SelfPayRates
Hospital

Nelson County Health System Hospital

Nelson County Health System Hospital in McVille, ND publishes cash prices for 324 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 below the North Dakota median for 195 of 321 procedures and above it for 118. By typical cash price it ranks #12 of 33 North Dakota hospitals, cheapest first. Select a procedure to compare it with other hospitals nearby.

200 Main St S, McVille, ND 58254 Collected Sep 27, 2026 Source price file Check a bill from this hospital (701) 322-4328

Critical access hospital (rural, 25 beds or fewer) Nonprofit hospital Emergency department CCN 351308 · CMS hospital register

The price file shows no self-pay discount

For 676 of the 676 prices listed here, the cash price in Nelson County Health System 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

Nelson County Health System 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.

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 $1,478.00 $1,478.00 $1,256.30–$1,551.90 29% below —
Abdominal CT scan without and with contrast inpatient CPT 74170 HC CT ABD W/WO DYE $1,478.00 $1,478.00 $1,256.30–$1,551.90 — —
Abdominal X-ray, 2 views CPT 74019 HC XRAY ABDOMEN 2 VIEWS $170.00 $170.00 $144.50–$178.50 2% below —
Abdominal X-ray, 2 views inpatient CPT 74019 HC XRAY ABDOMEN 2 VIEWS $170.00 $170.00 $144.50–$178.50 — —
Ankle X-ray, complete, 3 or more views CPT 73610 HC ANKLE MIN 3 VIEWS $113.00 $113.00 $96.05–$118.65 26% below —
Ankle X-ray, complete, 3 or more views inpatient CPT 73610 HC ANKLE MIN 3 VIEWS $113.00 $113.00 $96.05–$118.65 — —
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 HC EXTREMITY STUDY VASCULAR $339.00 $339.00 $288.15–$355.95 14% above —
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 HC EXTREMITY STUDY VASCULAR $339.00 $339.00 $288.15–$355.95 — —
Arm CT scan without contrast (shoulder to hand, any part) CPT 73200 HC CT UPPER EXTREM W/O DYE $745.00 $745.00 $633.25–$782.25 41% below —
Arm CT scan without contrast (shoulder to hand, any part) inpatient CPT 73200 HC CT UPPER EXTREM W/O DYE $745.00 $745.00 $633.25–$782.25 — —
Breast ultrasound, complete, one breast one side CPT 76641 HC US BREAST UNILAT W/AXILLA COMPLETE $309.00 $309.00 $262.65–$324.45 15% below —
Breast ultrasound, complete, one breast inpatient one side CPT 76641 HC US BREAST UNILAT W/AXILLA COMPLETE $309.00 $309.00 $262.65–$324.45 — —
Breast ultrasound, limited (one breast or one area) one side CPT 76642 HC US BREAST UNILAT W/AXILLA LIMITED $227.00 $227.00 $192.95–$238.35 24% below —
Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 HC US BREAST UNILAT W/AXILLA LIMITED $227.00 $227.00 $192.95–$238.35 — —
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 HC CTA CHEST $1,797.00 $1,797.00 $1,527.45–$1,886.85 15% below —
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 HC CTA CHEST $1,797.00 $1,797.00 $1,527.45–$1,886.85 — —
CT scan of abdomen and pelvis, no contrast dye CPT 74176 HC CT ABD/PELVIS W/O CONTRAST $927.00 $927.00 $787.95–$973.35 44% below —
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 HC CT ABD/PELVIS W/O CONTRAST $927.00 $927.00 $787.95–$973.35 — —
CT scan of abdomen and pelvis, with contrast dye CPT 74177 HC CT ABD/PELVIS W/CONTRAST $1,854.00 $1,854.00 $1,575.90–$1,946.70 25% below —
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 HC CT ABD/PELVIS W/CONTRAST $1,854.00 $1,854.00 $1,575.90–$1,946.70 — —
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 HC CT ABD/PELVIS W/O&W CONTRAST $1,854.00 $1,854.00 $1,575.90–$1,946.70 36% below —
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 HC CT ABD/PELVIS W/O&W CONTRAST $1,854.00 $1,854.00 $1,575.90–$1,946.70 — —
CT scan of the abdomen with contrast CPT 74160 HC CT ABD W/DYE $1,193.00 $1,193.00 $1,014.05–$1,252.65 23% below —
CT scan of the abdomen with contrast inpatient CPT 74160 HC CT ABD W/DYE $1,193.00 $1,193.00 $1,014.05–$1,252.65 — —
CT scan of the abdomen without contrast CPT 74150 HC CT ABD W/O DYE $863.00 $863.00 $733.55–$906.15 30% below —
CT scan of the abdomen without contrast inpatient CPT 74150 HC CT ABD W/O DYE $863.00 $863.00 $733.55–$906.15 — —
CT scan of the face and sinuses, no contrast dye CPT 70486 HC CT FACIAL BONES W/O CONTRAST $775.00 $775.00 $658.75–$813.75 28% below —
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 HC CT FACIAL BONES W/O CONTRAST $775.00 $775.00 $658.75–$813.75 — —
CT scan of the head or brain, no contrast dye CPT 70450 HC CT BRAIN W/O CONTRAST $911.00 $911.00 $774.35–$956.55 13% below —
CT scan of the head or brain, no contrast dye inpatient CPT 70450 HC CT BRAIN W/O CONTRAST $911.00 $911.00 $774.35–$956.55 — —
CT scan of the head with contrast CPT 70460 HC CT BRAIN W/CONTRAST $846.00 $846.00 $719.10–$888.30 33% below —
CT scan of the head with contrast inpatient CPT 70460 HC CT BRAIN W/CONTRAST $846.00 $846.00 $719.10–$888.30 — —
CT scan of the head without and with contrast CPT 70470 HC CT BRAIN W/WO CONTRAST $988.00 $988.00 $839.80–$1,037.40 33% below —
CT scan of the head without and with contrast inpatient CPT 70470 HC CT BRAIN W/WO CONTRAST $988.00 $988.00 $839.80–$1,037.40 — —
CT scan of the lower back (lumbar spine) without contrast CPT 72131 HC CT SPINE LUMBAR W/O DYE $911.00 $911.00 $774.35–$956.55 30% below —
CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 HC CT SPINE LUMBAR W/O DYE $911.00 $911.00 $774.35–$956.55 — —
CT scan of the neck (cervical spine), no contrast dye CPT 72125 HC CT SPINE CERVICAL W/O DYE $927.00 $927.00 $787.95–$973.35 31% below —
CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 HC CT SPINE CERVICAL W/O DYE $927.00 $927.00 $787.95–$973.35 — —
CT scan of the pelvis, with contrast dye CPT 72193 HC CT PELVIS W/DYE $1,090.00 $1,090.00 $926.50–$1,144.50 32% below —
CT scan of the pelvis, with contrast dye inpatient CPT 72193 HC CT PELVIS W/DYE $1,090.00 $1,090.00 $926.50–$1,144.50 — —
Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 HC CAROTID DOPPLER $705.00 $705.00 $599.25–$740.25 at median —
Carotid artery ultrasound (duplex), both sides of the neck inpatient CPT 93880 HC CAROTID DOPPLER $705.00 $705.00 $599.25–$740.25 — —
Chest CT scan without and with contrast CPT 71270 HC CT THORAX W+WO CONTRAST $1,249.00 $1,249.00 $1,061.65–$1,311.45 27% below —
Chest CT scan without and with contrast inpatient CPT 71270 HC CT THORAX W+WO CONTRAST $1,249.00 $1,249.00 $1,061.65–$1,311.45 — —
Chest X-ray, 2 views CPT 71046 HC XRAY CHEST 2 VIEWS $159.00 $159.00 $135.15–$166.95 8% below —
Chest X-ray, 2 views inpatient CPT 71046 HC XRAY CHEST 2 VIEWS $159.00 $159.00 $135.15–$166.95 — —
Chest X-ray, single view CPT 71045 HC XRAY CHEST 1 VIEW $121.00 $121.00 $102.85–$127.05 16% below —
Chest X-ray, single view inpatient CPT 71045 HC XRAY CHEST 1 VIEW $121.00 $121.00 $102.85–$127.05 — —
Collarbone (clavicle) X-ray, complete CPT 73000 HC CLAVICLE COMPLETE $107.00 $107.00 $90.95–$112.35 26% below —
Collarbone (clavicle) X-ray, complete inpatient CPT 73000 HC CLAVICLE COMPLETE $107.00 $107.00 $90.95–$112.35 — —
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 HC US RETROPERIT (RENAL LAAA) $357.00 $357.00 $303.45–$374.85 18% below —
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 HC US RETROPERIT (RENAL LAAA) $357.00 $357.00 $303.45–$374.85 — —
DEXA bone density scan of the hip, pelvis or spine CPT 77080 HC DEXASCAN $144.00 $144.00 $122.40–$151.20 51% below —
DEXA bone density scan of the hip, pelvis or spine CPT 77080 HC DEXASCAN W/VERTEBRAL FX ASSESSMENT $437.00 $437.00 $371.45–$458.85 50% above —
DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 HC DEXASCAN $144.00 $144.00 $122.40–$151.20 — —
DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 HC DEXASCAN W/VERTEBRAL FX ASSESSMENT $437.00 $437.00 $371.45–$458.85 — —
Diagnostic CT scan of the chest, no contrast dye CPT 71250 HC CT THORAX WO CONTRAST $911.00 $911.00 $774.35–$956.55 25% below —
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 HC CT THORAX WO CONTRAST $911.00 $911.00 $774.35–$956.55 — —
Diagnostic CT scan of the chest, with contrast dye CPT 71260 HC CT THORAX W CONTRAST $1,130.00 $1,130.00 $960.50–$1,186.50 20% below —
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 HC CT THORAX W CONTRAST $1,130.00 $1,130.00 $960.50–$1,186.50 — —
Diagnostic mammogram, both breasts both sides CPT 77066 HC DIAGNOSTIC MAMMO CAD BILATERAL $412.00 $412.00 $350.20–$432.60 — —
Diagnostic mammogram, both breasts inpatient both sides CPT 77066 HC DIAGNOSTIC MAMMO CAD BILATERAL $412.00 $412.00 $350.20–$432.60 — —
Diagnostic mammogram, one breast one side CPT 77065 HC DIAGNOSTIC MAMMO CAD UNILATERAL $319.00 $319.00 $271.15–$334.95 18% below —
Diagnostic mammogram, one breast inpatient one side CPT 77065 HC DIAGNOSTIC MAMMO CAD UNILATERAL $319.00 $319.00 $271.15–$334.95 — —
Duplex ultrasound of the leg arteries, both legs CPT 93925 HC DUPLEX LOWER EXTREMITY $860.00 $860.00 $731.00–$903.00 1% above —
Duplex ultrasound of the leg arteries, both legs inpatient CPT 93925 HC DUPLEX LOWER EXTREMITY $860.00 $860.00 $731.00–$903.00 — —
Duplex ultrasound of the leg veins, both legs CPT 93970 HC VENOUS IMAGING $753.00 $753.00 $640.05–$790.65 3% above —
Duplex ultrasound of the leg veins, both legs inpatient CPT 93970 HC VENOUS IMAGING $753.00 $753.00 $640.05–$790.65 — —
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 HC TTE W/DOPPLER COMPLETE $765.00 $765.00 $650.25–$803.25 1% above —
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 HC TTE W/DOPPLER COMPLETE $765.00 $765.00 $650.25–$803.25 — —
Elbow X-ray, 2 views CPT 73070 HC ELBOW 2 VIEWS $107.00 $107.00 $90.95–$112.35 24% below —
Elbow X-ray, 2 views inpatient CPT 73070 HC ELBOW 2 VIEWS $107.00 $107.00 $90.95–$112.35 — —
Elbow X-ray, complete, 3 or more views CPT 73080 HC ELBOW MIN 3 VIEWS $135.00 $135.00 $114.75–$141.75 16% below —
Elbow X-ray, complete, 3 or more views inpatient CPT 73080 HC ELBOW MIN 3 VIEWS $135.00 $135.00 $114.75–$141.75 — —
Eye socket (orbit) CT scan without contrast CPT 70480 HC CT ORBITS/FOSSA/SELLA/IAC $1,313.00 $1,313.00 $1,116.05–$1,378.65 5% below —
Eye socket (orbit) CT scan without contrast inpatient CPT 70480 HC CT ORBITS/FOSSA/SELLA/IAC $1,313.00 $1,313.00 $1,116.05–$1,378.65 — —
Facial bones X-ray, complete, 3 or more views CPT 70150 HC FACIAL BONES MIN 3 VIEWS $161.00 $161.00 $136.85–$169.05 17% below —
Facial bones X-ray, complete, 3 or more views inpatient CPT 70150 HC FACIAL BONES MIN 3 VIEWS $161.00 $161.00 $136.85–$169.05 — —
Forearm X-ray (radius and ulna), 2 views CPT 73090 HC FOREARM 2 VIEWS $122.00 $122.00 $103.70–$128.10 19% below —
Forearm X-ray (radius and ulna), 2 views inpatient CPT 73090 HC FOREARM 2 VIEWS $122.00 $122.00 $103.70–$128.10 — —
Hand X-ray, 2 views CPT 73120 HC HAND 2 VIEWS $100.00 $100.00 $85.00–$105.00 33% below —
Hand X-ray, 2 views inpatient CPT 73120 HC HAND 2 VIEWS $100.00 $100.00 $85.00–$105.00 — —
Heel bone (calcaneus) X-ray, 2 or more views CPT 73650 HC HEEL MIN 2 VIEWS $96.00 $96.00 $81.60–$100.80 34% below —
Heel bone (calcaneus) X-ray, 2 or more views inpatient CPT 73650 HC HEEL MIN 2 VIEWS $96.00 $96.00 $81.60–$100.80 — —
In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 HC POLYSOMNOGRAM;SLEEP STG;4+CPAP $2,169.00 $2,169.00 $1,843.65–$2,277.45 9% below —
In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 HC POLYSOMNOGRAM;SLEEP STG;4+CPAP $2,169.00 $2,169.00 $1,843.65–$2,277.45 — —
Knee X-ray, 3 views CPT 73562 HC KNEE MIN 3 VIEWS $134.00 $134.00 $113.90–$140.70 28% below —
Knee X-ray, 3 views inpatient CPT 73562 HC KNEE MIN 3 VIEWS $134.00 $134.00 $113.90–$140.70 — —
Knee X-ray, complete, 4 or more views CPT 73564 HC KNEE 4 OR MORE VIEWS $126.00 $126.00 $107.10–$132.30 35% below —
Knee X-ray, complete, 4 or more views inpatient CPT 73564 HC KNEE 4 OR MORE VIEWS $126.00 $126.00 $107.10–$132.30 — —
Leg CT scan without contrast (hip to foot, any part) CPT 73700 HC CT LOWER EXTREM W/O DYE $748.00 $748.00 $635.80–$785.40 37% below —
Leg CT scan without contrast (hip to foot, any part) inpatient CPT 73700 HC CT LOWER EXTREM W/O DYE $748.00 $748.00 $635.80–$785.40 — —
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 HC US ECHO EXAM OF ABDOMEN $281.00 $281.00 $238.85–$295.05 27% below —
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 HC US ECHO EXAM OF ABDOMEN $281.00 $281.00 $238.85–$295.05 — —
Limited ultrasound of an arm or leg (non-vascular) CPT 76882 HC US XTR NON-VASC LMTD $155.00 $155.00 $131.75–$162.75 29% below —
Limited ultrasound of an arm or leg (non-vascular) inpatient CPT 76882 HC US XTR NON-VASC LMTD $155.00 $155.00 $131.75–$162.75 — —
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 HC LDCT FOR LUNG CANCER SCREEN $649.00 $649.00 $551.65–$681.45 12% below —
Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 HC LDCT FOR LUNG CANCER SCREEN $649.00 $649.00 $551.65–$681.45 — —
Lower leg X-ray (tibia and fibula), 2 views CPT 73590 HC TIBIA FIBULA 2 VIEW $117.00 $117.00 $99.45–$122.85 27% below —
Lower leg X-ray (tibia and fibula), 2 views inpatient CPT 73590 HC TIBIA FIBULA 2 VIEW $117.00 $117.00 $99.45–$122.85 — —
MR angiography (MRA) of the head without contrast CPT 70544 HC MRA HEAD W/O DYE $2,472.00 $2,472.00 $2,101.20–$2,595.60 12% above —
MR angiography (MRA) of the head without contrast inpatient CPT 70544 HC MRA HEAD W/O DYE $2,472.00 $2,472.00 $2,101.20–$2,595.60 — —
MRI of both breasts, without and then with contrast dye both sides CPT 77049 HC MRI BREAST W&WO CONTRAST W/CAD BILATERAL $2,153.00 $2,153.00 $1,830.05–$2,260.65 — —
MRI of both breasts, without and then with contrast dye inpatient both sides CPT 77049 HC MRI BREAST W&WO CONTRAST W/CAD BILATERAL $2,153.00 $2,153.00 $1,830.05–$2,260.65 — —
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 HC MRI-LOWER EXT JOINT W/O DYE $1,259.00 $1,259.00 $1,070.15–$1,321.95 35% below —
MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 HC MRI-LOWER EXT JOINT W/O DYE $1,259.00 $1,259.00 $1,070.15–$1,321.95 — —
MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 HC MRI LOWER EXT JOINT W/WO DYE $2,705.00 $2,705.00 $2,299.25–$2,840.25 11% below —
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 $2,705.00 $2,705.00 $2,299.25–$2,840.25 — —
MRI of the abdomen without contrast CPT 74181 HC MRI-ABDOMEN W/O DYE $1,936.00 $1,936.00 $1,645.60–$2,032.80 2% below —
MRI of the abdomen without contrast inpatient CPT 74181 HC MRI-ABDOMEN W/O DYE $1,936.00 $1,936.00 $1,645.60–$2,032.80 — —
MRI of the abdomen, without and then with contrast dye CPT 74183 HC MRI ABDOMEN W/WO DYE $2,932.00 $2,932.00 $2,492.20–$3,078.60 9% below —
MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 HC MRI ABDOMEN W/WO DYE $2,932.00 $2,932.00 $2,492.20–$3,078.60 — —
MRI of the brain, no contrast dye CPT 70551 HC MRI-BRAIN/BRAIN STEM $1,169.00 $1,169.00 $993.65–$1,227.45 32% below —
MRI of the brain, no contrast dye inpatient CPT 70551 HC MRI-BRAIN/BRAIN STEM $1,169.00 $1,169.00 $993.65–$1,227.45 — —
MRI of the brain, with and without contrast dye CPT 70553 HC MRI-BRAIN W/WO DYE $1,957.00 $1,957.00 $1,663.45–$2,054.85 35% below —
MRI of the brain, with and without contrast dye inpatient CPT 70553 HC MRI-BRAIN W/WO DYE $1,957.00 $1,957.00 $1,663.45–$2,054.85 — —
MRI of the lower back, no contrast dye CPT 72148 HC MRI-L-SPINE W/O DYE $1,110.00 $1,110.00 $943.50–$1,165.50 43% below —
MRI of the lower back, no contrast dye inpatient CPT 72148 HC MRI-L-SPINE W/O DYE $1,110.00 $1,110.00 $943.50–$1,165.50 — —
MRI of the lower back, without and then with contrast dye CPT 72158 HC MRI L-SPINE W/WO DYE $1,962.00 $1,962.00 $1,667.70–$2,060.10 40% below —
MRI of the lower back, without and then with contrast dye inpatient CPT 72158 HC MRI L-SPINE W/WO DYE $1,962.00 $1,962.00 $1,667.70–$2,060.10 — —
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 HC MRI-T-SPINE W/O DYE $1,121.00 $1,121.00 $952.85–$1,177.05 46% below —
MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 HC MRI-T-SPINE W/O DYE $1,121.00 $1,121.00 $952.85–$1,177.05 — —
MRI of the neck (cervical spine) without and with contrast CPT 72156 HC MRI C-SPINE W/WO DYE $1,978.00 $1,978.00 $1,681.30–$2,076.90 37% below —
MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 HC MRI C-SPINE W/WO DYE $1,978.00 $1,978.00 $1,681.30–$2,076.90 — —
MRI of the neck (cervical spine), no contrast dye CPT 72141 HC MRI-C-SPINE W/O DYE $1,118.00 $1,118.00 $950.30–$1,173.90 42% below —
MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 HC MRI-C-SPINE W/O DYE $1,118.00 $1,118.00 $950.30–$1,173.90 — —
MRI of the pelvis without and with contrast CPT 72197 HC MRI PELVIS W/WO DYE $2,925.00 $2,925.00 $2,486.25–$3,071.25 9% below —
MRI of the pelvis without and with contrast inpatient CPT 72197 HC MRI PELVIS W/WO DYE $2,925.00 $2,925.00 $2,486.25–$3,071.25 — —
MRI of the pelvis, no contrast dye CPT 72195 HC MRI PELVIS WO DYE $2,252.00 $2,252.00 $1,914.20–$2,364.60 2% above —
MRI of the pelvis, no contrast dye inpatient CPT 72195 HC MRI PELVIS WO DYE $2,252.00 $2,252.00 $1,914.20–$2,364.60 — —
MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 HC MRI-UPPER EXT JOINT W/O DYE $1,259.00 $1,259.00 $1,070.15–$1,321.95 35% below —
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient CPT 73221 HC MRI-UPPER EXT JOINT W/O DYE $1,259.00 $1,259.00 $1,070.15–$1,321.95 — —
Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 HC CERVICAL SPINE 4 OR 5 VIEWS $208.00 $208.00 $176.80–$218.40 5% below —
Neck (cervical spine) X-ray, 4 or 5 views inpatient CPT 72050 HC CERVICAL SPINE 4 OR 5 VIEWS $208.00 $208.00 $176.80–$218.40 — —
Neck soft tissue CT scan with contrast CPT 70491 HC CT SOFT TISSUE NECK W/DYE $986.00 $986.00 $838.10–$1,035.30 30% below —
Neck soft tissue CT scan with contrast inpatient CPT 70491 HC CT SOFT TISSUE NECK W/DYE $986.00 $986.00 $838.10–$1,035.30 — —
Neck soft tissue CT scan without contrast CPT 70490 HC CT SOFT TISSUE NECK W/O DYE $740.00 $740.00 $629.00–$777.00 39% below —
Neck soft tissue CT scan without contrast inpatient CPT 70490 HC CT SOFT TISSUE NECK W/O DYE $740.00 $740.00 $629.00–$777.00 — —
Neck soft tissue X-ray CPT 70360 HC SOFT TISSUE NECK $111.00 $111.00 $94.35–$116.55 24% below —
Neck soft tissue X-ray inpatient CPT 70360 HC SOFT TISSUE NECK $111.00 $111.00 $94.35–$116.55 — —
Pelvic CT scan without contrast CPT 72192 HC CT PELVIS W/O DYE $901.00 $901.00 $765.85–$946.05 26% below —
Pelvic CT scan without contrast inpatient CPT 72192 HC CT PELVIS W/O DYE $901.00 $901.00 $765.85–$946.05 — —
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 HC US PELVIC LIMITED $113.00 $113.00 $96.05–$118.65 64% below —
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 HC US PELVIC LIMITED $113.00 $113.00 $96.05–$118.65 — —
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 HC US PELVIC COMPLETE $361.00 $361.00 $306.85–$379.05 17% below —
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 HC US PELVIC COMPLETE $361.00 $361.00 $306.85–$379.05 — —
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 HC US PREGNANCY >=14WKS SNGL FETUS $374.00 $374.00 $317.90–$392.70 21% below —
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 HC US PREGNANCY >=14WKS SNGL FETUS $374.00 $374.00 $317.90–$392.70 — —
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 HC US OB COMPLETE(<14 WKS) $355.00 $355.00 $301.75–$372.75 9% below —
Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 HC US OB COMPLETE(<14 WKS) $355.00 $355.00 $301.75–$372.75 — —
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 HC US PREGNANCY LMTD $251.00 $251.00 $213.35–$263.55 23% below —
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 HC US PREGNANCY LMTD $251.00 $251.00 $213.35–$263.55 — —
Rib X-ray, one side, 2 views CPT 71100 HC RIB 2 VIEWS $171.00 $171.00 $145.35–$179.55 1% above —
Rib X-ray, one side, 2 views inpatient CPT 71100 HC RIB 2 VIEWS $171.00 $171.00 $145.35–$179.55 — —
Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 HC RIBS UNILATERAL 2 V PA CHEST $93.00 $93.00 $79.05–$97.65 52% below —
Rib X-ray, one side, with a chest view, 3 or more views inpatient one side CPT 71101 HC RIBS UNILATERAL 2 V PA CHEST $93.00 $93.00 $79.05–$97.65 — —
Screening mammogram, both breasts both sides CPT 77067 HC SCREENING MAMMO CAD BILATERAL $397.00 $397.00 $337.45–$416.85 — —
Screening mammogram, both breasts inpatient both sides CPT 77067 HC SCREENING MAMMO CAD BILATERAL $397.00 $397.00 $337.45–$416.85 — —
Shoulder X-ray, complete, 2 or more views CPT 73030 HC SHOULDER MIN 2 VIEWS $167.00 $167.00 $141.95–$175.35 5% below —
Shoulder X-ray, complete, 2 or more views inpatient CPT 73030 HC SHOULDER MIN 2 VIEWS $167.00 $167.00 $141.95–$175.35 — —
Sinus X-ray, complete, 3 or more views CPT 70220 HC SINUSES COMPLETE MIN 3 VIEWS $171.00 $171.00 $145.35–$179.55 2% below —
Sinus X-ray, complete, 3 or more views inpatient CPT 70220 HC SINUSES COMPLETE MIN 3 VIEWS $171.00 $171.00 $145.35–$179.55 — —
Skull X-ray, fewer than 4 views CPT 70250 HC SKULL <4 VIEWS $126.00 $126.00 $107.10–$132.30 25% below —
Skull X-ray, fewer than 4 views inpatient CPT 70250 HC SKULL <4 VIEWS $126.00 $126.00 $107.10–$132.30 — —
Sleep study in a lab (polysomnography) CPT 95810 HC POLYSOMNOGRAM;SLEEP STG;4+ $2,007.00 $2,007.00 $1,705.95–$2,107.35 12% below —
Sleep study in a lab (polysomnography) inpatient CPT 95810 HC POLYSOMNOGRAM;SLEEP STG;4+ $2,007.00 $2,007.00 $1,705.95–$2,107.35 — —
Thigh bone (femur) X-ray, 2 or more views CPT 73552 HC X-RAY EXAM FEMUR 2/> $98.00 $98.00 $83.30–$102.90 41% below —
Thigh bone (femur) X-ray, 2 or more views inpatient CPT 73552 HC X-RAY EXAM FEMUR 2/> $98.00 $98.00 $83.30–$102.90 — —
Thoracic spine (mid back) CT scan without contrast CPT 72128 HC CT SPINE THORACIC W/O DYE $820.00 $820.00 $697.00–$861.00 37% below —
Thoracic spine (mid back) CT scan without contrast inpatient CPT 72128 HC CT SPINE THORACIC W/O DYE $820.00 $820.00 $697.00–$861.00 — —
Toe X-ray, 2 or more views CPT 73660 HC TOE MIN 2 VIEWS $103.00 $103.00 $87.55–$108.15 20% below —
Toe X-ray, 2 or more views inpatient CPT 73660 HC TOE MIN 2 VIEWS $103.00 $103.00 $87.55–$108.15 — —
Transvaginal pelvic ultrasound CPT 76830 HC US TRANSVAGINAL $412.00 $412.00 $350.20–$432.60 11% below —
Transvaginal pelvic ultrasound inpatient CPT 76830 HC US TRANSVAGINAL $412.00 $412.00 $350.20–$432.60 — —
Transvaginal ultrasound during pregnancy CPT 76817 HC US TRANSVAGINAL(OB) $283.00 $283.00 $240.55–$297.15 14% below —
Transvaginal ultrasound during pregnancy inpatient CPT 76817 HC US TRANSVAGINAL(OB) $283.00 $283.00 $240.55–$297.15 — —
Ultrasound of the abdomen, complete CPT 76700 HC US EXAM ABDOMEN COMPLETE $366.00 $366.00 $311.10–$384.30 29% below —
Ultrasound of the abdomen, complete inpatient CPT 76700 HC US EXAM ABDOMEN COMPLETE $366.00 $366.00 $311.10–$384.30 — —
Ultrasound of the scrotum and testicles CPT 76870 HC US SCROTUM $333.00 $333.00 $283.05–$349.65 20% below —
Ultrasound of the scrotum and testicles inpatient CPT 76870 HC US SCROTUM $333.00 $333.00 $283.05–$349.65 — —
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 HC US EXAM HEAD/NECK $412.00 $412.00 $350.20–$432.60 14% below —
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 HC US EXAM HEAD/NECK $412.00 $412.00 $350.20–$432.60 — —
Upper arm X-ray (humerus), 2 views CPT 73060 HC HUMERUS 2 VIEWS $118.00 $118.00 $100.30–$123.90 16% below —
Upper arm X-ray (humerus), 2 views inpatient CPT 73060 HC HUMERUS 2 VIEWS $118.00 $118.00 $100.30–$123.90 — —
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 HC UNILAT/LTD VENOUS $520.00 $520.00 $442.00–$546.00 4% below —
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 HC UNILAT/LTD VENOUS $520.00 $520.00 $442.00–$546.00 — —
Wrist X-ray, 2 views CPT 73100 HC WRIST 2 VIEWS $100.00 $100.00 $85.00–$105.00 37% below —
Wrist X-ray, 2 views inpatient CPT 73100 HC WRIST 2 VIEWS $100.00 $100.00 $85.00–$105.00 — —
Wrist X-ray, complete, 3 or more views CPT 73110 HC WRIST COMP MIN 3 VIEWS $149.00 $149.00 $126.65–$156.45 17% below —
Wrist X-ray, complete, 3 or more views inpatient CPT 73110 HC WRIST COMP MIN 3 VIEWS $149.00 $149.00 $126.65–$156.45 — —
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 $139.00 $139.00 $118.15–$145.95 32% below —
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 $139.00 $139.00 $118.15–$145.95 — —
X-ray of the abdomen, 1 view CPT 74018 HC XRAY ABDOMEN 1 VIEW $107.00 $107.00 $90.95–$112.35 24% below —
X-ray of the abdomen, 1 view inpatient CPT 74018 HC XRAY ABDOMEN 1 VIEW $107.00 $107.00 $90.95–$112.35 — —
X-ray of the ankle, 2 views CPT 73600 HC X-RAY ANKLE 2 VIEWS $100.00 $100.00 $85.00–$105.00 32% below —
X-ray of the ankle, 2 views inpatient CPT 73600 HC X-RAY ANKLE 2 VIEWS $100.00 $100.00 $85.00–$105.00 — —
X-ray of the finger(s), 2 or more views CPT 73140 HC FINGER MIN 2 VIEWS $149.00 $149.00 $126.65–$156.45 6% below —
X-ray of the finger(s), 2 or more views inpatient CPT 73140 HC FINGER MIN 2 VIEWS $149.00 $149.00 $126.65–$156.45 — —
X-ray of the foot, 2 views CPT 73620 HC FOOT 2 VIEWS $100.00 $100.00 $85.00–$105.00 29% below —
X-ray of the foot, 2 views inpatient CPT 73620 HC FOOT 2 VIEWS $100.00 $100.00 $85.00–$105.00 — —
X-ray of the foot, complete, 3 or more views CPT 73630 HC FOOT MIN 3 VIEWS $110.00 $110.00 $93.50–$115.50 26% below —
X-ray of the foot, complete, 3 or more views inpatient CPT 73630 HC FOOT MIN 3 VIEWS $110.00 $110.00 $93.50–$115.50 — —
X-ray of the hand, 3 or more views CPT 73130 HC HAND MIN 3 VIEWS $121.00 $121.00 $102.85–$127.05 30% below —
X-ray of the hand, 3 or more views inpatient CPT 73130 HC HAND MIN 3 VIEWS $121.00 $121.00 $102.85–$127.05 — —
X-ray of the knee, 1 or 2 views CPT 73560 HC KNEE 1 OR 2 VIEWS $107.00 $107.00 $90.95–$112.35 36% below —
X-ray of the knee, 1 or 2 views inpatient CPT 73560 HC KNEE 1 OR 2 VIEWS $107.00 $107.00 $90.95–$112.35 — —
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 HC LUMBAR SPINE 2 VIEWS $155.00 $155.00 $131.75–$162.75 20% below —
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 HC LUMBAR SPINE 2 VIEWS $155.00 $155.00 $131.75–$162.75 — —
X-ray of the lower back, 4 or more views CPT 72110 HC LUMBAR SPINE COM $269.00 $269.00 $228.65–$282.45 13% above —
X-ray of the lower back, 4 or more views inpatient CPT 72110 HC LUMBAR SPINE COM $269.00 $269.00 $228.65–$282.45 — —
X-ray of the mid back (thoracic spine), 2 views CPT 72070 HC SPINE THORACIC 2 VIEWS $131.00 $131.00 $111.35–$137.55 16% below —
X-ray of the mid back (thoracic spine), 2 views CPT 72070 HC THORACIC AP/LATERAL SPINE $131.00 $131.00 $111.35–$137.55 16% below —
X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 HC THORACIC AP/LATERAL SPINE $131.00 $131.00 $111.35–$137.55 — —
X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 HC SPINE THORACIC 2 VIEWS $131.00 $131.00 $111.35–$137.55 — —
X-ray of the nasal bones, 3 or more views CPT 70160 HC NOSE BONES MIN 3 VIEWS $122.00 $122.00 $103.70–$128.10 21% below —
X-ray of the nasal bones, 3 or more views inpatient CPT 70160 HC NOSE BONES MIN 3 VIEWS $122.00 $122.00 $103.70–$128.10 — —
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 HC CERVICAL SPINE 2/3 VIEWS $124.00 $124.00 $105.40–$130.20 24% below —
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 HC CERVICAL SPINE 2/3 VIEWS $124.00 $124.00 $105.40–$130.20 — —
X-ray of the pelvis, 1 or 2 views CPT 72170 HC PELVIS $136.00 $136.00 $115.60–$142.80 12% below —
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 HC PELVIS $136.00 $136.00 $115.60–$142.80 — —
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 HC SACRUN COCCYX MIN 2 VIEWS $118.00 $118.00 $100.30–$123.90 19% below —
X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 HC SACRUN COCCYX MIN 2 VIEWS $118.00 $118.00 $100.30–$123.90 — —

Lab tests

ProcedureCash priceList priceInsurers payvs North DakotaOff list
ACTH blood test CPT 82024 NC ACTH - R $251.00 $251.00 $213.35–$263.55 72% above —
ACTH blood test inpatient CPT 82024 NC ACTH - R $251.00 $251.00 $213.35–$263.55 — —
ALT (alanine aminotransferase) liver enzyme test CPT 84460 NC SGPT (ALT.) $47.00 $47.00 $39.95–$49.35 16% above —
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 NC SGPT (ALT.) $47.00 $47.00 $39.95–$49.35 — —
AST (aspartate aminotransferase) enzyme test CPT 84450 NC SGOT (AST.) $52.00 $52.00 $44.20–$54.60 27% above —
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 NC SGOT (AST.) $52.00 $52.00 $44.20–$54.60 — —
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 NC ACUTE HEPATITIS PANEL - R $267.00 $267.00 $226.95–$280.35 14% above —
Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 NC ACUTE HEPATITIS PANEL - R $267.00 $267.00 $226.95–$280.35 — —
Albumin blood test CPT 82040 NC ALBUMIN $43.00 $43.00 $36.55–$45.15 23% above —
Albumin blood test inpatient CPT 82040 NC ALBUMIN $43.00 $43.00 $36.55–$45.15 — —
Aldosterone blood test CPT 82088 NC PLASMA ALDOSTERONE CONCENTRATIONS -R $239.00 $239.00 $203.15–$250.95 94% above —
Aldosterone blood test inpatient CPT 82088 NC PLASMA ALDOSTERONE CONCENTRATIONS -R $239.00 $239.00 $203.15–$250.95 — —
Alkaline phosphatase (ALP) blood test CPT 84075 NC ALK. P'TASE $48.00 $48.00 $40.80–$50.40 42% above —
Alkaline phosphatase (ALP) blood test inpatient CPT 84075 NC ALK. P'TASE $48.00 $48.00 $40.80–$50.40 — —
Allergy blood test, specific IgE, per allergen CPT 86003 NC ALLERGIN ASPERGILLUS NIGER/FUMIGATUS, IGE $32.00 $32.00 $27.20–$33.60 22% above —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 NC ALLERGIN ASPERGILLUS NIGER/FUMIGATUS, IGE $32.00 $32.00 $27.20–$33.60 — —
Alpha-fetoprotein (AFP) blood test CPT 82105 NC ALPHA FETOPROTEIN - R $98.00 $98.00 $83.30–$102.90 2% above —
Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 NC ALPHA FETOPROTEIN - R $98.00 $98.00 $83.30–$102.90 — —
Ammonia blood test CPT 82140 NC ASSAY OF AMMONIA - R $95.00 $95.00 $80.75–$99.75 92% above —
Ammonia blood test inpatient CPT 82140 NC ASSAY OF AMMONIA - R $95.00 $95.00 $80.75–$99.75 — —
Amylase blood test CPT 82150 NC AMYLASE $64.00 $64.00 $54.40–$67.20 41% above —
Amylase blood test inpatient CPT 82150 NC AMYLASE $64.00 $64.00 $54.40–$67.20 — —
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 NC CYCLIC CITRULLINATED PEPTIDE - R $79.00 $79.00 $67.15–$82.95 4% below —
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 NC CYCLIC CITRULLINATED PEPTIDE - R $79.00 $79.00 $67.15–$82.95 — —
Antinuclear antibody (ANA) blood test, screen CPT 86038 NC FANA-SCREEN - R $71.00 $71.00 $60.35–$74.55 10% above —
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 NC FANA-SCREEN - R $71.00 $71.00 $60.35–$74.55 — —
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 NC B NATRIURETIC PEPTIDE $199.00 $199.00 $169.15–$208.95 16% below —
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 NC B NATRIURETIC PEPTIDE $199.00 $199.00 $169.15–$208.95 — —
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 NC AEROBIC CULTURE - R $56.00 $56.00 $47.60–$58.80 14% below —
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 NC AEROBIC CULTURE - R $56.00 $56.00 $47.60–$58.80 — —
Basic metabolic panel (blood test) CPT 80048 NC BASIC METABOLIC PANEL $65.00 $65.00 $55.25–$68.25 12% below —
Basic metabolic panel (blood test) inpatient CPT 80048 NC BASIC METABOLIC PANEL $65.00 $65.00 $55.25–$68.25 — —
Bilirubin blood test, total CPT 82247 NC BILLIRUBIN TOTAL $48.00 $48.00 $40.80–$50.40 37% above —
Bilirubin blood test, total inpatient CPT 82247 NC BILLIRUBIN TOTAL $48.00 $48.00 $40.80–$50.40 — —
Biopsy tissue exam by a pathologist (level IV) CPT 88305 NC LEVEL IV SURGICAL PATHOLOGY - R $190.00 $190.00 $161.50–$199.50 54% above —
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 NC LEVEL IV SURGICAL PATHOLOGY - R $190.00 $190.00 $161.50–$199.50 — —
Blood culture for bacteria CPT 87040 NC BLOOD CULTURE - R $80.00 $80.00 $68.00–$84.00 at median —
Blood culture for bacteria inpatient CPT 87040 NC BLOOD CULTURE - R $80.00 $80.00 $68.00–$84.00 — —
Blood draw from a vein (venipuncture), collection fee only CPT 36415 NC DRAWING FEE $18.00 $18.00 $15.30–$18.90 at median —
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 NC DRAWING FEE $18.00 $18.00 $15.30–$18.90 — —
Blood glucose (sugar) test CPT 82947 NC GLUCOSE $49.00 $49.00 $41.65–$51.45 68% above —
Blood glucose (sugar) test inpatient CPT 82947 NC GLUCOSE $49.00 $49.00 $41.65–$51.45 — —
Blood lead test CPT 83655 NC LEAD - R $78.00 $78.00 $66.30–$81.90 68% above —
Blood lead test inpatient CPT 83655 NC LEAD - R $78.00 $78.00 $66.30–$81.90 — —
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 NC PREGNANCY (HCG) - R $45.00 $45.00 $38.25–$47.25 32% below —
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 NC PREGNANCY (HCG) - R $45.00 $45.00 $38.25–$47.25 — —
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 NC BLOOD TYPE - R $31.00 $31.00 $26.35–$32.55 19% below —
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 NC BLOOD TYPE - R $31.00 $31.00 $26.35–$32.55 — —
Blood urea nitrogen (BUN) test CPT 84520 NC BUN $55.00 $55.00 $46.75–$57.75 51% above —
Blood urea nitrogen (BUN) test inpatient CPT 84520 NC BUN $55.00 $55.00 $46.75–$57.75 — —
C-peptide blood test CPT 84681 NC ASSAY OF C-PEPTIDE - R $122.00 $122.00 $103.70–$128.10 11% above —
C-peptide blood test inpatient CPT 84681 NC ASSAY OF C-PEPTIDE - R $122.00 $122.00 $103.70–$128.10 — —
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 NC C-REACTIVE PROTEIN - R $36.00 $36.00 $30.60–$37.80 at median —
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 NC C-REACTIVE PROTEIN - R $36.00 $36.00 $30.60–$37.80 — —
C. difficile toxin gene test (stool PCR) CPT 87493 NC C DIFF - R $216.00 $216.00 $183.60–$226.80 12% above —
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 NC C DIFF - R $216.00 $216.00 $183.60–$226.80 — —
CA 19-9 blood test (tumor marker) CPT 86301 NC CARBOHYDRATE ANTIGEN 19-9 - R $129.00 $129.00 $109.65–$135.45 18% above —
CA 19-9 blood test (tumor marker) inpatient CPT 86301 NC CARBOHYDRATE ANTIGEN 19-9 - R $129.00 $129.00 $109.65–$135.45 — —
CA-125 blood test (ovarian cancer marker) CPT 86304 NC CA 125 - R $122.00 $122.00 $103.70–$128.10 4% below —
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 NC CA 125 - R $122.00 $122.00 $103.70–$128.10 — —
Calcium blood test, total CPT 82310 NC CALCIUM $33.00 $33.00 $28.05–$34.65 2% below —
Calcium blood test, total inpatient CPT 82310 NC CALCIUM $33.00 $33.00 $28.05–$34.65 — —
Carcinoembryonic antigen (CEA) test CPT 82378 NC CEA - R $122.00 $122.00 $103.70–$128.10 1% below —
Carcinoembryonic antigen (CEA) test inpatient CPT 82378 NC CEA - R $122.00 $122.00 $103.70–$128.10 — —
Chickenpox (varicella) immunity blood test CPT 86787 NC VARICELLA ZOSTER - R $75.00 $75.00 $63.75–$78.75 32% above —
Chickenpox (varicella) immunity blood test inpatient CPT 86787 NC VARICELLA ZOSTER - R $75.00 $75.00 $63.75–$78.75 — —
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 NC CHLAMYDIA TRACHOMATIS | APT - R $205.00 $205.00 $174.25–$215.25 36% above —
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 NC CHLAMYDIA TRACHOMATIS | APT - R $205.00 $205.00 $174.25–$215.25 — —
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 NC LIPID PANEL $80.00 $80.00 $68.00–$84.00 2% above —
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 NC LIPID PANEL $80.00 $80.00 $68.00–$84.00 — —
Complete blood count (CBC) with differential CPT 85025 NC CBC $50.00 $50.00 $42.50–$52.50 16% below —
Complete blood count (CBC) with differential inpatient CPT 85025 NC CBC $50.00 $50.00 $42.50–$52.50 — —
Complete blood count (CBC), no differential CPT 85027 NC CBC $41.00 $41.00 $34.85–$43.05 12% below —
Complete blood count (CBC), no differential inpatient CPT 85027 NC CBC $41.00 $41.00 $34.85–$43.05 — —
Comprehensive metabolic panel (blood test) CPT 80053 NC COMPREHENSIVE METABOLIC PANEL $72.00 $72.00 $61.20–$75.60 22% below —
Comprehensive metabolic panel (blood test) inpatient CPT 80053 NC COMPREHENSIVE METABOLIC PANEL $72.00 $72.00 $61.20–$75.60 — —
Cortisol blood test, total CPT 82533 NC CORTISOL STIMULATION LEVEL - R $106.00 $106.00 $90.10–$111.30 95% above —
Cortisol blood test, total inpatient CPT 82533 NC CORTISOL STIMULATION LEVEL - R $106.00 $106.00 $90.10–$111.30 — —
Creatine kinase (CK) blood test, total CPT 82550 NC CPK $80.00 $80.00 $68.00–$84.00 70% above —
Creatine kinase (CK) blood test, total inpatient CPT 82550 NC CPK $80.00 $80.00 $68.00–$84.00 — —
Creatinine blood test CPT 82565 NC CREATININE $49.00 $49.00 $41.65–$51.45 24% above —
Creatinine blood test inpatient CPT 82565 NC CREATININE $49.00 $49.00 $41.65–$51.45 — —
Cytomegalovirus (CMV) antibody test CPT 86644 NC CYTOMEGALOVIRUS (CMV) - R $84.00 $84.00 $71.40–$88.20 59% above —
Cytomegalovirus (CMV) antibody test inpatient CPT 86644 NC CYTOMEGALOVIRUS (CMV) - R $84.00 $84.00 $71.40–$88.20 — —
D-dimer blood test (blood clot marker) CPT 85379 NC D-DIMER - R $75.00 $75.00 $63.75–$78.75 1% above —
D-dimer blood test (blood clot marker) inpatient CPT 85379 NC D-DIMER - R $75.00 $75.00 $63.75–$78.75 — —
DHEA sulfate (DHEA-S) blood test CPT 82627 NC DEHYDROEPIANDROSTERONE-SULF DHEA-S R $130.00 $130.00 $110.50–$136.50 32% above —
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 NC DEHYDROEPIANDROSTERONE-SULF DHEA-S R $130.00 $130.00 $110.50–$136.50 — —
Drug screen by lab instrument (any number of drug classes) CPT 80307 NC DRUG TEST PRSMV CHEM ANALYZER $335.00 $335.00 $284.75–$351.75 136% above —
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 NC DRUG TEST PRSMV CHEM ANALYZER $335.00 $335.00 $284.75–$351.75 — —
Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 NC ELECTROLYTE PANEL $55.00 $55.00 $46.75–$57.75 2% below —
Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 NC ELECTROLYTE PANEL $55.00 $55.00 $46.75–$57.75 — —
Epstein-Barr virus (EBV) antibody test CPT 86665 NC EPSTEIN-BARR VIRUS | VCA - R $83.00 $83.00 $70.55–$87.15 2% below —
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 NC EPSTEIN-BARR VIRUS | VCA - R $83.00 $83.00 $70.55–$87.15 — —
Estradiol blood test CPT 82670 NC ESTRADIOL - R $175.00 $175.00 $148.75–$183.75 44% above —
Estradiol blood test inpatient CPT 82670 NC ESTRADIOL - R $175.00 $175.00 $148.75–$183.75 — —
FSH (follicle-stimulating hormone) test CPT 83001 NC FSH - R $109.00 $109.00 $92.65–$114.45 2% above —
FSH (follicle-stimulating hormone) test inpatient CPT 83001 NC FSH - R $109.00 $109.00 $92.65–$114.45 — —
Fecal calprotectin (stool inflammation test) CPT 83993 NC CALPROTECTIN,FECES $124.00 $124.00 $105.40–$130.20 19% below —
Fecal calprotectin (stool inflammation test) inpatient CPT 83993 NC CALPROTECTIN,FECES $124.00 $124.00 $105.40–$130.20 — —
Ferritin blood test (iron stores) CPT 82728 NC FERRITIN - R $97.00 $97.00 $82.45–$101.85 12% above —
Ferritin blood test (iron stores) inpatient CPT 82728 NC FERRITIN - R $97.00 $97.00 $82.45–$101.85 — —
Fibrinogen blood test CPT 85384 NC FIBRINOGEN - R $51.00 $51.00 $43.35–$53.55 8% below —
Fibrinogen blood test inpatient CPT 85384 NC FIBRINOGEN - R $51.00 $51.00 $43.35–$53.55 — —
Folate (folic acid) blood test CPT 82746 NC FOLATE - R $105.00 $105.00 $89.25–$110.25 12% above —
Folate (folic acid) blood test inpatient CPT 82746 NC FOLATE - R $105.00 $105.00 $89.25–$110.25 — —
Free T3 thyroid hormone test CPT 84481 NC T3 (FREE) - R $99.00 $99.00 $84.15–$103.95 2% below —
Free T3 thyroid hormone test inpatient CPT 84481 NC T3 (FREE) - R $99.00 $99.00 $84.15–$103.95 — —
Free T4 (free thyroxine) thyroid blood test CPT 84439 NC T4 (FREE) - R $65.00 $65.00 $55.25–$68.25 4% above —
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 NC T4 (FREE) - R $65.00 $65.00 $55.25–$68.25 — —
Free testosterone test CPT 84402 NC TESTOSTERONE (FREE) - R $147.00 $147.00 $124.95–$154.35 90% above —
Free testosterone test inpatient CPT 84402 NC TESTOSTERONE (FREE) - R $147.00 $147.00 $124.95–$154.35 — —
Gamma-glutamyl transferase (GGT) blood test CPT 82977 NC GGT - R $42.00 $42.00 $35.70–$44.10 6% below —
Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 NC GGT - R $42.00 $42.00 $35.70–$44.10 — —
General health panel: metabolic panel, blood count and TSH in one order CPT 80050 NC GENERAL HEALTH PANEL $206.00 $206.00 $175.10–$216.30 13% below —
General health panel: metabolic panel, blood count and TSH in one order inpatient CPT 80050 NC GENERAL HEALTH PANEL $206.00 $206.00 $175.10–$216.30 — —
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 NC POST GLUCOSE DOSE 1 HOUR $28.00 $28.00 $23.80–$29.40 23% below —
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 NC POST GLUCOSE DOSE 1 HOUR $28.00 $28.00 $23.80–$29.40 — —
Glucose tolerance test, 3 samples CPT 82951 NC GLUCOSE TOLERANCE TEST, 3 SPECIMENS $110.00 $110.00 $93.50–$115.50 20% above —
Glucose tolerance test, 3 samples inpatient CPT 82951 NC GLUCOSE TOLERANCE TEST, 3 SPECIMENS $110.00 $110.00 $93.50–$115.50 — —
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 NC NEISSERIA GONORRHOEAE | APT - R $205.00 $205.00 $174.25–$215.25 39% above —
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 NC NEISSERIA GONORRHOEAE | APT - R $205.00 $205.00 $174.25–$215.25 — —
H. pylori antibody blood test CPT 86677 NC H. PYLORI $101.00 $101.00 $85.85–$106.05 16% above —
H. pylori antibody blood test inpatient CPT 86677 NC H. PYLORI $101.00 $101.00 $85.85–$106.05 — —
H. pylori stool antigen test CPT 87338 NC HPYLORI | STOOL ANTIGEN - R $77.00 $77.00 $65.45–$80.85 23% below —
H. pylori stool antigen test inpatient CPT 87338 NC HPYLORI | STOOL ANTIGEN - R $77.00 $77.00 $65.45–$80.85 — —
HIV-1 and HIV-2 antibody test CPT 86703 NC HIV TESTING (NDDOH) $70.00 $70.00 $59.50–$73.50 10% below —
HIV-1 and HIV-2 antibody test inpatient CPT 86703 NC HIV TESTING (NDDOH) $70.00 $70.00 $59.50–$73.50 — —
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 NC HIV-1 ANTIGEN,W HIV-1 & HIV-2 $147.00 $147.00 $124.95–$154.35 42% above —
HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 NC HIV-1 ANTIGEN,W HIV-1 & HIV-2 $147.00 $147.00 $124.95–$154.35 — —
HPV test for high-risk types, one combined (pooled) result CPT 87624 NC HPV HIGH-RISK TYPE - R $134.00 $134.00 $113.90–$140.70 35% above —
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 NC HPV HIGH-RISK TYPE - R $134.00 $134.00 $113.90–$140.70 — —
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 NC HGB. A 1C - R $80.00 $80.00 $68.00–$84.00 14% above —
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 NC HGB. A 1C - R $80.00 $80.00 $68.00–$84.00 — —
Hemoglobin blood test CPT 85018 NC POCT HEMOGLOBIN $25.00 $25.00 $21.25–$26.25 8% above —
Hemoglobin blood test CPT 85018 NC HEMOGLOBIN $25.00 $25.00 $21.25–$26.25 8% above —
Hemoglobin blood test inpatient CPT 85018 NC POCT HEMOGLOBIN $25.00 $25.00 $21.25–$26.25 — —
Hemoglobin blood test inpatient CPT 85018 NC HEMOGLOBIN $25.00 $25.00 $21.25–$26.25 — —
Hepatitis B core antibody test (total) CPT 86704 NC HEPATITIS B CORE ANTIBODY(HBCAB) - R $70.00 $70.00 $59.50–$73.50 5% above —
Hepatitis B core antibody test (total) inpatient CPT 86704 NC HEPATITIS B CORE ANTIBODY(HBCAB) - R $70.00 $70.00 $59.50–$73.50 — —
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 NC HEPATITIS B SURF ANTIBODY (HBSAB)- R $63.00 $63.00 $53.55–$66.15 12% above —
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 NC HEPATITIS B SURF ANTIBODY (HBSAB)- R $63.00 $63.00 $53.55–$66.15 — —
Hepatitis B surface antigen (HBsAg) test CPT 87340 NC HEPATITIS B SURF ANTIGEN (HBSAG) - R $64.00 $64.00 $54.40–$67.20 16% above —
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 NC HEPATITIS B SURF ANTIGEN (HBSAG) - R $64.00 $64.00 $54.40–$67.20 — —
Hepatitis C antibody blood test (screening) CPT 86803 NC HEPATITIS C ANTIBODY - R $93.00 $93.00 $79.05–$97.65 24% above —
Hepatitis C antibody blood test (screening) inpatient CPT 86803 NC HEPATITIS C ANTIBODY - R $93.00 $93.00 $79.05–$97.65 — —
Hepatitis C viral load (HCV RNA) test CPT 87522 NC HEPATITIS C QUANTITATIVE RNA PCR $232.00 $232.00 $197.20–$243.60 77% above —
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 NC HEPATITIS C QUANTITATIVE RNA PCR $232.00 $232.00 $197.20–$243.60 — —
Herpes blood test, HSV-1 antibody CPT 86695 NC HSV TYPE 1 SPECIFIC ANTIBODIES SERUM $80.00 $80.00 $68.00–$84.00 53% above —
Herpes blood test, HSV-1 antibody inpatient CPT 86695 NC HSV TYPE 1 SPECIFIC ANTIBODIES SERUM $80.00 $80.00 $68.00–$84.00 — —
Herpes blood test, HSV-2 antibody CPT 86696 NC HSV TYPE 2 SPECIFIC ANTIBODIES SERUM $118.00 $118.00 $100.30–$123.90 68% above —
Herpes blood test, HSV-2 antibody inpatient CPT 86696 NC HSV TYPE 2 SPECIFIC ANTIBODIES SERUM $118.00 $118.00 $100.30–$123.90 — —
High-sensitivity CRP (hs-CRP) test CPT 86141 NC C-REACTIVE PROTIEN | HIGH SENSITIV- R $76.00 $76.00 $64.60–$79.80 2% below —
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 NC C-REACTIVE PROTIEN | HIGH SENSITIV- R $76.00 $76.00 $64.60–$79.80 — —
Homocysteine blood test CPT 83090 NC HOMOCYSTEINE LEVEL - R $108.00 $108.00 $91.80–$113.40 11% above —
Homocysteine blood test inpatient CPT 83090 NC HOMOCYSTEINE LEVEL - R $108.00 $108.00 $91.80–$113.40 — —
Insulin blood test CPT 83525 NC ASSAY OF INSULIN $67.00 $67.00 $56.95–$70.35 16% above —
Insulin blood test inpatient CPT 83525 NC ASSAY OF INSULIN $67.00 $67.00 $56.95–$70.35 — —
Iron blood test (serum iron) CPT 83540 NC IRON - R $49.00 $49.00 $41.65–$51.45 28% above —
Iron blood test (serum iron) inpatient CPT 83540 NC IRON - R $49.00 $49.00 $41.65–$51.45 — —
Iron-binding capacity (TIBC) test CPT 83550 NC TIBC - R $55.00 $55.00 $46.75–$57.75 3% above —
Iron-binding capacity (TIBC) test inpatient CPT 83550 NC TIBC - R $55.00 $55.00 $46.75–$57.75 — —
Kidney function blood test panel CPT 80069 NC RENAL FUNCTION PANEL $67.00 $67.00 $56.95–$70.35 1% below —
Kidney function blood test panel inpatient CPT 80069 NC RENAL FUNCTION PANEL $67.00 $67.00 $56.95–$70.35 — —
LH (luteinizing hormone) test CPT 83002 NC L. H. - R $108.00 $108.00 $91.80–$113.40 2% above —
LH (luteinizing hormone) test inpatient CPT 83002 NC L. H. - R $108.00 $108.00 $91.80–$113.40 — —
Lactate (lactic acid) blood test CPT 83605 NC LACTIC ACID $69.00 $69.00 $58.65–$72.45 11% below —
Lactate (lactic acid) blood test inpatient CPT 83605 NC LACTIC ACID $69.00 $69.00 $58.65–$72.45 — —
Lactate dehydrogenase (LDH) blood test CPT 83615 NC LDH - R $44.00 $44.00 $37.40–$46.20 1% above —
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 NC LDH - R $44.00 $44.00 $37.40–$46.20 — —
Lipase blood test (pancreas enzyme) CPT 83690 NC LIPASE $49.00 $49.00 $41.65–$51.45 9% below —
Lipase blood test (pancreas enzyme) inpatient CPT 83690 NC LIPASE $49.00 $49.00 $41.65–$51.45 — —
Liver function blood test panel CPT 80076 NC HEPATIC FUNCTION PANEL $65.00 $65.00 $55.25–$68.25 10% below —
Liver function blood test panel inpatient CPT 80076 NC HEPATIC FUNCTION PANEL $65.00 $65.00 $55.25–$68.25 — —
Lyme disease antibody test CPT 86618 NC LYME SCREEN - R $110.00 $110.00 $93.50–$115.50 82% above —
Lyme disease antibody test inpatient CPT 86618 NC LYME SCREEN - R $110.00 $110.00 $93.50–$115.50 — —
Magnesium blood test CPT 83735 NC MAGNESIUM $49.00 $49.00 $41.65–$51.45 54% above —
Magnesium blood test inpatient CPT 83735 NC MAGNESIUM $49.00 $49.00 $41.65–$51.45 — —
Measles (rubeola) antibody test CPT 86765 NC RUBEOLA IGG ANTIBODY - R $75.00 $75.00 $63.75–$78.75 32% above —
Measles (rubeola) antibody test inpatient CPT 86765 NC RUBEOLA IGG ANTIBODY - R $75.00 $75.00 $63.75–$78.75 — —
Mono test (heterophile antibody, Monospot) CPT 86308 NC MONOTEST $32.00 $32.00 $27.20–$33.60 20% below —
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 NC MONOTEST $32.00 $32.00 $27.20–$33.60 — —
Mumps immunity blood test CPT 86735 NC MUMPS ANTIBODY IGG - R $76.00 $76.00 $64.60–$79.80 109% above —
Mumps immunity blood test inpatient CPT 86735 NC MUMPS ANTIBODY IGG - R $76.00 $76.00 $64.60–$79.80 — —
PSA (prostate-specific antigen) blood test, free CPT 84154 NC PSA FREE - R $141.00 $141.00 $119.85–$148.05 118% above —
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 NC PSA FREE - R $141.00 $141.00 $119.85–$148.05 — —
PSA (prostate-specific antigen) blood test, total CPT 84153 NC PSA - R $141.00 $141.00 $119.85–$148.05 51% above —
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 NC PSA - R $141.00 $141.00 $119.85–$148.05 — —
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 NC CYTOLOGY (PAP) DIAGNOSTIC - R $118.00 $118.00 $100.30–$123.90 15% above —
Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 NC CYTOLOGY (PAP) DIAGNOSTIC - R $118.00 $118.00 $100.30–$123.90 — —
Parathyroid hormone (PTH) blood test CPT 83970 NC PARATHYROID HORMONE - R $265.00 $265.00 $225.25–$278.25 27% above —
Parathyroid hormone (PTH) blood test inpatient CPT 83970 NC PARATHYROID HORMONE - R $265.00 $265.00 $225.25–$278.25 — —
Partial thromboplastin time (PTT) clotting test CPT 85730 NC PTT - R $47.00 $47.00 $39.95–$49.35 40% above —
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 NC PTT - R $47.00 $47.00 $39.95–$49.35 — —
Phosphorus (phosphate) blood test CPT 84100 NC PHOSPHOROUS $30.00 $30.00 $25.50–$31.50 11% below —
Phosphorus (phosphate) blood test inpatient CPT 84100 NC PHOSPHOROUS $30.00 $30.00 $25.50–$31.50 — —
Potassium blood test CPT 84132 NC POTASSIUM $52.00 $52.00 $44.20–$54.60 26% above —
Potassium blood test inpatient CPT 84132 NC POTASSIUM $52.00 $52.00 $44.20–$54.60 — —
Progesterone blood test CPT 84144 NC PROGESTERONE - R $128.00 $128.00 $108.80–$134.40 7% above —
Progesterone blood test inpatient CPT 84144 NC PROGESTERONE - R $128.00 $128.00 $108.80–$134.40 — —
Prolactin blood test CPT 84146 NC PROLACTIN - R $124.00 $124.00 $105.40–$130.20 22% above —
Prolactin blood test inpatient CPT 84146 NC PROLACTIN - R $124.00 $124.00 $105.40–$130.20 — —
Prothrombin time (PT/INR) clotting test CPT 85610 NC PT $47.00 $47.00 $39.95–$49.35 82% above —
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 NC PT $47.00 $47.00 $39.95–$49.35 — —
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 NC DRUG SCREEN $88.00 $88.00 $74.80–$92.40 2% above —
Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 NC DRUG SCREEN $88.00 $88.00 $74.80–$92.40 — —
Rapid flu test (influenza antigen) CPT 87804 NC INFLUENZA A/B - R $82.00 $82.00 $69.70–$86.10 2% below —
Rapid flu test (influenza antigen) inpatient CPT 87804 NC INFLUENZA A/B - R $82.00 $82.00 $69.70–$86.10 — —
Rapid strep A antigen test from a throat swab, read visually CPT 87880 NC STREP SCREEN $82.00 $82.00 $69.70–$86.10 at median —
Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 NC STREP SCREEN $82.00 $82.00 $69.70–$86.10 — —
Renin blood test CPT 84244 NC PLASMA RENIN ACTIVITY - R $129.00 $129.00 $109.65–$135.45 71% above —
Renin blood test inpatient CPT 84244 NC PLASMA RENIN ACTIVITY - R $129.00 $129.00 $109.65–$135.45 — —
Rh blood typing CPT 86901 NC BLOOD TYPE (RH) - R $33.00 $33.00 $28.05–$34.65 12% below —
Rh blood typing inpatient CPT 86901 NC BLOOD TYPE (RH) - R $33.00 $33.00 $28.05–$34.65 — —
Rheumatoid factor (RF) test CPT 86431 NC RHEUMATOID FACTOR | QUANTITATIVE - R $33.00 $33.00 $28.05–$34.65 10% below —
Rheumatoid factor (RF) test inpatient CPT 86431 NC RHEUMATOID FACTOR | QUANTITATIVE - R $33.00 $33.00 $28.05–$34.65 — —
Rubella antibody test (immunity check) CPT 86762 NC RUBELLA ANTIBODY - R $84.00 $84.00 $71.40–$88.20 25% above —
Rubella antibody test (immunity check) inpatient CPT 86762 NC RUBELLA ANTIBODY - R $84.00 $84.00 $71.40–$88.20 — —
Sodium blood test CPT 84295 NC SODIUM $41.00 $41.00 $34.85–$43.05 4% above —
Sodium blood test inpatient CPT 84295 NC SODIUM $41.00 $41.00 $34.85–$43.05 — —
Stool ova and parasites exam CPT 87177 NC OVA & PARASIES, DIRECT SMEAR $52.00 $52.00 $44.20–$54.60 7% above —
Stool ova and parasites exam inpatient CPT 87177 NC OVA & PARASIES, DIRECT SMEAR $52.00 $52.00 $44.20–$54.60 — —
Stool test for hidden blood (guaiac FOBT) CPT 82270 CHG BLOOD OCCULT PEROXIDASE ACTV QUAL FECES 1 DETER $18.00 $18.00 $15.30–$18.90 36% below —
Stool test for hidden blood (guaiac FOBT) CPT 82270 NC OCCULT BLOOD $23.00 $23.00 $19.55–$24.15 19% below —
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 CHG BLOOD OCCULT PEROXIDASE ACTV QUAL FECES 1 DETER $18.00 $18.00 $15.30–$18.90 — —
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 NC OCCULT BLOOD $23.00 $23.00 $19.55–$24.15 — —
Stool test for hidden blood by immunoassay (FIT) CPT 82274 NC BLOOD OCCULT FECAL - R $103.00 $103.00 $87.55–$108.15 21% above —
Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 NC BLOOD OCCULT FECAL - R $103.00 $103.00 $87.55–$108.15 — —
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 NC VDRL (SEROLOGY) - R $26.00 $26.00 $22.10–$27.30 11% below —
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 NC VDRL (SEROLOGY) - R $26.00 $26.00 $22.10–$27.30 — —
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 NC TB TEST CELL IMMUN MEASURE $381.00 $381.00 $323.85–$400.05 225% above —
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 NC TB TEST CELL IMMUN MEASURE $381.00 $381.00 $323.85–$400.05 — —
Testosterone blood test, total (not free testosterone) CPT 84403 NC TESTOSTERONE (TOTAL) - R $151.00 $151.00 $128.35–$158.55 68% above —
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 NC TESTOSTERONE (TOTAL) - R $151.00 $151.00 $128.35–$158.55 — —
Thyroid peroxidase (TPO) antibody test CPT 86376 NC MICROSOMOL ANTIBODY - R $85.00 $85.00 $72.25–$89.25 33% above —
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 NC MICROSOMOL ANTIBODY - R $85.00 $85.00 $72.25–$89.25 — —
Thyroid-stimulating hormone (TSH) blood test CPT 84443 NC TSH - R $108.00 $108.00 $91.80–$113.40 5% above —
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 NC TSH - R $108.00 $108.00 $91.80–$113.40 — —
Total IgE blood test CPT 82785 NC ASSAY OF IGE - R $97.00 $97.00 $82.45–$101.85 14% above —
Total IgE blood test inpatient CPT 82785 NC ASSAY OF IGE - R $97.00 $97.00 $82.45–$101.85 — —
Total cholesterol blood test CPT 82465 NC TOTAL CHOLESTEROL $44.00 $44.00 $37.40–$46.20 29% above —
Total cholesterol blood test inpatient CPT 82465 NC TOTAL CHOLESTEROL $44.00 $44.00 $37.40–$46.20 — —
Total thyroxine (T4) blood test CPT 84436 NC T-T4 - R $47.00 $47.00 $39.95–$49.35 8% above —
Total thyroxine (T4) blood test inpatient CPT 84436 NC T-T4 - R $47.00 $47.00 $39.95–$49.35 — —
Transferrin blood test CPT 84466 NC TRANSFERRIN - R $75.00 $75.00 $63.75–$78.75 at median —
Transferrin blood test inpatient CPT 84466 NC TRANSFERRIN - R $75.00 $75.00 $63.75–$78.75 — —
Triglycerides blood test CPT 84478 NC TRIGLYCERIDES $37.00 $37.00 $31.45–$38.85 16% below —
Triglycerides blood test inpatient CPT 84478 NC TRIGLYCERIDES $37.00 $37.00 $31.45–$38.85 — —
Troponin test, quantitative CPT 84484 NC TROPONIN | QUANTITATIVE $62.00 $62.00 $52.70–$65.10 22% below —
Troponin test, quantitative inpatient CPT 84484 NC TROPONIN | QUANTITATIVE $62.00 $62.00 $52.70–$65.10 — —
Uric acid blood test CPT 84550 NC URIC ACID $49.00 $49.00 $41.65–$51.45 24% above —
Uric acid blood test inpatient CPT 84550 NC URIC ACID $49.00 $49.00 $41.65–$51.45 — —
Urinalysis with microscope exam, automated CPT 81001 NC URINALYSIS AUTOMATED WITH MICRO $25.00 $25.00 $21.25–$26.25 30% below —
Urinalysis with microscope exam, automated inpatient CPT 81001 NC URINALYSIS AUTOMATED WITH MICRO $25.00 $25.00 $21.25–$26.25 — —
Urinalysis with microscope exam, manual CPT 81000 NC URINALYSIS W/O MICRO $18.00 $18.00 $15.30–$18.90 29% below —
Urinalysis with microscope exam, manual inpatient CPT 81000 NC URINALYSIS W/O MICRO $18.00 $18.00 $15.30–$18.90 — —
Urinalysis without microscope exam, automated CPT 81003 NC URINALYSIS AUTOMATED W/O MICRO $18.00 $18.00 $15.30–$18.90 at median —
Urinalysis without microscope exam, automated inpatient CPT 81003 NC URINALYSIS AUTOMATED W/O MICRO $18.00 $18.00 $15.30–$18.90 — —
Urine culture for bacteria, with colony count CPT 87086 NC URINE CULTURE - R $52.00 $52.00 $44.20–$54.60 14% below —
Urine culture for bacteria, with colony count inpatient CPT 87086 NC URINE CULTURE - R $52.00 $52.00 $44.20–$54.60 — —
Urine microalbumin (albumin) test CPT 82043 NC MICROALBUMIN - R $59.00 $59.00 $50.15–$61.95 46% above —
Urine microalbumin (albumin) test inpatient CPT 82043 NC MICROALBUMIN - R $59.00 $59.00 $50.15–$61.95 — —
Urine pregnancy test, read by color change CPT 81025 NC URINE PREGNANCY TEST $46.00 $46.00 $39.10–$48.30 18% below —
Urine pregnancy test, read by color change inpatient CPT 81025 NC URINE PREGNANCY TEST $46.00 $46.00 $39.10–$48.30 — —
Vitamin B12 (cobalamin) blood test CPT 82607 NC VITAMIN B-12 - R $106.00 $106.00 $90.10–$111.30 10% above —
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 NC VITAMIN B-12 - R $106.00 $106.00 $90.10–$111.30 — —
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 NC ASSAY OF VITAMIN D - R $192.00 $192.00 $163.20–$201.60 15% above —
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 NC ASSAY OF VITAMIN D - R $192.00 $192.00 $163.20–$201.60 — —
Vitamin D, 1,25-dihydroxy blood test CPT 82652 NC ASSAY OF DIHYDROXYVITAMIN D - R $237.00 $237.00 $201.45–$248.85 83% above —
Vitamin D, 1,25-dihydroxy blood test inpatient CPT 82652 NC ASSAY OF DIHYDROXYVITAMIN D - R $237.00 $237.00 $201.45–$248.85 — —
Zinc blood test CPT 84630 NC ZINC - R $74.00 $74.00 $62.90–$77.70 58% above —
Zinc blood test inpatient CPT 84630 NC ZINC - R $74.00 $74.00 $62.90–$77.70 — —
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 NC QUANTATIVE HCG - R $89.00 $89.00 $75.65–$93.45 12% above —
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 NC QUANTATIVE HCG - R $89.00 $89.00 $75.65–$93.45 — —

Surgery and procedures

ProcedureCash priceList priceInsurers payvs North DakotaOff list
Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 HC CLOSED RX DIST FIBULA FX $271.00 $271.00 $230.35–$284.55 34% below —
Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 PR CLTX DSTL FIBULAR FX LAT MALLS W/O MANJ $695.00 $695.00 $590.75–$729.75 69% above —
Broken ankle (outer ankle bone) treatment without surgery or setting inpatient CPT 27786 HC CLOSED RX DIST FIBULA FX $271.00 $271.00 $230.35–$284.55 — —
Broken ankle (outer ankle bone) treatment without surgery or setting inpatient CPT 27786 PR CLTX DSTL FIBULAR FX LAT MALLS W/O MANJ $695.00 $695.00 $590.75–$729.75 — —
Broken foot (metatarsal) treatment without surgery or setting CPT 28470 HC CLOSED RX METATARSAL FX $271.00 $271.00 $230.35–$284.55 35% below —
Broken foot (metatarsal) treatment without surgery or setting CPT 28470 PR CLTX METATARSAL FRACTURE W/O MANIPULATION EACH $487.00 $487.00 $413.95–$511.35 18% above —
Broken foot (metatarsal) treatment without surgery or setting inpatient CPT 28470 HC CLOSED RX METATARSAL FX $271.00 $271.00 $230.35–$284.55 — —
Broken foot (metatarsal) treatment without surgery or setting inpatient CPT 28470 PR CLTX METATARSAL FRACTURE W/O MANIPULATION EACH $487.00 $487.00 $413.95–$511.35 — —
Cardioversion, elective (restoring heart rhythm) CPT 92960 HC CARDIOVERSION $976.00 $976.00 $829.60–$1,024.80 4% below —
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 HC CARDIOVERSION $976.00 $976.00 $829.60–$1,024.80 — —
Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 HC CLOSED RX DIST RAD/ULNA FX $271.00 $271.00 $230.35–$284.55 40% below —
Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 PR CLTX DSTL RADIAL FX/EPIPHYSL SEP W/O MNPJ $720.00 $720.00 $612.00–$756.00 60% above —
Closed treatment of a wrist (distal radius) fracture, no resetting inpatient CPT 25600 HC CLOSED RX DIST RAD/ULNA FX $271.00 $271.00 $230.35–$284.55 — —
Closed treatment of a wrist (distal radius) fracture, no resetting inpatient CPT 25600 PR CLTX DSTL RADIAL FX/EPIPHYSL SEP W/O MNPJ $720.00 $720.00 $612.00–$756.00 — —
Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 PR DESTRUCTION PREMALIGNANT LESION 1ST $178.00 $178.00 $151.30–$186.90 13% below —
Destruction of a precancerous skin lesion (actinic keratosis), first lesion inpatient CPT 17000 PR DESTRUCTION PREMALIGNANT LESION 1ST $178.00 $178.00 $151.30–$186.90 — —
Earwax removal with instruments, one ear CPT 69210 HC REMOVE IMPACTED EAR WAX $100.00 $100.00 $85.00–$105.00 14% below —
Earwax removal with instruments, one ear inpatient CPT 69210 HC REMOVE IMPACTED EAR WAX $100.00 $100.00 $85.00–$105.00 — —
Incision and drainage of a simple or single skin abscess CPT 10060 HC I & D ABSCESS, SMPL $254.00 $254.00 $215.90–$266.70 18% below —
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 HC I & D ABSCESS, SMPL $254.00 $254.00 $215.90–$266.70 — —
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 PR INJECTION 1 TENDON SHEATH/LIGAMENT APONEUROSIS $150.00 $150.00 $127.50–$157.50 51% below —
Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 PR INJECTION 1 TENDON SHEATH/LIGAMENT APONEUROSIS $150.00 $150.00 $127.50–$157.50 — —
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 HC RAD INJECT/ASPIR JNTMAJOR $384.00 $384.00 $326.40–$403.20 at median —
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 HC RAD INJECT/ASPIR JNTMAJOR $384.00 $384.00 $326.40–$403.20 — —
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 PR ARTHROCENTESIS ASPIR&/INJ INTERM JT/BURS W/O US $140.00 $140.00 $119.00–$147.00 54% below —
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 PR ARTHROCENTESIS ASPIR&/INJ INTERM JT/BURS W/O US $140.00 $140.00 $119.00–$147.00 — —
Joint injection or drainage, small joint (fingers, toes) CPT 20600 PR ARTHROCENTESIS ASPIR&/INJ SMALL JT/BURSA W/O US $149.00 $149.00 — 44% below —
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 PR ARTHROCENTESIS ASPIR&/INJ SMALL JT/BURSA W/O US $149.00 $149.00 — — —
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 $512.00 $512.00 $435.20–$537.60 4% below —
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 PR REPAIR INTERMEDIATE S/A/T/E 2.5 CM/< $521.00 $521.00 $442.85–$547.05 2% below —
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 $512.00 $512.00 $435.20–$537.60 — —
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 PR REPAIR INTERMEDIATE S/A/T/E 2.5 CM/< $521.00 $521.00 $442.85–$547.05 — —
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 PR EXC B9 LESION MRGN XCP SK TG T/A/L 0.5 CM/< $270.00 $270.00 $229.50–$283.50 56% below —
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11400 PR EXC B9 LESION MRGN XCP SK TG T/A/L 0.5 CM/< $270.00 $270.00 $229.50–$283.50 — —
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 PR EXC B9 LESION MRGN XCP SK TG F/E/E/N/L/M 0.5CM/< $297.00 $297.00 $252.45–$311.85 53% below —
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm inpatient CPT 11440 PR EXC B9 LESION MRGN XCP SK TG F/E/E/N/L/M 0.5CM/< $297.00 $297.00 $252.45–$311.85 — —
Nail removal (partial or complete), one nail CPT 11730 HC REMOVE NAIL PLATE $145.00 $145.00 $123.25–$152.25 50% below —
Nail removal (partial or complete), one nail CPT 11730 PR AVULSION NAIL PLATE PARTIAL/COMPLETE SIMPLE 1 $212.00 $212.00 $180.20–$222.60 28% below —
Nail removal (partial or complete), one nail inpatient CPT 11730 HC REMOVE NAIL PLATE $145.00 $145.00 $123.25–$152.25 — —
Nail removal (partial or complete), one nail inpatient CPT 11730 PR AVULSION NAIL PLATE PARTIAL/COMPLETE SIMPLE 1 $212.00 $212.00 $180.20–$222.60 — —
Permanent removal of a nail and nail root (partial or complete) CPT 11750 HC REMOVE NAIL BED $686.00 $686.00 $583.10–$720.30 11% above —
Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 HC REMOVE NAIL BED $686.00 $686.00 $583.10–$720.30 — —
Removal of a breast lump, open surgery CPT 19120 PR EXC CYST/ABERRANT BREAST TISSUE OPEN 1/> LESION $1,070.00 $1,070.00 $909.50–$1,123.50 62% below —
Removal of a breast lump, open surgery inpatient CPT 19120 PR EXC CYST/ABERRANT BREAST TISSUE OPEN 1/> LESION $1,070.00 $1,070.00 $909.50–$1,123.50 — —
Removal of a foreign object under the skin, simple CPT 10120 HC REMOVE FOREIGN BODY,SMPL $425.00 $425.00 $361.25–$446.25 at median —
Removal of a foreign object under the skin, simple CPT 10120 PR INCISION & REMOVAL FOREIGN BODY SUBQ TISS SIMPLE $530.00 $530.00 $450.50–$556.50 24% above —
Removal of a foreign object under the skin, simple inpatient CPT 10120 HC REMOVE FOREIGN BODY,SMPL $425.00 $425.00 $361.25–$446.25 — —
Removal of a foreign object under the skin, simple inpatient CPT 10120 PR INCISION & REMOVAL FOREIGN BODY SUBQ TISS SIMPLE $530.00 $530.00 $450.50–$556.50 — —
Short arm cast (elbow to hand) CPT 29075 HC APPLY FOREARM CAST $386.00 $386.00 $328.10–$405.30 15% above —
Short arm cast (elbow to hand) inpatient CPT 29075 HC APPLY FOREARM CAST $386.00 $386.00 $328.10–$405.30 — —
Short arm splint (forearm and hand) CPT 29125 HC APPLY FOREARM SPLINT,STATIC $193.00 $193.00 $164.05–$202.65 1% above —
Short arm splint (forearm and hand) inpatient CPT 29125 HC APPLY FOREARM SPLINT,STATIC $193.00 $193.00 $164.05–$202.65 — —
Short leg cast (below the knee) CPT 29405 HC APPLY SHORT LEG CAST $386.00 $386.00 $328.10–$405.30 1% above —
Short leg cast (below the knee) inpatient CPT 29405 HC APPLY SHORT LEG CAST $386.00 $386.00 $328.10–$405.30 — —
Short leg splint (calf to foot) CPT 29515 HC APPLY LOWER LEG SPLINT $193.00 $193.00 $164.05–$202.65 22% below —
Short leg splint (calf to foot) inpatient CPT 29515 HC APPLY LOWER LEG SPLINT $193.00 $193.00 $164.05–$202.65 — —
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 $283.00 $283.00 $240.55–$297.15 9% below —
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 $283.00 $283.00 $240.55–$297.15 — —
Skin tag removal, up to 15 tags CPT 11200 PR RMVL SKIN TAGS MLT FIBRQ TAGS ANY UP TO&INC 15 $191.00 $191.00 $162.35–$200.55 17% below —
Skin tag removal, up to 15 tags inpatient CPT 11200 PR RMVL SKIN TAGS MLT FIBRQ TAGS ANY UP TO&INC 15 $191.00 $191.00 $162.35–$200.55 — —
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 $283.00 $283.00 $240.55–$297.15 6% below —
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 $283.00 $283.00 $240.55–$297.15 — —
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 $283.00 $283.00 $240.55–$297.15 4% below —
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 $283.00 $283.00 $240.55–$297.15 — —
Trigger point injections, 1 or 2 muscles CPT 20552 PR INJECTION SINGLE/MLT TRIGGER POINT 1/2 MUSCLES $119.00 $119.00 $101.15–$124.95 64% below —
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 PR INJECTION SINGLE/MLT TRIGGER POINT 1/2 MUSCLES $119.00 $119.00 $101.15–$124.95 — —
Wart removal, up to 14 warts CPT 17110 PR DESTRUCTION BENIGN LESIONS UP TO 14 $244.00 $244.00 $207.40–$256.20 5% below —
Wart removal, up to 14 warts inpatient CPT 17110 PR DESTRUCTION BENIGN LESIONS UP TO 14 $244.00 $244.00 $207.40–$256.20 — —
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 HC DEBRIDE SKIN/TISSUE $425.00 $425.00 $361.25–$446.25 8% below —
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 HC DEBRIDE SKIN/TISSUE $425.00 $425.00 $361.25–$446.25 — —

Doctor visits and therapy

ProcedureCash priceList priceInsurers payvs North DakotaOff list
Blood transfusion (giving blood or blood components) CPT 36430 HC BLOOD ADMIN 2+ HRS $438.00 $438.00 $372.30–$459.90 42% below —
Blood transfusion (giving blood or blood components) inpatient CPT 36430 HC BLOOD ADMIN 2+ HRS $438.00 $438.00 $372.30–$459.90 — —
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC AIRWAY INHALATION TRMT $57.00 $57.00 $48.45–$59.85 52% below —
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HC AIRWAY INHALATION TRMT $57.00 $57.00 $48.45–$59.85 — —
Critical care, first 30 to 74 minutes CPT 99291 HC CRITICAL CARE 1ST HOUR $1,312.00 $1,312.00 $1,115.20–$1,377.60 32% below —
Critical care, first 30 to 74 minutes inpatient CPT 99291 HC CRITICAL CARE 1ST HOUR $1,312.00 $1,312.00 $1,115.20–$1,377.60 — —
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 HC ROUTINE EKG $90.00 $90.00 $76.50–$94.50 24% below —
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 HC ROUTINE EKG $90.00 $90.00 $76.50–$94.50 — —
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 HC ED LEVEL I $155.00 $155.00 $131.75–$162.75 22% below —
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 HC ED LEVEL I $155.00 $155.00 $131.75–$162.75 — —
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 HC ED LEVEL II $227.00 $227.00 $192.95–$238.35 25% below —
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 HC ED LEVEL II $227.00 $227.00 $192.95–$238.35 — —
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 HC ED LEVEL III $412.00 $412.00 $350.20–$432.60 17% below —
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 HC ED LEVEL III $412.00 $412.00 $350.20–$432.60 — —
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 HC ED LEVEL IV $711.00 $711.00 $604.35–$746.55 14% below —
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 HC ED LEVEL IV $711.00 $711.00 $604.35–$746.55 — —
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 HC ED LEVEL V $975.00 $975.00 $828.75–$1,023.75 21% below —
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 HC ED LEVEL V $975.00 $975.00 $828.75–$1,023.75 — —
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HC HYDRATION IV INFUSION,INIT $412.00 $412.00 $350.20–$432.60 17% above —
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 HC HYDRATION IV INFUSION,INIT $412.00 $412.00 $350.20–$432.60 — —
IV infusion of a medicine, first hour CPT 96365 HC THER/PROPH/DIAG IV INF,INIT $391.00 $391.00 $332.35–$410.55 6% below —
IV infusion of a medicine, first hour inpatient CPT 96365 HC THER/PROPH/DIAG IV INF,INIT $391.00 $391.00 $332.35–$410.55 — —
IV push of a medicine, first drug CPT 96374 HC THER/PROPH/DIAG INJ,IV PUSH $88.00 $88.00 $74.80–$92.40 70% below —
IV push of a medicine, first drug inpatient CPT 96374 HC THER/PROPH/DIAG INJ,IV PUSH $88.00 $88.00 $74.80–$92.40 — —
Injection under the skin or into a muscle, for treatment or testing CPT 96372 HC THER/PROPH/DIAG INJ,SC/IM $124.00 $124.00 $105.40–$130.20 41% above —
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 HC THER/PROPH/DIAG INJ,SC/IM $124.00 $124.00 $105.40–$130.20 — —
Neuromuscular re-education, 15 minutes CPT 97112 HC NEUROMUSC RE-ED 15MIN $88.00 $88.00 $74.80–$92.40 22% below —
Neuromuscular re-education, 15 minutes inpatient CPT 97112 HC NEUROMUSC RE-ED 15MIN $88.00 $88.00 $74.80–$92.40 — —
New patient office visit, about 30 minutes CPT 99203 PR OFFICE/OUTPATIENT NEW LOW MDM 30 MINUTES $231.00 $231.00 $196.35–$242.55 2% below —
New patient office visit, about 30 minutes inpatient CPT 99203 PR OFFICE/OUTPATIENT NEW LOW MDM 30 MINUTES $231.00 $231.00 $196.35–$242.55 — —
New patient office visit, about 45 minutes CPT 99204 PR OFFICE/OUTPATIENT NEW MODERATE MDM 45 MINUTES $351.00 $351.00 $298.35–$368.55 1% below —
New patient office visit, about 45 minutes inpatient CPT 99204 PR OFFICE/OUTPATIENT NEW MODERATE MDM 45 MINUTES $351.00 $351.00 $298.35–$368.55 — —
New patient office visit, about 60 minutes CPT 99205 PR OFFICE/OUTPATIENT NEW HIGH MDM 60 MINUTES $435.00 $435.00 $369.75–$456.75 1% above —
New patient office visit, about 60 minutes inpatient CPT 99205 PR OFFICE/OUTPATIENT NEW HIGH MDM 60 MINUTES $435.00 $435.00 $369.75–$456.75 — —
New patient office visit, straightforward problem or 15+ minutes CPT 99202 PR OFFICE/OUTPATIENT NEW SF MDM 15 MINUTES $159.00 $159.00 $135.15–$166.95 2% below —
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 PR OFFICE/OUTPATIENT NEW SF MDM 15 MINUTES $159.00 $159.00 $135.15–$166.95 — —
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 NC MNT-15 MIN $124.00 $124.00 $105.40–$130.20 12% above —
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 NC MNT-15 MIN $124.00 $124.00 $105.40–$130.20 — —
Occupational therapy evaluation, low complexity CPT 97165 HC OT EVAL LOW COMPLEX 30 MIN $221.00 $221.00 $187.85–$232.05 16% below —
Occupational therapy evaluation, low complexity inpatient CPT 97165 HC OT EVAL LOW COMPLEX 30 MIN $221.00 $221.00 $187.85–$232.05 — —
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 HC PT EVAL HIGH COMPLEX 45 MIN $227.00 $227.00 $192.95–$238.35 27% below —
Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 HC PT EVAL HIGH COMPLEX 45 MIN $227.00 $227.00 $192.95–$238.35 — —
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 HC PT EVAL LOW COMPLEX 20 MIN $227.00 $227.00 $192.95–$238.35 14% below —
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 HC PT EVAL LOW COMPLEX 20 MIN $227.00 $227.00 $192.95–$238.35 — —
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 HC PT EVAL MOD COMPLEX 30 MIN $227.00 $227.00 $192.95–$238.35 19% below —
Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 HC PT EVAL MOD COMPLEX 30 MIN $227.00 $227.00 $192.95–$238.35 — —
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 HC MANUAL THERAPY 15MIN $82.00 $82.00 $69.70–$86.10 22% below —
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 HC MANUAL THERAPY 15MIN $82.00 $82.00 $69.70–$86.10 — —
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC THERAP EX 15MIN $83.00 $83.00 $70.55–$87.15 24% below —
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HC THERAP EX 15MIN $83.00 $83.00 $70.55–$87.15 — —
Preventive checkup, new patient aged 18–39 CPT 99385 PR INITIAL PREVENTIVE MEDICINE NEW PT AGE 18-39YRS $279.00 $279.00 $237.15–$292.95 44% above —
Preventive checkup, new patient aged 18–39 inpatient CPT 99385 PR INITIAL PREVENTIVE MEDICINE NEW PT AGE 18-39YRS $279.00 $279.00 $237.15–$292.95 — —
Preventive checkup, new patient aged 40–64 CPT 99386 PR INITIAL PREVENTIVE MEDICINE NEW PATIENT 40-64YRS $321.00 $321.00 $272.85–$337.05 47% above —
Preventive checkup, new patient aged 40–64 inpatient CPT 99386 PR INITIAL PREVENTIVE MEDICINE NEW PATIENT 40-64YRS $321.00 $321.00 $272.85–$337.05 — —
Preventive checkup, new patient aged 65 or older CPT 99387 PR INITIAL PREVENTIVE MEDICINE NEW PATIENT 65YRS&> $350.00 $350.00 $297.50–$367.50 46% above —
Preventive checkup, new patient aged 65 or older inpatient CPT 99387 PR INITIAL PREVENTIVE MEDICINE NEW PATIENT 65YRS&> $350.00 $350.00 $297.50–$367.50 — —
Preventive checkup, returning patient aged 18–39 CPT 99395 PR PERIODIC PREVENTIVE MED EST PATIENT 18-39 YRS $250.00 $250.00 $212.50–$262.50 37% above —
Preventive checkup, returning patient aged 18–39 inpatient CPT 99395 PR PERIODIC PREVENTIVE MED EST PATIENT 18-39 YRS $250.00 $250.00 $212.50–$262.50 — —
Preventive checkup, returning patient aged 40–64 CPT 99396 PR PERIODIC PREVENTIVE MED EST PATIENT 40-64YRS $267.00 $267.00 $226.95–$280.35 7% above —
Preventive checkup, returning patient aged 40–64 inpatient CPT 99396 PR PERIODIC PREVENTIVE MED EST PATIENT 40-64YRS $267.00 $267.00 $226.95–$280.35 — —
Preventive checkup, returning patient aged 65 or older CPT 99397 PR PERIODIC PREVENTIVE MED EST PATIENT 65YRS& OLDER $287.00 $287.00 $243.95–$301.35 8% above —
Preventive checkup, returning patient aged 65 or older inpatient CPT 99397 PR PERIODIC PREVENTIVE MED EST PATIENT 65YRS& OLDER $287.00 $287.00 $243.95–$301.35 — —
Returning patient office visit, high complexity or 40+ minutes CPT 99215 PR OFFICE/OUTPATIENT ESTABLISHED HIGH MDM 40 MIN $305.00 $305.00 $259.25–$320.25 18% below —
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 PR OFFICE/OUTPATIENT ESTABLISHED HIGH MDM 40 MIN $305.00 $305.00 $259.25–$320.25 — —
Returning patient office visit, low complexity or 20+ minutes CPT 99213 PR OFFICE/OUTPATIENT ESTABLISHED LOW MDM 20 MIN $155.00 $155.00 $131.75–$162.75 20% below —
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 PR OFFICE/OUTPATIENT ESTABLISHED LOW MDM 20 MIN $155.00 $155.00 $131.75–$162.75 — —
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 PR OFFICE/OUTPATIENT ESTABLISHED MOD MDM 30 MIN $228.00 $228.00 $193.80–$239.40 16% below —
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 PR OFFICE/OUTPATIENT ESTABLISHED MOD MDM 30 MIN $228.00 $228.00 $193.80–$239.40 — —
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 PR OFFICE/OUTPATIENT ESTABLISHED SF MDM 10 MIN $94.00 $94.00 $79.90–$98.70 at median —
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 PR OFFICE/OUTPATIENT ESTABLISHED SF MDM 10 MIN $94.00 $94.00 $79.90–$98.70 — —
Specialist consultation, low complexity or 30+ minutes CPT 99243 PR OFFICE/OP CONSLTJ NEW/EST PT LOW MDM 30 MINUTES $255.00 $255.00 $216.75–$267.75 at median —
Specialist consultation, low complexity or 30+ minutes inpatient CPT 99243 PR OFFICE/OP CONSLTJ NEW/EST PT LOW MDM 30 MINUTES $255.00 $255.00 $216.75–$267.75 — —
Specialist consultation, moderate complexity or 40+ minutes CPT 99244 PR OFFICE/OP CONSLTJ NEW/EST PT MOD MDM 40 MINUTES $378.00 $378.00 $321.30–$396.90 40% above —
Specialist consultation, moderate complexity or 40+ minutes inpatient CPT 99244 PR OFFICE/OP CONSLTJ NEW/EST PT MOD MDM 40 MINUTES $378.00 $378.00 $321.30–$396.90 — —
Speech and language evaluation CPT 92523 HC EVAL OF SPEECH SOUND LANG COMPREHEN $412.00 $412.00 $350.20–$432.60 28% below —
Speech and language evaluation inpatient CPT 92523 HC EVAL OF SPEECH SOUND LANG COMPREHEN $412.00 $412.00 $350.20–$432.60 — —
Speech therapy session, individual CPT 92507 HC SPEECH/HEARING THERAPY INDIV $221.00 $221.00 $187.85–$232.05 17% below —
Speech therapy session, individual inpatient CPT 92507 HC SPEECH/HEARING THERAPY INDIV $221.00 $221.00 $187.85–$232.05 — —
Therapeutic activities (functional training), 15 minutes CPT 97530 HC THERAP ACTIVITY 15MIN $92.00 $92.00 $78.20–$96.60 22% below —
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 HC THERAP ACTIVITY 15MIN $92.00 $92.00 $78.20–$96.60 — —
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 NC THERAPEUTIC PHLEBOTOMY $253.00 $253.00 $215.05–$265.65 10% below —
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 NC THERAPEUTIC PHLEBOTOMY $253.00 $253.00 $215.05–$265.65 — —

Vaccines

ProcedureCash priceList 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 $58.00 $58.00 — 47% below —
Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older inpatient CPT 90653 PR IIV ADJUVANTED VACCINE FOR INTRAMUSCULAR USE $58.00 $58.00 — — —
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 PR IIV3 VACC PRESERVATIVE FREE 0.5 ML DOSAGE IM USE $21.00 $21.00 $17.85–$22.05 30% below —
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 Influenza Virus Vaccine Split PF Susp Pref Syringe 0.5 ML $65.00 $65.00 $55.25–$68.25 117% above —
Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 PR IIV3 VACC PRESERVATIVE FREE 0.5 ML DOSAGE IM USE $21.00 $21.00 $17.85–$22.05 — —
Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 Influenza Virus Vaccine Split PF Susp Pref Syringe 0.5 ML $65.00 $65.00 $55.25–$68.25 — —
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 PR HEPB VACCINE ADULT 3 DOSE SCHEDULE FOR IM USE $171.00 $171.00 $145.35–$179.55 81% above —
Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 PR HEPB VACCINE ADULT 3 DOSE SCHEDULE FOR IM USE $171.00 $171.00 $145.35–$179.55 — —
High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 PR IIV VACCINE PRESERV FREE INCREASED AG CONTENT IM $65.00 $65.00 $55.25–$68.25 9% below —
High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 Influenza Virus Vac Split High-Dose PF Susp Pref Syr 0.5ML $110.00 $110.00 $93.50–$115.50 54% 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 $65.00 $65.00 $55.25–$68.25 — —
High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 Influenza Virus Vac Split High-Dose PF Susp Pref Syr 0.5ML $110.00 $110.00 $93.50–$115.50 — —
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PR PPSV23 VACCINE 2 YRS OR OLDER FOR SUBQ/IM USE $26.00 $26.00 $22.10–$27.30 83% below —
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 PR PPSV23 VACCINE 2 YRS OR OLDER FOR SUBQ/IM USE $26.00 $26.00 $22.10–$27.30 — —
Rabies vaccine, one dose CPT 90675 PR RABIES VACCINE INTRAMUSCULAR $253.00 $253.00 $215.05–$265.65 59% below —
Rabies vaccine, one dose inpatient CPT 90675 PR RABIES VACCINE INTRAMUSCULAR $253.00 $253.00 $215.05–$265.65 — —
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 Tetanus-Diphtheria Toxoids (Td) Inj 2-2 LF/0.5ML $40.56 $40.56 $34.47–$42.58 18% 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 $46.00 $46.00 $39.10–$48.30 7% below —
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 Tetanus-Diphtheria Toxoids (Td) Inj 2-2 LF/0.5ML $40.56 $40.56 $34.47–$42.58 — —
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 $46.00 $46.00 $39.10–$48.30 — —
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 Tet-Diph-Acell Pertuss Ad Pref Syr 5-2-15.5 LF-MCG/0.5ML $82.03 $82.03 $69.72–$86.13 18% above —
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 PR TDAP VACCINE 7 YRS/> IM $117.00 $117.00 $99.45–$122.85 68% above —
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 Tet-Diph-Acell Pertuss Ad Pref Syr 5-2-15.5 LF-MCG/0.5ML $82.03 $82.03 $69.72–$86.13 — —
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 PR TDAP VACCINE 7 YRS/> IM $117.00 $117.00 $99.45–$122.85 — —
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HC IMMUNIZATION ADMINISTRATION $62.00 $62.00 $52.70–$65.10 22% above —
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 HC IMMUNIZATION ADMINISTRATION $62.00 $62.00 $52.70–$65.10 — —
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 HC IMMUNIZATION ADMIN EA ADDL $31.00 $31.00 $26.35–$32.55 3% above —
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 HC IMMUNIZATION ADMIN EA ADDL $31.00 $31.00 $26.35–$32.55 — —
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://mrfs.hyvehealthcare.com/NelsonCounty/450119890_nelson-county-health-system_standardcharges.csv