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Critical Access Hospital

Ashley Medical Center

Ashley, North Dakota · McIntosh County · Emergency services listed

Ashley Medical Center is a critical access hospital at 612 Center Avenue N, Ashley, ND 58413. Phone: (701) 288-3433. It has an emergency department.

Data as of October 26, 2026. Source: CMS Hospital General Information and the hospital’s website (checked October 30, 2026).

Summary

Ashley Medical Center is a critical access hospital in Ashley, North Dakota. Medicare data lists emergency services. Its official website lists 31 services, specialties and programs. Medicare lists 11 affiliated clinicians. Source: CMS Hospital General Information, data updated 2026-10-26.

What is a critical access hospital?

A small rural hospital with 24-hour emergency care, designated by Medicare to keep care available far from big cities. More about hospital types

Compare

Profile from official sources

Built from official Medicare (CMS) data and the hospital’s own website (checked 2026-10-30). Every service links to the page that lists it. Services change: call the hospital to confirm before you go.

In a medical emergency, call 911.

At a glance

YesEmergency services
Not ratedNot rated by CMSMedicare rating
20Beds (hospital website)
31Services listed

Quick answers

Does Ashley Medical Center have an emergency room?
Yes. Medicare (CMS) data lists emergency services at Ashley Medical Center. In a medical emergency, call 911.
Where is Ashley Medical Center?
612 Center Avenue N, Ashley, ND 58413, in McIntosh County, North Dakota.
What is the phone number of Ashley Medical Center?
(701) 288-3433, as listed by Medicare (CMS).
What is the Medicare star rating of Ashley Medical Center?
CMS does not show an overall star rating for this hospital. This is common, for example when a hospital reports too few quality measures or is not part of the rating program.

Specialties and care areas[4][5][6][7]

Conditions treated[7]

Treatments[4][7]

  • Chronic disease treatment
  • Physical therapy
  • Dietary instruction/counseling
  • Smoking cessation
  • Telemedicine
  • Preventive care
  • Wellness exams
  • Injections, including joint injections and fillers (Botox, Juvaderm)

Procedures[4][7][10]

Programs and centers[5][6][7][8][9]

  • Acute Stroke Ready
  • Wellness Center fitness programs
  • Dakota Nursing Program (LPN/RN education site)
  • Certified Nursing Assistant program

Emergency care (hospital website)[4][5][6]

Emergency roomYes
Open 24/7Yes
Trauma designationLevel V
Stroke designationAcute Stroke Ready

Visiting and practical information

Patient portalMyCareCorner

Doctors and clinicians (11)

11 doctors and other clinicians list Ashley Medical Center as a hospital where they work, in Medicare's official clinician data (updated 2026-10-02). It is not a complete staff list.

Main specialties

Doctors with a page on this site (11)

Other emergency rooms nearby

Hospitals that list emergency services, by straight-line distance (not driving distance).

Find the closest emergency room to where you are → · Compare ER wait times

Other hospitals near Ashley

Hospitals in McIntosh County · Hospitals near me

Nursing homes, hospice, home health and dialysis nearby

Medicare-certified providers within 25 miles, by straight-line distance. Hospice and home health care is given at home: their address is the office.

Nursing homes

All nursing homes in the state →

Community care nearby

Health centers, clinics, urgent care and pharmacies closest to this hospital, by straight-line distance, from official HRSA, Medicare and NPI Registry data. In a medical emergency, call 911.

Clinics and urgent care

Pharmacies

About the Medicare star rating

CMS (the federal Medicare agency) gives many hospitals an overall rating from 1 to 5 stars, based on measures of mortality, safety, readmissions, patient experience and timely care. It is one piece of information: ask your doctor what matters for your care. See the full Medicare profile →

Medicare quality data

What Ashley Medical Center reported to Medicare (CMS), the federal agency that publishes these results for hospitals nationwide. These are averages for many patients, not a prediction for any one person: ask your doctor what matters for your care. In a medical emergency, call 911.

Return visits to the hospital (readmissions)

What this means: The share of patients who had to be admitted to a hospital again within 30 days after going home, adjusted for how sick they were. A lower percentage is better.

Returned to any hospital within 30 days (all patients)16.3%
Not reported to MedicareReadmitted within 30 days: COPD; Readmitted within 30 days: coronary bypass surgery; Readmitted within 30 days: hip or knee replacement
Too few cases to reportReadmitted within 30 days: heart attack; Readmitted within 30 days: heart failure; Readmitted within 30 days: pneumonia

Source: Unplanned Hospital Visits - Hospital — CMS, released October 20, 2026; data from July 2024 to June 2025.

Emergency room times and sepsis care

What this means: ER time is the middle (median) time from arriving at the emergency room to leaving it; busier ERs usually have longer times, so the ER volume is shown too. Leaving before being seen: a lower percentage is better. Sepsis is a life-threatening reaction to an infection; a higher percentage means more patients got every recommended early step.

Emergency room volume (patients per year)Low (under 20,000)
Average (median) time patients spent in the emergency room before leaving (OP-18b)90 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)0%National average: 2%
Not reported to MedicareSepsis patients who got all the recommended early care (SEP-1)

Source: Timely and Effective Care - Hospital — CMS, released October 19, 2026; data from January 2024 to December 2024.

Not reported to Medicare: the patient survey, infections caught in the hospital, complications and deaths. For these topics Medicare shows no result for this hospital (not reported, or too few cases).

See every measure on Medicare Care Compare →

ER wait times and Medicare ratings nearby

How this hospital compares with others in the area, ranked only by official Medicare (CMS) numbers.

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 50 common services exactly as Ashley Medical Center lists them in its file. This is not a quote: what you pay depends on your insurance and plan, the doctors involved and the care you actually receive. Prices change: ask the hospital for an estimate before you schedule care (if you are uninsured or paying yourself, you have the right to a written “good faith estimate”). In a medical emergency, call 911.

What the prices mean
Hospital charge
The hospital’s list price (“gross charge”) before any discount or insurance. Few people pay this amount.
Cash price
The price the hospital offers if you pay yourself, without insurance (“discounted cash price”).
Insurance rates
The lowest and highest amounts the hospital has agreed with any insurance plan for the service (“de-identified minimum and maximum”), and some of the rates it lists by insurer and plan. Your share depends on your deductible, copay and coinsurance.
Hospital and doctor fees
A service can have a hospital (facility) fee and a separate doctor (professional) fee; the total for your care can include both, plus other services.

How to use hospital prices: estimates, financial assistance and your rights →

Show the prices of 50 common services

Office and emergency visits

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) In the file: OFFICE VISIT-NEW PATIENT $278.50 $278.50 $123.74 – $286.73
New patient office visit (about 30–44 minutes): 10 of 17 insurance plan rates
  • Aetna — All Plans: 72% (a percentage in the contract, not a dollar amount)
  • Aetna — Medicare Advantage: 70% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of ND — All Plans: 71.36% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of ND — Medicaid Replacement: 100% (a percentage in the contract, not a dollar amount)
  • First Choice Health Network — All Plans: 90% (a percentage in the contract, not a dollar amount)
  • HealthPartners — All Plans: 85% (a percentage in the contract, not a dollar amount)
  • Humana — All Plans: 70% (a percentage in the contract, not a dollar amount)
  • Humana Advantage Care Plans Med Advantage — All Plans: 70% (a percentage in the contract, not a dollar amount)
  • Medica — All Plans: 72% (a percentage in the contract, not a dollar amount)
  • Medicaid North Dakota — All Plans: 98.2% (a percentage in the contract, not a dollar amount)
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) In the file: OFFICE VISIT-NEW PATIENT $420 $420 $123.74 – $286.73
New patient office visit (about 45–59 minutes): 10 of 17 insurance plan rates
  • Aetna — All Plans: 72% (a percentage in the contract, not a dollar amount)
  • Aetna — Medicare Advantage: 70% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of ND — All Plans: 71.36% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of ND — Medicaid Replacement: 100% (a percentage in the contract, not a dollar amount)
  • First Choice Health Network — All Plans: 90% (a percentage in the contract, not a dollar amount)
  • HealthPartners — All Plans: 85% (a percentage in the contract, not a dollar amount)
  • Humana — All Plans: 70% (a percentage in the contract, not a dollar amount)
  • Humana Advantage Care Plans Med Advantage — All Plans: 70% (a percentage in the contract, not a dollar amount)
  • Medica — All Plans: 72% (a percentage in the contract, not a dollar amount)
  • Medicaid North Dakota — All Plans: 98.2% (a percentage in the contract, not a dollar amount)
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) In the file: OFFICE O/P NEW HI 60 MINUTES $561 $561 Not listed in the file
New patient office visit (about 60–74 minutes): 10 of 17 insurance plan rates
  • Aetna — All Plans: 72% (a percentage in the contract, not a dollar amount)
  • Aetna — Medicare Advantage: 70% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of ND — All Plans: 71.36% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of ND — Medicaid Replacement: 100% (a percentage in the contract, not a dollar amount)
  • First Choice Health Network — All Plans: 90% (a percentage in the contract, not a dollar amount)
  • HealthPartners — All Plans: 85% (a percentage in the contract, not a dollar amount)
  • Humana — All Plans: 70% (a percentage in the contract, not a dollar amount)
  • Humana Advantage Care Plans Med Advantage — All Plans: 70% (a percentage in the contract, not a dollar amount)
  • Medica — All Plans: 72% (a percentage in the contract, not a dollar amount)
  • Medicaid North Dakota — All Plans: 98.2% (a percentage in the contract, not a dollar amount)
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) In the file: OFFICE O/P EST LOW 20-29 MIN $225.50 $225.50 $123.74 – $286.73
Established patient office visit (about 20–29 minutes): 10 of 17 insurance plan rates
  • Aetna — All Plans: 72% (a percentage in the contract, not a dollar amount)
  • Aetna — Medicare Advantage: 70% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of ND — All Plans: 71.36% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of ND — Medicaid Replacement: 100% (a percentage in the contract, not a dollar amount)
  • First Choice Health Network — All Plans: 90% (a percentage in the contract, not a dollar amount)
  • HealthPartners — All Plans: 85% (a percentage in the contract, not a dollar amount)
  • Humana — All Plans: 70% (a percentage in the contract, not a dollar amount)
  • Humana Advantage Care Plans Med Advantage — All Plans: 70% (a percentage in the contract, not a dollar amount)
  • Medica — All Plans: 72% (a percentage in the contract, not a dollar amount)
  • Medicaid North Dakota — All Plans: 98.2% (a percentage in the contract, not a dollar amount)
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) In the file: DOT DRIVER PX UA $217.50 $217.50 $123.74 – $286.73
Established patient office visit (about 20–29 minutes): 10 of 17 insurance plan rates
  • Aetna — Medicare Advantage: $286.73
  • Humana — All Plans: $286.73
  • Humana Advantage Care Plans Med Advantage — All Plans: $286.73
  • Medicaid North Dakota — All Plans: $264.32
  • Medicare A ND JF — All Plans: $286.73
  • Medicare B ND JF — All Plans: $286.73
  • NextBlue — All Plans: $286.73
  • United Healthcare — All Plans: $123.74
  • United Healthcare — Medicare Advantage: $286.73
  • Aetna — All Plans: 72% (a percentage in the contract, not a dollar amount)
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) In the file: OFFICE O/P EST MOD 30-39 MIN $321.50 $321.50 $123.74 – $286.73
Established patient office visit (about 30–39 minutes): 10 of 17 insurance plan rates
  • Aetna — All Plans: 72% (a percentage in the contract, not a dollar amount)
  • Aetna — Medicare Advantage: 70% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of ND — All Plans: 71.36% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of ND — Medicaid Replacement: 100% (a percentage in the contract, not a dollar amount)
  • First Choice Health Network — All Plans: 90% (a percentage in the contract, not a dollar amount)
  • HealthPartners — All Plans: 85% (a percentage in the contract, not a dollar amount)
  • Humana — All Plans: 70% (a percentage in the contract, not a dollar amount)
  • Humana Advantage Care Plans Med Advantage — All Plans: 70% (a percentage in the contract, not a dollar amount)
  • Medica — All Plans: 72% (a percentage in the contract, not a dollar amount)
  • Medicaid North Dakota — All Plans: 98.2% (a percentage in the contract, not a dollar amount)
Office consultation with a specialist (moderate) CPT 99243 · Outpatient (no overnight stay) In the file: CONSULATION OP-LEVEL 3 $307.50 $307.50 $123.74 – $286.73
Office consultation with a specialist (moderate): 10 of 17 insurance plan rates
  • Aetna — All Plans: 72% (a percentage in the contract, not a dollar amount)
  • Aetna — Medicare Advantage: 70% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of ND — All Plans: 71.36% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of ND — Medicaid Replacement: 100% (a percentage in the contract, not a dollar amount)
  • First Choice Health Network — All Plans: 90% (a percentage in the contract, not a dollar amount)
  • HealthPartners — All Plans: 85% (a percentage in the contract, not a dollar amount)
  • Humana — All Plans: 70% (a percentage in the contract, not a dollar amount)
  • Humana Advantage Care Plans Med Advantage — All Plans: 70% (a percentage in the contract, not a dollar amount)
  • Medica — All Plans: 72% (a percentage in the contract, not a dollar amount)
  • Medicaid North Dakota — All Plans: 98.2% (a percentage in the contract, not a dollar amount)
Office consultation with a specialist (moderate to high) CPT 99244 · Outpatient (no overnight stay) In the file: CONSULATION OP-LEVEL 4 $460.50 $460.50 $123.74 – $286.73
Office consultation with a specialist (moderate to high): 10 of 17 insurance plan rates
  • Aetna — All Plans: 72% (a percentage in the contract, not a dollar amount)
  • Aetna — Medicare Advantage: 70% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of ND — All Plans: 71.36% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of ND — Medicaid Replacement: 100% (a percentage in the contract, not a dollar amount)
  • First Choice Health Network — All Plans: 90% (a percentage in the contract, not a dollar amount)
  • HealthPartners — All Plans: 85% (a percentage in the contract, not a dollar amount)
  • Humana — All Plans: 70% (a percentage in the contract, not a dollar amount)
  • Humana Advantage Care Plans Med Advantage — All Plans: 70% (a percentage in the contract, not a dollar amount)
  • Medica — All Plans: 72% (a percentage in the contract, not a dollar amount)
  • Medicaid North Dakota — All Plans: 98.2% (a percentage in the contract, not a dollar amount)
Preventive checkup, new patient, age 18–39 CPT 99385 · Outpatient (no overnight stay) In the file: PREV MED ADOLESCENT 18-39 $391 $391 $123.74 – $286.73
Preventive checkup, new patient, age 18–39: 10 of 17 insurance plan rates
  • Aetna — All Plans: 72% (a percentage in the contract, not a dollar amount)
  • Aetna — Medicare Advantage: 70% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of ND — All Plans: 71.36% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of ND — Medicaid Replacement: 100% (a percentage in the contract, not a dollar amount)
  • First Choice Health Network — All Plans: 90% (a percentage in the contract, not a dollar amount)
  • HealthPartners — All Plans: 85% (a percentage in the contract, not a dollar amount)
  • Humana — All Plans: 70% (a percentage in the contract, not a dollar amount)
  • Humana Advantage Care Plans Med Advantage — All Plans: 70% (a percentage in the contract, not a dollar amount)
  • Medica — All Plans: 72% (a percentage in the contract, not a dollar amount)
  • Medicaid North Dakota — All Plans: 98.2% (a percentage in the contract, not a dollar amount)
Preventive checkup, new patient, age 40–64 CPT 99386 · Outpatient (no overnight stay) In the file: PREV MED VISIT NEW PT 40-64 YR $452 $452 $123.74 – $286.73
Preventive checkup, new patient, age 40–64: 10 of 17 insurance plan rates
  • Aetna — All Plans: 72% (a percentage in the contract, not a dollar amount)
  • Aetna — Medicare Advantage: 70% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of ND — All Plans: 71.36% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of ND — Medicaid Replacement: 100% (a percentage in the contract, not a dollar amount)
  • First Choice Health Network — All Plans: 90% (a percentage in the contract, not a dollar amount)
  • HealthPartners — All Plans: 85% (a percentage in the contract, not a dollar amount)
  • Humana — All Plans: 70% (a percentage in the contract, not a dollar amount)
  • Humana Advantage Care Plans Med Advantage — All Plans: 70% (a percentage in the contract, not a dollar amount)
  • Medica — All Plans: 72% (a percentage in the contract, not a dollar amount)
  • Medicaid North Dakota — All Plans: 98.2% (a percentage in the contract, not a dollar amount)
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) In the file: ER VISIT-L M C $200 $200 Not listed in the file
Emergency room visit (moderate): 10 of 17 insurance plan rates
  • Aetna — All Plans: 72% (a percentage in the contract, not a dollar amount)
  • Aetna — Medicare Advantage: 70% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of ND — All Plans: 71.36% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of ND — Medicaid Replacement: 100% (a percentage in the contract, not a dollar amount)
  • First Choice Health Network — All Plans: 90% (a percentage in the contract, not a dollar amount)
  • HealthPartners — All Plans: 85% (a percentage in the contract, not a dollar amount)
  • Humana — All Plans: 70% (a percentage in the contract, not a dollar amount)
  • Humana Advantage Care Plans Med Advantage — All Plans: 70% (a percentage in the contract, not a dollar amount)
  • Medica — All Plans: 72% (a percentage in the contract, not a dollar amount)
  • Medicaid North Dakota — All Plans: 98.2% (a percentage in the contract, not a dollar amount)
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) In the file: PHY ER VISIT MOD SEVERITY $201.50 $201.50 Not listed in the file
Emergency room visit (moderate): 10 of 17 insurance plan rates
  • Aetna — All Plans: 72% (a percentage in the contract, not a dollar amount)
  • Aetna — Medicare Advantage: 70% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of ND — All Plans: 71.36% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of ND — Medicaid Replacement: 100% (a percentage in the contract, not a dollar amount)
  • First Choice Health Network — All Plans: 90% (a percentage in the contract, not a dollar amount)
  • HealthPartners — All Plans: 85% (a percentage in the contract, not a dollar amount)
  • Humana — All Plans: 70% (a percentage in the contract, not a dollar amount)
  • Humana Advantage Care Plans Med Advantage — All Plans: 70% (a percentage in the contract, not a dollar amount)
  • Medica — All Plans: 72% (a percentage in the contract, not a dollar amount)
  • Medicaid North Dakota — All Plans: 98.2% (a percentage in the contract, not a dollar amount)
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) In the file: ER VISIT MODERATE SEVERITY $201.50 $201.50 Not listed in the file
Emergency room visit (moderate): 10 of 17 insurance plan rates
  • Aetna — All Plans: 72% (a percentage in the contract, not a dollar amount)
  • Aetna — Medicare Advantage: 70% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of ND — All Plans: 71.36% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of ND — Medicaid Replacement: 100% (a percentage in the contract, not a dollar amount)
  • First Choice Health Network — All Plans: 90% (a percentage in the contract, not a dollar amount)
  • HealthPartners — All Plans: 85% (a percentage in the contract, not a dollar amount)
  • Humana — All Plans: 70% (a percentage in the contract, not a dollar amount)
  • Humana Advantage Care Plans Med Advantage — All Plans: 70% (a percentage in the contract, not a dollar amount)
  • Medica — All Plans: 72% (a percentage in the contract, not a dollar amount)
  • Medicaid North Dakota — All Plans: 98.2% (a percentage in the contract, not a dollar amount)
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) In the file: ER VISIT-H C $337 $337 Not listed in the file
Emergency room visit (moderately high): 10 of 17 insurance plan rates
  • Aetna — All Plans: 72% (a percentage in the contract, not a dollar amount)
  • Aetna — Medicare Advantage: 70% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of ND — All Plans: 71.36% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of ND — Medicaid Replacement: 100% (a percentage in the contract, not a dollar amount)
  • First Choice Health Network — All Plans: 90% (a percentage in the contract, not a dollar amount)
  • HealthPartners — All Plans: 85% (a percentage in the contract, not a dollar amount)
  • Humana — All Plans: 70% (a percentage in the contract, not a dollar amount)
  • Humana Advantage Care Plans Med Advantage — All Plans: 70% (a percentage in the contract, not a dollar amount)
  • Medica — All Plans: 72% (a percentage in the contract, not a dollar amount)
  • Medicaid North Dakota — All Plans: 98.2% (a percentage in the contract, not a dollar amount)
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) In the file: PHY ER VISIT HIGH SEVERITY $343.50 $343.50 Not listed in the file
Emergency room visit (moderately high): 10 of 17 insurance plan rates
  • Aetna — All Plans: 72% (a percentage in the contract, not a dollar amount)
  • Aetna — Medicare Advantage: 70% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of ND — All Plans: 71.36% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of ND — Medicaid Replacement: 100% (a percentage in the contract, not a dollar amount)
  • First Choice Health Network — All Plans: 90% (a percentage in the contract, not a dollar amount)
  • HealthPartners — All Plans: 85% (a percentage in the contract, not a dollar amount)
  • Humana — All Plans: 70% (a percentage in the contract, not a dollar amount)
  • Humana Advantage Care Plans Med Advantage — All Plans: 70% (a percentage in the contract, not a dollar amount)
  • Medica — All Plans: 72% (a percentage in the contract, not a dollar amount)
  • Medicaid North Dakota — All Plans: 98.2% (a percentage in the contract, not a dollar amount)
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) In the file: ER VISIT HIGH SEVERITY $343.50 $343.50 Not listed in the file
Emergency room visit (moderately high): 10 of 17 insurance plan rates
  • Aetna — All Plans: 72% (a percentage in the contract, not a dollar amount)
  • Aetna — Medicare Advantage: 70% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of ND — All Plans: 71.36% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of ND — Medicaid Replacement: 100% (a percentage in the contract, not a dollar amount)
  • First Choice Health Network — All Plans: 90% (a percentage in the contract, not a dollar amount)
  • HealthPartners — All Plans: 85% (a percentage in the contract, not a dollar amount)
  • Humana — All Plans: 70% (a percentage in the contract, not a dollar amount)
  • Humana Advantage Care Plans Med Advantage — All Plans: 70% (a percentage in the contract, not a dollar amount)
  • Medica — All Plans: 72% (a percentage in the contract, not a dollar amount)
  • Medicaid North Dakota — All Plans: 98.2% (a percentage in the contract, not a dollar amount)
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) In the file: ER VISIT-H C $488 $488 Not listed in the file
Emergency room visit (high): 10 of 17 insurance plan rates
  • Aetna — All Plans: 72% (a percentage in the contract, not a dollar amount)
  • Aetna — Medicare Advantage: 70% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of ND — All Plans: 71.36% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of ND — Medicaid Replacement: 100% (a percentage in the contract, not a dollar amount)
  • First Choice Health Network — All Plans: 90% (a percentage in the contract, not a dollar amount)
  • HealthPartners — All Plans: 85% (a percentage in the contract, not a dollar amount)
  • Humana — All Plans: 70% (a percentage in the contract, not a dollar amount)
  • Humana Advantage Care Plans Med Advantage — All Plans: 70% (a percentage in the contract, not a dollar amount)
  • Medica — All Plans: 72% (a percentage in the contract, not a dollar amount)
  • Medicaid North Dakota — All Plans: 98.2% (a percentage in the contract, not a dollar amount)
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) In the file: PHY ER VISIT SIGNIFICANT THREA $497.50 $497.50 Not listed in the file
Emergency room visit (high): 10 of 17 insurance plan rates
  • Aetna — All Plans: 72% (a percentage in the contract, not a dollar amount)
  • Aetna — Medicare Advantage: 70% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of ND — All Plans: 71.36% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of ND — Medicaid Replacement: 100% (a percentage in the contract, not a dollar amount)
  • First Choice Health Network — All Plans: 90% (a percentage in the contract, not a dollar amount)
  • HealthPartners — All Plans: 85% (a percentage in the contract, not a dollar amount)
  • Humana — All Plans: 70% (a percentage in the contract, not a dollar amount)
  • Humana Advantage Care Plans Med Advantage — All Plans: 70% (a percentage in the contract, not a dollar amount)
  • Medica — All Plans: 72% (a percentage in the contract, not a dollar amount)
  • Medicaid North Dakota — All Plans: 98.2% (a percentage in the contract, not a dollar amount)
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) In the file: ER VISIT SIGNIFICANT THREAT $497.50 $497.50 Not listed in the file
Emergency room visit (high): 10 of 17 insurance plan rates
  • Aetna — All Plans: 72% (a percentage in the contract, not a dollar amount)
  • Aetna — Medicare Advantage: 70% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of ND — All Plans: 71.36% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of ND — Medicaid Replacement: 100% (a percentage in the contract, not a dollar amount)
  • First Choice Health Network — All Plans: 90% (a percentage in the contract, not a dollar amount)
  • HealthPartners — All Plans: 85% (a percentage in the contract, not a dollar amount)
  • Humana — All Plans: 70% (a percentage in the contract, not a dollar amount)
  • Humana Advantage Care Plans Med Advantage — All Plans: 70% (a percentage in the contract, not a dollar amount)
  • Medica — All Plans: 72% (a percentage in the contract, not a dollar amount)
  • Medicaid North Dakota — All Plans: 98.2% (a percentage in the contract, not a dollar amount)

Lab tests

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Inpatient or outpatient In the file: BASIC METABOLIC PANEL (BMP) CHEM 8 $77 $77 Not listed in the file
Basic metabolic panel (blood test): 10 of 17 insurance plan rates
  • Aetna — All Plans: 72% (a percentage in the contract, not a dollar amount)
  • Aetna — Medicare Advantage: 70% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of ND — All Plans: 71.36% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of ND — Medicaid Replacement: 100% (a percentage in the contract, not a dollar amount)
  • First Choice Health Network — All Plans: 90% (a percentage in the contract, not a dollar amount)
  • HealthPartners — All Plans: 85% (a percentage in the contract, not a dollar amount)
  • Humana — All Plans: 70% (a percentage in the contract, not a dollar amount)
  • Humana Advantage Care Plans Med Advantage — All Plans: 70% (a percentage in the contract, not a dollar amount)
  • Medica — All Plans: 72% (a percentage in the contract, not a dollar amount)
  • Medicaid North Dakota — All Plans: 98.2% (a percentage in the contract, not a dollar amount)
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient or outpatient In the file: COMPREHENSIVE METABOLIC PANEL (CMP) $96 $96 Not listed in the file
Comprehensive metabolic panel (blood test): 10 of 17 insurance plan rates
  • Aetna — All Plans: 72% (a percentage in the contract, not a dollar amount)
  • Aetna — Medicare Advantage: 70% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of ND — All Plans: 71.36% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of ND — Medicaid Replacement: 100% (a percentage in the contract, not a dollar amount)
  • First Choice Health Network — All Plans: 90% (a percentage in the contract, not a dollar amount)
  • HealthPartners — All Plans: 85% (a percentage in the contract, not a dollar amount)
  • Humana — All Plans: 70% (a percentage in the contract, not a dollar amount)
  • Humana Advantage Care Plans Med Advantage — All Plans: 70% (a percentage in the contract, not a dollar amount)
  • Medica — All Plans: 72% (a percentage in the contract, not a dollar amount)
  • Medicaid North Dakota — All Plans: 98.2% (a percentage in the contract, not a dollar amount)
Cholesterol panel (lipid panel) CPT 80061 · Inpatient or outpatient In the file: LIPID PANEL $148.50 $148.50 Not listed in the file
Cholesterol panel (lipid panel): 10 of 17 insurance plan rates
  • Aetna — All Plans: 72% (a percentage in the contract, not a dollar amount)
  • Aetna — Medicare Advantage: 70% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of ND — All Plans: 71.36% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of ND — Medicaid Replacement: 100% (a percentage in the contract, not a dollar amount)
  • First Choice Health Network — All Plans: 90% (a percentage in the contract, not a dollar amount)
  • HealthPartners — All Plans: 85% (a percentage in the contract, not a dollar amount)
  • Humana — All Plans: 70% (a percentage in the contract, not a dollar amount)
  • Humana Advantage Care Plans Med Advantage — All Plans: 70% (a percentage in the contract, not a dollar amount)
  • Medica — All Plans: 72% (a percentage in the contract, not a dollar amount)
  • Medicaid North Dakota — All Plans: 98.2% (a percentage in the contract, not a dollar amount)
Kidney function panel CPT 80069 · Inpatient or outpatient In the file: RENAL FUNCTION PANEL $79 $79 Not listed in the file
Kidney function panel: 10 of 17 insurance plan rates
  • Aetna — All Plans: 72% (a percentage in the contract, not a dollar amount)
  • Aetna — Medicare Advantage: 70% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of ND — All Plans: 71.36% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of ND — Medicaid Replacement: 100% (a percentage in the contract, not a dollar amount)
  • First Choice Health Network — All Plans: 90% (a percentage in the contract, not a dollar amount)
  • HealthPartners — All Plans: 85% (a percentage in the contract, not a dollar amount)
  • Humana — All Plans: 70% (a percentage in the contract, not a dollar amount)
  • Humana Advantage Care Plans Med Advantage — All Plans: 70% (a percentage in the contract, not a dollar amount)
  • Medica — All Plans: 72% (a percentage in the contract, not a dollar amount)
  • Medicaid North Dakota — All Plans: 98.2% (a percentage in the contract, not a dollar amount)
Liver function panel CPT 80076 · Inpatient or outpatient In the file: LIVER FUNCTION PANEL $74.50 $74.50 Not listed in the file
Liver function panel: 10 of 17 insurance plan rates
  • Aetna — All Plans: 72% (a percentage in the contract, not a dollar amount)
  • Aetna — Medicare Advantage: 70% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of ND — All Plans: 71.36% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of ND — Medicaid Replacement: 100% (a percentage in the contract, not a dollar amount)
  • First Choice Health Network — All Plans: 90% (a percentage in the contract, not a dollar amount)
  • HealthPartners — All Plans: 85% (a percentage in the contract, not a dollar amount)
  • Humana — All Plans: 70% (a percentage in the contract, not a dollar amount)
  • Humana Advantage Care Plans Med Advantage — All Plans: 70% (a percentage in the contract, not a dollar amount)
  • Medica — All Plans: 72% (a percentage in the contract, not a dollar amount)
  • Medicaid North Dakota — All Plans: 98.2% (a percentage in the contract, not a dollar amount)
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) In the file: URINALYSIS DIP $7.50 $7.50 $123.74 – $286.73
Urine test (manual, without microscope): 10 of 17 insurance plan rates
  • Aetna — All Plans: 72% (a percentage in the contract, not a dollar amount)
  • Aetna — Medicare Advantage: 70% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of ND — All Plans: 71.36% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of ND — Medicaid Replacement: 100% (a percentage in the contract, not a dollar amount)
  • First Choice Health Network — All Plans: 90% (a percentage in the contract, not a dollar amount)
  • HealthPartners — All Plans: 85% (a percentage in the contract, not a dollar amount)
  • Humana — All Plans: 70% (a percentage in the contract, not a dollar amount)
  • Humana Advantage Care Plans Med Advantage — All Plans: 70% (a percentage in the contract, not a dollar amount)
  • Medica — All Plans: 72% (a percentage in the contract, not a dollar amount)
  • Medicaid North Dakota — All Plans: 98.2% (a percentage in the contract, not a dollar amount)
Urine test (manual, without microscope) CPT 81002 · Inpatient or outpatient In the file: URINALYSIS DIPSTICK $28.50 $28.50 Not listed in the file
Urine test (manual, without microscope): 10 of 17 insurance plan rates
  • Aetna — All Plans: 72% (a percentage in the contract, not a dollar amount)
  • Aetna — Medicare Advantage: 70% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of ND — All Plans: 71.36% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of ND — Medicaid Replacement: 100% (a percentage in the contract, not a dollar amount)
  • First Choice Health Network — All Plans: 90% (a percentage in the contract, not a dollar amount)
  • HealthPartners — All Plans: 85% (a percentage in the contract, not a dollar amount)
  • Humana — All Plans: 70% (a percentage in the contract, not a dollar amount)
  • Humana Advantage Care Plans Med Advantage — All Plans: 70% (a percentage in the contract, not a dollar amount)
  • Medica — All Plans: 72% (a percentage in the contract, not a dollar amount)
  • Medicaid North Dakota — All Plans: 98.2% (a percentage in the contract, not a dollar amount)
Urine test (manual, without microscope) CPT 81002 · Inpatient or outpatient In the file: .URINALYSIS DIPSTICK (CHARGE) $26.50 $26.50 Not listed in the file
Urine test (manual, without microscope): 10 of 17 insurance plan rates
  • Aetna — All Plans: 72% (a percentage in the contract, not a dollar amount)
  • Aetna — Medicare Advantage: 70% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of ND — All Plans: 71.36% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of ND — Medicaid Replacement: 100% (a percentage in the contract, not a dollar amount)
  • First Choice Health Network — All Plans: 90% (a percentage in the contract, not a dollar amount)
  • HealthPartners — All Plans: 85% (a percentage in the contract, not a dollar amount)
  • Humana — All Plans: 70% (a percentage in the contract, not a dollar amount)
  • Humana Advantage Care Plans Med Advantage — All Plans: 70% (a percentage in the contract, not a dollar amount)
  • Medica — All Plans: 72% (a percentage in the contract, not a dollar amount)
  • Medicaid North Dakota — All Plans: 98.2% (a percentage in the contract, not a dollar amount)
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient In the file: PSA DIAGNOSTIC $167 $167 Not listed in the file
PSA (prostate specific antigen) blood test: 10 of 17 insurance plan rates
  • Aetna — All Plans: 72% (a percentage in the contract, not a dollar amount)
  • Aetna — Medicare Advantage: 70% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of ND — All Plans: 71.36% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of ND — Medicaid Replacement: 100% (a percentage in the contract, not a dollar amount)
  • First Choice Health Network — All Plans: 90% (a percentage in the contract, not a dollar amount)
  • HealthPartners — All Plans: 85% (a percentage in the contract, not a dollar amount)
  • Humana — All Plans: 70% (a percentage in the contract, not a dollar amount)
  • Humana Advantage Care Plans Med Advantage — All Plans: 70% (a percentage in the contract, not a dollar amount)
  • Medica — All Plans: 72% (a percentage in the contract, not a dollar amount)
  • Medicaid North Dakota — All Plans: 98.2% (a percentage in the contract, not a dollar amount)
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient · modifier 90 In the file: PSA, DIAGNOSTIC (SEND OUT),Ref Lab $152 $152 Not listed in the file
PSA (prostate specific antigen) blood test: 10 of 17 insurance plan rates
  • Aetna — All Plans: 72% (a percentage in the contract, not a dollar amount)
  • Aetna — Medicare Advantage: 70% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of ND — All Plans: 71.36% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of ND — Medicaid Replacement: 100% (a percentage in the contract, not a dollar amount)
  • First Choice Health Network — All Plans: 90% (a percentage in the contract, not a dollar amount)
  • HealthPartners — All Plans: 85% (a percentage in the contract, not a dollar amount)
  • Humana — All Plans: 70% (a percentage in the contract, not a dollar amount)
  • Humana Advantage Care Plans Med Advantage — All Plans: 70% (a percentage in the contract, not a dollar amount)
  • Medica — All Plans: 72% (a percentage in the contract, not a dollar amount)
  • Medicaid North Dakota — All Plans: 98.2% (a percentage in the contract, not a dollar amount)
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient · modifier 90 In the file: PSA, SCREEN (SEND OUT),Ref Lab $152 $152 Not listed in the file
PSA (prostate specific antigen) blood test: 10 of 17 insurance plan rates
  • Aetna — All Plans: 72% (a percentage in the contract, not a dollar amount)
  • Aetna — Medicare Advantage: 70% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of ND — All Plans: 71.36% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of ND — Medicaid Replacement: 100% (a percentage in the contract, not a dollar amount)
  • First Choice Health Network — All Plans: 90% (a percentage in the contract, not a dollar amount)
  • HealthPartners — All Plans: 85% (a percentage in the contract, not a dollar amount)
  • Humana — All Plans: 70% (a percentage in the contract, not a dollar amount)
  • Humana Advantage Care Plans Med Advantage — All Plans: 70% (a percentage in the contract, not a dollar amount)
  • Medica — All Plans: 72% (a percentage in the contract, not a dollar amount)
  • Medicaid North Dakota — All Plans: 98.2% (a percentage in the contract, not a dollar amount)
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient or outpatient In the file: TSH (THYROID STIMULATING HORMONE) $152 $152 Not listed in the file
Thyroid stimulating hormone (TSH) test: 10 of 17 insurance plan rates
  • Aetna — All Plans: 72% (a percentage in the contract, not a dollar amount)
  • Aetna — Medicare Advantage: 70% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of ND — All Plans: 71.36% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of ND — Medicaid Replacement: 100% (a percentage in the contract, not a dollar amount)
  • First Choice Health Network — All Plans: 90% (a percentage in the contract, not a dollar amount)
  • HealthPartners — All Plans: 85% (a percentage in the contract, not a dollar amount)
  • Humana — All Plans: 70% (a percentage in the contract, not a dollar amount)
  • Humana Advantage Care Plans Med Advantage — All Plans: 70% (a percentage in the contract, not a dollar amount)
  • Medica — All Plans: 72% (a percentage in the contract, not a dollar amount)
  • Medicaid North Dakota — All Plans: 98.2% (a percentage in the contract, not a dollar amount)
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient or outpatient In the file: TSH WITH REFLUX TO FT4 $152 $152 Not listed in the file
Thyroid stimulating hormone (TSH) test: 10 of 17 insurance plan rates
  • Aetna — All Plans: 72% (a percentage in the contract, not a dollar amount)
  • Aetna — Medicare Advantage: 70% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of ND — All Plans: 71.36% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of ND — Medicaid Replacement: 100% (a percentage in the contract, not a dollar amount)
  • First Choice Health Network — All Plans: 90% (a percentage in the contract, not a dollar amount)
  • HealthPartners — All Plans: 85% (a percentage in the contract, not a dollar amount)
  • Humana — All Plans: 70% (a percentage in the contract, not a dollar amount)
  • Humana Advantage Care Plans Med Advantage — All Plans: 70% (a percentage in the contract, not a dollar amount)
  • Medica — All Plans: 72% (a percentage in the contract, not a dollar amount)
  • Medicaid North Dakota — All Plans: 98.2% (a percentage in the contract, not a dollar amount)
Complete blood count (CBC) with differential CPT 85025 · Inpatient or outpatient In the file: CBC W AUTO DIFF $70.50 $70.50 Not listed in the file
Complete blood count (CBC) with differential: 10 of 17 insurance plan rates
  • Aetna — All Plans: 72% (a percentage in the contract, not a dollar amount)
  • Aetna — Medicare Advantage: 70% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of ND — All Plans: 71.36% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of ND — Medicaid Replacement: 100% (a percentage in the contract, not a dollar amount)
  • First Choice Health Network — All Plans: 90% (a percentage in the contract, not a dollar amount)
  • HealthPartners — All Plans: 85% (a percentage in the contract, not a dollar amount)
  • Humana — All Plans: 70% (a percentage in the contract, not a dollar amount)
  • Humana Advantage Care Plans Med Advantage — All Plans: 70% (a percentage in the contract, not a dollar amount)
  • Medica — All Plans: 72% (a percentage in the contract, not a dollar amount)
  • Medicaid North Dakota — All Plans: 98.2% (a percentage in the contract, not a dollar amount)
Complete blood count (CBC) with differential CPT 85025 · Inpatient or outpatient In the file: .CBC & AUTO DIFFERENTIAL (CHARGE) $66 $66 Not listed in the file
Complete blood count (CBC) with differential: 10 of 17 insurance plan rates
  • Aetna — All Plans: 72% (a percentage in the contract, not a dollar amount)
  • Aetna — Medicare Advantage: 70% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of ND — All Plans: 71.36% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of ND — Medicaid Replacement: 100% (a percentage in the contract, not a dollar amount)
  • First Choice Health Network — All Plans: 90% (a percentage in the contract, not a dollar amount)
  • HealthPartners — All Plans: 85% (a percentage in the contract, not a dollar amount)
  • Humana — All Plans: 70% (a percentage in the contract, not a dollar amount)
  • Humana Advantage Care Plans Med Advantage — All Plans: 70% (a percentage in the contract, not a dollar amount)
  • Medica — All Plans: 72% (a percentage in the contract, not a dollar amount)
  • Medicaid North Dakota — All Plans: 98.2% (a percentage in the contract, not a dollar amount)
Complete blood count (CBC) with differential CPT 85025 · Inpatient or outpatient In the file: CBC WITH AUTO DIFF NPL SEND OUT $70.50 $70.50 Not listed in the file
Complete blood count (CBC) with differential: 10 of 17 insurance plan rates
  • Aetna — All Plans: 72% (a percentage in the contract, not a dollar amount)
  • Aetna — Medicare Advantage: 70% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of ND — All Plans: 71.36% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of ND — Medicaid Replacement: 100% (a percentage in the contract, not a dollar amount)
  • First Choice Health Network — All Plans: 90% (a percentage in the contract, not a dollar amount)
  • HealthPartners — All Plans: 85% (a percentage in the contract, not a dollar amount)
  • Humana — All Plans: 70% (a percentage in the contract, not a dollar amount)
  • Humana Advantage Care Plans Med Advantage — All Plans: 70% (a percentage in the contract, not a dollar amount)
  • Medica — All Plans: 72% (a percentage in the contract, not a dollar amount)
  • Medicaid North Dakota — All Plans: 98.2% (a percentage in the contract, not a dollar amount)
Complete blood count (CBC), automated CPT 85027 · Inpatient or outpatient In the file: CBC NO DIFF $70.50 $70.50 Not listed in the file
Complete blood count (CBC), automated: 10 of 17 insurance plan rates
  • Aetna — All Plans: 72% (a percentage in the contract, not a dollar amount)
  • Aetna — Medicare Advantage: 70% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of ND — All Plans: 71.36% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of ND — Medicaid Replacement: 100% (a percentage in the contract, not a dollar amount)
  • First Choice Health Network — All Plans: 90% (a percentage in the contract, not a dollar amount)
  • HealthPartners — All Plans: 85% (a percentage in the contract, not a dollar amount)
  • Humana — All Plans: 70% (a percentage in the contract, not a dollar amount)
  • Humana Advantage Care Plans Med Advantage — All Plans: 70% (a percentage in the contract, not a dollar amount)
  • Medica — All Plans: 72% (a percentage in the contract, not a dollar amount)
  • Medicaid North Dakota — All Plans: 98.2% (a percentage in the contract, not a dollar amount)
Complete blood count (CBC), automated CPT 85027 · Inpatient or outpatient In the file: .CBC NO DIFF (CHARGE) $55 $55 Not listed in the file
Complete blood count (CBC), automated: 10 of 17 insurance plan rates
  • Aetna — All Plans: 72% (a percentage in the contract, not a dollar amount)
  • Aetna — Medicare Advantage: 70% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of ND — All Plans: 71.36% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of ND — Medicaid Replacement: 100% (a percentage in the contract, not a dollar amount)
  • First Choice Health Network — All Plans: 90% (a percentage in the contract, not a dollar amount)
  • HealthPartners — All Plans: 85% (a percentage in the contract, not a dollar amount)
  • Humana — All Plans: 70% (a percentage in the contract, not a dollar amount)
  • Humana Advantage Care Plans Med Advantage — All Plans: 70% (a percentage in the contract, not a dollar amount)
  • Medica — All Plans: 72% (a percentage in the contract, not a dollar amount)
  • Medicaid North Dakota — All Plans: 98.2% (a percentage in the contract, not a dollar amount)
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient In the file: PT/INR $37 $37 Not listed in the file
Blood clotting time test (prothrombin time, PT): 10 of 17 insurance plan rates
  • Aetna — All Plans: 72% (a percentage in the contract, not a dollar amount)
  • Aetna — Medicare Advantage: 70% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of ND — All Plans: 71.36% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of ND — Medicaid Replacement: 100% (a percentage in the contract, not a dollar amount)
  • First Choice Health Network — All Plans: 90% (a percentage in the contract, not a dollar amount)
  • HealthPartners — All Plans: 85% (a percentage in the contract, not a dollar amount)
  • Humana — All Plans: 70% (a percentage in the contract, not a dollar amount)
  • Humana Advantage Care Plans Med Advantage — All Plans: 70% (a percentage in the contract, not a dollar amount)
  • Medica — All Plans: 72% (a percentage in the contract, not a dollar amount)
  • Medicaid North Dakota — All Plans: 98.2% (a percentage in the contract, not a dollar amount)
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient In the file: APTT $55.50 $55.50 Not listed in the file
Blood clotting test (partial thromboplastin time, PTT): 10 of 17 insurance plan rates
  • Aetna — All Plans: 72% (a percentage in the contract, not a dollar amount)
  • Aetna — Medicare Advantage: 70% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of ND — All Plans: 71.36% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of ND — Medicaid Replacement: 100% (a percentage in the contract, not a dollar amount)
  • First Choice Health Network — All Plans: 90% (a percentage in the contract, not a dollar amount)
  • HealthPartners — All Plans: 85% (a percentage in the contract, not a dollar amount)
  • Humana — All Plans: 70% (a percentage in the contract, not a dollar amount)
  • Humana Advantage Care Plans Med Advantage — All Plans: 70% (a percentage in the contract, not a dollar amount)
  • Medica — All Plans: 72% (a percentage in the contract, not a dollar amount)
  • Medicaid North Dakota — All Plans: 98.2% (a percentage in the contract, not a dollar amount)

Imaging (X-ray, CT, MRI, ultrasound, mammogram)

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
CT scan of the head or brain, without contrast CPT 70450 · Inpatient or outpatient In the file: CT HEAD W/O CONT $1,045 $1,045 Not listed in the file
CT scan of the head or brain, without contrast: 10 of 17 insurance plan rates
  • Aetna — All Plans: 72% (a percentage in the contract, not a dollar amount)
  • Aetna — Medicare Advantage: 70% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of ND — All Plans: 71.36% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of ND — Medicaid Replacement: 100% (a percentage in the contract, not a dollar amount)
  • First Choice Health Network — All Plans: 90% (a percentage in the contract, not a dollar amount)
  • HealthPartners — All Plans: 85% (a percentage in the contract, not a dollar amount)
  • Humana — All Plans: 70% (a percentage in the contract, not a dollar amount)
  • Humana Advantage Care Plans Med Advantage — All Plans: 70% (a percentage in the contract, not a dollar amount)
  • Medica — All Plans: 72% (a percentage in the contract, not a dollar amount)
  • Medicaid North Dakota — All Plans: 98.2% (a percentage in the contract, not a dollar amount)
MRI of the brain, before and after contrast CPT 70553 · Inpatient or outpatient In the file: MRI BRAIN W&W/O CONTRAST $4,763 $4,763 Not listed in the file
MRI of the brain, before and after contrast: 10 of 17 insurance plan rates
  • Aetna — All Plans: 72% (a percentage in the contract, not a dollar amount)
  • Aetna — Medicare Advantage: 70% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of ND — All Plans: 71.36% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of ND — Medicaid Replacement: 100% (a percentage in the contract, not a dollar amount)
  • First Choice Health Network — All Plans: 90% (a percentage in the contract, not a dollar amount)
  • HealthPartners — All Plans: 85% (a percentage in the contract, not a dollar amount)
  • Humana — All Plans: 70% (a percentage in the contract, not a dollar amount)
  • Humana Advantage Care Plans Med Advantage — All Plans: 70% (a percentage in the contract, not a dollar amount)
  • Medica — All Plans: 72% (a percentage in the contract, not a dollar amount)
  • Medicaid North Dakota — All Plans: 98.2% (a percentage in the contract, not a dollar amount)
Chest X-ray, 2 views CPT 71046 · Inpatient or outpatient In the file: XR CHEST 2 VIEW $182 $182 Not listed in the file
Chest X-ray, 2 views: 10 of 17 insurance plan rates
  • Aetna — All Plans: 72% (a percentage in the contract, not a dollar amount)
  • Aetna — Medicare Advantage: 70% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of ND — All Plans: 71.36% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of ND — Medicaid Replacement: 100% (a percentage in the contract, not a dollar amount)
  • First Choice Health Network — All Plans: 90% (a percentage in the contract, not a dollar amount)
  • HealthPartners — All Plans: 85% (a percentage in the contract, not a dollar amount)
  • Humana — All Plans: 70% (a percentage in the contract, not a dollar amount)
  • Humana Advantage Care Plans Med Advantage — All Plans: 70% (a percentage in the contract, not a dollar amount)
  • Medica — All Plans: 72% (a percentage in the contract, not a dollar amount)
  • Medicaid North Dakota — All Plans: 98.2% (a percentage in the contract, not a dollar amount)
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient or outpatient In the file: XR L SPINE 4V - LUMBAR $246 $246 Not listed in the file
X-ray of the lower spine, at least 4 views: 10 of 17 insurance plan rates
  • Aetna — All Plans: 72% (a percentage in the contract, not a dollar amount)
  • Aetna — Medicare Advantage: 70% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of ND — All Plans: 71.36% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of ND — Medicaid Replacement: 100% (a percentage in the contract, not a dollar amount)
  • First Choice Health Network — All Plans: 90% (a percentage in the contract, not a dollar amount)
  • HealthPartners — All Plans: 85% (a percentage in the contract, not a dollar amount)
  • Humana — All Plans: 70% (a percentage in the contract, not a dollar amount)
  • Humana Advantage Care Plans Med Advantage — All Plans: 70% (a percentage in the contract, not a dollar amount)
  • Medica — All Plans: 72% (a percentage in the contract, not a dollar amount)
  • Medicaid North Dakota — All Plans: 98.2% (a percentage in the contract, not a dollar amount)
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient or outpatient In the file: MRI L SPINE W/O - LUMBAR $2,511 $2,511 Not listed in the file
MRI of the lower back (lumbar spine), without contrast: 10 of 17 insurance plan rates
  • Aetna — All Plans: 72% (a percentage in the contract, not a dollar amount)
  • Aetna — Medicare Advantage: 70% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of ND — All Plans: 71.36% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of ND — Medicaid Replacement: 100% (a percentage in the contract, not a dollar amount)
  • First Choice Health Network — All Plans: 90% (a percentage in the contract, not a dollar amount)
  • HealthPartners — All Plans: 85% (a percentage in the contract, not a dollar amount)
  • Humana — All Plans: 70% (a percentage in the contract, not a dollar amount)
  • Humana Advantage Care Plans Med Advantage — All Plans: 70% (a percentage in the contract, not a dollar amount)
  • Medica — All Plans: 72% (a percentage in the contract, not a dollar amount)
  • Medicaid North Dakota — All Plans: 98.2% (a percentage in the contract, not a dollar amount)
CT scan of the pelvis, with contrast CPT 72193 · Inpatient or outpatient In the file: CT PELVIC W CONTRAST $1,962 $1,962 Not listed in the file
CT scan of the pelvis, with contrast: 10 of 17 insurance plan rates
  • Aetna — All Plans: 72% (a percentage in the contract, not a dollar amount)
  • Aetna — Medicare Advantage: 70% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of ND — All Plans: 71.36% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of ND — Medicaid Replacement: 100% (a percentage in the contract, not a dollar amount)
  • First Choice Health Network — All Plans: 90% (a percentage in the contract, not a dollar amount)
  • HealthPartners — All Plans: 85% (a percentage in the contract, not a dollar amount)
  • Humana — All Plans: 70% (a percentage in the contract, not a dollar amount)
  • Humana Advantage Care Plans Med Advantage — All Plans: 70% (a percentage in the contract, not a dollar amount)
  • Medica — All Plans: 72% (a percentage in the contract, not a dollar amount)
  • Medicaid North Dakota — All Plans: 98.2% (a percentage in the contract, not a dollar amount)
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient · modifier LT In the file: MRI EXT LOWER LT JOINT W/O,Left $2,990 $2,990 Not listed in the file
MRI of a leg joint (such as the knee), without contrast: 10 of 17 insurance plan rates
  • Aetna — All Plans: 72% (a percentage in the contract, not a dollar amount)
  • Aetna — Medicare Advantage: 70% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of ND — All Plans: 71.36% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of ND — Medicaid Replacement: 100% (a percentage in the contract, not a dollar amount)
  • First Choice Health Network — All Plans: 90% (a percentage in the contract, not a dollar amount)
  • HealthPartners — All Plans: 85% (a percentage in the contract, not a dollar amount)
  • Humana — All Plans: 70% (a percentage in the contract, not a dollar amount)
  • Humana Advantage Care Plans Med Advantage — All Plans: 70% (a percentage in the contract, not a dollar amount)
  • Medica — All Plans: 72% (a percentage in the contract, not a dollar amount)
  • Medicaid North Dakota — All Plans: 98.2% (a percentage in the contract, not a dollar amount)
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient · modifier RT In the file: MRI EXT LOWER RT JOINT W/O,Right $2,990 $2,990 Not listed in the file
MRI of a leg joint (such as the knee), without contrast: 10 of 17 insurance plan rates
  • Aetna — All Plans: 72% (a percentage in the contract, not a dollar amount)
  • Aetna — Medicare Advantage: 70% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of ND — All Plans: 71.36% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of ND — Medicaid Replacement: 100% (a percentage in the contract, not a dollar amount)
  • First Choice Health Network — All Plans: 90% (a percentage in the contract, not a dollar amount)
  • HealthPartners — All Plans: 85% (a percentage in the contract, not a dollar amount)
  • Humana — All Plans: 70% (a percentage in the contract, not a dollar amount)
  • Humana Advantage Care Plans Med Advantage — All Plans: 70% (a percentage in the contract, not a dollar amount)
  • Medica — All Plans: 72% (a percentage in the contract, not a dollar amount)
  • Medicaid North Dakota — All Plans: 98.2% (a percentage in the contract, not a dollar amount)
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient or outpatient In the file: CT ABD/PEL W CONT $2,578 $2,578 Not listed in the file
CT scan of the abdomen and pelvis, with contrast: 10 of 17 insurance plan rates
  • Aetna — All Plans: 72% (a percentage in the contract, not a dollar amount)
  • Aetna — Medicare Advantage: 70% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of ND — All Plans: 71.36% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of ND — Medicaid Replacement: 100% (a percentage in the contract, not a dollar amount)
  • First Choice Health Network — All Plans: 90% (a percentage in the contract, not a dollar amount)
  • HealthPartners — All Plans: 85% (a percentage in the contract, not a dollar amount)
  • Humana — All Plans: 70% (a percentage in the contract, not a dollar amount)
  • Humana Advantage Care Plans Med Advantage — All Plans: 70% (a percentage in the contract, not a dollar amount)
  • Medica — All Plans: 72% (a percentage in the contract, not a dollar amount)
  • Medicaid North Dakota — All Plans: 98.2% (a percentage in the contract, not a dollar amount)
Ultrasound of the abdomen, complete CPT 76700 · Inpatient or outpatient In the file: US ABD COMPLETE - ABDOMINAL $634 $634 Not listed in the file
Ultrasound of the abdomen, complete: 10 of 17 insurance plan rates
  • Aetna — All Plans: 72% (a percentage in the contract, not a dollar amount)
  • Aetna — Medicare Advantage: 70% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of ND — All Plans: 71.36% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of ND — Medicaid Replacement: 100% (a percentage in the contract, not a dollar amount)
  • First Choice Health Network — All Plans: 90% (a percentage in the contract, not a dollar amount)
  • HealthPartners — All Plans: 85% (a percentage in the contract, not a dollar amount)
  • Humana — All Plans: 70% (a percentage in the contract, not a dollar amount)
  • Humana Advantage Care Plans Med Advantage — All Plans: 70% (a percentage in the contract, not a dollar amount)
  • Medica — All Plans: 72% (a percentage in the contract, not a dollar amount)
  • Medicaid North Dakota — All Plans: 98.2% (a percentage in the contract, not a dollar amount)
Transvaginal ultrasound CPT 76830 · Inpatient or outpatient In the file: US PELVIS EVAL TRANSVAGINAL $618 $618 Not listed in the file
Transvaginal ultrasound: 10 of 17 insurance plan rates
  • Aetna — All Plans: 72% (a percentage in the contract, not a dollar amount)
  • Aetna — Medicare Advantage: 70% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of ND — All Plans: 71.36% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of ND — Medicaid Replacement: 100% (a percentage in the contract, not a dollar amount)
  • First Choice Health Network — All Plans: 90% (a percentage in the contract, not a dollar amount)
  • HealthPartners — All Plans: 85% (a percentage in the contract, not a dollar amount)
  • Humana — All Plans: 70% (a percentage in the contract, not a dollar amount)
  • Humana Advantage Care Plans Med Advantage — All Plans: 70% (a percentage in the contract, not a dollar amount)
  • Medica — All Plans: 72% (a percentage in the contract, not a dollar amount)
  • Medicaid North Dakota — All Plans: 98.2% (a percentage in the contract, not a dollar amount)
Diagnostic mammogram, one breast CPT 77065 · Inpatient or outpatient · modifier RT In the file: MA UNI DIAG RT DIG W/CAD - MAMMO,Right $511 $511 Not listed in the file
Diagnostic mammogram, one breast: 10 of 17 insurance plan rates
  • Aetna — All Plans: 72% (a percentage in the contract, not a dollar amount)
  • Aetna — Medicare Advantage: 70% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of ND — All Plans: 71.36% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of ND — Medicaid Replacement: 100% (a percentage in the contract, not a dollar amount)
  • First Choice Health Network — All Plans: 90% (a percentage in the contract, not a dollar amount)
  • HealthPartners — All Plans: 85% (a percentage in the contract, not a dollar amount)
  • Humana — All Plans: 70% (a percentage in the contract, not a dollar amount)
  • Humana Advantage Care Plans Med Advantage — All Plans: 70% (a percentage in the contract, not a dollar amount)
  • Medica — All Plans: 72% (a percentage in the contract, not a dollar amount)
  • Medicaid North Dakota — All Plans: 98.2% (a percentage in the contract, not a dollar amount)
Diagnostic mammogram, one breast CPT 77065 · Inpatient or outpatient · modifier LT In the file: MA UNI DIAG LT DIG W/CAD - MAMMO,Left $511 $511 Not listed in the file
Diagnostic mammogram, one breast: 10 of 17 insurance plan rates
  • Aetna — All Plans: 72% (a percentage in the contract, not a dollar amount)
  • Aetna — Medicare Advantage: 70% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of ND — All Plans: 71.36% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of ND — Medicaid Replacement: 100% (a percentage in the contract, not a dollar amount)
  • First Choice Health Network — All Plans: 90% (a percentage in the contract, not a dollar amount)
  • HealthPartners — All Plans: 85% (a percentage in the contract, not a dollar amount)
  • Humana — All Plans: 70% (a percentage in the contract, not a dollar amount)
  • Humana Advantage Care Plans Med Advantage — All Plans: 70% (a percentage in the contract, not a dollar amount)
  • Medica — All Plans: 72% (a percentage in the contract, not a dollar amount)
  • Medicaid North Dakota — All Plans: 98.2% (a percentage in the contract, not a dollar amount)
Diagnostic mammogram, both breasts CPT 77066 · Inpatient or outpatient In the file: MA BILAT DIAGNOSTIC $655 $655 Not listed in the file
Diagnostic mammogram, both breasts: 10 of 17 insurance plan rates
  • Aetna — All Plans: 72% (a percentage in the contract, not a dollar amount)
  • Aetna — Medicare Advantage: 70% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of ND — All Plans: 71.36% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of ND — Medicaid Replacement: 100% (a percentage in the contract, not a dollar amount)
  • First Choice Health Network — All Plans: 90% (a percentage in the contract, not a dollar amount)
  • HealthPartners — All Plans: 85% (a percentage in the contract, not a dollar amount)
  • Humana — All Plans: 70% (a percentage in the contract, not a dollar amount)
  • Humana Advantage Care Plans Med Advantage — All Plans: 70% (a percentage in the contract, not a dollar amount)
  • Medica — All Plans: 72% (a percentage in the contract, not a dollar amount)
  • Medicaid North Dakota — All Plans: 98.2% (a percentage in the contract, not a dollar amount)
Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient In the file: MA MAMMO BILAT SCREENING $541 $541 Not listed in the file
Screening mammogram, both breasts: 10 of 17 insurance plan rates
  • Aetna — All Plans: 72% (a percentage in the contract, not a dollar amount)
  • Aetna — Medicare Advantage: 70% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of ND — All Plans: 71.36% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of ND — Medicaid Replacement: 100% (a percentage in the contract, not a dollar amount)
  • First Choice Health Network — All Plans: 90% (a percentage in the contract, not a dollar amount)
  • HealthPartners — All Plans: 85% (a percentage in the contract, not a dollar amount)
  • Humana — All Plans: 70% (a percentage in the contract, not a dollar amount)
  • Humana Advantage Care Plans Med Advantage — All Plans: 70% (a percentage in the contract, not a dollar amount)
  • Medica — All Plans: 72% (a percentage in the contract, not a dollar amount)
  • Medicaid North Dakota — All Plans: 98.2% (a percentage in the contract, not a dollar amount)
Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient · modifier 52 In the file: MA UNI LT SCREENING MAMMO,reduced services $541 $541 Not listed in the file
Screening mammogram, both breasts: 10 of 17 insurance plan rates
  • Aetna — All Plans: 72% (a percentage in the contract, not a dollar amount)
  • Aetna — Medicare Advantage: 70% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of ND — All Plans: 71.36% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of ND — Medicaid Replacement: 100% (a percentage in the contract, not a dollar amount)
  • First Choice Health Network — All Plans: 90% (a percentage in the contract, not a dollar amount)
  • HealthPartners — All Plans: 85% (a percentage in the contract, not a dollar amount)
  • Humana — All Plans: 70% (a percentage in the contract, not a dollar amount)
  • Humana Advantage Care Plans Med Advantage — All Plans: 70% (a percentage in the contract, not a dollar amount)
  • Medica — All Plans: 72% (a percentage in the contract, not a dollar amount)
  • Medicaid North Dakota — All Plans: 98.2% (a percentage in the contract, not a dollar amount)
Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient · modifier 52 In the file: MA UNI RT SCREENING MAMMO,reduced services $541 $541 Not listed in the file
Screening mammogram, both breasts: 10 of 17 insurance plan rates
  • Aetna — All Plans: 72% (a percentage in the contract, not a dollar amount)
  • Aetna — Medicare Advantage: 70% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of ND — All Plans: 71.36% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of ND — Medicaid Replacement: 100% (a percentage in the contract, not a dollar amount)
  • First Choice Health Network — All Plans: 90% (a percentage in the contract, not a dollar amount)
  • HealthPartners — All Plans: 85% (a percentage in the contract, not a dollar amount)
  • Humana — All Plans: 70% (a percentage in the contract, not a dollar amount)
  • Humana Advantage Care Plans Med Advantage — All Plans: 70% (a percentage in the contract, not a dollar amount)
  • Medica — All Plans: 72% (a percentage in the contract, not a dollar amount)
  • Medicaid North Dakota — All Plans: 98.2% (a percentage in the contract, not a dollar amount)

Physical therapy and mental health

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient · modifier GP In the file: PT THEREX PER 15 MIN,PHYSICAL THERAPIST SERVICE $161 $161 Not listed in the file
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 17 insurance plan rates
  • Aetna — All Plans: 72% (a percentage in the contract, not a dollar amount)
  • Aetna — Medicare Advantage: 70% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of ND — All Plans: 71.36% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of ND — Medicaid Replacement: 100% (a percentage in the contract, not a dollar amount)
  • First Choice Health Network — All Plans: 90% (a percentage in the contract, not a dollar amount)
  • HealthPartners — All Plans: 85% (a percentage in the contract, not a dollar amount)
  • Humana — All Plans: 70% (a percentage in the contract, not a dollar amount)
  • Humana Advantage Care Plans Med Advantage — All Plans: 70% (a percentage in the contract, not a dollar amount)
  • Medica — All Plans: 72% (a percentage in the contract, not a dollar amount)
  • Medicaid North Dakota — All Plans: 98.2% (a percentage in the contract, not a dollar amount)
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient or outpatient · modifier GP In the file: PT EVALUATION,PHYSICAL THERAPIST SERVICE $429 $429 Not listed in the file
Physical therapy evaluation (low complexity): 10 of 17 insurance plan rates
  • Aetna — All Plans: 72% (a percentage in the contract, not a dollar amount)
  • Aetna — Medicare Advantage: 70% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of ND — All Plans: 71.36% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of ND — Medicaid Replacement: 100% (a percentage in the contract, not a dollar amount)
  • First Choice Health Network — All Plans: 90% (a percentage in the contract, not a dollar amount)
  • HealthPartners — All Plans: 85% (a percentage in the contract, not a dollar amount)
  • Humana — All Plans: 70% (a percentage in the contract, not a dollar amount)
  • Humana Advantage Care Plans Med Advantage — All Plans: 70% (a percentage in the contract, not a dollar amount)
  • Medica — All Plans: 72% (a percentage in the contract, not a dollar amount)
  • Medicaid North Dakota — All Plans: 98.2% (a percentage in the contract, not a dollar amount)
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient or outpatient · modifier GP In the file: PT EVALUATE AND TREAT WITH PT DISCRETI,PHYSICAL THERAPIST SERVICE $442 $442 Not listed in the file
Physical therapy evaluation (low complexity): 10 of 17 insurance plan rates
  • Aetna — All Plans: 72% (a percentage in the contract, not a dollar amount)
  • Aetna — Medicare Advantage: 70% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of ND — All Plans: 71.36% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of ND — Medicaid Replacement: 100% (a percentage in the contract, not a dollar amount)
  • First Choice Health Network — All Plans: 90% (a percentage in the contract, not a dollar amount)
  • HealthPartners — All Plans: 85% (a percentage in the contract, not a dollar amount)
  • Humana — All Plans: 70% (a percentage in the contract, not a dollar amount)
  • Humana Advantage Care Plans Med Advantage — All Plans: 70% (a percentage in the contract, not a dollar amount)
  • Medica — All Plans: 72% (a percentage in the contract, not a dollar amount)
  • Medicaid North Dakota — All Plans: 98.2% (a percentage in the contract, not a dollar amount)
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient or outpatient · modifier GP In the file: PT EVAL MODERATE COMPLEX 30 MIN,PHYSICAL THERAPIST SERVICE $465 $465 Not listed in the file
Physical therapy evaluation (moderate complexity): 10 of 17 insurance plan rates
  • Aetna — All Plans: 72% (a percentage in the contract, not a dollar amount)
  • Aetna — Medicare Advantage: 70% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of ND — All Plans: 71.36% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of ND — Medicaid Replacement: 100% (a percentage in the contract, not a dollar amount)
  • First Choice Health Network — All Plans: 90% (a percentage in the contract, not a dollar amount)
  • HealthPartners — All Plans: 85% (a percentage in the contract, not a dollar amount)
  • Humana — All Plans: 70% (a percentage in the contract, not a dollar amount)
  • Humana Advantage Care Plans Med Advantage — All Plans: 70% (a percentage in the contract, not a dollar amount)
  • Medica — All Plans: 72% (a percentage in the contract, not a dollar amount)
  • Medicaid North Dakota — All Plans: 98.2% (a percentage in the contract, not a dollar amount)

Procedures and surgery

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) In the file: REMOVAL OF BREAST LESION $1,664 $1,664 $123.74 – $286.73
Removal of breast growth (open surgery): 10 of 17 insurance plan rates
  • Aetna — All Plans: 72% (a percentage in the contract, not a dollar amount)
  • Aetna — Medicare Advantage: 70% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of ND — All Plans: 71.36% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of ND — Medicaid Replacement: 100% (a percentage in the contract, not a dollar amount)
  • First Choice Health Network — All Plans: 90% (a percentage in the contract, not a dollar amount)
  • HealthPartners — All Plans: 85% (a percentage in the contract, not a dollar amount)
  • Humana — All Plans: 70% (a percentage in the contract, not a dollar amount)
  • Humana Advantage Care Plans Med Advantage — All Plans: 70% (a percentage in the contract, not a dollar amount)
  • Medica — All Plans: 72% (a percentage in the contract, not a dollar amount)
  • Medicaid North Dakota — All Plans: 98.2% (a percentage in the contract, not a dollar amount)
Removal of breast growth (open surgery) CPT 19120 · Inpatient or outpatient In the file: REMOVE BREAST LESION $5,051 $5,051 Not listed in the file
Removal of breast growth (open surgery): 10 of 17 insurance plan rates
  • Aetna — All Plans: 72% (a percentage in the contract, not a dollar amount)
  • Aetna — Medicare Advantage: 70% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of ND — All Plans: 71.36% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of ND — Medicaid Replacement: 100% (a percentage in the contract, not a dollar amount)
  • First Choice Health Network — All Plans: 90% (a percentage in the contract, not a dollar amount)
  • HealthPartners — All Plans: 85% (a percentage in the contract, not a dollar amount)
  • Humana — All Plans: 70% (a percentage in the contract, not a dollar amount)
  • Humana Advantage Care Plans Med Advantage — All Plans: 70% (a percentage in the contract, not a dollar amount)
  • Medica — All Plans: 72% (a percentage in the contract, not a dollar amount)
  • Medicaid North Dakota — All Plans: 98.2% (a percentage in the contract, not a dollar amount)
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) In the file: REMOVE BREAST LESION (PHY) $1,184 $1,184 Not listed in the file
Removal of breast growth (open surgery): 10 of 17 insurance plan rates
  • Aetna — All Plans: 72% (a percentage in the contract, not a dollar amount)
  • Aetna — Medicare Advantage: 70% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of ND — All Plans: 71.36% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of ND — Medicaid Replacement: 100% (a percentage in the contract, not a dollar amount)
  • First Choice Health Network — All Plans: 90% (a percentage in the contract, not a dollar amount)
  • HealthPartners — All Plans: 85% (a percentage in the contract, not a dollar amount)
  • Humana — All Plans: 70% (a percentage in the contract, not a dollar amount)
  • Humana Advantage Care Plans Med Advantage — All Plans: 70% (a percentage in the contract, not a dollar amount)
  • Medica — All Plans: 72% (a percentage in the contract, not a dollar amount)
  • Medicaid North Dakota — All Plans: 98.2% (a percentage in the contract, not a dollar amount)
Upper GI endoscopy (diagnostic) CPT 43235 · Inpatient or outpatient In the file: EGD DX BRUSH WASH $2,839 $2,839 Not listed in the file
Upper GI endoscopy (diagnostic): 10 of 17 insurance plan rates
  • Aetna — All Plans: 72% (a percentage in the contract, not a dollar amount)
  • Aetna — Medicare Advantage: 70% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of ND — All Plans: 71.36% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of ND — Medicaid Replacement: 100% (a percentage in the contract, not a dollar amount)
  • First Choice Health Network — All Plans: 90% (a percentage in the contract, not a dollar amount)
  • HealthPartners — All Plans: 85% (a percentage in the contract, not a dollar amount)
  • Humana — All Plans: 70% (a percentage in the contract, not a dollar amount)
  • Humana Advantage Care Plans Med Advantage — All Plans: 70% (a percentage in the contract, not a dollar amount)
  • Medica — All Plans: 72% (a percentage in the contract, not a dollar amount)
  • Medicaid North Dakota — All Plans: 98.2% (a percentage in the contract, not a dollar amount)
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) In the file: EGD DX BRUSH WASH (PHY) $332 $332 Not listed in the file
Upper GI endoscopy (diagnostic): 10 of 17 insurance plan rates
  • Aetna — All Plans: 72% (a percentage in the contract, not a dollar amount)
  • Aetna — Medicare Advantage: 70% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of ND — All Plans: 71.36% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of ND — Medicaid Replacement: 100% (a percentage in the contract, not a dollar amount)
  • First Choice Health Network — All Plans: 90% (a percentage in the contract, not a dollar amount)
  • HealthPartners — All Plans: 85% (a percentage in the contract, not a dollar amount)
  • Humana — All Plans: 70% (a percentage in the contract, not a dollar amount)
  • Humana Advantage Care Plans Med Advantage — All Plans: 70% (a percentage in the contract, not a dollar amount)
  • Medica — All Plans: 72% (a percentage in the contract, not a dollar amount)
  • Medicaid North Dakota — All Plans: 98.2% (a percentage in the contract, not a dollar amount)
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) In the file: EGD BIOPSY SINGLE/MULTIPLE $1,216 $1,216 $123.74 – $286.73
Upper GI endoscopy with biopsy: 10 of 17 insurance plan rates
  • Aetna — All Plans: 72% (a percentage in the contract, not a dollar amount)
  • Aetna — Medicare Advantage: 70% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of ND — All Plans: 71.36% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of ND — Medicaid Replacement: 100% (a percentage in the contract, not a dollar amount)
  • First Choice Health Network — All Plans: 90% (a percentage in the contract, not a dollar amount)
  • HealthPartners — All Plans: 85% (a percentage in the contract, not a dollar amount)
  • Humana — All Plans: 70% (a percentage in the contract, not a dollar amount)
  • Humana Advantage Care Plans Med Advantage — All Plans: 70% (a percentage in the contract, not a dollar amount)
  • Medica — All Plans: 72% (a percentage in the contract, not a dollar amount)
  • Medicaid North Dakota — All Plans: 98.2% (a percentage in the contract, not a dollar amount)
Upper GI endoscopy with biopsy CPT 43239 · Inpatient or outpatient In the file: EGD/GASTROSCOPY $2,925 $2,925 Not listed in the file
Upper GI endoscopy with biopsy: 10 of 17 insurance plan rates
  • Aetna — All Plans: 72% (a percentage in the contract, not a dollar amount)
  • Aetna — Medicare Advantage: 70% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of ND — All Plans: 71.36% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of ND — Medicaid Replacement: 100% (a percentage in the contract, not a dollar amount)
  • First Choice Health Network — All Plans: 90% (a percentage in the contract, not a dollar amount)
  • HealthPartners — All Plans: 85% (a percentage in the contract, not a dollar amount)
  • Humana — All Plans: 70% (a percentage in the contract, not a dollar amount)
  • Humana Advantage Care Plans Med Advantage — All Plans: 70% (a percentage in the contract, not a dollar amount)
  • Medica — All Plans: 72% (a percentage in the contract, not a dollar amount)
  • Medicaid North Dakota — All Plans: 98.2% (a percentage in the contract, not a dollar amount)
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) In the file: GASTROSCOPY (PHY) $359 $359 Not listed in the file
Upper GI endoscopy with biopsy: 10 of 17 insurance plan rates
  • Aetna — All Plans: 72% (a percentage in the contract, not a dollar amount)
  • Aetna — Medicare Advantage: 70% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of ND — All Plans: 71.36% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of ND — Medicaid Replacement: 100% (a percentage in the contract, not a dollar amount)
  • First Choice Health Network — All Plans: 90% (a percentage in the contract, not a dollar amount)
  • HealthPartners — All Plans: 85% (a percentage in the contract, not a dollar amount)
  • Humana — All Plans: 70% (a percentage in the contract, not a dollar amount)
  • Humana Advantage Care Plans Med Advantage — All Plans: 70% (a percentage in the contract, not a dollar amount)
  • Medica — All Plans: 72% (a percentage in the contract, not a dollar amount)
  • Medicaid North Dakota — All Plans: 98.2% (a percentage in the contract, not a dollar amount)
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) In the file: DIAGNOSTIC COLONOSCOPY $1,098 $1,098 $123.74 – $286.73
Colonoscopy (diagnostic): 10 of 17 insurance plan rates
  • Aetna — All Plans: 72% (a percentage in the contract, not a dollar amount)
  • Aetna — Medicare Advantage: 70% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of ND — All Plans: 71.36% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of ND — Medicaid Replacement: 100% (a percentage in the contract, not a dollar amount)
  • First Choice Health Network — All Plans: 90% (a percentage in the contract, not a dollar amount)
  • HealthPartners — All Plans: 85% (a percentage in the contract, not a dollar amount)
  • Humana — All Plans: 70% (a percentage in the contract, not a dollar amount)
  • Humana Advantage Care Plans Med Advantage — All Plans: 70% (a percentage in the contract, not a dollar amount)
  • Medica — All Plans: 72% (a percentage in the contract, not a dollar amount)
  • Medicaid North Dakota — All Plans: 98.2% (a percentage in the contract, not a dollar amount)
Colonoscopy (diagnostic) CPT 45378 · Inpatient or outpatient In the file: COLONOSCOPY DX $3,357 $3,357 Not listed in the file
Colonoscopy (diagnostic): 10 of 17 insurance plan rates
  • Aetna — All Plans: 72% (a percentage in the contract, not a dollar amount)
  • Aetna — Medicare Advantage: 70% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of ND — All Plans: 71.36% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of ND — Medicaid Replacement: 100% (a percentage in the contract, not a dollar amount)
  • First Choice Health Network — All Plans: 90% (a percentage in the contract, not a dollar amount)
  • HealthPartners — All Plans: 85% (a percentage in the contract, not a dollar amount)
  • Humana — All Plans: 70% (a percentage in the contract, not a dollar amount)
  • Humana Advantage Care Plans Med Advantage — All Plans: 70% (a percentage in the contract, not a dollar amount)
  • Medica — All Plans: 72% (a percentage in the contract, not a dollar amount)
  • Medicaid North Dakota — All Plans: 98.2% (a percentage in the contract, not a dollar amount)
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) In the file: COLONOSCOPY (PHY) $498 $498 Not listed in the file
Colonoscopy (diagnostic): 10 of 17 insurance plan rates
  • Aetna — All Plans: 72% (a percentage in the contract, not a dollar amount)
  • Aetna — Medicare Advantage: 70% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of ND — All Plans: 71.36% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of ND — Medicaid Replacement: 100% (a percentage in the contract, not a dollar amount)
  • First Choice Health Network — All Plans: 90% (a percentage in the contract, not a dollar amount)
  • HealthPartners — All Plans: 85% (a percentage in the contract, not a dollar amount)
  • Humana — All Plans: 70% (a percentage in the contract, not a dollar amount)
  • Humana Advantage Care Plans Med Advantage — All Plans: 70% (a percentage in the contract, not a dollar amount)
  • Medica — All Plans: 72% (a percentage in the contract, not a dollar amount)
  • Medicaid North Dakota — All Plans: 98.2% (a percentage in the contract, not a dollar amount)
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) In the file: COLONOSCOPY AND BIOPSY $1,393.50 $1,393.50 $123.74 – $286.73
Colonoscopy with biopsy: 10 of 17 insurance plan rates
  • Aetna — All Plans: 72% (a percentage in the contract, not a dollar amount)
  • Aetna — Medicare Advantage: 70% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of ND — All Plans: 71.36% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of ND — Medicaid Replacement: 100% (a percentage in the contract, not a dollar amount)
  • First Choice Health Network — All Plans: 90% (a percentage in the contract, not a dollar amount)
  • HealthPartners — All Plans: 85% (a percentage in the contract, not a dollar amount)
  • Humana — All Plans: 70% (a percentage in the contract, not a dollar amount)
  • Humana Advantage Care Plans Med Advantage — All Plans: 70% (a percentage in the contract, not a dollar amount)
  • Medica — All Plans: 72% (a percentage in the contract, not a dollar amount)
  • Medicaid North Dakota — All Plans: 98.2% (a percentage in the contract, not a dollar amount)
Colonoscopy with biopsy CPT 45380 · Inpatient or outpatient In the file: COLONOSCOPY W/BIOPSY $2,726 $2,726 Not listed in the file
Colonoscopy with biopsy: 10 of 17 insurance plan rates
  • Aetna — All Plans: 72% (a percentage in the contract, not a dollar amount)
  • Aetna — Medicare Advantage: 70% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of ND — All Plans: 71.36% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of ND — Medicaid Replacement: 100% (a percentage in the contract, not a dollar amount)
  • First Choice Health Network — All Plans: 90% (a percentage in the contract, not a dollar amount)
  • HealthPartners — All Plans: 85% (a percentage in the contract, not a dollar amount)
  • Humana — All Plans: 70% (a percentage in the contract, not a dollar amount)
  • Humana Advantage Care Plans Med Advantage — All Plans: 70% (a percentage in the contract, not a dollar amount)
  • Medica — All Plans: 72% (a percentage in the contract, not a dollar amount)
  • Medicaid North Dakota — All Plans: 98.2% (a percentage in the contract, not a dollar amount)
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) In the file: COLONOSCOPY W/ BIOPSY (PHY) $542 $542 Not listed in the file
Colonoscopy with biopsy: 10 of 17 insurance plan rates
  • Aetna — All Plans: 72% (a percentage in the contract, not a dollar amount)
  • Aetna — Medicare Advantage: 70% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of ND — All Plans: 71.36% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of ND — Medicaid Replacement: 100% (a percentage in the contract, not a dollar amount)
  • First Choice Health Network — All Plans: 90% (a percentage in the contract, not a dollar amount)
  • HealthPartners — All Plans: 85% (a percentage in the contract, not a dollar amount)
  • Humana — All Plans: 70% (a percentage in the contract, not a dollar amount)
  • Humana Advantage Care Plans Med Advantage — All Plans: 70% (a percentage in the contract, not a dollar amount)
  • Medica — All Plans: 72% (a percentage in the contract, not a dollar amount)
  • Medicaid North Dakota — All Plans: 98.2% (a percentage in the contract, not a dollar amount)
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) In the file: COLONOSCOPY W/LESION REMOVAL $1,219 $1,219 $123.74 – $286.73
Colonoscopy with removal of polyps (snare): 10 of 17 insurance plan rates
  • Aetna — Medicare Advantage: $286.73
  • Humana — All Plans: $286.73
  • Humana Advantage Care Plans Med Advantage — All Plans: $286.73
  • Medicaid North Dakota — All Plans: $264.32
  • Medicare A ND JF — All Plans: $286.73
  • Medicare B ND JF — All Plans: $286.73
  • NextBlue — All Plans: $286.73
  • United Healthcare — All Plans: $123.74
  • United Healthcare — Medicare Advantage: $286.73
  • Aetna — All Plans: 72% (a percentage in the contract, not a dollar amount)
Colonoscopy with removal of polyps (snare) CPT 45385 · Inpatient or outpatient In the file: COLONOSCOPY W LESION REMOVAL $3,701 $3,701 Not listed in the file
Colonoscopy with removal of polyps (snare): 10 of 17 insurance plan rates
  • Aetna — All Plans: 72% (a percentage in the contract, not a dollar amount)
  • Aetna — Medicare Advantage: 70% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of ND — All Plans: 71.36% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of ND — Medicaid Replacement: 100% (a percentage in the contract, not a dollar amount)
  • First Choice Health Network — All Plans: 90% (a percentage in the contract, not a dollar amount)
  • HealthPartners — All Plans: 85% (a percentage in the contract, not a dollar amount)
  • Humana — All Plans: 70% (a percentage in the contract, not a dollar amount)
  • Humana Advantage Care Plans Med Advantage — All Plans: 70% (a percentage in the contract, not a dollar amount)
  • Medica — All Plans: 72% (a percentage in the contract, not a dollar amount)
  • Medicaid North Dakota — All Plans: 98.2% (a percentage in the contract, not a dollar amount)
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) In the file: FLEX COLONOSCOPY W BIOPSY (PHY) $682 $682 Not listed in the file
Colonoscopy with removal of polyps (snare): 10 of 17 insurance plan rates
  • Aetna — All Plans: 72% (a percentage in the contract, not a dollar amount)
  • Aetna — Medicare Advantage: 70% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of ND — All Plans: 71.36% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of ND — Medicaid Replacement: 100% (a percentage in the contract, not a dollar amount)
  • First Choice Health Network — All Plans: 90% (a percentage in the contract, not a dollar amount)
  • HealthPartners — All Plans: 85% (a percentage in the contract, not a dollar amount)
  • Humana — All Plans: 70% (a percentage in the contract, not a dollar amount)
  • Humana Advantage Care Plans Med Advantage — All Plans: 70% (a percentage in the contract, not a dollar amount)
  • Medica — All Plans: 72% (a percentage in the contract, not a dollar amount)
  • Medicaid North Dakota — All Plans: 98.2% (a percentage in the contract, not a dollar amount)
Screening colonoscopy (not high risk) HCPCS G0121 · Inpatient or outpatient In the file: COLONOSCOPY (SCREENING) $3,701 $3,701 Not listed in the file
Screening colonoscopy (not high risk): 10 of 17 insurance plan rates
  • Aetna — All Plans: 72% (a percentage in the contract, not a dollar amount)
  • Aetna — Medicare Advantage: 70% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of ND — All Plans: 71.36% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of ND — Medicaid Replacement: 100% (a percentage in the contract, not a dollar amount)
  • First Choice Health Network — All Plans: 90% (a percentage in the contract, not a dollar amount)
  • HealthPartners — All Plans: 85% (a percentage in the contract, not a dollar amount)
  • Humana — All Plans: 70% (a percentage in the contract, not a dollar amount)
  • Humana Advantage Care Plans Med Advantage — All Plans: 70% (a percentage in the contract, not a dollar amount)
  • Medica — All Plans: 72% (a percentage in the contract, not a dollar amount)
  • Medicaid North Dakota — All Plans: 98.2% (a percentage in the contract, not a dollar amount)
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) In the file: COLONOSCOPY SCREENING (PHY) $480 $480 Not listed in the file
Screening colonoscopy (not high risk): 10 of 17 insurance plan rates
  • Aetna — All Plans: 72% (a percentage in the contract, not a dollar amount)
  • Aetna — Medicare Advantage: 70% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of ND — All Plans: 71.36% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of ND — Medicaid Replacement: 100% (a percentage in the contract, not a dollar amount)
  • First Choice Health Network — All Plans: 90% (a percentage in the contract, not a dollar amount)
  • HealthPartners — All Plans: 85% (a percentage in the contract, not a dollar amount)
  • Humana — All Plans: 70% (a percentage in the contract, not a dollar amount)
  • Humana Advantage Care Plans Med Advantage — All Plans: 70% (a percentage in the contract, not a dollar amount)
  • Medica — All Plans: 72% (a percentage in the contract, not a dollar amount)
  • Medicaid North Dakota — All Plans: 98.2% (a percentage in the contract, not a dollar amount)
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) In the file: RPR I/HERN INIT REDUC >5 YR $1,475 $1,475 $123.74 – $286.73
Groin (inguinal) hernia repair, age 5 or older: 10 of 17 insurance plan rates
  • Aetna — All Plans: 72% (a percentage in the contract, not a dollar amount)
  • Aetna — Medicare Advantage: 70% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of ND — All Plans: 71.36% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of ND — Medicaid Replacement: 100% (a percentage in the contract, not a dollar amount)
  • First Choice Health Network — All Plans: 90% (a percentage in the contract, not a dollar amount)
  • HealthPartners — All Plans: 85% (a percentage in the contract, not a dollar amount)
  • Humana — All Plans: 70% (a percentage in the contract, not a dollar amount)
  • Humana Advantage Care Plans Med Advantage — All Plans: 70% (a percentage in the contract, not a dollar amount)
  • Medica — All Plans: 72% (a percentage in the contract, not a dollar amount)
  • Medicaid North Dakota — All Plans: 98.2% (a percentage in the contract, not a dollar amount)
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Inpatient or outpatient In the file: HERNIA REPAIR $5,348 $5,348 Not listed in the file
Groin (inguinal) hernia repair, age 5 or older: 10 of 17 insurance plan rates
  • Aetna — All Plans: 72% (a percentage in the contract, not a dollar amount)
  • Aetna — Medicare Advantage: 70% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of ND — All Plans: 71.36% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of ND — Medicaid Replacement: 100% (a percentage in the contract, not a dollar amount)
  • First Choice Health Network — All Plans: 90% (a percentage in the contract, not a dollar amount)
  • HealthPartners — All Plans: 85% (a percentage in the contract, not a dollar amount)
  • Humana — All Plans: 70% (a percentage in the contract, not a dollar amount)
  • Humana Advantage Care Plans Med Advantage — All Plans: 70% (a percentage in the contract, not a dollar amount)
  • Medica — All Plans: 72% (a percentage in the contract, not a dollar amount)
  • Medicaid North Dakota — All Plans: 98.2% (a percentage in the contract, not a dollar amount)
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) In the file: HERNIA REPAIR (PHY) $1,448 $1,448 Not listed in the file
Groin (inguinal) hernia repair, age 5 or older: 10 of 17 insurance plan rates
  • Aetna — All Plans: 72% (a percentage in the contract, not a dollar amount)
  • Aetna — Medicare Advantage: 70% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of ND — All Plans: 71.36% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of ND — Medicaid Replacement: 100% (a percentage in the contract, not a dollar amount)
  • First Choice Health Network — All Plans: 90% (a percentage in the contract, not a dollar amount)
  • HealthPartners — All Plans: 85% (a percentage in the contract, not a dollar amount)
  • Humana — All Plans: 70% (a percentage in the contract, not a dollar amount)
  • Humana Advantage Care Plans Med Advantage — All Plans: 70% (a percentage in the contract, not a dollar amount)
  • Medica — All Plans: 72% (a percentage in the contract, not a dollar amount)
  • Medicaid North Dakota — All Plans: 98.2% (a percentage in the contract, not a dollar amount)
Carpal tunnel release CPT 64721 · Inpatient or outpatient In the file: CARPAL TUNNEL $4,816 $4,816 Not listed in the file
Carpal tunnel release: 10 of 17 insurance plan rates
  • Aetna — All Plans: 72% (a percentage in the contract, not a dollar amount)
  • Aetna — Medicare Advantage: 70% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of ND — All Plans: 71.36% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of ND — Medicaid Replacement: 100% (a percentage in the contract, not a dollar amount)
  • First Choice Health Network — All Plans: 90% (a percentage in the contract, not a dollar amount)
  • HealthPartners — All Plans: 85% (a percentage in the contract, not a dollar amount)
  • Humana — All Plans: 70% (a percentage in the contract, not a dollar amount)
  • Humana Advantage Care Plans Med Advantage — All Plans: 70% (a percentage in the contract, not a dollar amount)
  • Medica — All Plans: 72% (a percentage in the contract, not a dollar amount)
  • Medicaid North Dakota — All Plans: 98.2% (a percentage in the contract, not a dollar amount)
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) In the file: CARPAL TUNNEL (PHY) $1,229 $1,229 Not listed in the file
Carpal tunnel release: 10 of 17 insurance plan rates
  • Aetna — All Plans: 72% (a percentage in the contract, not a dollar amount)
  • Aetna — Medicare Advantage: 70% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of ND — All Plans: 71.36% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of ND — Medicaid Replacement: 100% (a percentage in the contract, not a dollar amount)
  • First Choice Health Network — All Plans: 90% (a percentage in the contract, not a dollar amount)
  • HealthPartners — All Plans: 85% (a percentage in the contract, not a dollar amount)
  • Humana — All Plans: 70% (a percentage in the contract, not a dollar amount)
  • Humana Advantage Care Plans Med Advantage — All Plans: 70% (a percentage in the contract, not a dollar amount)
  • Medica — All Plans: 72% (a percentage in the contract, not a dollar amount)
  • Medicaid North Dakota — All Plans: 98.2% (a percentage in the contract, not a dollar amount)
Laser treatment of clouding after cataract surgery CPT 66821 · Inpatient or outpatient In the file: YAG LAZER $1,494 $1,494 Not listed in the file
Laser treatment of clouding after cataract surgery: 10 of 17 insurance plan rates
  • Aetna — All Plans: 72% (a percentage in the contract, not a dollar amount)
  • Aetna — Medicare Advantage: 70% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of ND — All Plans: 71.36% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of ND — Medicaid Replacement: 100% (a percentage in the contract, not a dollar amount)
  • First Choice Health Network — All Plans: 90% (a percentage in the contract, not a dollar amount)
  • HealthPartners — All Plans: 85% (a percentage in the contract, not a dollar amount)
  • Humana — All Plans: 70% (a percentage in the contract, not a dollar amount)
  • Humana Advantage Care Plans Med Advantage — All Plans: 70% (a percentage in the contract, not a dollar amount)
  • Medica — All Plans: 72% (a percentage in the contract, not a dollar amount)
  • Medicaid North Dakota — All Plans: 98.2% (a percentage in the contract, not a dollar amount)

Source: Ashley Medical Center’s standard charges file (irp.cdn-website.com, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on October 9, 2026; retrieved November 1, 2026. The hospital’s price transparency page →

Found through the hospital’s cms-hpt.txt file, as required by the federal hospital price transparency rule (CMS). We show a selection of common services; the file has every item and service.

Hospital information

Hospital typeCritical Access Hospital
Address612 Center Avenue N, Ashley, ND 58413
CountyMcIntosh County
StateNorth Dakota
Phone(701) 288‑3433
Emergency servicesYes
OwnershipVoluntary non-profit - Private
Medicare overall ratingNot rated by CMS
CMS Certification Number351322
Name in Medicare recordsASHLEY MEDICAL CENTER
Profile levelMedicare data + hospital website
Official websiteamctoday.org
CorrectionsReport an error or suggest an update →

Sources

  1. Hospital General Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-10-26, retrieved 2026-11-13
  2. Medicare Care Compare — official Medicare profile of this hospital
  3. U.S. Census Bureau Geocoder — map position used for distances

From the hospital’s website

Numbers match the citations above. Checked 2026-10-30.

  1. Ashley Medical Center — amctoday.org
  2. Hospital - Ashley Medical Center — amctoday.org
  3. Medical Emergencies - Ashley Medical Center — amctoday.org
  4. Medical Rehab | Ashley, ND — amctoday.org
  5. Nursing Program | Ashley, ND — amctoday.org
  6. Medical Center | Ashley, ND — amctoday.org
  7. Medical Testing | Ashley, ND — amctoday.org