Garrison Memorial Hospital
Garrison Memorial Hospital in Garrison, ND publishes cash prices for 220 common procedures listed here, from its own machine-readable price file updated Sep 30, 2026. Compared with other hospitals in the state, its outpatient cash prices are below the North Dakota median for 160 of 216 procedures and above it for 54. By typical cash price it ranks #7 of 33 North Dakota hospitals, cheapest first. Select a procedure to compare it with other hospitals nearby.
407 3rd Ave SE, Garrison, ND 58540 Collected Nov 4, 2026 Source price file Check a bill from this hospital (701) 463-2275
Critical access hospital (rural, 25 beds or fewer) Nonprofit hospital Emergency department CCN 351303 · CMS hospital register NPI 1982674560
Financial assistance
Nonprofit hospital: it must offer free or discounted care to patients who qualify. How to apply
Garrison Memorial Hospital is a nonprofit hospital in the CMS register. Under section 501(r) of the federal tax code it must have a written Financial Assistance Policy with a free application, publish both on its website, and charge patients who qualify no more than the amounts generally billed to insured patients for emergency and other medically necessary care. Who qualifies depends on household income; the policy states the limits.
You can apply up to 240 days after the first bill. Before collection actions such as credit reporting or a lawsuit, the hospital must tell you about the policy and wait at least 120 days after that bill. Ask the billing office for the policy and the application before you pay, or search the hospital's website for “financial assistance”. Letters you can copy.
Source: IRS, section 501(r) requirements for nonprofit hospitals.
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 1 action for a hospital named Garrison Memorial Hospital in Garrison, ND:
- May 21, 2025 Met requirements
Met requirements: CMS reviewed the hospital and found it met the requirements, so no further action was taken.
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 |
|---|---|---|---|---|---|
| Abdominal CT scan without and with contrast CPT 74170 HC CT ABDOMEN W WO CONTRAST | $944.70 | $1,410.00 | $705.00–$1,339.50 | 54% below | 33% |
| Abdominal CT scan without and with contrast inpatient CPT 74170 HC CT ABDOMEN W WO CONTRAST | $944.70 | $1,410.00 | $987.00–$1,339.50 | — | 33% |
| Abdominal X-ray, 2 views CPT 74019 HC ABDOMEN COMPLETE 2V | $119.26 | $178.00 | $89.00–$169.10 | 31% below | 33% |
| Abdominal X-ray, 2 views inpatient CPT 74019 HC ABDOMEN COMPLETE 2V | $119.26 | $178.00 | $124.60–$169.10 | — | 33% |
| Ankle X-ray, complete, 3 or more views CPT 73610 HC ANKLE COMPLETE | $103.18 | $154.00 | $77.00–$146.30 | 33% below | 33% |
| Ankle X-ray, complete, 3 or more views inpatient CPT 73610 HC ANKLE COMPLETE | $103.18 | $154.00 | $107.80–$146.30 | — | 33% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 HC ANKLE BRACHIAL INDEX | $294.80 | $440.00 | $220.00–$418.00 | at median | 33% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 HC ANKLE BRACHIAL INDEX | $294.80 | $440.00 | $308.00–$418.00 | — | 33% |
| Arm CT scan without contrast (shoulder to hand, any part) CPT 73200 HC CT UPPER EXT WO CONTRAST | $683.40 | $1,020.00 | $510.00–$969.00 | 46% below | 33% |
| Arm CT scan without contrast (shoulder to hand, any part) inpatient CPT 73200 HC CT UPPER EXT WO CONTRAST | $683.40 | $1,020.00 | $714.00–$969.00 | — | 33% |
| Barium swallow (esophagus X-ray with contrast) CPT 74220 HC ESOPHAGRAM | $161.47 | $241.00 | $120.50–$228.95 | 55% below | 33% |
| Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 HC ESOPHAGRAM | $161.47 | $241.00 | $168.70–$228.95 | — | 33% |
| Breast ultrasound, complete, one breast CPT 76641 HC ULTRASOUND BREAST COMPLETE | $210.38 | $314.00 | $157.00–$298.30 | 40% below | 33% |
| Breast ultrasound, complete, one breast inpatient CPT 76641 HC ULTRASOUND BREAST COMPLETE | $210.38 | $314.00 | $219.80–$298.30 | — | 33% |
| Breast ultrasound, limited (one breast or one area) CPT 76642 HC ULTRASOUND BREAST LIMITED | $194.97 | $291.00 | $145.50–$276.45 | 35% below | 33% |
| Breast ultrasound, limited (one breast or one area) inpatient CPT 76642 HC ULTRASOUND BREAST LIMITED | $194.97 | $291.00 | $203.70–$276.45 | — | 33% |
| CT angiography (CTA) of the abdomen and pelvis CPT 74174 HC CT ANGIO AB PELV W WO CONTR | $2,400.61 | $3,583.00 | $1,791.50–$3,403.85 | 15% below | 33% |
| CT angiography (CTA) of the abdomen and pelvis inpatient CPT 74174 HC CT ANGIO AB PELV W WO CONTR | $2,400.61 | $3,583.00 | $2,508.10–$3,403.85 | — | 33% |
| CT angiography (CTA) of the head CPT 70496 HC CT ANGIO HEAD W WO CONTRAST | $1,405.66 | $2,098.00 | $1,049.00–$1,993.10 | 30% below | 33% |
| CT angiography (CTA) of the head inpatient CPT 70496 HC CT ANGIO HEAD W WO CONTRAST | $1,405.66 | $2,098.00 | $1,468.60–$1,993.10 | — | 33% |
| CT angiography (CTA) of the neck CPT 70498 HC CT ANGIO NECK W WO CONTRAST | $1,536.31 | $2,293.00 | $1,146.50–$2,178.35 | 23% below | 33% |
| CT angiography (CTA) of the neck inpatient CPT 70498 HC CT ANGIO NECK W WO CONTRAST | $1,536.31 | $2,293.00 | $1,605.10–$2,178.35 | — | 33% |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 HC CT ANGIO CHEST W WO CONTRST | $1,506.16 | $2,248.00 | $1,124.00–$2,135.60 | 28% below | 33% |
| CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 HC CT ANGIO CHEST W WO CONTRST | $1,506.16 | $2,248.00 | $1,573.60–$2,135.60 | — | 33% |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 HC CT ABD PELVIS WO CONTRAST | $973.51 | $1,453.00 | $726.50–$1,380.35 | 41% below | 33% |
| CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 HC CT ABD PELVIS WO CONTRAST | $973.51 | $1,453.00 | $1,017.10–$1,380.35 | — | 33% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 HC CT ABDOMEN PELVIS W CONTRST | $1,645.52 | $2,456.00 | $1,228.00–$2,333.20 | 33% below | 33% |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 HC CT ABDOMEN PELVIS W CONTRST | $1,645.52 | $2,456.00 | $1,719.20–$2,333.20 | — | 33% |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 HC CT ABD PELVIS W WO CONTRAST | $1,888.73 | $2,819.00 | $1,409.50–$2,678.05 | 35% below | 33% |
| CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 HC CT ABD PELVIS W WO CONTRAST | $1,888.73 | $2,819.00 | $1,973.30–$2,678.05 | — | 33% |
| CT scan of the abdomen with contrast CPT 74160 HC CT ABDOMEN W CONTRAST | $696.80 | $1,040.00 | $520.00–$988.00 | 57% below | 33% |
| CT scan of the abdomen with contrast inpatient CPT 74160 HC CT ABDOMEN W CONTRAST | $696.80 | $1,040.00 | $728.00–$988.00 | — | 33% |
| CT scan of the abdomen without contrast CPT 74150 HC CT ABDOMEN WO CONTRAST | $473.02 | $706.00 | $353.00–$670.70 | 62% below | 33% |
| CT scan of the abdomen without contrast inpatient CPT 74150 HC CT ABDOMEN WO CONTRAST | $473.02 | $706.00 | $494.20–$670.70 | — | 33% |
| CT scan of the face and sinuses, no contrast dye CPT 70486 HC CT MAXILLOFACIAL WO CONTRST | $815.39 | $1,217.00 | $608.50–$1,156.15 | 23% below | 33% |
| CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 HC CT MAXILLOFACIAL WO CONTRST | $815.39 | $1,217.00 | $851.90–$1,156.15 | — | 33% |
| CT scan of the head or brain, no contrast dye CPT 70450 HC CT HEAD WO CONTRAST | $639.85 | $955.00 | $477.50–$907.25 | 41% below | 33% |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 HC CT HEAD WO CONTRAST | $639.85 | $955.00 | $668.50–$907.25 | — | 33% |
| CT scan of the lower back (lumbar spine) without contrast CPT 72131 HC CT LUMBAR WO CONTRAST | $752.41 | $1,123.00 | $561.50–$1,066.85 | 42% below | 33% |
| CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 HC CT LUMBAR WO CONTRAST | $752.41 | $1,123.00 | $786.10–$1,066.85 | — | 33% |
| CT scan of the neck (cervical spine), no contrast dye CPT 72125 HC CT CERVICAL WO CONTRAST | $882.39 | $1,317.00 | $658.50–$1,251.15 | 34% below | 33% |
| CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 HC CT CERVICAL WO CONTRAST | $882.39 | $1,317.00 | $921.90–$1,251.15 | — | 33% |
| CT scan of the pelvis, with contrast dye CPT 72193 HC CT PELVIS W CONTRAST | $1,270.32 | $1,896.00 | $948.00–$1,801.20 | 20% below | 33% |
| CT scan of the pelvis, with contrast dye inpatient CPT 72193 HC CT PELVIS W CONTRAST | $1,270.32 | $1,896.00 | $1,327.20–$1,801.20 | — | 33% |
| Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 HC CAROTID DUPLEX BILATERAL | $620.42 | $926.00 | $463.00–$879.70 | — | 33% |
| Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 HC CAROTID DUPLEX BILATERAL | $620.42 | $926.00 | $648.20–$879.70 | — | 33% |
| Chest CT scan without and with contrast CPT 71270 HC CT CHEST W WO CONTRAST | $1,262.95 | $1,885.00 | $942.50–$1,790.75 | 26% below | 33% |
| Chest CT scan without and with contrast inpatient CPT 71270 HC CT CHEST W WO CONTRAST | $1,262.95 | $1,885.00 | $1,319.50–$1,790.75 | — | 33% |
| Chest X-ray, 2 views CPT 71046 HC CHEST 2 VIEWS PA LAT | $93.13 | $139.00 | $69.50–$132.05 | 46% below | 33% |
| Chest X-ray, 2 views inpatient CPT 71046 HC CHEST 2 VIEWS PA LAT | $93.13 | $139.00 | $97.30–$132.05 | — | 33% |
| Chest X-ray, single view CPT 71045 HC CHEST 1 VIEW PA OR AP ONLY | $75.71 | $113.00 | $56.50–$107.35 | 47% below | 33% |
| Chest X-ray, single view inpatient CPT 71045 HC CHEST 1 VIEW PA OR AP ONLY | $75.71 | $113.00 | $79.10–$107.35 | — | 33% |
| Collarbone (clavicle) X-ray, complete CPT 73000 HC CLAVICLE | $48.91 | $73.00 | $36.50–$69.35 | 65% below | 33% |
| Collarbone (clavicle) X-ray, complete inpatient CPT 73000 HC CLAVICLE | $48.91 | $73.00 | $51.10–$69.35 | — | 33% |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 HC US RETROPERITONEAL COMPLETE | $320.26 | $478.00 | $239.00–$454.10 | 27% below | 33% |
| Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 HC US RETROPERITONEAL COMPLETE | $320.26 | $478.00 | $334.60–$454.10 | — | 33% |
| DEXA bone density scan of the hip, pelvis or spine CPT 77080 HC DEXA BONE DENSITY | $202.34 | $302.00 | $151.00–$286.90 | 20% below | 33% |
| DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 HC DEXA BONE DENSITY | $202.34 | $302.00 | $211.40–$286.90 | — | 33% |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 HC CT CHEST WO CONTRAST | $804.67 | $1,201.00 | $600.50–$1,140.95 | 34% below | 33% |
| Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 HC CT CHEST WO CONTRAST | $804.67 | $1,201.00 | $840.70–$1,140.95 | — | 33% |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 HC CT CHEST W CONTRAST | $1,005.67 | $1,501.00 | $750.50–$1,425.95 | 29% below | 33% |
| Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 HC CT CHEST W CONTRAST | $1,005.67 | $1,501.00 | $1,050.70–$1,425.95 | — | 33% |
| Diagnostic mammogram, both breasts both sides CPT 77066 HC MAMMOGRAM DIGITAL BILATERAL | $318.92 | $476.00 | $238.00–$452.20 | — | 33% |
| Diagnostic mammogram, both breasts inpatient both sides CPT 77066 HC MAMMOGRAM DIGITAL BILATERAL | $318.92 | $476.00 | $333.20–$452.20 | — | 33% |
| Diagnostic mammogram, one breast CPT 77065 HC DX MAMMO INCL CAD UNI | $270.68 | $404.00 | $202.00–$383.80 | 31% below | 33% |
| Diagnostic mammogram, one breast CPT 77065 HC MAMMOGRAM DIGITAL UNILATERL | $286.09 | $427.00 | $213.50–$405.65 | 27% below | 33% |
| Diagnostic mammogram, one breast inpatient CPT 77065 HC DX MAMMO INCL CAD UNI | $270.68 | $404.00 | $282.80–$383.80 | — | 33% |
| Diagnostic mammogram, one breast inpatient CPT 77065 HC MAMMOGRAM DIGITAL UNILATERL | $286.09 | $427.00 | $298.90–$405.65 | — | 33% |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 HC VENOUS DUPLEX BILATERAL | $575.53 | $859.00 | $429.50–$816.05 | — | 33% |
| Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 HC VENOUS DUPLEX BILATERAL | $575.53 | $859.00 | $601.30–$816.05 | — | 33% |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 HC ECHO W PW CW CF DOPPLER | $478.38 | $714.00 | $357.00–$678.30 | 38% below | 33% |
| Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 HC ECHO W PW CW CF DOPPLER | $478.38 | $714.00 | $499.80–$678.30 | — | 33% |
| Elbow X-ray, 2 views CPT 73070 HC ELBOW 2 VIEWS | $86.43 | $129.00 | $64.50–$122.55 | 37% below | 33% |
| Elbow X-ray, 2 views inpatient CPT 73070 HC ELBOW 2 VIEWS | $86.43 | $129.00 | $90.30–$122.55 | — | 33% |
| Elbow X-ray, complete, 3 or more views CPT 73080 HC ELBOW COMPLETE | $106.53 | $159.00 | $79.50–$151.05 | 34% below | 33% |
| Elbow X-ray, complete, 3 or more views inpatient CPT 73080 HC ELBOW COMPLETE | $106.53 | $159.00 | $111.30–$151.05 | — | 33% |
| Eye socket (orbit) CT scan without contrast CPT 70480 HC CT ORBIT WO CONTRAST | $917.23 | $1,369.00 | $684.50–$1,300.55 | 33% below | 33% |
| Eye socket (orbit) CT scan without contrast inpatient CPT 70480 HC CT ORBIT WO CONTRAST | $917.23 | $1,369.00 | $958.30–$1,300.55 | — | 33% |
| Forearm X-ray (radius and ulna), 2 views CPT 73090 HC FOREARM | $82.41 | $123.00 | $61.50–$116.85 | 44% below | 33% |
| Forearm X-ray (radius and ulna), 2 views inpatient CPT 73090 HC FOREARM | $82.41 | $123.00 | $86.10–$116.85 | — | 33% |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 HC HEPATOBILRY IMG W GALL BLAD | $761.12 | $1,136.00 | $568.00–$1,079.20 | 36% below | 33% |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 HC HEPATOBILRY IMG W GALL BLAD | $761.12 | $1,136.00 | $795.20–$1,079.20 | — | 33% |
| Hand X-ray, 2 views CPT 73120 HC HAND 2 VIEW | $67.67 | $101.00 | $50.50–$95.95 | 52% below | 33% |
| Hand X-ray, 2 views inpatient CPT 73120 HC HAND 2 VIEW | $67.67 | $101.00 | $70.70–$95.95 | — | 33% |
| Heel bone (calcaneus) X-ray, 2 or more views CPT 73650 HC CALCANEUS | $62.31 | $93.00 | $46.50–$88.35 | 57% below | 33% |
| Heel bone (calcaneus) X-ray, 2 or more views inpatient CPT 73650 HC CALCANEUS | $62.31 | $93.00 | $65.10–$88.35 | — | 33% |
| Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 HC SLEEP STUDY UNATTENDED | $386.59 | $577.00 | $288.50–$548.15 | 10% above | 33% |
| Home sleep apnea test, unattended, recording breathing and oxygen inpatient CPT 95806 HC SLEEP STUDY UNATTENDED | $386.59 | $577.00 | $403.90–$548.15 | — | 33% |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 HC POLYSOMNOGRPHY=>6 YR CPAP | $4,074.27 | $6,081.00 | $3,040.50–$5,776.95 | 68% above | 33% |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 HC POLYSOMNOGRPHY=>6 YR CPAP | $4,074.27 | $6,081.00 | $4,256.70–$5,776.95 | — | 33% |
| Knee X-ray, 3 views CPT 73562 HC KNEE 3 VIEW | $120.60 | $180.00 | $90.00–$171.00 | 34% below | 33% |
| Knee X-ray, 3 views inpatient CPT 73562 HC KNEE 3 VIEW | $120.60 | $180.00 | $126.00–$171.00 | — | 33% |
| Knee X-ray, complete, 4 or more views CPT 73564 HC KNEE 4 OR> VIEWS | $107.20 | $160.00 | $80.00–$152.00 | 45% below | 33% |
| Knee X-ray, complete, 4 or more views inpatient CPT 73564 HC KNEE 4 OR> VIEWS | $107.20 | $160.00 | $112.00–$152.00 | — | 33% |
| Leg CT scan without contrast (hip to foot, any part) CPT 73700 HC CT LOWER EXT WO CONTRAST | $764.47 | $1,141.00 | $570.50–$1,083.95 | 37% below | 33% |
| Leg CT scan without contrast (hip to foot, any part) inpatient CPT 73700 HC CT LOWER EXT WO CONTRAST | $764.47 | $1,141.00 | $798.70–$1,083.95 | — | 33% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 HC US ABDOMEN LIMITED | $226.46 | $338.00 | $169.00–$321.10 | 42% below | 33% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 HC US ABDOMEN LIMITED | $226.46 | $338.00 | $236.60–$321.10 | — | 33% |
| Limited ultrasound of an arm or leg (non-vascular) CPT 76882 HC US LMTD JT/FCL EVL NVASC XTR | $235.84 | $352.00 | $176.00–$334.40 | 3% below | 33% |
| Limited ultrasound of an arm or leg (non-vascular) inpatient CPT 76882 HC US LMTD JT/FCL EVL NVASC XTR | $235.84 | $352.00 | $246.40–$334.40 | — | 33% |
| Lower leg X-ray (tibia and fibula), 2 views CPT 73590 HC TIBIA FIBULA | $87.10 | $130.00 | $65.00–$123.50 | 45% below | 33% |
| Lower leg X-ray (tibia and fibula), 2 views inpatient CPT 73590 HC TIBIA FIBULA | $87.10 | $130.00 | $91.00–$123.50 | — | 33% |
| MR angiography (MRA) of the head without contrast CPT 70544 HC MRA HEAD WO CONTRAST | $1,072.67 | $1,601.00 | $800.50–$1,520.95 | 51% below | 33% |
| MR angiography (MRA) of the head without contrast inpatient CPT 70544 HC MRA HEAD WO CONTRAST | $1,072.67 | $1,601.00 | $1,120.70–$1,520.95 | — | 33% |
| MRI of both breasts, without and then with contrast dye both sides CPT 77049 HC MRI BREAST WITHOUT&WITH CONTRAST W/CAD BILATERAL | $2,447.51 | $3,653.00 | $1,826.50–$3,470.35 | — | 33% |
| MRI of both breasts, without and then with contrast dye inpatient both sides CPT 77049 HC MRI BREAST WITHOUT&WITH CONTRAST W/CAD BILATERAL | $2,447.51 | $3,653.00 | $2,557.10–$3,470.35 | — | 33% |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 HC MR JOINT LOWER EXT WO CONT | $1,709.17 | $2,551.00 | $1,275.50–$2,423.45 | 12% below | 33% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 HC MR JOINT LOWER EXT WO CONT | $1,709.17 | $2,551.00 | $1,785.70–$2,423.45 | — | 33% |
| MRI of the abdomen, without and then with contrast dye CPT 74183 HC MR ABDOMEN W WO CONTRAST | $1,546.36 | $2,308.00 | $1,154.00–$2,192.60 | 52% below | 33% |
| MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 HC MR ABDOMEN W WO CONTRAST | $1,546.36 | $2,308.00 | $1,615.60–$2,192.60 | — | 33% |
| MRI of the brain, no contrast dye CPT 70551 HC MR BRAIN WO CONT LTD M52 | $1,076.69 | $1,607.00 | $803.50–$1,526.65 | 39% below | 33% |
| MRI of the brain, no contrast dye inpatient CPT 70551 HC MR BRAIN WO CONT LTD M52 | $1,076.69 | $1,607.00 | $1,124.90–$1,526.65 | — | 33% |
| MRI of the brain, with and without contrast dye CPT 70553 HC MR BRAIN W WO CONTRAST | $1,764.78 | $2,634.00 | $1,317.00–$2,502.30 | 42% below | 33% |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 HC MR BRAIN W WO CONTRAST | $1,764.78 | $2,634.00 | $1,843.80–$2,502.30 | — | 33% |
| MRI of the lower back, no contrast dye CPT 72148 HC MR LUMBAR WO CONTRAST | $1,510.18 | $2,254.00 | $1,127.00–$2,141.30 | 22% below | 33% |
| MRI of the lower back, no contrast dye inpatient CPT 72148 HC MR LUMBAR WO CONTRAST | $1,510.18 | $2,254.00 | $1,577.80–$2,141.30 | — | 33% |
| MRI of the lower back, without and then with contrast dye CPT 72158 HC MR LUMBAR W WO CONTRAST | $1,766.79 | $2,637.00 | $1,318.50–$2,505.15 | 43% below | 33% |
| MRI of the lower back, without and then with contrast dye inpatient CPT 72158 HC MR LUMBAR W WO CONTRAST | $1,766.79 | $2,637.00 | $1,845.90–$2,505.15 | — | 33% |
| MRI of the mid back (thoracic spine), no contrast dye CPT 72146 HC MR THORACIC WO CONTRAST | $1,026.44 | $1,532.00 | $766.00–$1,455.40 | 51% below | 33% |
| MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 HC MR THORACIC WO CONTRAST | $1,026.44 | $1,532.00 | $1,072.40–$1,455.40 | — | 33% |
| MRI of the neck (cervical spine) without and with contrast CPT 72156 HC MR CERVICAL W WO CONTRAST | $1,605.99 | $2,397.00 | $1,198.50–$2,277.15 | 48% below | 33% |
| MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 HC MR CERVICAL W WO CONTRAST | $1,605.99 | $2,397.00 | $1,677.90–$2,277.15 | — | 33% |
| MRI of the neck (cervical spine), no contrast dye CPT 72141 HC MR CERVICAL WO CONTRAST | $1,337.99 | $1,997.00 | $998.50–$1,897.15 | 31% below | 33% |
| MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 HC MR CERVICAL WO CONTRAST | $1,337.99 | $1,997.00 | $1,397.90–$1,897.15 | — | 33% |
| MRI of the pelvis without and with contrast CPT 72197 HC MR PELVIS W WO CONTRAST | $1,542.34 | $2,302.00 | $1,151.00–$2,186.90 | 50% below | 33% |
| MRI of the pelvis without and with contrast inpatient CPT 72197 HC MR PELVIS W WO CONTRAST | $1,542.34 | $2,302.00 | $1,611.40–$2,186.90 | — | 33% |
| MRI of the pelvis, no contrast dye CPT 72195 HC MR PELVIS WO CONTRAST | $1,040.51 | $1,553.00 | $776.50–$1,475.35 | 53% below | 33% |
| MRI of the pelvis, no contrast dye inpatient CPT 72195 HC MR PELVIS WO CONTRAST | $1,040.51 | $1,553.00 | $1,087.10–$1,475.35 | — | 33% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 HC MR JOINT UP EXT WO CONTRAST | $1,658.92 | $2,476.00 | $1,238.00–$2,352.20 | 14% below | 33% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient CPT 73221 HC MR JOINT UP EXT WO CONTRAST | $1,658.92 | $2,476.00 | $1,733.20–$2,352.20 | — | 33% |
| Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 HC CERVICAL SPINE 4 OR 5 VIEWS | $121.27 | $181.00 | $90.50–$171.95 | 46% below | 33% |
| Neck (cervical spine) X-ray, 4 or 5 views inpatient CPT 72050 HC CERVICAL SPINE 4 OR 5 VIEWS | $121.27 | $181.00 | $126.70–$171.95 | — | 33% |
| Neck soft tissue CT scan with contrast CPT 70491 HC CT NECK W CONTRAST | $866.31 | $1,293.00 | $646.50–$1,228.35 | 40% below | 33% |
| Neck soft tissue CT scan with contrast inpatient CPT 70491 HC CT NECK W CONTRAST | $866.31 | $1,293.00 | $905.10–$1,228.35 | — | 33% |
| Neck soft tissue X-ray CPT 70360 HC NECK SOFT TISSUE | $45.56 | $68.00 | $34.00–$64.60 | 69% below | 33% |
| Neck soft tissue X-ray inpatient CPT 70360 HC NECK SOFT TISSUE | $45.56 | $68.00 | $47.60–$64.60 | — | 33% |
| Pelvic CT scan without contrast CPT 72192 HC CT PELVIS WO CONTRAST | $548.73 | $819.00 | $409.50–$778.05 | 55% below | 33% |
| Pelvic CT scan without contrast inpatient CPT 72192 HC CT PELVIS WO CONTRAST | $548.73 | $819.00 | $573.30–$778.05 | — | 33% |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 HC US PELVIS GYN | $322.94 | $482.00 | $241.00–$457.90 | 29% below | 33% |
| Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 HC US PELVIS GYN | $322.94 | $482.00 | $337.40–$457.90 | — | 33% |
| Rib X-ray, one side, 2 views one side CPT 71100 HC RIBS UNILATERAL | $93.80 | $140.00 | $70.00–$133.00 | 45% below | 33% |
| Rib X-ray, one side, 2 views inpatient one side CPT 71100 HC RIBS UNILATERAL | $93.80 | $140.00 | $98.00–$133.00 | — | 33% |
| Rib X-ray, one side, with a chest view, 3 or more views CPT 71101 HC RIBS UNI PA CHEST | $113.23 | $169.00 | $84.50–$160.55 | 40% below | 33% |
| Rib X-ray, one side, with a chest view, 3 or more views inpatient CPT 71101 HC RIBS UNI PA CHEST | $113.23 | $169.00 | $118.30–$160.55 | — | 33% |
| Screening mammogram, both breasts CPT 77067 HC MAMMOGRAM DIGITAL SCREEN | $363.14 | $542.00 | $271.00–$514.90 | at median | 33% |
| Screening mammogram, both breasts inpatient CPT 77067 HC MAMMOGRAM DIGITAL SCREEN | $363.14 | $542.00 | $379.40–$514.90 | — | 33% |
| Shoulder X-ray, complete, 2 or more views CPT 73030 HC SHOULDER COMPLETE | $91.79 | $137.00 | $68.50–$130.15 | 48% below | 33% |
| Shoulder X-ray, complete, 2 or more views inpatient CPT 73030 HC SHOULDER COMPLETE | $91.79 | $137.00 | $95.90–$130.15 | — | 33% |
| Skull X-ray, fewer than 4 views CPT 70250 HC SKULL PARTIAL <4 | $59.63 | $89.00 | $44.50–$84.55 | 64% below | 33% |
| Skull X-ray, fewer than 4 views inpatient CPT 70250 HC SKULL PARTIAL <4 | $59.63 | $89.00 | $62.30–$84.55 | — | 33% |
| Sleep study in a lab (polysomnography) CPT 95810 HC POLYSOMNOGRAPHY=> 6 YR | $3,585.17 | $5,351.00 | $2,675.50–$5,083.45 | 48% above | 33% |
| Sleep study in a lab (polysomnography) inpatient CPT 95810 HC POLYSOMNOGRAPHY=> 6 YR | $3,585.17 | $5,351.00 | $3,745.70–$5,083.45 | — | 33% |
| Thigh bone (femur) X-ray, 2 or more views CPT 73552 HC X-RAY EXAM OF FEMUR 2/> | $71.02 | $106.00 | $53.00–$100.70 | 57% below | 33% |
| Thigh bone (femur) X-ray, 2 or more views inpatient CPT 73552 HC X-RAY EXAM OF FEMUR 2/> | $71.02 | $106.00 | $74.20–$100.70 | — | 33% |
| Thoracic spine (mid back) CT scan without contrast CPT 72128 HC CT THORACIC WO CONTRAST | $623.77 | $931.00 | $465.50–$884.45 | 52% below | 33% |
| Thoracic spine (mid back) CT scan without contrast inpatient CPT 72128 HC CT THORACIC WO CONTRAST | $623.77 | $931.00 | $651.70–$884.45 | — | 33% |
| Toe X-ray, 2 or more views one side CPT 73660 HC TOE LT GREAT TOE TA | $74.37 | $111.00 | $55.50–$105.45 | 42% below | 33% |
| Toe X-ray, 2 or more views inpatient one side CPT 73660 HC TOE LT GREAT TOE TA | $74.37 | $111.00 | $77.70–$105.45 | — | 33% |
| Transvaginal pelvic ultrasound CPT 76830 HC US TRANSVAGINAL | $219.76 | $328.00 | $164.00–$311.60 | 54% below | 33% |
| Transvaginal pelvic ultrasound inpatient CPT 76830 HC US TRANSVAGINAL | $219.76 | $328.00 | $229.60–$311.60 | — | 33% |
| Ultrasound of the abdomen, complete CPT 76700 HC US ABDOMEN | $385.92 | $576.00 | $288.00–$547.20 | 25% below | 33% |
| Ultrasound of the abdomen, complete inpatient CPT 76700 HC US ABDOMEN | $385.92 | $576.00 | $403.20–$547.20 | — | 33% |
| Ultrasound of the scrotum and testicles CPT 76870 HC US SCROTUM TESTICLE | $264.65 | $395.00 | $197.50–$375.25 | 36% below | 33% |
| Ultrasound of the scrotum and testicles inpatient CPT 76870 HC US SCROTUM TESTICLE | $264.65 | $395.00 | $276.50–$375.25 | — | 33% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 HC US THYROID PARATHYROID NECK | $339.69 | $507.00 | $253.50–$481.65 | 29% below | 33% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 HC US THYROID PARATHYROID NECK | $339.69 | $507.00 | $354.90–$481.65 | — | 33% |
| Upper arm X-ray (humerus), 2 views CPT 73060 HC HUMERUS | $83.75 | $125.00 | $62.50–$118.75 | 41% below | 33% |
| Upper arm X-ray (humerus), 2 views inpatient CPT 73060 HC HUMERUS | $83.75 | $125.00 | $87.50–$118.75 | — | 33% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 HC VENOUS DUPLEX UNILATERAL | $468.33 | $699.00 | $349.50–$664.05 | 10% below | 33% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 HC VENOUS DUPLEX UNILATERAL | $468.33 | $699.00 | $489.30–$664.05 | — | 33% |
| Wrist X-ray, 2 views CPT 73100 HC WRIST 2 VIEW | $75.71 | $113.00 | $56.50–$107.35 | 51% below | 33% |
| Wrist X-ray, 2 views inpatient CPT 73100 HC WRIST 2 VIEW | $75.71 | $113.00 | $79.10–$107.35 | — | 33% |
| Wrist X-ray, complete, 3 or more views CPT 73110 HC WRIST COMPLETE | $121.94 | $182.00 | $91.00–$172.90 | 30% below | 33% |
| Wrist X-ray, complete, 3 or more views inpatient CPT 73110 HC WRIST COMPLETE | $121.94 | $182.00 | $127.40–$172.90 | — | 33% |
| X-ray of the abdomen, 1 view CPT 74018 HC ABDOMEN 1 VIEW | $81.07 | $121.00 | $60.50–$114.95 | 42% below | 33% |
| X-ray of the abdomen, 1 view inpatient CPT 74018 HC ABDOMEN 1 VIEW | $81.07 | $121.00 | $84.70–$114.95 | — | 33% |
| X-ray of the ankle, 2 views CPT 73600 HC ANKLE 2 VIEWS | $85.76 | $128.00 | $64.00–$121.60 | 41% below | 33% |
| X-ray of the ankle, 2 views inpatient CPT 73600 HC ANKLE 2 VIEWS | $85.76 | $128.00 | $89.60–$121.60 | — | 33% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 HC FINGER LT THUMB FA | $109.88 | $164.00 | $82.00–$155.80 | 29% below | 33% |
| X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 HC FINGER LT THUMB FA | $109.88 | $164.00 | $114.80–$155.80 | — | 33% |
| X-ray of the foot, 2 views CPT 73620 HC FOOT 2 VIEW | $64.32 | $96.00 | $48.00–$91.20 | 54% below | 33% |
| X-ray of the foot, 2 views inpatient CPT 73620 HC FOOT 2 VIEW | $64.32 | $96.00 | $67.20–$91.20 | — | 33% |
| X-ray of the foot, complete, 3 or more views CPT 73630 HC FOOT COMPLETE | $97.15 | $145.00 | $72.50–$137.75 | 34% below | 33% |
| X-ray of the foot, complete, 3 or more views inpatient CPT 73630 HC FOOT COMPLETE | $97.15 | $145.00 | $101.50–$137.75 | — | 33% |
| X-ray of the hand, 3 or more views CPT 73130 HC HAND COMPLETE | $101.84 | $152.00 | $76.00–$144.40 | 38% below | 33% |
| X-ray of the hand, 3 or more views inpatient CPT 73130 HC HAND COMPLETE | $101.84 | $152.00 | $106.40–$144.40 | — | 33% |
| X-ray of the knee, 1 or 2 views CPT 73560 HC KNEE 2 VIEW AP LAT | $95.14 | $142.00 | $71.00–$134.90 | 41% below | 33% |
| X-ray of the knee, 1 or 2 views inpatient CPT 73560 HC KNEE 2 VIEW AP LAT | $95.14 | $142.00 | $99.40–$134.90 | — | 33% |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 HC LUMBAR SPINE 2 OR 3V | $107.87 | $161.00 | $80.50–$152.95 | 44% below | 33% |
| X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 HC LUMBAR SPINE 2 OR 3V | $107.87 | $161.00 | $112.70–$152.95 | — | 33% |
| X-ray of the lower back, 4 or more views CPT 72110 HC LUMBR SPINE W OBLIQUES 4OR> | $117.25 | $175.00 | $87.50–$166.25 | 51% below | 33% |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 HC LUMBR SPINE W OBLIQUES 4OR> | $117.25 | $175.00 | $122.50–$166.25 | — | 33% |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 HC THORACIC SPINE 2 VIEW | $95.14 | $142.00 | $71.00–$134.90 | 37% below | 33% |
| X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 HC THORACIC SPINE 2 VIEW | $95.14 | $142.00 | $99.40–$134.90 | — | 33% |
| X-ray of the nasal bones, 3 or more views CPT 70160 HC NASAL BONES =>3 VIEWS | $75.71 | $113.00 | $56.50–$107.35 | 50% below | 33% |
| X-ray of the nasal bones, 3 or more views inpatient CPT 70160 HC NASAL BONES =>3 VIEWS | $75.71 | $113.00 | $79.10–$107.35 | — | 33% |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 HC CERVICAL SPINE =<3 VIEWS | $114.57 | $171.00 | $85.50–$162.45 | 30% below | 33% |
| X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 HC CERVICAL SPINE =<3 VIEWS | $114.57 | $171.00 | $119.70–$162.45 | — | 33% |
| X-ray of the pelvis, 1 or 2 views CPT 72170 HC PELVIS | $86.43 | $129.00 | $64.50–$122.55 | 44% below | 33% |
| X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 HC PELVIS | $86.43 | $129.00 | $90.30–$122.55 | — | 33% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 HC SACRUM AND COCCYX | $63.65 | $95.00 | $47.50–$90.25 | 59% below | 33% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 HC SACRUM AND COCCYX | $63.65 | $95.00 | $66.50–$90.25 | — | 33% |
Lab tests
| Procedure | Cash price | List price | Insurers pay | vs North Dakota | Off list |
|---|---|---|---|---|---|
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HC ACUTE HEPATITIS PANEL | $225.12 | $336.00 | $47.63–$319.20 | 1% below | 33% |
| Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 HC ACUTE HEPATITIS PANEL | $225.12 | $336.00 | $235.20–$319.20 | — | 33% |
| Aldosterone blood test CPT 82088 HC ALDOSTERONE | $201.67 | $301.00 | $40.75–$285.95 | 64% above | 33% |
| Aldosterone blood test inpatient CPT 82088 HC ALDOSTERONE | $201.67 | $301.00 | $210.70–$285.95 | — | 33% |
| Alpha-fetoprotein (AFP) blood test CPT 82105 HC AFP TUMOR SERUM | $107.87 | $161.00 | $16.77–$152.95 | 12% above | 33% |
| Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 HC AFP TUMOR SERUM | $107.87 | $161.00 | $112.70–$152.95 | — | 33% |
| Blood glucose (sugar) test CPT 82947 HC GLUCOSE | $30.82 | $46.00 | $3.93–$43.70 | 5% above | 33% |
| Blood glucose (sugar) test inpatient CPT 82947 HC GLUCOSE | $30.82 | $46.00 | $32.20–$43.70 | — | 33% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 HC ABO TYPE | $97.15 | $145.00 | $2.99–$137.75 | 148% above | 33% |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 HC ABO TYPE | $97.15 | $145.00 | $101.50–$137.75 | — | 33% |
| C-peptide blood test CPT 84681 HC C PEPTIDE | $107.87 | $161.00 | $20.81–$152.95 | 1% below | 33% |
| C-peptide blood test inpatient CPT 84681 HC C PEPTIDE | $107.87 | $161.00 | $112.70–$152.95 | — | 33% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 HC SARS COV2 BY PCR | $138.02 | $206.00 | $51.31–$195.70 | 11% above | 33% |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 HC SARS COV2 BY PCR | $138.02 | $206.00 | $144.20–$195.70 | — | 33% |
| Chickenpox (varicella) immunity blood test CPT 86787 HC V ZOS IGG | $64.99 | $97.00 | $12.88–$92.15 | 10% above | 33% |
| Chickenpox (varicella) immunity blood test inpatient CPT 86787 HC V ZOS IGG | $64.99 | $97.00 | $67.90–$92.15 | — | 33% |
| Cytomegalovirus (CMV) antibody test CPT 86644 HC CMV IGG ANTIBODY | $71.69 | $107.00 | $14.39–$101.65 | 37% above | 33% |
| Cytomegalovirus (CMV) antibody test inpatient CPT 86644 HC CMV IGG ANTIBODY | $71.69 | $107.00 | $74.90–$101.65 | — | 33% |
| D-dimer blood test (blood clot marker) CPT 85379 HC D DIMER QUANTITATIVE | $75.71 | $113.00 | $10.18–$107.35 | 3% above | 33% |
| D-dimer blood test (blood clot marker) inpatient CPT 85379 HC D DIMER QUANTITATIVE | $75.71 | $113.00 | $79.10–$107.35 | — | 33% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG SCREEN SINGLE | $28.14 | $42.00 | $29.40–$65.25 | 80% below | 33% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC PAIN MANAGEMENT DRUG PANEL URINE | $213.73 | $319.00 | $62.14–$303.05 | 48% above | 33% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRUG SCREEN SINGLE | $28.14 | $42.00 | $29.40–$39.90 | — | 33% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC PAIN MANAGEMENT DRUG PANEL URINE | $213.73 | $319.00 | $223.30–$303.05 | — | 33% |
| Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 HC ELECTROLYTES | $51.59 | $77.00 | $7.01–$73.15 | 7% below | 33% |
| Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 HC ELECTROLYTES | $51.59 | $77.00 | $53.90–$73.15 | — | 33% |
| Fecal calprotectin (stool inflammation test) CPT 83993 HC CALPROTECTIN FECAL | $162.14 | $242.00 | $19.63–$229.90 | 3% above | 33% |
| Fecal calprotectin (stool inflammation test) inpatient CPT 83993 HC CALPROTECTIN FECAL | $162.14 | $242.00 | $169.40–$229.90 | — | 33% |
| Fibrinogen blood test CPT 85384 HC FIBRINOGEN | $64.99 | $97.00 | $9.72–$92.15 | 18% above | 33% |
| Fibrinogen blood test inpatient CPT 85384 HC FIBRINOGEN | $64.99 | $97.00 | $67.90–$92.15 | — | 33% |
| Free testosterone test CPT 84402 HC TESTOSTERONE FREE | $127.30 | $190.00 | $25.47–$180.50 | 66% above | 33% |
| Free testosterone test inpatient CPT 84402 HC TESTOSTERONE FREE | $127.30 | $190.00 | $133.00–$180.50 | — | 33% |
| Gamma-glutamyl transferase (GGT) blood test CPT 82977 HC GGTP | $47.57 | $71.00 | $7.20–$67.45 | 7% above | 33% |
| Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 HC GGTP | $47.57 | $71.00 | $49.70–$67.45 | — | 33% |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 HC POST GLUCOSE DOSE | $40.20 | $60.00 | $4.75–$57.00 | 14% above | 33% |
| Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 HC POST GLUCOSE DOSE | $40.20 | $60.00 | $42.00–$57.00 | — | 33% |
| Glucose tolerance test, 3 samples CPT 82951 HC GLUCOSE TOLERANCE TEST | $90.45 | $135.00 | $12.87–$128.25 | 1% below | 33% |
| Glucose tolerance test, 3 samples inpatient CPT 82951 HC GLUCOSE TOLERANCE TEST | $90.45 | $135.00 | $94.50–$128.25 | — | 33% |
| H. pylori stool antigen test CPT 87338 HC HELICOBCTR PY STOOL ANTIGEN | $107.20 | $160.00 | $14.38–$152.00 | 7% above | 33% |
| H. pylori stool antigen test inpatient CPT 87338 HC HELICOBCTR PY STOOL ANTIGEN | $107.20 | $160.00 | $112.00–$152.00 | — | 33% |
| HPV test for high-risk types, one combined (pooled) result CPT 87624 HC HPV HIGH RISK TYPES | $117.92 | $176.00 | $35.09–$167.20 | 21% above | 33% |
| HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HC HPV HIGH RISK TYPES | $117.92 | $176.00 | $123.20–$167.20 | — | 33% |
| Hepatitis B core antibody test (total) CPT 86704 HC HEPATITIS B CORE AB TOTAL | $77.05 | $115.00 | $12.05–$109.25 | 16% above | 33% |
| Hepatitis B core antibody test (total) inpatient CPT 86704 HC HEPATITIS B CORE AB TOTAL | $77.05 | $115.00 | $80.50–$109.25 | — | 33% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HC HEPATITIS B SURFACE AB | $33.50 | $50.00 | $10.74–$47.50 | 40% below | 33% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HC HEPATITIS B SURFACE AB | $33.50 | $50.00 | $35.00–$47.50 | — | 33% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 HC HEPATITIS B SURFACE AG | $66.33 | $99.00 | $10.33–$94.05 | 23% above | 33% |
| Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HC HEPATITIS B SURFACE AG | $66.33 | $99.00 | $69.30–$94.05 | — | 33% |
| Lactate (lactic acid) blood test CPT 83605 HC LACTIC ACID | $54.27 | $81.00 | $11.57–$76.95 | 30% below | 33% |
| Lactate (lactic acid) blood test inpatient CPT 83605 HC LACTIC ACID | $54.27 | $81.00 | $56.70–$76.95 | — | 33% |
| Lactate dehydrogenase (LDH) blood test CPT 83615 HC LDH | $49.58 | $74.00 | $6.04–$70.30 | 14% above | 33% |
| Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 HC LDH | $49.58 | $74.00 | $51.80–$70.30 | — | 33% |
| Pap test (liquid-based, automated screening with review) CPT 88175 HC RHC PAP SCRN AUTO W MAN RSC | $113.90 | $170.00 | $26.61–$161.50 | 1% below | 33% |
| Pap test (liquid-based, automated screening with review) inpatient CPT 88175 HC RHC PAP SCRN AUTO W MAN RSC | $113.90 | $170.00 | $119.00–$161.50 | — | 33% |
| Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 HC THIN PREP PAP | $113.90 | $170.00 | $20.26–$161.50 | 11% above | 33% |
| Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 HC THIN PREP PAP | $113.90 | $170.00 | $119.00–$161.50 | — | 33% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 HC THROMBOPLASTIN TIME PARTIAL | $45.56 | $68.00 | $6.01–$64.60 | 38% above | 33% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC THROMBOPLASTIN TIME PARTIAL | $45.56 | $68.00 | $47.60–$64.60 | — | 33% |
| Prothrombin time (PT/INR) clotting test CPT 85610 HC INR | $28.14 | $42.00 | $4.29–$39.90 | 9% above | 33% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC INR | $28.14 | $42.00 | $29.40–$39.90 | — | 33% |
| Renin blood test CPT 84244 HC RENIN | $109.88 | $164.00 | $21.99–$155.80 | 46% above | 33% |
| Renin blood test inpatient CPT 84244 HC RENIN | $109.88 | $164.00 | $114.80–$155.80 | — | 33% |
| Rh blood typing CPT 86901 HC REF PRO RH TYPE | $36.85 | $55.00 | $2.99–$52.25 | 4% below | 33% |
| Rh blood typing inpatient CPT 86901 HC REF PRO RH TYPE | $36.85 | $55.00 | $38.50–$52.25 | — | 33% |
| Rubella antibody test (immunity check) CPT 86762 HC RUBELLA SCREEN | $71.69 | $107.00 | $14.39–$101.65 | 8% above | 33% |
| Rubella antibody test (immunity check) inpatient CPT 86762 HC RUBELLA SCREEN | $71.69 | $107.00 | $74.90–$101.65 | — | 33% |
| Sodium blood test CPT 84295 HC SODIUM | $36.18 | $54.00 | $4.81–$51.30 | 7% below | 33% |
| Sodium blood test inpatient CPT 84295 HC SODIUM | $36.18 | $54.00 | $37.80–$51.30 | — | 33% |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 HC OCCULT BID SCRN 1-3 SPEC | $29.48 | $44.00 | $4.38–$41.80 | 4% above | 33% |
| Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 HC OCCULT BID SCRN 1-3 SPEC | $29.48 | $44.00 | $30.80–$41.80 | — | 33% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HC RPR QUAL | $30.82 | $46.00 | $4.27–$43.70 | 5% above | 33% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 HC RPR QUAL | $30.82 | $46.00 | $32.20–$43.70 | — | 33% |
| Total cholesterol blood test CPT 82465 HC CHOLESTEROL | $31.49 | $47.00 | $4.35–$44.65 | 7% below | 33% |
| Total cholesterol blood test inpatient CPT 82465 HC CHOLESTEROL | $31.49 | $47.00 | $32.90–$44.65 | — | 33% |
| Total thyroxine (T4) blood test CPT 84436 HC T4 | $40.20 | $60.00 | $6.87–$57.00 | 10% below | 33% |
| Total thyroxine (T4) blood test inpatient CPT 84436 HC T4 | $40.20 | $60.00 | $42.00–$57.00 | — | 33% |
| Total triiodothyronine (T3) blood test CPT 84480 HC T3 TOTAL | $91.12 | $136.00 | $14.18–$129.20 | 1% above | 33% |
| Total triiodothyronine (T3) blood test inpatient CPT 84480 HC T3 TOTAL | $91.12 | $136.00 | $95.20–$129.20 | — | 33% |
| Triglycerides blood test CPT 84478 HC TRIGLYCERIDE | $42.21 | $63.00 | $5.74–$59.85 | 1% below | 33% |
| Triglycerides blood test inpatient CPT 84478 HC TRIGLYCERIDE | $42.21 | $63.00 | $44.10–$59.85 | — | 33% |
| Zinc blood test CPT 84630 HC ZINC | $83.75 | $125.00 | $11.39–$118.75 | 78% above | 33% |
| Zinc blood test inpatient CPT 84630 HC ZINC | $83.75 | $125.00 | $87.50–$118.75 | — | 33% |
Surgery and procedures
| Procedure | Cash price | List price | Insurers pay | vs North Dakota | Off list |
|---|---|---|---|---|---|
| Cardioversion, elective (restoring heart rhythm) CPT 92960 HC CARDIOVERSION ELECTRIC EXT | $645.21 | $963.00 | $481.50–$914.85 | 36% below | 33% |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 HC CARDIOVERSION ELECTRIC EXT | $645.21 | $963.00 | $674.10–$914.85 | — | 33% |
| Earwax removal by irrigation (rinsing), one ear CPT 69209 HC REM IMP EAR WAX IRR/LAV UNI | $81.74 | $122.00 | $61.00–$115.90 | 34% above | 33% |
| Earwax removal by irrigation (rinsing), one ear inpatient CPT 69209 HC REM IMP EAR WAX IRR/LAV UNI | $81.74 | $122.00 | $85.40–$115.90 | — | 33% |
| Earwax removal with instruments, one ear CPT 69210 HC REM IMP EAR WAX INST UNI | $85.76 | $128.00 | $64.00–$121.60 | 25% below | 33% |
| Earwax removal with instruments, one ear inpatient CPT 69210 HC REM IMP EAR WAX INST UNI | $85.76 | $128.00 | $89.60–$121.60 | — | 33% |
| Incision and drainage of a simple or single skin abscess CPT 10060 HC DRAIN SKIN ABSCESS SMPL SNGL | $205.69 | $307.00 | $153.50–$291.65 | 32% below | 33% |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 HC DRAIN SKIN ABSCESS SMPL SNGL | $205.69 | $307.00 | $214.90–$291.65 | — | 33% |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 HC INJ TENDON/LIG/TR PT/GANGLI | $237.85 | $355.00 | $177.50–$337.25 | 24% below | 33% |
| Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 HC INJ TENDON/LIG/TR PT/GANGLI | $237.85 | $355.00 | $248.50–$337.25 | — | 33% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 HC DRAIN INJ JOINT BURSA MAJOR | $294.13 | $439.00 | $219.50–$417.05 | 3% below | 33% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 HC DRAIN INJ JOINT BURSA MAJOR | $294.13 | $439.00 | $307.30–$417.05 | — | 33% |
| Nail removal (partial or complete), one nail CPT 11730 HC AVULSION NAIL PL SMPL SNGL | $215.07 | $321.00 | $160.50–$304.95 | 23% below | 33% |
| Nail removal (partial or complete), one nail inpatient CPT 11730 HC AVULSION NAIL PL SMPL SNGL | $215.07 | $321.00 | $224.70–$304.95 | — | 33% |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 HC PERMANENT REMOVAL NAILBED | $496.47 | $741.00 | $370.50–$703.95 | 12% below | 33% |
| Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 HC PERMANENT REMOVAL NAILBED | $496.47 | $741.00 | $518.70–$703.95 | — | 33% |
| Removal of a foreign object under the skin, simple CPT 10120 HC RFB SUBQ TISSUE SIMPLE | $343.71 | $513.00 | $256.50–$487.35 | 19% below | 33% |
| Removal of a foreign object under the skin, simple inpatient CPT 10120 HC RFB SUBQ TISSUE SIMPLE | $343.71 | $513.00 | $359.10–$487.35 | — | 33% |
| Short arm cast (elbow to hand) CPT 29075 HC CASTING OF ARM SHORT | $263.98 | $394.00 | $197.00–$374.30 | 15% below | 33% |
| Short arm cast (elbow to hand) inpatient CPT 29075 HC CASTING OF ARM SHORT | $263.98 | $394.00 | $275.80–$374.30 | — | 33% |
| Short arm splint (forearm and hand) CPT 29125 HC SPLINTING OF FOREARM | $172.86 | $258.00 | $129.00–$245.10 | 10% below | 33% |
| Short arm splint (forearm and hand) inpatient CPT 29125 HC SPLINTING OF FOREARM | $172.86 | $258.00 | $180.60–$245.10 | — | 33% |
| Short leg splint (calf to foot) CPT 29515 HC SPLINTING OF LOWER LEG | $147.40 | $220.00 | $110.00–$209.00 | 34% below | 33% |
| Short leg splint (calf to foot) inpatient CPT 29515 HC SPLINTING OF LOWER LEG | $147.40 | $220.00 | $154.00–$209.00 | — | 33% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 HC RSW SIMPLE H/N/T/E <2.5CM | $224.45 | $335.00 | $167.50–$318.25 | 27% below | 33% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 HC RSW SIMPLE H/N/T/E <2.5CM | $224.45 | $335.00 | $234.50–$318.25 | — | 33% |
| Skin tag removal, up to 15 tags CPT 11200 HC REMOVE SKIN TAGS <=15 LESIONS | $109.88 | $164.00 | $82.00–$155.80 | 52% below | 33% |
| Skin tag removal, up to 15 tags inpatient CPT 11200 HC REMOVE SKIN TAGS <=15 LESIONS | $109.88 | $164.00 | $114.80–$155.80 | — | 33% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 HC LUMBAR PUNCTURE DIAGNOSTIC | $858.94 | $1,282.00 | $641.00–$1,217.90 | at median | 33% |
| Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 HC LUMBAR PUNCTURE DIAGNOSTIC | $858.94 | $1,282.00 | $897.40–$1,217.90 | — | 33% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 HC RSW SIMPL H/N/T/E 2.6-7.5CM | $262.64 | $392.00 | $196.00–$372.40 | 12% below | 33% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 HC RSW SIMPL H/N/T/E 2.6-7.5CM | $262.64 | $392.00 | $274.40–$372.40 | — | 33% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 HC RSW SIMPLE FACE <2.5CM | $293.46 | $438.00 | $219.00–$416.10 | at median | 33% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 HC RSW SIMPLE FACE <2.5CM | $293.46 | $438.00 | $306.60–$416.10 | — | 33% |
| Tangential (shave-style) skin biopsy, one lesion CPT 11102 HC TANGENTIAL BIOPSY SKIN SINGLE LESION | $233.83 | $349.00 | $174.50–$331.55 | 13% below | 33% |
| Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 HC TANGENTIAL BIOPSY SKIN SINGLE LESION | $233.83 | $349.00 | $244.30–$331.55 | — | 33% |
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 HC BLOOD TRANSFUSION 1 UNIT | $363.14 | $542.00 | $271.00–$514.90 | 49% below | 33% |
| Blood transfusion (giving blood or blood components) CPT 36430 HC TRANSFUSION BLOOD/BLOOD COMPONENTS | $459.62 | $686.00 | $343.00–$651.70 | 35% below | 33% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 HC BLOOD TRANSFUSION 1 UNIT | $363.14 | $542.00 | $379.40–$514.90 | — | 33% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 HC TRANSFUSION BLOOD/BLOOD COMPONENTS | $459.62 | $686.00 | $480.20–$651.70 | — | 33% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC AIRWAY INHALATION TREATMENT | $198.99 | $297.00 | $148.50–$282.15 | 90% above | 33% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HC AIRWAY INHALATION TREATMENT | $198.99 | $297.00 | $207.90–$282.15 | — | 33% |
| Critical care, first 30 to 74 minutes CPT 99291 HC ER CRITICAL CARE CEN | $1,309.85 | $1,955.00 | $977.50–$1,857.25 | 32% below | 33% |
| Critical care, first 30 to 74 minutes inpatient CPT 99291 HC ER CRITICAL CARE CEN | $1,309.85 | $1,955.00 | $1,368.50–$1,857.25 | — | 33% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 HC EKG ROUTINE | $93.13 | $139.00 | $69.50–$132.05 | 17% below | 33% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 HC EKG ROUTINE | $93.13 | $139.00 | $97.30–$132.05 | — | 33% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 HC ER LEVEL 1 CEN | $146.73 | $219.00 | $109.50–$208.05 | 17% below | 33% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 HC ER LEVEL 1 CEN | $146.73 | $219.00 | $153.30–$208.05 | — | 33% |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 HC ER LEVEL 2 CEN | $215.07 | $321.00 | $160.50–$304.95 | 28% below | 33% |
| Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 HC ER LEVEL 2 CEN | $215.07 | $321.00 | $224.70–$304.95 | — | 33% |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 HC ER LEVEL 3 CEN | $332.32 | $496.00 | $248.00–$471.20 | 33% below | 33% |
| Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 HC ER LEVEL 3 CEN | $332.32 | $496.00 | $347.20–$471.20 | — | 33% |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 HC ER LEVEL 4 CEN | $595.63 | $889.00 | $444.50–$844.55 | 27% below | 33% |
| Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 HC ER LEVEL 4 CEN | $595.63 | $889.00 | $622.30–$844.55 | — | 33% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 HC ER LEVEL 5 CEN | $976.19 | $1,457.00 | $728.50–$1,384.15 | 21% below | 33% |
| Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 HC ER LEVEL 5 CEN | $976.19 | $1,457.00 | $1,019.90–$1,384.15 | — | 33% |
| Family therapy with the patient, 50 minutes CPT 90847 HC SP PSY FAMILY THERAPY W PT 50 MIN | $700.15 | $1,045.00 | $522.50–$992.75 | 51% above | 33% |
| Family therapy with the patient, 50 minutes inpatient CPT 90847 HC SP PSY FAMILY THERAPY W PT 50 MIN | $700.15 | $1,045.00 | $731.50–$992.75 | — | 33% |
| Family therapy without the patient, 50 minutes CPT 90846 HC SP PSY FAMILY THERAPY WO PT 50 MIN | $673.35 | $1,005.00 | $502.50–$954.75 | 52% above | 33% |
| Family therapy without the patient, 50 minutes inpatient CPT 90846 HC SP PSY FAMILY THERAPY WO PT 50 MIN | $673.35 | $1,005.00 | $703.50–$954.75 | — | 33% |
| Group psychotherapy session CPT 90853 HC THERAPIST GRP PSYCHOTHERAPY | $211.05 | $315.00 | $157.50–$299.25 | 54% below | 33% |
| Group psychotherapy session CPT 90853 HC GROUP PSYCHOTHERAPY | $626.45 | $935.00 | $467.50–$888.25 | 37% above | 33% |
| Group psychotherapy session inpatient CPT 90853 HC THERAPIST GRP PSYCHOTHERAPY | $211.05 | $315.00 | $220.50–$299.25 | — | 33% |
| Group psychotherapy session inpatient CPT 90853 HC GROUP PSYCHOTHERAPY | $626.45 | $935.00 | $654.50–$888.25 | — | 33% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HC HYDRA INF INIT 31 MIN -1 HR | $272.02 | $406.00 | $203.00–$385.70 | 19% below | 33% |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 HC HYDRA INF INIT 31 MIN -1 HR | $272.02 | $406.00 | $284.20–$385.70 | — | 33% |
| IV infusion of a medicine, first hour CPT 96365 HC THERP INFSN INIT UP TO 1 HR | $382.57 | $571.00 | $285.50–$542.45 | 1% below | 33% |
| IV infusion of a medicine, first hour inpatient CPT 96365 HC THERP INFSN INIT UP TO 1 HR | $382.57 | $571.00 | $399.70–$542.45 | — | 33% |
| IV push of a medicine, first drug CPT 96374 HC IV PUSH INIT SNGL DRUG THER | $296.81 | $443.00 | $221.50–$420.85 | 1% below | 33% |
| IV push of a medicine, first drug inpatient CPT 96374 HC IV PUSH INIT SNGL DRUG THER | $296.81 | $443.00 | $310.10–$420.85 | — | 33% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 HC INJ SUBQ IM THRP PROPHYL DX | $106.53 | $159.00 | $79.50–$151.05 | 26% above | 33% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 HC INJ SUBQ IM THRP PROPHYL DX | $106.53 | $159.00 | $111.30–$151.05 | — | 33% |
| Neuromuscular re-education, 15 minutes CPT 97112 HC OT NEUROMUSCULAR RE-EDU 15M | $83.75 | $125.00 | $62.50–$118.75 | 26% below | 33% |
| Neuromuscular re-education, 15 minutes CPT 97112 HC PT NEUROMUSCULAR RE-EDU 15M | $83.75 | $125.00 | $62.50–$118.75 | 26% below | 33% |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 HC OT NEUROMUSCULAR RE-EDU 15M | $83.75 | $125.00 | $87.50–$118.75 | — | 33% |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 HC PT NEUROMUSCULAR RE-EDU 15M | $83.75 | $125.00 | $87.50–$118.75 | — | 33% |
| Occupational therapy evaluation, low complexity CPT 97165 HC OT EVAL LOW COMPLEXITY | $243.88 | $364.00 | $182.00–$345.80 | 7% below | 33% |
| Occupational therapy evaluation, low complexity inpatient CPT 97165 HC OT EVAL LOW COMPLEXITY | $243.88 | $364.00 | $254.80–$345.80 | — | 33% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 HC PT EVAL HIGH COMPLEXITY | $235.17 | $351.00 | $175.50–$333.45 | 25% below | 33% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 HC PT EVAL HIGH COMPLEXITY | $235.17 | $351.00 | $245.70–$333.45 | — | 33% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 HC PT EVAL LOW COMPLEXITY | $261.30 | $390.00 | $195.00–$370.50 | 2% below | 33% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 HC PT EVAL LOW COMPLEXITY | $261.30 | $390.00 | $273.00–$370.50 | — | 33% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 HC PT EVAL MODERATE COMPLEX | $276.71 | $413.00 | $206.50–$392.35 | 4% below | 33% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 HC PT EVAL MODERATE COMPLEX | $276.71 | $413.00 | $289.10–$392.35 | — | 33% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 HC PT MANUAL THERAPY EA 15MIN | $98.49 | $147.00 | $73.50–$139.65 | 8% below | 33% |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 HC PT MANUAL THERAPY EA 15MIN | $98.49 | $147.00 | $102.90–$139.65 | — | 33% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC PT THERAPEUTIC EXERCISE 15M | $99.83 | $149.00 | $74.50–$141.55 | 9% below | 33% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC OT THERAPEUTIC EXERCISE 15M | $99.83 | $149.00 | $74.50–$141.55 | 9% below | 33% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HC PT THERAPEUTIC EXERCISE 15M | $99.83 | $149.00 | $104.30–$141.55 | — | 33% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HC OT THERAPEUTIC EXERCISE 15M | $99.83 | $149.00 | $104.30–$141.55 | — | 33% |
| Psychotherapy session, 30 minutes CPT 90832 HC PSYCHOTHERAPY W PATIENT 30 MINUTES | $542.70 | $810.00 | $405.00–$769.50 | 189% above | 33% |
| Psychotherapy session, 30 minutes inpatient CPT 90832 HC PSYCHOTHERAPY W PATIENT 30 MINUTES | $542.70 | $810.00 | $567.00–$769.50 | — | 33% |
| Psychotherapy session, 45 minutes CPT 90834 HC PSYCHOTHERAPY W PATIENT 45 MINUTES | $639.85 | $955.00 | $477.50–$907.25 | 148% above | 33% |
| Psychotherapy session, 45 minutes inpatient CPT 90834 HC PSYCHOTHERAPY W PATIENT 45 MINUTES | $639.85 | $955.00 | $668.50–$907.25 | — | 33% |
| Psychotherapy session, 60 minutes CPT 90837 HC PSYCHOTHERAPY W PT 60 MINUTES | $174.20 | $260.00 | $130.00–$247.00 | 28% below | 33% |
| Psychotherapy session, 60 minutes CPT 90837 HC SP NEUPSY 60 MIN PSYCHOTHERAPY | $649.90 | $970.00 | $485.00–$921.50 | 169% above | 33% |
| Psychotherapy session, 60 minutes inpatient CPT 90837 HC PSYCHOTHERAPY W PT 60 MINUTES | $174.20 | $260.00 | $182.00–$247.00 | — | 33% |
| Psychotherapy session, 60 minutes inpatient CPT 90837 HC SP NEUPSY 60 MIN PSYCHOTHERAPY | $649.90 | $970.00 | $679.00–$921.50 | — | 33% |
| Speech and language evaluation CPT 92523 HC ST EVAL SOUND LANG COMPREH | $201.00 | $300.00 | $150.00–$285.00 | 65% below | 33% |
| Speech and language evaluation inpatient CPT 92523 HC ST EVAL SOUND LANG COMPREH | $201.00 | $300.00 | $210.00–$285.00 | — | 33% |
| Speech therapy session, individual CPT 92507 HC ST SPEECH TREATMENT INDIVID | $155.44 | $232.00 | $116.00–$220.40 | 43% below | 33% |
| Speech therapy session, individual inpatient CPT 92507 HC ST SPEECH TREATMENT INDIVID | $155.44 | $232.00 | $162.40–$220.40 | — | 33% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 HC OT THER ACTIVITY EA 15MIN | $101.17 | $151.00 | $75.50–$143.45 | 14% below | 33% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 HC OT THER ACTIVITY EA 15MIN | $101.17 | $151.00 | $105.70–$143.45 | — | 33% |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 HC PHLEBOTOMY THERPAPEUTIC | $228.47 | $341.00 | $170.50–$323.95 | 10% below | 33% |
| Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 HC PHLEBOTOMY THERPAPEUTIC | $228.47 | $341.00 | $238.70–$323.95 | — | 33% |
Vaccines
| Procedure | Cash price | List price | Insurers pay | vs North Dakota | Off list |
|---|---|---|---|---|---|
| Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older CPT 90653 FLU VACC 2025-26(65YR UP)-MF59C(PF) 45 MCG(15 MCGX3)/0.5 ML IM SYRINGE | $73.03 | $109.00 | $54.50–$103.55 | at median | 33% |
| Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older inpatient CPT 90653 FLU VACC 2025-26(65YR UP)-MF59C(PF) 45 MCG(15 MCGX3)/0.5 ML IM SYRINGE | $73.03 | $109.00 | $76.30–$103.55 | — | 33% |
| COVID-19 vaccine (Pfizer-BioNTech), age 12 and older CPT 91320 COVID VACC 2025-2026 (12 YRS UP) (PFIZER)(PF) 30 MCG/0.3 ML IM SYRINGE | $307.07 | $458.30 | $229.15–$435.39 | 46% above | 33% |
| COVID-19 vaccine (Pfizer-BioNTech), age 12 and older inpatient CPT 91320 COVID VACC 2025-2026 (12 YRS UP) (PFIZER)(PF) 30 MCG/0.3 ML IM SYRINGE | $307.07 | $458.30 | $320.81–$435.39 | — | 33% |
| Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 HC CHICKEN POX VACCINELIVESUB-Q | $111.22 | $166.00 | $83.00–$166.00 | 33% below | 33% |
| Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 VARICELLA VIRUS VACCINE LIVE (PF) 1350 UNIT/0.5 ML SUBCUTANEOUS SUSP | $317.65 | $474.10 | $206.53–$450.40 | 90% above | 33% |
| Chickenpox (varicella) vaccine, live (Varivax) inpatient CPT 90716 HC CHICKEN POX VACCINELIVESUB-Q | $111.22 | $166.00 | $116.20–$157.70 | — | 33% |
| Chickenpox (varicella) vaccine, live (Varivax) inpatient CPT 90716 VARICELLA VIRUS VACCINE LIVE (PF) 1350 UNIT/0.5 ML SUBCUTANEOUS SUSP | $317.65 | $474.10 | $331.87–$450.40 | — | 33% |
| DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel) CPT 90696 HC DTAP-IPV IM AGE 4-6 YEAR | $50.92 | $76.00 | $38.00–$72.20 | 46% below | 33% |
| DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel) CPT 90696 DIPHPERTUS(ACELL)TETPOLIO (PF) 25 LF-58 MCG-10 LF/0.5 ML IM SYRINGE | $167.40 | $249.84 | $69.41–$237.35 | 78% above | 33% |
| DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel) inpatient CPT 90696 HC DTAP-IPV IM AGE 4-6 YEAR | $50.92 | $76.00 | $53.20–$72.20 | — | 33% |
| DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel) inpatient CPT 90696 DIPHPERTUS(ACELL)TETPOLIO (PF) 25 LF-58 MCG-10 LF/0.5 ML IM SYRINGE | $167.40 | $249.84 | $174.89–$237.35 | — | 33% |
| DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 DIPHPERTUS(ACEL)TET PED(PF) 25 LF UNIT-58 MCG-10 LF/0.5ML IM SYRINGE | $76.82 | $114.65 | $32.99–$108.92 | 47% above | 33% |
| DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 DIPHPERTUS(ACEL)TET PEDI (PF) 15 LF UNIT-10 MCG-5 LF/0.5 ML IM SUSP | $98.31 | $146.73 | $32.99–$139.40 | 88% above | 33% |
| DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 inpatient CPT 90700 DIPHPERTUS(ACEL)TET PED(PF) 25 LF UNIT-58 MCG-10 LF/0.5ML IM SYRINGE | $76.82 | $114.65 | $80.26–$108.92 | — | 33% |
| DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 inpatient CPT 90700 DIPHPERTUS(ACEL)TET PEDI (PF) 15 LF UNIT-10 MCG-5 LF/0.5 ML IM SUSP | $98.31 | $146.73 | $102.72–$139.40 | — | 33% |
| DTaP, hepatitis B and polio combination vaccine (Pediarix) CPT 90723 HC DTAP-HEPB-IPV VACCINE INTRAMUSCULAR | $75.04 | $112.00 | $56.00–$112.00 | 37% below | 33% |
| DTaP, hepatitis B and polio combination vaccine (Pediarix) CPT 90723 HEP B-DP(A)T-POLIO VACC (PF) 10 MCG-25LF-25 MCG-10LF/0.5 ML IM SYRINGE | $226.30 | $337.76 | $119.55–$320.88 | 91% above | 33% |
| DTaP, hepatitis B and polio combination vaccine (Pediarix) inpatient CPT 90723 HC DTAP-HEPB-IPV VACCINE INTRAMUSCULAR | $75.04 | $112.00 | $78.40–$106.40 | — | 33% |
| DTaP, hepatitis B and polio combination vaccine (Pediarix) inpatient CPT 90723 HEP B-DP(A)T-POLIO VACC (PF) 10 MCG-25LF-25 MCG-10LF/0.5 ML IM SYRINGE | $226.30 | $337.76 | $236.44–$320.88 | — | 33% |
| DTaP, polio and Hib combination vaccine (Pentacel) CPT 90698 DTAP-IPV COMPONENT 1OF2(PF) 15 LF-48MCG-5 LF-62 DU/0.5ML IM SUSPENSION | $66.67 | $99.50 | $49.75–$99.50 | 47% below | 33% |
| DTaP, polio and Hib combination vaccine (Pentacel) inpatient CPT 90698 DTAP-IPV COMPONENT 1OF2(PF) 15 LF-48MCG-5 LF-62 DU/0.5ML IM SUSPENSION | $66.67 | $99.50 | $69.65–$94.53 | — | 33% |
| Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 FLU VACCINE TS 2025-26(6MOS UP)(PF) 45 MCG(15MCG X3)/0.5 ML IM SYRINGE | $32.83 | $49.00 | $22.03–$46.55 | 1% below | 33% |
| Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 FLU VACCINE TS 2025-26(6MOS UP)(PF) 45 MCG(15MCG X3)/0.5 ML IM SYRINGE | $32.83 | $49.00 | $34.30–$46.55 | — | 33% |
| HPV vaccine, 9-valent (Gardasil 9) CPT 90651 HC HUMAN PAPILLOMA VIRUS NONAVALENT HPV 3 DOSE IM | $184.25 | $275.00 | $137.50–$275.00 | 48% below | 33% |
| HPV vaccine, 9-valent (Gardasil 9) inpatient CPT 90651 HC HUMAN PAPILLOMA VIRUS NONAVALENT HPV 3 DOSE IM | $184.25 | $275.00 | $192.50–$261.25 | — | 33% |
| Hepatitis A vaccine, adult dose CPT 90632 HEPATITIS A VIRUS VACCINE (PF) 720 ELISA UNIT/0.5 ML IM SYRINGE | $97.72 | $145.84 | $72.92–$138.55 | 1% below | 33% |
| Hepatitis A vaccine, adult dose CPT 90632 HEPATITIS A VACCINE (PF) 1440 ELISA UNIT/ML INTRAMUSCULAR SYRINGE | $237.10 | $353.87 | $79.99–$336.18 | 141% above | 33% |
| Hepatitis A vaccine, adult dose inpatient CPT 90632 HEPATITIS A VIRUS VACCINE (PF) 720 ELISA UNIT/0.5 ML IM SYRINGE | $97.72 | $145.84 | $102.09–$138.55 | — | 33% |
| Hepatitis A vaccine, adult dose inpatient CPT 90632 HEPATITIS A VACCINE (PF) 1440 ELISA UNIT/ML INTRAMUSCULAR SYRINGE | $237.10 | $353.87 | $247.71–$336.18 | — | 33% |
| Hepatitis A vaccine, child and teen dose (2-dose schedule) CPT 90633 HC HEPA VACCINE PED/ADOL-2 DOSE | $30.15 | $45.00 | $22.50–$42.99 | 49% below | 33% |
| Hepatitis A vaccine, child and teen dose (2-dose schedule) CPT 90633 HEPATITIS A VIRUS VACCINE (PF) 25 UNIT/0.5 ML INTRAMUSCULAR SYRINGE | $96.38 | $143.85 | $42.99–$136.66 | 64% above | 33% |
| Hepatitis A vaccine, child and teen dose (2-dose schedule) inpatient CPT 90633 HC HEPA VACCINE PED/ADOL-2 DOSE | $30.15 | $45.00 | $31.50–$42.75 | — | 33% |
| Hepatitis A vaccine, child and teen dose (2-dose schedule) inpatient CPT 90633 HEPATITIS A VIRUS VACCINE (PF) 25 UNIT/0.5 ML INTRAMUSCULAR SYRINGE | $96.38 | $143.85 | $100.70–$136.66 | — | 33% |
| Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HEPATITIS B VIRUS VACCINE RECOMB (PF) 10 MCG/ML INTRAMUSCULAR SUSP | $129.58 | $193.40 | $77.63–$183.73 | 28% above | 33% |
| Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HEPATITIS B VIRUS VACCINE RECOMB (PF) 20 MCG/ML INTRAMUSCULAR SYRINGE | $158.75 | $236.93 | $77.63–$225.09 | 57% above | 33% |
| Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 HEPATITIS B VIRUS VACCINE RECOMB (PF) 10 MCG/ML INTRAMUSCULAR SUSP | $129.58 | $193.40 | $135.38–$183.73 | — | 33% |
| Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 HEPATITIS B VIRUS VACCINE RECOMB (PF) 20 MCG/ML INTRAMUSCULAR SYRINGE | $158.75 | $236.93 | $165.86–$225.09 | — | 33% |
| Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 HEPATITIS B VIRUS VACCINE RECOMB (PF) 10 MCG/0.5 ML IM SYRINGE | $68.08 | $101.60 | $31.47–$96.52 | 70% above | 33% |
| Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 HEPATITIS B VIRUS VACCINE RECOMB (PF) 10 MCG/ML INTRAMUSCULAR SYRINGE | $129.58 | $193.40 | $31.47–$183.73 | 225% above | 33% |
| Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 HEPATITIS B VIRUS VACCINE RECOMB (PF) 10 MCG/0.5 ML IM SYRINGE | $68.08 | $101.60 | $71.12–$96.52 | — | 33% |
| Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 HEPATITIS B VIRUS VACCINE RECOMB (PF) 10 MCG/ML INTRAMUSCULAR SYRINGE | $129.58 | $193.40 | $135.38–$183.73 | — | 33% |
| Hib vaccine (Haemophilus influenzae type b), 3-dose schedule (PedvaxHIB) CPT 90647 HC HB HIB VACCINE PRP-OMP IM | $24.12 | $36.00 | $18.00–$34.20 | 29% below | 33% |
| Hib vaccine (Haemophilus influenzae type b), 3-dose schedule (PedvaxHIB) CPT 90647 HAEMOPH B POLYSAC CONJ-MENING (PF) 7.5 MCG/0.5 ML INTRAMUSCULAR SOLN | $96.87 | $144.58 | $33.83–$137.36 | 185% above | 33% |
| Hib vaccine (Haemophilus influenzae type b), 3-dose schedule (PedvaxHIB) inpatient CPT 90647 HC HB HIB VACCINE PRP-OMP IM | $24.12 | $36.00 | $25.20–$34.20 | — | 33% |
| Hib vaccine (Haemophilus influenzae type b), 3-dose schedule (PedvaxHIB) inpatient CPT 90647 HAEMOPH B POLYSAC CONJ-MENING (PF) 7.5 MCG/0.5 ML INTRAMUSCULAR SOLN | $96.87 | $144.58 | $101.21–$137.36 | — | 33% |
| Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) CPT 90648 HAEMOPHILUS B POLYSACCHARID CONJ-TETANUS TOX(PF) 10 MCG/0.5 ML IM SOLN | $189.07 | $282.18 | $14.56–$268.08 | 507% above | 33% |
| Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) inpatient CPT 90648 HAEMOPHILUS B POLYSACCHARID CONJ-TETANUS TOX(PF) 10 MCG/0.5 ML IM SOLN | $189.07 | $282.18 | $197.53–$268.08 | — | 33% |
| MMR vaccine (measles, mumps and rubella), live CPT 90707 HC MMR VIRUS IMMUNIZATION SUBCUT | $64.99 | $97.00 | $48.50–$97.00 | 46% below | 33% |
| MMR vaccine (measles, mumps and rubella), live CPT 90707 MEASLESMUMPSRUBELLA VACCINE LIVE(PF)1000-12500TCID50/0.5 ML SUBCUT | $295.38 | $440.86 | $105.34–$418.82 | 144% above | 33% |
| MMR vaccine (measles, mumps and rubella), live CPT 90707 RSVPREF3 ANTIGEN-AS01E ADJUVANT(PF) 120 MCG/0.5 ML IM SUSPENSION KIT | $801.41 | $1,196.12 | $105.34–$1,136.32 | 562% above | 33% |
| MMR vaccine (measles, mumps and rubella), live CPT 90707 RESP SYNCYTIAL VIRUS VAC PREF A AND B (PF) 120 MCG/0.5 ML IM SOLUTION | $991.81 | $1,480.30 | $105.34–$1,406.29 | 720% above | 33% |
| MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 HC MMR VIRUS IMMUNIZATION SUBCUT | $64.99 | $97.00 | $67.90–$92.15 | — | 33% |
| MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 MEASLESMUMPSRUBELLA VACCINE LIVE(PF)1000-12500TCID50/0.5 ML SUBCUT | $295.38 | $440.86 | $308.61–$418.82 | — | 33% |
| MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 RSVPREF3 ANTIGEN-AS01E ADJUVANT(PF) 120 MCG/0.5 ML IM SUSPENSION KIT | $801.41 | $1,196.12 | $837.29–$1,136.32 | — | 33% |
| MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 RESP SYNCYTIAL VIRUS VAC PREF A AND B (PF) 120 MCG/0.5 ML IM SOLUTION | $991.81 | $1,480.30 | $1,036.21–$1,406.29 | — | 33% |
| MMRV vaccine (measles, mumps, rubella and chickenpox), live (ProQuad) CPT 90710 MEASLESMUMPSRUBELVARICEL LIV(PF)10E3-4.3-3-3.99TCID50/0.5 ML SUBCUT | $536.66 | $800.98 | $310.86–$760.94 | 40% above | 33% |
| MMRV vaccine (measles, mumps, rubella and chickenpox), live (ProQuad) inpatient CPT 90710 MEASLESMUMPSRUBELVARICEL LIV(PF)10E3-4.3-3-3.99TCID50/0.5 ML SUBCUT | $536.66 | $800.98 | $560.69–$760.94 | — | 33% |
| Meningococcal ACWY (MenACWY) vaccine CPT 90734 HC MENINGOCOCCAL CONJ VACCINE QUADRAVALENT IM | $117.25 | $175.00 | $87.50–$175.00 | 34% below | 33% |
| Meningococcal ACWY (MenACWY) vaccine CPT 90734 MENINGOC VAC ACYW-135 DIP(PF) 10 MCG-5 MCG/0.5 ML IM KIT (2 VIALS) | $377.94 | $564.08 | $189.96–$535.88 | 112% above | 33% |
| Meningococcal ACWY (MenACWY) vaccine CPT 90734 MENINGOC VAC ACYW-135 DIP (PF) 4 MCG/0.5 ML INTRAMUSCULAR SOLUTION | $420.09 | $626.99 | $189.96–$595.65 | 136% above | 33% |
| Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 HC MENINGOCOCCAL CONJ VACCINE QUADRAVALENT IM | $117.25 | $175.00 | $122.50–$166.25 | — | 33% |
| Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 MENINGOC VAC ACYW-135 DIP(PF) 10 MCG-5 MCG/0.5 ML IM KIT (2 VIALS) | $377.94 | $564.08 | $394.86–$535.88 | — | 33% |
| Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 MENINGOC VAC ACYW-135 DIP (PF) 4 MCG/0.5 ML INTRAMUSCULAR SOLUTION | $420.09 | $626.99 | $438.90–$595.65 | — | 33% |
| Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 MENINGOCOCCAL B VAC4-CMP 50 MCG-50 MCG-50 MCG-25 MCG/0.5ML IM SYRINGE | $506.50 | $755.96 | $270.16–$718.17 | 50% above | 33% |
| Meningococcal B vaccine (Bexsero), 2-dose schedule inpatient CPT 90620 MENINGOCOCCAL B VAC4-CMP 50 MCG-50 MCG-50 MCG-25 MCG/0.5ML IM SYRINGE | $506.50 | $755.96 | $529.18–$718.17 | — | 33% |
| Mpox and smallpox vaccine (Jynneos), 2-dose schedule CPT 90611 SMALLPOXMPOX LIVE VACCINE(PF) 0.5X TO 3.95X 10EXP8/0.5 ML SUBCUT SUSP | $182.50 | $272.38 | $136.19–$258.77 | at median | 33% |
| Mpox and smallpox vaccine (Jynneos), 2-dose schedule inpatient CPT 90611 SMALLPOXMPOX LIVE VACCINE(PF) 0.5X TO 3.95X 10EXP8/0.5 ML SUBCUT SUSP | $182.50 | $272.38 | $190.67–$258.77 | — | 33% |
| Pneumonia vaccine, 13-valent conjugate (Prevnar 13) CPT 90670 HC PNEUMOCOCCAL CONJ VACCINE 13 VALENT IM | $164.82 | $246.00 | $123.00–$233.70 | 41% below | 33% |
| Pneumonia vaccine, 13-valent conjugate (Prevnar 13) inpatient CPT 90670 HC PNEUMOCOCCAL CONJ VACCINE 13 VALENT IM | $164.82 | $246.00 | $172.20–$233.70 | — | 33% |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 PNEUMOCOCCAL 20-VALENT CONJ VACCINE-DIP CRM (PF) 0.5 ML IM SYRINGE | $759.45 | $1,133.50 | $566.75–$1,076.83 | 101% above | 33% |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 PNEUMOCOCCAL 20-VALENT CONJ VACCINE-DIP CRM (PF) 0.5 ML IM SYRINGE | $759.45 | $1,133.50 | $793.45–$1,076.83 | — | 33% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 HC PNEUMOCOCCAL VACCINE23-VALENTADULT | $93.80 | $140.00 | $70.00–$133.00 | 33% below | 33% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNEUMOCOCCAL 23 POLYVALENT VACCINE 25 MCG/0.5 ML INJECTION SYRINGE | $340.65 | $508.43 | $125.86–$483.01 | 144% above | 33% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 HC PNEUMOCOCCAL VACCINE23-VALENTADULT | $93.80 | $140.00 | $98.00–$133.00 | — | 33% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 PNEUMOCOCCAL 23 POLYVALENT VACCINE 25 MCG/0.5 ML INJECTION SYRINGE | $340.65 | $508.43 | $355.91–$483.01 | — | 33% |
| Polio vaccine, inactivated (IPV) CPT 90713 POLIOVIRUS VACCINE 40 UNIT-8 UNIT-32 UNIT/0.5 ML INJECTION SUSPENSION | $1,540.60 | $2,299.40 | $51.40–$2,184.43 | 1097% above | 33% |
| Polio vaccine, inactivated (IPV) inpatient CPT 90713 POLIOVIRUS VACCINE 40 UNIT-8 UNIT-32 UNIT/0.5 ML INJECTION SUSPENSION | $1,540.60 | $2,299.40 | $1,609.58–$2,184.43 | — | 33% |
| RSV antibody shot for infants and toddlers, larger dose (1 mL, 100 mg) CPT 90381 NIRSEVIMAB-ALIP 100 MG/ML INTRAMUSCULAR SYRINGE | $1,500.78 | $2,239.97 | $1,119.99–$2,127.98 | 85% above | 33% |
| RSV antibody shot for infants and toddlers, larger dose (1 mL, 100 mg) inpatient CPT 90381 NIRSEVIMAB-ALIP 100 MG/ML INTRAMUSCULAR SYRINGE | $1,500.78 | $2,239.97 | $1,567.98–$2,127.98 | — | 33% |
| RSV antibody shot for infants, seasonal dose (0.5 mL) CPT 90380 NIRSEVIMAB-ALIP 50 MG/0.5 ML INTRAMUSCULAR SYRINGE | $1,500.78 | $2,239.97 | $1,119.99–$2,127.98 | 47% above | 33% |
| RSV antibody shot for infants, seasonal dose (0.5 mL) inpatient CPT 90380 NIRSEVIMAB-ALIP 50 MG/0.5 ML INTRAMUSCULAR SYRINGE | $1,500.78 | $2,239.97 | $1,567.98–$2,127.98 | — | 33% |
| Rabies vaccine, one dose CPT 90675 RABIES VACCINE PURIFIED CHICKEN EMBRYO CELL (PF) 2.5 UNIT IM SUSP | $1,334.75 | $1,992.15 | $341.98–$1,892.55 | 109% above | 33% |
| Rabies vaccine, one dose CPT 90675 RABIES VACCINEHUMAN DIPLOID (PF) 2.5 UNIT INTRAMUSCULAR SOLUTION | $1,456.58 | $2,174.00 | $341.98–$2,065.30 | 128% above | 33% |
| Rabies vaccine, one dose inpatient CPT 90675 RABIES VACCINE PURIFIED CHICKEN EMBRYO CELL (PF) 2.5 UNIT IM SUSP | $1,334.75 | $1,992.15 | $1,394.51–$1,892.55 | — | 33% |
| Rabies vaccine, one dose inpatient CPT 90675 RABIES VACCINEHUMAN DIPLOID (PF) 2.5 UNIT INTRAMUSCULAR SOLUTION | $1,456.58 | $2,174.00 | $1,521.80–$2,065.30 | — | 33% |
| Rotavirus vaccine, oral, 3-dose schedule (RotaTeq) CPT 90680 HC ROTOVIRUS VACCINE PENTAVAL 3 DOSE ORAL | $81.07 | $121.00 | $60.50–$114.95 | 25% below | 33% |
| Rotavirus vaccine, oral, 3-dose schedule (RotaTeq) CPT 90680 ROTAVIRUS VACCINE LIVE PENTAVALENT 2 ML ORAL SOLUTION | $282.77 | $422.04 | $110.45–$400.94 | 162% above | 33% |
| Rotavirus vaccine, oral, 3-dose schedule (RotaTeq) inpatient CPT 90680 HC ROTOVIRUS VACCINE PENTAVAL 3 DOSE ORAL | $81.07 | $121.00 | $84.70–$114.95 | — | 33% |
| Rotavirus vaccine, oral, 3-dose schedule (RotaTeq) inpatient CPT 90680 ROTAVIRUS VACCINE LIVE PENTAVALENT 2 ML ORAL SOLUTION | $282.77 | $422.04 | $295.43–$400.94 | — | 33% |
| Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 VARICELLA-ZOSTER GLYCOE VACC-AS01B ADJ(PF) 50 MCG/0.5 ML IM SUSP KIT | $480.13 | $716.60 | $252.29–$680.77 | 68% above | 33% |
| Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 VARICELLA-ZOSTER GLYCOE VACCINE-AS01B ADJ(PF) 50 MCG/0.5 ML IM SYRINGE | $671.97 | $1,002.93 | $252.29–$952.79 | 135% above | 33% |
| Shingles vaccine (Shingrix), recombinant, one dose inpatient CPT 90750 VARICELLA-ZOSTER GLYCOE VACC-AS01B ADJ(PF) 50 MCG/0.5 ML IM SUSP KIT | $480.13 | $716.60 | $501.62–$680.77 | — | 33% |
| Shingles vaccine (Shingrix), recombinant, one dose inpatient CPT 90750 VARICELLA-ZOSTER GLYCOE VACCINE-AS01B ADJ(PF) 50 MCG/0.5 ML IM SYRINGE | $671.97 | $1,002.93 | $702.06–$952.79 | — | 33% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 HC TD VACCINE NO PRSRV >/= 7 YO IM | $23.45 | $35.00 | $17.50–$35.00 | 53% below | 33% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TETANUS AND DIPHTHERIA TOX (PF) 5 LF UNIT-2 LF UNIT/0.5 ML IM SYRINGE | $72.09 | $107.59 | $42.04–$102.22 | 44% above | 33% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TETANUS-DIPHTHERIA TOXOIDS-TD 2 LF UNIT-2 LF UNIT/0.5 ML IM SUSPENSION | $72.89 | $108.78 | $42.04–$103.35 | 46% above | 33% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TETANUS AND DIPHTHERIA TOX (PF) 5 LF UNIT-2 LF UNIT/0.5 ML IM SUSP | $141.98 | $211.91 | $42.04–$201.32 | 184% above | 33% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 HC TD VACCINE NO PRSRV >/= 7 YO IM | $23.45 | $35.00 | $24.50–$33.25 | — | 33% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TETANUS AND DIPHTHERIA TOX (PF) 5 LF UNIT-2 LF UNIT/0.5 ML IM SYRINGE | $72.09 | $107.59 | $75.32–$102.22 | — | 33% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TETANUS-DIPHTHERIA TOXOIDS-TD 2 LF UNIT-2 LF UNIT/0.5 ML IM SUSPENSION | $72.89 | $108.78 | $76.15–$103.35 | — | 33% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TETANUS AND DIPHTHERIA TOX (PF) 5 LF UNIT-2 LF UNIT/0.5 ML IM SUSP | $141.98 | $211.91 | $148.34–$201.32 | — | 33% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 HC TDAP VACCINE >7 YO IM | $34.17 | $51.00 | $25.50–$48.45 | 51% below | 33% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 DIPHTHPERTUSSIS(ACEL)TETANUS 2.5 LF UNIT-8 MCG-5 LF/0.5ML IM SYRINGE | $126.91 | $189.41 | $42.83–$179.94 | 82% above | 33% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 DIPHTHPERTUS(AC)TETANUS(PF)2 LF-(2.5-5-3-5MCG)-5 LF/0.5 ML IM SYRINGE | $163.66 | $244.26 | $42.83–$232.05 | 135% above | 33% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 DIPHTHPERTUS(ACEL)TETANUS(PF)2LF-(2.5-5-3-5MCG)-5 LF/0.5 ML IM SUSP | $163.67 | $244.27 | $42.83–$232.06 | 135% above | 33% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 HC TDAP VACCINE >7 YO IM | $34.17 | $51.00 | $35.70–$48.45 | — | 33% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 DIPHTHPERTUSSIS(ACEL)TETANUS 2.5 LF UNIT-8 MCG-5 LF/0.5ML IM SYRINGE | $126.91 | $189.41 | $132.59–$179.94 | — | 33% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 DIPHTHPERTUS(AC)TETANUS(PF)2 LF-(2.5-5-3-5MCG)-5 LF/0.5 ML IM SYRINGE | $163.66 | $244.26 | $170.99–$232.05 | — | 33% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 DIPHTHPERTUS(ACEL)TETANUS(PF)2LF-(2.5-5-3-5MCG)-5 LF/0.5 ML IM SUSP | $163.67 | $244.27 | $170.99–$232.06 | — | 33% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HC IMMUNIZATION INJECTION | $65.66 | $98.00 | $49.00–$93.10 | 37% above | 33% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 HC IMMUNIZATION INJECTION | $65.66 | $98.00 | $68.60–$93.10 | — | 33% |
Procedure The service, with its billing code (CPT or HCPCS) and, in small type, the line exactly as the hospital wrote it in its price file. More
Cash price The hospital's own price for a patient paying without insurance (“discounted cash” in its price file). Hospitals must publish it under federal law, 45 CFR 180.50. Call to confirm it before booking. More
List price The hospital's full chargemaster price (“gross charge”) before any discount. Almost nobody pays it; the gap to the cash price shows what the self-pay discount is worth. More
Insurers pay The lowest and highest rates this hospital has agreed with insurance plans for the same item, from its price file. If the cash price is below what your plan pays and you have not met your deductible, paying cash can cost you less. More
Against the state median This hospital's cash price compared with the median cash price of hospitals in the state for the same code. Shown when at least three hospitals in the state price it.
Off list How much lower the cash price is than the list price.
No cash discount This line's cash price equals the hospital's full list price. Many hospitals still reduce bills for uninsured patients: ask the billing office for its self-pay discount in writing. More
At or below Medicare This cash price is at or below what Medicare pays a hospital for the same service, which is unusually low. It is what the hospital's file says; confirm it and what it includes before booking. More
Check the item The description in the hospital file looks like a supply or device (a catheter, a brace, an implant), not this procedure. The hospital may have filed it under the wrong code: ask before relying on this price.