Medical emergency?Emergency? Call 911. Nearest emergency roomsNearest ERs

Rural Emergency Hospital

Nelson County Health System

Also listed as: Nelson County Health System (Nelson County Health Services Foundation)

McVille, North Dakota · Nelson County · Emergency services listed

  • 200 N Main St, McVille, ND 58254 · Directions
  • (701) 322‑4328
  • Emergency room: yes
  • Medicare overall rating: not rated
  • Hospital type: Rural Emergency Hospital · Ownership: Voluntary non-profit - Private

Nelson County Health System is a rural emergency hospital at 200 N Main St, McVille, ND 58254. Phone: (701) 322-4328. It has an emergency department.

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

Summary

Nelson County Health System is a rural emergency hospital in McVille, North Dakota. Medicare data lists emergency services. Its official website lists 49 services, specialties and programs. Source: CMS Hospital General Information, data updated 2026-10-26.

What is a rural emergency hospital?

A small rural hospital that provides 24-hour emergency care and outpatient services but does not keep patients overnight as inpatients. Patients who need a hospital stay are transferred. More about hospital types

Compare

Profile from official sources

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

In a medical emergency, call 911.

At a glance

YesEmergency services
Not ratedNot rated by CMSMedicare rating
49Services listed

Quick answers

Does Nelson County Health System have an emergency room?
Yes. Medicare (CMS) data lists emergency services at Nelson County Health System. In a medical emergency, call 911.
Where is Nelson County Health System?
200 N Main St, McVille, ND 58254, in Nelson County, North Dakota.
What is the phone number of Nelson County Health System?
(701) 322-4328, as listed by Medicare (CMS).
What is the Medicare star rating of Nelson County Health System?
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[7][8][9][10][11]

Conditions treated[10][11][12]

Treatments[4][14]

Procedures[8][11][12]

  • X-ray
  • MRI
  • CT scan
  • Ultrasound
  • Bone density scan (DEXA)
  • Mammogram (including 3D)
  • Echocardiogram
  • Carotid Doppler exam
  • Laboratory testing
  • Pulmonary function testing
  • Respirator fit testing
  • Sleep apnea test (polysomnogram)

Programs and centers[7][10][11][13]

  • Cardiac Rehabilitation Program
  • Telemedicine
  • Sleep lab
  • eEmergency (video consults with Avera emergency physicians)

Emergency care (hospital website)[4][7]

Emergency roomYes
Open 24/7Yes

Other emergency rooms nearby

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

Find the closest emergency room to where you are →

Other hospitals near McVille

Hospitals in Nelson County · Hospitals near me

Nursing homes, hospice, home health and dialysis nearby

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

Nursing homes

All nursing homes in the state →

Community care nearby

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

Clinics and urgent care

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 Nelson County Health System 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.

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

See every measure on Medicare Care Compare →

ER wait times and Medicare ratings nearby

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

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 86 common services exactly as Nelson County Health System lists them in its file. This is not a quote: what you pay depends on your insurance and plan, the doctors involved and the care you actually receive. Prices change: ask the hospital for an estimate before you schedule care (if you are uninsured or paying yourself, you have the right to a written “good faith estimate”). In a medical emergency, call 911.

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

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

Show the prices of 86 common services

Office and emergency visits

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient or outpatient · Hospital (facility) fee In the file: PR OFFICE/OUTPATIENT NEW LOW MDM 30 MINUTES $231 $231 $196.35 – $242.55
New patient office visit (about 30–44 minutes): rates for 5 insurance plans
  • Blue Cross Blue Shield of North Dakota — All Plans: $196.35
  • Provider Network of America — All Plans: $219.45
  • Sanford Health Plan — All Plans: $219.45
  • United Healthcare — All Plans: $242.55
  • Veterans Affairs Community Care — All Plans: $242.55
New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient or outpatient · Hospital (facility) fee In the file: PR OFFICE/OUTPATIENT NEW MODERATE MDM 45 MINUTES $351 $351 $298.35 – $368.55
New patient office visit (about 45–59 minutes): rates for 5 insurance plans
  • Blue Cross Blue Shield of North Dakota — All Plans: $298.35
  • Provider Network of America — All Plans: $333.45
  • Sanford Health Plan — All Plans: $333.45
  • United Healthcare — All Plans: $368.55
  • Veterans Affairs Community Care — All Plans: $368.55
New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient or outpatient · Hospital (facility) fee In the file: PR OFFICE/OUTPATIENT NEW HIGH MDM 60 MINUTES $435 $435 $369.75 – $456.75
New patient office visit (about 60–74 minutes): rates for 5 insurance plans
  • Blue Cross Blue Shield of North Dakota — All Plans: $369.75
  • Provider Network of America — All Plans: $413.25
  • Sanford Health Plan — All Plans: $413.25
  • United Healthcare — All Plans: $456.75
  • Veterans Affairs Community Care — All Plans: $456.75
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient or outpatient · Hospital (facility) fee In the file: PR OFFICE/OUTPATIENT ESTABLISHED LOW MDM 20 MIN $155 $155 $131.75 – $162.75
Established patient office visit (about 20–29 minutes): rates for 5 insurance plans
  • Blue Cross Blue Shield of North Dakota — All Plans: $131.75
  • Provider Network of America — All Plans: $147.25
  • Sanford Health Plan — All Plans: $147.25
  • United Healthcare — All Plans: $162.75
  • Veterans Affairs Community Care — All Plans: $162.75
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient or outpatient · Hospital (facility) fee In the file: PR OFFICE/OUTPATIENT ESTABLISHED MOD MDM 30 MIN $228 $228 $193.80 – $239.40
Established patient office visit (about 30–39 minutes): rates for 5 insurance plans
  • Blue Cross Blue Shield of North Dakota — All Plans: $193.80
  • Provider Network of America — All Plans: $216.60
  • Sanford Health Plan — All Plans: $216.60
  • United Healthcare — All Plans: $239.40
  • Veterans Affairs Community Care — All Plans: $239.40
Office consultation with a specialist (moderate) CPT 99243 · Inpatient or outpatient · Hospital (facility) fee In the file: PR OFFICE/OP CONSLTJ NEW/EST PT LOW MDM 30 MINUTES $255 $255 $216.75 – $267.75
Office consultation with a specialist (moderate): rates for 5 insurance plans
  • Blue Cross Blue Shield of North Dakota — All Plans: $216.75
  • Provider Network of America — All Plans: $242.25
  • Sanford Health Plan — All Plans: $242.25
  • United Healthcare — All Plans: $267.75
  • Veterans Affairs Community Care — All Plans: $267.75
Office consultation with a specialist (moderate to high) CPT 99244 · Inpatient or outpatient · Hospital (facility) fee In the file: PR OFFICE/OP CONSLTJ NEW/EST PT MOD MDM 40 MINUTES $378 $378 $321.30 – $396.90
Office consultation with a specialist (moderate to high): rates for 5 insurance plans
  • Blue Cross Blue Shield of North Dakota — All Plans: $321.30
  • Provider Network of America — All Plans: $359.10
  • Sanford Health Plan — All Plans: $359.10
  • United Healthcare — All Plans: $396.90
  • Veterans Affairs Community Care — All Plans: $396.90
Preventive checkup, new patient, age 18–39 CPT 99385 · Inpatient or outpatient · Hospital (facility) fee In the file: PR INITIAL PREVENTIVE MEDICINE NEW PT AGE 18-39YRS $279 $279 $237.15 – $292.95
Preventive checkup, new patient, age 18–39: rates for 5 insurance plans
  • Blue Cross Blue Shield of North Dakota — All Plans: $237.15
  • Provider Network of America — All Plans: $265.05
  • Sanford Health Plan — All Plans: $265.05
  • United Healthcare — All Plans: $292.95
  • Veterans Affairs Community Care — All Plans: $292.95
Preventive checkup, new patient, age 40–64 CPT 99386 · Inpatient or outpatient · Hospital (facility) fee In the file: PR INITIAL PREVENTIVE MEDICINE NEW PATIENT 40-64YRS $321 $321 $272.85 – $337.05
Preventive checkup, new patient, age 40–64: rates for 5 insurance plans
  • Blue Cross Blue Shield of North Dakota — All Plans: $272.85
  • Provider Network of America — All Plans: $304.95
  • Sanford Health Plan — All Plans: $304.95
  • United Healthcare — All Plans: $337.05
  • Veterans Affairs Community Care — All Plans: $337.05
Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient · Hospital (facility) fee In the file: HC ED LEVEL III $412 $412 $350.20 – $432.60
Emergency room visit (moderate): rates for 5 insurance plans
  • Blue Cross Blue Shield of North Dakota — All Plans: $350.20
  • Provider Network of America — All Plans: $391.40
  • Sanford Health Plan — All Plans: $391.40
  • United Healthcare — All Plans: $432.60
  • Veterans Affairs Community Care — All Plans: $432.60
Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient · Hospital (facility) fee In the file: PR EMERGENCY DEPARTMENT VISIT LOW MDM $149 $149 $126.65 – $156.45
Emergency room visit (moderate): rates for 5 insurance plans
  • Blue Cross Blue Shield of North Dakota — All Plans: $126.65
  • Provider Network of America — All Plans: $141.55
  • Sanford Health Plan — All Plans: $141.55
  • United Healthcare — All Plans: $156.45
  • Veterans Affairs Community Care — All Plans: $156.45
Emergency room visit (moderately high) CPT 99284 · Inpatient or outpatient · Hospital (facility) fee In the file: HC ED LEVEL IV $711 $711 $604.35 – $746.55
Emergency room visit (moderately high): rates for 5 insurance plans
  • Blue Cross Blue Shield of North Dakota — All Plans: $604.35
  • Provider Network of America — All Plans: $675.45
  • Sanford Health Plan — All Plans: $675.45
  • United Healthcare — All Plans: $746.55
  • Veterans Affairs Community Care — All Plans: $746.55
Emergency room visit (moderately high) CPT 99284 · Inpatient or outpatient · Hospital (facility) fee In the file: PR EMERGENCY DEPARTMENT VISIT MODERATE MDM $268 $268 $227.80 – $281.40
Emergency room visit (moderately high): rates for 5 insurance plans
  • Blue Cross Blue Shield of North Dakota — All Plans: $227.80
  • Provider Network of America — All Plans: $254.60
  • Sanford Health Plan — All Plans: $254.60
  • United Healthcare — All Plans: $281.40
  • Veterans Affairs Community Care — All Plans: $281.40
Emergency room visit (high) CPT 99285 · Inpatient or outpatient · Hospital (facility) fee In the file: HC ED LEVEL V $975 $975 $828.75 – $1,023.75
Emergency room visit (high): rates for 5 insurance plans
  • Blue Cross Blue Shield of North Dakota — All Plans: $828.75
  • Provider Network of America — All Plans: $926.25
  • Sanford Health Plan — All Plans: $926.25
  • United Healthcare — All Plans: $1,023.75
  • Veterans Affairs Community Care — All Plans: $1,023.75
Emergency room visit (high) CPT 99285 · Inpatient or outpatient · Hospital (facility) fee In the file: PR EMERGENCY DEPARTMENT VISIT HIGH MDM $386 $386 $328.10 – $405.30
Emergency room visit (high): rates for 5 insurance plans
  • Blue Cross Blue Shield of North Dakota — All Plans: $328.10
  • Provider Network of America — All Plans: $366.70
  • Sanford Health Plan — All Plans: $366.70
  • United Healthcare — All Plans: $405.30
  • Veterans Affairs Community Care — All Plans: $405.30

Lab tests

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Inpatient or outpatient · Hospital (facility) fee In the file: NC BASIC METABOLIC PANEL $65 $65 $55.25 – $68.25
Basic metabolic panel (blood test): rates for 5 insurance plans
  • Blue Cross Blue Shield of North Dakota — All Plans: $55.25
  • Provider Network of America — All Plans: $61.75
  • Sanford Health Plan — All Plans: $61.75
  • United Healthcare — All Plans: $68.25
  • Veterans Affairs Community Care — All Plans: $68.25
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient or outpatient · Hospital (facility) fee In the file: NC COMPREHENSIVE METABOLIC PANEL $72 $72 $61.20 – $75.60
Comprehensive metabolic panel (blood test): rates for 5 insurance plans
  • Blue Cross Blue Shield of North Dakota — All Plans: $61.20
  • Provider Network of America — All Plans: $68.40
  • Sanford Health Plan — All Plans: $68.40
  • United Healthcare — All Plans: $75.60
  • Veterans Affairs Community Care — All Plans: $75.60
Obstetric blood test panel CPT 80055 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OBSTETRIC PANEL Not listed in the file Not listed in the file Not listed in the file
Obstetric blood test panel: rates for 5 insurance plans
  • Blue Cross Blue Shield of North Dakota — All Plans: 85% (a percentage in the contract, not a dollar amount)
  • Provider Network of America — All Plans: 95% (a percentage in the contract, not a dollar amount)
  • Sanford Health Plan — All Plans: 95% (a percentage in the contract, not a dollar amount)
  • United Healthcare — All Plans: 105% (a percentage in the contract, not a dollar amount)
  • Veterans Affairs Community Care — All Plans: 105% (a percentage in the contract, not a dollar amount)
Cholesterol panel (lipid panel) CPT 80061 · Inpatient or outpatient · Hospital (facility) fee In the file: NC LIPID PANEL $80 $80 $68 – $84
Cholesterol panel (lipid panel): rates for 5 insurance plans
  • Blue Cross Blue Shield of North Dakota — All Plans: $68
  • Provider Network of America — All Plans: $76
  • Sanford Health Plan — All Plans: $76
  • United Healthcare — All Plans: $84
  • Veterans Affairs Community Care — All Plans: $84
Kidney function panel CPT 80069 · Inpatient or outpatient · Hospital (facility) fee In the file: NC RENAL FUNCTION PANEL $67 $67 $56.95 – $70.35
Kidney function panel: rates for 5 insurance plans
  • Blue Cross Blue Shield of North Dakota — All Plans: $56.95
  • Provider Network of America — All Plans: $63.65
  • Sanford Health Plan — All Plans: $63.65
  • United Healthcare — All Plans: $70.35
  • Veterans Affairs Community Care — All Plans: $70.35
Liver function panel CPT 80076 · Inpatient or outpatient · Hospital (facility) fee In the file: NC HEPATIC FUNCTION PANEL $65 $65 $55.25 – $68.25
Liver function panel: rates for 5 insurance plans
  • Blue Cross Blue Shield of North Dakota — All Plans: $55.25
  • Provider Network of America — All Plans: $61.75
  • Sanford Health Plan — All Plans: $61.75
  • United Healthcare — All Plans: $68.25
  • Veterans Affairs Community Care — All Plans: $68.25
Urine test (automated, with microscope) CPT 81001 · Inpatient or outpatient · Hospital (facility) fee In the file: NC URINALYSIS AUTOMATED WITH MICRO $25 $25 $21.25 – $26.25
Urine test (automated, with microscope): rates for 5 insurance plans
  • Blue Cross Blue Shield of North Dakota — All Plans: $21.25
  • Provider Network of America — All Plans: $23.75
  • Sanford Health Plan — All Plans: $23.75
  • United Healthcare — All Plans: $26.25
  • Veterans Affairs Community Care — All Plans: $26.25
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: URINALYSIS NONAUTO W/O SCOPE Not listed in the file Not listed in the file Not listed in the file
Urine test (manual, without microscope): rates for 5 insurance plans
  • Blue Cross Blue Shield of North Dakota — All Plans: 85% (a percentage in the contract, not a dollar amount)
  • Provider Network of America — All Plans: 95% (a percentage in the contract, not a dollar amount)
  • Sanford Health Plan — All Plans: 95% (a percentage in the contract, not a dollar amount)
  • United Healthcare — All Plans: 105% (a percentage in the contract, not a dollar amount)
  • Veterans Affairs Community Care — All Plans: 105% (a percentage in the contract, not a dollar amount)
Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient · Hospital (facility) fee In the file: NC URINALYSIS AUTOMATED W/O MICRO $18 $18 $15.30 – $18.90
Urine test (automated, without microscope): rates for 5 insurance plans
  • Blue Cross Blue Shield of North Dakota — All Plans: $15.30
  • Provider Network of America — All Plans: $17.10
  • Sanford Health Plan — All Plans: $17.10
  • United Healthcare — All Plans: $18.90
  • Veterans Affairs Community Care — All Plans: $18.90
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient · Hospital (facility) fee In the file: NC PSA - R $141 $141 $119.85 – $148.05
PSA (prostate specific antigen) blood test: rates for 5 insurance plans
  • Blue Cross Blue Shield of North Dakota — All Plans: $119.85
  • Provider Network of America — All Plans: $133.95
  • Sanford Health Plan — All Plans: $133.95
  • United Healthcare — All Plans: $148.05
  • Veterans Affairs Community Care — All Plans: $148.05
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient or outpatient · Hospital (facility) fee In the file: NC TSH - R $108 $108 $91.80 – $113.40
Thyroid stimulating hormone (TSH) test: rates for 5 insurance plans
  • Blue Cross Blue Shield of North Dakota — All Plans: $91.80
  • Provider Network of America — All Plans: $102.60
  • Sanford Health Plan — All Plans: $102.60
  • United Healthcare — All Plans: $113.40
  • Veterans Affairs Community Care — All Plans: $113.40
Complete blood count (CBC) with differential CPT 85025 · Inpatient or outpatient · Hospital (facility) fee In the file: NC CBC $50 $50 $42.50 – $52.50
Complete blood count (CBC) with differential: rates for 5 insurance plans
  • Blue Cross Blue Shield of North Dakota — All Plans: $42.50
  • Provider Network of America — All Plans: $47.50
  • Sanford Health Plan — All Plans: $47.50
  • United Healthcare — All Plans: $52.50
  • Veterans Affairs Community Care — All Plans: $52.50
Complete blood count (CBC), automated CPT 85027 · Inpatient or outpatient · Hospital (facility) fee In the file: NC CBC $41 $41 $34.85 – $43.05
Complete blood count (CBC), automated: rates for 5 insurance plans
  • Blue Cross Blue Shield of North Dakota — All Plans: $34.85
  • Provider Network of America — All Plans: $38.95
  • Sanford Health Plan — All Plans: $38.95
  • United Healthcare — All Plans: $43.05
  • Veterans Affairs Community Care — All Plans: $43.05
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient · Hospital (facility) fee In the file: NC PT $47 $47 $39.95 – $49.35
Blood clotting time test (prothrombin time, PT): rates for 5 insurance plans
  • Blue Cross Blue Shield of North Dakota — All Plans: $39.95
  • Provider Network of America — All Plans: $44.65
  • Sanford Health Plan — All Plans: $44.65
  • United Healthcare — All Plans: $49.35
  • Veterans Affairs Community Care — All Plans: $49.35
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient · Hospital (facility) fee In the file: NC PTT - R $47 $47 $39.95 – $49.35
Blood clotting test (partial thromboplastin time, PTT): rates for 5 insurance plans
  • Blue Cross Blue Shield of North Dakota — All Plans: $39.95
  • Provider Network of America — All Plans: $44.65
  • Sanford Health Plan — All Plans: $44.65
  • United Healthcare — All Plans: $49.35
  • Veterans Affairs Community Care — All Plans: $49.35

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

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
CT scan of the head or brain, without contrast CPT 70450 · Inpatient or outpatient · Hospital (facility) fee In the file: HC CT BRAIN W/O CONTRAST $911 $911 $774.35 – $956.55
CT scan of the head or brain, without contrast: rates for 5 insurance plans
  • Blue Cross Blue Shield of North Dakota — All Plans: $774.35
  • Provider Network of America — All Plans: $865.45
  • Sanford Health Plan — All Plans: $865.45
  • United Healthcare — All Plans: $956.55
  • Veterans Affairs Community Care — All Plans: $956.55
CT scan of the head or brain, without contrast CPT 70450 · Inpatient or outpatient · Hospital (facility) fee · modifier 26 In the file: CHG CT HEAD/BRAIN W/O CONTRAST MATERIAL $113 $113 Not listed in the file
MRI of the brain, before and after contrast CPT 70553 · Inpatient or outpatient · Hospital (facility) fee In the file: HC MRI-BRAIN W/WO DYE $1,957 $1,957 $1,663.45 – $2,054.85
MRI of the brain, before and after contrast: rates for 5 insurance plans
  • Blue Cross Blue Shield of North Dakota — All Plans: $1,663.45
  • Provider Network of America — All Plans: $1,859.15
  • Sanford Health Plan — All Plans: $1,859.15
  • United Healthcare — All Plans: $2,054.85
  • Veterans Affairs Community Care — All Plans: $2,054.85
MRI of the brain, before and after contrast CPT 70553 · Inpatient or outpatient · Hospital (facility) fee · modifier 26 In the file: CHG MRI BRAIN BRAIN STEM W/O W/CONTRAST MATERIAL $278 $278 Not listed in the file
Chest X-ray, 2 views CPT 71046 · Inpatient or outpatient · Hospital (facility) fee In the file: HC XRAY CHEST 2 VIEWS $159 $159 $135.15 – $166.95
Chest X-ray, 2 views: rates for 5 insurance plans
  • Blue Cross Blue Shield of North Dakota — All Plans: $135.15
  • Provider Network of America — All Plans: $151.05
  • Sanford Health Plan — All Plans: $151.05
  • United Healthcare — All Plans: $166.95
  • Veterans Affairs Community Care — All Plans: $166.95
Chest X-ray, 2 views CPT 71046 · Inpatient or outpatient · Hospital (facility) fee · modifier 26 In the file: CHG RADIOLOGIC EXAM CHEST 2 VIEWS $29 $29 Not listed in the file
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient or outpatient · Hospital (facility) fee In the file: HC LUMBAR SPINE COM $269 $269 $228.65 – $282.45
X-ray of the lower spine, at least 4 views: rates for 5 insurance plans
  • Blue Cross Blue Shield of North Dakota — All Plans: $228.65
  • Provider Network of America — All Plans: $255.55
  • Sanford Health Plan — All Plans: $255.55
  • United Healthcare — All Plans: $282.45
  • Veterans Affairs Community Care — All Plans: $282.45
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient or outpatient · Hospital (facility) fee · modifier 26 In the file: CHG RADEX SPINE LUMBOSACRAL MINIMUM 4 VIEWS $42 $42 Not listed in the file
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient or outpatient · Hospital (facility) fee In the file: HC MRI-L-SPINE W/O DYE $1,110 $1,110 $943.50 – $1,165.50
MRI of the lower back (lumbar spine), without contrast: rates for 5 insurance plans
  • Blue Cross Blue Shield of North Dakota — All Plans: $943.50
  • Provider Network of America — All Plans: $1,054.50
  • Sanford Health Plan — All Plans: $1,054.50
  • United Healthcare — All Plans: $1,165.50
  • Veterans Affairs Community Care — All Plans: $1,165.50
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient or outpatient · Hospital (facility) fee · modifier 26 In the file: CHG MRI SPINAL CANAL LUMBAR W/O CONTRAST MATERIAL $198 $198 Not listed in the file
CT scan of the pelvis, with contrast CPT 72193 · Inpatient or outpatient · Hospital (facility) fee In the file: HC CT PELVIS W/DYE $1,090 $1,090 $926.50 – $1,144.50
CT scan of the pelvis, with contrast: rates for 5 insurance plans
  • Blue Cross Blue Shield of North Dakota — All Plans: $926.50
  • Provider Network of America — All Plans: $1,035.50
  • Sanford Health Plan — All Plans: $1,035.50
  • United Healthcare — All Plans: $1,144.50
  • Veterans Affairs Community Care — All Plans: $1,144.50
CT scan of the pelvis, with contrast CPT 72193 · Inpatient or outpatient · Hospital (facility) fee · modifier 26 In the file: CHG CT PELVIS W/CONTRAST MATERIAL $155 $155 Not listed in the file
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient · Hospital (facility) fee In the file: HC MRI-LOWER EXT JOINT W/O DYE $1,259 $1,259 $1,070.15 – $1,321.95
MRI of a leg joint (such as the knee), without contrast: rates for 5 insurance plans
  • Blue Cross Blue Shield of North Dakota — All Plans: $1,070.15
  • Provider Network of America — All Plans: $1,196.05
  • Sanford Health Plan — All Plans: $1,196.05
  • United Healthcare — All Plans: $1,321.95
  • Veterans Affairs Community Care — All Plans: $1,321.95
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient · Hospital (facility) fee · modifier 26 In the file: CHG MRI ANY JT LOWER EXTREM W/O CONTRAST MATRL $180 $180 Not listed in the file
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient or outpatient · Hospital (facility) fee In the file: HC CT ABD/PELVIS W/CONTRAST $1,854 $1,854 $1,575.90 – $1,946.70
CT scan of the abdomen and pelvis, with contrast: rates for 5 insurance plans
  • Blue Cross Blue Shield of North Dakota — All Plans: $1,575.90
  • Provider Network of America — All Plans: $1,761.30
  • Sanford Health Plan — All Plans: $1,761.30
  • United Healthcare — All Plans: $1,946.70
  • Veterans Affairs Community Care — All Plans: $1,946.70
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient or outpatient · Hospital (facility) fee · modifier 26 In the file: CHG CT ABDOMEN & PELVIS W/CONTRAST MATERIAL $232 $232 Not listed in the file
Ultrasound of the abdomen, complete CPT 76700 · Inpatient or outpatient · Hospital (facility) fee In the file: HC US EXAM ABDOMEN COMPLETE $366 $366 $311.10 – $384.30
Ultrasound of the abdomen, complete: rates for 5 insurance plans
  • Blue Cross Blue Shield of North Dakota — All Plans: $311.10
  • Provider Network of America — All Plans: $347.70
  • Sanford Health Plan — All Plans: $347.70
  • United Healthcare — All Plans: $384.30
  • Veterans Affairs Community Care — All Plans: $384.30
Ultrasound of the abdomen, complete CPT 76700 · Inpatient or outpatient · Hospital (facility) fee · modifier 26 In the file: CHG US ABDOMINAL REAL TIME W/IMAGE DOCUMENTATION $107 $107 Not listed in the file
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient or outpatient · Hospital (facility) fee In the file: HC US PREGNANCY >=14WKS SNGL FETUS $374 $374 $317.90 – $392.70
Pregnancy ultrasound (after the first trimester): rates for 5 insurance plans
  • Blue Cross Blue Shield of North Dakota — All Plans: $317.90
  • Provider Network of America — All Plans: $355.30
  • Sanford Health Plan — All Plans: $355.30
  • United Healthcare — All Plans: $392.70
  • Veterans Affairs Community Care — All Plans: $392.70
Transvaginal ultrasound CPT 76830 · Inpatient or outpatient · Hospital (facility) fee In the file: HC US TRANSVAGINAL $412 $412 $350.20 – $432.60
Transvaginal ultrasound: rates for 5 insurance plans
  • Blue Cross Blue Shield of North Dakota — All Plans: $350.20
  • Provider Network of America — All Plans: $391.40
  • Sanford Health Plan — All Plans: $391.40
  • United Healthcare — All Plans: $432.60
  • Veterans Affairs Community Care — All Plans: $432.60
Transvaginal ultrasound CPT 76830 · Inpatient or outpatient · Hospital (facility) fee · modifier 26 In the file: CHG US TRANSVAGINAL $113 $113 Not listed in the file
Diagnostic mammogram, one breast CPT 77065 · Inpatient or outpatient · Hospital (facility) fee In the file: HC DIAGNOSTIC MAMMO CAD UNILATERAL $319 $319 $271.15 – $334.95
Diagnostic mammogram, one breast: rates for 5 insurance plans
  • Blue Cross Blue Shield of North Dakota — All Plans: $271.15
  • Provider Network of America — All Plans: $303.05
  • Sanford Health Plan — All Plans: $303.05
  • United Healthcare — All Plans: $334.95
  • Veterans Affairs Community Care — All Plans: $334.95
Diagnostic mammogram, one breast CPT 77065 · Inpatient or outpatient · Hospital (facility) fee · modifier 26 In the file: CHG DIAGNOSTIC MAMMOGRAPHY COMPUTER-AIDED DETCJ UNI $108 $108 Not listed in the file
Diagnostic mammogram, both breasts CPT 77066 · Inpatient or outpatient · Hospital (facility) fee In the file: HC DIAGNOSTIC MAMMO CAD BILATERAL $412 $412 $350.20 – $432.60
Diagnostic mammogram, both breasts: rates for 5 insurance plans
  • Blue Cross Blue Shield of North Dakota — All Plans: $350.20
  • Provider Network of America — All Plans: $391.40
  • Sanford Health Plan — All Plans: $391.40
  • United Healthcare — All Plans: $432.60
  • Veterans Affairs Community Care — All Plans: $432.60
Diagnostic mammogram, both breasts CPT 77066 · Inpatient or outpatient · Hospital (facility) fee · modifier 26 In the file: CHG DIAGNOSTIC MAMMOGRAPHY COMPUTER-AIDED DETCJ BI $133 $133 Not listed in the file
Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient · Hospital (facility) fee In the file: HC SCREENING MAMMO CAD BILATERAL $397 $397 $337.45 – $416.85
Screening mammogram, both breasts: rates for 5 insurance plans
  • Blue Cross Blue Shield of North Dakota — All Plans: $337.45
  • Provider Network of America — All Plans: $377.15
  • Sanford Health Plan — All Plans: $377.15
  • United Healthcare — All Plans: $416.85
  • Veterans Affairs Community Care — All Plans: $416.85
Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient · Hospital (facility) fee · modifier 26 In the file: CHG SCREENING MAMMOGRAPHY BI 2-VIEW BREAST INC CAD $101 $101 Not listed in the file

Heart tests and sleep study

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Electrocardiogram (ECG/EKG) with reading CPT 93000 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ELECTROCARDIOGRAM COMPLETE Not listed in the file Not listed in the file Not listed in the file
Electrocardiogram (ECG/EKG) with reading: rates for 5 insurance plans
  • Blue Cross Blue Shield of North Dakota — All Plans: 85% (a percentage in the contract, not a dollar amount)
  • Provider Network of America — All Plans: 95% (a percentage in the contract, not a dollar amount)
  • Sanford Health Plan — All Plans: 95% (a percentage in the contract, not a dollar amount)
  • United Healthcare — All Plans: 105% (a percentage in the contract, not a dollar amount)
  • Veterans Affairs Community Care — All Plans: 105% (a percentage in the contract, not a dollar amount)
Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LEFT HRT CATH W/VENTRCLGRPHY Not listed in the file Not listed in the file Not listed in the file
Left heart catheterization (diagnostic): rates for 5 insurance plans
  • Blue Cross Blue Shield of North Dakota — All Plans: 85% (a percentage in the contract, not a dollar amount)
  • Provider Network of America — All Plans: 95% (a percentage in the contract, not a dollar amount)
  • Sanford Health Plan — All Plans: 95% (a percentage in the contract, not a dollar amount)
  • United Healthcare — All Plans: 105% (a percentage in the contract, not a dollar amount)
  • Veterans Affairs Community Care — All Plans: 105% (a percentage in the contract, not a dollar amount)
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ELECTROPHYSIOLOGY EVALUATION Not listed in the file Not listed in the file Not listed in the file
Heart rhythm study (electrophysiology evaluation): rates for 5 insurance plans
  • Blue Cross Blue Shield of North Dakota — All Plans: 85% (a percentage in the contract, not a dollar amount)
  • Provider Network of America — All Plans: 95% (a percentage in the contract, not a dollar amount)
  • Sanford Health Plan — All Plans: 95% (a percentage in the contract, not a dollar amount)
  • United Healthcare — All Plans: 105% (a percentage in the contract, not a dollar amount)
  • Veterans Affairs Community Care — All Plans: 105% (a percentage in the contract, not a dollar amount)
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPRE EP EVAL ABLTJ ATR FIB Not listed in the file Not listed in the file Not listed in the file
Heart rhythm study with ablation for atrial fibrillation: rates for 5 insurance plans
  • Blue Cross Blue Shield of North Dakota — All Plans: 85% (a percentage in the contract, not a dollar amount)
  • Provider Network of America — All Plans: 95% (a percentage in the contract, not a dollar amount)
  • Sanford Health Plan — All Plans: 95% (a percentage in the contract, not a dollar amount)
  • United Healthcare — All Plans: 105% (a percentage in the contract, not a dollar amount)
  • Veterans Affairs Community Care — All Plans: 105% (a percentage in the contract, not a dollar amount)
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient or outpatient · Hospital (facility) fee In the file: HC POLYSOMNOGRAM;SLEEP STG;4+ $2,007 $2,007 $1,705.95 – $2,107.35
Sleep study (overnight, in a sleep lab): rates for 5 insurance plans
  • Blue Cross Blue Shield of North Dakota — All Plans: $1,705.95
  • Provider Network of America — All Plans: $1,906.65
  • Sanford Health Plan — All Plans: $1,906.65
  • United Healthcare — All Plans: $2,107.35
  • Veterans Affairs Community Care — All Plans: $2,107.35

Physical therapy and mental health

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient · Hospital (facility) fee In the file: HC THERAP EX 15MIN $83 $83 $70.55 – $87.15
Physical therapy: therapeutic exercise (each 15 minutes): rates for 5 insurance plans
  • Blue Cross Blue Shield of North Dakota — All Plans: $70.55
  • Provider Network of America — All Plans: $78.85
  • Sanford Health Plan — All Plans: $78.85
  • United Healthcare — All Plans: $87.15
  • Veterans Affairs Community Care — All Plans: $87.15
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient or outpatient · Hospital (facility) fee In the file: HC PT EVAL LOW COMPLEX 20 MIN $227 $227 $192.95 – $238.35
Physical therapy evaluation (low complexity): rates for 5 insurance plans
  • Blue Cross Blue Shield of North Dakota — All Plans: $192.95
  • Provider Network of America — All Plans: $215.65
  • Sanford Health Plan — All Plans: $215.65
  • United Healthcare — All Plans: $238.35
  • Veterans Affairs Community Care — All Plans: $238.35
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient or outpatient · Hospital (facility) fee In the file: HC PT EVAL MOD COMPLEX 30 MIN $227 $227 $192.95 – $238.35
Physical therapy evaluation (moderate complexity): rates for 5 insurance plans
  • Blue Cross Blue Shield of North Dakota — All Plans: $192.95
  • Provider Network of America — All Plans: $215.65
  • Sanford Health Plan — All Plans: $215.65
  • United Healthcare — All Plans: $238.35
  • Veterans Affairs Community Care — All Plans: $238.35
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient or outpatient · Hospital (facility) fee In the file: HC PT EVAL HIGH COMPLEX 45 MIN $227 $227 $192.95 – $238.35
Physical therapy evaluation (high complexity): rates for 5 insurance plans
  • Blue Cross Blue Shield of North Dakota — All Plans: $192.95
  • Provider Network of America — All Plans: $215.65
  • Sanford Health Plan — All Plans: $215.65
  • United Healthcare — All Plans: $238.35
  • Veterans Affairs Community Care — All Plans: $238.35
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSYTX W PT 30 MINUTES Not listed in the file Not listed in the file Not listed in the file
Psychotherapy, 30 minutes: rates for 5 insurance plans
  • Blue Cross Blue Shield of North Dakota — All Plans: 85% (a percentage in the contract, not a dollar amount)
  • Provider Network of America — All Plans: 95% (a percentage in the contract, not a dollar amount)
  • Sanford Health Plan — All Plans: 95% (a percentage in the contract, not a dollar amount)
  • United Healthcare — All Plans: 105% (a percentage in the contract, not a dollar amount)
  • Veterans Affairs Community Care — All Plans: 105% (a percentage in the contract, not a dollar amount)
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSYTX W PT 45 MINUTES Not listed in the file Not listed in the file Not listed in the file
Psychotherapy, 45 minutes: rates for 5 insurance plans
  • Blue Cross Blue Shield of North Dakota — All Plans: 85% (a percentage in the contract, not a dollar amount)
  • Provider Network of America — All Plans: 95% (a percentage in the contract, not a dollar amount)
  • Sanford Health Plan — All Plans: 95% (a percentage in the contract, not a dollar amount)
  • United Healthcare — All Plans: 105% (a percentage in the contract, not a dollar amount)
  • Veterans Affairs Community Care — All Plans: 105% (a percentage in the contract, not a dollar amount)
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSYTX W PT 60 MINUTES Not listed in the file Not listed in the file Not listed in the file
Psychotherapy, 60 minutes: rates for 5 insurance plans
  • Blue Cross Blue Shield of North Dakota — All Plans: 85% (a percentage in the contract, not a dollar amount)
  • Provider Network of America — All Plans: 95% (a percentage in the contract, not a dollar amount)
  • Sanford Health Plan — All Plans: 95% (a percentage in the contract, not a dollar amount)
  • United Healthcare — All Plans: 105% (a percentage in the contract, not a dollar amount)
  • Veterans Affairs Community Care — All Plans: 105% (a percentage in the contract, not a dollar amount)
Family psychotherapy, without the patient CPT 90846 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: FAMILY PSYTX W/O PT 50 MIN Not listed in the file Not listed in the file Not listed in the file
Family psychotherapy, without the patient: rates for 5 insurance plans
  • Blue Cross Blue Shield of North Dakota — All Plans: 85% (a percentage in the contract, not a dollar amount)
  • Provider Network of America — All Plans: 95% (a percentage in the contract, not a dollar amount)
  • Sanford Health Plan — All Plans: 95% (a percentage in the contract, not a dollar amount)
  • United Healthcare — All Plans: 105% (a percentage in the contract, not a dollar amount)
  • Veterans Affairs Community Care — All Plans: 105% (a percentage in the contract, not a dollar amount)
Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: FAMILY PSYTX W/PT 50 MIN Not listed in the file Not listed in the file Not listed in the file
Family psychotherapy, with the patient: rates for 5 insurance plans
  • Blue Cross Blue Shield of North Dakota — All Plans: 85% (a percentage in the contract, not a dollar amount)
  • Provider Network of America — All Plans: 95% (a percentage in the contract, not a dollar amount)
  • Sanford Health Plan — All Plans: 95% (a percentage in the contract, not a dollar amount)
  • United Healthcare — All Plans: 105% (a percentage in the contract, not a dollar amount)
  • Veterans Affairs Community Care — All Plans: 105% (a percentage in the contract, not a dollar amount)
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: GROUP PSYCHOTHERAPY Not listed in the file Not listed in the file Not listed in the file
Group psychotherapy: rates for 5 insurance plans
  • Blue Cross Blue Shield of North Dakota — All Plans: 85% (a percentage in the contract, not a dollar amount)
  • Provider Network of America — All Plans: 95% (a percentage in the contract, not a dollar amount)
  • Sanford Health Plan — All Plans: 95% (a percentage in the contract, not a dollar amount)
  • United Healthcare — All Plans: 105% (a percentage in the contract, not a dollar amount)
  • Veterans Affairs Community Care — All Plans: 105% (a percentage in the contract, not a dollar amount)

Procedures and surgery

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Removal of breast growth (open surgery) CPT 19120 · Inpatient or outpatient · Hospital (facility) fee In the file: PR EXC CYST/ABERRANT BREAST TISSUE OPEN 1/> LESION $1,070 $1,070 $909.50 – $1,123.50
Removal of breast growth (open surgery): rates for 5 insurance plans
  • Blue Cross Blue Shield of North Dakota — All Plans: $909.50
  • Provider Network of America — All Plans: $1,016.50
  • Sanford Health Plan — All Plans: $1,016.50
  • United Healthcare — All Plans: $1,123.50
  • Veterans Affairs Community Care — All Plans: $1,123.50
Total hip replacement CPT 27130 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: TOTAL HIP ARTHROPLASTY Not listed in the file Not listed in the file Not listed in the file
Total hip replacement: rates for 5 insurance plans
  • Blue Cross Blue Shield of North Dakota — All Plans: 85% (a percentage in the contract, not a dollar amount)
  • Provider Network of America — All Plans: 95% (a percentage in the contract, not a dollar amount)
  • Sanford Health Plan — All Plans: 95% (a percentage in the contract, not a dollar amount)
  • United Healthcare — All Plans: 105% (a percentage in the contract, not a dollar amount)
  • Veterans Affairs Community Care — All Plans: 105% (a percentage in the contract, not a dollar amount)
Total knee replacement CPT 27447 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: TOTAL KNEE ARTHROPLASTY Not listed in the file Not listed in the file Not listed in the file
Total knee replacement: rates for 5 insurance plans
  • Blue Cross Blue Shield of North Dakota — All Plans: 85% (a percentage in the contract, not a dollar amount)
  • Provider Network of America — All Plans: 95% (a percentage in the contract, not a dollar amount)
  • Sanford Health Plan — All Plans: 95% (a percentage in the contract, not a dollar amount)
  • United Healthcare — All Plans: 105% (a percentage in the contract, not a dollar amount)
  • Veterans Affairs Community Care — All Plans: 105% (a percentage in the contract, not a dollar amount)
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: SHO ARTHRS SRG DECOMPRESSION Not listed in the file Not listed in the file Not listed in the file
Shoulder arthroscopy: shaving of shoulder bone: rates for 5 insurance plans
  • Blue Cross Blue Shield of North Dakota — All Plans: 85% (a percentage in the contract, not a dollar amount)
  • Provider Network of America — All Plans: 95% (a percentage in the contract, not a dollar amount)
  • Sanford Health Plan — All Plans: 95% (a percentage in the contract, not a dollar amount)
  • United Healthcare — All Plans: 105% (a percentage in the contract, not a dollar amount)
  • Veterans Affairs Community Care — All Plans: 105% (a percentage in the contract, not a dollar amount)
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: KNEE ARTHROSCOPY/SURGERY Not listed in the file Not listed in the file Not listed in the file
Knee arthroscopy: removal of torn cartilage (meniscus): rates for 5 insurance plans
  • Blue Cross Blue Shield of North Dakota — All Plans: 85% (a percentage in the contract, not a dollar amount)
  • Provider Network of America — All Plans: 95% (a percentage in the contract, not a dollar amount)
  • Sanford Health Plan — All Plans: 95% (a percentage in the contract, not a dollar amount)
  • United Healthcare — All Plans: 105% (a percentage in the contract, not a dollar amount)
  • Veterans Affairs Community Care — All Plans: 105% (a percentage in the contract, not a dollar amount)
Removal of tonsils and adenoids (under age 12) CPT 42820 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: REMOVE TONSILS AND ADENOIDS Not listed in the file Not listed in the file Not listed in the file
Removal of tonsils and adenoids (under age 12): rates for 5 insurance plans
  • Blue Cross Blue Shield of North Dakota — All Plans: 85% (a percentage in the contract, not a dollar amount)
  • Provider Network of America — All Plans: 95% (a percentage in the contract, not a dollar amount)
  • Sanford Health Plan — All Plans: 95% (a percentage in the contract, not a dollar amount)
  • United Healthcare — All Plans: 105% (a percentage in the contract, not a dollar amount)
  • Veterans Affairs Community Care — All Plans: 105% (a percentage in the contract, not a dollar amount)
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EGD DIAGNOSTIC BRUSH WASH Not listed in the file Not listed in the file Not listed in the file
Upper GI endoscopy (diagnostic): rates for 5 insurance plans
  • Blue Cross Blue Shield of North Dakota — All Plans: 85% (a percentage in the contract, not a dollar amount)
  • Provider Network of America — All Plans: 95% (a percentage in the contract, not a dollar amount)
  • Sanford Health Plan — All Plans: 95% (a percentage in the contract, not a dollar amount)
  • United Healthcare — All Plans: 105% (a percentage in the contract, not a dollar amount)
  • Veterans Affairs Community Care — All Plans: 105% (a percentage in the contract, not a dollar amount)
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EGD BIOPSY SINGLE/MULTIPLE Not listed in the file Not listed in the file Not listed in the file
Upper GI endoscopy with biopsy: rates for 5 insurance plans
  • Blue Cross Blue Shield of North Dakota — All Plans: 85% (a percentage in the contract, not a dollar amount)
  • Provider Network of America — All Plans: 95% (a percentage in the contract, not a dollar amount)
  • Sanford Health Plan — All Plans: 95% (a percentage in the contract, not a dollar amount)
  • United Healthcare — All Plans: 105% (a percentage in the contract, not a dollar amount)
  • Veterans Affairs Community Care — All Plans: 105% (a percentage in the contract, not a dollar amount)
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: DIAGNOSTIC COLONOSCOPY Not listed in the file Not listed in the file Not listed in the file
Colonoscopy (diagnostic): rates for 5 insurance plans
  • Blue Cross Blue Shield of North Dakota — All Plans: 85% (a percentage in the contract, not a dollar amount)
  • Provider Network of America — All Plans: 95% (a percentage in the contract, not a dollar amount)
  • Sanford Health Plan — All Plans: 95% (a percentage in the contract, not a dollar amount)
  • United Healthcare — All Plans: 105% (a percentage in the contract, not a dollar amount)
  • Veterans Affairs Community Care — All Plans: 105% (a percentage in the contract, not a dollar amount)
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLONOSCOPY AND BIOPSY Not listed in the file Not listed in the file Not listed in the file
Colonoscopy with biopsy: rates for 5 insurance plans
  • Blue Cross Blue Shield of North Dakota — All Plans: 85% (a percentage in the contract, not a dollar amount)
  • Provider Network of America — All Plans: 95% (a percentage in the contract, not a dollar amount)
  • Sanford Health Plan — All Plans: 95% (a percentage in the contract, not a dollar amount)
  • United Healthcare — All Plans: 105% (a percentage in the contract, not a dollar amount)
  • Veterans Affairs Community Care — All Plans: 105% (a percentage in the contract, not a dollar amount)
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLONOSCOPY W/LESION REMOVAL Not listed in the file Not listed in the file Not listed in the file
Colonoscopy with removal of polyps (snare): rates for 5 insurance plans
  • Blue Cross Blue Shield of North Dakota — All Plans: 85% (a percentage in the contract, not a dollar amount)
  • Provider Network of America — All Plans: 95% (a percentage in the contract, not a dollar amount)
  • Sanford Health Plan — All Plans: 95% (a percentage in the contract, not a dollar amount)
  • United Healthcare — All Plans: 105% (a percentage in the contract, not a dollar amount)
  • Veterans Affairs Community Care — All Plans: 105% (a percentage in the contract, not a dollar amount)
Ultrasound of the lower bowel by endoscope CPT 45391 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLONOSCOPY W/ENDOSCOPE US Not listed in the file Not listed in the file Not listed in the file
Ultrasound of the lower bowel by endoscope: rates for 5 insurance plans
  • Blue Cross Blue Shield of North Dakota — All Plans: 85% (a percentage in the contract, not a dollar amount)
  • Provider Network of America — All Plans: 95% (a percentage in the contract, not a dollar amount)
  • Sanford Health Plan — All Plans: 95% (a percentage in the contract, not a dollar amount)
  • United Healthcare — All Plans: 105% (a percentage in the contract, not a dollar amount)
  • Veterans Affairs Community Care — All Plans: 105% (a percentage in the contract, not a dollar amount)
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLON CA SCRN NOT HI RSK IND Not listed in the file Not listed in the file Not listed in the file
Screening colonoscopy (not high risk): rates for 5 insurance plans
  • Blue Cross Blue Shield of North Dakota — All Plans: 85% (a percentage in the contract, not a dollar amount)
  • Provider Network of America — All Plans: 95% (a percentage in the contract, not a dollar amount)
  • Sanford Health Plan — All Plans: 95% (a percentage in the contract, not a dollar amount)
  • United Healthcare — All Plans: 105% (a percentage in the contract, not a dollar amount)
  • Veterans Affairs Community Care — All Plans: 105% (a percentage in the contract, not a dollar amount)
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LAPAROSCOPIC CHOLECYSTECTOMY Not listed in the file Not listed in the file Not listed in the file
Gallbladder removal by laparoscope: rates for 5 insurance plans
  • Blue Cross Blue Shield of North Dakota — All Plans: 85% (a percentage in the contract, not a dollar amount)
  • Provider Network of America — All Plans: 95% (a percentage in the contract, not a dollar amount)
  • Sanford Health Plan — All Plans: 95% (a percentage in the contract, not a dollar amount)
  • United Healthcare — All Plans: 105% (a percentage in the contract, not a dollar amount)
  • Veterans Affairs Community Care — All Plans: 105% (a percentage in the contract, not a dollar amount)
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PRP I/HERN INIT REDUC >5 YR Not listed in the file Not listed in the file Not listed in the file
Groin (inguinal) hernia repair, age 5 or older: rates for 5 insurance plans
  • Blue Cross Blue Shield of North Dakota — All Plans: 85% (a percentage in the contract, not a dollar amount)
  • Provider Network of America — All Plans: 95% (a percentage in the contract, not a dollar amount)
  • Sanford Health Plan — All Plans: 95% (a percentage in the contract, not a dollar amount)
  • United Healthcare — All Plans: 105% (a percentage in the contract, not a dollar amount)
  • Veterans Affairs Community Care — All Plans: 105% (a percentage in the contract, not a dollar amount)
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BIOPSY OF PROSTATE Not listed in the file Not listed in the file Not listed in the file
Prostate biopsy: rates for 5 insurance plans
  • Blue Cross Blue Shield of North Dakota — All Plans: 85% (a percentage in the contract, not a dollar amount)
  • Provider Network of America — All Plans: 95% (a percentage in the contract, not a dollar amount)
  • Sanford Health Plan — All Plans: 95% (a percentage in the contract, not a dollar amount)
  • United Healthcare — All Plans: 105% (a percentage in the contract, not a dollar amount)
  • Veterans Affairs Community Care — All Plans: 105% (a percentage in the contract, not a dollar amount)
Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LAPS SURG PRST8ECT RPBIC RAD Not listed in the file Not listed in the file Not listed in the file
Prostate removal by laparoscope (radical prostatectomy): rates for 5 insurance plans
  • Blue Cross Blue Shield of North Dakota — All Plans: 85% (a percentage in the contract, not a dollar amount)
  • Provider Network of America — All Plans: 95% (a percentage in the contract, not a dollar amount)
  • Sanford Health Plan — All Plans: 95% (a percentage in the contract, not a dollar amount)
  • United Healthcare — All Plans: 105% (a percentage in the contract, not a dollar amount)
  • Veterans Affairs Community Care — All Plans: 105% (a percentage in the contract, not a dollar amount)
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HYSTEROSCOPY BIOPSY Not listed in the file Not listed in the file Not listed in the file
Hysteroscopy with biopsy of the uterus lining: rates for 5 insurance plans
  • Blue Cross Blue Shield of North Dakota — All Plans: 85% (a percentage in the contract, not a dollar amount)
  • Provider Network of America — All Plans: 95% (a percentage in the contract, not a dollar amount)
  • Sanford Health Plan — All Plans: 95% (a percentage in the contract, not a dollar amount)
  • United Healthcare — All Plans: 105% (a percentage in the contract, not a dollar amount)
  • Veterans Affairs Community Care — All Plans: 105% (a percentage in the contract, not a dollar amount)
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: NJX INTERLAMINAR LMBR/SAC Not listed in the file Not listed in the file Not listed in the file
Spinal injection, lower back (epidural), with imaging guidance: rates for 5 insurance plans
  • Blue Cross Blue Shield of North Dakota — All Plans: 85% (a percentage in the contract, not a dollar amount)
  • Provider Network of America — All Plans: 95% (a percentage in the contract, not a dollar amount)
  • Sanford Health Plan — All Plans: 95% (a percentage in the contract, not a dollar amount)
  • United Healthcare — All Plans: 105% (a percentage in the contract, not a dollar amount)
  • Veterans Affairs Community Care — All Plans: 105% (a percentage in the contract, not a dollar amount)
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: NJX AA&/STRD TFRM EPI L/S 1 Not listed in the file Not listed in the file Not listed in the file
Nerve root injection, lower back, with imaging guidance: rates for 5 insurance plans
  • Blue Cross Blue Shield of North Dakota — All Plans: 85% (a percentage in the contract, not a dollar amount)
  • Provider Network of America — All Plans: 95% (a percentage in the contract, not a dollar amount)
  • Sanford Health Plan — All Plans: 95% (a percentage in the contract, not a dollar amount)
  • United Healthcare — All Plans: 105% (a percentage in the contract, not a dollar amount)
  • Veterans Affairs Community Care — All Plans: 105% (a percentage in the contract, not a dollar amount)
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CARPAL TUNNEL SURGERY Not listed in the file Not listed in the file Not listed in the file
Carpal tunnel release: rates for 5 insurance plans
  • Blue Cross Blue Shield of North Dakota — All Plans: 85% (a percentage in the contract, not a dollar amount)
  • Provider Network of America — All Plans: 95% (a percentage in the contract, not a dollar amount)
  • Sanford Health Plan — All Plans: 95% (a percentage in the contract, not a dollar amount)
  • United Healthcare — All Plans: 105% (a percentage in the contract, not a dollar amount)
  • Veterans Affairs Community Care — All Plans: 105% (a percentage in the contract, not a dollar amount)
Laser treatment of clouding after cataract surgery CPT 66821 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: AFTER CATARACT LASER SURGERY Not listed in the file Not listed in the file Not listed in the file
Laser treatment of clouding after cataract surgery: rates for 5 insurance plans
  • Blue Cross Blue Shield of North Dakota — All Plans: 85% (a percentage in the contract, not a dollar amount)
  • Provider Network of America — All Plans: 95% (a percentage in the contract, not a dollar amount)
  • Sanford Health Plan — All Plans: 95% (a percentage in the contract, not a dollar amount)
  • United Healthcare — All Plans: 105% (a percentage in the contract, not a dollar amount)
  • Veterans Affairs Community Care — All Plans: 105% (a percentage in the contract, not a dollar amount)
Cataract removal with lens implant CPT 66984 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: XCAPSL CTRC RMVL W/O ECP Not listed in the file Not listed in the file Not listed in the file
Cataract removal with lens implant: rates for 5 insurance plans
  • Blue Cross Blue Shield of North Dakota — All Plans: 85% (a percentage in the contract, not a dollar amount)
  • Provider Network of America — All Plans: 95% (a percentage in the contract, not a dollar amount)
  • Sanford Health Plan — All Plans: 95% (a percentage in the contract, not a dollar amount)
  • United Healthcare — All Plans: 105% (a percentage in the contract, not a dollar amount)
  • Veterans Affairs Community Care — All Plans: 105% (a percentage in the contract, not a dollar amount)

Pregnancy and childbirth

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Vaginal delivery, with care before and after CPT 59400 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OBSTETRICAL CARE Not listed in the file Not listed in the file Not listed in the file
Vaginal delivery, with care before and after: rates for 5 insurance plans
  • Blue Cross Blue Shield of North Dakota — All Plans: 85% (a percentage in the contract, not a dollar amount)
  • Provider Network of America — All Plans: 95% (a percentage in the contract, not a dollar amount)
  • Sanford Health Plan — All Plans: 95% (a percentage in the contract, not a dollar amount)
  • United Healthcare — All Plans: 105% (a percentage in the contract, not a dollar amount)
  • Veterans Affairs Community Care — All Plans: 105% (a percentage in the contract, not a dollar amount)
Cesarean delivery (C-section), with care before and after CPT 59510 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CESAREAN DELIVERY Not listed in the file Not listed in the file Not listed in the file
Cesarean delivery (C-section), with care before and after: rates for 5 insurance plans
  • Blue Cross Blue Shield of North Dakota — All Plans: 85% (a percentage in the contract, not a dollar amount)
  • Provider Network of America — All Plans: 95% (a percentage in the contract, not a dollar amount)
  • Sanford Health Plan — All Plans: 95% (a percentage in the contract, not a dollar amount)
  • United Healthcare — All Plans: 105% (a percentage in the contract, not a dollar amount)
  • Veterans Affairs Community Care — All Plans: 105% (a percentage in the contract, not a dollar amount)
Vaginal delivery after a previous C-section, with care before and after CPT 59610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: VBAC DELIVERY Not listed in the file Not listed in the file Not listed in the file
Vaginal delivery after a previous C-section, with care before and after: rates for 5 insurance plans
  • Blue Cross Blue Shield of North Dakota — All Plans: 85% (a percentage in the contract, not a dollar amount)
  • Provider Network of America — All Plans: 95% (a percentage in the contract, not a dollar amount)
  • Sanford Health Plan — All Plans: 95% (a percentage in the contract, not a dollar amount)
  • United Healthcare — All Plans: 105% (a percentage in the contract, not a dollar amount)
  • Veterans Affairs Community Care — All Plans: 105% (a percentage in the contract, not a dollar amount)

Hospital stays (whole stay, MS-DRG)

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Heart valve or major heart-chest surgery with heart catheterization, with major complications MS-DRG 216 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC Not listed in the file Not listed in the file $5,350 – $5,995.25
Heart valve or major heart-chest surgery with heart catheterization, with major complications: rates for 5 insurance plans
  • Blue Cross Blue Shield of North Dakota — All Plans: $5,995.25
  • United Healthcare — All Plans: $5,350
  • Veterans Affairs Community Care — All Plans: $5,350
  • Provider Network of America — All Plans: 95% (a percentage in the contract, not a dollar amount)
  • Sanford Health Plan — All Plans: 95% (a percentage in the contract, not a dollar amount)
Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC Not listed in the file Not listed in the file $5,350 – $5,995.25
Hip or knee replacement (major joint of the leg), without major complications: rates for 5 insurance plans
  • Blue Cross Blue Shield of North Dakota — All Plans: $5,995.25
  • United Healthcare — All Plans: $5,350
  • Veterans Affairs Community Care — All Plans: $5,350
  • Provider Network of America — All Plans: 95% (a percentage in the contract, not a dollar amount)
  • Sanford Health Plan — All Plans: 95% (a percentage in the contract, not a dollar amount)
Neck (cervical) spinal fusion, without complications MS-DRG 473 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CERVICAL SPINAL FUSION WITHOUT CC/MCC Not listed in the file Not listed in the file $5,350 – $5,995.25
Neck (cervical) spinal fusion, without complications: rates for 5 insurance plans
  • Blue Cross Blue Shield of North Dakota — All Plans: $5,995.25
  • United Healthcare — All Plans: $5,350
  • Veterans Affairs Community Care — All Plans: $5,350
  • Provider Network of America — All Plans: 95% (a percentage in the contract, not a dollar amount)
  • Sanford Health Plan — All Plans: 95% (a percentage in the contract, not a dollar amount)
Uterus and ovary surgery (not for cancer), without complications MS-DRG 743 · Inpatient (hospital stay) · Hospital (facility) fee In the file: UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC Not listed in the file Not listed in the file $5,350 – $5,995.25
Uterus and ovary surgery (not for cancer), without complications: rates for 5 insurance plans
  • Blue Cross Blue Shield of North Dakota — All Plans: $5,995.25
  • United Healthcare — All Plans: $5,350
  • Veterans Affairs Community Care — All Plans: $5,350
  • Provider Network of America — All Plans: 95% (a percentage in the contract, not a dollar amount)
  • Sanford Health Plan — All Plans: 95% (a percentage in the contract, not a dollar amount)

Source: Nelson County Health System’s standard charges file (mrfs.hyvehealthcare.com, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on July 14, 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 typeRural Emergency Hospital
Address200 N Main St, McVille, ND 58254
CountyNelson County
StateNorth Dakota
Phone(701) 322‑4328
Emergency servicesYes
OwnershipVoluntary non-profit - Private
Medicare overall ratingNot rated by CMS
CMS Certification Number350779
Name in Medicare recordsNELSON COUNTY HEALTH SYSTEM
Profile levelMedicare data + hospital website
Name on the hospital’s websiteNelson County Health System (Nelson County Health Services Foundation)
Official websitenelsoncountyhealthsystem.org
CorrectionsReport an error or suggest an update →

Sources

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

From the hospital’s website

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

  1. Overview : Hospital : What We Do : Nelson County Health Services Foundation — nelsoncountyhealthsystem.org
  2. Emergency Services : Services : What We Do : Nelson County Health Services Foundation — nelsoncountyhealthsystem.org
  3. Radiology & Laboratory : Services : What We Do : Nelson County Health Services Foundation — nelsoncountyhealthsystem.org
  4. Rehabilitation : Services : What We Do : Nelson County Health Services Foundation — nelsoncountyhealthsystem.org
  5. Cardiac Rehabilitation : Services : What We Do : Nelson County Health Services Foundation — nelsoncountyhealthsystem.org
  6. Respiratory Therapy : Services : What We Do : Nelson County Health Services Foundation — nelsoncountyhealthsystem.org
  7. Sleep Studies : Services : What We Do : Nelson County Health Services Foundation — nelsoncountyhealthsystem.org
  8. Telemedicine : Services : What We Do : Nelson County Health Services Foundation — nelsoncountyhealthsystem.org
  9. Hospital Services : Hospital : What We Do : Nelson County Health Services Foundation — nelsoncountyhealthsystem.org