Tioga Medical Center
Listed in its price file as “Tioga Medical Center dba Tioga Medical Center”.
Tioga Medical Center in Tioga, ND publishes cash prices for 267 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 227 of 266 procedures and below it for 39. By typical cash price it ranks #24 of 25 North Dakota hospitals, cheapest first. Click a procedure to compare it with other hospitals nearby.
810 N Welo St, Tioga, ND 58852 Collected Sep 27, 2026 Source price file (701) 664-3305
Critical access hospital (rural, 25 beds or fewer) Emergency department CCN 351300 · CMS hospital register
The price file shows no self-pay discount
For 415 of the 415 prices listed here, the cash price in Tioga 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.
Scans and imaging
| Procedure | Cash price | List price | Insurers pay | vs North Dakota | Off list |
|---|---|---|---|---|---|
| Ankle X-ray, complete, 3 or more views CPT 73610 Xray Ankle | $234.00 | $234.00 | $234.00 | 21% above | — |
| Breast ultrasound, complete, one breast one side CPT 76641 Us Breast Unilateral Cmplt | $462.00 | $462.00 | $462.00 | 27% above | — |
| Breast ultrasound, limited (one breast or one area) one side CPT 76642 Us Breast Unilateral Lmtd | $353.00 | $353.00 | $353.00 | 36% above | — |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 Ct-chest | $3,426.00 | $3,426.00 | $3,426.00 | 59% above | — |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 Ct Abdomen/pelvis | $2,039.00 | $2,039.00 | $2,039.00 | 40% above | — |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT scan of abdomen and pelvis with contrast | $2,777.00 | $2,777.00 | $2,777.00 | 12% above | — |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 Ct Abdomen/pelvis | $3,763.00 | $3,763.00 | $3,763.00 | 28% above | — |
| CT scan of the abdomen with contrast CPT 74160 Ct Abdomen | $2,360.00 | $2,360.00 | $2,360.00 | 45% above | — |
| CT scan of the abdomen without contrast CPT 74150 Ct Abdomen | $1,952.00 | $1,952.00 | $1,952.00 | 63% above | — |
| CT scan of the face and sinuses, no contrast dye CPT 70486 Ct-facial Bone | $1,632.00 | $1,632.00 | $1,632.00 | 50% above | — |
| CT scan of the head or brain, no contrast dye CPT 70450 CT scan | $1,632.00 | $1,632.00 | $1,632.00 | 56% above | — |
| CT scan of the head with contrast CPT 70460 Ct-brain | $1,952.00 | $1,952.00 | $1,952.00 | 53% above | — |
| CT scan of the head without and with contrast CPT 70470 Ct-brain | $2,434.00 | $2,434.00 | $2,434.00 | 65% above | — |
| CT scan of the lower back (lumbar spine) without contrast CPT 72131 Ct-lumbar Spine | $2,039.00 | $2,039.00 | $2,039.00 | 58% above | — |
| CT scan of the neck (cervical spine), no contrast dye CPT 72125 Ct-cervical Spine | $2,039.00 | $2,039.00 | $2,039.00 | 55% above | — |
| CT scan of the pelvis, with contrast dye CPT 72193 CT scan of pelvis with contrast | $2,360.00 | $2,360.00 | $2,360.00 | 48% above | — |
| Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 Carotid Doppler | $1,429.00 | $1,429.00 | $1,429.00 | 101% above | — |
| Chest X-ray, 2 views CPT 71046 Hc Xray Chest 2 Views | $266.00 | $266.00 | $266.00 | 66% above | — |
| Chest X-ray, single view CPT 71045 Hc Xray Chest 1 View | $212.00 | $212.00 | $212.00 | 57% above | — |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 Us Renal Complete | $733.00 | $733.00 | $733.00 | 81% above | — |
| DEXA bone density scan of the hip, pelvis or spine CPT 77080 Dxa Bone Density Study 1/> Sites Axial Skel | $140.00 | $140.00 | $140.00 | 47% below | — |
| DEXA bone density scan of the hip, pelvis or spine CPT 77080 Dexascan | $575.00 | $575.00 | $575.00 | 117% above | — |
| DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 Dxa Bone Density Study 1/>sites Appendiclr Skel | $115.00 | $115.00 | $115.00 | 13% above | — |
| DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 Dexa Scan | $154.00 | $154.00 | $154.00 | 51% above | — |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 Ct-thorax | $2,039.00 | $2,039.00 | $2,039.00 | 70% above | — |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 Ct-thorax | $2,434.00 | $2,434.00 | $2,434.00 | 70% above | — |
| Duplex ultrasound of the leg veins, both legs CPT 93970 Venous Imaging | $1,526.00 | $1,526.00 | $1,526.00 | 117% above | — |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 Hc Tte W/doppler Complete | $1,458.00 | $1,458.00 | $1,458.00 | 76% above | — |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 Sleep Study | $3,654.00 | $3,654.00 | $3,654.00 | 52% above | — |
| Knee X-ray, 3 views CPT 73562 Xray Knee | $266.00 | $266.00 | $266.00 | 30% above | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 Us Exam Abdomen Lmtd | $644.00 | $644.00 | $644.00 | 72% above | — |
| Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 Ldct For Lung Cancer Screen | $975.00 | $975.00 | $975.00 | 49% above | — |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MRI scan of leg joint | $2,699.00 | $2,699.00 | $2,699.00 | 38% above | — |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 Lower Ext Joint W/wo Dye | $4,814.00 | $4,814.00 | $4,814.00 | 59% above | — |
| MRI of the abdomen without contrast CPT 74181 Mri-abdomen | $2,592.00 | $2,592.00 | $2,592.00 | 34% above | — |
| MRI of the abdomen, without and then with contrast dye CPT 74183 Mri Abdomen | $5,080.00 | $5,080.00 | $5,080.00 | 58% above | — |
| MRI of the brain, no contrast dye CPT 70551 Mri-brain/brain Stem | $1,640.00 | $1,640.00 | $1,640.00 | 1% below | — |
| MRI of the brain, with and without contrast dye CPT 70553 MRI Scan | $5,010.00 | $5,010.00 | $5,010.00 | 56% above | — |
| MRI of the lower back, no contrast dye CPT 72148 MRI scan of lower spinal canal | $2,673.00 | $2,673.00 | $2,673.00 | 37% above | — |
| MRI of the lower back, without and then with contrast dye CPT 72158 L-spine | $4,934.00 | $4,934.00 | $4,934.00 | 50% above | — |
| MRI of the mid back (thoracic spine), no contrast dye CPT 72146 Mri-t-spine | $2,673.00 | $2,673.00 | $2,673.00 | 34% above | — |
| MRI of the neck (cervical spine) without and with contrast CPT 72156 Mri-c-spine | $4,938.00 | $4,938.00 | $4,938.00 | 52% above | — |
| MRI of the neck (cervical spine), no contrast dye CPT 72141 Mri-c-spine | $2,514.00 | $2,514.00 | $2,514.00 | 29% above | — |
| MRI of the pelvis without and with contrast CPT 72197 Mri Pelvis | $5,077.00 | $5,077.00 | $5,077.00 | 58% above | — |
| MRI of the pelvis, no contrast dye CPT 72195 Pelvis | $3,004.00 | $3,004.00 | $3,004.00 | 30% above | — |
| MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 Mri-upper Extremity | $2,646.00 | $2,646.00 | $2,646.00 | 37% above | — |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 Us Pelvic Limited | $456.00 | $456.00 | $456.00 | 45% above | — |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 Us Pelvic Complete | $574.00 | $574.00 | $574.00 | 47% above | — |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 Abdomial ultrasound of pregnant uterus | $778.00 | $778.00 | $778.00 | 65% above | — |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 Us Pregnancy Lmtd | $536.00 | $536.00 | $536.00 | 87% above | — |
| Shoulder X-ray, complete, 2 or more views CPT 73030 Xray Shoulder | $250.00 | $250.00 | $250.00 | 40% above | — |
| Sleep study in a lab (polysomnography) CPT 95810 Sleep study | $3,463.00 | $3,463.00 | $3,463.00 | 46% above | — |
| Transvaginal pelvic ultrasound CPT 76830 Ultrasound pelvis through vagina | $666.00 | $666.00 | $666.00 | 44% above | — |
| Transvaginal ultrasound during pregnancy CPT 76817 Us Transvaginal Ob | $338.00 | $338.00 | $338.00 | 13% above | — |
| Ultrasound of the abdomen, complete CPT 76700 Ultrasound of abdomen | $783.00 | $783.00 | $783.00 | 54% above | — |
| Ultrasound of the scrotum and testicles CPT 76870 Us Scrotum | $574.00 | $574.00 | $574.00 | 48% above | — |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 Us Exam Head/neck | $574.00 | $574.00 | $574.00 | 27% above | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 Scan Extremity Veins | $1,059.00 | $1,059.00 | $1,059.00 | 92% above | — |
| Wrist X-ray, complete, 3 or more views CPT 73110 Xray Wrist | $236.00 | $236.00 | $236.00 | 27% above | — |
| X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 X-ray Exam Hip Uni 2-3 Vw | $374.00 | $374.00 | $374.00 | 88% above | — |
| X-ray of the abdomen, 1 view CPT 74018 Hc Xray Abdomen 1 View | $234.00 | $234.00 | $234.00 | 96% above | — |
| X-ray of the ankle, 2 views CPT 73600 Xray Ankle | $220.00 | $220.00 | $220.00 | 37% above | — |
| X-ray of the finger(s), 2 or more views CPT 73140 Xray Finger | $201.00 | $201.00 | $201.00 | 26% above | — |
| X-ray of the foot, 2 views CPT 73620 Xray Foot | $225.00 | $225.00 | $225.00 | 40% above | — |
| X-ray of the foot, complete, 3 or more views CPT 73630 Xray Foot | $236.00 | $236.00 | $236.00 | 23% above | — |
| X-ray of the hand, 3 or more views CPT 73130 Xray Hand | $236.00 | $236.00 | $236.00 | 18% above | — |
| X-ray of the knee, 1 or 2 views CPT 73560 Xray Knee | $223.00 | $223.00 | $223.00 | 20% above | — |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 Xr-lumbar Spine 2 Views | $289.00 | $289.00 | $289.00 | 68% above | — |
| X-ray of the lower back, 4 or more views CPT 72110 X-Ray of lower back | $359.00 | $359.00 | $359.00 | 51% above | — |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 Xr-thoracic Spine 2 Views | $289.00 | $289.00 | $289.00 | 86% above | — |
| X-ray of the nasal bones, 3 or more views CPT 70160 Xr-nose Bones 3+ Views | $234.00 | $234.00 | $234.00 | 57% above | — |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 Xr-spine 2/3 Views | $289.00 | $289.00 | $289.00 | 80% above | — |
| X-ray of the pelvis, 1 or 2 views CPT 72170 Xray Pelvis | $223.00 | $223.00 | $223.00 | 46% above | — |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 Xray Sacrum & Coccyx | $250.00 | $250.00 | $250.00 | 71% above | — |
Lab tests
| Procedure | Cash price | List price | Insurers pay | vs North Dakota | Off list |
|---|---|---|---|---|---|
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 Sgpt | $60.00 | $60.00 | $60.00 | 40% above | — |
| AST (aspartate aminotransferase) enzyme test CPT 84450 Sgot | $60.00 | $60.00 | $60.00 | 33% above | — |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 Acute Hepatitis Prof/mayo | $470.00 | $470.00 | $470.00 | 116% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen-latex Rast/mayo | $91.00 | $91.00 | $91.00 | 532% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen-mulberry, Ige/mayo | $96.00 | $96.00 | $96.00 | 567% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen-mountain Ceder, Ige/mayo | $96.00 | $96.00 | $96.00 | 567% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen-milk/mayo | $96.00 | $96.00 | $96.00 | 567% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen-lobster/mayo | $96.00 | $96.00 | $96.00 | 567% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen-house Dust Mites/d.p. Ige/mayo | $96.00 | $96.00 | $96.00 | 567% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen-elm Ige/mayo | $96.00 | $96.00 | $96.00 | 567% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen-egg Yolk/mayo | $96.00 | $96.00 | $96.00 | 567% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen-egg White/mayo | $96.00 | $96.00 | $96.00 | 567% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen-dog Danger, Ige/mayo | $96.00 | $96.00 | $96.00 | 567% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen-crab/mayo | $96.00 | $96.00 | $96.00 | 567% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen-cottonwood Ige/mayo | $96.00 | $96.00 | $96.00 | 567% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen-codfish/mayo | $96.00 | $96.00 | $96.00 | 567% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen-cockroach Ige/mayo | $96.00 | $96.00 | $96.00 | 567% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen-cladosporium, Ige/mayo | $96.00 | $96.00 | $96.00 | 567% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen-cat Epithel/mayo | $96.00 | $96.00 | $96.00 | 567% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen-boxelder Ige/mayo | $96.00 | $96.00 | $96.00 | 567% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen-black Walnut/may | $96.00 | $96.00 | $96.00 | 567% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen-banana/mayo | $96.00 | $96.00 | $96.00 | 567% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen-aspergillus Fumigatus, Ige/mayo | $96.00 | $96.00 | $96.00 | 567% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen-alternaria Tenius, Ige/mayo | $96.00 | $96.00 | $96.00 | 567% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Th Allergenegg Yolk Ige/mayo | $96.00 | $96.00 | $96.00 | 567% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Th Allergensesame Components | $96.00 | $96.00 | $96.00 | 567% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen-peanut/mayo | $96.00 | $96.00 | $96.00 | 567% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen-penicillium, Ige/mayo | $96.00 | $96.00 | $96.00 | 567% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Th Allergenhazelnut Components | $96.00 | $96.00 | $96.00 | 567% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Th Allergencashew Components | $96.00 | $96.00 | $96.00 | 567% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Th Allergenbrazil Nut Components | $96.00 | $96.00 | $96.00 | 567% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen-red Sorrel, Ige/mayo | $96.00 | $96.00 | $96.00 | 567% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen-rice/mayo | $96.00 | $96.00 | $96.00 | 567% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Th Allergensesame Ige/mayo | $96.00 | $96.00 | $96.00 | 567% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen-russion Thistle Ige/mayo | $96.00 | $96.00 | $96.00 | 567% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen-short Ragweed, Ige/mayo | $96.00 | $96.00 | $96.00 | 567% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen-shrimp/mayo | $96.00 | $96.00 | $96.00 | 567% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen-soybean/mayo | $96.00 | $96.00 | $96.00 | 567% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen-timothy Grass, Ige/mayo | $96.00 | $96.00 | $96.00 | 567% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen-turkey/mayo | $96.00 | $96.00 | $96.00 | 567% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen-wheat/mayo | $96.00 | $96.00 | $96.00 | 567% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen-white Ash Ige/mayo | $96.00 | $96.00 | $96.00 | 567% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Th Allergenpecan Ige/mayo | $96.00 | $96.00 | $96.00 | 567% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen-oak Ige/mayo | $96.00 | $96.00 | $96.00 | 567% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen-nettle Ige/mayo | $96.00 | $96.00 | $96.00 | 567% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen-orch.grass/mayo | $96.00 | $96.00 | $96.00 | 567% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Th Allergenmacadamia Nut Ige/mayo | $96.00 | $96.00 | $96.00 | 567% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Th Allergenpine Nut Ige/mayo | $96.00 | $96.00 | $96.00 | 567% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Th Allergenhazelnut Ige/mayo | $96.00 | $96.00 | $96.00 | 567% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Th Allergencashew Nut Ige/mayo | $96.00 | $96.00 | $96.00 | 567% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Candida Albicans, Ige, Serum/mayo | $96.00 | $96.00 | $96.00 | 567% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 House Dust Mites/d.f. Ige/mayo | $96.00 | $96.00 | $96.00 | 567% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Th Allergenegg White Componets/ Mayo | $96.00 | $96.00 | $96.00 | 567% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Th Allergenalmond Ige/mayo | $96.00 | $96.00 | $96.00 | 567% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Th Allergencoconut Ige/mayo | $96.00 | $96.00 | $96.00 | 567% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Th Allergenbrazil Nut Ige/mayo | $96.00 | $96.00 | $96.00 | 567% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Th Allergenpistachio Ige/mayo | $96.00 | $96.00 | $96.00 | 567% above | — |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 Ccp Antibodytlo | $146.00 | $146.00 | $146.00 | 112% above | — |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 Ana Screen/mayo | $150.00 | $150.00 | $150.00 | 149% above | — |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 Ana Screen/tlo | $150.00 | $150.00 | $150.00 | 149% above | — |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 Bnp/tlo | $285.00 | $285.00 | $285.00 | 21% above | — |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 Bnp | $300.00 | $300.00 | $300.00 | 27% above | — |
| Basic metabolic panel (blood test) CPT 80048 Basic metabolic panel | $140.00 | $140.00 | $140.00 | 88% above | — |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 Surg Path Lvl Iv/tlo | $333.00 | $333.00 | $333.00 | 194% above | — |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 Tissue Exam;patholgy/mayo | $350.00 | $350.00 | $350.00 | 209% above | — |
| Blood culture for bacteria CPT 87040 Culture; Blood, Id/tlo | $155.00 | $155.00 | $155.00 | 91% above | — |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 Collection Venous Blood Venipuncture | $28.00 | $28.00 | $28.00 | 62% above | — |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 Venipuncture Draw | $28.00 | $28.00 | $28.00 | 62% above | — |
| Blood glucose (sugar) test CPT 82947 Glucose (Blood) Fbs | $60.00 | $60.00 | $60.00 | 118% above | — |
| Blood lead test CPT 83655 Assay Of Lead Hair/mayo | $98.00 | $98.00 | $98.00 | 123% above | — |
| Blood lead test CPT 83655 Lead; Urine/mayo | $126.00 | $126.00 | $126.00 | 186% above | — |
| Blood lead test CPT 83655 Lead, Blood/mayo | $126.00 | $126.00 | $126.00 | 186% above | — |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 Beta Subunit Hcg(ria)/tlo | $101.00 | $101.00 | $101.00 | 48% above | — |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 Blood Typing; Abo | $56.00 | $56.00 | $56.00 | 43% above | — |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 Blood Type,abo/tlo | $80.00 | $80.00 | $80.00 | 104% above | — |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-reactive Protein/tlo | $104.00 | $104.00 | $104.00 | 226% above | — |
| C. difficile toxin gene test (stool PCR) CPT 87493 C. Fifficlie Toxin Pcr, F/mayo | $266.00 | $266.00 | $266.00 | 40% above | — |
| C. difficile toxin gene test (stool PCR) CPT 87493 Clostridium Difficle/tlo | $426.00 | $426.00 | $426.00 | 125% above | — |
| CA 19-9 blood test (tumor marker) CPT 86301 Ca 19.9/mayo | $200.00 | $200.00 | $200.00 | 97% above | — |
| CA-125 blood test (ovarian cancer marker) CPT 86304 Ca-125/tlo | $273.00 | $273.00 | $273.00 | 149% above | — |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 Covid Quick Test In House | $184.00 | $184.00 | $184.00 | 50% above | — |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Chlamydia/phl | $318.00 | $318.00 | $318.00 | 178% above | — |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Chlamydia Trachomatis/tlo | $318.00 | $318.00 | $318.00 | 178% above | — |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Blood test, lipids | $144.00 | $144.00 | $144.00 | 86% above | — |
| Complete blood count (CBC) with differential CPT 85025 Complete blood cell count (CBC), with differential white blood cells, automated | $96.00 | $96.00 | $96.00 | 57% above | — |
| Complete blood count (CBC), no differential CPT 85027 Complete blood cell count (CBC), automated | $96.00 | $96.00 | $96.00 | 104% above | — |
| Comprehensive metabolic panel (blood test) CPT 80053 Blood test, comprehensive group of blood chemicals | $161.00 | $161.00 | $161.00 | 66% above | — |
| D-dimer blood test (blood clot marker) CPT 85379 D-dimer,quantitative/tlo | $145.00 | $145.00 | $145.00 | 92% above | — |
| D-dimer blood test (blood clot marker) CPT 85379 D-dimer | $180.00 | $180.00 | $180.00 | 138% above | — |
| DHEA sulfate (DHEA-S) blood test CPT 82627 Dhea-s/mayo | $183.00 | $183.00 | $183.00 | 86% above | — |
| Estradiol blood test CPT 82670 Estrodiol/tlo | $289.00 | $289.00 | $289.00 | 174% above | — |
| FSH (follicle-stimulating hormone) test CPT 83001 Fsh/tlo | $193.00 | $193.00 | $193.00 | 98% above | — |
| Fecal calprotectin (stool inflammation test) CPT 83993 Calprotectin | $382.00 | $382.00 | $382.00 | 154% above | — |
| Ferritin blood test (iron stores) CPT 82728 Ferritin/tlo | $144.00 | $144.00 | $144.00 | 95% above | — |
| Folate (folic acid) blood test CPT 82746 Folate/tlo | $152.00 | $152.00 | $152.00 | 83% above | — |
| Free T3 thyroid hormone test CPT 84481 T3 Free/tlo | $175.00 | $175.00 | $175.00 | 89% above | — |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 T4, Free By Dialysis/mayo | $99.00 | $99.00 | $99.00 | 110% above | — |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 T4 Free | $99.00 | $99.00 | $99.00 | 110% above | — |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 T4 Free/tlo | $99.00 | $99.00 | $99.00 | 110% above | — |
| Free testosterone test CPT 84402 Testosterone;free/mayo | $285.00 | $285.00 | $285.00 | 296% above | — |
| General health panel: metabolic panel, blood count and TSH in one order CPT 80050 D.o.t Drug Screen | $57.00 | $57.00 | $57.00 | 77% below | — |
| General health panel: metabolic panel, blood count and TSH in one order CPT 80050 Medicaid General Health Panel | $86.00 | $86.00 | $86.00 | 65% below | — |
| General health panel: metabolic panel, blood count and TSH in one order CPT 80050 General Health Panel | $351.00 | $351.00 | $351.00 | 45% above | — |
| Glucose tolerance test, 3 samples CPT 82951 Gtt | $123.00 | $123.00 | $123.00 | 23% above | — |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 Neisseria Gonorrhoeae/phl | $318.00 | $318.00 | $318.00 | 216% above | — |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 Neisseria Gonorrhoeae/tlo | $318.00 | $318.00 | $318.00 | 216% above | — |
| H. pylori antibody blood test CPT 86677 H Pylor Ig/mayo | $141.00 | $141.00 | $141.00 | 62% above | — |
| H. pylori antibody blood test CPT 86677 H Pylor | $173.00 | $173.00 | $173.00 | 99% above | — |
| H. pylori antibody blood test CPT 86677 Clo Test | $173.00 | $173.00 | $173.00 | 99% above | — |
| H. pylori stool antigen test CPT 87338 H Pylori Antigen Mayo | $105.00 | $105.00 | $105.00 | 2% above | — |
| H. pylori stool antigen test CPT 87338 H Pylori/mayo | $274.00 | $274.00 | $274.00 | 167% above | — |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 Hiv-1 Rna Quant/mayo | $680.00 | $680.00 | $680.00 | 160% above | — |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 Hiv-1,dna,quant/mayo | $716.00 | $716.00 | $716.00 | 174% above | — |
| HIV-1 and HIV-2 antibody test CPT 86703 Hiv Screening/trinity | $101.00 | $101.00 | $101.00 | 28% above | — |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 Hiv Nd Dept Of Health | $176.00 | $176.00 | $176.00 | 51% above | — |
| HPV test for high-risk types, one combined (pooled) result CPT 87624 Hpv Dna Amp Probe | $296.00 | $296.00 | $296.00 | 202% above | — |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Hgb A1c | $71.00 | $71.00 | $71.00 | 1% below | — |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Glycosylated Hgb | $108.00 | $108.00 | $108.00 | 51% above | — |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 Hepatitis Bs/phl | $112.00 | $112.00 | $112.00 | 99% above | — |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 Hepatitis B Surf Ab/tlo | $115.00 | $115.00 | $115.00 | 104% above | — |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 Hep B Surface Ag Prenatal/doh | $81.00 | $81.00 | $81.00 | 57% above | — |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 Hepatitis B Sur Ag/phl | $123.00 | $123.00 | $123.00 | 139% above | — |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 Hepatitis B Sur Ag/tlo | $130.00 | $130.00 | $130.00 | 153% above | — |
| Hepatitis C antibody blood test (screening) CPT 86803 Anti Hcv/phl | $119.00 | $119.00 | $119.00 | 91% above | — |
| Hepatitis C antibody blood test (screening) CPT 86803 Hepatitis C Antibody/tlo | $155.00 | $155.00 | $155.00 | 148% above | — |
| Hepatitis C viral load (HCV RNA) test CPT 87522 Hcv Quant Bbna/mayo | $758.00 | $758.00 | $758.00 | 478% above | — |
| Herpes blood test, HSV-1 antibody CPT 86695 Herpes Simplex Test | $112.00 | $112.00 | $112.00 | 135% above | — |
| Herpes blood test, HSV-2 antibody CPT 86696 Herpes Simplex Type 2/may | $161.00 | $161.00 | $161.00 | 175% above | — |
| High-sensitivity CRP (hs-CRP) test CPT 86141 C-reactive Protein/tlo/hs | $121.00 | $121.00 | $121.00 | 76% above | — |
| Homocysteine blood test CPT 83090 Homocysteine Level/mayo | $342.00 | $342.00 | $342.00 | 269% above | — |
| Insulin blood test CPT 83525 Insulin Level/mayo | $119.00 | $119.00 | $119.00 | 107% above | — |
| Iron blood test (serum iron) CPT 83540 Iron/tlo | $88.00 | $88.00 | $88.00 | 168% above | — |
| Iron blood test (serum iron) CPT 83540 Iron/mayo | $88.00 | $88.00 | $88.00 | 168% above | — |
| Iron-binding capacity (TIBC) test CPT 83550 Iron Bind Capacity/mayo | $99.00 | $99.00 | $99.00 | 113% above | — |
| Iron-binding capacity (TIBC) test CPT 83550 Iron Binding Capacity/tlo | $99.00 | $99.00 | $99.00 | 113% above | — |
| Kidney function blood test panel CPT 80069 Kidney function panel test | $145.00 | $145.00 | $145.00 | 112% above | — |
| LH (luteinizing hormone) test CPT 83002 Lh/tlo | $198.00 | $198.00 | $198.00 | 92% above | — |
| Lipase blood test (pancreas enzyme) CPT 83690 Lipase | $99.00 | $99.00 | $99.00 | 85% above | — |
| Lipase blood test (pancreas enzyme) CPT 83690 Lipase/tlo | $99.00 | $99.00 | $99.00 | 85% above | — |
| Liver function blood test panel CPT 80076 Liver function blood test | $123.00 | $123.00 | $123.00 | 71% above | — |
| Lyme disease antibody test CPT 86618 Lyme Disease Eval/mayo | $175.00 | $175.00 | $175.00 | 268% above | — |
| Lyme disease antibody test CPT 86618 Lyme Disease Igg/phl | $175.00 | $175.00 | $175.00 | 268% above | — |
| Lyme disease antibody test CPT 86618 Lyme Disease/phl Igm | $175.00 | $175.00 | $175.00 | 268% above | — |
| Magnesium blood test CPT 83735 Magnesium, 24 Hr Urine | $59.00 | $59.00 | $59.00 | 146% above | — |
| Magnesium blood test CPT 83735 Magnesium, Rbc Mayo | $66.00 | $66.00 | $66.00 | 175% above | — |
| Magnesium blood test CPT 83735 Magnesium/tlo | $91.00 | $91.00 | $91.00 | 279% above | — |
| Measles (rubeola) antibody test CPT 86765 Rubeola Antibody/mayo | $126.00 | $126.00 | $126.00 | 122% above | — |
| Mono test (heterophile antibody, Monospot) CPT 86308 Monoucleosis Test | $56.00 | $56.00 | $56.00 | 40% above | — |
| Mono test (heterophile antibody, Monospot) CPT 86308 Mono-test (Screen) | $83.00 | $83.00 | $83.00 | 108% above | — |
| PSA (prostate-specific antigen) blood test, free CPT 84154 Total prostate-specific antigen (PSA) test | $191.00 | $191.00 | $191.00 | 195% above | — |
| PSA (prostate-specific antigen) blood test, total CPT 84153 Total prostate-specific antigen (PSA) test | $191.00 | $191.00 | $191.00 | 113% above | — |
| Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 Pap Smear Collected In Preserv Fluid | $148.00 | $148.00 | $148.00 | 49% above | — |
| Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 Pap Smear Collected In Pr | $173.00 | $173.00 | $173.00 | 74% above | — |
| Parathyroid hormone (PTH) blood test CPT 83970 Parathyroid Hormone/tlo | $426.00 | $426.00 | $426.00 | 104% above | — |
| Partial thromboplastin time (PTT) clotting test CPT 85730 Coagulation assessment blood test | $170.00 | $170.00 | $170.00 | 431% above | — |
| Progesterone blood test CPT 84144 Progesterone/tlo | $216.00 | $216.00 | $216.00 | 88% above | — |
| Prolactin blood test CPT 84146 Prolactin/tlo | $212.00 | $212.00 | $212.00 | 183% above | — |
| Prothrombin time (PT/INR) clotting test CPT 85610 Blood test, clotting time | $115.00 | $115.00 | $115.00 | 366% above | — |
| Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 Drug Screen Qualitative | $106.00 | $106.00 | $106.00 | 38% above | — |
| Rapid flu test (influenza antigen) CPT 87804 Influenza Quick Test | $113.00 | $113.00 | $113.00 | 33% above | — |
| Rapid flu test (influenza antigen) CPT 87804 Influenza A&b Quick Test | $130.00 | $130.00 | $130.00 | 53% above | — |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 Strep A Test | $113.00 | $113.00 | $113.00 | 37% above | — |
| Rheumatoid factor (RF) test CPT 86431 Ra Titre/tlo | $113.00 | $113.00 | $113.00 | 214% above | — |
| Rubella antibody test (immunity check) CPT 86762 Rubella Ifa/mayo | $145.00 | $145.00 | $145.00 | 136% above | — |
| Rubella antibody test (immunity check) CPT 86762 Rubella-measles Ifa/phl | $150.00 | $150.00 | $150.00 | 144% above | — |
| Rubella antibody test (immunity check) CPT 86762 Rubella Ifa/tlo | $150.00 | $150.00 | $150.00 | 144% above | — |
| Stool ova and parasites exam CPT 87177 Ova & Parasites/phl | $124.00 | $124.00 | $124.00 | 154% above | — |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 Occult Blood (Sob) 1 Test | $49.00 | $49.00 | $49.00 | 68% above | — |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 Occult Blood(sob)1 Test | $50.00 | $50.00 | $50.00 | 72% above | — |
| Stool test for hidden blood by immunoassay (FIT) CPT 82274 Occult Blood(sob)3 Tests | $137.00 | $137.00 | $137.00 | 63% above | — |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 Vdrl/tlo | $84.00 | $84.00 | $84.00 | 218% above | — |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 Syphilis Serology/tlo | $84.00 | $84.00 | $84.00 | 218% above | — |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 Rpr/phl | $88.00 | $88.00 | $88.00 | 233% above | — |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 Blood Serology;qual/mayo | $141.00 | $141.00 | $141.00 | 434% above | — |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 Quanitferon Tb Gold/phl | $509.00 | $509.00 | $509.00 | 262% above | — |
| Testosterone blood test, total (not free testosterone) CPT 84403 Testosterone; Total/tlo | $267.00 | $267.00 | $267.00 | 267% above | — |
| Testosterone blood test, total (not free testosterone) CPT 84403 Testosterone;total/mayo | $289.00 | $289.00 | $289.00 | 297% above | — |
| Thyroid peroxidase (TPO) antibody test CPT 86376 Liver/kidney Microsome Type 1/mayo | $101.00 | $101.00 | $101.00 | 66% above | — |
| Thyroid peroxidase (TPO) antibody test CPT 86376 Thyroproxidase/tlo | $124.00 | $124.00 | $124.00 | 104% above | — |
| Thyroid peroxidase (TPO) antibody test CPT 86376 Thyroid Microsmal/mayo | $198.00 | $198.00 | $198.00 | 226% above | — |
| Thyroid peroxidase (TPO) antibody test CPT 86376 Thyroid Antibodies/mayo | $198.00 | $198.00 | $198.00 | 226% above | — |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 Blood test, thyroid stimulating hormone (TSH) | $173.00 | $173.00 | $173.00 | 70% above | — |
| Uric acid blood test CPT 84550 Uric Acid, Serum/tlo | $84.00 | $84.00 | $84.00 | 115% above | — |
| Urinalysis with microscope exam, manual CPT 81000 Urinalysis test using microscope | $60.00 | $60.00 | $60.00 | 115% above | — |
| Urinalysis without microscope exam, automated CPT 81003 Urinalysis test | $33.00 | $33.00 | $33.00 | 88% above | — |
| Urinalysis without microscope exam, manual CPT 81002 Urinalysis test | $24.00 | $24.00 | $24.00 | 18% above | — |
| Urine culture for bacteria, with colony count CPT 87086 Culture, Urine/tlo | $99.00 | $99.00 | $99.00 | 46% above | — |
| Urine pregnancy test, read by color change CPT 81025 Gravindex | $110.00 | $110.00 | $110.00 | 86% above | — |
| Vitamin B12 (cobalamin) blood test CPT 82607 B-12 Assay/tlo | $155.00 | $155.00 | $155.00 | 92% above | — |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 Vitamin D3/mayo | $202.00 | $202.00 | $202.00 | 25% above | — |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 Hydroxy Vitamin D2 /D3 | $238.00 | $238.00 | $238.00 | 47% above | — |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 Vitamin D 25 (Oh)/tlo | $239.00 | $239.00 | $239.00 | 48% above | — |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 Vitamin D2/mayo | $252.00 | $252.00 | $252.00 | 56% above | — |
| Zinc blood test CPT 84630 Zinc/mayo | $101.00 | $101.00 | $101.00 | 216% above | — |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 Beta Subunit Hcg(quan)tlo | $127.00 | $127.00 | $127.00 | 67% above | — |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 Gonadotropin,chorioni/may | $155.00 | $155.00 | $155.00 | 104% above | — |
Surgery and procedures
| Procedure | Cash price | List price | Insurers pay | vs North Dakota | Off list |
|---|---|---|---|---|---|
| Bunion correction with a bone cut near the head of the first metatarsal CPT 28296 Hc Correct Bunion,metatarsal Osteotomy | $6,237.00 | $6,237.00 | $6,237.00 | 12% above | — |
| Bunion correction with removal of part of the big toe joint CPT 28292 Hc Correct Bunion,keller/mcbride/mayo | $6,237.00 | $6,237.00 | $6,237.00 | 87% above | — |
| Carpal tunnel release, open surgery CPT 64721 Hc Carpal Tunnel Medidan Nerve | $4,340.00 | $4,340.00 | $4,340.00 | 16% above | — |
| Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 Hc Closed Rx Dist Rad/ulna Fx | $644.00 | $644.00 | $644.00 | 37% above | — |
| Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 Cltx Dstl Radial Fx/epiphysl Sep W/o Mnpj | $993.00 | $993.00 | $993.00 | 111% above | — |
| Colonoscopy with polyp removal CPT 45385 Removal of polyps or growths of large bowel using an endoscope | $2,414.00 | $2,414.00 | $2,414.00 | 20% above | — |
| Colonoscopy with tissue sample CPT 45380 Biopsy exam of large bowel using an endoscope | $2,414.00 | $2,414.00 | $2,414.00 | 31% above | — |
| Colonoscopy, diagnostic CPT 45378 Diagnostic exam of large bowel using an endoscope | $2,213.00 | $2,213.00 | $2,213.00 | 136% above | — |
| Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 Destruction Premalignant Lesion 1st | $275.00 | $275.00 | $275.00 | 52% above | — |
| Earwax removal by irrigation (rinsing), one ear one side CPT 69209 Removal Impacted Cerumen Irrigation/lvg Unilat | $45.00 | $45.00 | $45.00 | 26% below | — |
| Earwax removal with instruments, one ear one side CPT 69210 Removal Impacted Cerumen Instrumentation Unilat | $175.00 | $175.00 | $175.00 | 56% above | — |
| Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 Sigmoidoscopy Flx Dx W/collj Spec Br/wa If Pfrmd | $182.00 | $182.00 | $182.00 | 71% below | — |
| Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 Hc Diagnostic Sigmoidoscopy | $1,919.00 | $1,919.00 | $1,919.00 | 205% above | — |
| Gallbladder removal, laparoscopic CPT 47562 Removal of gallbladder using an endoscope | $11,291.00 | $11,291.00 | $11,291.00 | 462% above | — |
| Hammertoe correction surgery CPT 28285 Hc Repair Of Hammertoe | $6,238.00 | $6,238.00 | $6,238.00 | 40% above | — |
| IUD insertion (the device itself billed separately) CPT 58300 Insertion Intrauterine Device Iud | $241.00 | $241.00 | $241.00 | 48% above | — |
| Incision and drainage of a simple or single skin abscess CPT 10060 Incision & Drainage Abscess Simple/single | $312.00 | $312.00 | $312.00 | 11% above | — |
| Incision and drainage of a simple or single skin abscess CPT 10060 Hc I & D Abscess, Smpl | $930.00 | $930.00 | $930.00 | 230% above | — |
| Inguinal (groin) hernia repair, age 5 or older CPT 49505 Repair of groin hernia patient age 5 years or older | $7,503.00 | $7,503.00 | $7,503.00 | 417% above | — |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 Injection 1 Tendon Sheath/ligament Aponeurosis | $124.00 | $124.00 | $124.00 | 22% below | — |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 Hc Inj Tendon Sheath/ligament | $588.00 | $588.00 | $588.00 | 270% above | — |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 Arthrocentesis Aspir&/inj Major Jt/bursa W/o Us | $147.00 | $147.00 | $147.00 | 18% below | — |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 Hc Rad Inject/aspir Jntmajor | $605.00 | $605.00 | $605.00 | 236% above | — |
| Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 Insertion Drug Delivery Implant | $453.00 | $453.00 | $453.00 | 107% above | — |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 Arthrocentesis Aspir&/inj Interm Jt/burs W/o Us | $136.00 | $136.00 | $136.00 | 27% below | — |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 Hc Drain/inject Medium Joint/bursa | $605.00 | $605.00 | $605.00 | 224% above | — |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 Arthrocentesis Aspir&/inj Small Jt/bursa W/o Us | $170.00 | $170.00 | $170.00 | 8% below | — |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 Hc Drain/inject Small Joint/bursa | $583.00 | $583.00 | $583.00 | 216% above | — |
| Knee arthroscopy with meniscus repair (one side of the knee) CPT 29882 Hc Knee Scope,med Or Lat Menis Repair | $6,238.00 | $6,238.00 | $6,238.00 | 7% above | — |
| Knee arthroscopy with meniscus trim CPT 29881 Removal of one knee cartilage using an endoscope | $6,238.00 | $6,238.00 | $6,238.00 | 12% above | — |
| Knee arthroscopy with removal of both torn meniscus parts CPT 29880 Hc Knee Scope,single Meniscectomy | $5,972.00 | $5,972.00 | $5,972.00 | 3% above | — |
| Knee arthroscopy with smoothing of damaged cartilage (chondroplasty) CPT 29877 Arthrs Knee Surg Debridement/shvg Artclr Crtlg | $1,989.00 | $1,989.00 | $1,989.00 | — | — |
| Knee arthroscopy with smoothing of damaged cartilage (chondroplasty) CPT 29877 Hc Knee Scope,shave Articular Cart | $6,237.00 | $6,237.00 | $6,237.00 | — | — |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 Repair Intermediate S/a/t/e 2.5 Cm/< | $490.00 | $490.00 | $490.00 | 5% above | — |
| 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 | $713.00 | $713.00 | $713.00 | 52% above | — |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 Exc B9 Lesion Mrgn Xcp Sk Tg T/a/l 0.5 Cm/< | $259.00 | $259.00 | $259.00 | 26% below | — |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 Hc Exc Benig .1-.5cm Trunk,arm,leg | $1,288.00 | $1,288.00 | $1,288.00 | 269% above | — |
| Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 Exc B9 Lesion Mrgn Xcp Sk Tg F/e/e/n/l/m 0.5cm/< | $330.00 | $330.00 | $330.00 | 10% below | — |
| Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 Hc Exc Skin Benig <5mm Face,facial | $1,288.00 | $1,288.00 | $1,288.00 | 252% above | — |
| Nail removal (partial or complete), one nail CPT 11730 Avulsion Nail Plate Partial/complete Simple 1 | $344.00 | $344.00 | $344.00 | 18% above | — |
| Nail removal (partial or complete), one nail CPT 11730 Hc Facial Nerve Block | $759.00 | $759.00 | $759.00 | 161% above | — |
| Paracentesis with imaging guidance CPT 49083 Hc Abd Paracentesis W/imaging | $1,806.00 | $1,806.00 | $1,806.00 | 88% above | — |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 Excision Nail&nail Matrix Prtl/compl Perm Rmvl | $821.00 | $821.00 | $821.00 | 92% above | — |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 Hc Remove Nail Bed | $1,320.00 | $1,320.00 | $1,320.00 | 209% above | — |
| Removal of a breast lump, open surgery CPT 19120 Removal of one or more breast growth, open procedure | $6,510.00 | $6,510.00 | $6,510.00 | 334% above | — |
| Removal of a foreign object under the skin, simple CPT 10120 Incision & Removal Foreign Body Subq Tiss Simple | $330.00 | $330.00 | $330.00 | 19% below | — |
| Removal of a foreign object under the skin, simple CPT 10120 Hc Remove Foreign Body,smpl | $1,172.00 | $1,172.00 | $1,172.00 | 187% above | — |
| Screening colonoscopy for a person at average risk (Medicare code) HCPCS G0121 Colon Ca Scrn Not Hi Rsk Ind | $1,066.00 | $1,066.00 | $1,066.00 | 34% below | — |
| Screening colonoscopy for a person at average risk (Medicare code) HCPCS G0121 Colonscopy | $2,108.00 | $2,108.00 | $2,108.00 | 30% above | — |
| Screening colonoscopy, high risk of colorectal cancer (Medicare code) HCPCS G0105 Colorectal Scrn; Hi Risk Ind | $1,066.00 | $1,066.00 | $1,066.00 | 39% below | — |
| Screening colonoscopy, high risk of colorectal cancer (Medicare code) HCPCS G0105 Colonoscopy | $2,108.00 | $2,108.00 | $2,108.00 | 21% above | — |
| Short arm cast (elbow to hand) CPT 29075 Application Cast Elbow To Finger Short Arm | $274.00 | $274.00 | $274.00 | at median | — |
| Short arm splint (forearm and hand) CPT 29125 Application Short Arm Splint Forearm-hand Static | $124.00 | $124.00 | $124.00 | 29% below | — |
| Short arm splint (forearm and hand) CPT 29125 Hc Apply Forearm Splint,static | $426.00 | $426.00 | $426.00 | 145% above | — |
| Short leg cast (below the knee) CPT 29405 Apply Short Leg Cast | $564.00 | $564.00 | $564.00 | 107% above | — |
| Short leg splint (calf to foot) CPT 29515 Application Short Leg Splint Calf To Foot | $152.00 | $152.00 | $152.00 | 25% below | — |
| Short leg splint (calf to foot) CPT 29515 Hc Apply Lower Leg Splint | $384.00 | $384.00 | $384.00 | 88% above | — |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 Simple Repair Scalp/neck/ax/genit/trunk 2.5cm/< | $247.00 | $247.00 | $247.00 | 5% below | — |
| 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 | $392.00 | $392.00 | $392.00 | 51% above | — |
| Skin biopsy, punch, one lesion CPT 11104 Punch Biopsy Skin Single Lesion | $160.00 | $160.00 | $160.00 | 49% below | — |
| Skin biopsy, punch, one lesion CPT 11104 Hc Punch Bx Sngl Skin Lesion | $713.00 | $713.00 | $713.00 | 127% above | — |
| Skin tag removal, up to 15 tags CPT 11200 Rmvl Skin Tags Mlt Fibrq Tags Any Up To&inc 15 | $234.00 | $234.00 | $234.00 | 12% above | — |
| Skin tag removal, up to 15 tags CPT 11200 Hc Removal Of Skin Tags | $392.00 | $392.00 | $392.00 | 88% above | — |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 Smpl Repair Scalp/neck/ax/genit/trunk 2.6-7.5cm | $289.00 | $289.00 | $289.00 | 11% above | — |
| 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 | $392.00 | $392.00 | $392.00 | 50% above | — |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 Simple Repair F/e/e/n/l/m 2.5cm/< | $243.00 | $243.00 | $243.00 | 7% below | — |
| 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 | $392.00 | $392.00 | $392.00 | 50% above | — |
| Tangential (shave-style) skin biopsy, one lesion CPT 11102 Tangential Biopsy Skin Single Lesion | $126.00 | $126.00 | $126.00 | 41% below | — |
| Tangential (shave-style) skin biopsy, one lesion CPT 11102 Hc Tangential Bx Sngl Skin Lesion | $392.00 | $392.00 | $392.00 | 83% above | — |
| Trigger finger release surgery CPT 26055 Hc Incise Finger Tendon Sheath | $3,093.00 | $3,093.00 | $3,093.00 | 10% above | — |
| Trigger point injections, 1 or 2 muscles CPT 20552 Injection Single/mlt Trigger Point 1/2 Muscles | $121.00 | $121.00 | $121.00 | 55% below | — |
| Upper endoscopy (EGD) with biopsy CPT 43239 Biopsy exam of esophagus, stomach or small bowel using an endoscope | $2,087.00 | $2,087.00 | $2,087.00 | 30% above | — |
| Upper endoscopy (EGD), diagnostic CPT 43235 Diagnostic exam of esophagus, stomach or small bowel using an endoscope | $2,087.00 | $2,087.00 | $2,087.00 | 37% above | — |
| Wart removal, up to 14 warts CPT 17110 Destruction Benign Lesions Up To 14 | $377.00 | $377.00 | $377.00 | 65% above | — |
| Wart removal, up to 14 warts CPT 17110 Hc Destruct Benign Lesion, 1-14 | $392.00 | $392.00 | $392.00 | 72% above | — |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 Debridement Subcutaneous Tissue 1st 20 Sq Cm/< | $196.00 | $196.00 | $196.00 | 43% below | — |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 Hc Debride Skin/tissue | $713.00 | $713.00 | $713.00 | 108% above | — |
Doctor visits and therapy
| Procedure | Cash price | List price | Insurers pay | vs North Dakota | Off list |
|---|---|---|---|---|---|
| Blood transfusion (giving blood or blood components) CPT 36430 Blood Admin-1 Unit | $1,017.00 | $1,017.00 | $1,017.00 | 33% above | — |
| Blood transfusion (giving blood or blood components) CPT 36430 Blood Admin-2 Units | $1,282.00 | $1,282.00 | $1,282.00 | 68% above | — |
| Blood transfusion (giving blood or blood components) CPT 36430 Blood Admin-3 Units | $1,833.00 | $1,833.00 | $1,833.00 | 140% above | — |
| Blood transfusion (giving blood or blood components) CPT 36430 Blood Admin-4 Units | $2,362.00 | $2,362.00 | $2,362.00 | 210% above | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Pressurized/nonpressurized Inhalation Treatment | $62.00 | $62.00 | $62.00 | 49% below | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Airway Inhalation Trmt | $63.00 | $63.00 | $63.00 | 48% below | — |
| Comprehensive hearing test: tone and speech audiometry, both ears CPT 92557 Hc Comprehensive Hearing Test | $182.00 | $182.00 | $182.00 | 13% below | — |
| Critical care, first 30 to 74 minutes CPT 99291 Critical Care Ill/injured Patient Init 30-74 Min | $770.00 | $770.00 | $770.00 | 7% below | — |
| Critical care, first 30 to 74 minutes CPT 99291 Critical Care 1st Hour | $2,445.00 | $2,445.00 | $2,445.00 | 197% above | — |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 Ecg Routine Ecg W/least 12 Lds Trcg Only W/o I&r | $49.00 | $49.00 | $49.00 | 59% below | — |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 Ekg | $200.00 | $200.00 | $200.00 | 68% above | — |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 Emergency Department Visit May Not Req Phys/qhp | $84.00 | $84.00 | $84.00 | 23% below | — |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 Ed Level I | $249.00 | $249.00 | $249.00 | 129% above | — |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 Emergency Department Visit Straightforward Mdm | $143.00 | $143.00 | $143.00 | 23% below | — |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 Ed Level Ii | $325.00 | $325.00 | $325.00 | 74% above | — |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 Emergency Department Visit Low Mdm | $227.00 | $227.00 | $227.00 | 24% below | — |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 Ed Level Iii | $565.00 | $565.00 | $565.00 | 89% above | — |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 Emergency Department Visit Moderate Mdm | $386.00 | $386.00 | $386.00 | 26% below | — |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 Ed Level Iv | $914.00 | $914.00 | $914.00 | 75% above | — |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 Emergency Department Visit High Mdm | $542.00 | $542.00 | $542.00 | 30% below | — |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 Ed Level V | $1,494.00 | $1,494.00 | $1,494.00 | 94% above | — |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 Iv Infusion Hydration Initial 31 Min-1 Hour | $190.00 | $190.00 | $190.00 | 37% below | — |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 Hydration,initial | $511.00 | $511.00 | $511.00 | 71% above | — |
| IV infusion of a medicine, first hour CPT 96365 Iv Infusion Therapy/prophylaxis /Dx 1st To 1 Hr | $232.00 | $232.00 | $232.00 | 39% below | — |
| IV infusion of a medicine, first hour CPT 96365 Infusion,initial | $561.00 | $561.00 | $561.00 | 47% above | — |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 Therapeutic Prophylactic/dx Injection Subq/im | $88.00 | $88.00 | $88.00 | 94% above | — |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 Injection | $161.00 | $161.00 | $161.00 | 256% above | — |
| Neuromuscular re-education, 15 minutes CPT 97112 Neuromusc Re-ed 15min | $175.00 | $175.00 | $175.00 | 57% above | — |
| New patient office visit, about 30 minutes CPT 99203 New patient office or other outpatient visit, 30 min | $339.00 | $339.00 | $339.00 | 52% above | — |
| New patient office visit, about 45 minutes CPT 99204 New patient office or other outpatient visit, 45 min | $514.00 | $514.00 | $514.00 | 75% above | — |
| New patient office visit, about 60 minutes CPT 99205 New patient office or other outpatient visit, 60 min | $647.00 | $647.00 | $647.00 | 70% above | — |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 Office/outpatient New Sf Mdm 15 Minutes | $240.00 | $240.00 | $240.00 | 44% above | — |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 Medical Nutrition Assmt&ivntj Indiv Each 15 Mi | $177.00 | $177.00 | $177.00 | 76% above | — |
| Occupational therapy evaluation, low complexity CPT 97165 Hc Ot Eval | $436.00 | $436.00 | $436.00 | 66% above | — |
| Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 Hc Pt Eval | $569.00 | $569.00 | $569.00 | 84% above | — |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 Hc Pt Eval | $451.00 | $451.00 | $451.00 | 71% above | — |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 Hc Pt Eval | $463.00 | $463.00 | $463.00 | 65% above | — |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 Manual Therapy 15min | $180.00 | $180.00 | $180.00 | 72% above | — |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Physical therapy, therapeutic exercise | $175.00 | $175.00 | $175.00 | 64% above | — |
| Preventive checkup, new patient aged 18–39 CPT 99385 Initial new patient preventative medicine evaluation (18-39 years) | $430.00 | $430.00 | $430.00 | 80% above | — |
| Preventive checkup, new patient aged 40–64 CPT 99386 Initial new patient preventative medicine evaluation (40-64 years) | $473.00 | $473.00 | $473.00 | 63% above | — |
| Preventive checkup, returning patient aged 18–39 CPT 99395 Periodic Preventive Med Est Patient 18-39 Yrs | $389.00 | $389.00 | $389.00 | 79% above | — |
| Preventive checkup, returning patient aged 40–64 CPT 99396 Periodic Preventive Med Est Patient 40-64yrs | $414.00 | $414.00 | $414.00 | 75% above | — |
| Preventive checkup, returning patient aged 65 or older CPT 99397 Periodic Preventive Med Est Patient 65yrs& Older | $446.00 | $446.00 | $446.00 | 80% above | — |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 Office/outpatient Established High Mdm 40 Min | $456.00 | $456.00 | $456.00 | 33% above | — |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 Office/outpatient Established Low Mdm 20 Min | $232.00 | $232.00 | $232.00 | 26% above | — |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 Office/outpatient Established Mod Mdm 30 Min | $341.00 | $341.00 | $341.00 | 37% above | — |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 Office/outpatient Established Sf Mdm 10 Min | $142.00 | $142.00 | $142.00 | 80% above | — |
| Speech and language evaluation CPT 92523 Speech Sound Eval | $1,005.00 | $1,005.00 | $1,005.00 | 77% above | — |
| Speech therapy session, individual CPT 92507 Speech/hearing Therapy | $382.00 | $382.00 | $382.00 | 43% above | — |
| Spirometry (breathing test) CPT 94010 Spmtry W/vc Expiratory Flo W/wo Mxml Vol Vntj | $123.00 | $123.00 | $123.00 | 13% below | — |
| Therapeutic activities (functional training), 15 minutes CPT 97530 Therapy Activity 15min | $206.00 | $206.00 | $206.00 | 75% above | — |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 Hc Therapeutic Phlebotomy | $480.00 | $480.00 | $480.00 | 65% above | — |
Vaccines
| Procedure | Cash price | List price | Insurers pay | vs North Dakota | Off list |
|---|---|---|---|---|---|
| Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 Iiv3 Vacc Preservative Free 0.5 Ml Dosage Im Use | $28.00 | $28.00 | $28.00 | 15% below | — |
| HPV vaccine, 9-valent (Gardasil 9) CPT 90651 9vhpv Vacc 2/3 Dose Sched Im Use | $338.00 | $338.00 | $338.00 | 5% below | — |
| High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 Iiv Vaccine Preserv Free Increased Ag Content Im | $105.00 | $105.00 | $105.00 | 35% above | — |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 Ppsv23 Vaccine 2 Yrs Or Older For Subq/im Use | $219.00 | $219.00 | $219.00 | 35% above | — |
| Rabies vaccine, one dose CPT 90675 Rabies Vaccine Intramuscular | $624.00 | $624.00 | $624.00 | 4% below | — |
| Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 Hzv Zoster Vacc Recombinant Adjuvanted Im Njx | $315.00 | $315.00 | $315.00 | 64% above | — |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 Td Vaccine Prsrv Free 7 Yrs Or Older For Im Use | $52.00 | $52.00 | $52.00 | 7% below | — |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 Tdap Vaccine 7 Yrs/> Im | $75.00 | $75.00 | $75.00 | 5% above | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Flu Vaccine Administration-clinic | $51.00 | $51.00 | $51.00 | 9% above | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Im Adm Prq Id Subq/im Njxs 1 Vaccine | $62.00 | $62.00 | $62.00 | 32% above | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Admin. Flu Vaccine | $68.00 | $68.00 | $68.00 | 45% above | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Immunization Administration | $79.00 | $79.00 | $79.00 | 68% above | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Admin Tetanus Toxoid | $80.00 | $80.00 | $80.00 | 70% above | — |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 Hc Immunization Admin Ea Addl | $52.00 | $52.00 | $52.00 | 70% above | — |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 Im Adm Prq Id Subq/im Njxs Ea Vaccine | $52.00 | $52.00 | $52.00 | 70% above | — |