Towner County Medical Center
Towner County Medical Center in Cando, ND publishes cash prices for 296 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 207 of 293 procedures and below it for 82. By typical cash price it ranks #22 of 25 North Dakota hospitals, cheapest first. Click a procedure to compare it with other hospitals nearby.
228 1ST Ave, Cando, ND 58324 Collected Sep 27, 2026 Source price file (701) 968-4411
Critical access hospital (rural, 25 beds or fewer) Emergency department CCN 351331 · CMS hospital register
The price file shows no self-pay discount
For 413 of the 413 prices listed here, the cash price in Towner County 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.
CMS price transparency record
The federal Centers for Medicare & Medicaid Services (CMS) enforces the rule that makes hospitals publish their prices. Its public enforcement list shows 3 actions for a hospital named Towner County Medical Center in Cando, ND:
- Apr 16, 2026 Corrective action plan requested
- Jun 29, 2026 Corrective action plan requested
- Jul 10, 2026 Case closed
Corrective action plan requested: CMS asked the hospital to submit a plan to fix the problems it found. Case closed: CMS closed the case after the hospital addressed the problems.
A notice records a step in a CMS review; it is not a court finding. Source: CMS, Hospital Price Transparency Enforcement Activities and Outcomes, actions through Jul 31, 2026.
Scans and imaging
| Procedure | Cash price | List price | Insurers pay | vs North Dakota | Off list |
|---|---|---|---|---|---|
| Ankle X-ray, complete, 3 or more views CPT 73610 Chg Radex Ankle Complete Minimum 3 Views | $42.00 | $42.00 | $24.00–$78.00 | 78% below | — |
| Ankle X-ray, complete, 3 or more views CPT 73610 Hc Ankle Min 3 Views | $192.00 | $192.00 | $111.00–$355.00 | 1% below | — |
| Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 Pr Non-invas Physiologic Std Extremity Art 2 Level | $252.00 | $252.00 | $146.00–$466.00 | 5% below | — |
| Bone scan, whole body (nuclear medicine) CPT 78306 Hc Nm Bone Whole Body/joint Scan | $1,302.00 | $1,302.00 | $755.00–$2,409.00 | 18% above | — |
| Breast ultrasound, complete, one breast CPT 76641 Chg Us Breast Uni Real Time With Image Complete | $168.00 | $168.00 | $97.00–$311.00 | 54% below | — |
| Breast ultrasound, complete, one breast one side CPT 76641 Hc Us Breast Unilat W/axilla Complete | $570.00 | $570.00 | $331.00–$1,055.00 | 57% above | — |
| Breast ultrasound, limited (one breast or one area) CPT 76642 Chg Us Breast Uni Real Time With Image Limited | $162.00 | $162.00 | $83.00–$300.00 | 38% below | — |
| Breast ultrasound, limited (one breast or one area) one side CPT 76642 Hc Us Breast Unilat W/axilla Limited | $414.00 | $414.00 | $240.00–$766.00 | 59% above | — |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 Chg Ct Angiography Chest W/contrast/noncontrast | $420.00 | $420.00 | $244.00–$777.00 | 81% below | — |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 Hc Cta Chest | $2,124.00 | $2,124.00 | $1,232.00–$3,929.00 | 1% below | — |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 Chg Ct Abdomen & Pelvis W/o Contrast Material | $402.00 | $402.00 | $181.00–$744.00 | 72% below | — |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 Hc Ct Abd/pelvis W/o Contrast | $3,066.00 | $3,066.00 | $1,778.00–$5,672.00 | 111% above | — |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT scan of abdomen and pelvis with contrast | $3,480.00 | $3,480.00 | $2,018.00–$6,438.00 | 40% above | — |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 Hc Ct Abd/pelvis W/o&w Contrast | $3,480.00 | $3,480.00 | $2,018.00–$6,438.00 | 19% above | — |
| CT scan of the abdomen with contrast CPT 74160 Hc Ct Abd W/dye | $1,668.00 | $1,668.00 | $967.00–$3,086.00 | 3% above | — |
| CT scan of the abdomen without contrast CPT 74150 Hc Ct Abd W/o Dye | $1,254.00 | $1,254.00 | $727.00–$2,320.00 | 5% above | — |
| CT scan of the face and sinuses, no contrast dye CPT 70486 Chg Ct Maxillofacial W/o Contrast Material | $198.00 | $198.00 | $115.00–$366.00 | 82% below | — |
| CT scan of the face and sinuses, no contrast dye CPT 70486 Hc Ct Facial Bones W/o Contrast | $1,056.00 | $1,056.00 | $612.00–$1,954.00 | 3% below | — |
| CT scan of the head or brain, no contrast dye CPT 70450 CT scan | $1,182.00 | $1,182.00 | $686.00–$2,187.00 | 13% above | — |
| CT scan of the head with contrast CPT 70460 Hc Ct Brain W/contrast | $1,284.00 | $1,284.00 | $745.00–$2,375.00 | 1% above | — |
| CT scan of the head without and with contrast CPT 70470 Chg Ct Head/brain W/o & W/contrast Material | $294.00 | $294.00 | $171.00–$544.00 | 80% below | — |
| CT scan of the head without and with contrast CPT 70470 Hc Ct Brain W/wo Contrast | $1,668.00 | $1,668.00 | $967.00–$3,086.00 | 13% above | — |
| CT scan of the lower back (lumbar spine) without contrast CPT 72131 Chg Ct Lumbar Spine W/o Contrast Material | $228.00 | $228.00 | $129.00–$422.00 | 82% below | — |
| CT scan of the lower back (lumbar spine) without contrast CPT 72131 Hc Ct Spine Lumbar W/o Dye | $1,362.00 | $1,362.00 | $790.00–$2,520.00 | 6% above | — |
| CT scan of the neck (cervical spine), no contrast dye CPT 72125 Chg Ct Cervical Spine W/o Contrast Material | $246.00 | $246.00 | $129.00–$455.00 | 81% below | — |
| CT scan of the neck (cervical spine), no contrast dye CPT 72125 Hc Ct Spine Cervical W/o Dye | $1,392.00 | $1,392.00 | $807.00–$2,575.00 | 6% above | — |
| CT scan of the pelvis, with contrast dye CPT 72193 CT scan of pelvis with contrast | $1,596.00 | $1,596.00 | $926.00–$2,953.00 | at median | — |
| Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 Pr Duplex Scan Extracranial Art Compl Bi Study | $198.00 | $198.00 | $115.00–$366.00 | — | — |
| Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 Hc Carotid Doppler | $978.00 | $978.00 | $567.00–$1,809.00 | 37% above | — |
| Chest X-ray, 2 views CPT 71046 Chg Radiologic Exam Chest 2 Views | $48.00 | $48.00 | $28.00–$89.00 | 70% below | — |
| Chest X-ray, 2 views CPT 71046 Hc Xray Chest 2 Views | $186.00 | $186.00 | $108.00–$344.00 | 16% above | — |
| Chest X-ray, single view CPT 71045 Chg Radiologic Exam Chest Single View | $42.00 | $42.00 | $24.00–$78.00 | 69% below | — |
| Chest X-ray, single view CPT 71045 Hc Xray Chest 1 View | $150.00 | $150.00 | $87.00–$278.00 | 11% above | — |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 Chg Us Retroperitoneal Real Time W/image Complete | $168.00 | $168.00 | $97.00–$311.00 | 59% below | — |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 Hc Us Retroperit (Renal Laaa) | $612.00 | $612.00 | $355.00–$1,132.00 | 51% above | — |
| DEXA bone density scan of the hip, pelvis or spine CPT 77080 Chg Dxa Bone Density Study 1/> Sites Axial Skel | $48.00 | $48.00 | $28.00–$89.00 | 82% below | — |
| DEXA bone density scan of the hip, pelvis or spine CPT 77080 Hc Dexascan | $648.00 | $648.00 | $376.00–$1,199.00 | 145% above | — |
| DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 Chg Dxa Bone Density Study 1/>sites Appendiclr Skel | $48.00 | $48.00 | $28.00–$89.00 | 53% below | — |
| DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 Hc Dexa Bone Density Peripheral | $258.00 | $258.00 | $150.00–$477.00 | 153% above | — |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 Chg Diagnostic Computed Tomography Thorax W/o Cntrst | $234.00 | $234.00 | $131.00–$433.00 | 80% below | — |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 Hc Ct Thorax Wo Contrast | $1,242.00 | $1,242.00 | $720.00–$2,298.00 | 4% above | — |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 Chg Diagnostic Computed Tomography Thorax W/contrast | $288.00 | $288.00 | $165.00–$533.00 | 80% below | — |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 Hc Ct Thorax W Contrast | $1,668.00 | $1,668.00 | $967.00–$3,086.00 | 17% above | — |
| Diagnostic mammogram, both breasts CPT 77066 Mammography of both breasts | $624.00 | $624.00 | $362.00–$1,154.00 | 20% above | — |
| Diagnostic mammogram, one breast CPT 77065 Mammography of one breast | $492.00 | $492.00 | $285.00–$910.00 | 26% above | — |
| Duplex ultrasound of the leg arteries, both legs CPT 93925 Hc Duplex Lower Extremity | $1,164.00 | $1,164.00 | $675.00–$2,153.00 | 34% above | — |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 Pr Dup-scan Xtr Veins Complete Bilateral Study | $162.00 | $162.00 | $94.00–$300.00 | — | — |
| Duplex ultrasound of the leg veins, both legs CPT 93970 Hc Venous Imaging | $1,020.00 | $1,020.00 | $592.00–$1,887.00 | 45% above | — |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 Hc Tte W/doppler Complete | $690.00 | $690.00 | $211.00–$1,277.00 | 17% below | — |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 Hc Nm Hida Image | $1,830.00 | $1,830.00 | $1,061.00–$3,386.00 | 39% above | — |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 Hc Polysomnogram;sleep Stg;4+cpap | $2,862.00 | $2,862.00 | $1,660.00–$5,295.00 | 19% above | — |
| Knee X-ray, 3 views CPT 73562 Chg Radiologic Examination Knee 3 Views | $48.00 | $48.00 | $28.00–$89.00 | 77% below | — |
| Knee X-ray, 3 views CPT 73562 Hc Knee Min 3 Views | $210.00 | $210.00 | $122.00–$389.00 | 3% above | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 Chg Us Abdominal Real Time W/image Limited | $138.00 | $138.00 | $80.00–$255.00 | 63% below | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 Hc Us Echo Exam Of Abdomen | $414.00 | $414.00 | $240.00–$766.00 | 11% above | — |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MRI scan of leg joint | $2,334.00 | $2,334.00 | $1,354.00–$4,318.00 | 19% above | — |
| MRI of the abdomen without contrast CPT 74181 Hc Mri-abdomen W/o Dye | $2,910.00 | $2,910.00 | $1,688.00–$5,384.00 | 51% above | — |
| MRI of the abdomen, without and then with contrast dye CPT 74183 Hc Mri Abdomen W/wo Dye | $3,660.00 | $3,660.00 | $2,123.00–$6,771.00 | 14% above | — |
| MRI of the brain, no contrast dye CPT 70551 Chg Mri Brain Brain Stem W/o Contrast Material | $342.00 | $342.00 | $193.00–$633.00 | 79% below | — |
| MRI of the brain, no contrast dye CPT 70551 Hc Mri-brain/brain Stem | $2,226.00 | $2,226.00 | $1,291.00–$4,118.00 | 35% above | — |
| MRI of the brain, with and without contrast dye CPT 70553 MRI Scan | $4,458.00 | $4,458.00 | $2,586.00–$8,247.00 | 38% above | — |
| MRI of the lower back, no contrast dye CPT 72148 MRI scan of lower spinal canal | $2,784.00 | $2,784.00 | $1,615.00–$5,150.00 | 43% above | — |
| MRI of the lower back, without and then with contrast dye CPT 72158 Chg Mri Spinal Canal Lumbar W/o & W/contr Matrl | $528.00 | $528.00 | $306.00–$977.00 | 84% below | — |
| MRI of the lower back, without and then with contrast dye CPT 72158 Hc Mri L-spine W/wo Dye | $4,176.00 | $4,176.00 | $2,422.00–$7,726.00 | 27% above | — |
| MRI of the mid back (thoracic spine), no contrast dye CPT 72146 Chg Mri Spinal Canal Thoracic W/o Contrast Matrl | $342.00 | $342.00 | $188.00–$633.00 | 83% below | — |
| MRI of the mid back (thoracic spine), no contrast dye CPT 72146 Hc Mri-t-spine W/o Dye | $2,892.00 | $2,892.00 | $1,677.00–$5,350.00 | 45% above | — |
| MRI of the neck (cervical spine) without and with contrast CPT 72156 Hc Mri C-spine W/wo Dye | $4,164.00 | $4,164.00 | $2,415.00–$7,703.00 | 28% above | — |
| MRI of the neck (cervical spine), no contrast dye CPT 72141 Chg Mri Spinal Canal Cervical W/o Contrast Matrl | $342.00 | $342.00 | $189.00–$633.00 | 82% below | — |
| MRI of the neck (cervical spine), no contrast dye CPT 72141 Hc Mri-c-spine W/o Dye | $2,088.00 | $2,088.00 | $1,211.00–$3,863.00 | 7% above | — |
| MRI of the pelvis without and with contrast CPT 72197 Hc Mri Pelvis W/wo Dye | $3,660.00 | $3,660.00 | $2,123.00–$6,771.00 | 14% above | — |
| MRI of the pelvis, no contrast dye CPT 72195 Hc Mri Pelvis Wo Dye | $2,754.00 | $2,754.00 | $1,597.00–$5,095.00 | 19% above | — |
| MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 Chg Mri Any Jt Upper Extremity W/o Contrast Matrl | $312.00 | $312.00 | $181.00–$577.00 | 84% below | — |
| MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 Hc Mri-upper Ext Joint W/o Dye | $2,370.00 | $2,370.00 | $1,375.00–$4,385.00 | 23% above | — |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 Hc Nm Ht Muscle Image Spect,multiple | $2,508.00 | $2,508.00 | $497.00–$4,640.00 | 27% above | — |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 Hc Nm Thallium S/r | $2,508.00 | $2,508.00 | $497.00–$4,640.00 | 27% above | — |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 Chg Us Pelvic Nonobstetric Image Dcmtn Limited/f/u | $102.00 | $102.00 | $50.00–$189.00 | 68% below | — |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 Hc Us Pelvic Limited | $510.00 | $510.00 | $296.00–$944.00 | 62% above | — |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 Chg Us Pelvic Nonobstetric Real-time Image Complete | $162.00 | $162.00 | $94.00–$300.00 | 59% below | — |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 Hc Us Pelvic Complete | $594.00 | $594.00 | $345.00–$1,099.00 | 52% above | — |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 Abdomial ultrasound of pregnant uterus | $552.00 | $552.00 | $320.00–$1,021.00 | 17% above | — |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 Hc Us Ob Complete(<14 Wks) | $438.00 | $438.00 | $254.00–$810.00 | 16% above | — |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 Chg Us Pregnant Uterus Limited 1/> Fetuses | $156.00 | $156.00 | $81.00–$289.00 | 45% below | — |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 Hc Us Pregnancy Lmtd | $348.00 | $348.00 | $202.00–$644.00 | 22% above | — |
| Screening mammogram, both breasts both sides CPT 77067 Mammography, screening, bilateral | $486.00 | $486.00 | $282.00–$899.00 | — | — |
| Shoulder X-ray, complete, 2 or more views CPT 73030 Chg Radex Shoulder Complete Minimum 2 Views | $48.00 | $48.00 | $28.00–$89.00 | 73% below | — |
| Shoulder X-ray, complete, 2 or more views CPT 73030 Hc Shoulder Min 2 Views | $198.00 | $198.00 | $115.00–$366.00 | 10% above | — |
| Sleep study in a lab (polysomnography) CPT 95810 Sleep study | $2,652.00 | $2,652.00 | $1,538.00–$4,906.00 | 12% above | — |
| Transvaginal pelvic ultrasound CPT 76830 Ultrasound pelvis through vagina | $528.00 | $528.00 | $306.00–$977.00 | 14% above | — |
| Transvaginal ultrasound during pregnancy CPT 76817 Chg Us Preg Uterus Real Time W/image Dcmtn Transvag | $180.00 | $180.00 | $92.00–$333.00 | 40% below | — |
| Transvaginal ultrasound during pregnancy CPT 76817 Hc Us Transvaginal(ob) | $354.00 | $354.00 | $205.00–$655.00 | 18% above | — |
| Ultrasound of the abdomen, complete CPT 76700 Ultrasound of abdomen | $582.00 | $582.00 | $338.00–$1,077.00 | 14% above | — |
| Ultrasound of the scrotum and testicles CPT 76870 Chg Us Scrotum & Contents | $144.00 | $144.00 | $84.00–$266.00 | 63% below | — |
| Ultrasound of the scrotum and testicles CPT 76870 Hc Us Scrotum | $438.00 | $438.00 | $254.00–$810.00 | 13% above | — |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 Chg Us Soft Tissue Head & Neck Real Time Imge Docm | $126.00 | $126.00 | $73.00–$233.00 | 72% below | — |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 Hc Us Exam Head/neck | $528.00 | $528.00 | $306.00–$977.00 | 17% above | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 Pr Dup-scan Xtr Veins Unilateral/limited Study | $102.00 | $102.00 | $59.00–$189.00 | 82% below | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 Hc Unilat/ltd Venous | $426.00 | $426.00 | $247.00–$788.00 | 23% below | — |
| Wrist X-ray, complete, 3 or more views CPT 73110 Chg Radex Wrist Complete Minimum 3 Views | $42.00 | $42.00 | $24.00–$78.00 | 77% below | — |
| Wrist X-ray, complete, 3 or more views CPT 73110 Hc Wrist Comp Min 3 Views | $162.00 | $162.00 | $94.00–$300.00 | 13% below | — |
| 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 | $168.00 | $168.00 | $97.00–$311.00 | 16% below | — |
| X-ray of the abdomen, 1 view CPT 74018 Chg Radiologic Exam Abdomen 1 View | $42.00 | $42.00 | $24.00–$78.00 | 65% below | — |
| X-ray of the abdomen, 1 view CPT 74018 Hc Xray Abdomen 1 View | $174.00 | $174.00 | $101.00–$322.00 | 46% above | — |
| X-ray of the ankle, 2 views CPT 73600 Chg Radiologic Examination Ankle 2 Views | $42.00 | $42.00 | $24.00–$78.00 | 74% below | — |
| X-ray of the ankle, 2 views CPT 73600 Hc X-ray Ankle 2 Views | $246.00 | $246.00 | $143.00–$455.00 | 53% above | — |
| X-ray of the finger(s), 2 or more views CPT 73140 Chg Radex Fingr Minimum 2 Views | $30.00 | $30.00 | $17.00–$59.00 | 81% below | — |
| X-ray of the finger(s), 2 or more views CPT 73140 Hc Finger Min 2 Views | $144.00 | $144.00 | $84.00–$266.00 | 10% below | — |
| X-ray of the foot, 2 views CPT 73620 Chg Radiologic Examination Foot 2 Views | $36.00 | $36.00 | $21.00–$67.00 | 78% below | — |
| X-ray of the foot, 2 views CPT 73620 Hc Foot 2 Views | $234.00 | $234.00 | $136.00–$433.00 | 46% above | — |
| X-ray of the foot, complete, 3 or more views CPT 73630 Chg Radex Foot Complete Minimum 3 Views | $42.00 | $42.00 | $24.00–$78.00 | 78% below | — |
| X-ray of the foot, complete, 3 or more views CPT 73630 Hc Foot Min 3 Views | $174.00 | $174.00 | $101.00–$322.00 | 9% below | — |
| X-ray of the hand, 3 or more views CPT 73130 Chg Radex Hand Minimum 3 Views | $42.00 | $42.00 | $24.00–$78.00 | 79% below | — |
| X-ray of the hand, 3 or more views CPT 73130 Hc Hand Min 3 Views | $174.00 | $174.00 | $101.00–$322.00 | 13% below | — |
| X-ray of the knee, 1 or 2 views CPT 73560 Chg Radiologic Examination Knee 1/2 Views | $48.00 | $48.00 | $28.00–$89.00 | 74% below | — |
| X-ray of the knee, 1 or 2 views CPT 73560 Hc Knee 1 Or 2 Views | $174.00 | $174.00 | $101.00–$322.00 | 7% below | — |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 Chg Radex Spine Lumbosacral 2/3 Views | $54.00 | $54.00 | $31.00–$100.00 | 69% below | — |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 Hc Lumbar Spine 2 Views | $216.00 | $216.00 | $125.00–$400.00 | 25% above | — |
| X-ray of the lower back, 4 or more views CPT 72110 X-Ray of lower back | $294.00 | $294.00 | $171.00–$544.00 | 24% above | — |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 Chg Radex Spine Thoracic 2 Views | $54.00 | $54.00 | $31.00–$100.00 | 65% below | — |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 Hc Spine Thoracic 2 Views | $168.00 | $168.00 | $97.00–$311.00 | 8% above | — |
| X-ray of the nasal bones, 3 or more views CPT 70160 Chg Radex Nasal Bones Complete Minimum 3 Views | $42.00 | $42.00 | $24.00–$78.00 | 72% below | — |
| X-ray of the nasal bones, 3 or more views CPT 70160 Hc Nose Bones Min 3 Views | $144.00 | $144.00 | $84.00–$266.00 | 4% below | — |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 Chg Radex Spine Cervical 2 Or 3 Views | $54.00 | $54.00 | $31.00–$100.00 | 66% below | — |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 Hc Cervical Spine 2/3 Views | $192.00 | $192.00 | $111.00–$355.00 | 20% above | — |
| X-ray of the pelvis, 1 or 2 views CPT 72170 Chg Radiologic Examination Pelvis 1/2 Views | $42.00 | $42.00 | $24.00–$78.00 | 72% below | — |
| X-ray of the pelvis, 1 or 2 views CPT 72170 Hc Pelvis | $168.00 | $168.00 | $97.00–$311.00 | 10% above | — |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 Chg Radex Sacrum & Coccyx Minimum 2 Views | $48.00 | $48.00 | $28.00–$89.00 | 67% below | — |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 Hc Sacrun Coccyx Min 2 Views | $222.00 | $222.00 | $129.00–$411.00 | 52% above | — |
Lab tests
| Procedure | Cash price | List price | Insurers pay | vs North Dakota | Off list |
|---|---|---|---|---|---|
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 Tc Alt (Sgpt) | $66.00 | $66.00 | $38.00–$122.00 | 53% above | — |
| AST (aspartate aminotransferase) enzyme test CPT 84450 Tc Ast (Sgot) | $60.00 | $60.00 | $35.00–$111.00 | 33% above | — |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 Tc Acute Hep Panel | $378.00 | $378.00 | $219.00–$699.00 | 74% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Tc Allergen, Ige | $60.00 | $60.00 | $35.00–$111.00 | 317% above | — |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 Tc Cyclic Citrullinated,ab | $144.00 | $144.00 | $84.00–$266.00 | 109% above | — |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 Tc Ana | $96.00 | $96.00 | $56.00–$178.00 | 59% above | — |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 Tc Ana Titer | $96.00 | $96.00 | $56.00–$178.00 | 59% above | — |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 Tc Bnp, Natriuretic Peptide | $318.00 | $318.00 | $184.00–$588.00 | 35% above | — |
| Basic metabolic panel (blood test) CPT 80048 Basic metabolic panel | $120.00 | $120.00 | $70.00–$222.00 | 61% above | — |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 Tc Path Level Iv Surg | $114.00 | $114.00 | $55.00–$211.00 | 1% above | — |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 Tc Rcyto/cyto Cell Block | $252.00 | $252.00 | $55.00–$466.00 | 122% above | — |
| Blood culture for bacteria CPT 87040 Tc Blood Culture | $126.00 | $126.00 | $73.00–$233.00 | 56% above | — |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 Tc Venipuncture | $24.00 | $24.00 | $3.00–$44.00 | 39% above | — |
| Blood glucose (sugar) test CPT 82947 Tc Glucose, Blood | $72.00 | $72.00 | $42.00–$133.00 | 161% above | — |
| Blood lead test CPT 83655 Tc Rhms/heavy Metal Lead | $96.00 | $96.00 | $56.00–$178.00 | 118% above | — |
| Blood lead test CPT 83655 Tc Lead Level | $96.00 | $96.00 | $56.00–$178.00 | 118% above | — |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 Tc Hcg, Serum | $78.00 | $78.00 | $45.00–$144.00 | 14% above | — |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 Tc Abo-az | $66.00 | $66.00 | $38.00–$122.00 | 68% above | — |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 Tc Abo Typing | $72.00 | $72.00 | $42.00–$133.00 | 84% above | — |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 Tc C-reactive Protein | $114.00 | $114.00 | $66.00–$211.00 | 258% above | — |
| C. difficile toxin gene test (stool PCR) CPT 87493 Tc C Difficile Toxin | $288.00 | $288.00 | $167.00–$533.00 | 52% above | — |
| C. difficile toxin gene test (stool PCR) CPT 87493 Tc C. Diff | $462.00 | $462.00 | $268.00–$855.00 | 144% above | — |
| CA 19-9 blood test (tumor marker) CPT 86301 Tc Ca 19-9 | $168.00 | $168.00 | $97.00–$311.00 | 65% above | — |
| CA-125 blood test (ovarian cancer marker) CPT 86304 Tc Ca125 | $174.00 | $174.00 | $101.00–$322.00 | 59% above | — |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 Tc Sars-cov-2 Covid-19 Amp Prb | $204.00 | $204.00 | $118.00–$377.00 | 67% above | — |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Tc Chlamydia | $324.00 | $324.00 | $188.00–$599.00 | 183% above | — |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Blood test, lipids | $120.00 | $120.00 | $70.00–$222.00 | 55% above | — |
| Complete blood count (CBC) with differential CPT 85025 Complete blood cell count (CBC), with differential white blood cells, automated | $90.00 | $90.00 | $52.00–$167.00 | 48% above | — |
| Complete blood count (CBC), no differential CPT 85027 Complete blood cell count (CBC), automated | $90.00 | $90.00 | $52.00–$167.00 | 91% above | — |
| Comprehensive metabolic panel (blood test) CPT 80053 Blood test, comprehensive group of blood chemicals | $138.00 | $138.00 | $80.00–$255.00 | 42% above | — |
| D-dimer blood test (blood clot marker) CPT 85379 Tc D-dimer, Quality | $84.00 | $84.00 | $49.00–$155.00 | 11% above | — |
| D-dimer blood test (blood clot marker) CPT 85379 Tc D-dimer | $132.00 | $132.00 | $77.00–$244.00 | 74% above | — |
| DHEA sulfate (DHEA-S) blood test CPT 82627 Tc Dhea-s | $180.00 | $180.00 | $104.00–$333.00 | 83% above | — |
| Estradiol blood test CPT 82670 Tc Estradiol | $228.00 | $228.00 | $132.00–$422.00 | 116% above | — |
| FSH (follicle-stimulating hormone) test CPT 83001 Tc Fsh | $156.00 | $156.00 | $90.00–$289.00 | 60% above | — |
| Fecal calprotectin (stool inflammation test) CPT 83993 Tc Calprotectin, Fecal | $336.00 | $336.00 | $195.00–$622.00 | 123% above | — |
| Ferritin blood test (iron stores) CPT 82728 Tc Ferritin | $144.00 | $144.00 | $84.00–$266.00 | 95% above | — |
| Folate (folic acid) blood test CPT 82746 Tc Folic Acid, Serum | $138.00 | $138.00 | $80.00–$255.00 | 66% above | — |
| Free T3 thyroid hormone test CPT 84481 Tc Free T3 | $150.00 | $150.00 | $87.00–$278.00 | 62% above | — |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 Tc Rtfc-t4 Free Mayo | $90.00 | $90.00 | $52.00–$167.00 | 91% above | — |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 Tc Free T4 | $90.00 | $90.00 | $52.00–$167.00 | 91% above | — |
| Free testosterone test CPT 84402 Tc Testosterone Free | $204.00 | $204.00 | $118.00–$377.00 | 183% above | — |
| General health panel: metabolic panel, blood count and TSH in one order CPT 80050 Tc General Health, Med | $270.00 | $270.00 | $157.00–$500.00 | 11% above | — |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 Tc Oggt/glucose W/glucose Lo | $180.00 | $180.00 | $104.00–$333.00 | 359% above | — |
| Glucose tolerance test, 3 samples CPT 82951 Tc Gluc Tol 3spec | $102.00 | $102.00 | $59.00–$189.00 | 2% above | — |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 Tc Gonorrhea | $324.00 | $324.00 | $188.00–$599.00 | 222% above | — |
| H. pylori antibody blood test CPT 86677 Tc Helicobacter Pylori | $174.00 | $174.00 | $101.00–$322.00 | 100% above | — |
| H. pylori stool antigen test CPT 87338 Tc Hpylori Ag, Stool | $120.00 | $120.00 | $70.00–$222.00 | 17% above | — |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 Tc Hiv-1 Rna Quant | $678.00 | $678.00 | $393.00–$1,254.00 | 159% above | — |
| HIV-1 and HIV-2 antibody test CPT 86703 Tc Hiv Screen | $114.00 | $114.00 | $66.00–$211.00 | 44% above | — |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 Tc Hiv-1 Ag W/hiv-1 & Hiav-2 Ab | $162.00 | $162.00 | $94.00–$300.00 | 39% above | — |
| HPV test for high-risk types, one combined (pooled) result CPT 87624 Tc Human Papilloma Virus | $300.00 | $300.00 | $174.00–$555.00 | 206% above | — |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Tc Hgb, Glycosylated-hgb A1c | $90.00 | $90.00 | $52.00–$167.00 | 26% above | — |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 Tc Hepatitis B, Ab | $90.00 | $90.00 | $52.00–$167.00 | 60% above | — |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 Tc Hep Bs Ag | $84.00 | $84.00 | $49.00–$155.00 | 63% above | — |
| Hepatitis C antibody blood test (screening) CPT 86803 Tc Hcv Antibody | $132.00 | $132.00 | $77.00–$244.00 | 112% above | — |
| Hepatitis C viral load (HCV RNA) test one side CPT 87522 Tc Hcv Quant By Rt-pcr | $342.00 | $342.00 | $198.00–$633.00 | 161% above | — |
| Herpes blood test, HSV-1 antibody CPT 86695 Tc Herpes Type 1 | $108.00 | $108.00 | $63.00–$200.00 | 127% above | — |
| Herpes blood test, HSV-2 antibody CPT 86696 Tc Herpes Type 2 | $156.00 | $156.00 | $90.00–$289.00 | 166% above | — |
| High-sensitivity CRP (hs-CRP) test CPT 86141 Tc Crp High Sensitiv | $126.00 | $126.00 | $73.00–$233.00 | 83% above | — |
| Homocysteine blood test CPT 83090 Tc Homocysteine, Urine | $132.00 | $132.00 | $77.00–$244.00 | 43% above | — |
| Homocysteine blood test CPT 83090 Tc Homocysteine Plasma | $132.00 | $132.00 | $77.00–$244.00 | 43% above | — |
| Insulin blood test CPT 83525 Tc Insulin | $96.00 | $96.00 | $56.00–$178.00 | 67% above | — |
| Iron blood test (serum iron) CPT 83540 Tc Iron | $78.00 | $78.00 | $45.00–$144.00 | 137% above | — |
| Iron-binding capacity (TIBC) test CPT 83550 Tc Iron Binding Cap | $90.00 | $90.00 | $52.00–$167.00 | 94% above | — |
| Kidney function blood test panel CPT 80069 Kidney function panel test | $90.00 | $90.00 | $52.00–$167.00 | 32% above | — |
| LH (luteinizing hormone) test CPT 83002 Tc Lutenizing Hormone | $150.00 | $150.00 | $87.00–$278.00 | 45% above | — |
| Lipase blood test (pancreas enzyme) CPT 83690 Tc Lipase | $84.00 | $84.00 | $49.00–$155.00 | 57% above | — |
| Liver function blood test panel CPT 80076 Liver function blood test | $120.00 | $120.00 | $70.00–$222.00 | 66% above | — |
| Lyme disease antibody test CPT 86618 Tc Lyme Disease Serol | $138.00 | $138.00 | $80.00–$255.00 | 191% above | — |
| Magnesium blood test CPT 83735 Tc Magnesium,urine | $90.00 | $90.00 | $52.00–$167.00 | 275% above | — |
| Magnesium blood test CPT 83735 Tc Magnesium | $96.00 | $96.00 | $56.00–$178.00 | 300% above | — |
| Measles (rubeola) antibody test CPT 86765 Tc Rubeola Ab | $102.00 | $102.00 | $59.00–$189.00 | 80% above | — |
| Mono test (heterophile antibody, Monospot) CPT 86308 Tc Mononucleosis | $90.00 | $90.00 | $52.00–$167.00 | 126% above | — |
| Obstetric blood test panel CPT 80055 Obstetric blood test panel | $408.00 | $408.00 | $237.00–$755.00 | 35% above | — |
| PSA (prostate-specific antigen) blood test, free CPT 84154 Total prostate-specific antigen (PSA) test | $240.00 | $240.00 | $139.00–$444.00 | 270% above | — |
| PSA (prostate-specific antigen) blood test, total CPT 84153 Total prostate-specific antigen (PSA) test | $168.00 | $168.00 | $97.00–$311.00 | 88% above | — |
| Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 Tc Liqui-pap | $156.00 | $156.00 | $90.00–$289.00 | 57% above | — |
| Parathyroid hormone (PTH) blood test CPT 83970 Tc Parathyroid Hormone | $336.00 | $336.00 | $195.00–$622.00 | 61% above | — |
| Partial thromboplastin time (PTT) clotting test CPT 85730 Coagulation assessment blood test | $72.00 | $72.00 | $42.00–$133.00 | 125% above | — |
| Progesterone blood test CPT 84144 Tc Progesterone, Serum | $168.00 | $168.00 | $97.00–$311.00 | 46% above | — |
| Prolactin blood test CPT 84146 Tc Prolactin | $162.00 | $162.00 | $94.00–$300.00 | 116% above | — |
| Prothrombin time (PT/INR) clotting test CPT 85610 Blood test, clotting time | $60.00 | $60.00 | $35.00–$111.00 | 143% above | — |
| Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 Tc Drug Screen, Urine | $90.00 | $90.00 | $52.00–$167.00 | 17% above | — |
| Rapid flu test (influenza antigen) CPT 87804 Tc Influenza Ab | $96.00 | $96.00 | $14.00–$178.00 | 13% above | — |
| Rheumatoid factor (RF) test CPT 86431 Tc Quant Rheumotoid Factor | $90.00 | $90.00 | $52.00–$167.00 | 150% above | — |
| Rubella antibody test (immunity check) CPT 86762 Tc Rubella Igm | $120.00 | $120.00 | $70.00–$222.00 | 95% above | — |
| Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 Tc Sedimentation Rate, Esr | $60.00 | $60.00 | $35.00–$111.00 | 92% above | — |
| Stool ova and parasites exam CPT 87177 Tc Ro&p/ova¶sites Conc/i | $72.00 | $72.00 | $42.00–$133.00 | 48% above | — |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 Tc Occult Bld, Stool | $54.00 | $54.00 | $31.00–$100.00 | 85% above | — |
| Stool test for hidden blood by immunoassay (FIT) CPT 82274 Tc Assay Test For Blood Fecal | $240.00 | $240.00 | $139.00–$444.00 | 186% above | — |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 Tc Syphilis, Rpr, Vdrl | $72.00 | $72.00 | $42.00–$133.00 | 173% above | — |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 Tc Quantiferon Tb Gold | $504.00 | $504.00 | $292.00–$932.00 | 259% above | — |
| Testosterone blood test, total (not free testosterone) CPT 84403 Tc Testosterone Total | $234.00 | $234.00 | $136.00–$433.00 | 221% above | — |
| Thyroid peroxidase (TPO) antibody test CPT 86376 Tc Liver/kidney Microsome Ab | $156.00 | $156.00 | $90.00–$289.00 | 157% above | — |
| Thyroid peroxidase (TPO) antibody test CPT 86376 Tc Rtfc-tpo Antiobodies | $156.00 | $156.00 | $90.00–$289.00 | 157% above | — |
| Thyroid peroxidase (TPO) antibody test CPT 86376 Tc Thyroperioxidase Ab, Tpo | $156.00 | $156.00 | $90.00–$289.00 | 157% above | — |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 Blood test, thyroid stimulating hormone (TSH) | $138.00 | $138.00 | $80.00–$255.00 | 35% above | — |
| Uric acid blood test CPT 84550 Tc Uric Acid | $60.00 | $60.00 | $35.00–$111.00 | 54% above | — |
| Urinalysis with microscope exam, automated CPT 81001 Urinalysis test using microscope | $48.00 | $48.00 | $28.00–$89.00 | 33% above | — |
| Urinalysis with microscope exam, manual CPT 81000 Urinalysis test using microscope | $84.00 | $84.00 | $49.00–$155.00 | 201% above | — |
| Urinalysis without microscope exam, automated CPT 81003 Urinalysis test | $30.00 | $30.00 | $17.00–$56.00 | 70% above | — |
| Urinalysis without microscope exam, manual CPT 81002 Urinalysis test | $42.00 | $42.00 | $24.00–$78.00 | 106% above | — |
| Urine culture for bacteria, with colony count CPT 87086 Tc Urine Culture | $90.00 | $90.00 | $52.00–$167.00 | 32% above | — |
| Urine pregnancy test, read by color change CPT 81025 Tc Hcg, Urine | $78.00 | $78.00 | $45.00–$144.00 | 32% above | — |
| Vitamin B12 (cobalamin) blood test CPT 82607 Tc Vitamin B12 | $156.00 | $156.00 | $90.00–$289.00 | 93% above | — |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 Tc Vitamin D | $234.00 | $234.00 | $136.00–$433.00 | 45% above | — |
| Zinc blood test CPT 84630 Tc Zinc | $96.00 | $96.00 | $56.00–$178.00 | 200% above | — |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 Tc Hcg Beta Sub Unit | $144.00 | $144.00 | $84.00–$266.00 | 89% above | — |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 Tc Rafp/afbhcg, Total | $144.00 | $144.00 | $84.00–$266.00 | 89% above | — |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 Tc Hcg, Quantitative | $150.00 | $150.00 | $87.00–$278.00 | 97% above | — |
Surgery and procedures
| Procedure | Cash price | List price | Insurers pay | vs North Dakota | Off list |
|---|---|---|---|---|---|
| Adenoid removal (adenoidectomy), child under 12 CPT 42830 Pr Adenoidectomy Primary <Age 12 | $594.00 | $594.00 | $345.00–$1,099.00 | 88% below | — |
| Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 Pr Cltx Dstl Fibular Fx Lat Malls W/o Manj | $888.00 | $888.00 | $515.00–$1,643.00 | 120% above | — |
| Broken foot (metatarsal) treatment without surgery or setting CPT 28470 Pr Cltx Metatarsal Fracture W/o Manipulation Each | $612.00 | $612.00 | $355.00–$1,132.00 | 37% above | — |
| Bunion correction with a bone cut near the head of the first metatarsal CPT 28296 Pr Corrj Hlx Vlgs Bncty Sesmdc Dstl Metar Osteot | $2,586.00 | $2,586.00 | $1,500.00–$4,784.00 | 53% below | — |
| Bunion correction with removal of part of the big toe joint CPT 28292 Pr Corrj Hlx Vlgs Bncty Sesmdc Rescj Prox Phlx Base | $2,094.00 | $2,094.00 | $1,215.00–$3,874.00 | 37% below | — |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 Pr Cardioversion Elective Arrhythmia External | $564.00 | $564.00 | $327.00–$1,043.00 | 29% below | — |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 Hc Cardioversion | $690.00 | $690.00 | $400.00–$1,277.00 | 13% below | — |
| Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 Hc Closed Rx Dist Rad/ulna Fx | $486.00 | $486.00 | $282.00–$899.00 | 3% above | — |
| Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 Pr Cltx Dstl Radial Fx/epiphysl Sep W/o Mnpj | $966.00 | $966.00 | $560.00–$1,787.00 | 106% above | — |
| Colonoscopy with polyp removal CPT 45385 Removal of polyps or growths of large bowel using an endoscope | $2,160.00 | $2,160.00 | $1,253.00–$3,996.00 | 7% above | — |
| Colonoscopy with tissue sample CPT 45380 Biopsy exam of large bowel using an endoscope | $2,160.00 | $2,160.00 | $1,253.00–$3,996.00 | 17% above | — |
| Colonoscopy, diagnostic CPT 45378 Diagnostic exam of large bowel using an endoscope | $1,950.00 | $1,950.00 | $1,131.00–$3,608.00 | 108% above | — |
| Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 Pr Destruction Premalignant Lesion 1st | $228.00 | $228.00 | $132.00–$422.00 | 26% above | — |
| Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 Hc Destruct Premalg Lesion | $360.00 | $360.00 | $209.00–$666.00 | 99% above | — |
| Earwax removal by irrigation (rinsing), one ear CPT 69209 Hc Remove Impacted Ear Wax Irrigation | $150.00 | $150.00 | $87.00–$278.00 | 147% above | — |
| Earwax removal by irrigation (rinsing), one ear one side CPT 69209 Pr Removal Impacted Cerumen Irrigation/lvg Unilat | $48.00 | $48.00 | $28.00–$89.00 | 21% below | — |
| Earwax removal with instruments, one ear CPT 69210 Hc Remove Impacted Ear Wax | $132.00 | $132.00 | $77.00–$244.00 | 18% above | — |
| Earwax removal with instruments, one ear one side CPT 69210 Pr Removal Impacted Cerumen Instrumentation Unilat | $144.00 | $144.00 | $26.00–$266.00 | 28% above | — |
| Hammertoe correction surgery CPT 28285 Pr Correction Hammertoe | $1,524.00 | $1,524.00 | $884.00–$2,819.00 | 66% below | — |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 Pr Cath & Saline/contrast Sonohyster/hysterosalpi | $684.00 | $684.00 | $397.00–$1,265.00 | 108% above | — |
| Incision and drainage of a simple or single skin abscess CPT 10060 Pr Incision & Drainage Abscess Simple/single | $342.00 | $342.00 | $198.00–$633.00 | 21% above | — |
| Incision and drainage of a simple or single skin abscess CPT 10060 Hc I & D Abscess, Smpl | $360.00 | $360.00 | $209.00–$666.00 | 28% above | — |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 Pr Injection 1 Tendon Sheath/ligament Aponeurosis | $162.00 | $162.00 | $94.00–$300.00 | 2% above | — |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 Hc Inj Tendon Sheath/ligament | $528.00 | $528.00 | $306.00–$977.00 | 232% above | — |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 Pr Arthrocentesis Aspir&/inj Major Jt/bursa W/o Us | $180.00 | $180.00 | $104.00–$333.00 | at median | — |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 Hc Rad Inject/aspir Jntmajor | $492.00 | $492.00 | $285.00–$910.00 | 173% above | — |
| Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 Hc Insert Drug Implant Device | $234.00 | $234.00 | $136.00–$433.00 | 7% above | — |
| Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 Pr Insertion Drug Delivery Implant | $420.00 | $420.00 | $244.00–$777.00 | 92% above | — |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 Pr Arthrocentesis Aspir&/inj Interm Jt/burs W/o Us | $174.00 | $174.00 | $101.00–$322.00 | 7% below | — |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 Hc Drain/inject Medium Joint/bursa | $528.00 | $528.00 | $306.00–$977.00 | 183% above | — |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 Pr Arthrocentesis Aspir&/inj Small Jt/bursa W/o Us | $144.00 | $144.00 | $84.00–$266.00 | 22% below | — |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 Hc Drain/inject Small Joint/bursa | $528.00 | $528.00 | $306.00–$977.00 | 186% above | — |
| Laser treatment of clouding after cataract surgery (YAG) CPT 66821 Removal of recurring cataract in lens capsule using laser | $2,088.00 | $2,088.00 | $1,211.00–$3,863.00 | 96% 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 | $630.00 | $630.00 | $365.00–$1,166.00 | 35% above | — |
| 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/< | $732.00 | $732.00 | $425.00–$1,354.00 | 56% above | — |
| 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/< | $336.00 | $336.00 | $195.00–$622.00 | 4% 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 | $1,158.00 | $1,158.00 | $672.00–$2,142.00 | 232% above | — |
| 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/< | $384.00 | $384.00 | $223.00–$710.00 | 5% above | — |
| Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 Hc Exc Skin Benig <5mm Face,facial | $1,158.00 | $1,158.00 | $672.00–$2,142.00 | 216% above | — |
| Nail removal (partial or complete), one nail CPT 11730 Pr Avulsion Nail Plate Partial/complete Simple 1 | $318.00 | $318.00 | $184.00–$588.00 | 9% above | — |
| Nail removal (partial or complete), one nail CPT 11730 Hc Remove Nail Plate | $354.00 | $354.00 | $205.00–$655.00 | 22% above | — |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 Pr Excision Nail&nail Matrix Prtl/compl Perm Rmvl | $438.00 | $438.00 | $254.00–$810.00 | 3% above | — |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 Hc Remove Nail Bed | $906.00 | $906.00 | $525.00–$1,676.00 | 112% above | — |
| Removal of a breast lump, open surgery CPT 19120 Removal of one or more breast growth, open procedure | $1,446.00 | $1,446.00 | $839.00–$2,675.00 | 4% below | — |
| Removal of a foreign object under the skin, simple CPT 10120 Pr Incision & Removal Foreign Body Subq Tiss Simple | $420.00 | $420.00 | $244.00–$777.00 | 3% above | — |
| Removal of a foreign object under the skin, simple CPT 10120 Hc Remove Foreign Body,smpl | $630.00 | $630.00 | $365.00–$1,166.00 | 54% above | — |
| Screening colonoscopy for a person at average risk (Medicare code) HCPCS G0121 Pr Colon Ca Scrn Not Hi Rsk Ind | $1,050.00 | $1,050.00 | $609.00–$1,943.00 | 35% below | — |
| Screening colonoscopy for a person at average risk (Medicare code) HCPCS G0121 Hc Scrn Colonoscopy Not Hi Risk | $1,794.00 | $1,794.00 | $1,041.00–$3,319.00 | 11% above | — |
| Screening colonoscopy, high risk of colorectal cancer (Medicare code) HCPCS G0105 Hc Scrn Colonoscopy Hi Risk | $1,794.00 | $1,794.00 | $1,041.00–$3,319.00 | 3% above | — |
| Short arm cast (elbow to hand) CPT 29075 Pr Application Cast Elbow To Finger Short Arm | $246.00 | $246.00 | $143.00–$455.00 | 10% below | — |
| Short arm cast (elbow to hand) CPT 29075 Hc Apply Forearm Cast | $540.00 | $540.00 | $313.00–$999.00 | 98% above | — |
| Short arm splint (forearm and hand) CPT 29125 Pr Application Short Arm Splint Forearm-hand Static | $186.00 | $186.00 | $39.00–$344.00 | 7% above | — |
| Short arm splint (forearm and hand) CPT 29125 Hc Apply Forearm Splint,static | $258.00 | $258.00 | $150.00–$477.00 | 48% above | — |
| Short leg cast (below the knee) CPT 29405 Pr Application Short Leg Cast Below Knee-toe | $228.00 | $228.00 | $132.00–$422.00 | 16% below | — |
| Short leg cast (below the knee) CPT 29405 Hc Apply Short Leg Cast | $528.00 | $528.00 | $306.00–$977.00 | 94% above | — |
| Short leg splint (calf to foot) CPT 29515 Pr Application Short Leg Splint Calf To Foot | $204.00 | $204.00 | $118.00–$377.00 | at median | — |
| Short leg splint (calf to foot) CPT 29515 Hc Apply Lower Leg Splint | $288.00 | $288.00 | $167.00–$533.00 | 41% above | — |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 Pr Simple Repair Scalp/neck/ax/genit/trunk 2.5cm/< | $264.00 | $264.00 | $153.00–$488.00 | 2% above | — |
| 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 | $360.00 | $360.00 | $209.00–$666.00 | 38% above | — |
| Skin biopsy, punch, one lesion CPT 11104 Pr Punch Biopsy Skin Single Lesion | $348.00 | $348.00 | $202.00–$644.00 | 11% above | — |
| Skin biopsy, punch, one lesion CPT 11104 Hc Punch Bx Sngl Skin Lesion | $360.00 | $360.00 | $209.00–$666.00 | 15% above | — |
| Skin cancer removal (excision), body, arms or legs, up to 0.5 cm CPT 11600 Pr Excision Mal Lesion Trunk/arm/leg 0.5 Cm/< | $540.00 | $540.00 | $313.00–$999.00 | 2% above | — |
| Skin tag removal, up to 15 tags CPT 11200 Pr Rmvl Skin Tags Mlt Fibrq Tags Any Up To&inc 15 | $258.00 | $258.00 | $150.00–$477.00 | 24% above | — |
| Skin tag removal, up to 15 tags CPT 11200 Hc Removal Of Skin Tags | $360.00 | $360.00 | $209.00–$666.00 | 73% above | — |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 Pr Diagnostic Lumbar Spinal Puncture | $366.00 | $366.00 | $53.00–$677.00 | 54% below | — |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 Hc Spinal Puncture,diagnostic | $1,458.00 | $1,458.00 | $846.00–$2,697.00 | 85% above | — |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 Pr Smpl Repair Scalp/neck/ax/genit/trunk 2.6-7.5cm | $318.00 | $318.00 | $184.00–$588.00 | 22% 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 | $360.00 | $360.00 | $209.00–$666.00 | 38% above | — |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 Pr Simple Repair F/e/e/n/l/m 2.5cm/< | $312.00 | $312.00 | $181.00–$577.00 | 19% above | — |
| 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 | $360.00 | $360.00 | $209.00–$666.00 | 38% above | — |
| Tangential (shave-style) skin biopsy, one lesion CPT 11102 Pr Tangential Biopsy Skin Single Lesion | $324.00 | $324.00 | $188.00–$599.00 | 51% above | — |
| Tangential (shave-style) skin biopsy, one lesion CPT 11102 Hc Tangential Bx Sngl Skin Lesion | $360.00 | $360.00 | $209.00–$666.00 | 68% above | — |
| Tonsil and adenoid removal, age 12 or older CPT 42821 Pr Tonsillectomy & Adenoidectomy Age 12/> | $852.00 | $852.00 | $494.00–$1,576.00 | 83% below | — |
| Tonsil and adenoid removal, child under 12 CPT 42820 Removal of tonsils and adenoid glands, patient younger than age 12 | $816.00 | $816.00 | $473.00–$1,510.00 | 91% below | — |
| Tonsil removal (tonsillectomy) only, age 12 or older CPT 42826 Pr Tonsillectomy Primary/secondary Age 12/> | $714.00 | $714.00 | $414.00–$1,321.00 | 87% below | — |
| Tonsil removal (tonsillectomy) only, child under 12 CPT 42825 Pr Tonsillectomy Primary/secondary <Age 12 | $750.00 | $750.00 | $435.00–$1,388.00 | — | — |
| Trigger point injections, 1 or 2 muscles CPT 20552 Pr Injection Single/mlt Trigger Point 1/2 Muscles | $150.00 | $150.00 | $87.00–$278.00 | 44% below | — |
| Trigger point injections, 1 or 2 muscles CPT 20552 Hc Inj Trigger Point,1 Or 2 | $528.00 | $528.00 | $306.00–$977.00 | 98% above | — |
| Upper endoscopy (EGD) with biopsy CPT 43239 Biopsy exam of esophagus, stomach or small bowel using an endoscope | $1,770.00 | $1,770.00 | $1,027.00–$3,275.00 | 10% above | — |
| Upper endoscopy (EGD), diagnostic CPT 43235 Diagnostic exam of esophagus, stomach or small bowel using an endoscope | $1,770.00 | $1,770.00 | $1,027.00–$3,275.00 | 16% above | — |
| Wart removal, up to 14 warts CPT 17110 Pr Destruction Benign Lesions Up To 14 | $318.00 | $318.00 | $184.00–$588.00 | 40% above | — |
| Wart removal, up to 14 warts CPT 17110 Hc Destruct Benign Lesion, 1-14 | $360.00 | $360.00 | $209.00–$666.00 | 58% above | — |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 Pr Debridement Subcutaneous Tissue 1st 20 Sq Cm/< | $342.00 | $342.00 | $198.00–$633.00 | at median | — |
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 Tc Transfusion Services | $1,062.00 | $1,062.00 | $616.00–$1,965.00 | 39% above | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Pr Pressurized/nonpressurized Inhalation Treatment | $54.00 | $54.00 | $8.00–$100.00 | 55% below | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Hc Airway Inhalation Trmt | $120.00 | $120.00 | $70.00–$222.00 | 1% below | — |
| Chemotherapy IV infusion, first hour CPT 96413 Hc Chemo,iv Infusion,1 Hr | $822.00 | $822.00 | $477.00–$1,521.00 | 17% above | — |
| Comprehensive hearing test: tone and speech audiometry, both ears CPT 92557 Hc Comprehensive Hearing Test | $174.00 | $174.00 | $101.00–$322.00 | 17% below | — |
| Critical care, first 30 to 74 minutes CPT 99291 Pr Critical Care Ill/injured Patient Init 30-74 Min | $775.00 | $775.00 | $216.00–$1,434.00 | 6% below | — |
| Critical care, first 30 to 74 minutes CPT 99291 Hc Critical Care 1st Hour | $2,140.00 | $2,140.00 | $216.00–$3,959.00 | 160% above | — |
| EEG (brain wave test), awake and drowsy, routine CPT 95816 Hc Eeg,awake & Drowsy | $1,308.00 | $1,308.00 | $759.00–$2,420.00 | 86% above | — |
| Electrocardiogram (ECG/EKG) with interpretation CPT 93000 Electrocardiogram, routine, with interpretation and report | $60.00 | $60.00 | $35.00–$111.00 | 90% above | — |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 Pr Ecg Routine Ecg W/least 12 Lds Trcg Only W/o I&r | $42.00 | $42.00 | $24.00–$78.00 | 65% below | — |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 Hc Routine Ekg | $144.00 | $144.00 | $84.00–$266.00 | 21% above | — |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 Pr Emergency Department Visit May Not Req Phys/qhp | $60.00 | $60.00 | $10.00–$111.00 | 45% below | — |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 Hc Ed Level I | $205.00 | $205.00 | $68.00–$379.00 | 89% above | — |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 Pr Emergency Department Visit Straightforward Mdm | $120.00 | $120.00 | $38.00–$222.00 | 36% below | — |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 Hc Ed Level Ii | $285.00 | $285.00 | $132.00–$527.00 | 53% above | — |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 Pr Emergency Department Visit Low Mdm | $200.00 | $200.00 | $66.00–$370.00 | 33% below | — |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 Hc Ed Level Iii | $500.00 | $500.00 | $60.00–$925.00 | 67% above | — |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 Pr Emergency Department Visit Moderate Mdm | $330.00 | $330.00 | $111.00–$611.00 | 37% below | — |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 Hc Ed Level Iv | $810.00 | $810.00 | $114.00–$1,499.00 | 55% above | — |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 Pr Emergency Department Visit High Mdm | $485.00 | $485.00 | $162.00–$897.00 | 37% below | — |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 Hc Ed Level V | $1,215.00 | $1,215.00 | $167.00–$2,248.00 | 58% above | — |
| Exercise stress test, tracing only, the hospital charge CPT 93017 Hc Stress Test | $150.00 | $150.00 | $87.00–$278.00 | 61% below | — |
| Exercise stress test, tracing only, the hospital charge CPT 93017 Pr Cv Strs Tst Xers&/rx Cont Ecg Trcg Only W/o I&r | $162.00 | $162.00 | $94.00–$300.00 | 58% below | — |
| Holter monitor, heart rhythm recording up to 48 hours, with report CPT 93224 Pr Xtrnl Ecg Rec<48 Hrs Recording Scan A/r R&i | $282.00 | $282.00 | $164.00–$522.00 | 16% above | — |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 Pr Iv Infusion Hydration Initial 31 Min-1 Hour | $162.00 | $162.00 | $94.00–$300.00 | 46% below | — |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 Hc Hydration Iv Infusion,init | $456.00 | $456.00 | $264.00–$844.00 | 52% above | — |
| IV infusion of a medicine, first hour CPT 96365 Pr Iv Infusion Therapy/prophylaxis /Dx 1st To 1 Hr | $204.00 | $204.00 | $118.00–$377.00 | 47% below | — |
| IV infusion of a medicine, first hour CPT 96365 Hc Ther/proph/diag Iv Inf,init | $528.00 | $528.00 | $306.00–$977.00 | 38% above | — |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 Pr Therapeutic Prophylactic/dx Injection Subq/im | $72.00 | $72.00 | $42.00–$133.00 | 59% above | — |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 Hc Ther/proph/diag Inj,sc/im | $144.00 | $144.00 | $84.00–$266.00 | 218% above | — |
| Neuromuscular re-education, 15 minutes CPT 97112 Pr Ther Px 1/> Areas Each 15 Min Neuromusc Reeduca | $96.00 | $96.00 | $56.00–$178.00 | 14% below | — |
| Neuromuscular re-education, 15 minutes CPT 97112 Hc Neuromusc Re-ed 15min | $150.00 | $150.00 | $87.00–$278.00 | 35% above | — |
| New patient office visit, about 30 minutes CPT 99203 New patient office or other outpatient visit, 30 min | $290.00 | $290.00 | $75.00–$537.00 | 30% above | — |
| New patient office visit, about 45 minutes CPT 99204 New patient office or other outpatient visit, 45 min | $450.00 | $450.00 | $126.00–$833.00 | 53% above | — |
| New patient office visit, about 60 minutes CPT 99205 New patient office or other outpatient visit, 60 min | $555.00 | $555.00 | $165.00–$1,027.00 | 45% above | — |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 Pr Office/outpatient New Sf Mdm 15 Minutes | $205.00 | $205.00 | $119.00–$379.00 | 23% above | — |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 Tc New Patient Level 2 Limited | $205.00 | $205.00 | $119.00–$379.00 | 23% above | — |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 Pr Medical Nutrition Assmt&ivntj Indiv Each 15 Mi | $108.00 | $108.00 | $26.00–$200.00 | 8% above | — |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 Tc Medical Nutrition Individual | $175.00 | $175.00 | $102.00–$324.00 | 74% above | — |
| Occupational therapy evaluation, low complexity CPT 97165 Hc Ot Eval Low Complex 30 Min | $390.00 | $390.00 | $226.00–$722.00 | 49% above | — |
| Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 Hc Pt Eval High Complex 45 Min | $360.00 | $360.00 | $209.00–$666.00 | 16% above | — |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 Hc Pt Eval Low Complex 20 Min | $348.00 | $348.00 | $202.00–$644.00 | 32% above | — |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 Hc Pt Eval Mod Complex 30 Min | $360.00 | $360.00 | $209.00–$666.00 | 29% above | — |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 Pr Manual Therapy Tqs 1/> Regions Each 15 Minutes | $75.00 | $75.00 | $44.00–$139.00 | 28% below | — |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 Hc Manual Therapy 15min | $120.00 | $120.00 | $70.00–$222.00 | 15% above | — |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Physical therapy, therapeutic exercise | $132.00 | $132.00 | $77.00–$244.00 | 23% above | — |
| Preventive checkup, new patient aged 18–39 CPT 99385 Initial new patient preventative medicine evaluation (18-39 years) | $366.00 | $366.00 | $212.00–$677.00 | 53% above | — |
| Preventive checkup, new patient aged 40–64 CPT 99386 Initial new patient preventative medicine evaluation (40-64 years) | $426.00 | $426.00 | $247.00–$788.00 | 47% above | — |
| Preventive checkup, new patient aged 65 or older CPT 99387 Pr Initial Preventive Medicine New Patient 65yrs&> | $462.00 | $462.00 | $268.00–$855.00 | 48% above | — |
| Preventive checkup, returning patient aged 18–39 CPT 99395 Pr Periodic Preventive Med Est Patient 18-39 Yrs | $336.00 | $336.00 | $88.00–$622.00 | 54% above | — |
| Preventive checkup, returning patient aged 40–64 CPT 99396 Pr Periodic Preventive Med Est Patient 40-64yrs | $354.00 | $354.00 | $100.00–$655.00 | 50% above | — |
| Preventive checkup, returning patient aged 65 or older CPT 99397 Pr Periodic Preventive Med Est Patient 65yrs& Older | $378.00 | $378.00 | $135.00–$699.00 | 52% above | — |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 Tc Est Pt Level V Exam | $400.00 | $400.00 | $109.00–$740.00 | 16% above | — |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 Pr Office/outpatient Established High Mdm 40 Min | $400.00 | $400.00 | $109.00–$740.00 | 16% above | — |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 Tc Est Pt Level Iii Exam | $215.00 | $215.00 | $50.00–$398.00 | 16% above | — |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 Pr Office/outpatient Established Low Mdm 20 Min | $215.00 | $215.00 | $50.00–$398.00 | 16% above | — |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 Tc Faa Exam | $260.00 | $260.00 | $50.00–$481.00 | 41% above | — |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 Tc Faa/dot Exam | $310.00 | $310.00 | $50.00–$574.00 | 68% above | — |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 Tc Est Pt Level Iv Exam | $305.00 | $305.00 | $77.00–$564.00 | 23% above | — |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 Pr Office/outpatient Established Mod Mdm 30 Min | $305.00 | $305.00 | $77.00–$564.00 | 23% above | — |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 Pr Office/outpatient Established Sf Mdm 10 Min | $135.00 | $135.00 | $25.00–$250.00 | 71% above | — |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 Tc Est Pt Level Ii Exam | $135.00 | $135.00 | $25.00–$250.00 | 71% above | — |
| Specialist consultation, low complexity or 30+ minutes CPT 99243 Patient office consultation, 40 min | $342.00 | $342.00 | $198.00–$633.00 | 8% above | — |
| Specialist consultation, moderate complexity or 40+ minutes CPT 99244 Patient office consultation, 60 min | $504.00 | $504.00 | $151.00–$932.00 | 38% above | — |
| Speech and language evaluation CPT 92523 Hc Eval Of Speech Sound Lang Comprehen | $840.00 | $840.00 | $487.00–$1,554.00 | 48% above | — |
| Speech therapy session, individual CPT 92507 Hc Speech/hearing Therapy Indiv | $342.00 | $342.00 | $198.00–$633.00 | 28% above | — |
| Spirometry (breathing test) CPT 94010 Pr Spmtry W/vc Expiratory Flo W/wo Mxml Vol Vntj | $102.00 | $102.00 | $59.00–$189.00 | 28% below | — |
| Spirometry (breathing test) CPT 94010 Hc Spirometry | $114.00 | $114.00 | $66.00–$211.00 | 20% below | — |
| Spirometry before and after a bronchodilator CPT 94060 Pr Brncdilat Rspse Spmtry Pre&post-brncdilat Admn | $174.00 | $174.00 | $101.00–$322.00 | 46% below | — |
| Spirometry before and after a bronchodilator CPT 94060 Hc Pre/post Spiro | $252.00 | $252.00 | $146.00–$466.00 | 21% below | — |
| Therapeutic activities (functional training), 15 minutes CPT 97530 Hc Therap Activity 15min | $174.00 | $174.00 | $101.00–$322.00 | 48% above | — |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 Tc Ther Phlebotomy | $546.00 | $546.00 | $317.00–$1,010.00 | 87% above | — |
| Treadmill or drug stress test with ECG, supervision and report CPT 93015 Pr Cv Stress Tst Xers&/rx Cont Ecg W/si&r | $264.00 | $264.00 | $153.00–$488.00 | — | — |
Vaccines
| Procedure | Cash price | List price | Insurers pay | vs North Dakota | Off list |
|---|---|---|---|---|---|
| Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 Pr Var Vaccine Live For Subcutaneous Use | $606.00 | $606.00 | $351.00–$1,121.00 | 262% above | — |
| HPV vaccine, 9-valent (Gardasil 9) CPT 90651 Pr 9vhpv Vacc 2/3 Dose Sched Im Use | $504.00 | $504.00 | $292.00–$932.00 | 41% above | — |
| Hepatitis A and B combination vaccine, adult (Twinrix) CPT 90636 Pr Hepatitis A & B Vaccine Hepa-hepb Adult Im | $246.00 | $246.00 | $143.00–$455.00 | 41% above | — |
| Hepatitis A vaccine, adult dose CPT 90632 Pr Hepa Vaccine Adult Dose For Intramuscular Use | $132.00 | $132.00 | $77.00–$244.00 | 83% above | — |
| Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 Pr Hepb Vaccine Adult 3 Dose Schedule For Im Use | $162.00 | $162.00 | $94.00–$300.00 | 80% above | — |
| High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 Pr Iiv Vaccine Preserv Free Increased Ag Content Im | $78.00 | $78.00 | $45.00–$144.00 | at median | — |
| MMR vaccine (measles, mumps and rubella), live CPT 90707 Pr Measles Mumps Rubella Virus Vaccine Live Subq | $348.00 | $348.00 | $202.00–$644.00 | 155% above | — |
| Meningococcal ACWY (MenACWY) vaccine CPT 90734 Pr Menacwyd/menacwy-crm Conj Vacc Grps Acwy Im Use | $294.00 | $294.00 | $171.00–$544.00 | 63% above | — |
| Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 Pr Menb-4c Recombnt Prtn & Outer Memb Vesic Vacc Im | $426.00 | $426.00 | $247.00–$788.00 | 74% above | — |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 Pr Pcv20 Vaccine For Intramuscular Use | $390.00 | $390.00 | $226.00–$722.00 | 5% above | — |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 Pr Ppsv23 Vaccine 2 Yrs Or Older For Subq/im Use | $174.00 | $174.00 | $101.00–$322.00 | 7% above | — |
| Rabies vaccine, one dose CPT 90675 Pr Rabies Vaccine Intramuscular | $720.00 | $720.00 | $418.00–$1,332.00 | 11% above | — |
| Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 Pr Hzv Zoster Vacc Recombinant Adjuvanted Im Njx | $270.00 | $270.00 | $157.00–$500.00 | 40% above | — |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 Pr Td Vaccine Prsrv Free 7 Yrs Or Older For Im Use | $114.00 | $114.00 | $66.00–$211.00 | 104% above | — |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 Pr Tdap Vaccine 7 Yrs/> Im | $96.00 | $96.00 | $56.00–$178.00 | 34% above | — |
| Typhoid vaccine, injectable (Vi polysaccharide) CPT 90691 Pr Typhoid Vaccine Vi Capsular Polysaccharide Im | $210.00 | $210.00 | $122.00–$389.00 | 12% above | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Hc Immunization Administration | $48.00 | $48.00 | $28.00–$89.00 | 2% above | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Pr Im Adm Prq Id Subq/im Njxs 1 Vaccine | $54.00 | $54.00 | $31.00–$100.00 | 15% above | — |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 Pr Im Adm Prq Id Subq/im Njxs Ea Vaccine | $42.00 | $42.00 | $24.00–$78.00 | 37% above | — |