (not free testosterone) CPT 84403 SL ASSAY TOTAL TESTOSTERONE $333.71 $333.71 $51.62 342% above —
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 SL ASSAY TOTAL TESTOSTERONE $333.71 $333.71 $51.62 — —
Thyroid peroxidase (TPO) antibody test CPT 86376 SL MICROSOMAL ANTIBODIES $201.44 $201.44 $29.10 215% above —
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 SL MICROSOMAL ANTIBODIES $201.44 $201.44 $29.10 — —
Thyroid-stimulating hormone (TSH) blood test CPT 84443 SL TSH $228.14 $228.14 $33.60 121% above —
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 SL TSH $228.14 $228.14 $33.60 — —
Total IgE blood test CPT 82785 SL ASSAY OF IGE $228.14 $228.14 $32.92 169% above —
Total IgE blood test inpatient CPT 82785 SL ASSAY OF IGE $228.14 $228.14 $32.92 — —
Total cholesterol blood test CPT 82465 SL ASSAY SERUM CHOLESTEROL $97.08 $97.08 $8.70 188% above —
Total cholesterol blood test inpatient CPT 82465 SL ASSAY SERUM CHOLESTEROL $97.08 $97.08 $8.70 — —
Total thyroxine (T4) blood test CPT 84436 SL ASSAY OF TOTAL THYROXINE (T4) $128.63 $128.63 $13.74 187% above —
Total thyroxine (T4) blood test inpatient CPT 84436 SL ASSAY OF TOTAL THYROXINE (T4) $128.63 $128.63 $13.74 — —
Total triiodothyronine (T3) blood test CPT 84480 SL TRIIODOTHYRONINE T3;TOTAL $90.18 $90.18 $28.36 1% below —
Total triiodothyronine (T3) blood test inpatient CPT 84480 SL TRIIODOTHYRONINE T3;TOTAL $90.18 $90.18 $28.36 — —
Transferrin blood test CPT 84466 SL ASSAY TRANSFERRIN $190.52 $190.52 $25.52 154% above —
Transferrin blood test inpatient CPT 84466 SL ASSAY TRANSFERRIN $190.52 $190.52 $25.52 — —
Triglycerides blood test CPT 84478 SL ASSAY TRIGLYCERIDES $109.21 $109.21 $11.48 155% above —
Triglycerides blood test inpatient CPT 84478 SL ASSAY TRIGLYCERIDES $109.21 $109.21 $11.48 — —
Troponin test, quantitative CPT 84484 SL TROPONIN $144.41 $144.41 $24.94 81% above —
Troponin test, quantitative inpatient CPT 84484 SL TROPONIN $144.41 $144.41 $24.94 — —
Uric acid blood test CPT 84550 SL ASSAY BLOOD URIC ACID $97.08 $97.08 $9.04 141% above —
Uric acid blood test inpatient CPT 84550 SL ASSAY BLOOD URIC ACID $97.08 $97.08 $9.04 — —
Urinalysis with microscope exam, manual CPT 81000 SL URINALYSIS $84.94 $84.94 $8.04 222% above —
Urinalysis with microscope exam, manual inpatient CPT 81000 SL URINALYSIS $84.94 $84.94 $8.04 — —
Urinalysis without microscope exam, manual CPT 81002 SL URINALYSIS NON-AUTOMATED $70.38 $70.38 $6.96 235% above —
Urinalysis without microscope exam, manual inpatient CPT 81002 SL URINALYSIS NON-AUTOMATED $70.38 $70.38 $6.96 — —
Urine culture for bacteria, with colony count CPT 87086 SL URINE CULTURE $190.52 $190.52 $16.14 215% above —
Urine culture for bacteria, with colony count inpatient CPT 87086 SL URINE CULTURE $190.52 $190.52 $16.14 — —
Urine microalbumin (albumin) test CPT 82043 SL ASSAY SERUM ALBUMIN $97.08 $97.08 $11.56 140% above —
Urine microalbumin (albumin) test inpatient CPT 82043 SL ASSAY SERUM ALBUMIN $97.08 $97.08 $11.56 — —
Urine pregnancy test, read by color change CPT 81025 SL URINE PREGNANCY TEST $121.35 $121.35 $17.22 118% above —
Urine pregnancy test, read by color change inpatient CPT 81025 SL URINE PREGNANCY TEST $121.35 $121.35 $17.22 — —
Vitamin B12 (cobalamin) blood test CPT 82607 SL ASSAY B-12 $214.79 $214.79 $30.16 122% above —
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 SL ASSAY B-12 $214.79 $214.79 $30.16 — —
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 SL 25 HDN $381.04 $381.04 $59.20 129% above —
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 SL 25 HDN $381.04 $381.04 $59.20 — —
Vitamin D, 1,25-dihydroxy blood test CPT 82652 SL DHVD $498.74 $498.74 $77.00 285% above —
Vitamin D, 1,25-dihydroxy blood test inpatient CPT 82652 SL DHVD $498.74 $498.74 $77.00 — —
Zinc blood test CPT 84630 SL ASSAY ZINC $320.36 $320.36 $22.78 582% above —
Zinc blood test inpatient CPT 84630 SL ASSAY ZINC $320.36 $320.36 $22.78 — —
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 SL CHORIONIC GONADOTROPIN $201.44 $201.44 $30.10 153% above —
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 SL CHORIONIC GONADOTROPIN $201.44 $201.44 $30.10 — —

Surgery and procedures

ProcedureCash priceList priceInsurers payvs North DakotaOff list
Cardioversion, elective (restoring heart rhythm) CPT 92960 HC CARDIOVERSION $2,360.23 $2,360.23 $351.65 133% above —
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 HC CARDIOVERSION $2,360.23 $2,360.23 $351.65 — —
Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 PR CLTX DSTL RADIAL FX/EPIPHYSL SEP W/O MNPJ $1,667.33 $1,667.33 $793.14 274% above —
Closed treatment of a wrist (distal radius) fracture, no resetting inpatient CPT 25600 PR CLTX DSTL RADIAL FX/EPIPHYSL SEP W/O MNPJ $1,667.33 $1,667.33 $793.14 — —
Colonoscopy with polyp removal CPT 45385 HC COLONOSCOPY/POLYPECTOMY SNARE $3,715.70 $3,715.70 $576.62 84% above —
Colonoscopy with polyp removal inpatient CPT 45385 HC COLONOSCOPY/POLYPECTOMY SNARE $3,715.70 $3,715.70 $576.62 — —
Colonoscopy with tissue sample CPT 45380 HC COLONOSCOPY W/BIOPSY(S) $3,550.67 $3,550.67 $457.61 92% above —
Colonoscopy with tissue sample inpatient CPT 45380 HC COLONOSCOPY W/BIOPSY(S) $3,550.67 $3,550.67 $457.61 — —
Colonoscopy, diagnostic CPT 45378 HC COLONOSCOPY $3,550.67 $3,550.67 $420.75 92% above —
Colonoscopy, diagnostic inpatient CPT 45378 HC COLONOSCOPY $3,550.67 $3,550.67 $420.75 — —
Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 HC DESTRUCT PREMALG LESION $286.38 $286.38 $127.45 44% above —
Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 PR DESTRUCTION PREMALIGNANT LESION 1ST $435.64 $435.64 $127.45 119% above —
Destruction of a precancerous skin lesion (actinic keratosis), first lesion inpatient CPT 17000 PR DESTRUCTION PREMALIGNANT LESION 1ST $435.64 $435.64 $127.45 — —
Earwax removal by irrigation (rinsing), one ear CPT 69209 HC REMOVE IMPACTED EAR WAX IRRIGATION $60.67 $60.67 $36.09 at median —
Earwax removal by irrigation (rinsing), one ear inpatient CPT 69209 HC REMOVE IMPACTED EAR WAX IRRIGATION $60.67 $60.67 $36.09 — —
Earwax removal with instruments, one ear CPT 69210 HC REMOVE IMPACTED EAR WAX $277.89 $277.89 $73.71 142% above —
Earwax removal with instruments, one ear inpatient CPT 69210 HC REMOVE IMPACTED EAR WAX $277.89 $277.89 $73.71 — —
Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 HC DIAGNOSTIC SIGMOIDOSCOPY $1,694.03 $1,694.03 $131.29 54% above —
Flexible sigmoidoscopy, diagnostic (lower colon only) inpatient CPT 45330 HC DIAGNOSTIC SIGMOIDOSCOPY $1,694.03 $1,694.03 $131.29 — —
Hemorrhoid banding (rubber band ligation) CPT 46221 HC LIGATION OF HEMORRHOID(S) $2,676.95 $2,676.95 $452.23 88% above —
Hemorrhoid banding (rubber band ligation) inpatient CPT 46221 HC LIGATION OF HEMORRHOID(S) $2,676.95 $2,676.95 $452.23 — —
Incision and drainage of a simple or single skin abscess CPT 10060 HC I & D ABSCESS, SMPL $672.27 $672.27 $248.77 121% above —
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 PR INJECTION 1 TENDON SHEATH/LIGAMENT APONEUROSIS $311.87 $311.87 $89.83 at median —
Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 PR INJECTION 1 TENDON SHEATH/LIGAMENT APONEUROSIS $311.87 $311.87 $89.83 — —
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 HC RAD INJECT/ASPIR JNTMAJOR $991.42 $991.42 $104.42 227% above —
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 HC RAD INJECT/ASPIR JNTMAJOR $991.42 $991.42 $104.42 — —
Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 HC INSERT DRUG IMPLANT DEVICE $1,271.24 $1,271.24 — 419% above —
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 HC DRAIN/INJECT MEDIUM JOINT/BURSA $991.42 $991.42 $84.46 190% above —
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 HC DRAIN/INJECT MEDIUM JOINT/BURSA $991.42 $991.42 $84.46 — —
Joint injection or drainage, small joint (fingers, toes) CPT 20600 PR ARTHROCENTESIS ASPIR&/INJ SMALL JT/BURSA W/O US $249.98 $249.98 $82.15 13% below —
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 PR ARTHROCENTESIS ASPIR&/INJ SMALL JT/BURSA W/O US $249.98 $249.98 $82.15 — —
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 HC LAYR CLOS WND TRUNK,ARM,LEG <2.5CM $1,355.47 $1,355.47 $350.88 162% above —
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 HC LAYR CLOS WND TRUNK,ARM,LEG <2.5CM $1,355.47 $1,355.47 $350.88 — —
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 HC EXC BENIG .1-.5CM TRUNK,ARM,LEG $1,815.38 $1,815.38 $197.32 248% above —
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 HC EXC SKIN BENIG <5MM FACE,FACIAL $1,815.38 $1,815.38 $250.30 222% above —
Nail removal (partial or complete), one nail CPT 11730 HC REMOVE NAIL PLATE $569.13 $569.13 $123.62 103% above —
Permanent removal of a nail and nail root (partial or complete) CPT 11750 HC REMOVE NAIL BED $1,815.38 $1,815.38 $235.71 223% above —
Removal of a foreign object under the skin, simple CPT 10120 HC REMOVE FOREIGN BODY,SMPL $1,129.76 $1,129.76 $245.70 165% above —
Screening colonoscopy for a person at average risk (Medicare code) HCPCS G0121 HC SCRN COLONOSCOPY NOT HI RISK $3,081.05 $3,081.05 — 77% above —
Screening colonoscopy for a person at average risk (Medicare code) inpatient HCPCS G0121 HC SCRN COLONOSCOPY NOT HI RISK $3,081.05 $3,081.05 — — —
Screening colonoscopy, high risk of colorectal cancer (Medicare code) HCPCS G0105 HC SCRN COLONOSCOPY HI RISK $1,372.32 $1,372.32 — 21% below —
Screening colonoscopy, high risk of colorectal cancer (Medicare code) HCPCS G0105 PR COLORECTAL SCRN; HI RISK IND $1,992.20 $1,992.20 — 14% above —
Screening colonoscopy, high risk of colorectal cancer (Medicare code) inpatient HCPCS G0105 HC SCRN COLONOSCOPY HI RISK $1,372.32 $1,372.32 — — —
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 HC REPR SUPERF WND BODY <2.5CM $469.62 $469.62 $102.89 52% above —
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 PR SIMPLE REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.5CM/< $486.61 $486.61 $102.89 58% above —
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 HC REPR SUPERF WND BODY <2.5CM $469.62 $469.62 $102.89 — —
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 PR SIMPLE REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.5CM/< $486.61 $486.61 $102.89 — —
Skin biopsy, punch, one lesion CPT 11104 HC PUNCH BX SNGL SKIN LESION $1,086.07 $1,086.07 $107.49 220% above —
Skin biopsy, punch, one lesion inpatient CPT 11104 HC PUNCH BX SNGL SKIN LESION $1,086.07 $1,086.07 $107.49 — —
Skin cancer removal (excision), body, arms or legs, up to 0.5 cm CPT 11600 HC EXC SKIN MALIG <5MM TRUNK,ARM,LEG $2,949.99 $2,949.99 $283.32 457% above —
Skin tag removal, up to 15 tags CPT 11200 HC REMOVAL OF SKIN TAGS $391.96 $391.96 $178.90 70% above —
Skin tag removal, up to 15 tags CPT 11200 PR RMVL SKIN TAGS MLT FIBRQ TAGS ANY UP TO&INC 15 $469.62 $469.62 $178.90 104% above —
Skin tag removal, up to 15 tags inpatient CPT 11200 PR RMVL SKIN TAGS MLT FIBRQ TAGS ANY UP TO&INC 15 $469.62 $469.62 $178.90 — —
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 HC REPR SUP NPTERF WND BODY 2.6-7.5 $469.62 $469.62 $135.13 58% above —
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 PR SMPL REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.6-7.5CM $586.11 $586.11 $135.13 97% above —
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 HC REPR SUP NPTERF WND BODY 2.6-7.5 $469.62 $469.62 $135.13 — —
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 PR SMPL REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.6-7.5CM $586.11 $586.11 $135.13 — —
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 HC REPR SUPERF WND FACE <2.5CM $469.62 $469.62 $128.22 61% above —
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 PR SIMPLE REPAIR F/E/E/N/L/M 2.5CM/< $592.18 $592.18 $128.22 103% above —
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 HC REPR SUPERF WND FACE <2.5CM $469.62 $469.62 $128.22 — —
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 PR SIMPLE REPAIR F/E/E/N/L/M 2.5CM/< $592.18 $592.18 $128.22 — —
Tangential (shave-style) skin biopsy, one lesion CPT 11102 HC TANGENTIAL BX SNGL SKIN LESION $276.68 $276.68 $85.99 3% above —
Tangential (shave-style) skin biopsy, one lesion CPT 11102 PR TANGENTIAL BIOPSY SKIN SINGLE LESION $400.45 $400.45 $85.99 49% above —
Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 HC TANGENTIAL BX SNGL SKIN LESION $276.68 $276.68 $85.99 — —
Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 PR TANGENTIAL BIOPSY SKIN SINGLE LESION $400.45 $400.45 $85.99 — —
Trigger point injections, 1 or 2 muscles CPT 20552 HC INJ TRIGGER POINT,1 OR 2 $991.42 $991.42 $83.69 172% above —
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 HC INJ TRIGGER POINT,1 OR 2 $991.42 $991.42 $83.69 — —
Upper endoscopy (EGD) with biopsy CPT 43239 HC UPPER GI ENDOSCOPY,BIOPSY $3,136.87 $3,136.87 $314.80 101% above —
Upper endoscopy (EGD) with biopsy inpatient CPT 43239 HC UPPER GI ENDOSCOPY,BIOPSY $3,136.87 $3,136.87 $314.80 — —
Upper endoscopy (EGD), diagnostic CPT 43235 HC UPPER GI ENDOSCOPY,DX $3,136.87 $3,136.87 $280.25 103% above —
Upper endoscopy (EGD), diagnostic inpatient CPT 43235 HC UPPER GI ENDOSCOPY,DX $3,136.87 $3,136.87 $280.25 — —
Wart removal, up to 14 warts CPT 17110 HC DESTRUCT BENIGN LESION, 1-14 $569.13 $569.13 $160.47 127% above —
Wart removal, up to 14 warts CPT 17110 PR DESTRUCTION BENIGN LESIONS UP TO 14 $598.25 $598.25 $160.47 139% above —
Wart removal, up to 14 warts inpatient CPT 17110 PR DESTRUCTION BENIGN LESIONS UP TO 14 $598.25 $598.25 $160.47 — —
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 PR DEBRIDEMENT SUBCUTANEOUS TISSUE 1ST 20 SQ CM/< $631.02 $631.02 $139.74 48% above —
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 PR DEBRIDEMENT SUBCUTANEOUS TISSUE 1ST 20 SQ CM/< $631.02 $631.02 $139.74 — —

Doctor visits and therapy

ProcedureCash priceList priceInsurers payvs North DakotaOff list
Blood transfusion (giving blood or blood components) CPT 36430 SL BLOOD TRANSFUSION SERVICE $239.77 $239.77 — 66% below —
Blood transfusion (giving blood or blood components) inpatient CPT 36430 SL BLOOD TRANSFUSION SERVICE $239.77 $239.77 — — —
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC AIRWAY INHALATION TRMT $223.28 $223.28 $18.43 114% above —
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HC AIRWAY INHALATION TRMT $223.28 $223.28 $18.43 — —
Critical care, first 30 to 74 minutes CPT 99291 HC CRITICAL CARE 1ST HOUR $2,071.42 $2,071.42 $488.32 7% above —
Critical care, first 30 to 74 minutes inpatient CPT 99291 HC CRITICAL CARE 1ST HOUR $2,071.42 $2,071.42 $488.32 — —
Electrocardiogram (ECG/EKG) with interpretation CPT 93000 PR ECG ROUTINE ECG W/LEAST 12 LDS W/I&R $177.17 $177.17 $33.02 72% above —
Electrocardiogram (ECG/EKG) with interpretation inpatient CPT 93000 PR ECG ROUTINE ECG W/LEAST 12 LDS W/I&R $177.17 $177.17 $33.02 — —
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 HC ROUTINE EKG $314.29 $314.29 $14.59 179% above —
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 HC ROUTINE EKG $314.29 $314.29 $14.59 — —
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 HC ED LEVEL I $330.07 $330.07 $26.11 86% above —
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 HC ED LEVEL II $399.24 $399.24 $95.98 34% above —
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 HC ED LEVEL III $540.00 $540.00 $162.01 10% above —
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 HC ED LEVEL IV $868.86 $868.86 $276.41 7% above —
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 HC ED LEVEL V $1,577.53 $1,577.53 $400.79 28% above —
Family therapy with the patient, 50 minutes CPT 90847 HC FAMILY PSYCHOTHERAPY W/PATIENT $1,025.40 $1,025.40 — 121% above —
Family therapy without the patient, 50 minutes CPT 90846 HC FAMILY PSYCHOTHERAPY W/O PATIENT $976.86 $976.86 — 121% above —
Group psychotherapy session CPT 90853 HC GROUP PSYCHOTHERAPY $1,577.53 $1,577.53 — 245% above —
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HC HYDRATION IV INFUSION,INIT $448.99 $448.99 $71.41 34% above —
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 HC HYDRATION IV INFUSION,INIT $448.99 $448.99 $71.41 — —
IV infusion of a medicine, first hour CPT 96365 HC THER/PROPH/DIAG IV INF,INIT $868.86 $868.86 $137.44 125% above —
IV infusion of a medicine, first hour inpatient CPT 96365 HC THER/PROPH/DIAG IV INF,INIT $868.86 $868.86 $137.44 — —
IV push of a medicine, first drug CPT 96374 HC THER/PROPH/DIAG INJ,IV PUSH $448.99 $448.99 $80.62 50% above —
IV push of a medicine, first drug inpatient CPT 96374 HC THER/PROPH/DIAG INJ,IV PUSH $448.99 $448.99 $80.62 — —
Injection under the skin or into a muscle, for treatment or testing CPT 96372 HC THER/PROPH/DIAG INJ,SC/IM $252.41 $252.41 $33.02 199% above —
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 HC THER/PROPH/DIAG INJ,SC/IM $252.41 $252.41 $33.02 — —
Mental health diagnostic evaluation (intake), without medical services CPT 90791 PR PSYCHIATRIC DIAGNOSTIC EVALUATION $524.94 $524.94 — 90% above —
Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 PR PSYCHIATRIC DIAGNOSTIC EVALUATION $524.94 $524.94 — — —
Neuromuscular re-education, 15 minutes CPT 97112 HC NEUROMUSC RE-ED 15MIN $150.47 $150.47 $76.01 33% above —
Neuromuscular re-education, 15 minutes inpatient CPT 97112 HC NEUROMUSC RE-ED 15MIN $150.47 $150.47 $76.01 — —
Occupational therapy evaluation, low complexity CPT 97165 HC OT EVAL LOW COMPLEX 30 MIN $393.17 $393.17 $238.79 50% above —
Occupational therapy evaluation, low complexity inpatient CPT 97165 HC OT EVAL LOW COMPLEX 30 MIN $393.17 $393.17 $238.79 — —
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 HC PT EVAL HIGH COMPLEX 45 MIN $930.56 $930.56 $232.64 198% above —
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 PR PHYSICAL THERAPY EVALUATION HIGH COMPLEX 45 MINS $930.56 $930.56 $232.64 198% above —
Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 HC PT EVAL HIGH COMPLEX 45 MIN $930.56 $930.56 $232.64 — —
Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 PR PHYSICAL THERAPY EVALUATION HIGH COMPLEX 45 MINS $930.56 $930.56 $232.64 — —
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 HC PT EVAL LOW COMPLEX 20 MIN $465.28 $465.28 $232.64 74% above —
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 HC PT EVAL LOW COMPLEX 20 MIN $465.28 $465.28 $232.64 — —
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 HC PT EVAL MOD COMPLEX 30 MIN $697.92 $697.92 $232.64 143% above —
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 PR PHYSICAL THERAPY EVALUATION MOD COMPLEX 30 MINS $697.92 $697.92 $232.64 143% above —
Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 PR PHYSICAL THERAPY EVALUATION MOD COMPLEX 30 MINS $697.92 $697.92 $232.64 — —
Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 HC PT EVAL MOD COMPLEX 30 MIN $697.92 $697.92 $232.64 — —
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 HC MANUAL THERAPY 15MIN $133.48 $133.48 $64.50 25% above —
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 HC MANUAL THERAPY 15MIN $133.48 $133.48 $64.50 — —
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC THERAP EX 15MIN $150.47 $150.47 $68.33 37% above —
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HC THERAP EX 15MIN $150.47 $150.47 $68.33 — —
Preventive checkup, new patient aged 40–64 CPT 99386 PR INITIAL PREVENTIVE MEDICINE NEW PATIENT 40-64YRS $789.98 $789.98 $344.74 441% above —
Preventive checkup, returning patient aged 18–39 CPT 99395 PR PERIODIC PREVENTIVE MED EST PATIENT 18-39 YRS $702.61 $702.61 $270.27 468% above —
Preventive checkup, returning patient aged 40–64 CPT 99396 PR PERIODIC PREVENTIVE MED EST PATIENT 40-64YRS $655.28 $655.28 $287.16 240% above —
Preventive checkup, returning patient aged 65 or older CPT 99397 PR PERIODIC PREVENTIVE MED EST PATIENT 65YRS& OLDER $573.98 $573.98 $309.42 181% above —
Psychiatric evaluation with medical services CPT 90792 PR PSYCHIATRIC DIAGNOSTIC EVAL W/MEDICAL SERVICES $591.07 $591.07 $446.09 113% above —
Psychiatric evaluation with medical services inpatient CPT 90792 PR PSYCHIATRIC DIAGNOSTIC EVAL W/MEDICAL SERVICES $591.07 $591.07 $446.09 — —
Psychotherapy for crisis, first 60 minutes CPT 90839 PR PSYCHOTHERAPY FOR CRISIS INITIAL 60 MINUTES $653.74 $653.74 — 297% above —
Psychotherapy for crisis, first 60 minutes inpatient CPT 90839 PR PSYCHOTHERAPY FOR CRISIS INITIAL 60 MINUTES $653.74 $653.74 — — —
Psychotherapy session, 30 minutes CPT 90832 HC PSYCHOTHERAPY W/PATIENT 30 MINUTES $740.23 $740.23 — 294% above —
Psychotherapy session, 45 minutes CPT 90834 HC PSYCHOTHERAPY W/PATIENT 45 MINUTES $916.18 $916.18 — 255% above —
Psychotherapy session, 60 minutes CPT 90837 HC PSYCHOTHERAPY W/PATIENT 60 MINUTES $934.39 $934.39 — 286% above —
Quit-smoking counseling, 3 to 10 minutes CPT 99406 PR TOBACCO USE CESSATION INTERMEDIATE 3-10 MINUTES $66.74 $66.74 $33.02 85% above —
Specialist consultation, low complexity or 30+ minutes CPT 99243 PR OFFICE/OP CONSLTJ NEW/EST PT LOW MDM 30 MINUTES $626.16 $626.16 — 123% above —
Specialist consultation, moderate complexity or 40+ minutes CPT 99244 PR OFFICE/OP CONSLTJ NEW/EST PT MOD MDM 40 MINUTES $927.10 $927.10 — 186% above —
Speech and language evaluation CPT 92523 HC EVAL OF SPEECH SOUND LANG COMPREHEN $515.73 $515.73 $530.55 10% below —
Speech and language evaluation inpatient CPT 92523 HC EVAL OF SPEECH SOUND LANG COMPREHEN $515.73 $515.73 $530.55 — —
Speech therapy session, individual CPT 92507 HC SPEECH/HEARING THERAPY INDIV $360.41 $360.41 — 33% above —
Speech therapy session, individual inpatient CPT 92507 HC SPEECH/HEARING THERAPY INDIV $360.41 $360.41 — — —
Spirometry (breathing test) CPT 94010 HC SPIROMETRY $199.01 $199.01 $62.96 44% above —
Spirometry (breathing test) inpatient CPT 94010 HC SPIROMETRY $199.01 $199.01 $62.96 — —
Spirometry before and after a bronchodilator CPT 94060 HC PRE/POST SPIRO $334.92 $334.92 $89.83 31% above —
Spirometry before and after a bronchodilator inpatient CPT 94060 HC PRE/POST SPIRO $334.92 $334.92 $89.83 — —
Therapeutic activities (functional training), 15 minutes CPT 97530 HC THERAP ACTIVITY 15MIN $157.75 $157.75 $82.15 34% above —
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 HC THERAP ACTIVITY 15MIN $157.75 $157.75 $82.15 — —
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 SL THERAPEUTIC PHLEBOTOMY $538.79 $538.79 $206.54 113% above —
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 PR PHLEBOTOMY THERAPEUTIC SEPARATE PROCEDURE $538.79 $538.79 $206.54 113% above —
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 SL THERAPEUTIC PHLEBOTOMY $538.79 $538.79 $206.54 — —
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 PR PHLEBOTOMY THERAPEUTIC SEPARATE PROCEDURE $538.79 $538.79 $206.54 — —

Vaccines

ProcedureCash priceList priceInsurers payvs North DakotaOff list
DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel) CPT 90696 PR DTAP-IPV VACCINE CHILD 4-6 YRS FOR IM USE $263.81 $263.81 $67.53 180% above —
DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel) inpatient CPT 90696 PR DTAP-IPV VACCINE CHILD 4-6 YRS FOR IM USE $263.81 $263.81 $67.53 — —
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 PR DIPHTH TETANUS TOX ACELL PERTUSSIS VACC<7 YR IM $136.74 $136.74 $31.81 162% above —
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 inpatient CPT 90700 PR DIPHTH TETANUS TOX ACELL PERTUSSIS VACC<7 YR IM $136.74 $136.74 $31.81 — —
DTaP, hepatitis B and polio combination vaccine (Pediarix) CPT 90723 PR DTAP-HEPB-IPV VACCINE INTRAMUSCULAR $426.63 $426.63 $111.39 261% above —
DTaP, hepatitis B and polio combination vaccine (Pediarix) inpatient CPT 90723 PR DTAP-HEPB-IPV VACCINE INTRAMUSCULAR $426.63 $426.63 $111.39 — —
DTaP, polio, Hib and hepatitis B combination vaccine (Vaxelis) CPT 90697 PR DTAP-IPV-HIB-HEPB VACCINE INTRAMUSCULAR $609.63 $609.63 $168.37 261% above —
DTaP, polio, Hib and hepatitis B combination vaccine (Vaxelis) inpatient CPT 90697 PR DTAP-IPV-HIB-HEPB VACCINE INTRAMUSCULAR $609.63 $609.63 $168.37 — —
HPV vaccine, 9-valent (Gardasil 9) CPT 90651 PR 9VHPV VACC 2/3 DOSE SCHED IM USE $1,534.54 $1,534.54 $330.68 335% above —
HPV vaccine, 9-valent (Gardasil 9) inpatient CPT 90651 PR 9VHPV VACC 2/3 DOSE SCHED IM USE $1,534.54 $1,534.54 $330.68 — —
Hepatitis A vaccine, child and teen dose (2-dose schedule) CPT 90633 PR HEPA VACCINE 2 DOSE SCHEDULE PED/ADOLESC IM USE $164.26 $164.26 $41.76 179% above —
Hepatitis A vaccine, child and teen dose (2-dose schedule) inpatient CPT 90633 PR HEPA VACCINE 2 DOSE SCHEDULE PED/ADOLESC IM USE $164.26 $164.26 $41.76 — —
Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 PR HEPB VACCINE PED/ADOLESC 3 DOSE SCHEDULE IM $123.89 $123.89 $30.00 210% above —
Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 PR HEPB VACCINE PED/ADOLESC 3 DOSE SCHEDULE IM $123.89 $123.89 $30.00 — —
Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) CPT 90648 PR HIB PRP-T VACCINE 4 DOSE SCHEDULE IM USE $55.80 $55.80 $14.16 79% above —
Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) inpatient CPT 90648 PR HIB PRP-T VACCINE 4 DOSE SCHEDULE IM USE $55.80 $55.80 $14.16 — —
High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 PR IIV VACCINE PRESERV FREE INCREASED AG CONTENT IM $135.68 $135.68 $78.86 111% above —
High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 PR IIV VACCINE PRESERV FREE INCREASED AG CONTENT IM $135.68 $135.68 $78.86 — —
MMR vaccine (measles, mumps and rubella), live CPT 90707 PR MEASLES MUMPS RUBELLA VIRUS VACCINE LIVE SUBQ $456.05 $456.05 $102.34 277% above —
MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 PR MEASLES MUMPS RUBELLA VIRUS VACCINE LIVE SUBQ $456.05 $456.05 $102.34 — —
Meningococcal ACWY (MenACWY) vaccine CPT 90734 PR MENACWYD/MENACWY-CRM CONJ VACC GRPS ACWY IM USE $699.98 $699.98 $179.26 293% above —
Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 PR MENACWYD/MENACWY-CRM CONJ VACC GRPS ACWY IM USE $699.98 $699.98 $179.26 — —
Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 PR MENB-4C RECOMBNT PRTN & OUTER MEMB VESIC VACC IM $955.31 $955.31 $254.91 184% above —
Meningococcal B vaccine (Bexsero), 2-dose schedule inpatient CPT 90620 PR MENB-4C RECOMBNT PRTN & OUTER MEMB VESIC VACC IM $955.31 $955.31 $254.91 — —
Pneumonia vaccine, 13-valent conjugate (Prevnar 13) CPT 90670 PR PCV13 VACCINE FOR INTRAMUSCULAR USE $619.38 $619.38 — 121% above —
Pneumonia vaccine, 13-valent conjugate (Prevnar 13) inpatient CPT 90670 PR PCV13 VACCINE FOR INTRAMUSCULAR USE $619.38 $619.38 — — —
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 PR PCV20 VACCINE FOR INTRAMUSCULAR USE $1,117.88 $1,117.88 $295.20 196% above —
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 PR PCV20 VACCINE FOR INTRAMUSCULAR USE $1,117.88 $1,117.88 $295.20 — —
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PR PPSV23 VACCINE 2 YRS OR OLDER FOR SUBQ/IM USE $535.68 $535.68 $125.86 284% above —
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 PR PPSV23 VACCINE 2 YRS OR OLDER FOR SUBQ/IM USE $535.68 $535.68 $125.86 — —
Polio vaccine, inactivated (IPV) CPT 90713 PR POLIOVIRUS VACCINE INACTIVATED SUBQ/IM $212.00 $212.00 $48.08 65% above —
Polio vaccine, inactivated (IPV) inpatient CPT 90713 PR POLIOVIRUS VACCINE INACTIVATED SUBQ/IM $212.00 $212.00 $48.08 — —
RSV antibody shot for infants and toddlers, larger dose (1 mL, 100 mg) CPT 90381 PR RSV MONOCLONAL ANTB SEASONAL DOSE 1 ML IM USE $1,768.49 $1,768.49 $583.94 118% above —
RSV antibody shot for infants and toddlers, larger dose (1 mL, 100 mg) inpatient CPT 90381 PR RSV MONOCLONAL ANTB SEASONAL DOSE 1 ML IM USE $1,768.49 $1,768.49 $583.94 — —
RSV antibody shot for infants, seasonal dose (0.5 mL) CPT 90380 PR RSV MONOCLONAL ANTB SEASONAL DOSE 0.5ML IM USE $1,768.49 $1,768.49 $583.94 74% above —
RSV antibody shot for infants, seasonal dose (0.5 mL) inpatient CPT 90380 PR RSV MONOCLONAL ANTB SEASONAL DOSE 0.5ML IM USE $1,768.49 $1,768.49 $583.94 — —
Rotavirus vaccine, oral, 2-dose schedule (Rotarix) CPT 90681 PR RV1 VACCINE 2 DOSE SCHEDULE LIVE FOR ORAL USE $617.17 $617.17 $158.05 174% above —
Rotavirus vaccine, oral, 2-dose schedule (Rotarix) inpatient CPT 90681 PR RV1 VACCINE 2 DOSE SCHEDULE LIVE FOR ORAL USE $617.17 $617.17 $158.05 — —
Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 PR HZV ZOSTER VACC RECOMBINANT ADJUVANTED IM NJX $415.01 $415.01 $231.67 45% above —
Shingles vaccine (Shingrix), recombinant, one dose inpatient CPT 90750 PR HZV ZOSTER VACC RECOMBINANT ADJUVANTED IM NJX $415.01 $415.01 $231.67 — —
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 PR TD VACCINE PRSRV FREE 7 YRS OR OLDER FOR IM USE $175.96 $175.96 $36.84 252% above —
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 PR TD VACCINE PRSRV FREE 7 YRS OR OLDER FOR IM USE $175.96 $175.96 $36.84 — —
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 PR TDAP VACCINE 7 YRS/> IM $317.93 $317.93 $42.39 357% above —
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 PR TDAP VACCINE 7 YRS/> IM $317.93 $317.93 $42.39 — —
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 PR IM ADM PRQ ID SUBQ/IM NJXS 1 VACCINE $65.53 $65.53 $47.60 37% above —
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 PR IM ADM PRQ ID SUBQ/IM NJXS 1 VACCINE $65.53 $65.53 $47.60 — —
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 PR IM ADM PRQ ID SUBQ/IM NJXS EA VACCINE $31.55 $31.55 $33.78 8% above —
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 PR IM ADM PRQ ID SUBQ/IM NJXS EA VACCINE $31.55 $31.55 $33.78 — —
Procedure The service, with its billing code (CPT or HCPCS) and, in small type, the line exactly as the hospital wrote it in its price file. More
Cash price The hospital's own price for a patient paying without insurance (“discounted cash” in its price file). Hospitals must publish it under federal law, 45 CFR 180.50. Call to confirm it before booking. More
List price The hospital's full chargemaster price (“gross charge”) before any discount. Almost nobody pays it; the gap to the cash price shows what the self-pay discount is worth. More
Insurers pay The lowest and highest rates this hospital has agreed with insurance plans for the same item, from its price file. If the cash price is below what your plan pays and you have not met your deductible, paying cash can cost you less. More
Against the state median This hospital's cash price compared with the median cash price of hospitals in the state for the same code. Shown when at least three hospitals in the state price it.
Off list How much lower the cash price is than the list price.
No cash discount This line's cash price equals the hospital's full list price. Many hospitals still reduce bills for uninsured patients: ask the billing office for its self-pay discount in writing. More
At or below Medicare This cash price is at or below what Medicare pays a hospital for the same service, which is unusually low. It is what the hospital's file says; confirm it and what it includes before booking. More
Check the item The description in the hospital file looks like a supply or device (a catheter, a brace, an implant), not this procedure. The hospital may have filed it under the wrong code: ask before relying on this price.

Source file: https://bbb1a517-41e6-4183-a87a-432e9d951c49.usrfiles.com/ugd/bbb1a5_2555925af50744a8a4fb298bb94d92c7.csv