SMP Health - St. Aloisius
Listed in its price file as “SMP Health - St. Aloisius dba SMP Health - St. Aloisius”.
SMP Health - St. Aloisius in Harvey, ND publishes cash prices for 287 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 192 of 279 procedures and below it for 75. By typical cash price it ranks #19 of 25 North Dakota hospitals, cheapest first. Click a procedure to compare it with other hospitals nearby.
325 E Brewster St, Harvey, ND 58341 Collected Sep 27, 2026 Source price file (701) 324-4651
Critical access hospital (rural, 25 beds or fewer) Emergency department CMS star rating 1 of 5 CCN 351327 · CMS hospital register
Scans and imaging
| Procedure | Cash price | List price | Insurers pay | vs North Dakota | Off list |
|---|---|---|---|---|---|
| Ankle X-ray, complete, 3 or more views one side CPT 73610 Xr Ankle Complete 3+ Views Left | $208.00 | $231.00 | $144.00 | 7% above | 10% |
| Ankle X-ray, complete, 3 or more views one side CPT 73610 Xr Ankle Complete 3+ Views Right | $208.00 | $231.00 | $144.00 | 7% above | 10% |
| Bone scan, whole body (nuclear medicine) CPT 78306 Nm Bone Imaging Whole Body | $1,393.00 | $1,548.00 | $966.00 | 27% above | 10% |
| Breast ultrasound, complete, one breast both sides CPT 76641 Us Breast Complete Bilat | $392.00 | $436.00 | $272.00 | — | 10% |
| Breast ultrasound, complete, one breast one side CPT 76641 Us Breast Complete Right | $392.00 | $436.00 | $272.00 | 8% above | 10% |
| Breast ultrasound, complete, one breast one side CPT 76641 Us Breast Complete Left | $392.00 | $436.00 | $272.00 | 8% above | 10% |
| Breast ultrasound, limited (one breast or one area) both sides CPT 76642 Us Breast Limited Bilat | $327.00 | $363.00 | $226.00 | — | 10% |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 Smph Ct Angio Chest | $2,195.00 | $2,439.00 | $1,522.00 | 2% above | 10% |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 Ct Abdomen And Pelvis W/o Contrast | $1,715.00 | $1,905.00 | $1,189.00 | 18% above | 10% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT scan of abdomen and pelvis with contrast | $2,481.00 | $2,757.00 | $1,720.00 | at median | 10% |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 Smph Ct Abdomen And Pelvis W/ + W/o Contrast | $3,157.00 | $3,508.00 | $2,189.00 | 8% above | 10% |
| CT scan of the abdomen with contrast CPT 74160 Ct Abdomen W/ Contrast | $1,509.00 | $1,677.00 | $1,046.00 | 7% below | 10% |
| CT scan of the abdomen without contrast CPT 74150 Ct Abdomen W/o Contrast | $1,246.00 | $1,384.00 | $863.00 | 4% above | 10% |
| CT scan of the face and sinuses, no contrast dye CPT 70486 Ct Maxillofacial W/o Contrast | $1,185.00 | $1,317.00 | $822.00 | 9% above | 10% |
| CT scan of the head or brain, no contrast dye CPT 70450 CT scan | $1,185.00 | $1,317.00 | $822.00 | 13% above | 10% |
| CT scan of the head with contrast CPT 70460 Ct Head W/ Contrast | $1,244.00 | $1,382.00 | $862.00 | 3% below | 10% |
| CT scan of the head without and with contrast CPT 70470 Ct Head W/ + W/o Contrast | $1,557.00 | $1,730.00 | $1,079.00 | 6% above | 10% |
| CT scan of the lower back (lumbar spine) without contrast CPT 72131 Ct Spine Lumbar W/o Contrast | $1,377.00 | $1,530.00 | $955.00 | 7% above | 10% |
| CT scan of the neck (cervical spine), no contrast dye CPT 72125 Ct Spine Cervical W/o Contrast | $1,377.00 | $1,530.00 | $955.00 | 4% above | 10% |
| CT scan of the pelvis, with contrast dye CPT 72193 CT scan of pelvis with contrast | $1,509.00 | $1,677.00 | $1,046.00 | 5% below | 10% |
| Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 Us Carotid Duplex Bilateral | $785.00 | $872.00 | $544.00 | — | 10% |
| Chest X-ray, 2 views CPT 71046 Xr Chest 2 Views | $241.00 | $268.00 | $167.00 | 50% above | 10% |
| Chest X-ray, single view CPT 71045 Xr Chest 1 View | $185.00 | $206.00 | $129.00 | 37% above | 10% |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 Us Renal | $473.00 | $525.00 | $328.00 | 16% above | 10% |
| DEXA bone density scan of the hip, pelvis or spine CPT 77080 Bd Bone Density Dexa Axial Skeleton | $188.00 | $209.00 | $130.00 | 29% below | 10% |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 Smph Ct Chest W/o Contrast | $1,302.00 | $1,447.00 | $903.00 | 9% above | 10% |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 Smph Ct Chest W/ Contrast | $1,557.00 | $1,730.00 | $1,079.00 | 9% above | 10% |
| Diagnostic mammogram, both breasts CPT 77066 Mammography of both breasts | $637.00 | $708.00 | $442.00 | 22% above | 10% |
| Diagnostic mammogram, one breast CPT 77065 Mammography of one breast | $517.00 | $574.00 | $358.00 | 33% above | 10% |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 Us Lower Ext Venous Duplex Bilateral | $782.00 | $869.00 | $542.00 | — | 10% |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 Us Echocardiogram Complete | $842.00 | $936.00 | $584.00 | 1% above | 10% |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 Nm Hepatobiliary Imaging | $1,575.00 | $1,750.00 | $1,092.00 | 19% above | 10% |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 95811 Sleep Study C-pap Attended Charge | $2,991.00 | $3,323.00 | $2,073.00 | 25% above | 10% |
| Knee X-ray, 3 views one side CPT 73562 Xr Knee 3 Views Right | $225.00 | $250.00 | $156.00 | 10% above | 10% |
| Knee X-ray, 3 views one side CPT 73562 Xr Knee 3 Views Left | $225.00 | $250.00 | $156.00 | 10% above | 10% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 76705 Us Abdomen Limited | $371.00 | $412.00 | $257.00 | 1% below | 10% |
| Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 Ct Low Dose Lung Screening | $266.00 | $295.00 | $184.00 | 59% below | 10% |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MRI scan of leg joint | $2,147.00 | $2,386.00 | $1,489.00 | 10% above | 10% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 Mri Le Joint W/ + W/o Contrast Right | $3,425.00 | $3,806.00 | $2,375.00 | 13% above | 10% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 Mri Le Joint W/ + W/o Contrast Left | $3,425.00 | $3,806.00 | $2,375.00 | 13% above | 10% |
| MRI of the abdomen without contrast CPT 74181 Mri Abdomen W/o Contrast | $2,195.00 | $2,439.00 | $1,522.00 | 14% above | 10% |
| MRI of the abdomen, without and then with contrast dye CPT 74183 Mri Abdomen W/ + W/o Contrast | $3,421.00 | $3,801.00 | $2,371.00 | 6% above | 10% |
| MRI of the brain, no contrast dye CPT 70551 Mri Brain W/o Contrast | $2,229.00 | $2,477.00 | $1,545.00 | 35% above | 10% |
| MRI of the brain, with and without contrast dye CPT 70553 MRI Scan | $3,298.00 | $3,664.00 | $2,286.00 | 2% above | 10% |
| MRI of the lower back, no contrast dye CPT 72148 MRI scan of lower spinal canal | $2,074.00 | $2,304.00 | $1,437.00 | 6% above | 10% |
| MRI of the lower back, without and then with contrast dye CPT 72158 Mri Spine Lumbar W/ + W/o Contrast | $3,240.00 | $3,600.00 | $2,246.00 | 2% below | 10% |
| MRI of the mid back (thoracic spine), no contrast dye CPT 72146 Mri Spine Thoracic W/o Contrast | $2,074.00 | $2,304.00 | $1,437.00 | 4% above | 10% |
| MRI of the neck (cervical spine) without and with contrast CPT 72156 Mri Spine Cervical W/ + W/o Contrast | $3,246.00 | $3,607.00 | $2,250.00 | at median | 10% |
| MRI of the neck (cervical spine), no contrast dye CPT 72141 Mri Spine Cervical W/o Contrast | $1,953.00 | $2,170.00 | $1,354.00 | at median | 10% |
| MRI of the pelvis without and with contrast CPT 72197 Mri Pelvis W/ + W/o Contrast | $3,413.00 | $3,792.00 | $2,366.00 | 6% above | 10% |
| MRI of the pelvis, no contrast dye CPT 72195 Mri Pelvis W/o Contrast | $2,552.00 | $2,836.00 | $1,769.00 | 11% above | 10% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 Mri Ue Joint W/o Contrast Left | $2,094.00 | $2,327.00 | $1,452.00 | 8% above | 10% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 Mri Ue Joint W/o Contrast Right | $2,094.00 | $2,327.00 | $1,452.00 | 8% above | 10% |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 Nm Myocardial Spect Multiple Studies | $3,512.00 | $3,902.00 | $2,434.00 | 78% above | 10% |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 Us Pelvic Ltd | $199.00 | $221.00 | $138.00 | 37% below | 10% |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 Us Pelvic Complete | $433.00 | $481.00 | $300.00 | 11% above | 10% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 Smph Us Ob < 14 Weeks Single | $423.00 | $470.00 | $293.00 | 12% above | 10% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 Us Ob Limited | $339.00 | $377.00 | $235.00 | 19% above | 10% |
| Screening mammogram, both breasts both sides CPT 77067 Mammography, screening, bilateral | $524.00 | $582.00 | $363.00 | — | 10% |
| Shoulder X-ray, complete, 2 or more views one side CPT 73030 Xr Shoulder Complete 2+ Views Left | $225.00 | $250.00 | $156.00 | 26% above | 10% |
| Shoulder X-ray, complete, 2 or more views one side CPT 73030 Xr Shoulder Complete 2+ Views Right | $225.00 | $250.00 | $156.00 | 26% above | 10% |
| Sleep study in a lab (polysomnography) CPT 95810 Sleep study | $2,826.00 | $3,140.00 | $1,959.00 | 19% above | 10% |
| Transvaginal pelvic ultrasound CPT 76830 Ultrasound pelvis through vagina | $488.00 | $542.00 | $338.00 | 6% above | 10% |
| Transvaginal ultrasound during pregnancy CPT 76817 Us Ob Transvaginal | $329.00 | $366.00 | $228.00 | 10% above | 10% |
| Ultrasound of the abdomen, complete CPT 76700 Ultrasound of abdomen | $484.00 | $538.00 | $336.00 | 5% below | 10% |
| Ultrasound of the scrotum and testicles CPT 76870 Us Scrotum (Contents) | $441.00 | $490.00 | $306.00 | 14% above | 10% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 Us Soft Tissue Head/neck | $491.00 | $545.00 | $340.00 | 8% above | 10% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 Us Lower Ext Venous Duplex Left | $520.00 | $578.00 | $361.00 | 6% below | 10% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 Us Lower Ext Venous Duplex Right | $520.00 | $578.00 | $361.00 | 6% below | 10% |
| Wrist X-ray, complete, 3 or more views one side CPT 73110 Xr Wrist Complete 3+ Views Left | $208.00 | $231.00 | $144.00 | 12% above | 10% |
| Wrist X-ray, complete, 3 or more views one side CPT 73110 Xr Wrist Complete 3+ Views Right | $208.00 | $231.00 | $144.00 | 12% above | 10% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 Xr Hip 2-3 Views W/ap Pelvis Right | $240.00 | $267.00 | $167.00 | 20% above | 10% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 Xr Hip 2-3 Views W/ap Pelvis Left | $240.00 | $267.00 | $167.00 | 20% above | 10% |
| X-ray of the abdomen, 1 view CPT 74018 Xr Abdomen Kub 1 View | $204.00 | $227.00 | $142.00 | 71% above | 10% |
| X-ray of the ankle, 2 views one side CPT 73600 Xr Ankle 2 Views Right | $193.00 | $214.00 | $134.00 | 20% above | 10% |
| X-ray of the ankle, 2 views one side CPT 73600 Xr Ankle 2 Views Left | $193.00 | $214.00 | $134.00 | 20% above | 10% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 Xr Finger(s) 2+ Views Right | $166.00 | $184.00 | $115.00 | 4% above | 10% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 Xr Finger(s) 2+ Views Left | $166.00 | $184.00 | $115.00 | 4% above | 10% |
| X-ray of the foot, 2 views one side CPT 73620 Xr Foot 2 Views Left | $193.00 | $214.00 | $134.00 | 20% above | 10% |
| X-ray of the foot, 2 views one side CPT 73620 Xr Foot 2 Views Right | $193.00 | $214.00 | $134.00 | 20% above | 10% |
| X-ray of the foot, complete, 3 or more views one side CPT 73630 Xr Foot Complete 3+ Views Right | $208.00 | $231.00 | $144.00 | 8% above | 10% |
| X-ray of the foot, complete, 3 or more views one side CPT 73630 Xr Foot Complete 3+ Views Left | $208.00 | $231.00 | $144.00 | 8% above | 10% |
| X-ray of the hand, 3 or more views one side CPT 73130 Xr Hand Complete 3+ Views Right | $208.00 | $231.00 | $144.00 | 4% above | 10% |
| X-ray of the hand, 3 or more views one side CPT 73130 Xr Hand Complete 3+ Views Left | $208.00 | $231.00 | $144.00 | 4% above | 10% |
| X-ray of the knee, 1 or 2 views one side CPT 73560 Xr Knee 1 Or 2 Views Left | $204.00 | $227.00 | $142.00 | 9% above | 10% |
| X-ray of the knee, 1 or 2 views one side CPT 73560 Xr Knee 1 Or 2 Views Right | $204.00 | $227.00 | $142.00 | 9% above | 10% |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 Xr Spine Lumbosacral 2 Or 3 Views | $260.00 | $289.00 | $180.00 | 51% above | 10% |
| X-ray of the lower back, 4 or more views CPT 72110 X-Ray of lower back | $366.00 | $407.00 | $254.00 | 54% above | 10% |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 Xr Spine Thoracic 2 Views | $253.00 | $281.00 | $175.00 | 63% above | 10% |
| X-ray of the nasal bones, 3 or more views CPT 70160 Xr Nasal Bones 3+ Views | $232.00 | $258.00 | $161.00 | 55% above | 10% |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 Xr Spine Cervical 2 Or 3 Views | $233.00 | $259.00 | $162.00 | 45% above | 10% |
| X-ray of the pelvis, 1 or 2 views CPT 72170 Xr Pelvis 1 Or 2 Views | $204.00 | $227.00 | $142.00 | 34% above | 10% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 Xr Sacrum/coccyx 2+ Views | $233.00 | $259.00 | $162.00 | 60% above | 10% |
Lab tests
| Procedure | Cash price | List price | Insurers pay | vs North Dakota | Off list |
|---|---|---|---|---|---|
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 Alt | $43.00 | $48.00 | $30.00 | at median | 10% |
| AST (aspartate aminotransferase) enzyme test CPT 84450 Aspartate Aminotransferase | $41.00 | $46.00 | $29.00 | 9% below | 11% |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 Acute Hepatitis Panel | $101.00 | $112.00 | $70.00 | 54% below | 10% |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 Hepatitis Panel, Acute With Reflex Npl | $101.00 | $112.00 | $70.00 | 54% below | 10% |
| Allergy blood test, specific IgE, per allergen CPT 86003 86003 | $12.00 | $13.00 | $8.00 | 17% below | 8% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergens, Food, Comprehensive Profile 1 Npl | $12.00 | $13.00 | $8.00 | 17% below | 8% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Drugs, Penicillin G (Major) Npl | $32.00 | $35.00 | $22.00 | 122% above | 9% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergens, Drugs, Penicillin V (Minor) Npl | $32.00 | $35.00 | $22.00 | 122% above | 9% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Smph Allergen Individual Npl | $35.00 | $39.00 | $24.00 | 143% above | 10% |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 Cyclic Citrullinated Peptide Ab, Igg Npl | $86.00 | $95.00 | $59.00 | 25% above | 9% |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 Ccp (Cyclic Citrullinated Peptide) Igg Plab | $86.00 | $95.00 | $59.00 | 25% above | 9% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 Ana With Reflex To Eleven Autoabs Npl | $26.00 | $29.00 | $18.00 | 57% below | 10% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 Ana Direct Npl | $96.00 | $107.00 | $67.00 | 59% above | 10% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 Bnp | $257.00 | $286.00 | $178.00 | 9% above | 10% |
| Basic metabolic panel (blood test) CPT 80048 Basic metabolic panel | $65.00 | $72.00 | $45.00 | 13% below | 10% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 88305 Ap Bill Surgical Pathology Level Iv Complexity | $112.00 | $124.00 | $77.00 | 1% below | 10% |
| Blood culture for bacteria CPT 87040 Blood Culture Id By Pcr Npl | $68.00 | $75.00 | $47.00 | 16% below | 9% |
| Blood culture for bacteria CPT 87040 Blood Culture #1 Plab | $82.00 | $91.00 | $57.00 | 1% above | 10% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 Collection: Venous Draw | $17.00 | $19.00 | $12.00 | 1% below | 11% |
| Blood glucose (sugar) test CPT 82947 Glucose Lvl | $33.00 | $37.00 | $23.00 | 20% above | 11% |
| Blood lead test CPT 83655 Lead, Blood Capillary Npl | $91.00 | $101.00 | $63.00 | 107% above | 10% |
| Blood lead test CPT 83655 Lead, Blood Venous Npl | $91.00 | $101.00 | $63.00 | 107% above | 10% |
| Blood lead test CPT 83655 Lead Npl | $96.00 | $107.00 | $67.00 | 118% above | 10% |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 B-hcg Ql | $59.00 | $66.00 | $41.00 | 14% below | 11% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 Abo/rh | $22.00 | $24.00 | $15.00 | 44% below | 8% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 Ref Abo/rh | $22.00 | $24.00 | $15.00 | 44% below | 8% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-reactive Protein | $42.00 | $47.00 | $29.00 | 32% above | 11% |
| C. difficile toxin gene test (stool PCR) CPT 87493 C. Difficile By Pcr Confirmation Npl | $263.00 | $292.00 | $182.00 | 39% above | 10% |
| CA 19-9 blood test (tumor marker) CPT 86301 Cancer Antigen. Gi (19-9) Npl | $50.00 | $56.00 | $35.00 | 51% below | 11% |
| CA-125 blood test (ovarian cancer marker) CPT 86304 Cancer Antigen 125 Npl | $48.00 | $53.00 | $33.00 | 56% below | 9% |
| CA-125 blood test (ovarian cancer marker) CPT 86304 Ca-125 Plab | $48.00 | $53.00 | $33.00 | 56% below | 9% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 Sars-cov-2 (Covid-19) Rna (Id Now) | $128.00 | $142.00 | $89.00 | 5% above | 10% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 C Trachomatis By Tma Final Npl | $42.00 | $47.00 | $29.00 | 63% below | 11% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Ct/gc/tv (Bd Max) | $44.00 | $49.00 | $31.00 | 62% below | 10% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 N Gonorrhea By Tma Final Npl | $203.00 | $225.00 | $140.00 | 77% above | 10% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Chlamydia Trachomatis | $273.00 | $303.00 | $189.00 | 139% above | 10% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Blood test, lipids | $110.00 | $122.00 | $76.00 | 42% above | 10% |
| Complete blood count (CBC) with differential CPT 85025 Complete blood cell count (CBC), with differential white blood cells, automated | $61.00 | $68.00 | $42.00 | at median | 10% |
| Complete blood count (CBC), no differential CPT 85027 Complete blood cell count (CBC), automated | $61.00 | $68.00 | $42.00 | 30% above | 10% |
| Comprehensive metabolic panel (blood test) CPT 80053 Blood test, comprehensive group of blood chemicals | $96.00 | $107.00 | $67.00 | 1% below | 10% |
| D-dimer blood test (blood clot marker) CPT 85379 Ddimer | $73.00 | $81.00 | $51.00 | 4% below | 10% |
| DHEA sulfate (DHEA-S) blood test CPT 82627 Dhea-s Npl | $48.00 | $53.00 | $33.00 | 51% below | 9% |
| DHEA sulfate (DHEA-S) blood test CPT 82627 Dhea-s Plab | $48.00 | $53.00 | $33.00 | 51% below | 9% |
| Estradiol blood test CPT 82670 Estradiol Npl | $96.00 | $107.00 | $67.00 | 9% below | 10% |
| Estradiol blood test CPT 82670 Estradiol, Adult Plab | $96.00 | $107.00 | $67.00 | 9% below | 10% |
| FSH (follicle-stimulating hormone) test CPT 83001 Follicle Stimulating Hormone Npl | $66.00 | $73.00 | $46.00 | 32% below | 10% |
| FSH (follicle-stimulating hormone) test CPT 83001 Fsh Plab | $66.00 | $73.00 | $46.00 | 32% below | 10% |
| Fecal calprotectin (stool inflammation test) CPT 83993 Calprotectin, Fecal Npl | $251.00 | $279.00 | $174.00 | 67% above | 10% |
| Ferritin blood test (iron stores) CPT 82728 Ferritin Npl | $22.00 | $24.00 | $15.00 | 70% below | 8% |
| Ferritin blood test (iron stores) CPT 82728 Ferritin | $22.00 | $24.00 | $15.00 | 70% below | 8% |
| Folate (folic acid) blood test CPT 82746 Folate Level | $96.00 | $107.00 | $67.00 | 15% above | 10% |
| Free T3 thyroid hormone test CPT 84481 T3 Uptake Npl | $50.00 | $56.00 | $35.00 | 46% below | 11% |
| Free T3 thyroid hormone test CPT 84481 T3 Free | $50.00 | $56.00 | $35.00 | 46% below | 11% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 Free T4 Level | $73.00 | $81.00 | $51.00 | 55% above | 10% |
| Free testosterone test CPT 84402 Testosterone Free, Females Or Children Npl | $197.00 | $219.00 | $137.00 | 174% above | 10% |
| General health panel: metabolic panel, blood count and TSH in one order CPT 80050 Bill Only General Health Panel | $289.00 | $321.00 | $200.00 | 19% above | 10% |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 Gluc 1 Hr | $35.00 | $39.00 | $24.00 | 11% below | 10% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 Neisseria Gonorrhoeae | $115.00 | $128.00 | $80.00 | 14% above | 10% |
| H. pylori stool antigen test CPT 87338 Helicobacter Pylori Antigen, Fecal Plab | $109.00 | $121.00 | $75.00 | 6% above | 10% |
| H. pylori stool antigen test CPT 87338 Helicobacter Pylori Stool Antigen Npl | $109.00 | $121.00 | $75.00 | 6% above | 10% |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 Hiv-1 Viral Load Pcr Plab | $218.00 | $242.00 | $151.00 | 17% below | 10% |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 Hiv By Quant Naat Npl | $218.00 | $242.00 | $151.00 | 17% below | 10% |
| HIV-1 and HIV-2 antibody test CPT 86703 Hiv 1/2 Antibody | $90.00 | $100.00 | $62.00 | 14% above | 10% |
| HIV-1 and HIV-2 antibody test CPT 86703 Exposure Panel (Source Patient) Npl | $90.00 | $100.00 | $62.00 | 14% above | 10% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 Hiv 1&2 Ab Diff,supplemental W/reflx Npl | $84.00 | $93.00 | $58.00 | 28% below | 10% |
| HPV test for high-risk types, one combined (pooled) result CPT 87624 Hpv High Risk Screen Plab | $230.00 | $255.00 | $159.00 | 134% above | 10% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Hemoglobin A1c | $78.00 | $87.00 | $54.00 | 9% above | 10% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Hgb A1c W/eag | $78.00 | $87.00 | $54.00 | 9% above | 10% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 Hepatitis B Surface Antibody Plab | $77.00 | $86.00 | $54.00 | 37% above | 10% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 Hiv Rapid Npl | $88.00 | $98.00 | $61.00 | 71% above | 10% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 Hiv, Rapid Npl | $88.00 | $98.00 | $61.00 | 71% above | 10% |
| Hepatitis C antibody blood test (screening) CPT 86803 Exposure Panel (Healtcare Worker) Npl | $112.00 | $124.00 | $77.00 | 79% above | 10% |
| Hepatitis C antibody blood test (screening) CPT 86803 .Hcv Ab By Cia Reflex Test Npl | $112.00 | $124.00 | $77.00 | 79% above | 10% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 Hcv By Quant Naat Npl | $414.00 | $460.00 | $287.00 | 216% above | 10% |
| Herpes blood test, HSV-1 antibody CPT 86695 Hsv 1&2 Ab W/ Rfx Glycoprotein G Npl | $86.00 | $96.00 | $60.00 | 81% above | 10% |
| Herpes blood test, HSV-2 antibody CPT 86696 Hsv 2 Glyco G Ab,igg Npl | $51.00 | $57.00 | $36.00 | 13% below | 11% |
| Herpes blood test, HSV-2 antibody CPT 86696 Hsv I/ii Igg Npl | $127.00 | $141.00 | $88.00 | 117% above | 10% |
| High-sensitivity CRP (hs-CRP) test CPT 86141 Crp, Highly Sensitive Plab | $59.00 | $66.00 | $41.00 | 14% below | 11% |
| Homocysteine blood test CPT 83090 Homocystine, Total Npl | $133.00 | $148.00 | $92.00 | 44% above | 10% |
| Homocysteine blood test CPT 83090 Homocysteine Total Plab | $133.00 | $148.00 | $92.00 | 44% above | 10% |
| Insulin blood test CPT 83525 Insulin Npl | $41.00 | $46.00 | $29.00 | 29% below | 11% |
| Insulin blood test CPT 83525 Insulin, Fasting Plab | $41.00 | $46.00 | $29.00 | 29% below | 11% |
| Iron blood test (serum iron) CPT 83540 Iron Npl | $11.00 | $12.00 | $7.00 | 67% below | 8% |
| Iron blood test (serum iron) CPT 83540 Iron | $11.00 | $12.00 | $7.00 | 67% below | 8% |
| Iron-binding capacity (TIBC) test CPT 83550 Total Iron Binding Capacity | $62.00 | $69.00 | $43.00 | 33% above | 10% |
| Iron-binding capacity (TIBC) test CPT 83550 Tibc Npl | $62.00 | $69.00 | $43.00 | 33% above | 10% |
| Kidney function blood test panel CPT 80069 Kidney function panel test | $65.00 | $72.00 | $45.00 | 5% below | 10% |
| LH (luteinizing hormone) test CPT 83002 Luteinizing Hormone Plab | $145.00 | $161.00 | $100.00 | 41% above | 10% |
| LH (luteinizing hormone) test CPT 83002 Luteinizing Hormone Npl | $145.00 | $161.00 | $100.00 | 41% above | 10% |
| Lipase blood test (pancreas enzyme) CPT 83690 Lipase Level | $56.00 | $62.00 | $39.00 | 4% above | 10% |
| Liver function blood test panel CPT 80076 Liver function blood test | $64.00 | $71.00 | $44.00 | 11% below | 10% |
| Lyme disease antibody test CPT 86618 Lyme Eia Igm | $55.00 | $61.00 | $38.00 | 16% above | 10% |
| Lyme disease antibody test CPT 86618 Borrelia Burgdorferi Ab, Total(lyme) Npl | $71.00 | $79.00 | $49.00 | 49% above | 10% |
| Lyme disease antibody test CPT 86618 B. Burgdorferi Vise1/pepc10abs Elisa | $81.00 | $90.00 | $56.00 | 71% above | 10% |
| Lyme disease antibody test CPT 86618 Lyme Antibody Npl | $115.00 | $128.00 | $80.00 | 142% above | 10% |
| Lyme disease antibody test CPT 86618 Lyme Disease Total Antibody With Reflex To Immunoblot Plab | $129.00 | $143.00 | $89.00 | 172% above | 10% |
| Magnesium blood test CPT 83735 Magnesium,urn-per 24h Npl | $48.00 | $53.00 | $33.00 | 100% above | 9% |
| Magnesium blood test CPT 83735 Magnesium Level | $79.00 | $88.00 | $55.00 | 229% above | 10% |
| Mono test (heterophile antibody, Monospot) CPT 86308 Mono Scrn | $35.00 | $39.00 | $24.00 | 12% below | 10% |
| Mono test (heterophile antibody, Monospot) CPT 86308 Mycophenolic Acid Npl | $83.00 | $92.00 | $57.00 | 108% above | 10% |
| Obstetric blood test panel CPT 80055 Obstetric blood test panel | $216.00 | $240.00 | $150.00 | 29% below | 10% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 Total prostate-specific antigen (PSA) test | $29.00 | $32.00 | $20.00 | 55% below | 9% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 Total prostate-specific antigen (PSA) test | $142.00 | $158.00 | $99.00 | 58% above | 10% |
| Pap test (liquid-based, automated screening with review) CPT 88175 Gyn Cytology Npl | $169.00 | $188.00 | $117.00 | 34% above | 10% |
| Parathyroid hormone (PTH) blood test CPT 83970 Pth, Without Calcium Plab | $62.00 | $69.00 | $43.00 | 70% below | 10% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 Coagulation assessment blood test | $48.00 | $53.00 | $33.00 | 50% above | 9% |
| Progesterone blood test CPT 84144 Progesterone Plab | $77.00 | $85.00 | $53.00 | 33% below | 9% |
| Progesterone blood test CPT 84144 Progesterone Npl | $77.00 | $85.00 | $53.00 | 33% below | 9% |
| Prolactin blood test CPT 84146 Prolactin Npl | $69.00 | $77.00 | $48.00 | 8% below | 10% |
| Prolactin blood test CPT 84146 Prolactin Plab | $69.00 | $77.00 | $48.00 | 8% below | 10% |
| Prothrombin time (PT/INR) clotting test CPT 85610 Blood test, clotting time | $70.00 | $78.00 | $49.00 | 183% above | 10% |
| Rapid flu test (influenza antigen) CPT 87804 Flu A&b | $108.00 | $120.00 | $75.00 | 27% above | 10% |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 Strep A Rapid | $106.00 | $118.00 | $74.00 | 28% above | 10% |
| Rheumatoid factor (RF) test CPT 86431 Rheumatoid Factor Plab | $21.00 | $23.00 | $14.00 | 42% below | 9% |
| Rheumatoid factor (RF) test CPT 86431 Rheumatoid Factor Npl | $21.00 | $23.00 | $14.00 | 42% below | 9% |
| Rubella antibody test (immunity check) CPT 86762 Rubella Igg Antibody Plab | $112.00 | $124.00 | $77.00 | 82% above | 10% |
| Rubella antibody test (immunity check) CPT 86762 Rubella Antibody, Igg Npl | $112.00 | $124.00 | $77.00 | 82% above | 10% |
| Stool ova and parasites exam CPT 87177 Ova & Parasites By Immunoassay Npl | $70.00 | $78.00 | $49.00 | 43% above | 10% |
| Stool ova and parasites exam CPT 87177 Ova And Parasite Exam Plab | $70.00 | $78.00 | $49.00 | 43% above | 10% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 Rpr | $33.00 | $37.00 | $23.00 | 25% above | 11% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 Rpr (Rapid Plasma Reagin) Plab | $34.00 | $38.00 | $24.00 | 29% above | 11% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 .Rpr Titer Npl | $34.00 | $38.00 | $24.00 | 29% above | 11% |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 Tb Interferon Antigen Plab | $164.00 | $182.00 | $114.00 | 17% above | 10% |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 Quantiferon Tb Plus Npl | $164.00 | $182.00 | $114.00 | 17% above | 10% |
| Testosterone blood test, total (not free testosterone) CPT 84403 Smph Testosterone, Total | $90.00 | $100.00 | $62.00 | 24% above | 10% |
| Testosterone blood test, total (not free testosterone) CPT 84403 Testosterone Total Plab | $90.00 | $100.00 | $62.00 | 24% above | 10% |
| Testosterone blood test, total (not free testosterone) CPT 84403 Testosterone, Total Npl | $90.00 | $100.00 | $62.00 | 24% above | 10% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 Microsomal Antibody (Tpo) Npl | $113.00 | $125.00 | $78.00 | 86% above | 10% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 Thyroid Autoantibodies Npl | $143.00 | $159.00 | $99.00 | 135% above | 10% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 Thyroid Stimulating Immunoglobulin Npl | $143.00 | $159.00 | $99.00 | 135% above | 10% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 Blood test, thyroid stimulating hormone (TSH) | $131.00 | $146.00 | $91.00 | 28% above | 10% |
| Trichomonas test (NAAT) CPT 87661 Nhc Positive Std Panel Npl | $141.00 | $157.00 | $98.00 | 67% above | 10% |
| Uric acid blood test CPT 84550 Uric Acid | $38.00 | $42.00 | $26.00 | 3% below | 10% |
| Urinalysis with microscope exam, automated CPT 81001 Urinalysis test using microscope | $62.00 | $69.00 | $43.00 | 72% above | 10% |
| Urinalysis with microscope exam, manual CPT 81000 Urinalysis test using microscope | $43.00 | $48.00 | $30.00 | 54% above | 10% |
| Urinalysis without microscope exam, manual CPT 81002 Urinalysis test | $22.00 | $24.00 | $15.00 | 8% above | 8% |
| Urine culture for bacteria, with colony count CPT 87086 C Urine | $84.00 | $93.00 | $58.00 | 24% above | 10% |
| Urine pregnancy test, read by color change CPT 81025 U B-hcg Ql | $57.00 | $63.00 | $39.00 | 3% below | 10% |
| Vitamin B12 (cobalamin) blood test CPT 82607 Vitamin B12 Level | $99.00 | $110.00 | $69.00 | 23% above | 10% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 25-hydroxyvitamin D Lcms D2+d3 Lc | $219.00 | $243.00 | $152.00 | 36% above | 10% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 Vitamin D, 25 Npl | $221.00 | $246.00 | $153.00 | 37% above | 10% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 Vitamin D 25 Hydroxy Level | $221.00 | $246.00 | $153.00 | 37% above | 10% |
| Zinc blood test CPT 84630 Zinc Npl | $41.00 | $46.00 | $29.00 | 28% above | 11% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 Beta-hcg, Quant Tumor Marker Npl | $45.00 | $50.00 | $31.00 | 41% below | 10% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 Hcg, Beta Subunit, Quant. Npl | $112.00 | $124.00 | $77.00 | 47% above | 10% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 Beta Hcg Quantitative | $112.00 | $124.00 | $77.00 | 47% above | 10% |
Surgery and procedures
| Procedure | Cash price | List price | Insurers pay | vs North Dakota | Off list |
|---|---|---|---|---|---|
| Adenoid removal (adenoidectomy), child under 12 CPT 42830 Adenoidectomy, Primary; Younger Than Age 12 | $5,415.00 | $6,017.00 | $3,754.00 | 11% above | 10% |
| Arthroscopic ACL reconstruction or repair of the knee CPT 29888 Arthroscopy Knee With Acl Reconstruction | $5,297.00 | $5,885.00 | $3,672.00 | — | 10% |
| Arthroscopic rotator cuff repair of the shoulder CPT 29827 Arthroscopy Shoulder With Rotator Cuff Repair | $11,724.00 | $13,027.00 | $8,128.00 | at median | 10% |
| Balloon dilation of the maxillary sinus opening, one side CPT 31295 Excision Tissue Endoscopy Maxillary Sinus | $10,397.00 | $11,552.00 | $7,207.00 | 26% above | 10% |
| Botox injections for chronic migraine both sides CPT 64615 64615 Chemodenervation Of Muscle(s); Muscle(s) Innervated Nerves, Bilateral | $408.00 | $453.00 | $283.00 | — | 10% |
| Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 27786-distal Fibular W/o Manipulation | $470.00 | $522.00 | $326.00 | 16% above | 10% |
| Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 27786 Closed Treatment Of Distal Fibular Fracture (Lateral Malleolus); Without Manipulation | $818.00 | $909.00 | $567.00 | 102% above | 10% |
| Broken foot (metatarsal) treatment without surgery or setting CPT 28470 28470metatarsal W/o Manipulation | $470.00 | $522.00 | $326.00 | 5% above | 10% |
| Broken foot (metatarsal) treatment without surgery or setting CPT 28470 28470 Closed Treatment Of Metatarsal Fracture; Without Manipulation, Each | $571.00 | $634.00 | $396.00 | 28% above | 10% |
| Bunion correction with a bone cut near the head of the first metatarsal CPT 28296 Correction, Hallux Valgus, With Or Without Sesamoidectomy, With Metatarsal Osteotomy 28296 | $5,297.00 | $5,885.00 | $3,672.00 | 5% below | 10% |
| Carpal tunnel release, open surgery CPT 64721 64721, Neuroplasty And/or Transposition Median Nerve At Carpal Tunnel | $3,850.00 | $4,278.00 | $2,669.00 | 3% above | 10% |
| Cataract surgery with lens implant CPT 66984 Removal of cataract with insertion of lens | $5,072.00 | $5,636.00 | $3,516.00 | 22% above | 10% |
| Cervical biopsy CPT 57500 57500 Biopsy Of Cervix, Single Or Multiple, Or Local Excision Of Lesion, W/ Or W/o Fulguration | $347.00 | $386.00 | $241.00 | 51% below | 10% |
| Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 25600-distal Radial W/o Manipulation | $470.00 | $522.00 | $326.00 | at median | 10% |
| Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 25600 Closed Treatment Of Distal Radial Fracture; Without Manipulation | $857.00 | $952.00 | $594.00 | 82% above | 10% |
| Colonoscopy with polyp removal CPT 45385 Removal of polyps or growths of large bowel using an endoscope | $2,932.00 | $3,258.00 | $2,033.00 | 45% above | 10% |
| Colonoscopy with tissue sample CPT 45380 Biopsy exam of large bowel using an endoscope | $2,785.00 | $3,094.00 | $1,930.00 | 51% above | 10% |
| Colonoscopy, diagnostic CPT 45378 Diagnostic exam of large bowel using an endoscope | $2,738.00 | $3,042.00 | $1,898.00 | 192% above | 10% |
| Complex cataract surgery with lens implant CPT 66982 Extraction Cataract With Intraocular Lens Insertion | $5,072.00 | $5,636.00 | $3,516.00 | 22% above | 10% |
| Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 17000 Destruction Premalignant Lesions; First Lesion | $175.00 | $194.00 | $121.00 | 3% below | 10% |
| Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 17000-destruction Premalignant Lesions | $345.00 | $383.00 | $239.00 | 91% above | 10% |
| Ear tube placement (tympanostomy) under general anesthesia, one ear CPT 69436 Myringotomy With Tympanostomy Tubes | $2,968.00 | $3,298.00 | $2,058.00 | 41% above | 10% |
| Earwax removal by irrigation (rinsing), one ear CPT 69209 69209-cerumen Irrigation/lavage | $41.00 | $45.00 | $28.00 | 33% below | 9% |
| Earwax removal with instruments, one ear CPT 69210 69210-cerumen W/ Instrumentation | $148.00 | $164.00 | $102.00 | 32% above | 10% |
| Earwax removal with instruments, one ear one side CPT 69210 69210 Removal Impacted Cerumen Requiring Instrumentation, Unilateral | $127.00 | $141.00 | $88.00 | 13% above | 10% |
| Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 58100-endometrial Biopsy | $248.00 | $276.00 | $172.00 | 20% above | 10% |
| First repair of a front abdominal hernia (such as umbilical) 3 to 10 cm CPT 49593 49593 Repair Ant Abd Hernia(s) 3-10cm, Reducible | $7,335.00 | $8,150.00 | $5,085.00 | 193% above | 10% |
| First repair of a small front abdominal hernia (e.g. umbilical), under 3 cm CPT 49591 Repair Hernia Umbilical | $6,804.00 | $7,560.00 | $4,717.00 | 355% above | 10% |
| Gallbladder removal, laparoscopic CPT 47562 Removal of gallbladder using an endoscope | $2,008.00 | $2,231.00 | $1,392.00 | at median | 10% |
| Hammertoe correction surgery CPT 28285 Repair Hammer Toe | $5,578.00 | $6,198.00 | $3,867.00 | 25% above | 10% |
| Incision and drainage of a simple or single skin abscess CPT 10060 10060-i&d Abscess/cyst/hematoma Simple | $356.00 | $395.00 | $246.00 | 26% above | 10% |
| Inguinal (groin) hernia repair, age 5 or older CPT 49505 Repair of groin hernia patient age 5 years or older | $1,450.00 | $1,611.00 | $1,005.00 | at median | 10% |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 20550 Injection(s); Single Tendon Sheath, Or Ligament, Aponeurosis (Eg, Plantar Fascia) | $141.00 | $157.00 | $98.00 | 11% below | 10% |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 20550inj Single Tendon/ligament | $517.00 | $574.00 | $358.00 | 225% above | 10% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 20610 Arthrocentesis, Aspiration And/or Injection, Major Joint Or Bursa; Without Ultrasound Guidance | $161.00 | $179.00 | $112.00 | 11% below | 10% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 20610-major Joint Aspirate/inject W/o Us | $529.00 | $588.00 | $367.00 | 194% above | 10% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 20605 Arthrocentesis, Aspiration And/or Injection, Intermediate Joint Or Bursa (Eg, Temporomandibula | $135.00 | $150.00 | $94.00 | 28% below | 10% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 20605-intermediate Aspiration/inj W/o Us | $517.00 | $574.00 | $358.00 | 177% above | 10% |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 20600 Arthrocentesis, Aspiration And/or Injection, Small Joint Or Bursa (Eg, Fingers, Toes); Without | $131.00 | $145.00 | $90.00 | 29% below | 10% |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 20600-small Joint Aspirate/inject W/o Us | $517.00 | $574.00 | $358.00 | 180% above | 10% |
| Knee arthroscopy with meniscus repair (one side of the knee) CPT 29882 Arthroscopy Knee With Meniscal Repair | $5,297.00 | $5,885.00 | $3,672.00 | 9% below | 10% |
| Knee arthroscopy with meniscus trim CPT 29881 Removal of one knee cartilage using an endoscope | $5,297.00 | $5,885.00 | $3,672.00 | 5% below | 10% |
| Knee arthroscopy with removal of both torn meniscus parts CPT 29880 Arthroscopy Knee With Meniscectomy | $5,297.00 | $5,885.00 | $3,672.00 | 9% below | 10% |
| Laser treatment of clouding after cataract surgery (YAG) CPT 66821 Removal of recurring cataract in lens capsule using laser | $1,365.00 | $1,517.00 | $946.00 | 28% above | 10% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 12031 Repair Intermediate S/a/t/e 2.5 Cm/< Techfee | $461.00 | $512.00 | $319.00 | 2% below | 10% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 12031 Repair, Intermediate; Wounds Of Scalp, Axillae, Trunk, Extremities; <2.5cm | $636.00 | $707.00 | $441.00 | 36% above | 10% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 12031-scalp/trunk/extremity Less Than/equal To 2.5 Cm | $683.00 | $759.00 | $474.00 | 46% above | 10% |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 11400 Excision, Benign Lesion Including Margins, Except Skin Tag (Unless Listed Elsewhere), Trunk, A | $332.00 | $369.00 | $230.00 | 5% below | 10% |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 11400-excision Lesion Benign Trunk/extremity <= 0.5 Cm | $1,132.00 | $1,258.00 | $785.00 | 224% above | 10% |
| Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 11440 Excision, Other Benign Lesion Including Margins, Except Skin Tag (Unless Listed Elsewhere), Fa | $366.00 | $407.00 | $254.00 | at median | 10% |
| Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 11440-excise Lesion Benign Face Less Than/equal To 0.5 Cm | $1,132.00 | $1,258.00 | $785.00 | 209% above | 10% |
| Nail removal (partial or complete), one nail CPT 11730 11730 Avulsion Of Nail Plate, Partial Or Complete, Simple; Single | $291.00 | $323.00 | $202.00 | at median | 10% |
| Nail removal (partial or complete), one nail CPT 11730 11730-avulsion Nail Plate Single | $345.00 | $383.00 | $239.00 | 19% above | 10% |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 11750 Exc Of Nail And Nail Matrix, Partial Or Complete, For Permanent Removal | $633.00 | $703.00 | $439.00 | 48% above | 10% |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 11750-excision Nail & Matrix | $900.00 | $1,000.00 | $624.00 | 111% above | 10% |
| Removal of a breast lump, open surgery CPT 19120 Removal of one or more breast growth, open procedure | $5,774.00 | $6,416.00 | $4,003.00 | 285% above | 10% |
| Removal of a foreign object under the skin, simple CPT 10120 10120 Incision And Removal Of Foreign Body, Subcutaneous Tissues; Simple | $407.00 | $452.00 | $282.00 | at median | 10% |
| Removal of a foreign object under the skin, simple CPT 10120 10120-subcutaneous Tissue Simple | $683.00 | $759.00 | $474.00 | 67% above | 10% |
| Septoplasty to straighten the nasal septum CPT 30520 30520 Septoplasty/submucous Resect W-w/o Cartilage Scoring/contour/repl W/gft | $4,885.00 | $5,428.00 | $3,387.00 | — | 10% |
| Short arm cast (elbow to hand) CPT 29075 29075-cast Application Elbow To Finger (Short Arm) | $492.00 | $547.00 | $341.00 | 80% above | 10% |
| Short arm splint (forearm and hand) CPT 29125 29125 Application Of Short Arm Splint (Forearm To Hand); Static | $172.00 | $191.00 | $119.00 | 1% below | 10% |
| Short arm splint (forearm and hand) CPT 29125 29125-short Arm | $255.00 | $283.00 | $177.00 | 47% above | 10% |
| Short leg cast (below the knee) CPT 29405 29405-app Of Short Leg Cast (Below Knee To Toes) | $510.00 | $567.00 | $354.00 | 87% above | 10% |
| Short leg splint (calf to foot) CPT 29515 29515-short Leg | $281.00 | $312.00 | $195.00 | 38% above | 10% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 12001 Simple Repair Of Superficial Wounds Of Scalp, Neck, Axillae, External Genitalia, Trunk And/or | $356.00 | $395.00 | $246.00 | 37% above | 10% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 12001-scalp/neck/trunk/genital/extremity <= 2.5 Cm | $356.00 | $395.00 | $246.00 | 37% above | 10% |
| Skin biopsy, punch, one lesion CPT 11104 11104 Punch Biopsy Of Skin (Including Simple Closure, When Performed); Single Lesion | $331.00 | $368.00 | $230.00 | 5% above | 10% |
| Skin biopsy, punch, one lesion CPT 11104 Punch Biopsy | $371.00 | $412.00 | $257.00 | 18% above | 10% |
| Skin cancer removal (excision), body, arms or legs, up to 0.5 cm CPT 11600 11600 Excision, Malignant Lesion Including Margins, Trunk, Arms, Or Legs; < 0.5cm | $519.00 | $577.00 | $360.00 | 2% below | 10% |
| Skin tag removal, up to 15 tags CPT 11200 11200 Removal Of Skin Tags, Multiple Fibrocutaneous Tags, Any Area; Up To And Including 15 Lesions | $236.00 | $262.00 | $163.00 | 13% above | 10% |
| Skin tag removal, up to 15 tags CPT 11200 11200-removal Skin Tag Up To 15 | $236.00 | $262.00 | $163.00 | 13% above | 10% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 12002 Simple Repair Of Wounds; Scalp, Neck, Axillae, Genitalia, Trunk, Extremeties; 2.6-7.5cm | $290.00 | $322.00 | $201.00 | 11% above | 10% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 12002 Rpr, Sim, Scalp/n/a/t/e; 2.6cm To 7.5cm | $356.00 | $395.00 | $246.00 | 36% above | 10% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 12002-scalp/neck/trunk/genital/extremity 2.6-7.5 Cm | $356.00 | $395.00 | $246.00 | 36% above | 10% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 12011 Simple Repair Of Superficial Wounds Of Face, Ears, Eyelids, Nose, Lips And/or Mucous Membranes | $291.00 | $323.00 | $202.00 | 11% above | 10% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 12011 Simple Repair Of Superficial Wounds Of Face, Ears, Eyelids, Nose, Lips And/or Mucous Membrane | $356.00 | $395.00 | $246.00 | 36% above | 10% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 12011-face/ear/eyelid/nose/lip Less Than/equal To 2.5 Cm | $356.00 | $395.00 | $246.00 | 36% above | 10% |
| Tangential (shave-style) skin biopsy, one lesion CPT 11102 11102-tangential Biopsy Of Skin | $263.00 | $292.00 | $182.00 | 22% above | 10% |
| Tonsil and adenoid removal, age 12 or older CPT 42821 42821 Tonsillectomy/adenoidectomy Age 12 And Over | $5,415.00 | $6,017.00 | $3,754.00 | 11% above | 10% |
| Tonsil and adenoid removal, child under 12 CPT 42820 Removal of tonsils and adenoid glands, patient younger than age 12 | $10,065.00 | $11,183.00 | $6,977.00 | 11% above | 10% |
| Tonsil removal (tonsillectomy) only, age 12 or older CPT 42826 42826 Tonsillectomy, Primary Or Secondary; Age 12 Or > | $5,415.00 | $6,017.00 | $3,754.00 | at median | 10% |
| Tonsil removal (tonsillectomy) only, child under 12 CPT 42825 42825 Tonsillectomy, Primary Or Secondary; < Than Age 12 | $10,065.00 | $11,183.00 | $6,977.00 | — | 10% |
| Trigger finger release surgery CPT 26055 26055 Incise Finger Tendon Sheath | $2,606.00 | $2,895.00 | $1,806.00 | 7% below | 10% |
| Trigger point injections, 1 or 2 muscles CPT 20552 20552 Injection(s); Single Or Multiple Trigger Point(s), 1 Or 2 Muscle(s) | $148.00 | $164.00 | $102.00 | 45% below | 10% |
| Trigger point injections, 1 or 2 muscles CPT 20552 20552-inject Trigger Point 1-2 Muscles | $148.00 | $164.00 | $102.00 | 45% below | 10% |
| Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 Esophagogastroduodenoscopy Balloon Dilatation | $2,897.00 | $3,219.00 | $2,008.00 | 21% above | 10% |
| Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 43249esophagogastroduodenoscopy | $3,257.00 | $3,619.00 | $2,258.00 | 36% above | 10% |
| Upper endoscopy (EGD) with biopsy CPT 43239 Biopsy exam of esophagus, stomach or small bowel using an endoscope | $2,565.00 | $2,850.00 | $1,778.00 | 60% above | 10% |
| Upper endoscopy (EGD), diagnostic CPT 43235 Diagnostic exam of esophagus, stomach or small bowel using an endoscope | $2,489.00 | $2,765.00 | $1,725.00 | 64% above | 10% |
| Wart removal, up to 14 warts CPT 17110 17110 Destruction (Eg, Laser Surgery, Electrosurgery, Cryosurgery, Chemosurgery, Surgical Curettemen | $294.00 | $327.00 | $204.00 | 29% above | 10% |
| Wart removal, up to 14 warts CPT 17110 17110destruction Benign; Up To 14 | $345.00 | $383.00 | $239.00 | 51% above | 10% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 11042 Debridement, Subcutaneous Tissue; First 20 Sq Cm Or Less | $316.00 | $351.00 | $219.00 | 8% below | 10% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 11042-sq Tissue Less Than/equal To 1st 20 Sq Cm | $614.00 | $682.00 | $425.00 | 80% above | 10% |
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 36430 Blodd Admin2 Hrs | $851.00 | $946.00 | $590.00 | 12% above | 10% |
| Blood transfusion (giving blood or blood components) CPT 36430 1-4 Hoursblood Administration Charges | $1,003.00 | $1,114.00 | $695.00 | 32% above | 10% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Nebulizer Treatmentclinic (Smp) | $92.00 | $102.00 | $64.00 | 24% below | 10% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Rt Aero Large Volume, Cool Charge | $99.00 | $110.00 | $69.00 | 18% below | 10% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Rt Aero Large Volume, Heated Charge | $99.00 | $110.00 | $69.00 | 18% below | 10% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Rt Sputum Induction Initial Charge | $152.00 | $169.00 | $105.00 | 26% above | 10% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Pres 94640 Nebulizer Treatmentclinic | $152.00 | $169.00 | $105.00 | 26% above | 10% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 94640 Pressurized Or Nonpressurized Inhalation Treatment For Acute Airway Obstruction For Therapeuti | $320.00 | $356.00 | $222.00 | 165% above | 10% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Rt Mini-neb Initial Charge | $320.00 | $356.00 | $222.00 | 165% above | 10% |
| Critical care, first 30 to 74 minutes CPT 99291 99291 Er-critical Care 30-74min | $1,986.00 | $2,207.00 | $1,377.00 | 141% above | 10% |
| Critical care, first 30 to 74 minutes CPT 99291 99291critical Care, 30-74 | $2,047.00 | $2,274.00 | $1,419.00 | 148% above | 10% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 Electrocardiogram 12 Lead (Smp) | $144.00 | $160.00 | $100.00 | 21% above | 10% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 99281level 1 | $204.00 | $227.00 | $142.00 | 88% above | 10% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 11111ed No Charge | $204.00 | $227.00 | $142.00 | 88% above | 10% |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 99285 Erlevel Ii | $289.00 | $321.00 | $200.00 | 55% above | 10% |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 99282level 2 | $299.00 | $332.00 | $207.00 | 60% above | 10% |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 99283level 3 | $526.00 | $584.00 | $364.00 | 76% above | 10% |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 99285 Erlevel Iii | $526.00 | $584.00 | $364.00 | 76% above | 10% |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 99285 Erlevel Iv | $825.00 | $917.00 | $572.00 | 58% above | 10% |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 99284level 4 | $825.00 | $917.00 | $572.00 | 58% above | 10% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 99285level 5 | $1,288.00 | $1,431.00 | $893.00 | 67% above | 10% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 99285 Erlevel V | $1,288.00 | $1,431.00 | $893.00 | 67% above | 10% |
| Family therapy with the patient, 50 minutes CPT 90847 Family psychotherapy, including patient, 50 min | $941.00 | $1,045.00 | $652.00 | 56% above | 10% |
| Family therapy without the patient, 50 minutes CPT 90846 Family psychotherapy, not including patient, 50 min | $905.00 | $1,005.00 | $627.00 | 78% above | 10% |
| Group psychotherapy session CPT 90853 Group psychotherapy | $842.00 | $935.00 | $583.00 | 82% above | 10% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 96360-iv Hydration Initial 31 Min1 Hr | $476.00 | $529.00 | $330.00 | 59% above | 10% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 96360hydration, First Hour | $491.00 | $546.00 | $341.00 | 64% above | 10% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 96360-59 Iv Hydration Initial Addl Site W/ Modification | $491.00 | $546.00 | $341.00 | 64% above | 10% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 96360 Iv Infusion, Hydration, Initial, 31 Min To 1 Hr | $491.00 | $545.00 | $340.00 | 64% above | 10% |
| IV infusion of a medicine, first hour CPT 96365 96365 Intravenous Infusion, For Therapy, Prophylaxis, Or Diagnosis (Specify Substance Or Drug); Ini | $491.00 | $545.00 | $340.00 | 29% above | 10% |
| IV infusion of a medicine, first hour CPT 96365 96365-59 Infusion Initial Addl Site W/ Modification | $500.00 | $555.00 | $346.00 | 31% above | 10% |
| IV infusion of a medicine, first hour CPT 96365 96365-infusion Drug Initial Up To 1 Hr Greater Than 15 Mins | $500.00 | $555.00 | $346.00 | 31% above | 10% |
| IV infusion of a medicine, first hour CPT 96365 Smp_health 96365 Iv Infusioninitial | $500.00 | $555.00 | $346.00 | 31% above | 10% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 96372-injection/sq/im | $149.00 | $166.00 | $104.00 | 229% above | 10% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 96372 Therapeutic, Prophylactic, Or Diagnostic Injection (Specify Substance Or Drug); Subcutaneous O | $149.00 | $166.00 | $104.00 | 229% above | 10% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 Amb Inj Med Admin Charge | $149.00 | $166.00 | $104.00 | 229% above | 10% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 96372-59 Sq/im Injection W/ Modification | $149.00 | $166.00 | $104.00 | 229% above | 10% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 Smp_health 96372 Injectionsubq/im | $149.00 | $166.00 | $104.00 | 229% above | 10% |
| Neuromuscular re-education, 15 minutes CPT 97112 Ot Neuromuscular Reeducation Assistant Units | $149.00 | $166.00 | $104.00 | 34% above | 10% |
| Neuromuscular re-education, 15 minutes CPT 97112 Pt Neuromuscular Reeducation Assistant Units | $149.00 | $166.00 | $104.00 | 34% above | 10% |
| New patient office visit, about 30 minutes CPT 99203 New patient office or other outpatient visit, 30 min | $286.00 | $318.00 | $198.00 | 29% above | 10% |
| New patient office visit, about 45 minutes CPT 99204 New patient office or other outpatient visit, 45 min | $435.00 | $483.00 | $301.00 | 48% above | 10% |
| New patient office visit, about 60 minutes CPT 99205 New patient office or other outpatient visit, 60 min | $547.00 | $608.00 | $379.00 | 43% above | 10% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 99202 Np Outpatient Visit Lvl 2 15-29 Min Charge | $203.00 | $225.00 | $140.00 | 22% above | 10% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 99202 Office Call Video Newp Patient Minor | $203.00 | $225.00 | $140.00 | 22% above | 10% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 97802 Medical Nutrition Therapy Intial 15 Min Charge | $79.00 | $88.00 | $55.00 | 21% below | 10% |
| Occupational therapy evaluation, low complexity CPT 97165 Ot Evaluation Units, Low Complexity | $419.00 | $466.00 | $291.00 | 60% above | 10% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 Pt Evaluation Units, High Complexity | $420.00 | $467.00 | $291.00 | 36% above | 10% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 Pt Evaluation Units, Low Complexity | $432.00 | $480.00 | $299.00 | 64% above | 10% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 Pt Evaluation Units, Moderate Complexity | $432.00 | $480.00 | $299.00 | 54% above | 10% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 Pt Manual Therapy Assistant Units | $122.00 | $135.00 | $84.00 | 16% above | 10% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 Ot Manual Therapy Assistant Units | $122.00 | $135.00 | $84.00 | 16% above | 10% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Physical therapy, therapeutic exercise | $131.00 | $146.00 | $91.00 | 22% above | 10% |
| Preventive checkup, new patient aged 18–39 CPT 99385 Initial new patient preventative medicine evaluation (18-39 years) | $349.00 | $388.00 | $242.00 | 46% above | 10% |
| Preventive checkup, new patient aged 40–64 CPT 99386 Initial new patient preventative medicine evaluation (40-64 years) | $407.00 | $452.00 | $282.00 | 40% above | 10% |
| Preventive checkup, new patient aged 65 or older CPT 99387 99387 Initial Comprehensive Prev Medicine Age 65 + Lvl 7 Charge | $440.00 | $489.00 | $305.00 | 41% above | 10% |
| Preventive checkup, returning patient aged 18–39 CPT 99395 99395 Periodic Comprehensive Medicine Ages 18-39 Lvl 5 Charge | $316.00 | $351.00 | $219.00 | 45% above | 10% |
| Preventive checkup, returning patient aged 40–64 CPT 99396 99396 Periodic Comprehensive Medicine Ages 40-64 Lvl 6 Charge | $337.00 | $374.00 | $233.00 | 42% above | 10% |
| Preventive checkup, returning patient aged 65 or older CPT 99397 99397 Periodic Comprehensive Medicine Ages 65+ Lvl 7 Charge | $363.00 | $403.00 | $251.00 | 46% above | 10% |
| Psychotherapy session, 30 minutes CPT 90832 Psychotherapy, 30 min | $729.00 | $810.00 | $505.00 | 120% above | 10% |
| Psychotherapy session, 45 minutes CPT 90834 Psychotherapy, 45 min | $860.00 | $955.00 | $596.00 | 109% above | 10% |
| Psychotherapy session, 60 minutes CPT 90837 Psychotherapy, 60 min | $873.00 | $970.00 | $605.00 | 108% above | 10% |
| Quit-smoking counseling, 3 to 10 minutes CPT 99406 Pres 99406 Tobacco Cessation Greater Than 3 Minutes | $41.00 | $45.00 | $28.00 | 14% above | 9% |
| Quit-smoking counseling, 3 to 10 minutes CPT 99406 99406 Smoking/tobacco Cessation Counseling; 3-10 Min | $41.00 | $45.00 | $28.00 | 14% above | 9% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 99215 Ep Outpatient Visit Lvl 5 40-54 Min Charge | $385.00 | $428.00 | $267.00 | 12% above | 10% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 99213 Ep Outpatient Visit Lvl 3 20-29 Min Charge | $196.00 | $218.00 | $136.00 | 6% above | 10% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 99213 Office Call Est Patient Moderate Video | $196.00 | $218.00 | $136.00 | 6% above | 10% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 99214 Ep Outpatient Visit Lvl 4 30-39 Min Charge (Bh) | $288.00 | $320.00 | $200.00 | 16% above | 10% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 99214 Level 4 Video Visit | $288.00 | $320.00 | $200.00 | 16% above | 10% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 Pres Charge: Oupturinary Catheter Care | $79.00 | $88.00 | $55.00 | at median | 10% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 99212 Ep Outpatient Visit Lvl 2 10-19 Min Charge | $121.00 | $134.00 | $84.00 | 53% above | 10% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 99212 Office Call Est Patient Minor Video | $121.00 | $134.00 | $84.00 | 53% above | 10% |
| Specialist consultation, low complexity or 30+ minutes CPT 99243 Patient office consultation, 40 min | $324.00 | $360.00 | $225.00 | 3% above | 10% |
| Specialist consultation, moderate complexity or 40+ minutes CPT 99244 Patient office consultation, 60 min | $486.00 | $540.00 | $337.00 | 33% above | 10% |
| Speech and language evaluation CPT 92523 Slp Eval Lang Comprehension,express Unit | $998.00 | $1,109.00 | $692.00 | 75% above | 10% |
| Speech therapy session, individual CPT 92507 Slp Auditory Processing Tx Units | $332.00 | $369.00 | $230.00 | 25% above | 10% |
| Spirometry (breathing test) CPT 94010 94010 Spirometry, W/ Graphic Record, Total/timed Vital Capacity, Expiratory Flow Rate Measurement(s) | $92.00 | $102.00 | $64.00 | 35% below | 10% |
| Spirometry (breathing test) CPT 94010 Rt Forced Vital Capacity (Fvc) Charge | $136.00 | $151.00 | $94.00 | 4% below | 10% |
| Spirometry before and after a bronchodilator CPT 94060 Rt Pre & Post Spiro Charge | $269.00 | $299.00 | $187.00 | 16% below | 10% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 Pt Therapeutic Activity Assistant Units | $168.00 | $187.00 | $117.00 | 43% above | 10% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 Ot Therapeutic Activities Assistant Units | $168.00 | $187.00 | $117.00 | 43% above | 10% |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 Ther Phleb | $383.00 | $425.00 | $265.00 | 31% above | 10% |
Vaccines
| Procedure | Cash price | List price | Insurers pay | vs North Dakota | Off list |
|---|---|---|---|---|---|
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 Vaccine Pneumococcal 23-valent Conjugateamb Pneumococcal 23-valent Vaccine Charge | $407.00 | $452.00 | $282.00 | 150% above | 10% |
| Rabies vaccine, one dose CPT 90675 1 Ml Rabiesamb Rabies Vaccine Charge | $882.00 | $980.00 | $611.00 | 36% above | 10% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Initial Admin Charge 90471amb Only Admin Charge | $46.00 | $51.00 | $32.00 | 2% below | 10% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 90471 Immuniz Admin 1 Vacc | $70.00 | $78.00 | $49.00 | 49% above | 10% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 90471-vaccine Administration | $70.00 | $78.00 | $49.00 | 49% above | 10% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 90471immuniz Admin 1 Vacc | $70.00 | $78.00 | $49.00 | 49% above | 10% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 90471 Day Patient Immunization Administration Techfee | $70.00 | $78.00 | $49.00 | 49% above | 10% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 Each Additional 90472admin Immunization Charge | $29.00 | $32.00 | $20.00 | 5% below | 9% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 90472-vaccine Administration Each Addl | $29.00 | $32.00 | $20.00 | 5% below | 9% |