Hospital

Unity Medical Center

Listed in its price file as “Christian Unity Hospital Corporation”.

Unity Medical Center in Graften, ND publishes cash prices for 168 common procedures listed here, from its own machine-readable price file (the file does not say when it was last updated). Compared with other hospitals in the state, its outpatient cash prices are above the North Dakota median for 113 of 166 procedures and below it for 50. By typical cash price it ranks #26 of 32 North Dakota hospitals, cheapest first. Click a procedure to compare it with other hospitals nearby.

164 West 13th Street, Graften, ND 58239 Collected Sep 27, 2026 Source price file (701) 352-1620

Critical access hospital (rural, 25 beds or fewer) Emergency department CCN 351320 · CMS hospital register NPI 1245216852

The price file shows no self-pay discount

For 382 of the 382 prices listed here, the cash price in Unity Medical Center'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.

Scans and imaging

ProcedureCash price List priceInsurers payvs North DakotaOff list
Ankle X-ray, complete, 3 or more views CPT 73610 HC ANKLE MIN 3 VIEWS $186.00 $186.00 $133.81–$186.00 21% above —
Ankle X-ray, complete, 3 or more views inpatient CPT 73610 HC ANKLE MIN 3 VIEWS $186.00 $186.00 $133.81–$186.00 — —
Breast ultrasound, limited (one breast or one area) one side CPT 76642 HC US BREAST UNILAT W/AXILLA LIMITED $483.00 $483.00 $344.87–$376.58 62% above —
Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 HC US BREAST UNILAT W/AXILLA LIMITED $483.00 $483.00 $344.87–$376.58 — —
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 HC CTA CHEST $2,699.00 $2,699.00 $1,901.04–$1,974.79 30% above —
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 HC CTA CHEST $2,699.00 $2,699.00 $1,901.04–$1,974.79 — —
Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 HC CAROTID DOPPLER $767.00 $767.00 $525.16–$546.85 9% above —
Carotid artery ultrasound (duplex), both sides of the neck inpatient CPT 93880 HC CAROTID DOPPLER $767.00 $767.00 $525.16–$546.85 — —
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 HC US RETROPERIT (RENAL LAAA) $630.00 $630.00 $354.24–$491.61 46% above —
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 HC US RETROPERIT (RENAL LAAA) $630.00 $630.00 $354.24–$491.61 — —
DEXA bone density scan of the hip, pelvis or spine CPT 77080 HC DEXASCAN $307.00 $307.00 $219.63–$307.00 15% above —
DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 HC DEXASCAN $307.00 $307.00 $219.63–$307.00 — —
Diagnostic mammogram, both breasts both sides CPT 77066 HC DIAGNOSTIC MAMMO CAD BILATERAL $699.00 $699.00 $498.93–$518.88 — —
Diagnostic mammogram, both breasts inpatient both sides CPT 77066 HC DIAGNOSTIC MAMMO CAD BILATERAL $699.00 $699.00 $498.93–$518.88 — —
Diagnostic mammogram, one breast one side CPT 77065 HC DIAGNOSTIC MAMMO CAD UNILATERAL $583.00 $583.00 $327.32–$454.56 49% above —
Diagnostic mammogram, one breast inpatient one side CPT 77065 HC DIAGNOSTIC MAMMO CAD UNILATERAL $583.00 $583.00 $327.32–$454.56 — —
Duplex ultrasound of the leg veins, both legs CPT 93970 HC VENOUS IMAGING $1,294.00 $1,294.00 $886.30–$965.08 80% above —
Duplex ultrasound of the leg veins, both legs inpatient CPT 93970 HC VENOUS IMAGING $1,294.00 $1,294.00 $886.30–$965.08 — —
Knee X-ray, 3 views both sides CPT 73562 HC KNEE MIN 3 VIEWS BILATERAL $210.00 $210.00 $151.07–$210.00 — —
Knee X-ray, 3 views CPT 73562 HC KNEE MIN 3 VIEWS $210.00 $210.00 $151.07–$210.00 18% above —
Knee X-ray, 3 views inpatient both sides CPT 73562 HC KNEE MIN 3 VIEWS BILATERAL $210.00 $210.00 $151.07–$210.00 — —
Knee X-ray, 3 views inpatient CPT 73562 HC KNEE MIN 3 VIEWS $210.00 $210.00 $151.07–$210.00 — —
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 HC POCT US FAST $366.66 $366.66 $323.04–$363.33 4% below —
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 HC US ECHO EXAM OF ABDOMEN $466.00 $466.00 $323.04–$363.33 21% above —
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 HC POCT US FAST $366.66 $366.66 $323.04–$363.33 — —
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 HC US ECHO EXAM OF ABDOMEN $466.00 $466.00 $323.04–$363.33 — —
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 HC LDCT FOR LUNG CANCER SCREEN $978.00 $978.00 $675.16–$978.00 33% above —
Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 HC LDCT FOR LUNG CANCER SCREEN $978.00 $978.00 $675.16–$978.00 — —
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 HC MRI-LOWER EXT JOINT W/O DYE $2,475.00 $2,475.00 $1,780.51–$1,854.02 28% above —
MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 HC MRI-LOWER EXT JOINT W/O DYE $2,475.00 $2,475.00 $1,780.51–$1,854.02 — —
MRI of the abdomen without contrast CPT 74181 HC MRI-ABDOMEN W/O DYE $2,783.00 $2,783.00 $2,002.09–$2,036.26 38% above —
MRI of the abdomen without contrast inpatient CPT 74181 HC MRI-ABDOMEN W/O DYE $2,783.00 $2,783.00 $2,002.09–$2,036.26 — —
MRI of the pelvis without and with contrast CPT 72197 HC MRI PELVIS W/WO DYE $4,200.00 $4,200.00 $3,021.48–$3,146.22 30% above —
MRI of the pelvis without and with contrast inpatient CPT 72197 HC MRI PELVIS W/WO DYE $4,200.00 $4,200.00 $3,021.48–$3,146.22 — —
MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 HC MRI-UPPER EXT JOINT W/O DYE $2,475.00 $2,475.00 $1,718.72–$1,854.02 28% above —
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient CPT 73221 HC MRI-UPPER EXT JOINT W/O DYE $2,475.00 $2,475.00 $1,718.72–$1,854.02 — —
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 HC US PELVIC LIMITED $471.00 $471.00 $326.68–$471.00 50% above —
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 HC US PELVIC LIMITED $471.00 $471.00 $326.68–$471.00 — —
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 HC US PELVIC COMPLETE $569.00 $569.00 $405.59–$454.44 33% above —
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 HC US PELVIC COMPLETE $569.00 $569.00 $405.59–$454.44 — —
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 HC US PREGNANCY >=14WKS SNGL FETUS $685.00 $685.00 $488.80 39% above —
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 HC US PREGNANCY >=14WKS SNGL FETUS $685.00 $685.00 $488.80 — —
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 HC US OB COMPLETE(<14 WKS) $551.00 $551.00 $392.85 37% above —
Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 HC US OB COMPLETE(<14 WKS) $551.00 $551.00 $392.85 — —
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 UM US OB BEDSIDE LTD $238.67 $238.67 $319.87 22% below —
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 HC US PREGNANCY LMTD $427.00 $427.00 $319.87 40% above —
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 UM US OB BEDSIDE LTD $238.67 $238.67 $319.87 — —
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 HC US PREGNANCY LMTD $427.00 $427.00 $319.87 — —
Screening mammogram, both breasts both sides CPT 77067 HC SCREENING MAMMO CAD BILATERAL $616.00 $616.00 $87.65–$456.82 — —
Screening mammogram, both breasts inpatient both sides CPT 77067 HC SCREENING MAMMO CAD BILATERAL $616.00 $616.00 $87.65–$456.82 — —
Shoulder X-ray, complete, 2 or more views CPT 73030 HC SHOULDER MIN 2 VIEWS $158.00 $158.00 $111.00–$123.19 9% below —
Shoulder X-ray, complete, 2 or more views inpatient CPT 73030 HC SHOULDER MIN 2 VIEWS $158.00 $158.00 $111.00–$123.19 — —
Transvaginal pelvic ultrasound CPT 76830 HC US TRANSVAGINAL $660.00 $660.00 $470.82–$527.52 40% above —
Transvaginal pelvic ultrasound inpatient CPT 76830 HC US TRANSVAGINAL $660.00 $660.00 $470.82–$527.52 — —
Transvaginal ultrasound during pregnancy CPT 76817 HC US TRANSVAGINAL(OB) $445.00 $445.00 $317.12 35% above —
Transvaginal ultrasound during pregnancy inpatient CPT 76817 HC US TRANSVAGINAL(OB) $445.00 $445.00 $317.12 — —
Ultrasound of the abdomen, complete CPT 76700 HC US EXAM ABDOMEN COMPLETE $614.00 $614.00 $441.71–$459.94 20% above —
Ultrasound of the abdomen, complete inpatient CPT 76700 HC US EXAM ABDOMEN COMPLETE $614.00 $614.00 $441.71–$459.94 — —
Ultrasound of the scrotum and testicles CPT 76870 HC US SCROTUM $554.00 $554.00 $415.00–$415.01 38% above —
Ultrasound of the scrotum and testicles inpatient CPT 76870 HC US SCROTUM $554.00 $554.00 $415.00–$415.01 — —
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 HC US EXAM HEAD/NECK $664.00 $664.00 $483.32–$664.00 42% above —
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 HC US EXAM HEAD/NECK $664.00 $664.00 $483.32–$664.00 — —
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 HC UNILAT/LTD VENOUS $1,142.00 $1,142.00 $769.60–$1,087.00 107% above —
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 HC UNILAT/LTD VENOUS $1,142.00 $1,142.00 $769.60–$1,087.00 — —
Wrist X-ray, complete, 3 or more views CPT 73110 HC WRIST COMP MIN 3 VIEWS $210.00 $210.00 $153.68–$157.32 15% above —
Wrist X-ray, complete, 3 or more views inpatient CPT 73110 HC WRIST COMP MIN 3 VIEWS $210.00 $210.00 $153.68–$157.32 — —
X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 HC X-RAY EXAM HIP UNI 2-3 VW $241.00 $241.00 $169.46–$241.00 18% above —
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient CPT 73502 HC X-RAY EXAM HIP UNI 2-3 VW $241.00 $241.00 $169.46–$241.00 — —
X-ray of the abdomen, 1 view CPT 74018 HC XRAY ABDOMEN 1 VIEW $146.00 $146.00 $104.21–$108.68 6% above —
X-ray of the abdomen, 1 view inpatient CPT 74018 HC XRAY ABDOMEN 1 VIEW $146.00 $146.00 $104.21–$108.68 — —
X-ray of the ankle, 2 views CPT 73600 HC X-RAY ANKLE 2 VIEWS $171.00 $171.00 $123.02 17% above —
X-ray of the ankle, 2 views inpatient CPT 73600 HC X-RAY ANKLE 2 VIEWS $171.00 $171.00 $123.02 — —
X-ray of the finger(s), 2 or more views CPT 73140 HC FINGER MIN 2 VIEWS $202.00 $202.00 $143.94–$157.80 26% above —
X-ray of the finger(s), 2 or more views inpatient CPT 73140 HC FINGER MIN 2 VIEWS $202.00 $202.00 $143.94–$157.80 — —
X-ray of the foot, 2 views CPT 73620 HC FOOT 2 VIEWS $146.00 $146.00 $105.03 4% above —
X-ray of the foot, 2 views inpatient CPT 73620 HC FOOT 2 VIEWS $146.00 $146.00 $105.03 — —
X-ray of the foot, complete, 3 or more views CPT 73630 HC FOOT MIN 3 VIEWS $171.00 $171.00 $121.46–$171.00 17% above —
X-ray of the foot, complete, 3 or more views inpatient CPT 73630 HC FOOT MIN 3 VIEWS $171.00 $171.00 $121.46–$171.00 — —
X-ray of the hand, 3 or more views CPT 73130 HC HAND MIN 3 VIEWS $186.00 $186.00 $131.23–$186.00 10% above —
X-ray of the hand, 3 or more views inpatient CPT 73130 HC HAND MIN 3 VIEWS $186.00 $186.00 $131.23–$186.00 — —
X-ray of the knee, 1 or 2 views CPT 73560 HC KNEE 1 OR 2 VIEWS $181.00 $181.00 $132.16–$181.00 13% above —
X-ray of the knee, 1 or 2 views inpatient CPT 73560 HC KNEE 1 OR 2 VIEWS $181.00 $181.00 $132.16–$181.00 — —
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 HC LUMBAR SPINE 2 VIEWS $193.00 $193.00 $137.20–$193.00 5% above —
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 HC LUMBAR SPINE 2 VIEWS $193.00 $193.00 $137.20–$193.00 — —
X-ray of the lower back, 4 or more views CPT 72110 HC LUMBAR SPINE COM $268.00 $268.00 $198.82 14% above —
X-ray of the lower back, 4 or more views inpatient CPT 72110 HC LUMBAR SPINE COM $268.00 $268.00 $198.82 — —
X-ray of the mid back (thoracic spine), 2 views CPT 72070 HC THORACIC AP/LATERAL SPINE $174.00 $174.00 $125.18–$174.00 12% above —
X-ray of the mid back (thoracic spine), 2 views CPT 72070 HC SPINE THORACIC 2 VIEWS $174.00 $174.00 $125.18–$174.00 12% above —
X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 HC THORACIC AP/LATERAL SPINE $174.00 $174.00 $125.18–$174.00 — —
X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 HC SPINE THORACIC 2 VIEWS $174.00 $174.00 $125.18–$174.00 — —
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 HC CERVICAL SPINE 2/3 VIEWS $193.00 $193.00 $133.44–$193.00 20% above —
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 HC CERVICAL SPINE 2/3 VIEWS $193.00 $193.00 $133.44–$193.00 — —
X-ray of the pelvis, 1 or 2 views CPT 72170 HC PELVIS $184.00 $184.00 $129.50–$134.47 21% above —
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 HC PELVIS $184.00 $184.00 $129.50–$134.47 — —
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 HC SACRUN COCCYX MIN 2 VIEWS $165.00 $165.00 $114.48–$120.64 13% above —
X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 HC SACRUN COCCYX MIN 2 VIEWS $165.00 $165.00 $114.48–$120.64 — —

Lab tests

ProcedureCash price List priceInsurers payvs North DakotaOff list
ALT (alanine aminotransferase) liver enzyme test CPT 84460 UM ALT $37.00 $37.00 $25.04–$35.00 8% below —
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 UM ALT $37.00 $37.00 $25.04–$35.00 — —
AST (aspartate aminotransferase) enzyme test CPT 84450 UM AST $37.00 $37.00 $25.04–$35.00 7% below —
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 UM AST $37.00 $37.00 $25.04–$35.00 — —
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 UM HEPATITIS (ACUTE) PANEL $315.00 $315.00 $214.62–$229.32 38% above —
Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 UM HEPATITIS (ACUTE) PANEL $315.00 $315.00 $214.62–$229.32 — —
Allergy blood test, specific IgE, per allergen CPT 86003 UM ALLERGEN SPECIFIC IGE, EA $32.00 $32.00 $22.47–$23.39 56% above —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 UM ALLERGEN SPECIFIC IGE, EA $32.00 $32.00 $22.47–$23.39 — —
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 UM CCP(CYCLIC CITRUL PEPTIDE $91.00 $91.00 $64.47–$65.74 6% above —
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 UM CCP(CYCLIC CITRUL PEPTIDE $91.00 $91.00 $64.47–$65.74 — —
Antinuclear antibody (ANA) blood test, screen CPT 86038 UM CENTROMERE AB (CMA) $68.00 $68.00 $57.23–$62.38 6% above —
Antinuclear antibody (ANA) blood test, screen CPT 86038 UM ANA (HEP-2) SCREEN $84.00 $84.00 $57.23–$62.38 31% above —
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 UM CENTROMERE AB (CMA) $68.00 $68.00 $57.23–$62.38 — —
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 UM ANA (HEP-2) SCREEN $84.00 $84.00 $57.23–$62.38 — —
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 UM BNP(NATRIURETIC PEPTIDE) $236.00 $236.00 $160.25–$174.65 at median —
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 UM BNP(NATRIURETIC PEPTIDE) $236.00 $236.00 $160.25–$174.65 — —
Basic metabolic panel (blood test) CPT 80048 UM BASIC METABOLIC PANEL $59.00 $59.00 $40.06–$56.00 21% below —
Basic metabolic panel (blood test) inpatient CPT 80048 UM BASIC METABOLIC PANEL $59.00 $59.00 $40.06–$56.00 — —
Biopsy tissue exam by a pathologist (level IV) CPT 88305 UM SURGICAL PATH LEVEL 4 $225.00 $225.00 $125.83–$214.00 83% above —
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 UM SURGICAL PATH LEVEL 4 $225.00 $225.00 $125.83–$214.00 — —
Blood culture for bacteria CPT 87040 UM CULTURE-BLOOD $72.00 $72.00 $48.65–$53.02 11% below —
Blood culture for bacteria inpatient CPT 87040 UM CULTURE-BLOOD $72.00 $72.00 $48.65–$53.02 — —
Blood draw from a vein (venipuncture), collection fee only CPT 36415 UM VENIPUNCTURE $16.00 $16.00 $10.88–$15.00 10% below —
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 UM VENIPUNCTURE $16.00 $16.00 $10.88–$15.00 — —
Blood glucose (sugar) test CPT 82947 UM GLUCOSE - QUANTITATIVE $28.00 $28.00 $18.60–$19.49 2% below —
Blood glucose (sugar) test inpatient CPT 82947 UM GLUCOSE - QUANTITATIVE $28.00 $28.00 $18.60–$19.49 — —
Blood lead test CPT 83655 UM LEAD $124.00 $124.00 $88.39 171% above —
Blood lead test inpatient CPT 83655 UM LEAD $124.00 $124.00 $88.39 — —
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 UM PREGNANCY TEST, HCG QUAL $53.00 $53.00 $37.49–$50.00 20% below —
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 UM PREGNANCY TEST, HCG QUAL $53.00 $53.00 $37.49–$50.00 — —
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 UM ABO GROUPING $21.00 $21.00 $14.50–$20.00 46% below —
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 UM ABO GROUPING $21.00 $21.00 $14.50–$20.00 — —
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 UM CRP/C REACTIVE PROTEIN $37.00 $37.00 $26.23–$27.29 1% above —
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 UM CRP/C REACTIVE PROTEIN $37.00 $37.00 $26.23–$27.29 — —
C. difficile toxin gene test (stool PCR) CPT 87493 UM CLOSTRIDIUM DIFFICILE $206.00 $206.00 $146.38 7% above —
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 UM CLOSTRIDIUM DIFFICILE $206.00 $206.00 $146.38 — —
CA 19-9 blood test (tumor marker) CPT 86301 UM IMMUNOASSAY TUMOR CA 19-9 $122.00 $122.00 $86.90 16% above —
CA 19-9 blood test (tumor marker) inpatient CPT 86301 UM IMMUNOASSAY TUMOR CA 19-9 $122.00 $122.00 $86.90 — —
CA-125 blood test (ovarian cancer marker) CPT 86304 UM CA-125 $122.00 $122.00 $82.92–$86.90 7% below —
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 UM CA-125 $122.00 $122.00 $82.92–$86.90 — —
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 UM SARS-COV-2 - PCR $175.00 $175.00 $118.76–$166.00 43% above —
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 UM INFECTIOUS AGENT DETECTION BY NUCLEIC ACID, SARS-COV-2 $175.00 $175.00 $118.76–$166.00 43% above —
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 UM SARS-COV-2 - PCR $175.00 $175.00 $118.76–$166.00 — —
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 UM INFECTIOUS AGENT DETECTION BY NUCLEIC ACID, SARS-COV-2 $175.00 $175.00 $118.76–$166.00 — —
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 UM CHLAMYDIA DNA PROBE $184.00 $184.00 $160.13–$175.00 25% above —
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 UM CHLAMYDIA DNA PROBE $184.00 $184.00 $160.13–$175.00 — —
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 UM LIPID PANEL $86.00 $86.00 $57.95–$81.00 11% above —
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 UM LIPID PANEL $86.00 $86.00 $57.95–$81.00 — —
Complete blood count (CBC) with differential CPT 85025 UM CBC WITH DIFF SCREEN $55.00 $55.00 $37.71–$52.00 10% below —
Complete blood count (CBC) with differential inpatient CPT 85025 UM CBC WITH DIFF SCREEN $55.00 $55.00 $37.71–$52.00 — —
Complete blood count (CBC), no differential CPT 85027 UM HEMOGRAM $46.00 $46.00 $30.76–$43.00 2% below —
Complete blood count (CBC), no differential inpatient CPT 85027 UM HEMOGRAM $46.00 $46.00 $30.76–$43.00 — —
Comprehensive metabolic panel (blood test) CPT 80053 UM COMP. METABOLIC PANEL $74.00 $74.00 $50.08–$70.00 20% below —
Comprehensive metabolic panel (blood test) inpatient CPT 80053 UM COMP. METABOLIC PANEL $74.00 $74.00 $50.08–$70.00 — —
D-dimer blood test (blood clot marker) CPT 85379 UM D-DIMER, QUANTITATIVE $57.00 $57.00 $39.96–$42.53 23% below —
D-dimer blood test (blood clot marker) inpatient CPT 85379 UM D-DIMER, QUANTITATIVE $57.00 $57.00 $39.96–$42.53 — —
DHEA sulfate (DHEA-S) blood test CPT 82627 UM DEHYDROEPIANDOSTERONE $131.00 $131.00 $92.74 33% above —
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 UM DEHYDROEPIANDOSTERONE $131.00 $131.00 $92.74 — —
Estradiol blood test CPT 82670 UM ESTRADIOL $194.00 $194.00 $137.83 69% above —
Estradiol blood test inpatient CPT 82670 UM ESTRADIOL $194.00 $194.00 $137.83 — —
FSH (follicle-stimulating hormone) test CPT 83001 UM FOLICLE STIM HORMONE, FSH $130.00 $130.00 $92.13–$123.00 27% above —
FSH (follicle-stimulating hormone) test inpatient CPT 83001 UM FOLICLE STIM HORMONE, FSH $130.00 $130.00 $92.13–$123.00 — —
Ferritin blood test (iron stores) CPT 82728 UM FERRITIN $95.00 $95.00 $64.39–$90.00 19% above —
Ferritin blood test (iron stores) inpatient CPT 82728 UM FERRITIN $95.00 $95.00 $64.39–$90.00 — —
Folate (folic acid) blood test CPT 82746 UM FOLATE (FOLIC ACID) $102.00 $102.00 $69.39–$97.00 10% above —
Folate (folic acid) blood test inpatient CPT 82746 UM FOLATE (FOLIC ACID) $102.00 $102.00 $69.39–$97.00 — —
Free T3 thyroid hormone test CPT 84481 UM T3 FREE $118.00 $118.00 $83.89–$87.33 17% above —
Free T3 thyroid hormone test inpatient CPT 84481 UM T3 FREE $118.00 $118.00 $83.89–$87.33 — —
Free T4 (free thyroxine) thyroid blood test CPT 84439 UM T4/THROXIN, FREE $57.00 $57.00 $40.45–$54.00 8% below —
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 UM T4/THROXIN, FREE $57.00 $57.00 $40.45–$54.00 — —
Free testosterone test CPT 84402 UM TESTOSTERONE, FREE $177.00 $177.00 $125.84 146% above —
Free testosterone test inpatient CPT 84402 UM TESTOSTERONE, FREE $177.00 $177.00 $125.84 — —
General health panel: metabolic panel, blood count and TSH in one order CPT 80050 UM GENERAL HEALTH PANEL $187.00 $187.00 $90.00–$178.00 21% below —
General health panel: metabolic panel, blood count and TSH in one order inpatient CPT 80050 UM GENERAL HEALTH PANEL $187.00 $187.00 $90.00–$178.00 — —
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 UM GLUCOSE POST DOSE $34.00 $34.00 $23.97 9% below —
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 UM GLUCOSE POST DOSE $34.00 $34.00 $23.97 — —
Glucose tolerance test, 3 samples CPT 82951 UM GLUCOSE TOL., 3 SPECS $90.00 $90.00 $63.67 1% below —
Glucose tolerance test, 3 samples inpatient CPT 82951 UM GLUCOSE TOL., 3 SPECS $90.00 $90.00 $63.67 — —
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 UM N. GONORRHOEAE, DNA, AMB PROBE $184.00 $184.00 $160.13–$175.00 25% above —
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 UM N. GONORRHOEAE, DNA, AMB PROBE $184.00 $184.00 $160.13–$175.00 — —
H. pylori stool antigen test CPT 87338 UM H. PYLORI STOOL AG $83.00 $83.00 $59.18 18% below —
H. pylori stool antigen test inpatient CPT 87338 UM H. PYLORI STOOL AG $83.00 $83.00 $59.18 — —
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 UM HIV SCREENING $62.00 $62.00 $42.21–$59.00 32% below —
HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 UM HIV SCREENING $62.00 $62.00 $42.21–$59.00 — —
HPV test for high-risk types, one combined (pooled) result CPT 87624 UM HPV - HIGH RISK TYPES $243.00 $243.00 $167.52–$231.00 148% above —
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 UM HPV - HIGH RISK TYPES $243.00 $243.00 $167.52–$231.00 — —
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 UM HGB,GLYCATED (HGB A1C) $68.00 $68.00 $45.79–$64.00 3% below —
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 UM HGB,GLYCATED (HGB A1C) $68.00 $68.00 $45.79–$64.00 — —
Hepatitis B surface antigen (HBsAg) test CPT 87340 UM HEPATITIS BSAG $69.00 $69.00 $46.50–$65.00 28% above —
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 UM HEPATITIS BSAG $69.00 $69.00 $46.50–$65.00 — —
Hepatitis C antibody blood test (screening) CPT 86803 UM HEP C ANTIBODY $99.00 $99.00 $67.25–$94.00 40% above —
Hepatitis C antibody blood test (screening) inpatient CPT 86803 UM HEP C ANTIBODY $99.00 $99.00 $67.25–$94.00 — —
Homocysteine blood test CPT 83090 UM HOMOCYSTEINE $99.00 $99.00 $70.34 2% above —
Homocysteine blood test inpatient CPT 83090 UM HOMOCYSTEINE $99.00 $99.00 $70.34 — —
Iron blood test (serum iron) CPT 83540 UM IRON $46.00 $46.00 $30.76–$43.00 20% above —
Iron blood test (serum iron) inpatient CPT 83540 UM IRON $46.00 $46.00 $30.76–$43.00 — —
Iron-binding capacity (TIBC) test CPT 83550 UM IRON BINDING (IBC) $61.00 $61.00 $41.49–$58.00 18% above —
Iron-binding capacity (TIBC) test inpatient CPT 83550 UM IRON BINDING (IBC) $61.00 $61.00 $41.49–$58.00 — —
Kidney function blood test panel CPT 80069 UM RENAL PANEL $61.00 $61.00 $41.49–$58.00 11% below —
Kidney function blood test panel inpatient CPT 80069 UM RENAL PANEL $61.00 $61.00 $41.49–$58.00 — —
LH (luteinizing hormone) test CPT 83002 UM LUTEINIZING HORMONE (LH) $129.00 $129.00 $91.39–$122.00 24% above —
LH (luteinizing hormone) test inpatient CPT 83002 UM LUTEINIZING HORMONE (LH) $129.00 $129.00 $91.39–$122.00 — —
Lipase blood test (pancreas enzyme) CPT 83690 UM LIPASE $49.00 $49.00 $33.36–$46.00 9% below —
Lipase blood test (pancreas enzyme) inpatient CPT 83690 UM LIPASE $49.00 $49.00 $33.36–$46.00 — —
Liver function blood test panel CPT 80076 UM LIVER FUNCTION PANEL $57.00 $57.00 $40.45–$51.30 21% below —
Liver function blood test panel inpatient CPT 80076 UM LIVER FUNCTION PANEL $57.00 $57.00 $40.45–$51.30 — —
Lyme disease antibody test CPT 86618 UM LYME DISEASE AB, WB CONF $119.00 $119.00 $84.64–$113.00 116% above —
Lyme disease antibody test inpatient CPT 86618 UM LYME DISEASE AB, WB CONF $119.00 $119.00 $84.64–$113.00 — —
Magnesium blood test CPT 83735 UM MAGNESIUM,24 HR URINE $40.00 $40.00 $32.63–$45.00 35% above —
Magnesium blood test CPT 83735 UM MAGNESIUM, RANDOM URINE $40.00 $40.00 $32.63–$45.00 35% above —
Magnesium blood test CPT 83735 UM MAGNESIUM $48.00 $48.00 $32.63–$45.00 62% above —
Magnesium blood test inpatient CPT 83735 UM MAGNESIUM,24 HR URINE $40.00 $40.00 $32.63–$45.00 — —
Magnesium blood test inpatient CPT 83735 UM MAGNESIUM, RANDOM URINE $40.00 $40.00 $32.63–$45.00 — —
Magnesium blood test inpatient CPT 83735 UM MAGNESIUM $48.00 $48.00 $32.63–$45.00 — —
Measles (rubeola) antibody test CPT 86765 UM RUBEOLA(MEASLES) AB, IGG $76.00 $76.00 $51.32 34% above —
Measles (rubeola) antibody test inpatient CPT 86765 UM RUBEOLA(MEASLES) AB, IGG $76.00 $76.00 $51.32 — —
Mono test (heterophile antibody, Monospot) CPT 86308 UM MONO TEST $37.00 $37.00 $25.04–$26.21 11% below —
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 UM MONO TEST $37.00 $37.00 $25.04–$26.21 — —
PSA (prostate-specific antigen) blood test, free CPT 84154 UM PSA,FREE $108.00 $108.00 $73.28–$79.87 67% above —
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 UM PSA,FREE $108.00 $108.00 $73.28–$79.87 — —
PSA (prostate-specific antigen) blood test, total CPT 84153 UM PSA $128.00 $128.00 $86.56–$121.00 43% above —
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 UM PSA $128.00 $128.00 $86.56–$121.00 — —
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 UM PAP SMEAR - THIN LAYER $141.00 $141.00 $100.45 42% above —
Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 UM PAP SMEAR - THIN LAYER $141.00 $141.00 $100.45 — —
Parathyroid hormone (PTH) blood test CPT 83970 UM PTH-INTACT $286.00 $286.00 $40.45–$272.00 37% above —
Parathyroid hormone (PTH) blood test inpatient CPT 83970 UM PTH-INTACT $286.00 $286.00 $40.45–$272.00 — —
Partial thromboplastin time (PTT) clotting test CPT 85730 UM LUPUS ANTICOAGULANT (PTT) $36.00 $36.00 $29.60–$40.00 10% above —
Partial thromboplastin time (PTT) clotting test CPT 85730 UM APTT $42.00 $42.00 $29.60–$40.00 28% above —
Partial thromboplastin time (PTT) clotting test CPT 85730 UM APTT (LUPUS ANTICOAG) $107.00 $107.00 $29.60–$40.00 226% above —
Partial thromboplastin time (PTT) clotting test CPT 85730 UM PTT,SUBSTITUTION (PLASMAFRACTION) $111.00 $111.00 $29.60–$40.00 238% above —
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 UM LUPUS ANTICOAGULANT (PTT) $36.00 $36.00 $29.60–$40.00 — —
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 UM APTT $42.00 $42.00 $29.60–$40.00 — —
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 UM APTT (LUPUS ANTICOAG) $107.00 $107.00 $29.60–$40.00 — —
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 UM PTT,SUBSTITUTION (PLASMAFRACTION) $111.00 $111.00 $29.60–$40.00 — —
Progesterone blood test CPT 84144 UM PROGESTERONE $145.00 $145.00 $103.46 21% above —
Progesterone blood test inpatient CPT 84144 UM PROGESTERONE $145.00 $145.00 $103.46 — —
Prolactin blood test CPT 84146 UM PROLACTIN $135.00 $135.00 $91.57–$128.00 36% above —
Prolactin blood test inpatient CPT 84146 UM PROLACTIN $135.00 $135.00 $91.57–$128.00 — —
Prothrombin time (PT/INR) clotting test CPT 85610 UM PROTHOMBIN TIME $28.00 $28.00 $18.60–$26.00 13% above —
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 UM PROTHOMBIN TIME $28.00 $28.00 $18.60–$26.00 — —
Rapid flu test (influenza antigen) CPT 87804 UM INFLUENZAE B $83.00 $83.00 $59.18 1% below —
Rapid flu test (influenza antigen) CPT 87804 UM INFLUENZA A $83.00 $83.00 $59.18 1% below —
Rapid flu test (influenza antigen) inpatient CPT 87804 UM INFLUENZA A $83.00 $83.00 $59.18 — —
Rapid flu test (influenza antigen) inpatient CPT 87804 UM INFLUENZAE B $83.00 $83.00 $59.18 — —
Rapid strep A antigen test from a throat swab, read visually CPT 87880 UM STREP A SCREEN $71.00 $71.00 $47.78–$50.07 13% below —
Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 UM STREP A SCREEN $71.00 $71.00 $47.78–$50.07 — —
Rheumatoid factor (RF) test CPT 86431 UM RHEUMATOID FACTOR, QUANT $40.00 $40.00 $27.19–$29.05 9% above —
Rheumatoid factor (RF) test inpatient CPT 86431 UM RHEUMATOID FACTOR, QUANT $40.00 $40.00 $27.19–$29.05 — —
Rubella antibody test (immunity check) CPT 86762 UM RUBELLA, ACUTE PHASE, IGM $85.00 $85.00 $71.16–$95.00 38% above —
Rubella antibody test (immunity check) CPT 86762 UM RUBELLA ANTIBODY IGG $100.00 $100.00 $71.16–$95.00 63% above —
Rubella antibody test (immunity check) inpatient CPT 86762 UM RUBELLA, ACUTE PHASE, IGM $85.00 $85.00 $71.16–$95.00 — —
Rubella antibody test (immunity check) inpatient CPT 86762 UM RUBELLA ANTIBODY IGG $100.00 $100.00 $71.16–$95.00 — —
Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 UM SED RATE AUTOMATED $19.00 $19.00 $12.88–$14.03 41% below —
Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 UM SED RATE AUTOMATED $19.00 $19.00 $12.88–$14.03 — —
Stool test for hidden blood (guaiac FOBT) CPT 82270 UM OCCULT BLOOD, SCREENING $20.00 $20.00 $14.24 30% below —
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 UM OCCULT BLOOD, SCREENING $20.00 $20.00 $14.24 — —
Stool test for hidden blood by immunoassay (FIT) CPT 82274 UM OCCULT BLOOD (HEMOSURE) DIAGNOSTIC $111.00 $111.00 $75.12–$105.00 31% above —
Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 UM OCCULT BLOOD (HEMOSURE) DIAGNOSTIC $111.00 $111.00 $75.12–$105.00 — —
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 UM VDRL $25.00 $25.00 $21.72–$24.36 15% below —
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 UM SEROLOGY (RPR) $31.00 $31.00 $21.72–$24.36 5% above —
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 UM VDRL $25.00 $25.00 $21.72–$24.36 — —
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 UM SEROLOGY (RPR) $31.00 $31.00 $21.72–$24.36 — —
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 UM QUANTIFERON-TB GOLD $53.00 $53.00 $36.26–$50.00 54% below —
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 UM QUANTIFERON-TB GOLD $53.00 $53.00 $36.26–$50.00 — —
Testosterone blood test, total (not free testosterone) CPT 84403 UM TESTOSTERONE, TOTAL $179.00 $179.00 $127.44–$170.00 120% above —
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 UM TESTOSTERONE, TOTAL $179.00 $179.00 $127.44–$170.00 — —
Thyroid peroxidase (TPO) antibody test CPT 86376 UM LKM-1 $40.00 $40.00 $71.91 38% below —
Thyroid peroxidase (TPO) antibody test CPT 86376 UM MICROSOMAL AB/SAME AS TPO $101.00 $101.00 $71.91 58% above —
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 UM LKM-1 $40.00 $40.00 $71.91 — —
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 UM MICROSOMAL AB/SAME AS TPO $101.00 $101.00 $71.91 — —
Thyroid-stimulating hormone (TSH) blood test CPT 84443 UM TSH $117.00 $117.00 $65.27–$111.00 15% above —
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 UM TSH $117.00 $117.00 $65.27–$111.00 — —
Uric acid blood test CPT 84550 UM URIC ACID , BLOOD $32.00 $32.00 $21.46–$30.00 18% below —
Uric acid blood test inpatient CPT 84550 UM URIC ACID , BLOOD $32.00 $32.00 $21.46–$30.00 — —
Urinalysis with microscope exam, automated CPT 81001 UM URINE DIPSTICK AND MICRO $23.00 $23.00 $15.02–$21.00 36% below —
Urinalysis with microscope exam, automated inpatient CPT 81001 UM URINE DIPSTICK AND MICRO $23.00 $23.00 $15.02–$21.00 — —
Urinalysis without microscope exam, automated CPT 81003 UM URINALYSIS, DIPSTICK ONLY $16.00 $16.00 $11.24–$15.00 10% below —
Urinalysis without microscope exam, automated inpatient CPT 81003 UM URINALYSIS, DIPSTICK ONLY $16.00 $16.00 $11.24–$15.00 — —
Urine culture for bacteria, with colony count CPT 87086 UM URINE CULTURE COLONY CT $57.00 $57.00 $38.63–$54.00 9% below —
Urine culture for bacteria, with colony count inpatient CPT 87086 UM URINE CULTURE COLONY CT $57.00 $57.00 $38.63–$54.00 — —
Urine pregnancy test, read by color change CPT 81025 UM PREG, HCG,QUAL,URINE $45.00 $45.00 $31.49–$42.00 20% below —
Urine pregnancy test, read by color change inpatient CPT 81025 UM PREG, HCG,QUAL,URINE $45.00 $45.00 $31.49–$42.00 — —
Vitamin B12 (cobalamin) blood test CPT 82607 UM VITAMIN B-12 $105.00 $105.00 $71.54–$100.00 18% above —
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 UM VITAMIN B-12 $105.00 $105.00 $71.54–$100.00 — —
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 UM VITAMIN D 25-HYDROXY $205.00 $205.00 $114.66–$195.00 27% above —
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 UM VITAMIN D 25-HYDROXY $205.00 $205.00 $114.66–$195.00 — —
Zinc blood test CPT 84630 UM ZINC, PLASMA $67.00 $67.00 $47.47 43% above —
Zinc blood test CPT 84630 UM ZINC, 24-HR URINE $67.00 $67.00 $47.47 43% above —
Zinc blood test CPT 84630 UM ZINC, RANDOM URINE $78.00 $78.00 $47.47 66% above —
Zinc blood test inpatient CPT 84630 UM ZINC, 24-HR URINE $67.00 $67.00 $47.47 — —
Zinc blood test inpatient CPT 84630 UM ZINC, PLASMA $67.00 $67.00 $47.47 — —
Zinc blood test inpatient CPT 84630 UM ZINC, RANDOM URINE $78.00 $78.00 $47.47 — —
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 UM HCG, QUANTITATIVE $105.00 $105.00 $74.97–$100.00 32% above —
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 UM HCG, QUANTITATIVE $105.00 $105.00 $74.97–$100.00 — —

Surgery and procedures

ProcedureCash price List priceInsurers payvs North DakotaOff list
Cardioversion, elective (restoring heart rhythm) CPT 92960 HC CARDIOVERSION $630.00 $630.00 $467.81 38% below —
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 HC CARDIOVERSION $630.00 $630.00 $467.81 — —
Lower-back epidural injection, with imaging guidance CPT 62323 HC NJX INTERLAMINAR LMBR/SAC W/IMG $1,628.00 $1,628.00 $1,115.07–$1,191.02 45% above —
Lower-back epidural injection, with imaging guidance inpatient CPT 62323 HC NJX INTERLAMINAR LMBR/SAC W/IMG $1,628.00 $1,628.00 $1,115.07–$1,191.02 — —
Paracentesis with imaging guidance CPT 49083 HC ABD PARACENTESIS W/IMAGING $1,638.00 $1,638.00 $1,122.26–$1,198.70 71% above —
Paracentesis with imaging guidance inpatient CPT 49083 HC ABD PARACENTESIS W/IMAGING $1,638.00 $1,638.00 $1,122.26–$1,198.70 — —
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 $310.00 $310.00 $344.55 4% 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 PR SMPL REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.6-7.5CM $310.00 $310.00 $344.55 — —

Doctor visits and therapy

ProcedureCash price List priceInsurers payvs North DakotaOff list
Blood transfusion (giving blood or blood components) CPT 36430 HC BLOOD ADMIN 2+ HRS $830.00 $830.00 $576.07–$615.95 9% above —
Blood transfusion (giving blood or blood components) inpatient CPT 36430 HC BLOOD ADMIN 2+ HRS $830.00 $830.00 $576.07–$615.95 — —
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC AIRWAY INHALATION TRMT $70.00 $70.00 $47.84–$66.49 42% below —
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HC AIRWAY INHALATION TRMT $70.00 $70.00 $47.84–$66.49 — —
Chemotherapy IV infusion, first hour CPT 96413 HC CHEMO,IV INFUSION,1 HR $710.00 $710.00 $510.77–$553.58 at median —
Chemotherapy IV infusion, first hour inpatient CPT 96413 HC CHEMO,IV INFUSION,1 HR $710.00 $710.00 $510.77–$553.58 — —
Critical care, first 30 to 74 minutes CPT 99291 HC CRITICAL CARE 1ST HOUR $2,074.00 $2,074.00 $1,420.81–$1,542.08 21% above —
Critical care, first 30 to 74 minutes inpatient CPT 99291 HC CRITICAL CARE 1ST HOUR $2,074.00 $2,074.00 $1,420.81–$1,542.08 — —
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 HC ROUTINE EKG $48.00 $48.00 $32.63–$45.00 60% below —
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 HC ROUTINE EKG $48.00 $48.00 $32.63–$45.00 — —
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 HC ED LEVEL I $174.00 $174.00 $126.79 3% below —
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 HC ED LEVEL I $174.00 $174.00 $126.79 — —
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 HC ED LEVEL II $305.00 $305.00 $208.63–$290.00 4% above —
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 HC ED LEVEL II $305.00 $305.00 $208.63–$290.00 — —
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 HC ED LEVEL III $525.00 $525.00 $359.70–$392.04 19% above —
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 HC ED LEVEL III $525.00 $525.00 $359.70–$392.04 — —
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 HC ED LEVEL IV $819.00 $819.00 $561.13–$780.00 2% above —
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 HC ED LEVEL IV $819.00 $819.00 $561.13–$780.00 — —
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 HC ED LEVEL V $1,182.00 $1,182.00 $809.32–$1,125.00 3% below —
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 HC ED LEVEL V $1,182.00 $1,182.00 $809.32–$1,125.00 — —
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HC HYDRATION IV INFUSION,INIT $460.00 $460.00 $330.92–$358.66 31% above —
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 HC HYDRATION IV INFUSION,INIT $460.00 $460.00 $330.92–$358.66 — —
IV infusion of a medicine, first hour CPT 96365 HC THER/PROPH/DIAG IV INF,INIT $460.00 $460.00 $330.92–$460.00 8% above —
IV infusion of a medicine, first hour inpatient CPT 96365 HC THER/PROPH/DIAG IV INF,INIT $460.00 $460.00 $330.92–$460.00 — —
Injection under the skin or into a muscle, for treatment or testing CPT 96372 HC THER/PROPH/DIAG INJ,SC/IM $140.00 $140.00 $100.72–$140.00 60% above —
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 HC THER/PROPH/DIAG INJ,SC/IM $140.00 $140.00 $100.72–$140.00 — —
Mental health diagnostic evaluation (intake), without medical services CPT 90791 PR PSYCHIATRIC DIAGNOSTIC EVALUATION $425.00 $425.00 $325.05–$348.55 53% above —
Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 PR PSYCHIATRIC DIAGNOSTIC EVALUATION $425.00 $425.00 $325.05–$348.55 — —
New patient office visit, about 30 minutes CPT 99203 PR OFFICE/OUTPATIENT NEW LOW MDM 30 MINUTES $258.00 $258.00 $225.40 6% above —
New patient office visit, about 30 minutes inpatient CPT 99203 PR OFFICE/OUTPATIENT NEW LOW MDM 30 MINUTES $258.00 $258.00 $225.40 — —
New patient office visit, about 45 minutes CPT 99204 PR OFFICE/OUTPATIENT NEW MODERATE MDM 45 MINUTES $384.00 $384.00 $285.23–$289.34 5% above —
New patient office visit, about 45 minutes inpatient CPT 99204 PR OFFICE/OUTPATIENT NEW MODERATE MDM 45 MINUTES $384.00 $384.00 $285.23–$289.34 — —
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 UM MNT-15 MINUTES $100.00 $100.00 $29.51 at median —
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 UM MNT-15 MINUTES $100.00 $100.00 $29.51 — —
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 HC PT EVAL HIGH COMPLEX 45 MIN $410.00 $410.00 $279.85 31% above —
Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 HC PT EVAL HIGH COMPLEX 45 MIN $410.00 $410.00 $279.85 — —
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 HC PT EVAL LOW COMPLEX 20 MIN $410.00 $410.00 $282.83–$390.00 54% above —
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 HC PT EVAL LOW COMPLEX 20 MIN $410.00 $410.00 $282.83–$390.00 — —
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 HC PT EVAL MOD COMPLEX 30 MIN $410.00 $410.00 $292.14–$390.00 43% above —
Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 HC PT EVAL MOD COMPLEX 30 MIN $410.00 $410.00 $292.14–$390.00 — —
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 HC MANUAL THERAPY 15MIN $114.00 $114.00 $80.90 7% above —
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 HC MANUAL THERAPY 15MIN $114.00 $114.00 $80.90 — —
Preventive checkup, returning patient aged 40–64 CPT 99396 PR PERIODIC PREVENTIVE MED EST PATIENT 40-64YRS $336.00 $336.00 $252.08 42% above —
Preventive checkup, returning patient aged 40–64 inpatient CPT 99396 PR PERIODIC PREVENTIVE MED EST PATIENT 40-64YRS $336.00 $336.00 $252.08 — —
Preventive checkup, returning patient aged 65 or older CPT 99397 PR PERIODIC PREVENTIVE MED EST PATIENT 65YRS& OLDER $363.00 $363.00 $345.02 46% above —
Preventive checkup, returning patient aged 65 or older inpatient CPT 99397 PR PERIODIC PREVENTIVE MED EST PATIENT 65YRS& OLDER $363.00 $363.00 $345.02 — —
Returning patient office visit, high complexity or 40+ minutes CPT 99215 PR OFFICE/OUTPATIENT ESTABLISHED HIGH MDM 40 MIN $384.00 $384.00 $336.55–$353.56 at median —
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 PR OFFICE/OUTPATIENT ESTABLISHED HIGH MDM 40 MIN $384.00 $384.00 $336.55–$353.56 — —
Returning patient office visit, low complexity or 20+ minutes CPT 99213 PR OFFICE/OUTPATIENT ESTABLISHED LOW MDM 20 MIN $210.00 $210.00 $178.36–$853.43 8% above —
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 PR OFFICE/OUTPATIENT ESTABLISHED LOW MDM 20 MIN $210.00 $210.00 $178.36–$853.43 — —
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 PR OFFICE/OUTPATIENT ESTABLISHED MOD MDM 30 MIN $294.00 $294.00 $268.23–$270.59 3% above —
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 PR OFFICE/OUTPATIENT ESTABLISHED MOD MDM 30 MIN $294.00 $294.00 $268.23–$270.59 — —
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 PR OFFICE/OUTPATIENT ESTABLISHED SF MDM 10 MIN $126.00 $126.00 $110.16–$521.55 56% above —
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 PR OFFICE/OUTPATIENT ESTABLISHED SF MDM 10 MIN $126.00 $126.00 $110.16–$521.55 — —
Speech therapy session, individual CPT 92507 HC SPEECH/HEARING THERAPY INDIV $320.00 $320.00 $227.72–$237.62 18% above —
Speech therapy session, individual inpatient CPT 92507 HC SPEECH/HEARING THERAPY INDIV $320.00 $320.00 $227.72–$237.62 — —
Spirometry before and after a bronchodilator CPT 94060 HC PRE/POST SPIRO $174.00 $174.00 $123.60–$126.79 35% below —
Spirometry before and after a bronchodilator inpatient CPT 94060 HC PRE/POST SPIRO $174.00 $174.00 $123.60–$126.79 — —

Vaccines

ProcedureCash price List priceInsurers payvs North DakotaOff list
Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older CPT 90653 PR IIV ADJUVANTED VACCINE FOR INTRAMUSCULAR USE $85.00 $85.00 $81.82–$83.30 34% below —
Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older CPT 90653 Influenza Vac Type A&B Surface Ant Adj Susp Pref Syr 0.5 ML $130.00 $130.00 $81.82–$83.30 1% above —
Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older inpatient CPT 90653 PR IIV ADJUVANTED VACCINE FOR INTRAMUSCULAR USE $85.00 $85.00 $81.82–$83.30 — —
Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older inpatient CPT 90653 Influenza Vac Type A&B Surface Ant Adj Susp Pref Syr 0.5 ML $130.00 $130.00 $81.82–$83.30 — —
COVID-19 vaccine (Moderna), age 12 and older CPT 91322 COVID-19 mRNA Vaccine-Moderna IM Susp Pref Syr 50 MCG/0.5ML $145.00 $145.00 $124.75 at median —
COVID-19 vaccine (Moderna), age 12 and older CPT 91322 PR SARSCOV2 VACCINE 50 MCG/0.5 ML FOR IM USE $145.00 $145.00 $124.75 at median —
COVID-19 vaccine (Moderna), age 12 and older inpatient CPT 91322 COVID-19 mRNA Vaccine-Moderna IM Susp Pref Syr 50 MCG/0.5ML $145.00 $145.00 $124.75 — —
COVID-19 vaccine (Moderna), age 12 and older inpatient CPT 91322 PR SARSCOV2 VACCINE 50 MCG/0.5 ML FOR IM USE $145.00 $145.00 $124.75 — —
High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 PR IIV VACCINE PRESERV FREE INCREASED AG CONTENT IM $63.80 $63.80 $45.28 15% below —
High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 PR IIV VACCINE PRESERV FREE INCREASED AG CONTENT IM $63.80 $63.80 $45.28 — —
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 PR PCV20 VACCINE FOR INTRAMUSCULAR USE $330.00 $330.00 $249.50–$306.64 1% below —
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 Pneumococcal 20-Valent Conjugate Vaccine Sus Pref Syr 0.5 ML $364.38 $364.38 $249.50–$306.64 10% above —
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 PR PCV20 VACCINE FOR INTRAMUSCULAR USE $330.00 $330.00 $249.50–$306.64 — —
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 Pneumococcal 20-Valent Conjugate Vaccine Sus Pref Syr 0.5 ML $364.38 $364.38 $249.50–$306.64 — —
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 Tetanus-Diphtheria Toxoids (Td) Inj 5-2 LF/0.5ML $45.16 $45.16 $34.63–$34.64 10% below —
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 PR TD VACCINE PRSRV FREE 7 YRS OR OLDER FOR IM USE $49.68 $49.68 $34.63–$34.64 1% below —
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 Tetanus-Diphtheria Toxoids (Td) Inj 5-2 LF/0.5ML $45.16 $45.16 $34.63–$34.64 — —
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 $49.68 $49.68 $34.63–$34.64 — —
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 Tet-Diph-Acell Pertuss Ad Pref Syr 5-2.5-18.5 LF-MCG/0.5ML $53.91 $53.91 $38.78–$41.46 23% below —
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 PR TDAP VACCINE 7 YRS/> IM $53.91 $53.91 $38.78–$41.46 23% below —
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 Tet-Diph-Acell Pertuss Ad Pref Syr 5-2.5-18.5 LF-MCG/0.5ML $53.91 $53.91 $38.78–$41.46 — —
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 PR TDAP VACCINE 7 YRS/> IM $53.91 $53.91 $38.78–$41.46 — —
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 FLU VACCINE ADMINISTRATION-CLINIC $58.00 $58.00 $26.97 17% above —
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HC IMMUNIZATION ADMINISTRATION $69.00 $69.00 $26.97 39% above —
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 FLU VACCINE ADMINISTRATION-CLINIC $58.00 $58.00 $26.97 — —
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 HC IMMUNIZATION ADMINISTRATION $69.00 $69.00 $26.97 — —

Source file: https://hospitalpricetransparencyfiles.com/christian-unity-hospital-corporation/450310159_Christian-Unity-Hospital-Corporation_standardcharges.csv