Does McKenzie County Healthcare Systems Inc have an emergency room?

Yes. Medicare (CMS) data lists emergency services at McKenzie County Healthcare Systems Inc. In a medical emergency, call 911.

Where is McKenzie County Healthcare Systems Inc?

709 4th Ave NE, Watford City, ND 58854, in McKenzie County, North Dakota.

What is the phone number of McKenzie County Healthcare Systems Inc?

(701) 842-3000, as listed by Medicare (CMS).

What is the Medicare star rating of McKenzie County Healthcare Systems Inc?

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.

McKenzie County Healthcare Systems Inc

Quick answers

Does McKenzie County Healthcare Systems Inc have an emergency room?: Yes. Medicare (CMS) data lists emergency services at McKenzie County Healthcare Systems Inc. In a medical emergency, call 911.
Where is McKenzie County Healthcare Systems Inc?: 709 4th Ave NE, Watford City, ND 58854, in McKenzie County, North Dakota.
What is the phone number of McKenzie County Healthcare Systems Inc?: (701) 842-3000, as listed by Medicare (CMS).
What is the Medicare star rating of McKenzie County Healthcare Systems Inc?: 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^[5][7]

Treatments^[5]

Infusion services
Chronic care management
Pediatric therapy

Procedures^[7]

CT
MRI
3D/4D ultrasound

Programs and centers^[5]

Swing Bed Program

Emergency care (hospital website)^[7]

Emergency room	Yes
Open 24/7	Yes
Trauma designation	Level V
Stroke designation	Acute Stroke Ready

Visiting and practical information

Parking	Marked parking lots across from the Emergency entrance^[7]

Doctors and clinicians (120)

120 doctors and other clinicians list McKenzie County Healthcare Systems Inc 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

And 96 more: the button below opens the full list.

Other emergency rooms nearby

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

CHI St Alexius Health Williston30 mi · Williston, ND · Critical Access Hospital
Sidney Health Center42 mi · Sidney, MT · Critical Access Hospital
Tioga Medical Center44 mi · Tioga, ND · Critical Access Hospital
Mountrail County Medical Center Inc54 mi · Stanley, ND · Critical Access Hospital
Roosevelt Medical Center62 mi · Culbertson, MT · Critical Access Hospital

Other hospitals nearby

CHI St Alexius Health Dickinson67 mi · Dickinson, ND · Critical Access Hospital

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

McKenzie County Healthcare Systems Long Term Care0.1 mi · Watford City, ND · 4 of 5 stars

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

MCHS Clinic5.8 mi · Watford City, ND · Rural health clinic

Pharmacies

Jackson Dodds Inc5.8 mi · Watford City, ND · Community/retail pharmacy

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 McKenzie County Healthcare Systems Inc 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.

What patients said (patient survey)

What this means: Patients who stayed overnight answered a national survey (HCAHPS) about their stay. More stars mean patients reported a better experience than at other hospitals. The percentages show how often patients gave the best answer, next to the national average.

Summary star rating (all survey topics)	Not reported to Medicare
Overall rating of the hospital	Not reported to Medicare
Would recommend the hospital	Not reported to Medicare
Nurses communicated well	Not reported to Medicare
Doctors communicated well	Not reported to Medicare
Staff explained medicines	Not reported to Medicare
Information about recovery at home	Not reported to Medicare
Room and bathroom kept clean	Not reported to Medicare
Quiet at night	Not reported to Medicare
Rated the hospital 9 or 10 out of 10	64%National average: 72%
Would definitely recommend the hospital	69%National average: 71%
Nurses “always” communicated well	78%National average: 80%
Doctors “always” communicated well	80%National average: 80%
Staff “always” explained medicines before giving them	60%National average: 62%
Were given information about recovery at home	89%National average: 86%
Room and bathroom “always” clean	67%National average: 74%
Area around the room “always” quiet at night	62%National average: 60%
Completed surveys	73Response rate: 19%

Source: Patient survey (HCAHPS) - Hospital — CMS, released July 22, 2026; patients discharged October 2024 to September 2025.

Infections caught in the hospital

What this means: CMS compares the number of infections patients caught in this hospital with the number expected for a hospital like it. The number shown is that ratio: below 1 means fewer infections than expected, above 1 means more. “Better” or “worse” is shown only when the difference is clear in the data.

Central line bloodstream infections (CLABSI)	Not reported to Medicare
Catheter-associated urinary tract infections (CAUTI)	Not reported to Medicare
Surgical site infections after colon surgery	Not reported to Medicare
Surgical site infections after abdominal hysterectomy	Not reported to Medicare
MRSA bloodstream infections	Not reported to Medicare
Clostridioides difficile (C. diff) intestinal infections	Not reported to Medicare

Source: Healthcare Associated Infections - Hospital — CMS, released July 22, 2026.

Complications and deaths

What this means: Death rates are the share of patients who died within 30 days of going into the hospital for that condition, adjusted for how sick they were. PSI-90 combines several serious complications (a lower number is better). “No different from the national rate” is the most common result and means the hospital is in line with hospitals nationwide.

Deaths within 30 days: heart attack patients	Too few cases to report
Deaths within 30 days: heart failure patients	Too few cases to report
Deaths within 30 days: pneumonia patients	Too few cases to report
Deaths within 30 days: COPD patients	8%
Deaths within 30 days: stroke patients	Too few cases to report
Deaths within 30 days: coronary bypass surgery (CABG)	Not reported to Medicare
Serious complications (patient safety indicator PSI-90)	Not reported to Medicare
Complications after hip or knee replacement	4.7%

Source: Complications and Deaths - Hospital — CMS, released September 10, 2026; data from July 2022 to June 2025.

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)	Not reported to Medicare
Readmitted within 30 days: heart attack	Not reported to Medicare
Readmitted within 30 days: heart failure	Too few cases to report
Readmitted within 30 days: pneumonia	Too few cases to report
Readmitted within 30 days: COPD	Too few cases to report
Readmitted within 30 days: coronary bypass surgery	Not reported to Medicare
Readmitted within 30 days: hip or knee replacement	5.9%

Source: Unplanned Hospital Visits - Hospital — CMS, released September 10, 2026; data from July 2023 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)	130 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)	0%National average: 2%
Sepsis patients who got all the recommended early care (SEP-1)	Not reported to Medicare

Source: Timely and Effective Care - Hospital — CMS, released July 22, 2026; data from January 2024 to December 2024.

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.

ER wait times in North Dakota Best hospitals in North Dakota

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 69 common services exactly as McKenzie County Healthcare Systems Inc 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 →

Office and emergency visits

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFFICE OP VISIT NEW PT LEVEL III	$462	$300.30	$221.76 – $452.76
New patient office visit (about 30–44 minutes): 10 of 11 insurance plan rates Blue Cross Blue Shield — Commercial: $249.48 Blue Cross Blue Shield — Medicaid Expansion: $310.46 Blue Cross Blue Shield NextBlue — Medicare Advantage: $226.20 First Choice Plus — PPO: $406.56 Humana Choice — Medicare Advantage: $221.76 Medica — Commercial: $452.76 Medica — Medicare Advantage: $281.82 Sanford Health Plan — Medicare Advantage: $221.76 Sanford Health Plan — PPO: $448.14 United Healthcare — Commercial: $452.76
New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient (hospital stay) · Hospital (facility) fee In the file: OFFICE OP VISIT NEW PT LEVEL III	$462	$300.30	$406.56 – $452.76
New patient office visit (about 30–44 minutes): rates for 5 insurance plans First Choice Plus — PPO: $406.56 Medica — Commercial: $452.76 Sanford Health Plan — PPO: $448.14 United Healthcare — Commercial: $452.76 United Healthcare RHC — PPO: $438.90
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFFICE OP VISIT NEW PT LEVEL IV	$692	$449.80	$332.16 – $678.16
New patient office visit (about 45–59 minutes): 10 of 11 insurance plan rates Blue Cross Blue Shield — Commercial: $373.68 Blue Cross Blue Shield — Medicaid Expansion: $465.02 Blue Cross Blue Shield NextBlue — Medicare Advantage: $338.80 First Choice Plus — PPO: $608.96 Humana Choice — Medicare Advantage: $332.16 Medica — Commercial: $678.16 Medica — Medicare Advantage: $422.12 Sanford Health Plan — Medicare Advantage: $332.16 Sanford Health Plan — PPO: $671.24 United Healthcare — Commercial: $678.16
New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient (hospital stay) · Hospital (facility) fee In the file: OFFICE OP VISIT NEW PT LEVEL IV	$692	$449.80	$608.96 – $678.16
New patient office visit (about 45–59 minutes): rates for 5 insurance plans First Choice Plus — PPO: $608.96 Medica — Commercial: $678.16 Sanford Health Plan — PPO: $671.24 United Healthcare — Commercial: $678.16 United Healthcare RHC — PPO: $657.40
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFFICE OP VISIT NEW PT LEVEL V	$1,101	$715.65	$528.48 – $1,078.98
New patient office visit (about 60–74 minutes): 10 of 11 insurance plan rates Blue Cross Blue Shield — Commercial: $594.54 Blue Cross Blue Shield — Medicaid Expansion: $739.87 Blue Cross Blue Shield NextBlue — Medicare Advantage: $539.05 First Choice Plus — PPO: $968.88 Humana Choice — Medicare Advantage: $528.48 Medica — Commercial: $1,078.98 Medica — Medicare Advantage: $671.61 Sanford Health Plan — Medicare Advantage: $528.48 Sanford Health Plan — PPO: $1,067.97 United Healthcare — Commercial: $1,078.98
New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient (hospital stay) · Hospital (facility) fee In the file: OFFICE OP VISIT NEW PT LEVEL V	$1,101	$715.65	$968.88 – $1,078.98
New patient office visit (about 60–74 minutes): rates for 5 insurance plans First Choice Plus — PPO: $968.88 Medica — Commercial: $1,078.98 Sanford Health Plan — PPO: $1,067.97 United Healthcare — Commercial: $1,078.98 United Healthcare RHC — PPO: $1,045.95
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFFICE OP VISIT EST PT LEVEL III	$379	$246.35	$181.92 – $371.42
Established patient office visit (about 20–29 minutes): 10 of 11 insurance plan rates Blue Cross Blue Shield — Commercial: $204.66 Blue Cross Blue Shield — Medicaid Expansion: $254.69 Blue Cross Blue Shield NextBlue — Medicare Advantage: $185.56 First Choice Plus — PPO: $333.52 Humana Choice — Medicare Advantage: $181.92 Medica — Commercial: $371.42 Medica — Medicare Advantage: $231.19 Sanford Health Plan — Medicare Advantage: $181.92 Sanford Health Plan — PPO: $367.63 United Healthcare — Commercial: $371.42
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient (hospital stay) · Hospital (facility) fee In the file: OFFICE OP VISIT EST PT LEVEL III	$379	$246.35	$333.52 – $371.42
Established patient office visit (about 20–29 minutes): rates for 5 insurance plans First Choice Plus — PPO: $333.52 Medica — Commercial: $371.42 Sanford Health Plan — PPO: $367.63 United Healthcare — Commercial: $371.42 United Healthcare RHC — PPO: $360.05
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFFICE OP VISIT EST PT LEVEL IV	$534	$347.10	$256.32 – $523.32
Established patient office visit (about 30–39 minutes): 10 of 11 insurance plan rates Blue Cross Blue Shield — Commercial: $288.36 Blue Cross Blue Shield — Medicaid Expansion: $358.85 Blue Cross Blue Shield NextBlue — Medicare Advantage: $261.45 First Choice Plus — PPO: $469.92 Humana Choice — Medicare Advantage: $256.32 Medica — Commercial: $523.32 Medica — Medicare Advantage: $325.74 Sanford Health Plan — Medicare Advantage: $256.32 Sanford Health Plan — PPO: $517.98 United Healthcare — Commercial: $523.32
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient (hospital stay) · Hospital (facility) fee In the file: OFFICE OP VISIT EST PT LEVEL IV	$534	$347.10	$469.92 – $523.32
Established patient office visit (about 30–39 minutes): rates for 5 insurance plans First Choice Plus — PPO: $469.92 Medica — Commercial: $523.32 Sanford Health Plan — PPO: $517.98 United Healthcare — Commercial: $523.32 United Healthcare RHC — PPO: $507.30
Preventive checkup, new patient, age 18–39 CPT 99385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: FAA FLIGHT PX NEW PT 18-39YR	$228	$148.20	$109.44 – $223.44
Preventive checkup, new patient, age 18–39: 10 of 11 insurance plan rates Blue Cross Blue Shield — Commercial: $123.12 Blue Cross Blue Shield — Medicaid Expansion: $153.22 Blue Cross Blue Shield NextBlue — Medicare Advantage: $111.63 First Choice Plus — PPO: $200.64 Humana Choice — Medicare Advantage: $109.44 Medica — Commercial: $223.44 Medica — Medicare Advantage: $139.08 Sanford Health Plan — Medicare Advantage: $109.44 Sanford Health Plan — PPO: $221.16 United Healthcare — Commercial: $223.44
Preventive checkup, new patient, age 18–39 CPT 99385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PREV MED E&M NEW 18-39 Y O	$617	$401.05	$296.16 – $604.66
Preventive checkup, new patient, age 18–39: 10 of 11 insurance plan rates Blue Cross Blue Shield — Commercial: $333.18 Blue Cross Blue Shield — Medicaid Expansion: $414.62 Blue Cross Blue Shield NextBlue — Medicare Advantage: $302.08 First Choice Plus — PPO: $542.96 Humana Choice — Medicare Advantage: $296.16 Medica — Commercial: $604.66 Medica — Medicare Advantage: $376.37 Sanford Health Plan — Medicare Advantage: $296.16 Sanford Health Plan — PPO: $598.49 United Healthcare — Commercial: $604.66
Preventive checkup, new patient, age 18–39 CPT 99385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: SPORTS, CAMP, OTHER SPECIAL PX NEW PT 18-39YR	$407	$264.55	$195.36 – $398.86
Preventive checkup, new patient, age 18–39: 10 of 11 insurance plan rates Blue Cross Blue Shield — Commercial: $219.78 Blue Cross Blue Shield — Medicaid Expansion: $273.50 Blue Cross Blue Shield NextBlue — Medicare Advantage: $199.27 First Choice Plus — PPO: $358.16 Humana Choice — Medicare Advantage: $195.36 Medica — Commercial: $398.86 Medica — Medicare Advantage: $248.27 Sanford Health Plan — Medicare Advantage: $195.36 Sanford Health Plan — PPO: $394.79 United Healthcare — Commercial: $398.86
Preventive checkup, new patient, age 40–64 CPT 99386 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PREV MED E&M NEW 40-64 Y O	$664	$431.60	$318.72 – $650.72
Preventive checkup, new patient, age 40–64: 10 of 11 insurance plan rates Blue Cross Blue Shield — Commercial: $358.56 Blue Cross Blue Shield — Medicaid Expansion: $446.21 Blue Cross Blue Shield NextBlue — Medicare Advantage: $325.09 First Choice Plus — PPO: $584.32 Humana Choice — Medicare Advantage: $318.72 Medica — Commercial: $650.72 Medica — Medicare Advantage: $405.04 Sanford Health Plan — Medicare Advantage: $318.72 Sanford Health Plan — PPO: $644.08 United Healthcare — Commercial: $650.72
Preventive checkup, new patient, age 40–64 CPT 99386 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: FAA FLIGHT PX NEW PT 40-64YR	$228	$148.20	$109.44 – $223.44
Preventive checkup, new patient, age 40–64: 10 of 11 insurance plan rates Blue Cross Blue Shield — Commercial: $123.12 Blue Cross Blue Shield — Medicaid Expansion: $153.22 Blue Cross Blue Shield NextBlue — Medicare Advantage: $111.63 First Choice Plus — PPO: $200.64 Humana Choice — Medicare Advantage: $109.44 Medica — Commercial: $223.44 Medica — Medicare Advantage: $139.08 Sanford Health Plan — Medicare Advantage: $109.44 Sanford Health Plan — PPO: $221.16 United Healthcare — Commercial: $223.44
Preventive checkup, new patient, age 40–64 CPT 99386 · Inpatient (hospital stay) · Hospital (facility) fee In the file: FAA FLIGHT PX NEW PT 40-64YR	$228	$148.20	$200.64 – $223.44
Preventive checkup, new patient, age 40–64: rates for 5 insurance plans First Choice Plus — PPO: $200.64 Medica — Commercial: $223.44 Sanford Health Plan — PPO: $221.16 United Healthcare — Commercial: $223.44 United Healthcare RHC — PPO: $216.60
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ED 99283 EMER CASE LEVEL III	$754	$490.10	$361.92 – $738.92
Emergency room visit (moderate): 10 of 11 insurance plan rates Blue Cross Blue Shield — Commercial: $407.16 Blue Cross Blue Shield — Medicaid Expansion: $506.69 Blue Cross Blue Shield NextBlue — Medicare Advantage: $369.16 First Choice Plus — PPO: $663.52 Humana Choice — Medicare Advantage: $361.92 Medica — Commercial: $738.92 Medica — Medicare Advantage: $459.94 Sanford Health Plan — Medicare Advantage: $361.92 Sanford Health Plan — PPO: $731.38 United Healthcare — Commercial: $738.92
Emergency room visit (moderate) CPT 99283 · Inpatient (hospital stay) · Hospital (facility) fee In the file: ED 99283 EMER CASE LEVEL III	$754	$490.10	$663.52 – $738.92
Emergency room visit (moderate): rates for 5 insurance plans First Choice Plus — PPO: $663.52 Medica — Commercial: $738.92 Sanford Health Plan — PPO: $731.38 United Healthcare — Commercial: $738.92 United Healthcare RHC — PPO: $716.30
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ED 99284 EMER CASE LEVEL IV	$1,328	$863.20	$637.44 – $1,301.44
Emergency room visit (moderately high): 10 of 11 insurance plan rates Blue Cross Blue Shield — Commercial: $717.12 Blue Cross Blue Shield — Medicaid Expansion: $892.42 Blue Cross Blue Shield NextBlue — Medicare Advantage: $650.19 First Choice Plus — PPO: $1,168.64 Humana Choice — Medicare Advantage: $637.44 Medica — Commercial: $1,301.44 Medica — Medicare Advantage: $810.08 Sanford Health Plan — Medicare Advantage: $637.44 Sanford Health Plan — PPO: $1,288.16 United Healthcare — Commercial: $1,301.44
Emergency room visit (moderately high) CPT 99284 · Inpatient (hospital stay) · Hospital (facility) fee In the file: ED 99284 EMER CASE LEVEL IV	$1,328	$863.20	$1,168.64 – $1,301.44
Emergency room visit (moderately high): rates for 5 insurance plans First Choice Plus — PPO: $1,168.64 Medica — Commercial: $1,301.44 Sanford Health Plan — PPO: $1,288.16 United Healthcare — Commercial: $1,301.44 United Healthcare RHC — PPO: $1,261.60
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ED 99285 EMER CASE LEVEL V	$1,995	$1,296.75	$957.60 – $1,955.10
Emergency room visit (high): 10 of 11 insurance plan rates Blue Cross Blue Shield — Commercial: $1,077.30 Blue Cross Blue Shield — Medicaid Expansion: $1,340.64 Blue Cross Blue Shield NextBlue — Medicare Advantage: $976.75 First Choice Plus — PPO: $1,755.60 Humana Choice — Medicare Advantage: $957.60 Medica — Commercial: $1,955.10 Medica — Medicare Advantage: $1,216.95 Sanford Health Plan — Medicare Advantage: $957.60 Sanford Health Plan — PPO: $1,935.15 United Healthcare — Commercial: $1,955.10
Emergency room visit (high) CPT 99285 · Inpatient (hospital stay) · Hospital (facility) fee In the file: ED 99285 EMER CASE LEVEL V	$1,995	$1,296.75	$1,755.60 – $1,955.10
Emergency room visit (high): rates for 5 insurance plans First Choice Plus — PPO: $1,755.60 Medica — Commercial: $1,955.10 Sanford Health Plan — PPO: $1,935.15 United Healthcare — Commercial: $1,955.10 United Healthcare RHC — PPO: $1,895.25

Lab tests

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BASIC METABOLIC PANEL 80048	$78	$50.70	$16.92 – $76.44
Basic metabolic panel (blood test): 10 of 11 insurance plan rates Blue Cross Blue Shield — Commercial: $16.92 Blue Cross Blue Shield — Medicaid Expansion: $16.92 Blue Cross Blue Shield NextBlue — Medicare Advantage: $38.19 First Choice Plus — PPO: $68.64 Humana Choice — Medicare Advantage: $37.44 Medica — Commercial: $76.44 Medica — Medicare Advantage: $47.58 Sanford Health Plan — Medicare Advantage: $37.44 Sanford Health Plan — PPO: $75.66 United Healthcare — Commercial: $76.44
Basic metabolic panel (blood test) CPT 80048 · Inpatient (hospital stay) · Hospital (facility) fee In the file: BASIC METABOLIC PANEL 80048	$78	$50.70	$68.64 – $76.44
Basic metabolic panel (blood test): rates for 5 insurance plans First Choice Plus — PPO: $68.64 Medica — Commercial: $76.44 Sanford Health Plan — PPO: $75.66 United Healthcare — Commercial: $76.44 United Healthcare RHC — PPO: $74.10
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPREHENSIVE METABOLIC PANEL 80053	$99	$64.35	$21.12 – $97.02
Comprehensive metabolic panel (blood test): 10 of 11 insurance plan rates Blue Cross Blue Shield — Commercial: $21.12 Blue Cross Blue Shield — Medicaid Expansion: $21.12 Blue Cross Blue Shield NextBlue — Medicare Advantage: $48.47 First Choice Plus — PPO: $87.12 Humana Choice — Medicare Advantage: $47.52 Medica — Commercial: $97.02 Medica — Medicare Advantage: $60.39 Sanford Health Plan — Medicare Advantage: $47.52 Sanford Health Plan — PPO: $96.03 United Healthcare — Commercial: $97.02
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient (hospital stay) · Hospital (facility) fee In the file: COMPREHENSIVE METABOLIC PANEL 80053	$99	$64.35	$87.12 – $97.02
Comprehensive metabolic panel (blood test): rates for 5 insurance plans First Choice Plus — PPO: $87.12 Medica — Commercial: $97.02 Sanford Health Plan — PPO: $96.03 United Healthcare — Commercial: $97.02 United Healthcare RHC — PPO: $94.05
Obstetric blood test panel CPT 80055 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OBSTETRIC PANEL 80055	$769	$499.85	$95.62 – $753.62
Obstetric blood test panel: 10 of 11 insurance plan rates Blue Cross Blue Shield — Commercial: $95.62 Blue Cross Blue Shield — Medicaid Expansion: $95.62 Blue Cross Blue Shield NextBlue — Medicare Advantage: $376.50 First Choice Plus — PPO: $676.72 Humana Choice — Medicare Advantage: $369.12 Medica — Commercial: $753.62 Medica — Medicare Advantage: $469.09 Sanford Health Plan — Medicare Advantage: $369.12 Sanford Health Plan — PPO: $745.93 United Healthcare — Commercial: $753.62
Obstetric blood test panel CPT 80055 · Inpatient (hospital stay) · Hospital (facility) fee In the file: OBSTETRIC PANEL 80055	$769	$499.85	$676.72 – $753.62
Obstetric blood test panel: rates for 5 insurance plans First Choice Plus — PPO: $676.72 Medica — Commercial: $753.62 Sanford Health Plan — PPO: $745.93 United Healthcare — Commercial: $753.62 United Healthcare RHC — PPO: $730.55
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LIPID PANEL 80061	$126	$81.90	$26.78 – $123.48
Cholesterol panel (lipid panel): 10 of 11 insurance plan rates Blue Cross Blue Shield — Commercial: $26.78 Blue Cross Blue Shield — Medicaid Expansion: $26.78 Blue Cross Blue Shield NextBlue — Medicare Advantage: $61.69 First Choice Plus — PPO: $110.88 Humana Choice — Medicare Advantage: $60.48 Medica — Commercial: $123.48 Medica — Medicare Advantage: $76.86 Sanford Health Plan — Medicare Advantage: $60.48 Sanford Health Plan — PPO: $122.22 United Healthcare — Commercial: $123.48
Cholesterol panel (lipid panel) CPT 80061 · Inpatient (hospital stay) · Hospital (facility) fee In the file: LIPID PANEL 80061	$126	$81.90	$110.88 – $123.48
Cholesterol panel (lipid panel): rates for 5 insurance plans First Choice Plus — PPO: $110.88 Medica — Commercial: $123.48 Sanford Health Plan — PPO: $122.22 United Healthcare — Commercial: $123.48 United Healthcare RHC — PPO: $119.70
Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: RENAL FUNCTION PANEL 80069	$171	$111.15	$17.36 – $167.58
Kidney function panel: 10 of 11 insurance plan rates Blue Cross Blue Shield — Commercial: $17.36 Blue Cross Blue Shield — Medicaid Expansion: $17.36 Blue Cross Blue Shield NextBlue — Medicare Advantage: $83.72 First Choice Plus — PPO: $150.48 Humana Choice — Medicare Advantage: $82.08 Medica — Commercial: $167.58 Medica — Medicare Advantage: $104.31 Sanford Health Plan — Medicare Advantage: $82.08 Sanford Health Plan — PPO: $165.87 United Healthcare — Commercial: $167.58
Kidney function panel CPT 80069 · Inpatient (hospital stay) · Hospital (facility) fee In the file: RENAL FUNCTION PANEL 80069	$171	$111.15	$150.48 – $167.58
Kidney function panel: rates for 5 insurance plans First Choice Plus — PPO: $150.48 Medica — Commercial: $167.58 Sanford Health Plan — PPO: $165.87 United Healthcare — Commercial: $167.58 United Healthcare RHC — PPO: $162.45
Liver function panel CPT 80076 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HEPATIC FUNCTION PANEL 80076	$133	$86.45	$16.34 – $130.34
Liver function panel: 10 of 11 insurance plan rates Blue Cross Blue Shield — Commercial: $16.34 Blue Cross Blue Shield — Medicaid Expansion: $16.34 Blue Cross Blue Shield NextBlue — Medicare Advantage: $65.12 First Choice Plus — PPO: $117.04 Humana Choice — Medicare Advantage: $63.84 Medica — Commercial: $130.34 Medica — Medicare Advantage: $81.13 Sanford Health Plan — Medicare Advantage: $63.84 Sanford Health Plan — PPO: $129.01 United Healthcare — Commercial: $130.34
Liver function panel CPT 80076 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HEPATIC FUNCTION PANEL 80076	$133	$86.45	$117.04 – $130.34
Liver function panel: rates for 5 insurance plans First Choice Plus — PPO: $117.04 Medica — Commercial: $130.34 Sanford Health Plan — PPO: $129.01 United Healthcare — Commercial: $130.34 United Healthcare RHC — PPO: $126.35
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: URINALYSIS AUTO W/SCOPE 81001	$59	$38.35	$6.34 – $57.82
Urine test (automated, with microscope): 10 of 11 insurance plan rates Blue Cross Blue Shield — Commercial: $6.34 Blue Cross Blue Shield — Medicaid Expansion: $6.34 Blue Cross Blue Shield NextBlue — Medicare Advantage: $28.89 First Choice Plus — PPO: $51.92 Humana Choice — Medicare Advantage: $28.32 Medica — Commercial: $57.82 Medica — Medicare Advantage: $35.99 Sanford Health Plan — Medicare Advantage: $28.32 Sanford Health Plan — PPO: $57.23 United Healthcare — Commercial: $57.82
Urine test (automated, with microscope) CPT 81001 · Inpatient (hospital stay) · Hospital (facility) fee In the file: URINALYSIS AUTO W/SCOPE 81001	$59	$38.35	$51.92 – $57.82
Urine test (automated, with microscope): rates for 5 insurance plans First Choice Plus — PPO: $51.92 Medica — Commercial: $57.82 Sanford Health Plan — PPO: $57.23 United Healthcare — Commercial: $57.82 United Healthcare RHC — PPO: $56.05
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: NC UA 81002	$39	$25.35	$6.96 – $38.22
Urine test (manual, without microscope): 10 of 11 insurance plan rates Blue Cross Blue Shield — Commercial: $6.96 Blue Cross Blue Shield — Medicaid Expansion: $6.96 Blue Cross Blue Shield NextBlue — Medicare Advantage: $19.09 First Choice Plus — PPO: $34.32 Humana Choice — Medicare Advantage: $18.72 Medica — Commercial: $38.22 Medica — Medicare Advantage: $23.79 Sanford Health Plan — Medicare Advantage: $18.72 Sanford Health Plan — PPO: $37.83 United Healthcare — Commercial: $38.22
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CLINITEST DIPSTICK TABLET81002	$33	$21.45	$6.96 – $32.34
Urine test (manual, without microscope): 10 of 11 insurance plan rates Blue Cross Blue Shield — Commercial: $6.96 Blue Cross Blue Shield — Medicaid Expansion: $6.96 Blue Cross Blue Shield NextBlue — Medicare Advantage: $16.16 First Choice Plus — PPO: $29.04 Humana Choice — Medicare Advantage: $15.84 Medica — Commercial: $32.34 Medica — Medicare Advantage: $20.13 Sanford Health Plan — Medicare Advantage: $15.84 Sanford Health Plan — PPO: $32.01 United Healthcare — Commercial: $32.34
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OB UA DIPSTK NONAU W/O MICRO 81002	$65	$42.25	$6.96 – $63.70
Urine test (manual, without microscope): 10 of 11 insurance plan rates Blue Cross Blue Shield — Commercial: $6.96 Blue Cross Blue Shield — Medicaid Expansion: $6.96 Blue Cross Blue Shield NextBlue — Medicare Advantage: $31.82 First Choice Plus — PPO: $57.20 Humana Choice — Medicare Advantage: $31.20 Medica — Commercial: $63.70 Medica — Medicare Advantage: $39.65 Sanford Health Plan — Medicare Advantage: $31.20 Sanford Health Plan — PPO: $63.05 United Healthcare — Commercial: $63.70
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: URINALYSIS DIP STICK TABLET REAGENT AUTOMATED WO MICROSCOPY	$21	$13.65	$4.50 – $20.58
Urine test (automated, without microscope): 10 of 11 insurance plan rates Blue Cross Blue Shield — Commercial: $4.50 Blue Cross Blue Shield — Medicaid Expansion: $4.50 Blue Cross Blue Shield NextBlue — Medicare Advantage: $10.28 First Choice Plus — PPO: $18.48 Humana Choice — Medicare Advantage: $10.08 Medica — Commercial: $20.58 Medica — Medicare Advantage: $12.81 Sanford Health Plan — Medicare Advantage: $10.08 Sanford Health Plan — PPO: $20.37 United Healthcare — Commercial: $20.58
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: URINALYSIS-DIPSTICK ONLY 81003	$33	$21.45	$4.50 – $32.34
Urine test (automated, without microscope): 10 of 11 insurance plan rates Blue Cross Blue Shield — Commercial: $4.50 Blue Cross Blue Shield — Medicaid Expansion: $4.50 Blue Cross Blue Shield NextBlue — Medicare Advantage: $16.16 First Choice Plus — PPO: $29.04 Humana Choice — Medicare Advantage: $15.84 Medica — Commercial: $32.34 Medica — Medicare Advantage: $20.13 Sanford Health Plan — Medicare Advantage: $15.84 Sanford Health Plan — PPO: $32.01 United Healthcare — Commercial: $32.34
Urine test (automated, without microscope) CPT 81003 · Inpatient (hospital stay) · Hospital (facility) fee In the file: URINALYSIS-DIPSTICK ONLY 81003	$33	$21.45	$29.04 – $32.34
Urine test (automated, without microscope): rates for 5 insurance plans First Choice Plus — PPO: $29.04 Medica — Commercial: $32.34 Sanford Health Plan — PPO: $32.01 United Healthcare — Commercial: $32.34 United Healthcare RHC — PPO: $31.35
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ASSAY OF PSA TOTAL 84153	$172	$111.80	$36.78 – $168.56
PSA (prostate specific antigen) blood test: 10 of 11 insurance plan rates Blue Cross Blue Shield — Commercial: $36.78 Blue Cross Blue Shield — Medicaid Expansion: $36.78 Blue Cross Blue Shield NextBlue — Medicare Advantage: $84.21 First Choice Plus — PPO: $151.36 Humana Choice — Medicare Advantage: $82.56 Medica — Commercial: $168.56 Medica — Medicare Advantage: $104.92 Sanford Health Plan — Medicare Advantage: $82.56 Sanford Health Plan — PPO: $166.84 United Healthcare — Commercial: $168.56
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient (hospital stay) · Hospital (facility) fee In the file: ASSAY OF PSA TOTAL 84153	$172	$111.80	$151.36 – $168.56
PSA (prostate specific antigen) blood test: rates for 5 insurance plans First Choice Plus — PPO: $151.36 Medica — Commercial: $168.56 Sanford Health Plan — PPO: $166.84 United Healthcare — Commercial: $168.56 United Healthcare RHC — PPO: $163.40
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: THYROID STIMULATING HORMONE (TSH) 84443	$157	$102.05	$33.60 – $153.86
Thyroid stimulating hormone (TSH) test: 10 of 11 insurance plan rates Blue Cross Blue Shield — Commercial: $33.60 Blue Cross Blue Shield — Medicaid Expansion: $33.60 Blue Cross Blue Shield NextBlue — Medicare Advantage: $76.87 First Choice Plus — PPO: $138.16 Humana Choice — Medicare Advantage: $75.36 Medica — Commercial: $153.86 Medica — Medicare Advantage: $95.77 Sanford Health Plan — Medicare Advantage: $75.36 Sanford Health Plan — PPO: $152.29 United Healthcare — Commercial: $153.86
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient (hospital stay) · Hospital (facility) fee In the file: THYROID STIMULATING HORMONE (TSH) 84443	$157	$102.05	$138.16 – $153.86
Thyroid stimulating hormone (TSH) test: rates for 5 insurance plans First Choice Plus — PPO: $138.16 Medica — Commercial: $153.86 Sanford Health Plan — PPO: $152.29 United Healthcare — Commercial: $153.86 United Healthcare RHC — PPO: $149.15
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPLETE CBC W/AUTO DIFF WBC 85025	$73	$47.45	$15.54 – $71.54
Complete blood count (CBC) with differential: 10 of 11 insurance plan rates Blue Cross Blue Shield — Commercial: $15.54 Blue Cross Blue Shield — Medicaid Expansion: $15.54 Blue Cross Blue Shield NextBlue — Medicare Advantage: $35.74 First Choice Plus — PPO: $64.24 Humana Choice — Medicare Advantage: $35.04 Medica — Commercial: $71.54 Medica — Medicare Advantage: $44.53 Sanford Health Plan — Medicare Advantage: $35.04 Sanford Health Plan — PPO: $70.81 United Healthcare — Commercial: $71.54
Complete blood count (CBC) with differential CPT 85025 · Inpatient (hospital stay) · Hospital (facility) fee In the file: COMPLETE CBC W/AUTO DIFF WBC 85025	$73	$47.45	$64.24 – $71.54
Complete blood count (CBC) with differential: rates for 5 insurance plans First Choice Plus — PPO: $64.24 Medica — Commercial: $71.54 Sanford Health Plan — PPO: $70.81 United Healthcare — Commercial: $71.54 United Healthcare RHC — PPO: $69.35
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BLOOD COUNT COMPLETE AUTOMATED 85027	$100	$65	$12.94 – $98
Complete blood count (CBC), automated: 10 of 11 insurance plan rates Blue Cross Blue Shield — Commercial: $12.94 Blue Cross Blue Shield — Medicaid Expansion: $12.94 Blue Cross Blue Shield NextBlue — Medicare Advantage: $48.96 First Choice Plus — PPO: $88 Humana Choice — Medicare Advantage: $48 Medica — Commercial: $98 Medica — Medicare Advantage: $61 Sanford Health Plan — Medicare Advantage: $48 Sanford Health Plan — PPO: $97 United Healthcare — Commercial: $98
Complete blood count (CBC), automated CPT 85027 · Inpatient (hospital stay) · Hospital (facility) fee In the file: BLOOD COUNT COMPLETE AUTOMATED 85027	$100	$65	$88 – $98
Complete blood count (CBC), automated: rates for 5 insurance plans First Choice Plus — PPO: $88 Medica — Commercial: $98 Sanford Health Plan — PPO: $97 United Healthcare — Commercial: $98 United Healthcare RHC — PPO: $95
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PROTIME 85610	$40	$26	$8.58 – $39.20
Blood clotting time test (prothrombin time, PT): 10 of 11 insurance plan rates Blue Cross Blue Shield — Commercial: $8.58 Blue Cross Blue Shield — Medicaid Expansion: $8.58 Blue Cross Blue Shield NextBlue — Medicare Advantage: $19.58 First Choice Plus — PPO: $35.20 Humana Choice — Medicare Advantage: $19.20 Medica — Commercial: $39.20 Medica — Medicare Advantage: $24.40 Sanford Health Plan — Medicare Advantage: $19.20 Sanford Health Plan — PPO: $38.80 United Healthcare — Commercial: $39.20
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LUPUS ANTICOAG PANEL PT 85610.900	$38	$24.70	$8.58 – $37.24
Blood clotting time test (prothrombin time, PT): 10 of 11 insurance plan rates Blue Cross Blue Shield — Commercial: $8.58 Blue Cross Blue Shield — Medicaid Expansion: $8.58 Blue Cross Blue Shield NextBlue — Medicare Advantage: $18.60 First Choice Plus — PPO: $33.44 Humana Choice — Medicare Advantage: $18.24 Medica — Commercial: $37.24 Medica — Medicare Advantage: $23.18 Sanford Health Plan — Medicare Advantage: $18.24 Sanford Health Plan — PPO: $36.86 United Healthcare — Commercial: $37.24
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PROTIME 85610	$40	$26	$35.20 – $39.20
Blood clotting time test (prothrombin time, PT): rates for 5 insurance plans First Choice Plus — PPO: $35.20 Medica — Commercial: $39.20 Sanford Health Plan — PPO: $38.80 United Healthcare — Commercial: $39.20 United Healthcare RHC — PPO: $38
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LUPUS ANTICOAG PANEL PTT 85730.900	$54	$35.10	$12.02 – $52.92
Blood clotting test (partial thromboplastin time, PTT): 10 of 11 insurance plan rates Blue Cross Blue Shield — Commercial: $12.02 Blue Cross Blue Shield — Medicaid Expansion: $12.02 Blue Cross Blue Shield NextBlue — Medicare Advantage: $26.44 First Choice Plus — PPO: $47.52 Humana Choice — Medicare Advantage: $25.92 Medica — Commercial: $52.92 Medica — Medicare Advantage: $32.94 Sanford Health Plan — Medicare Advantage: $25.92 Sanford Health Plan — PPO: $52.38 United Healthcare — Commercial: $52.92
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: THROMBOPLASTIN TIME PARTIAL PLASMA WHOLE BLOOD (PTT) 85730	$68	$44.20	$12.02 – $66.64
Blood clotting test (partial thromboplastin time, PTT): 10 of 11 insurance plan rates Blue Cross Blue Shield — Commercial: $12.02 Blue Cross Blue Shield — Medicaid Expansion: $12.02 Blue Cross Blue Shield NextBlue — Medicare Advantage: $33.29 First Choice Plus — PPO: $59.84 Humana Choice — Medicare Advantage: $32.64 Medica — Commercial: $66.64 Medica — Medicare Advantage: $41.48 Sanford Health Plan — Medicare Advantage: $32.64 Sanford Health Plan — PPO: $65.96 United Healthcare — Commercial: $66.64
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient (hospital stay) · Hospital (facility) fee In the file: LUPUS ANTICOAG PANEL PTT 85730.900	$54	$35.10	$47.52 – $52.92
Blood clotting test (partial thromboplastin time, PTT): rates for 5 insurance plans First Choice Plus — PPO: $47.52 Medica — Commercial: $52.92 Sanford Health Plan — PPO: $52.38 United Healthcare — Commercial: $52.92 United Healthcare RHC — PPO: $51.30

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

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT HEAD WO CONTRAST	$1,066	$692.90	$511.68 – $1,044.68
CT scan of the head or brain, without contrast: 10 of 11 insurance plan rates Blue Cross Blue Shield — Commercial: $575.64 Blue Cross Blue Shield — Medicaid Expansion: $716.35 Blue Cross Blue Shield NextBlue — Medicare Advantage: $521.91 First Choice Plus — PPO: $938.08 Humana Choice — Medicare Advantage: $511.68 Medica — Commercial: $1,044.68 Medica — Medicare Advantage: $650.26 Sanford Health Plan — Medicare Advantage: $511.68 Sanford Health Plan — PPO: $1,034.02 United Healthcare — Commercial: $1,044.68
CT scan of the head or brain, without contrast CPT 70450 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CT HEAD WO CONTRAST	$1,066	$692.90	$938.08 – $1,044.68
CT scan of the head or brain, without contrast: rates for 5 insurance plans First Choice Plus — PPO: $938.08 Medica — Commercial: $1,044.68 Sanford Health Plan — PPO: $1,034.02 United Healthcare — Commercial: $1,044.68 United Healthcare RHC — PPO: $1,012.70
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI BRAIN WO THEN W CONT	$5,136	$3,338.40	$2,465.28 – $5,033.28
MRI of the brain, before and after contrast: 10 of 11 insurance plan rates Blue Cross Blue Shield — Commercial: $2,773.44 Blue Cross Blue Shield — Medicaid Expansion: $3,451.39 Blue Cross Blue Shield NextBlue — Medicare Advantage: $2,514.59 First Choice Plus — PPO: $4,519.68 Humana Choice — Medicare Advantage: $2,465.28 Medica — Commercial: $5,033.28 Medica — Medicare Advantage: $3,132.96 Sanford Health Plan — Medicare Advantage: $2,465.28 Sanford Health Plan — PPO: $4,981.92 United Healthcare — Commercial: $5,033.28
MRI of the brain, before and after contrast CPT 70553 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MRI BRAIN WO THEN W CONT	$5,136	$3,338.40	$4,519.68 – $5,033.28
MRI of the brain, before and after contrast: rates for 5 insurance plans First Choice Plus — PPO: $4,519.68 Medica — Commercial: $5,033.28 Sanford Health Plan — PPO: $4,981.92 United Healthcare — Commercial: $5,033.28 United Healthcare RHC — PPO: $4,879.20
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: RAD EXAM CHEST 2 VWS	$250	$162.50	$120 – $245
Chest X-ray, 2 views: 10 of 11 insurance plan rates Blue Cross Blue Shield — Commercial: $135 Blue Cross Blue Shield — Medicaid Expansion: $168 Blue Cross Blue Shield NextBlue — Medicare Advantage: $122.40 First Choice Plus — PPO: $220 Humana Choice — Medicare Advantage: $120 Medica — Commercial: $245 Medica — Medicare Advantage: $152.50 Sanford Health Plan — Medicare Advantage: $120 Sanford Health Plan — PPO: $242.50 United Healthcare — Commercial: $245
Chest X-ray, 2 views CPT 71046 · Inpatient (hospital stay) · Hospital (facility) fee In the file: RAD EXAM CHEST 2 VWS	$250	$162.50	$220 – $245
Chest X-ray, 2 views: rates for 5 insurance plans First Choice Plus — PPO: $220 Medica — Commercial: $245 Sanford Health Plan — PPO: $242.50 United Healthcare — Commercial: $245 United Healthcare RHC — PPO: $237.50
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: RAD EXAM SPINE LUMB MIN 4 VWS	$358	$232.70	$171.84 – $350.84
X-ray of the lower spine, at least 4 views: 10 of 11 insurance plan rates Blue Cross Blue Shield — Commercial: $193.32 Blue Cross Blue Shield — Medicaid Expansion: $240.58 Blue Cross Blue Shield NextBlue — Medicare Advantage: $175.28 First Choice Plus — PPO: $315.04 Humana Choice — Medicare Advantage: $171.84 Medica — Commercial: $350.84 Medica — Medicare Advantage: $218.38 Sanford Health Plan — Medicare Advantage: $171.84 Sanford Health Plan — PPO: $347.26 United Healthcare — Commercial: $350.84
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient (hospital stay) · Hospital (facility) fee In the file: RAD EXAM SPINE LUMB MIN 4 VWS	$358	$232.70	$315.04 – $350.84
X-ray of the lower spine, at least 4 views: rates for 5 insurance plans First Choice Plus — PPO: $315.04 Medica — Commercial: $350.84 Sanford Health Plan — PPO: $347.26 United Healthcare — Commercial: $350.84 United Healthcare RHC — PPO: $340.10
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI L SPINE WO CONTRAST	$2,320	$1,508	$1,113.60 – $2,273.60
MRI of the lower back (lumbar spine), without contrast: 10 of 11 insurance plan rates Blue Cross Blue Shield — Commercial: $1,252.80 Blue Cross Blue Shield — Medicaid Expansion: $1,559.04 Blue Cross Blue Shield NextBlue — Medicare Advantage: $1,135.87 First Choice Plus — PPO: $2,041.60 Humana Choice — Medicare Advantage: $1,113.60 Medica — Commercial: $2,273.60 Medica — Medicare Advantage: $1,415.20 Sanford Health Plan — Medicare Advantage: $1,113.60 Sanford Health Plan — PPO: $2,250.40 United Healthcare — Commercial: $2,273.60
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MRI L SPINE WO CONTRAST	$2,320	$1,508	$2,041.60 – $2,273.60
MRI of the lower back (lumbar spine), without contrast: rates for 5 insurance plans First Choice Plus — PPO: $2,041.60 Medica — Commercial: $2,273.60 Sanford Health Plan — PPO: $2,250.40 United Healthcare — Commercial: $2,273.60 United Healthcare RHC — PPO: $2,204
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT PELVIS W CONTRAST	$2,806	$1,823.90	$1,346.88 – $2,749.88
CT scan of the pelvis, with contrast: 10 of 11 insurance plan rates Blue Cross Blue Shield — Commercial: $1,515.24 Blue Cross Blue Shield — Medicaid Expansion: $1,885.63 Blue Cross Blue Shield NextBlue — Medicare Advantage: $1,373.82 First Choice Plus — PPO: $2,469.28 Humana Choice — Medicare Advantage: $1,346.88 Medica — Commercial: $2,749.88 Medica — Medicare Advantage: $1,711.66 Sanford Health Plan — Medicare Advantage: $1,346.88 Sanford Health Plan — PPO: $2,721.82 United Healthcare — Commercial: $2,749.88
CT scan of the pelvis, with contrast CPT 72193 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CT PELVIS W CONTRAST	$2,806	$1,823.90	$2,469.28 – $2,749.88
CT scan of the pelvis, with contrast: rates for 5 insurance plans First Choice Plus — PPO: $2,469.28 Medica — Commercial: $2,749.88 Sanford Health Plan — PPO: $2,721.82 United Healthcare — Commercial: $2,749.88 United Healthcare RHC — PPO: $2,665.70
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI LOWER EXT JT WO CONTRAST	$2,629	$1,708.85	$1,261.92 – $2,576.42
MRI of a leg joint (such as the knee), without contrast: 10 of 11 insurance plan rates Blue Cross Blue Shield — Commercial: $1,419.66 Blue Cross Blue Shield — Medicaid Expansion: $1,766.69 Blue Cross Blue Shield NextBlue — Medicare Advantage: $1,287.16 First Choice Plus — PPO: $2,313.52 Humana Choice — Medicare Advantage: $1,261.92 Medica — Commercial: $2,576.42 Medica — Medicare Advantage: $1,603.69 Sanford Health Plan — Medicare Advantage: $1,261.92 Sanford Health Plan — PPO: $2,550.13 United Healthcare — Commercial: $2,576.42
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MRI LOWER EXT JT WO CONTRAST	$2,629	$1,708.85	$2,313.52 – $2,576.42
MRI of a leg joint (such as the knee), without contrast: rates for 5 insurance plans First Choice Plus — PPO: $2,313.52 Medica — Commercial: $2,576.42 Sanford Health Plan — PPO: $2,550.13 United Healthcare — Commercial: $2,576.42 United Healthcare RHC — PPO: $2,497.55
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT ABD PELVIS W CONTRAST	$3,557	$2,312.05	$1,707.36 – $3,485.86
CT scan of the abdomen and pelvis, with contrast: 10 of 11 insurance plan rates Blue Cross Blue Shield — Commercial: $1,920.78 Blue Cross Blue Shield — Medicaid Expansion: $2,390.30 Blue Cross Blue Shield NextBlue — Medicare Advantage: $1,741.51 First Choice Plus — PPO: $3,130.16 Humana Choice — Medicare Advantage: $1,707.36 Medica — Commercial: $3,485.86 Medica — Medicare Advantage: $2,169.77 Sanford Health Plan — Medicare Advantage: $1,707.36 Sanford Health Plan — PPO: $3,450.29 United Healthcare — Commercial: $3,485.86
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CT ABD PELVIS W CONTRAST	$3,557	$2,312.05	$3,130.16 – $3,485.86
CT scan of the abdomen and pelvis, with contrast: rates for 5 insurance plans First Choice Plus — PPO: $3,130.16 Medica — Commercial: $3,485.86 Sanford Health Plan — PPO: $3,450.29 United Healthcare — Commercial: $3,485.86 United Healthcare RHC — PPO: $3,379.15
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: US ABD COMPLETE	$780	$507	$374.40 – $764.40
Ultrasound of the abdomen, complete: 10 of 11 insurance plan rates Blue Cross Blue Shield — Commercial: $421.20 Blue Cross Blue Shield — Medicaid Expansion: $524.16 Blue Cross Blue Shield NextBlue — Medicare Advantage: $381.89 First Choice Plus — PPO: $686.40 Humana Choice — Medicare Advantage: $374.40 Medica — Commercial: $764.40 Medica — Medicare Advantage: $475.80 Sanford Health Plan — Medicare Advantage: $374.40 Sanford Health Plan — PPO: $756.60 United Healthcare — Commercial: $764.40
Ultrasound of the abdomen, complete CPT 76700 · Inpatient (hospital stay) · Hospital (facility) fee In the file: US ABD COMPLETE	$780	$507	$686.40 – $764.40
Ultrasound of the abdomen, complete: rates for 5 insurance plans First Choice Plus — PPO: $686.40 Medica — Commercial: $764.40 Sanford Health Plan — PPO: $756.60 United Healthcare — Commercial: $764.40 United Healthcare RHC — PPO: $741
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: US PG UTR 2-3TRI SGL 1ST	$795	$516.75	$381.60 – $779.10
Pregnancy ultrasound (after the first trimester): 10 of 11 insurance plan rates Blue Cross Blue Shield — Commercial: $429.30 Blue Cross Blue Shield — Medicaid Expansion: $534.24 Blue Cross Blue Shield NextBlue — Medicare Advantage: $389.23 First Choice Plus — PPO: $699.60 Humana Choice — Medicare Advantage: $381.60 Medica — Commercial: $779.10 Medica — Medicare Advantage: $484.95 Sanford Health Plan — Medicare Advantage: $381.60 Sanford Health Plan — PPO: $771.15 United Healthcare — Commercial: $779.10
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient (hospital stay) · Hospital (facility) fee In the file: US PG UTR 2-3TRI SGL 1ST	$795	$516.75	$699.60 – $779.10
Pregnancy ultrasound (after the first trimester): rates for 5 insurance plans First Choice Plus — PPO: $699.60 Medica — Commercial: $779.10 Sanford Health Plan — PPO: $771.15 United Healthcare — Commercial: $779.10 United Healthcare RHC — PPO: $755.25
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: US TRANSVAGINAL	$699	$454.35	$335.52 – $685.02
Transvaginal ultrasound: 10 of 11 insurance plan rates Blue Cross Blue Shield — Commercial: $377.46 Blue Cross Blue Shield — Medicaid Expansion: $469.73 Blue Cross Blue Shield NextBlue — Medicare Advantage: $342.23 First Choice Plus — PPO: $615.12 Humana Choice — Medicare Advantage: $335.52 Medica — Commercial: $685.02 Medica — Medicare Advantage: $426.39 Sanford Health Plan — Medicare Advantage: $335.52 Sanford Health Plan — PPO: $678.03 United Healthcare — Commercial: $685.02
Transvaginal ultrasound CPT 76830 · Inpatient (hospital stay) · Hospital (facility) fee In the file: US TRANSVAGINAL	$699	$454.35	$615.12 – $685.02
Transvaginal ultrasound: rates for 5 insurance plans First Choice Plus — PPO: $615.12 Medica — Commercial: $685.02 Sanford Health Plan — PPO: $678.03 United Healthcare — Commercial: $685.02 United Healthcare RHC — PPO: $664.05
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MAMMO DX UNILAT INCL CAD	$784	$509.60	$376.32 – $768.32
Diagnostic mammogram, one breast: 10 of 11 insurance plan rates Blue Cross Blue Shield — Commercial: $423.36 Blue Cross Blue Shield — Medicaid Expansion: $526.85 Blue Cross Blue Shield NextBlue — Medicare Advantage: $383.85 First Choice Plus — PPO: $689.92 Humana Choice — Medicare Advantage: $376.32 Medica — Commercial: $768.32 Medica — Medicare Advantage: $478.24 Sanford Health Plan — Medicare Advantage: $376.32 Sanford Health Plan — PPO: $760.48 United Healthcare — Commercial: $768.32
Diagnostic mammogram, one breast CPT 77065 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MAMMO DX UNILAT INCL CAD	$784	$509.60	$689.92 – $768.32
Diagnostic mammogram, one breast: rates for 5 insurance plans First Choice Plus — PPO: $689.92 Medica — Commercial: $768.32 Sanford Health Plan — PPO: $760.48 United Healthcare — Commercial: $768.32 United Healthcare RHC — PPO: $744.80
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MAMMO DX BILAT INCL CAD	$1,003	$651.95	$481.44 – $982.94
Diagnostic mammogram, both breasts: 10 of 11 insurance plan rates Blue Cross Blue Shield — Commercial: $541.62 Blue Cross Blue Shield — Medicaid Expansion: $674.02 Blue Cross Blue Shield NextBlue — Medicare Advantage: $491.07 First Choice Plus — PPO: $882.64 Humana Choice — Medicare Advantage: $481.44 Medica — Commercial: $982.94 Medica — Medicare Advantage: $611.83 Sanford Health Plan — Medicare Advantage: $481.44 Sanford Health Plan — PPO: $972.91 United Healthcare — Commercial: $982.94
Diagnostic mammogram, both breasts CPT 77066 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MAMMO DX BILAT INCL CAD	$1,003	$651.95	$882.64 – $982.94
Diagnostic mammogram, both breasts: rates for 5 insurance plans First Choice Plus — PPO: $882.64 Medica — Commercial: $982.94 Sanford Health Plan — PPO: $972.91 United Healthcare — Commercial: $982.94 United Healthcare RHC — PPO: $952.85
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MAMMO SCREEN BILAT INCL CAD	$828	$538.20	$397.44 – $811.44
Screening mammogram, both breasts: 10 of 11 insurance plan rates Blue Cross Blue Shield — Commercial: $447.12 Blue Cross Blue Shield — Medicaid Expansion: $556.42 Blue Cross Blue Shield NextBlue — Medicare Advantage: $405.39 First Choice Plus — PPO: $728.64 Humana Choice — Medicare Advantage: $397.44 Medica — Commercial: $811.44 Medica — Medicare Advantage: $505.08 Sanford Health Plan — Medicare Advantage: $397.44 Sanford Health Plan — PPO: $803.16 United Healthcare — Commercial: $811.44
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MAMMO SCREEN UNILAT INCL CAD M52	$828	$538.20	$397.44 – $811.44
Screening mammogram, both breasts: 10 of 11 insurance plan rates Blue Cross Blue Shield — Commercial: $447.12 Blue Cross Blue Shield — Medicaid Expansion: $556.42 Blue Cross Blue Shield NextBlue — Medicare Advantage: $405.39 First Choice Plus — PPO: $728.64 Humana Choice — Medicare Advantage: $397.44 Medica — Commercial: $811.44 Medica — Medicare Advantage: $505.08 Sanford Health Plan — Medicare Advantage: $397.44 Sanford Health Plan — PPO: $803.16 United Healthcare — Commercial: $811.44
Screening mammogram, both breasts CPT 77067 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MAMMO SCREEN BILAT INCL CAD	$828	$538.20	$728.64 – $811.44
Screening mammogram, both breasts: rates for 5 insurance plans First Choice Plus — PPO: $728.64 Medica — Commercial: $811.44 Sanford Health Plan — PPO: $803.16 United Healthcare — Commercial: $811.44 United Healthcare RHC — PPO: $786.60

Heart tests and sleep study

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSG 4+ PARAMETERS	$6,093	$3,960.45	$2,924.64 – $5,971.14
Sleep study (overnight, in a sleep lab): 10 of 11 insurance plan rates Blue Cross Blue Shield — Commercial: $3,290.22 Blue Cross Blue Shield — Medicaid Expansion: $4,094.50 Blue Cross Blue Shield NextBlue — Medicare Advantage: $2,983.13 First Choice Plus — PPO: $5,361.84 Humana Choice — Medicare Advantage: $2,924.64 Medica — Commercial: $5,971.14 Medica — Medicare Advantage: $3,716.73 Sanford Health Plan — Medicare Advantage: $2,924.64 Sanford Health Plan — PPO: $5,910.21 United Healthcare — Commercial: $5,971.14
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PSG 4+ PARAMETERS	$6,093	$3,960.45	$5,361.84 – $5,971.14
Sleep study (overnight, in a sleep lab): rates for 5 insurance plans First Choice Plus — PPO: $5,361.84 Medica — Commercial: $5,971.14 Sanford Health Plan — PPO: $5,910.21 United Healthcare — Commercial: $5,971.14 United Healthcare RHC — PPO: $5,788.35

Physical therapy and mental health

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PF 97110 THERAPEUTIC EXERCISES	$129	$83.85	$61.92 – $126.42
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 11 insurance plan rates Blue Cross Blue Shield — Commercial: $69.66 Blue Cross Blue Shield — Medicaid Expansion: $86.69 Blue Cross Blue Shield NextBlue — Medicare Advantage: $63.16 First Choice Plus — PPO: $113.52 Humana Choice — Medicare Advantage: $61.92 Medica — Commercial: $126.42 Medica — Medicare Advantage: $78.69 Sanford Health Plan — Medicare Advantage: $61.92 Sanford Health Plan — PPO: $125.13 United Healthcare — Commercial: $126.42
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: THER EXERCISE EA 15 MIN 97110	$189	$122.85	$90.72 – $185.22
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 11 insurance plan rates Blue Cross Blue Shield — Commercial: $102.06 Blue Cross Blue Shield — Medicaid Expansion: $127.01 Blue Cross Blue Shield NextBlue — Medicare Advantage: $92.53 First Choice Plus — PPO: $166.32 Humana Choice — Medicare Advantage: $90.72 Medica — Commercial: $185.22 Medica — Medicare Advantage: $115.29 Sanford Health Plan — Medicare Advantage: $90.72 Sanford Health Plan — PPO: $183.33 United Healthcare — Commercial: $185.22
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PF 97110 THERAPEUTIC EXERCISES	$129	$83.85	$113.52 – $126.42
Physical therapy: therapeutic exercise (each 15 minutes): rates for 5 insurance plans First Choice Plus — PPO: $113.52 Medica — Commercial: $126.42 Sanford Health Plan — PPO: $125.13 United Healthcare — Commercial: $126.42 United Healthcare RHC — PPO: $122.55
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT EVAL LOW COMPLEXITY 97161	$620	$403	$297.60 – $607.60
Physical therapy evaluation (low complexity): 10 of 11 insurance plan rates Blue Cross Blue Shield — Commercial: $334.80 Blue Cross Blue Shield — Medicaid Expansion: $416.64 Blue Cross Blue Shield NextBlue — Medicare Advantage: $303.55 First Choice Plus — PPO: $545.60 Humana Choice — Medicare Advantage: $297.60 Medica — Commercial: $607.60 Medica — Medicare Advantage: $378.20 Sanford Health Plan — Medicare Advantage: $297.60 Sanford Health Plan — PPO: $601.40 United Healthcare — Commercial: $607.60
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PT EVAL LOW COMPLEXITY 97161	$620	$403	$545.60 – $607.60
Physical therapy evaluation (low complexity): rates for 5 insurance plans First Choice Plus — PPO: $545.60 Medica — Commercial: $607.60 Sanford Health Plan — PPO: $601.40 United Healthcare — Commercial: $607.60 United Healthcare RHC — PPO: $589
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT EVAL MODERATE COMPLEXITY 97162	$657	$427.05	$315.36 – $643.86
Physical therapy evaluation (moderate complexity): 10 of 11 insurance plan rates Blue Cross Blue Shield — Commercial: $354.78 Blue Cross Blue Shield — Medicaid Expansion: $441.50 Blue Cross Blue Shield NextBlue — Medicare Advantage: $321.67 First Choice Plus — PPO: $578.16 Humana Choice — Medicare Advantage: $315.36 Medica — Commercial: $643.86 Medica — Medicare Advantage: $400.77 Sanford Health Plan — Medicare Advantage: $315.36 Sanford Health Plan — PPO: $637.29 United Healthcare — Commercial: $643.86
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PT EVAL MODERATE COMPLEXITY 97162	$657	$427.05	$578.16 – $643.86
Physical therapy evaluation (moderate complexity): rates for 5 insurance plans First Choice Plus — PPO: $578.16 Medica — Commercial: $643.86 Sanford Health Plan — PPO: $637.29 United Healthcare — Commercial: $643.86 United Healthcare RHC — PPO: $624.15
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT EVAL HIGH COMPLEXITY 97163	$742	$482.30	$356.16 – $727.16
Physical therapy evaluation (high complexity): 10 of 11 insurance plan rates Blue Cross Blue Shield — Commercial: $400.68 Blue Cross Blue Shield — Medicaid Expansion: $498.62 Blue Cross Blue Shield NextBlue — Medicare Advantage: $363.28 First Choice Plus — PPO: $652.96 Humana Choice — Medicare Advantage: $356.16 Medica — Commercial: $727.16 Medica — Medicare Advantage: $452.62 Sanford Health Plan — Medicare Advantage: $356.16 Sanford Health Plan — PPO: $719.74 United Healthcare — Commercial: $727.16
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PT EVAL HIGH COMPLEXITY 97163	$742	$482.30	$652.96 – $727.16
Physical therapy evaluation (high complexity): rates for 5 insurance plans First Choice Plus — PPO: $652.96 Medica — Commercial: $727.16 Sanford Health Plan — PPO: $719.74 United Healthcare — Commercial: $727.16 United Healthcare RHC — PPO: $704.90
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSYCHOTHERAPY W/PATIENT 16-37 MINUTES	$51	$33.15	$24.48 – $49.98
Psychotherapy, 30 minutes: 10 of 11 insurance plan rates Blue Cross Blue Shield — Commercial: $27.54 Blue Cross Blue Shield — Medicaid Expansion: $34.27 Blue Cross Blue Shield NextBlue — Medicare Advantage: $24.97 First Choice Plus — PPO: $44.88 Humana Choice — Medicare Advantage: $24.48 Medica — Commercial: $49.98 Medica — Medicare Advantage: $31.11 Sanford Health Plan — Medicare Advantage: $24.48 Sanford Health Plan — PPO: $49.47 United Healthcare — Commercial: $49.98
Psychotherapy, 30 minutes CPT 90832 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PSYCHOTHERAPY W/PATIENT 16-37 MINUTES	$51	$33.15	$44.88 – $49.98
Psychotherapy, 30 minutes: rates for 5 insurance plans First Choice Plus — PPO: $44.88 Medica — Commercial: $49.98 Sanford Health Plan — PPO: $49.47 United Healthcare — Commercial: $49.98 United Healthcare RHC — PPO: $48.45
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSYCHOTHERAPY W/PATIENT 38-52 MINUTES	$68	$44.20	$32.64 – $66.64
Psychotherapy, 45 minutes: 10 of 11 insurance plan rates Blue Cross Blue Shield — Commercial: $36.72 Blue Cross Blue Shield — Medicaid Expansion: $45.70 Blue Cross Blue Shield NextBlue — Medicare Advantage: $33.29 First Choice Plus — PPO: $59.84 Humana Choice — Medicare Advantage: $32.64 Medica — Commercial: $66.64 Medica — Medicare Advantage: $41.48 Sanford Health Plan — Medicare Advantage: $32.64 Sanford Health Plan — PPO: $65.96 United Healthcare — Commercial: $66.64
Psychotherapy, 45 minutes CPT 90834 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PSYCHOTHERAPY W/PATIENT 38-52 MINUTES	$68	$44.20	$59.84 – $66.64
Psychotherapy, 45 minutes: rates for 5 insurance plans First Choice Plus — PPO: $59.84 Medica — Commercial: $66.64 Sanford Health Plan — PPO: $65.96 United Healthcare — Commercial: $66.64 United Healthcare RHC — PPO: $64.60
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSYCHOTHERAPY W/PATIENT 53+ MINUTES	$101	$65.65	$48.48 – $98.98
Psychotherapy, 60 minutes: 10 of 11 insurance plan rates Blue Cross Blue Shield — Commercial: $54.54 Blue Cross Blue Shield — Medicaid Expansion: $67.87 Blue Cross Blue Shield NextBlue — Medicare Advantage: $49.45 First Choice Plus — PPO: $88.88 Humana Choice — Medicare Advantage: $48.48 Medica — Commercial: $98.98 Medica — Medicare Advantage: $61.61 Sanford Health Plan — Medicare Advantage: $48.48 Sanford Health Plan — PPO: $97.97 United Healthcare — Commercial: $98.98
Psychotherapy, 60 minutes CPT 90837 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PSYCHOTHERAPY W/PATIENT 53+ MINUTES	$101	$65.65	$88.88 – $98.98
Psychotherapy, 60 minutes: rates for 5 insurance plans First Choice Plus — PPO: $88.88 Medica — Commercial: $98.98 Sanford Health Plan — PPO: $97.97 United Healthcare — Commercial: $98.98 United Healthcare RHC — PPO: $95.95
Family psychotherapy, without the patient CPT 90846 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: FAMILY PSYCHOTHERAPY (WO PATIENT PRESENT)	$5	$3.25	$2.40 – $4.90
Family psychotherapy, without the patient: 10 of 11 insurance plan rates Blue Cross Blue Shield — Commercial: $2.70 Blue Cross Blue Shield — Medicaid Expansion: $3.36 Blue Cross Blue Shield NextBlue — Medicare Advantage: $2.45 First Choice Plus — PPO: $4.40 Humana Choice — Medicare Advantage: $2.40 Medica — Commercial: $4.90 Medica — Medicare Advantage: $3.05 Sanford Health Plan — Medicare Advantage: $2.40 Sanford Health Plan — PPO: $4.85 United Healthcare — Commercial: $4.90
Family psychotherapy, without the patient CPT 90846 · Inpatient (hospital stay) · Hospital (facility) fee In the file: FAMILY PSYCHOTHERAPY (WO PATIENT PRESENT)	$5	$3.25	$4.40 – $4.90
Family psychotherapy, without the patient: rates for 5 insurance plans First Choice Plus — PPO: $4.40 Medica — Commercial: $4.90 Sanford Health Plan — PPO: $4.85 United Healthcare — Commercial: $4.90 United Healthcare RHC — PPO: $4.75
Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: FAMILY PSYCHOTHERAPY (CONJOINT PSYCHOTHERAPY) (WPATIENT PRESENT)	$5	$3.25	$2.40 – $4.90
Family psychotherapy, with the patient: 10 of 11 insurance plan rates Blue Cross Blue Shield — Commercial: $2.70 Blue Cross Blue Shield — Medicaid Expansion: $3.36 Blue Cross Blue Shield NextBlue — Medicare Advantage: $2.45 First Choice Plus — PPO: $4.40 Humana Choice — Medicare Advantage: $2.40 Medica — Commercial: $4.90 Medica — Medicare Advantage: $3.05 Sanford Health Plan — Medicare Advantage: $2.40 Sanford Health Plan — PPO: $4.85 United Healthcare — Commercial: $4.90
Family psychotherapy, with the patient CPT 90847 · Inpatient (hospital stay) · Hospital (facility) fee In the file: FAMILY PSYCHOTHERAPY (CONJOINT PSYCHOTHERAPY) (WPATIENT PRESENT)	$5	$3.25	$4.40 – $4.90
Family psychotherapy, with the patient: rates for 5 insurance plans First Choice Plus — PPO: $4.40 Medica — Commercial: $4.90 Sanford Health Plan — PPO: $4.85 United Healthcare — Commercial: $4.90 United Healthcare RHC — PPO: $4.75

Procedures and surgery

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EXC BREAST LESN(S) OPEN MALE FEMALE 1 OR MORE	$2,391	$1,554.15	$1,147.68 – $2,343.18
Removal of breast growth (open surgery): 10 of 11 insurance plan rates Blue Cross Blue Shield — Commercial: $1,291.14 Blue Cross Blue Shield — Medicaid Expansion: $1,606.75 Blue Cross Blue Shield NextBlue — Medicare Advantage: $1,170.63 First Choice Plus — PPO: $2,104.08 Humana Choice — Medicare Advantage: $1,147.68 Medica — Commercial: $2,343.18 Medica — Medicare Advantage: $1,458.51 Sanford Health Plan — Medicare Advantage: $1,147.68 Sanford Health Plan — PPO: $2,319.27 United Healthcare — Commercial: $2,343.18
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: SURG 19120 EXC CYST LESION OF BREAST OPEN	$8,939	$5,810.35	$4,290.72 – $8,760.22
Removal of breast growth (open surgery): 10 of 11 insurance plan rates Blue Cross Blue Shield — Commercial: $4,827.06 Blue Cross Blue Shield — Medicaid Expansion: $6,007.01 Blue Cross Blue Shield NextBlue — Medicare Advantage: $4,376.53 First Choice Plus — PPO: $7,866.32 Humana Choice — Medicare Advantage: $4,290.72 Medica — Commercial: $8,760.22 Medica — Medicare Advantage: $5,452.79 Sanford Health Plan — Medicare Advantage: $4,290.72 Sanford Health Plan — PPO: $8,670.83 United Healthcare — Commercial: $8,760.22
Removal of breast growth (open surgery) CPT 19120 · Inpatient (hospital stay) · Hospital (facility) fee In the file: EXC BREAST LESN(S) OPEN MALE FEMALE 1 OR MORE	$2,391	$1,554.15	$2,104.08 – $2,343.18
Removal of breast growth (open surgery): rates for 5 insurance plans First Choice Plus — PPO: $2,104.08 Medica — Commercial: $2,343.18 Sanford Health Plan — PPO: $2,319.27 United Healthcare — Commercial: $2,343.18 United Healthcare RHC — PPO: $2,271.45
Total hip replacement CPT 27130 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: SURG 27130 ARTHROPLASTY ACETABULAR PROXIMAL FEMOR PROSTHETIC REPLACE WWO A	$50,508	$32,830.20	$24,243.84 – $49,497.84
Total hip replacement: 10 of 11 insurance plan rates Blue Cross Blue Shield — Commercial: $27,274.32 Blue Cross Blue Shield — Medicaid Expansion: $33,941.38 Blue Cross Blue Shield NextBlue — Medicare Advantage: $24,728.72 First Choice Plus — PPO: $44,447.04 Humana Choice — Medicare Advantage: $24,243.84 Medica — Commercial: $49,497.84 Medica — Medicare Advantage: $30,809.88 Sanford Health Plan — Medicare Advantage: $24,243.84 Sanford Health Plan — PPO: $48,992.76 United Healthcare — Commercial: $49,497.84
Total hip replacement CPT 27130 · Inpatient (hospital stay) · Hospital (facility) fee In the file: SURG 27130 ARTHROPLASTY ACETABULAR PROXIMAL FEMOR PROSTHETIC REPLACE WWO A	$50,508	$32,830.20	$44,447.04 – $49,497.84
Total hip replacement: rates for 5 insurance plans First Choice Plus — PPO: $44,447.04 Medica — Commercial: $49,497.84 Sanford Health Plan — PPO: $48,992.76 United Healthcare — Commercial: $49,497.84 United Healthcare RHC — PPO: $47,982.60
Total knee replacement CPT 27447 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: SURG 27447 ARTHROPLASTY KNEE CONDYLE & PLATEAU MED & LAT COMPARTMENTS WWO	$47,144	$30,643.60	$22,629.12 – $46,201.12
Total knee replacement: 10 of 11 insurance plan rates Blue Cross Blue Shield — Commercial: $25,457.76 Blue Cross Blue Shield — Medicaid Expansion: $31,680.77 Blue Cross Blue Shield NextBlue — Medicare Advantage: $23,081.70 First Choice Plus — PPO: $41,486.72 Humana Choice — Medicare Advantage: $22,629.12 Medica — Commercial: $46,201.12 Medica — Medicare Advantage: $28,757.84 Sanford Health Plan — Medicare Advantage: $22,629.12 Sanford Health Plan — PPO: $45,729.68 United Healthcare — Commercial: $46,201.12
Total knee replacement CPT 27447 · Inpatient (hospital stay) · Hospital (facility) fee In the file: SURG 27447 ARTHROPLASTY KNEE CONDYLE & PLATEAU MED & LAT COMPARTMENTS WWO	$47,144	$30,643.60	$41,486.72 – $46,201.12
Total knee replacement: rates for 5 insurance plans First Choice Plus — PPO: $41,486.72 Medica — Commercial: $46,201.12 Sanford Health Plan — PPO: $45,729.68 United Healthcare — Commercial: $46,201.12 United Healthcare RHC — PPO: $44,786.80
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: SURG 29826 ARTHRO SHLDR DECOMP SUBACR SPC W PART ACROMIOPLSTY	$7,996	$5,197.40	$3,838.08 – $7,836.08
Shoulder arthroscopy: shaving of shoulder bone: 10 of 11 insurance plan rates Blue Cross Blue Shield — Commercial: $4,317.84 Blue Cross Blue Shield — Medicaid Expansion: $5,373.31 Blue Cross Blue Shield NextBlue — Medicare Advantage: $3,914.84 First Choice Plus — PPO: $7,036.48 Humana Choice — Medicare Advantage: $3,838.08 Medica — Commercial: $7,836.08 Medica — Medicare Advantage: $4,877.56 Sanford Health Plan — Medicare Advantage: $3,838.08 Sanford Health Plan — PPO: $7,756.12 United Healthcare — Commercial: $7,836.08
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Inpatient (hospital stay) · Hospital (facility) fee In the file: SURG 29826 ARTHRO SHLDR DECOMP SUBACR SPC W PART ACROMIOPLSTY	$7,996	$5,197.40	$7,036.48 – $7,836.08
Shoulder arthroscopy: shaving of shoulder bone: rates for 5 insurance plans First Choice Plus — PPO: $7,036.48 Medica — Commercial: $7,836.08 Sanford Health Plan — PPO: $7,756.12 United Healthcare — Commercial: $7,836.08 United Healthcare RHC — PPO: $7,596.20
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: SURG 29881 ARTHROSCOPY KNEE W MENISCECTOMY DEB SHAV SAME OR SEP COMP	$8,944	$5,813.60	$4,293.12 – $8,765.12
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 11 insurance plan rates Blue Cross Blue Shield — Commercial: $4,829.76 Blue Cross Blue Shield — Medicaid Expansion: $6,010.37 Blue Cross Blue Shield NextBlue — Medicare Advantage: $4,378.98 First Choice Plus — PPO: $7,870.72 Humana Choice — Medicare Advantage: $4,293.12 Medica — Commercial: $8,765.12 Medica — Medicare Advantage: $5,455.84 Sanford Health Plan — Medicare Advantage: $4,293.12 Sanford Health Plan — PPO: $8,675.68 United Healthcare — Commercial: $8,765.12
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Inpatient (hospital stay) · Hospital (facility) fee In the file: SURG 29881 ARTHROSCOPY KNEE W MENISCECTOMY DEB SHAV SAME OR SEP COMP	$8,944	$5,813.60	$7,870.72 – $8,765.12
Knee arthroscopy: removal of torn cartilage (meniscus): rates for 5 insurance plans First Choice Plus — PPO: $7,870.72 Medica — Commercial: $8,765.12 Sanford Health Plan — PPO: $8,675.68 United Healthcare — Commercial: $8,765.12 United Healthcare RHC — PPO: $8,496.80
Removal of tonsils and adenoids (under age 12) CPT 42820 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: SURG 42820 TONSILLECTOMY & ADENOIDECTOMY <12YRS	$14,002	$9,101.30	$6,720.96 – $13,721.96
Removal of tonsils and adenoids (under age 12): 10 of 11 insurance plan rates Blue Cross Blue Shield — Commercial: $7,561.08 Blue Cross Blue Shield — Medicaid Expansion: $9,409.34 Blue Cross Blue Shield NextBlue — Medicare Advantage: $6,855.38 First Choice Plus — PPO: $12,321.76 Humana Choice — Medicare Advantage: $6,720.96 Medica — Commercial: $13,721.96 Medica — Medicare Advantage: $8,541.22 Sanford Health Plan — Medicare Advantage: $6,720.96 Sanford Health Plan — PPO: $13,581.94 United Healthcare — Commercial: $13,721.96
Removal of tonsils and adenoids (under age 12) CPT 42820 · Inpatient (hospital stay) · Hospital (facility) fee In the file: SURG 42820 TONSILLECTOMY & ADENOIDECTOMY <12YRS	$14,002	$9,101.30	$12,321.76 – $13,721.96
Removal of tonsils and adenoids (under age 12): rates for 5 insurance plans First Choice Plus — PPO: $12,321.76 Medica — Commercial: $13,721.96 Sanford Health Plan — PPO: $13,581.94 United Healthcare — Commercial: $13,721.96 United Healthcare RHC — PPO: $13,301.90
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EGD DIAG	$2,524	$1,640.60	$1,211.52 – $2,473.52
Upper GI endoscopy (diagnostic): 10 of 11 insurance plan rates Blue Cross Blue Shield — Commercial: $1,362.96 Blue Cross Blue Shield — Medicaid Expansion: $1,696.13 Blue Cross Blue Shield NextBlue — Medicare Advantage: $1,235.75 First Choice Plus — PPO: $2,221.12 Humana Choice — Medicare Advantage: $1,211.52 Medica — Commercial: $2,473.52 Medica — Medicare Advantage: $1,539.64 Sanford Health Plan — Medicare Advantage: $1,211.52 Sanford Health Plan — PPO: $2,448.28 United Healthcare — Commercial: $2,473.52
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: UPR GI ENDOSCOPY DX WWO SPECIMEN COLLECTION BRUSH WASH(SEP PROC)	$2,428	$1,578.20	$1,165.44 – $2,379.44
Upper GI endoscopy (diagnostic): 10 of 11 insurance plan rates Blue Cross Blue Shield — Commercial: $1,311.12 Blue Cross Blue Shield — Medicaid Expansion: $1,631.62 Blue Cross Blue Shield NextBlue — Medicare Advantage: $1,188.75 First Choice Plus — PPO: $2,136.64 Humana Choice — Medicare Advantage: $1,165.44 Medica — Commercial: $2,379.44 Medica — Medicare Advantage: $1,481.08 Sanford Health Plan — Medicare Advantage: $1,165.44 Sanford Health Plan — PPO: $2,355.16 United Healthcare — Commercial: $2,379.44
Upper GI endoscopy (diagnostic) CPT 43235 · Inpatient (hospital stay) · Hospital (facility) fee In the file: EGD DIAG	$2,524	$1,640.60	$2,221.12 – $2,473.52
Upper GI endoscopy (diagnostic): rates for 5 insurance plans First Choice Plus — PPO: $2,221.12 Medica — Commercial: $2,473.52 Sanford Health Plan — PPO: $2,448.28 United Healthcare — Commercial: $2,473.52 United Healthcare RHC — PPO: $2,397.80
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EGD WBIOP SING MULT	$2,524	$1,640.60	$1,211.52 – $2,473.52
Upper GI endoscopy with biopsy: 10 of 11 insurance plan rates Blue Cross Blue Shield — Commercial: $1,362.96 Blue Cross Blue Shield — Medicaid Expansion: $1,696.13 Blue Cross Blue Shield NextBlue — Medicare Advantage: $1,235.75 First Choice Plus — PPO: $2,221.12 Humana Choice — Medicare Advantage: $1,211.52 Medica — Commercial: $2,473.52 Medica — Medicare Advantage: $1,539.64 Sanford Health Plan — Medicare Advantage: $1,211.52 Sanford Health Plan — PPO: $2,448.28 United Healthcare — Commercial: $2,473.52
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: UPPER GI ENDOSCOPY WBX SNGL MULTIPLE	$826	$536.90	$396.48 – $809.48
Upper GI endoscopy with biopsy: 10 of 11 insurance plan rates Blue Cross Blue Shield — Commercial: $446.04 Blue Cross Blue Shield — Medicaid Expansion: $555.07 Blue Cross Blue Shield NextBlue — Medicare Advantage: $404.41 First Choice Plus — PPO: $726.88 Humana Choice — Medicare Advantage: $396.48 Medica — Commercial: $809.48 Medica — Medicare Advantage: $503.86 Sanford Health Plan — Medicare Advantage: $396.48 Sanford Health Plan — PPO: $801.22 United Healthcare — Commercial: $809.48
Upper GI endoscopy with biopsy CPT 43239 · Inpatient (hospital stay) · Hospital (facility) fee In the file: EGD WBIOP SING MULT	$2,524	$1,640.60	$2,221.12 – $2,473.52
Upper GI endoscopy with biopsy: rates for 5 insurance plans First Choice Plus — PPO: $2,221.12 Medica — Commercial: $2,473.52 Sanford Health Plan — PPO: $2,448.28 United Healthcare — Commercial: $2,473.52 United Healthcare RHC — PPO: $2,397.80
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLONOSCPY FLEXIBLE PROXIMAL TO SPLENIC FLEXURE DX WWO SPECIMENS COLO	$1,014	$659.10	$486.72 – $993.72
Colonoscopy (diagnostic): 10 of 11 insurance plan rates Blue Cross Blue Shield — Commercial: $547.56 Blue Cross Blue Shield — Medicaid Expansion: $681.41 Blue Cross Blue Shield NextBlue — Medicare Advantage: $496.45 First Choice Plus — PPO: $892.32 Humana Choice — Medicare Advantage: $486.72 Medica — Commercial: $993.72 Medica — Medicare Advantage: $618.54 Sanford Health Plan — Medicare Advantage: $486.72 Sanford Health Plan — PPO: $983.58 United Healthcare — Commercial: $993.72
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: SURG 45378 COLONOSCOPY FLEXIBLE	$2,432	$1,580.80	$1,167.36 – $2,383.36
Colonoscopy (diagnostic): 10 of 11 insurance plan rates Blue Cross Blue Shield — Commercial: $1,313.28 Blue Cross Blue Shield — Medicaid Expansion: $1,634.30 Blue Cross Blue Shield NextBlue — Medicare Advantage: $1,190.71 First Choice Plus — PPO: $2,140.16 Humana Choice — Medicare Advantage: $1,167.36 Medica — Commercial: $2,383.36 Medica — Medicare Advantage: $1,483.52 Sanford Health Plan — Medicare Advantage: $1,167.36 Sanford Health Plan — PPO: $2,359.04 United Healthcare — Commercial: $2,383.36
Colonoscopy (diagnostic) CPT 45378 · Inpatient (hospital stay) · Hospital (facility) fee In the file: COLONOSCPY FLEXIBLE PROXIMAL TO SPLENIC FLEXURE DX WWO SPECIMENS COLO	$1,014	$659.10	$892.32 – $993.72
Colonoscopy (diagnostic): rates for 5 insurance plans First Choice Plus — PPO: $892.32 Medica — Commercial: $993.72 Sanford Health Plan — PPO: $983.58 United Healthcare — Commercial: $993.72 United Healthcare RHC — PPO: $963.30
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLON WBX	$3,178	$2,065.70	$1,525.44 – $3,114.44
Colonoscopy with biopsy: 10 of 11 insurance plan rates Blue Cross Blue Shield — Commercial: $1,716.12 Blue Cross Blue Shield — Medicaid Expansion: $2,135.62 Blue Cross Blue Shield NextBlue — Medicare Advantage: $1,555.95 First Choice Plus — PPO: $2,796.64 Humana Choice — Medicare Advantage: $1,525.44 Medica — Commercial: $3,114.44 Medica — Medicare Advantage: $1,938.58 Sanford Health Plan — Medicare Advantage: $1,525.44 Sanford Health Plan — PPO: $3,082.66 United Healthcare — Commercial: $3,114.44
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLONOSCOPY FLEXIBLE PROXIMAL TO SPLENIC FLEXURE WBX SNGL MULTIPLE	$1,224	$795.60	$587.52 – $1,199.52
Colonoscopy with biopsy: 10 of 11 insurance plan rates Blue Cross Blue Shield — Commercial: $660.96 Blue Cross Blue Shield — Medicaid Expansion: $822.53 Blue Cross Blue Shield NextBlue — Medicare Advantage: $599.27 First Choice Plus — PPO: $1,077.12 Humana Choice — Medicare Advantage: $587.52 Medica — Commercial: $1,199.52 Medica — Medicare Advantage: $746.64 Sanford Health Plan — Medicare Advantage: $587.52 Sanford Health Plan — PPO: $1,187.28 United Healthcare — Commercial: $1,199.52
Colonoscopy with biopsy CPT 45380 · Inpatient (hospital stay) · Hospital (facility) fee In the file: COLON WBX	$3,178	$2,065.70	$2,796.64 – $3,114.44
Colonoscopy with biopsy: rates for 5 insurance plans First Choice Plus — PPO: $2,796.64 Medica — Commercial: $3,114.44 Sanford Health Plan — PPO: $3,082.66 United Healthcare — Commercial: $3,114.44 United Healthcare RHC — PPO: $3,019.10
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLON WREM TUMOR SNARE	$3,178	$2,065.70	$1,525.44 – $3,114.44
Colonoscopy with removal of polyps (snare): 10 of 11 insurance plan rates Blue Cross Blue Shield — Commercial: $1,716.12 Blue Cross Blue Shield — Medicaid Expansion: $2,135.62 Blue Cross Blue Shield NextBlue — Medicare Advantage: $1,555.95 First Choice Plus — PPO: $2,796.64 Humana Choice — Medicare Advantage: $1,525.44 Medica — Commercial: $3,114.44 Medica — Medicare Advantage: $1,938.58 Sanford Health Plan — Medicare Advantage: $1,525.44 Sanford Health Plan — PPO: $3,082.66 United Healthcare — Commercial: $3,114.44
Colonoscopy with removal of polyps (snare) CPT 45385 · Inpatient (hospital stay) · Hospital (facility) fee In the file: COLON WREM TUMOR SNARE	$3,178	$2,065.70	$2,796.64 – $3,114.44
Colonoscopy with removal of polyps (snare): rates for 5 insurance plans First Choice Plus — PPO: $2,796.64 Medica — Commercial: $3,114.44 Sanford Health Plan — PPO: $3,082.66 United Healthcare — Commercial: $3,114.44 United Healthcare RHC — PPO: $3,019.10
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: SCREEN COLON WO HI RISK	$2,432	$1,580.80	$1,167.36 – $2,383.36
Screening colonoscopy (not high risk): 10 of 11 insurance plan rates Blue Cross Blue Shield — Commercial: $1,313.28 Blue Cross Blue Shield — Medicaid Expansion: $1,634.30 Blue Cross Blue Shield NextBlue — Medicare Advantage: $1,190.71 First Choice Plus — PPO: $2,140.16 Humana Choice — Medicare Advantage: $1,167.36 Medica — Commercial: $2,383.36 Medica — Medicare Advantage: $1,483.52 Sanford Health Plan — Medicare Advantage: $1,167.36 Sanford Health Plan — PPO: $2,359.04 United Healthcare — Commercial: $2,383.36
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLON CA SCRN NOT HI RSK IND	$2,407	$1,564.55	$1,155.36 – $2,358.86
Screening colonoscopy (not high risk): 10 of 11 insurance plan rates Blue Cross Blue Shield — Commercial: $1,299.78 Blue Cross Blue Shield — Medicaid Expansion: $1,617.50 Blue Cross Blue Shield NextBlue — Medicare Advantage: $1,178.47 First Choice Plus — PPO: $2,118.16 Humana Choice — Medicare Advantage: $1,155.36 Medica — Commercial: $2,358.86 Medica — Medicare Advantage: $1,468.27 Sanford Health Plan — Medicare Advantage: $1,155.36 Sanford Health Plan — PPO: $2,334.79 United Healthcare — Commercial: $2,358.86
Screening colonoscopy (not high risk) HCPCS G0121 · Inpatient (hospital stay) · Hospital (facility) fee In the file: SCREEN COLON WO HI RISK	$2,432	$1,580.80	$2,140.16 – $2,383.36
Screening colonoscopy (not high risk): rates for 5 insurance plans First Choice Plus — PPO: $2,140.16 Medica — Commercial: $2,383.36 Sanford Health Plan — PPO: $2,359.04 United Healthcare — Commercial: $2,383.36 United Healthcare RHC — PPO: $2,310.40
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: SURG 47562 LAP CHOLECYSTECTOMY	$15,507	$10,079.55	$7,443.36 – $15,196.86
Gallbladder removal by laparoscope: 10 of 11 insurance plan rates Blue Cross Blue Shield — Commercial: $8,373.78 Blue Cross Blue Shield — Medicaid Expansion: $10,420.70 Blue Cross Blue Shield NextBlue — Medicare Advantage: $7,592.23 First Choice Plus — PPO: $13,646.16 Humana Choice — Medicare Advantage: $7,443.36 Medica — Commercial: $15,196.86 Medica — Medicare Advantage: $9,459.27 Sanford Health Plan — Medicare Advantage: $7,443.36 Sanford Health Plan — PPO: $15,041.79 United Healthcare — Commercial: $15,196.86
Gallbladder removal by laparoscope CPT 47562 · Inpatient (hospital stay) · Hospital (facility) fee In the file: SURG 47562 LAP CHOLECYSTECTOMY	$15,507	$10,079.55	$13,646.16 – $15,196.86
Gallbladder removal by laparoscope: rates for 5 insurance plans First Choice Plus — PPO: $13,646.16 Medica — Commercial: $15,196.86 Sanford Health Plan — PPO: $15,041.79 United Healthcare — Commercial: $15,196.86 United Healthcare RHC — PPO: $14,731.65
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: SURG 49505 RPR INITIAL INGUINAL HERNIA >5YRS REDUCIBLE	$9,832	$6,390.80	$4,719.36 – $9,635.36
Groin (inguinal) hernia repair, age 5 or older: 10 of 11 insurance plan rates Blue Cross Blue Shield — Commercial: $5,309.28 Blue Cross Blue Shield — Medicaid Expansion: $6,607.10 Blue Cross Blue Shield NextBlue — Medicare Advantage: $4,813.75 First Choice Plus — PPO: $8,652.16 Humana Choice — Medicare Advantage: $4,719.36 Medica — Commercial: $9,635.36 Medica — Medicare Advantage: $5,997.52 Sanford Health Plan — Medicare Advantage: $4,719.36 Sanford Health Plan — PPO: $9,537.04 United Healthcare — Commercial: $9,635.36
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Inpatient (hospital stay) · Hospital (facility) fee In the file: SURG 49505 RPR INITIAL INGUINAL HERNIA >5YRS REDUCIBLE	$9,832	$6,390.80	$8,652.16 – $9,635.36
Groin (inguinal) hernia repair, age 5 or older: rates for 5 insurance plans First Choice Plus — PPO: $8,652.16 Medica — Commercial: $9,635.36 Sanford Health Plan — PPO: $9,537.04 United Healthcare — Commercial: $9,635.36 United Healthcare RHC — PPO: $9,340.40
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: SURG 55700 BX PROSTATE NEEDLE PUNCH	$5,076	$3,299.40	$2,436.48 – $4,974.48
Prostate biopsy: 10 of 11 insurance plan rates Blue Cross Blue Shield — Commercial: $2,741.04 Blue Cross Blue Shield — Medicaid Expansion: $3,411.07 Blue Cross Blue Shield NextBlue — Medicare Advantage: $2,485.21 First Choice Plus — PPO: $4,466.88 Humana Choice — Medicare Advantage: $2,436.48 Medica — Commercial: $4,974.48 Medica — Medicare Advantage: $3,096.36 Sanford Health Plan — Medicare Advantage: $2,436.48 Sanford Health Plan — PPO: $4,923.72 United Healthcare — Commercial: $4,974.48
Prostate biopsy CPT 55700 · Inpatient (hospital stay) · Hospital (facility) fee In the file: SURG 55700 BX PROSTATE NEEDLE PUNCH	$5,076	$3,299.40	$4,466.88 – $4,974.48
Prostate biopsy: rates for 5 insurance plans First Choice Plus — PPO: $4,466.88 Medica — Commercial: $4,974.48 Sanford Health Plan — PPO: $4,923.72 United Healthcare — Commercial: $4,974.48 United Healthcare RHC — PPO: $4,822.20
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: SURG 58558 HYSTEROSCOPY W/BX & OR POLYP W/WO D&C	$7,427	$4,827.55	$3,564.96 – $7,278.46
Hysteroscopy with biopsy of the uterus lining: 10 of 11 insurance plan rates Blue Cross Blue Shield — Commercial: $4,010.58 Blue Cross Blue Shield — Medicaid Expansion: $4,990.94 Blue Cross Blue Shield NextBlue — Medicare Advantage: $3,636.26 First Choice Plus — PPO: $6,535.76 Humana Choice — Medicare Advantage: $3,564.96 Medica — Commercial: $7,278.46 Medica — Medicare Advantage: $4,530.47 Sanford Health Plan — Medicare Advantage: $3,564.96 Sanford Health Plan — PPO: $7,204.19 United Healthcare — Commercial: $7,278.46
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Inpatient (hospital stay) · Hospital (facility) fee In the file: SURG 58558 HYSTEROSCOPY W/BX & OR POLYP W/WO D&C	$7,427	$4,827.55	$6,535.76 – $7,278.46
Hysteroscopy with biopsy of the uterus lining: rates for 5 insurance plans First Choice Plus — PPO: $6,535.76 Medica — Commercial: $7,278.46 Sanford Health Plan — PPO: $7,204.19 United Healthcare — Commercial: $7,278.46 United Healthcare RHC — PPO: $7,055.65
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: SURG 62323 INJ IL NDL CATH LUMB SACR W GUID	$2,156	$1,401.40	$1,034.88 – $2,112.88
Spinal injection, lower back (epidural), with imaging guidance: 10 of 11 insurance plan rates Blue Cross Blue Shield — Commercial: $1,164.24 Blue Cross Blue Shield — Medicaid Expansion: $1,448.83 Blue Cross Blue Shield NextBlue — Medicare Advantage: $1,055.58 First Choice Plus — PPO: $1,897.28 Humana Choice — Medicare Advantage: $1,034.88 Medica — Commercial: $2,112.88 Medica — Medicare Advantage: $1,315.16 Sanford Health Plan — Medicare Advantage: $1,034.88 Sanford Health Plan — PPO: $2,091.32 United Healthcare — Commercial: $2,112.88
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Inpatient (hospital stay) · Hospital (facility) fee In the file: SURG 62323 INJ IL NDL CATH LUMB SACR W GUID	$2,156	$1,401.40	$1,897.28 – $2,112.88
Spinal injection, lower back (epidural), with imaging guidance: rates for 5 insurance plans First Choice Plus — PPO: $1,897.28 Medica — Commercial: $2,112.88 Sanford Health Plan — PPO: $2,091.32 United Healthcare — Commercial: $2,112.88 United Healthcare RHC — PPO: $2,048.20
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: SURG 64483 INJ TRNFRM EPID LUM SNGL 1LVL	$2,393	$1,555.45	$1,148.64 – $2,345.14
Nerve root injection, lower back, with imaging guidance: 10 of 11 insurance plan rates Blue Cross Blue Shield — Commercial: $1,292.22 Blue Cross Blue Shield — Medicaid Expansion: $1,608.10 Blue Cross Blue Shield NextBlue — Medicare Advantage: $1,171.61 First Choice Plus — PPO: $2,105.84 Humana Choice — Medicare Advantage: $1,148.64 Medica — Commercial: $2,345.14 Medica — Medicare Advantage: $1,459.73 Sanford Health Plan — Medicare Advantage: $1,148.64 Sanford Health Plan — PPO: $2,321.21 United Healthcare — Commercial: $2,345.14
Nerve root injection, lower back, with imaging guidance CPT 64483 · Inpatient (hospital stay) · Hospital (facility) fee In the file: SURG 64483 INJ TRNFRM EPID LUM SNGL 1LVL	$2,393	$1,555.45	$2,105.84 – $2,345.14
Nerve root injection, lower back, with imaging guidance: rates for 5 insurance plans First Choice Plus — PPO: $2,105.84 Medica — Commercial: $2,345.14 Sanford Health Plan — PPO: $2,321.21 United Healthcare — Commercial: $2,345.14 United Healthcare RHC — PPO: $2,273.35
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: SURG 64721 CARPAL TUNNEL RELEASE	$6,407	$4,164.55	$3,075.36 – $6,278.86
Carpal tunnel release: 10 of 11 insurance plan rates Blue Cross Blue Shield — Commercial: $3,459.78 Blue Cross Blue Shield — Medicaid Expansion: $4,305.50 Blue Cross Blue Shield NextBlue — Medicare Advantage: $3,136.87 First Choice Plus — PPO: $5,638.16 Humana Choice — Medicare Advantage: $3,075.36 Medica — Commercial: $6,278.86 Medica — Medicare Advantage: $3,908.27 Sanford Health Plan — Medicare Advantage: $3,075.36 Sanford Health Plan — PPO: $6,214.79 United Healthcare — Commercial: $6,278.86
Carpal tunnel release CPT 64721 · Inpatient (hospital stay) · Hospital (facility) fee In the file: SURG 64721 CARPAL TUNNEL RELEASE	$6,407	$4,164.55	$5,638.16 – $6,278.86
Carpal tunnel release: rates for 5 insurance plans First Choice Plus — PPO: $5,638.16 Medica — Commercial: $6,278.86 Sanford Health Plan — PPO: $6,214.79 United Healthcare — Commercial: $6,278.86 United Healthcare RHC — PPO: $6,086.65

Pregnancy and childbirth

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Vaginal delivery after a previous C-section, with care before and after CPT 59610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ROUTINE OB CARE VAG DLVRY & POSTPARTUM CARE VBAC	$11,208	$7,285.20	$5,379.84 – $10,983.84
Vaginal delivery after a previous C-section, with care before and after: 10 of 11 insurance plan rates Blue Cross Blue Shield — Commercial: $6,052.32 Blue Cross Blue Shield — Medicaid Expansion: $7,531.78 Blue Cross Blue Shield NextBlue — Medicare Advantage: $5,487.44 First Choice Plus — PPO: $9,863.04 Humana Choice — Medicare Advantage: $5,379.84 Medica — Commercial: $10,983.84 Medica — Medicare Advantage: $6,836.88 Sanford Health Plan — Medicare Advantage: $5,379.84 Sanford Health Plan — PPO: $10,871.76 United Healthcare — Commercial: $10,983.84
Vaginal delivery after a previous C-section, with care before and after CPT 59610 · Inpatient (hospital stay) · Hospital (facility) fee In the file: ROUTINE OB CARE VAG DLVRY & POSTPARTUM CARE VBAC	$11,208	$7,285.20	$9,863.04 – $10,983.84
Vaginal delivery after a previous C-section, with care before and after: rates for 5 insurance plans First Choice Plus — PPO: $9,863.04 Medica — Commercial: $10,983.84 Sanford Health Plan — PPO: $10,871.76 United Healthcare — Commercial: $10,983.84 United Healthcare RHC — PPO: $10,647.60

Source: McKenzie County Healthcare Systems Inc’s standard charges file (sthpiprd.blob.core.windows.net, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on May 1, 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 type	Critical Access Hospital
Address	709 4th Ave NE, Watford City, ND 58854
County	McKenzie County
State	North Dakota
Phone	(701) 842‑3000
Emergency services	Yes
Ownership	Voluntary non-profit - Private
Medicare overall rating	Not rated by CMS
CMS Certification Number	351302
Name in Medicare records	MCKENZIE COUNTY HEALTHCARE SYSTEMS INC
Profile level	Medicare data + hospital website
Name on the hospital’s website	McKenzie Health
Official website	mckenziehealth.com
Corrections	Report an error or suggest an update →

Sources

Hospital General Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-07-22, retrieved 2026-10-29
Medicare Care Compare — official Medicare profile of this hospital
U.S. Census Bureau Geocoder — map position used for distances

From the hospital’s website

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

Health Services — mckenziehealth.com
Emergency Department — mckenziehealth.com

McKenzie County Healthcare Systems Inc

Summary

Profile from official sources

At a glance

Quick answers

Specialties and care areas^[5][7]

Treatments^[5]

Procedures^[7]

Programs and centers^[5]

Emergency care (hospital website)^[7]

Visiting and practical information

Doctors and clinicians (120)

Main specialties

Doctors with a page on this site (120)

Other emergency rooms nearby

Other hospitals nearby

Nursing homes, hospice, home health and dialysis nearby

Nursing homes

Community care nearby

Clinics and urgent care

Pharmacies

About the Medicare star rating

Medicare quality data

What patients said (patient survey)

Infections caught in the hospital

Complications and deaths

Return visits to the hospital (readmissions)

Emergency room times and sepsis care

ER wait times and Medicare ratings nearby

Prices

Office and emergency visits

Lab tests

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

Heart tests and sleep study

Physical therapy and mental health

Procedures and surgery

Pregnancy and childbirth

Hospital information

Sources

From the hospital’s website

McKenzie County Healthcare Systems Inc

Summary

Profile from official sources

At a glance

Quick answers

Specialties and care areas[5][7]

Treatments[5]

Procedures[7]

Programs and centers[5]

Emergency care (hospital website)[7]

Visiting and practical information

Doctors and clinicians (120)

Main specialties

Doctors with a page on this site (120)

Other emergency rooms nearby

Other hospitals nearby

Nursing homes, hospice, home health and dialysis nearby

Nursing homes

Community care nearby

Clinics and urgent care

Pharmacies

About the Medicare star rating

Medicare quality data

What patients said (patient survey)

Infections caught in the hospital

Complications and deaths

Return visits to the hospital (readmissions)

Emergency room times and sepsis care

ER wait times and Medicare ratings nearby

Prices

Office and emergency visits

Lab tests

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

Heart tests and sleep study

Physical therapy and mental health

Procedures and surgery

Pregnancy and childbirth

Hospital information

Sources

From the hospital’s website

Specialties and care areas^[5][7]

Treatments^[5]

Procedures^[7]

Programs and centers^[5]

Emergency care (hospital website)^[7]