Does Pembina County Memorial Hospital have an emergency room?

Yes. Medicare (CMS) data lists emergency services at Pembina County Memorial Hospital. In a medical emergency, call 911.

Where is Pembina County Memorial Hospital?

Box 380, Cavalier, ND 58220, in Pembina County, North Dakota.

What is the phone number of Pembina County Memorial Hospital?

(701) 265-8461, as listed by Medicare (CMS).

What is the Medicare star rating of Pembina County Memorial Hospital?

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.

Pembina County Memorial Hospital — Phone & Address

Quick answers

Does Pembina County Memorial Hospital have an emergency room?: Yes. Medicare (CMS) data lists emergency services at Pembina County Memorial Hospital. In a medical emergency, call 911.
Where is Pembina County Memorial Hospital?: Box 380, Cavalier, ND 58220, in Pembina County, North Dakota.
What is the phone number of Pembina County Memorial Hospital?: (701) 265-8461, as listed by Medicare (CMS).
What is the Medicare star rating of Pembina County Memorial Hospital?: CMS does not show an overall star rating for this hospital. This is common, for example when a hospital reports too few quality measures or is not part of the rating program.

Specialties and care areas^{[4][5][6][11][12][15]}

Family medicine
Surgery
Radiology
Rehabilitation services
Physical therapy
Occupational therapy
Speech-language pathology
Laboratory
Nutrition and diabetes education
Infusion and chemotherapy

Conditions treated^{[6][10][11][16]}

Attention-deficit/hyperactivity disorder (ADHD)
Autism spectrum disorder
Developmental delay
Down syndrome
Torticollis
Sensory processing disorder
Parkinson's disease
Neurological disorders
Vestibular disorders
Lymphedema
Concussion
Sports injuries
Stroke rehabilitation
Traumatic brain injury
Swallowing disorders (dysphagia)
Carpal tunnel syndrome
Tennis elbow
Arthritis
Fractures
Burns and frostbite
Chronic pain
Heart attack
Angina
Heart failure
Obstructive sleep apnea
Diabetes

Treatments^{[4][5][6][8][9][12][15][16]}

Chemotherapy and infusion services
Cardiac rehabilitation
Nutrition services and diabetes education
Sleep apnea testing
Colonoscopy
Upper GI endoscopy
Skin lesion and lump removal
Hernia repair
Gallbladder removal (including laparoscopic)
IV infusion therapy
Biologic infusions
Central line care (ports, PICCs)
X-ray
CT scan
Ultrasound
Echocardiogram (3D/4D)
MRI (mobile service)
Digital mammography (3D, mobile)
HIDA scan
Bone density (DEXA)
Scoliosis exams
Holter monitoring
Zio patch monitoring
Drug screens
Polysomnogram (sleep study)
Physical therapy
Occupational therapy
Speech therapy
LSVT BIG therapy
Vestibular rehabilitation
Dry needling
Graston Technique
ASTYM treatment
Hand therapy
Custom splinting
Compression stockings fitting
Wound care
Cognitive retraining
Home safety evaluations
Wheelchair and positioning assessments

Programs and centers^{[6][10][11][14]}

Cardiac rehabilitation program
Diabetes Education Center
Bone Builders (free fitness class for adults 60+)
Care coordinator and discharge planning

Emergency care (hospital website)^[4][5][7]

Emergency room	Yes
Open 24/7	Yes

Doctors and clinicians (66)

66 doctors and other clinicians list Pembina County Memorial Hospital 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 42 more: the button below opens the full list.

Other emergency rooms nearby

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

First Care Health Center28 mi · Park River, ND · Critical Access Hospital
Cavalier County Memorial Hospital Association29 mi · Langdon, ND · Critical Access Hospital
Unity Medical Center31 mi · Grafton, ND · Critical Access Hospital
Kittson Healthcare37 mi · Hallock, MN · Critical Access Hospital
North Valley Health Center61 mi · Warren, MN · Critical Access Hospital

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

Other hospitals near Cavalier

Altru Hospital69 mi · Grand Forks, ND · Acute Care Hospital

Hospitals in Pembina 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

Wedgewood Manor5.0 mi · Cavalier, ND · 1 of 5 stars
Pembilier Nursing Center12 mi · Walhalla, ND · 5 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

Clinicare0.0 mi · Cavalier, ND · Rural health clinic
Walhalla Clinic11 mi · Walhalla, ND · Rural health clinic

Pharmacies

White Drug Co of Jamestown Inc0.0 mi · Cavalier, 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 Pembina County Memorial Hospital 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.

Rated the hospital 9 or 10 out of 10	83%National average: 72%
Would definitely recommend the hospital	93%National average: 71%
Nurses “always” communicated well	87%National average: 80%
Doctors “always” communicated well	84%National average: 80%
“Always” got help as soon as they wanted	62%National average: 64%
Staff “always” explained medicines before giving them	63%National average: 62%
Were given information about recovery at home	82%National average: 86%
Room and bathroom “always” clean	92%National average: 73%
Not reported to Medicare	Summary star rating (all survey topics); Overall rating of the hospital; Would recommend the hospital; Nurses communicated well; Doctors communicated well; Patients got help quickly from staff; Staff explained medicines; Information about recovery at home; Room and bathroom kept clean; Restfulness of Environment; Care Coordination; Symptoms After Stay
Completed surveys	27Response rate: 44%

Source: Patient survey (HCAHPS) - Hospital — CMS, released October 19, 2026; patients discharged January 2025 to December 2025.

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: pneumonia patients	15.9%
Not reported to Medicare	Deaths within 30 days: coronary bypass surgery (CABG); Serious complications (patient safety indicator PSI-90); Complications after hip or knee replacement
Too few cases to report	Deaths within 30 days: heart attack patients; Deaths within 30 days: heart failure patients; Deaths within 30 days: COPD patients; Deaths within 30 days: stroke patients

Source: Complications and Deaths - Hospital — CMS, released October 20, 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)	16.1%
Readmitted within 30 days: pneumonia	16.7%
Not reported to Medicare	Readmitted within 30 days: heart attack; Readmitted within 30 days: coronary bypass surgery; Readmitted within 30 days: hip or knee replacement
Too few cases to report	Readmitted within 30 days: heart failure; Readmitted within 30 days: COPD

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

Emergency room times and sepsis care

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

Emergency room volume (patients per year)	Low (under 20,000)
Average (median) time patients spent in the emergency room before leaving (OP-18b)	79 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)	0%National average: 2%
Not reported to Medicare	Sepsis patients who got all the recommended early care (SEP-1)

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

Not reported to Medicare: infections caught in the hospital. 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.

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 38 common services exactly as Pembina County Memorial Hospital 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 38 common services

Office and emergency visits

Service	Hospital charge	Cash price	Insurance 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	$236	$236	$233.76
New patient office visit (about 30–44 minutes): rates for 1 insurance plan SANFORD HEALTH PLAN - Medicare Part A — Medicare Advantage: $233.76
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	$375	$375	$151 – $269
New patient office visit (about 45–59 minutes): rates for 3 insurance plans BLUE CROSS BLUE SHIELD OF ND - Medicare Part A — Medicare Advantage: $269 ND DEPT OF HUMAN SERVICES, MEDIC - Medicare Part A — Medicare Advantage: $266.81 UNITED HEALTHCARE INSURANCE COMPANY - Medicare-HMO — Medicare Advantage: $151
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	$491	$491	$297.56
New patient office visit (about 60–74 minutes): rates for 2 insurance plans BLUE CROSS BLUE SHIELD OF ND - Medicare Part A — Medicare Advantage: $297.56 ND DEPT OF HUMAN SERVICES, MEDIC - Medicare Part A — Medicare Advantage: $297.56
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	$229	$229	$151 – $215.67
Established patient office visit (about 20–29 minutes): rates for 8 insurance plans AMERICAN CONTINENTAL INSU. - Medicare Part A — Medicare Advantage: $212.76 BLUE CROSS BLUE SHIELD OF ND - Medicare Part A — Medicare Advantage: $212.76 MEDICA, PART B ONLY - Medicare Part A — Medicare Advantage: $212.76 MUTUAL OF OMAHA - Medicare Part A — Medicare Advantage: $212.76 ND DEPT OF HUMAN SERVICES, MEDIC - Medicare Part A — Medicare Advantage: $212.76 NEXTBLUE OF NORTH DAKOTA - Commercial-PPO — Next Blue of ND: $215.67 SANFORD HEALTH PLAN - Medicare Part A — Medicare Advantage: $212.76 UNITED HEALTHCARE INSURANCE COMPANY - Medicare-HMO — Medicare Advantage: $151
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	$336	$336	$151 – $320
Established patient office visit (about 30–39 minutes): rates for 10 insurance plans AMERICAN CONTINENTAL INSU. - Medicare Part A — Medicare Advantage: $233.16 BLUE CROSS AND BLUE SHIELD OF MINNESOTA - Commercial-PPO — Blue Cross Blue Shield of MN: $205.51 BLUE CROSS BLUE SHIELD OF ND - Medicare Part A — Medicare Advantage: $233.16 MEDICA - Medicare-HMO — Medicare Advantage: $320 MEDICA, PART B ONLY - Medicare Part A — Medicare Advantage: $233.16 MUTUAL OF OMAHA - Medicare Part A — Medicare Advantage: $233.16 ND DEPT OF HUMAN SERVICES, MEDIC - Medicare Part A — Medicare Advantage: $233.16 NEXTBLUE OF NORTH DAKOTA - Commercial-PPO — Next Blue of ND: $215.67 SANFORD HEALTH PLAN - Medicare Part A — Medicare Advantage: $233.16 UNITED HEALTHCARE INSURANCE COMPANY - Medicare-HMO — Medicare Advantage: $151
Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient · Hospital (facility) fee In the file: HC ED LEVEL III	$516	$516	$279.87 – $491
Emergency room visit (moderate): 10 of 14 insurance plan rates AMERICAN CONTINENTAL INSU. - Medicare Part A — Medicare Advantage: $290.67 BLUE CROSS AND BLUE SHIELD OF MINNESOTA - Commercial-Indemni — Blue Cross Blue Shield of MN: $284.04 BLUE CROSS AND BLUE SHIELD OF MINNESOTA - Commercial-PPO — Blue Cross Blue Shield of MN: $284.04 BLUE CROSS BLUE SHIELD OF ND - Medicare Part A — Medicare Advantage: $290.67 BLUE CROSS BLUE SHIELD OF NORTH DAKOTA - Commercial-POS — Blue Cross Blue Shield of ND: $412.44 BLUE CROSS BLUE SHIELD OF NORTH DAKOTA - Commercial-PPO — Blue Cross Blue Shield of ND: $340.36 MEDICA - Commercial-HMO — Other Commercial: $491 MEDICA, PART B ONLY - Medicare Part A — Medicare Advantage: $290.67 MUTUAL OF OMAHA - Medicare Part A — Medicare Advantage: $290.67 ND DEPT OF HUMAN SERVICES, MEDIC - Medicare Part A — Medicare Advantage: $300.30
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR EMERGENCY DEPARTMENT VISIT LOW MDM	$200	$200	$62.57 – $75.58
Emergency room visit (moderate): rates for 7 insurance plans AMERICAN CONTINENTAL INSU. - Medicare Part A — Medicare Advantage: $73.62 BLUE CROSS BLUE SHIELD OF ND - Medicare Part A — Medicare Advantage: $73.62 MEDICA, PART B ONLY - Medicare Part A — Medicare Advantage: $73.62 MUTUAL OF OMAHA - Medicare Part A — Medicare Advantage: $62.57 ND DEPT OF HUMAN SERVICES, MEDIC - Medicare Part A — Medicare Advantage: $73.62 NEXTBLUE OF NORTH DAKOTA - Commercial-PPO — Next Blue of ND: $75.58 SANFORD HEALTH PLAN - Medicare Part A — Medicare Advantage: $73.62
Emergency room visit (moderately high) CPT 99284 · Inpatient or outpatient · Hospital (facility) fee In the file: HC ED LEVEL IV	$869	$869	$471.39 – $827
Emergency room visit (moderately high): 10 of 14 insurance plan rates AMERICAN CONTINENTAL INSU. - Medicare Part A — Medicare Advantage: $489.58 BLUE CROSS AND BLUE SHIELD OF MINNESOTA - Commercial-PPO — Blue Cross Blue Shield of MN: $478.41 BLUE CROSS BLUE SHIELD OF ND - Medicare Part A — Medicare Advantage: $489.58 BLUE CROSS BLUE SHIELD OF NORTH DAKOTA - Commercial-POS — Blue Cross Blue Shield of ND: $769.11 BLUE CROSS BLUE SHIELD OF NORTH DAKOTA - Commercial-PPO — Blue Cross Blue Shield of ND: $573.27 MEDICA - Commercial-HMO — Other Commercial: $785.65 MEDICA, PART B ONLY - Medicare Part A — Medicare Advantage: $489.58 MUTUAL OF OMAHA - Medicare Part A — Medicare Advantage: $489.58 ND DEPT OF HUMAN SERVICES, MEDIC - Medicare Part A — Medicare Advantage: $489.58 NEXTBLUE OF NORTH DAKOTA - Commercial-PPO — Next Blue of ND: $512.53
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR EMERGENCY DEPARTMENT VISIT MODERATE MDM	$362	$362	$106.51 – $129.42
Emergency room visit (moderately high): rates for 8 insurance plans AMERICAN CONTINENTAL INSU. - Medicare Part A — Medicare Advantage: $125.31 BLUE CROSS AND BLUE SHIELD OF MINNESOTA - Commercial-PPO — Blue Cross Blue Shield of MN: $129.42 BLUE CROSS BLUE SHIELD OF ND - Medicare Part A — Medicare Advantage: $125.31 MEDICA, PART B ONLY - Medicare Part A — Medicare Advantage: $125.31 MUTUAL OF OMAHA - Medicare Part A — Medicare Advantage: $106.51 ND DEPT OF HUMAN SERVICES, MEDIC - Medicare Part A — Medicare Advantage: $125.31 NEXTBLUE OF NORTH DAKOTA - Commercial-PPO — Next Blue of ND: $128.65 SANFORD HEALTH PLAN - Medicare Part A — Medicare Advantage: $106.51
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR EMERGENCY DEPARTMENT VISIT HIGH MDM	$529	$529	$154.30 – $191.97
Emergency room visit (high): rates for 6 insurance plans AMERICAN CONTINENTAL INSU. - Medicare Part A — Medicare Advantage: $178.61 BLUE CROSS BLUE SHIELD OF ND - Medicare Part A — Medicare Advantage: $181.53 MEDICA, PART B ONLY - Medicare Part A — Medicare Advantage: $191.97 ND DEPT OF HUMAN SERVICES, MEDIC - Medicare Part A — Medicare Advantage: $181.53 NEXTBLUE OF NORTH DAKOTA - Commercial-PPO — Next Blue of ND: $186.38 SANFORD HEALTH PLAN - Medicare Part A — Medicare Advantage: $154.30
Emergency room visit (high) CPT 99285 · Inpatient or outpatient · Hospital (facility) fee In the file: HC ED LEVEL V	$1,434	$1,434	$699.79 – $1,365
Emergency room visit (high): rates for 5 insurance plans BLUE CROSS AND BLUE SHIELD OF MINNESOTA - Commercial-PPO — Blue Cross Blue Shield of MN: $699.79 BLUE CROSS BLUE SHIELD OF ND - Medicare Part A — Medicare Advantage: $808.08 BLUE CROSS BLUE SHIELD OF NORTH DAKOTA - Commercial-POS — Blue Cross Blue Shield of ND: $1,365 BLUE CROSS BLUE SHIELD OF NORTH DAKOTA - Commercial-PPO — Blue Cross Blue Shield of ND: $946.21 ND DEPT OF HUMAN SERVICES, MEDIC - Medicare Part A — Medicare Advantage: $808.08

Lab tests

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Inpatient or outpatient · Hospital (facility) fee In the file: PC BASIC METABOLIC PANEL	$71	$71	$38.19 – $67
Basic metabolic panel (blood test): 10 of 12 insurance plan rates AMERICAN CONTINENTAL INSU. - Medicare Part A — Medicare Advantage: $39.40 BLUE CROSS AND BLUE SHIELD OF MINNESOTA - Commercial-EPO — Blue Cross Blue Shield of MN: $67 BLUE CROSS AND BLUE SHIELD OF MINNESOTA - Commercial-PPO — Blue Cross Blue Shield of MN: $67 BLUE CROSS BLUE SHIELD OF ND - Medicare Part A — Medicare Advantage: $39.40 BLUE CROSS BLUE SHIELD OF NORTH DAKOTA - Commercial-POS — Blue Cross Blue Shield of ND: $46.44 BLUE CROSS BLUE SHIELD OF NORTH DAKOTA - Commercial-PPO — Blue Cross Blue Shield of ND: $46.44 MEDICA, PART B ONLY - Medicare Part A — Medicare Advantage: $39.40 MUTUAL OF OMAHA - Medicare Part A — Medicare Advantage: $39.40 ND DEPT OF HUMAN SERVICES, MEDIC - Medicare Part A — Medicare Advantage: $39.40 NEXTBLUE OF NORTH DAKOTA - Commercial-PPO — Next Blue of ND: $40.18
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient or outpatient · Hospital (facility) fee In the file: PC COMP METABOLIC PANEL	$89	$89	$47.88 – $84
Comprehensive metabolic panel (blood test): 10 of 16 insurance plan rates AMERICAN CONTINENTAL INSU. - Medicare Part A — Medicare Advantage: $49.39 BLUE CROSS AND BLUE SHIELD OF MINNESOTA - Commercial-PPO — Blue Cross Blue Shield of MN: $84 BLUE CROSS BLUE SHIELD OF MINNESOTA AND BLUE PLUS - Medicaid — Medicaid Managed Care: $84 BLUE CROSS BLUE SHIELD OF ND - Medicare Part A — Medicare Advantage: $49.39 BLUE CROSS BLUE SHIELD OF NORTH DAKOTA - Commercial-POS — Blue Cross Blue Shield of ND: $58.22 BLUE CROSS BLUE SHIELD OF NORTH DAKOTA - Commercial-PPO — Blue Cross Blue Shield of ND: $58.22 MEDICA - Commercial-HMO — Other Commercial: $84 MEDICA, PART B ONLY - Medicare Part A — Medicare Advantage: $49.39 MUTUAL OF OMAHA - Medicare Part A — Medicare Advantage: $49.39 ND DEPT OF HUMAN SERVICES, MEDIC - Medicare Part A — Medicare Advantage: $49.39
Cholesterol panel (lipid panel) CPT 80061 · Inpatient or outpatient · Hospital (facility) fee In the file: PC LIPID PANEL	$101	$101	$54.72 – $96
Cholesterol panel (lipid panel): 10 of 13 insurance plan rates AMERICAN CONTINENTAL INSU. - Medicare Part A — Medicare Advantage: $56.42 BLUE CROSS AND BLUE SHIELD OF MINNESOTA - Commercial-EPO — Blue Cross Blue Shield of MN: $96 BLUE CROSS AND BLUE SHIELD OF MINNESOTA - Commercial-PPO — Blue Cross Blue Shield of MN: $96 BLUE CROSS BLUE SHIELD OF ND - Medicare Part A — Medicare Advantage: $56.45 BLUE CROSS BLUE SHIELD OF NORTH DAKOTA - Commercial-POS — Blue Cross Blue Shield of ND: $80.64 BLUE CROSS BLUE SHIELD OF NORTH DAKOTA - Commercial-PPO — Blue Cross Blue Shield of ND: $66.54 MEDICA, PART B ONLY - Medicare Part A — Medicare Advantage: $56.45 MUTUAL OF OMAHA - Medicare Part A — Medicare Advantage: $56.45 ND DEPT OF HUMAN SERVICES, MEDIC - Medicare Part A — Medicare Advantage: $56.45 NEXTBLUE OF NORTH DAKOTA - Commercial-PPO — Next Blue of ND: $57.57
Kidney function panel CPT 80069 · Inpatient or outpatient · Hospital (facility) fee In the file: PC RENAL FUNCTION PANEL	$66	$66	$35.34 – $52.08
Kidney function panel: rates for 10 insurance plans BLUE CROSS AND BLUE SHIELD OF MINNESOTA - Commercial-PPO — Blue Cross Blue Shield of MN: $35.86 BLUE CROSS BLUE SHIELD OF ND - Medicare Part A — Medicare Advantage: $36.46 BLUE CROSS BLUE SHIELD OF NORTH DAKOTA - Commercial-POS — Blue Cross Blue Shield of ND: $52.08 BLUE CROSS BLUE SHIELD OF NORTH DAKOTA - Commercial-PPO — Blue Cross Blue Shield of ND: $42.97 MEDICA, PART B ONLY - Medicare Part A — Medicare Advantage: $38.81 MUTUAL OF OMAHA - Medicare Part A — Medicare Advantage: $38.81 ND DEPT OF HUMAN SERVICES, MEDIC - Medicare Part A — Medicare Advantage: $36.46 NEXTBLUE OF NORTH DAKOTA - Commercial-PPO — Next Blue of ND: $38.43 UNITED HEALTHCARE INSURANCE COMPANY - Commercial-POS — United Healthcare: $49.29 UNITED HEALTHCARE INSURANCE COMPANY - Medicare-HMO — Medicare Advantage: $35.34
Liver function panel CPT 80076 · Inpatient or outpatient · Hospital (facility) fee In the file: PC HEPATIC FUNCTION PANEL	$72	$72	$38.76 – $72
Liver function panel: rates for 8 insurance plans AMERICAN CONTINENTAL INSU. - Medicare Part A — Medicare Advantage: $39.98 BLUE CROSS AND BLUE SHIELD OF MINNESOTA - Commercial-EPO — Blue Cross Blue Shield of MN: $39.33 BLUE CROSS AND BLUE SHIELD OF MINNESOTA - Commercial-PPO — Blue Cross Blue Shield of MN: $72 BLUE CROSS BLUE SHIELD OF ND - Medicare Part A — Medicare Advantage: $39.98 BLUE CROSS BLUE SHIELD OF NORTH DAKOTA - Commercial-PPO — Blue Cross Blue Shield of ND: $47.13 ND DEPT OF HUMAN SERVICES, MEDIC - Medicare Part A — Medicare Advantage: $41.32 NEXTBLUE OF NORTH DAKOTA - Commercial-PPO — Next Blue of ND: $40.79 UNITED HEALTHCARE INSURANCE COMPANY - Medicare-HMO — Medicare Advantage: $38.76
Urine test (automated, with microscope) CPT 81001 · Inpatient or outpatient · Hospital (facility) fee In the file: PC UA AUTO W/MICRO	$28	$28	$14.82 – $24.70
Urine test (automated, with microscope): 10 of 15 insurance plan rates AMERICAN CONTINENTAL INSU. - Medicare Part A — Medicare Advantage: $15.29 BLUE CROSS AND BLUE SHIELD OF MINNESOTA - Commercial-Indemni — Blue Cross Blue Shield of MN: $15.04 BLUE CROSS AND BLUE SHIELD OF MINNESOTA - Commercial-PPO — Blue Cross Blue Shield of MN: $15.04 BLUE CROSS BLUE SHIELD OF ND - Medicare Part A — Medicare Advantage: $15.29 BLUE CROSS BLUE SHIELD OF NORTH DAKOTA - Commercial-POS — Blue Cross Blue Shield of ND: $23.52 BLUE CROSS BLUE SHIELD OF NORTH DAKOTA - Commercial-PPO — Blue Cross Blue Shield of ND: $18.02 MEDICA - Commercial-HMO — Other Commercial: $24.70 MEDICA, PART B ONLY - Medicare Part A — Medicare Advantage: $15.80 MUTUAL OF OMAHA - Medicare Part A — Medicare Advantage: $15.29 ND DEPT OF HUMAN SERVICES, MEDIC - Medicare Part A — Medicare Advantage: $15.29
Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient · Hospital (facility) fee In the file: PC UA AUTO W/O MICRO	$21	$21	$11.57 – $17.67
Urine test (automated, without microscope): rates for 5 insurance plans BLUE CROSS AND BLUE SHIELD OF MINNESOTA - Commercial-PPO — Blue Cross Blue Shield of MN: $11.57 BLUE CROSS BLUE SHIELD OF ND - Medicare Part A — Medicare Advantage: $11.76 BLUE CROSS BLUE SHIELD OF NORTH DAKOTA - Commercial-POS — Blue Cross Blue Shield of ND: $17.67 BLUE CROSS BLUE SHIELD OF NORTH DAKOTA - Commercial-PPO — Blue Cross Blue Shield of ND: $13.86 UNITED HEALTHCARE INSURANCE COMPANY - Medicare-HMO — Medicare Advantage: $11.97
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient · Hospital (facility) fee In the file: PC PSA TOTAL DIAGNOSTIC	$142	$142	$76.95 – $93.58
PSA (prostate specific antigen) blood test: rates for 8 insurance plans BLUE CROSS AND BLUE SHIELD OF MINNESOTA - Commercial-PPO — Blue Cross Blue Shield of MN: $78.09 BLUE CROSS BLUE SHIELD OF ND - Medicare Part A — Medicare Advantage: $79.38 BLUE CROSS BLUE SHIELD OF NORTH DAKOTA - Commercial-PPO — Blue Cross Blue Shield of ND: $93.58 MEDICA, PART B ONLY - Medicare Part A — Medicare Advantage: $79.38 ND DEPT OF HUMAN SERVICES, MEDIC - Medicare Part A — Medicare Advantage: $82.03 NEXTBLUE OF NORTH DAKOTA - Commercial-PPO — Next Blue of ND: $80.97 SANFORD HEALTH PLAN - Medicare Part A — Medicare Advantage: $79.38 UNITED HEALTHCARE INSURANCE COMPANY - Medicare-HMO — Medicare Advantage: $76.95
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient or outpatient · Hospital (facility) fee In the file: PC TSH	$139	$139	$75.24 – $139
Thyroid stimulating hormone (TSH) test: 10 of 14 insurance plan rates AMERICAN CONTINENTAL INSU. - Medicare Part A — Medicare Advantage: $77.62 BLUE CROSS AND BLUE SHIELD OF MINNESOTA - Commercial-EPO — Blue Cross Blue Shield of MN: $139 BLUE CROSS AND BLUE SHIELD OF MINNESOTA - Commercial-PPO — Blue Cross Blue Shield of MN: $99 BLUE CROSS BLUE SHIELD OF ND - Medicare Part A — Medicare Advantage: $77.62 BLUE CROSS BLUE SHIELD OF NORTH DAKOTA - Commercial-POS — Blue Cross Blue Shield of ND: $122.76 BLUE CROSS BLUE SHIELD OF NORTH DAKOTA - Commercial-PPO — Blue Cross Blue Shield of ND: $91.50 MEDICA, PART B ONLY - Medicare Part A — Medicare Advantage: $80.20 MUTUAL OF OMAHA - Medicare Part A — Medicare Advantage: $77.62 ND DEPT OF HUMAN SERVICES, MEDIC - Medicare Part A — Medicare Advantage: $77.62 NEXTBLUE OF NORTH DAKOTA - Commercial-PPO — Next Blue of ND: $79.16
Complete blood count (CBC) with differential CPT 85025 · Inpatient or outpatient · Hospital (facility) fee In the file: PC CBC AUTO DIFF	$67	$67	$35.91 – $63.65
Complete blood count (CBC) with differential: 10 of 17 insurance plan rates AMERICAN CONTINENTAL INSU. - Medicare Part A — Medicare Advantage: $37.04 BLUE CROSS AND BLUE SHIELD OF MINNESOTA - Commercial-PPO — Blue Cross Blue Shield of MN: $63 BLUE CROSS BLUE SHIELD OF MINNESOTA AND BLUE PLUS - Medicaid — Medicaid Managed Care: $63 BLUE CROSS BLUE SHIELD OF ND - Medicare Part A — Medicare Advantage: $37.04 BLUE CROSS BLUE SHIELD OF NORTH DAKOTA - Commercial-POS — Blue Cross Blue Shield of ND: $43.67 BLUE CROSS BLUE SHIELD OF NORTH DAKOTA - Commercial-PPO — Blue Cross Blue Shield of ND: $43.67 MEDICA - Commercial-HMO — Other Commercial: $63.65 MEDICA, PART B ONLY - Medicare Part A — Medicare Advantage: $37.04 MUTUAL OF OMAHA - Medicare Part A — Medicare Advantage: $37.04 ND DEPT OF HUMAN SERVICES, MEDIC - Medicare Part A — Medicare Advantage: $37.04
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient · Hospital (facility) fee In the file: PC PROTHROMBIN TIME	$34	$34	$18.24 – $26.88
Blood clotting time test (prothrombin time, PT): 10 of 11 insurance plan rates BLUE CROSS AND BLUE SHIELD OF MINNESOTA - Commercial-PPO — Blue Cross Blue Shield of MN: $18.51 BLUE CROSS BLUE SHIELD OF ND - Medicare Part A — Medicare Advantage: $18.82 BLUE CROSS BLUE SHIELD OF NORTH DAKOTA - Commercial-POS — Blue Cross Blue Shield of ND: $26.88 BLUE CROSS BLUE SHIELD OF NORTH DAKOTA - Commercial-PPO — Blue Cross Blue Shield of ND: $22.18 MEDICA, PART B ONLY - Medicare Part A — Medicare Advantage: $18.82 MUTUAL OF OMAHA - Medicare Part A — Medicare Advantage: $18.82 ND DEPT OF HUMAN SERVICES, MEDIC - Medicare Part A — Medicare Advantage: $18.82 NEXTBLUE OF NORTH DAKOTA - Commercial-PPO — Next Blue of ND: $19.19 SANFORD HEALTH PLAN - Medicare Part A — Medicare Advantage: $18.82 UNITED HEALTHCARE INSURANCE COMPANY - Commercial-HMO — United Healthcare: $25.44
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient · Hospital (facility) fee In the file: PC PTT	$50	$50	$26.79 – $39.48
Blood clotting test (partial thromboplastin time, PTT): 10 of 11 insurance plan rates BLUE CROSS AND BLUE SHIELD OF MINNESOTA - Commercial-PPO — Blue Cross Blue Shield of MN: $27.18 BLUE CROSS BLUE SHIELD OF ND - Medicare Part A — Medicare Advantage: $28.56 BLUE CROSS BLUE SHIELD OF NORTH DAKOTA - Commercial-POS — Blue Cross Blue Shield of ND: $39.48 BLUE CROSS BLUE SHIELD OF NORTH DAKOTA - Commercial-PPO — Blue Cross Blue Shield of ND: $32.58 MEDICA, PART B ONLY - Medicare Part A — Medicare Advantage: $27.64 MUTUAL OF OMAHA - Medicare Part A — Medicare Advantage: $27.64 ND DEPT OF HUMAN SERVICES, MEDIC - Medicare Part A — Medicare Advantage: $27.64 NEXTBLUE OF NORTH DAKOTA - Commercial-PPO — Next Blue of ND: $29.13 SANFORD HEALTH PLAN - Medicare Part A — Medicare Advantage: $27.64 UNITED HEALTHCARE INSURANCE COMPANY - Commercial-HMO — United Healthcare: $37.37

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 · Inpatient or outpatient · Hospital (facility) fee In the file: HC CT BRAIN W/O DYE	$864	$864	$468.54 – $725.76
CT scan of the head or brain, without contrast: 10 of 11 insurance plan rates AMERICAN CONTINENTAL INSU. - Medicare Part A — Medicare Advantage: $511.49 BLUE CROSS BLUE SHIELD OF ND - Medicare Part A — Medicare Advantage: $486.62 BLUE CROSS BLUE SHIELD OF NORTH DAKOTA - Commercial-POS — Blue Cross Blue Shield of ND: $725.76 BLUE CROSS BLUE SHIELD OF NORTH DAKOTA - Commercial-PPO — Blue Cross Blue Shield of ND: $585.10 MEDICA, PART B ONLY - Medicare Part A — Medicare Advantage: $486.62 MUTUAL OF OMAHA - Medicare Part A — Medicare Advantage: $486.62 ND DEPT OF HUMAN SERVICES, MEDIC - Medicare Part A — Medicare Advantage: $486.62 NEXTBLUE OF NORTH DAKOTA - Commercial-PPO — Next Blue of ND: $518.19 SANFORD HEALTH PLAN - Medicare Part A — Medicare Advantage: $486.62 UNITED HEALTHCARE INSURANCE COMPANY - Commercial-HMO — United Healthcare: $653.49
CT scan of the head or brain, without contrast CPT 70450 · Inpatient or outpatient · Hospital (facility) fee · modifier TC In the file: HC CT BRAIN W/O DYE	$864	$864	$468.54 – $725.76
CT scan of the head or brain, without contrast: rates for 1 insurance plan BLUE CROSS AND BLUE SHIELD OF MINNESOTA - Commercial-PPO — Blue Cross Blue Shield of MN: $524
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · Doctor (professional) fee · modifier 26 In the file: CHG CT HEAD/BRAIN W/O CONTRAST MATERIAL	$130	$130	$41.71
CT scan of the head or brain, without contrast: rates for 1 insurance plan NEXTBLUE OF NORTH DAKOTA - Commercial-PPO — Next Blue of ND: $41.71
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	$2,895	$2,895	$1,571.49 – $2,431.80
MRI of the brain, before and after contrast: rates for 4 insurance plans BLUE CROSS BLUE SHIELD OF ND - Medicare Part A — Medicare Advantage: $1,632.14 MEDICA, PART B ONLY - Medicare Part A — Medicare Advantage: $1,632.14 SANFORD HEALTH PLAN - Medicare Part A — Medicare Advantage: $1,714.24 UNITED HEALTHCARE INSURANCE COMPANY - Medicare-HMO — Medicare Advantage: $1,571.49
MRI of the brain, before and after contrast CPT 70553 · Inpatient or outpatient · Hospital (facility) fee · modifier TC In the file: HC MRI-BRAIN W/WO DYE	$2,895	$2,895	$1,571.49 – $2,431.80
MRI of the brain, before and after contrast: rates for 3 insurance plans BLUE CROSS AND BLUE SHIELD OF MINNESOTA - Commercial-PPO — Blue Cross Blue Shield of MN: $1,834 BLUE CROSS BLUE SHIELD OF NORTH DAKOTA - Commercial-POS — Blue Cross Blue Shield of ND: $2,431.80 BLUE CROSS BLUE SHIELD OF NORTH DAKOTA - Commercial-PPO — Blue Cross Blue Shield of ND: $1,911.15
Chest X-ray, 2 views CPT 71046 · Inpatient or outpatient · Hospital (facility) fee In the file: HC XRAY CHEST 2 VIEWS	$110	$110	$59.28 – $104
Chest X-ray, 2 views: rates for 9 insurance plans AMERICAN CONTINENTAL INSU. - Medicare Part A — Medicare Advantage: $61.57 BLUE CROSS BLUE SHIELD OF ND - Medicare Part A — Medicare Advantage: $61.57 BLUE CROSS BLUE SHIELD OF NORTH DAKOTA - Commercial-PPO — Blue Cross Blue Shield of ND: $72.09 MEDICA, PART B ONLY - Medicare Part A — Medicare Advantage: $61.57 MUTUAL OF OMAHA - Medicare Part A — Medicare Advantage: $65.12 ND DEPT OF HUMAN SERVICES, MEDIC - Medicare Part A — Medicare Advantage: $61.57 NEXTBLUE OF NORTH DAKOTA - Commercial-PPO — Next Blue of ND: $62.38 SANFORD HEALTH PLAN - Medicare Part A — Medicare Advantage: $63.61 UNITED HEALTHCARE INSURANCE COMPANY - Medicare-HMO — Medicare Advantage: $59.28
Chest X-ray, 2 views CPT 71046 · Inpatient or outpatient · Hospital (facility) fee · modifier TC In the file: HC XRAY CHEST 2 VIEWS	$110	$110	$59.28 – $104
Chest X-ray, 2 views: rates for 4 insurance plans BLUE CROSS AND BLUE SHIELD OF MINNESOTA - Commercial-PPO — Blue Cross Blue Shield of MN: $104 BLUE CROSS BLUE SHIELD OF NORTH DAKOTA - Commercial-POS — Blue Cross Blue Shield of ND: $87.36 UNITED HEALTHCARE INSURANCE COMPANY - Commercial-EPO — United Healthcare: $82.68 UNITED HEALTHCARE INSURANCE COMPANY - Commercial-HMO — United Healthcare: $87.45
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Doctor (professional) fee · modifier 26 In the file: CHG RADIOLOGIC EXAM CHEST 2 VIEWS	$37	$37	$11.35
Chest X-ray, 2 views: rates for 1 insurance plan NEXTBLUE OF NORTH DAKOTA - Commercial-PPO — Next Blue of ND: $11.35
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	$187	$187	$102.97 – $105.38
X-ray of the lower spine, at least 4 views: rates for 1 insurance plan MUTUAL OF OMAHA - Medicare Part A — Medicare Advantage: $105.38
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient or outpatient · Hospital (facility) fee · modifier TC In the file: HC LUMBAR SPINE COM	$187	$187	$102.97 – $105.38
X-ray of the lower spine, at least 4 views: rates for 1 insurance plan BLUE CROSS AND BLUE SHIELD OF MINNESOTA - Commercial-PPO — Blue Cross Blue Shield of MN: $102.97
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	$1,574	$1,574	$897.18 – $1,574
MRI of the lower back (lumbar spine), without contrast: rates for 7 insurance plans AMERICAN CONTINENTAL INSU. - Medicare Part A — Medicare Advantage: $931.81 BLUE CROSS BLUE SHIELD OF MINNESOTA AND BLUE PLUS - Medicaid — Medicaid Managed Care: $1,574 BLUE CROSS BLUE SHIELD OF ND - Medicare Part A — Medicare Advantage: $931.81 MEDICA, PART B ONLY - Medicare Part A — Medicare Advantage: $962.66 MUTUAL OF OMAHA - Medicare Part A — Medicare Advantage: $931.81 ND DEPT OF HUMAN SERVICES, MEDIC - Medicare Part A — Medicare Advantage: $931.81 UNITED HEALTHCARE INSURANCE COMPANY - Medicare-HMO — Medicare Advantage: $897.18
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient or outpatient · Hospital (facility) fee · modifier TC In the file: HC MRI-L-SPINE W/O DYE	$1,574	$1,574	$897.18 – $1,574
MRI of the lower back (lumbar spine), without contrast: rates for 4 insurance plans BLUE CROSS AND BLUE SHIELD OF MINNESOTA - Commercial-PPO — Blue Cross Blue Shield of MN: $1,156.10 BLUE CROSS BLUE SHIELD OF NORTH DAKOTA - Commercial-POS — Blue Cross Blue Shield of ND: $1,322.16 BLUE CROSS BLUE SHIELD OF NORTH DAKOTA - Commercial-PPO — Blue Cross Blue Shield of ND: $1,091.09 NEXTBLUE OF NORTH DAKOTA - Commercial-PPO — Next Blue of ND: $980.49
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Doctor (professional) fee · modifier 26 In the file: CHG MRI SPINAL CANAL LUMBAR W/O CONTRAST MATERIAL	$226	$226	$76.46
MRI of the lower back (lumbar spine), without contrast: rates for 1 insurance plan NEXTBLUE OF NORTH DAKOTA - Commercial-PPO — Next Blue of ND: $76.46
CT scan of the pelvis, with contrast CPT 72193 · Inpatient or outpatient · Hospital (facility) fee · modifier TC In the file: HC CT PELVIS W/DYE	$1,724	$1,724	$1,137.54
CT scan of the pelvis, with contrast: rates for 1 insurance plan BLUE CROSS BLUE SHIELD OF NORTH DAKOTA - Commercial-PPO — Blue Cross Blue Shield of ND: $1,137.54
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	$1,773	$1,773	$1,010.61 – $1,648.89
MRI of a leg joint (such as the knee), without contrast: rates for 4 insurance plans AMERICAN CONTINENTAL INSU. - Medicare Part A — Medicare Advantage: $1,049.62 BLUE CROSS BLUE SHIELD OF ND - Medicare Part A — Medicare Advantage: $1,049.62 SANFORD HEALTH PLAN - Medicare Part A — Medicare Advantage: $1,049.62 UNITED HEALTHCARE INSURANCE COMPANY - Medicare-HMO — Medicare Advantage: $1,010.61
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient · Hospital (facility) fee · modifier TC In the file: HC MRI-LOWER EXT JOINT W/O DYE	$1,773	$1,773	$1,010.61 – $1,648.89
MRI of a leg joint (such as the knee), without contrast: rates for 4 insurance plans BLUE CROSS AND BLUE SHIELD OF MINNESOTA - Commercial-PPO — Blue Cross Blue Shield of MN: $1,169 BLUE CROSS BLUE SHIELD OF NORTH DAKOTA - Commercial-POS — Blue Cross Blue Shield of ND: $1,648.89 BLUE CROSS BLUE SHIELD OF NORTH DAKOTA - Commercial-PPO — Blue Cross Blue Shield of ND: $1,229.04 NEXTBLUE OF NORTH DAKOTA - Commercial-PPO — Next Blue of ND: $1,102.82
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Doctor (professional) fee · modifier 26 In the file: CHG MRI ANY JT LOWER EXTREM W/O CONTRAST MATRL	$206	$206	$71.78
MRI of a leg joint (such as the knee), without contrast: rates for 1 insurance plan NEXTBLUE OF NORTH DAKOTA - Commercial-PPO — Next Blue of ND: $71.78
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	$2,234	$2,234	$1,212.39 – $2,020.65
CT scan of the abdomen and pelvis, with contrast: rates for 10 insurance plans AMERICAN CONTINENTAL INSU. - Medicare Part A — Medicare Advantage: $1,259.18 BLUE CROSS AND BLUE SHIELD OF MINNESOTA - Commercial-PPO — Blue Cross Blue Shield of MN: $1,834 BLUE CROSS BLUE SHIELD OF ND - Medicare Part A — Medicare Advantage: $1,259.18 BLUE CROSS BLUE SHIELD OF NORTH DAKOTA - Commercial-PPO — Blue Cross Blue Shield of ND: $1,474.43 MEDICA - Commercial-HMO — Other Commercial: $2,020.65 MEDICA, PART B ONLY - Medicare Part A — Medicare Advantage: $1,259.18 MUTUAL OF OMAHA - Medicare Part A — Medicare Advantage: $1,262.03 ND DEPT OF HUMAN SERVICES, MEDIC - Medicare Part A — Medicare Advantage: $1,259.18 SANFORD HEALTH PLAN - Medicare Part A — Medicare Advantage: $1,259.18 UNITED HEALTHCARE INSURANCE COMPANY - Medicare-HMO — Medicare Advantage: $1,212.39
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient or outpatient · Hospital (facility) fee · modifier TC In the file: HC CT ABD/PELVIS W/CONTRAST	$2,234	$2,234	$1,212.39 – $2,020.65
CT scan of the abdomen and pelvis, with contrast: rates for 4 insurance plans BLUE CROSS AND BLUE SHIELD OF MINNESOTA - Commercial-Indemni — Blue Cross Blue Shield of MN: $1,215.50 BLUE CROSS BLUE SHIELD OF NORTH DAKOTA - Commercial-POS — Blue Cross Blue Shield of ND: $1,978.11 NEXTBLUE OF NORTH DAKOTA - Commercial-PPO — Next Blue of ND: $1,324.21 UNITED HEALTHCARE INSURANCE COMPANY - Commercial-PPO — United Healthcare: $1,690.97
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Doctor (professional) fee · modifier 26 In the file: CHG CT ABDOMEN & PELVIS W/CONTRAST MATERIAL	$267	$267	$95.92
CT scan of the abdomen and pelvis, with contrast: rates for 1 insurance plan NEXTBLUE OF NORTH DAKOTA - Commercial-PPO — Next Blue of ND: $95.92
Ultrasound of the abdomen, complete CPT 76700 · Inpatient or outpatient · Hospital (facility) fee In the file: HC US EXAM ABDOMEN COMPLETE	$515	$515	$293.55 – $357
Ultrasound of the abdomen, complete: rates for 1 insurance plan BLUE CROSS BLUE SHIELD OF ND - Medicare Part A — Medicare Advantage: $304.88
Ultrasound of the abdomen, complete CPT 76700 · Inpatient or outpatient · Hospital (facility) fee · modifier TC In the file: HC US EXAM ABDOMEN COMPLETE	$515	$515	$293.55 – $357
Ultrasound of the abdomen, complete: rates for 2 insurance plans BLUE CROSS BLUE SHIELD OF NORTH DAKOTA - Commercial-PPO — Blue Cross Blue Shield of ND: $357 UNITED HEALTHCARE INSURANCE COMPANY - Medicare-HMO — Medicare Advantage: $293.55
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient or outpatient · Hospital (facility) fee In the file: HC US PREGNANCY >=14WKS SNGL FETUS	$553	$553	$364.62
Pregnancy ultrasound (after the first trimester): rates for 1 insurance plan BLUE CROSS BLUE SHIELD OF NORTH DAKOTA - Commercial-PPO — Blue Cross Blue Shield of ND: $364.62
Transvaginal ultrasound CPT 76830 · Inpatient or outpatient · Hospital (facility) fee In the file: HC US TRANSVAGINAL	$482	$482	$265.53 – $436.05
Transvaginal ultrasound: rates for 1 insurance plan BLUE CROSS BLUE SHIELD OF ND - Medicare Part A — Medicare Advantage: $271.73
Transvaginal ultrasound CPT 76830 · Inpatient or outpatient · Hospital (facility) fee · modifier TC In the file: HC US TRANSVAGINAL	$482	$482	$265.53 – $436.05
Transvaginal ultrasound: rates for 4 insurance plans BLUE CROSS AND BLUE SHIELD OF MINNESOTA - Commercial-PPO — Blue Cross Blue Shield of MN: $265.53 BLUE CROSS BLUE SHIELD OF NORTH DAKOTA - Commercial-POS — Blue Cross Blue Shield of ND: $385.56 BLUE CROSS BLUE SHIELD OF NORTH DAKOTA - Commercial-PPO — Blue Cross Blue Shield of ND: $318.17 MEDICA - Commercial-HMO — Other Commercial: $436.05
Diagnostic mammogram, both breasts CPT 77066 · Inpatient or outpatient · Hospital (facility) fee In the file: HC DIAGNOSTIC MAMMO CAD BILATERAL	$599	$599	$354.61 – $415.22
Diagnostic mammogram, both breasts: rates for 3 insurance plans BLUE CROSS BLUE SHIELD OF ND - Medicare Part A — Medicare Advantage: $367.66 BLUE CROSS BLUE SHIELD OF NORTH DAKOTA - Commercial-PPO — Blue Cross Blue Shield of ND: $415.22 ND DEPT OF HUMAN SERVICES, MEDIC - Medicare Part A — Medicare Advantage: $354.61
Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient · Hospital (facility) fee In the file: HC SCREENING MAMMO CAD BILATERAL	$495	$495	$87.65 – $393.53
Screening mammogram, both breasts: rates for 9 insurance plans BLUE CROSS AND BLUE SHIELD OF MINNESOTA - Commercial-PPO — Blue Cross Blue Shield of MN: $330 BLUE CROSS BLUE SHIELD OF ND - Medicare Part A — Medicare Advantage: $87.65 BLUE CROSS BLUE SHIELD OF NORTH DAKOTA - Commercial-POS — Blue Cross Blue Shield of ND: $343.13 BLUE CROSS BLUE SHIELD OF NORTH DAKOTA - Commercial-PPO — Blue Cross Blue Shield of ND: $343.13 MEDICA, PART B ONLY - Medicare Part A — Medicare Advantage: $87.65 ND DEPT OF HUMAN SERVICES, MEDIC - Medicare Part A — Medicare Advantage: $87.65 NEXTBLUE OF NORTH DAKOTA - Commercial-PPO — Next Blue of ND: $296.88 UNITED HEALTHCARE INSURANCE COMPANY - Commercial-POS — United Healthcare: $393.53 UNITED HEALTHCARE INSURANCE COMPANY - Medicare-HMO — Medicare Advantage: $121.28
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Doctor (professional) fee · modifier 26 In the file: CHG SCREENING MAMMOGRAPHY BI 2-VIEW BREAST INC CAD	$113	$113	$39.44
Screening mammogram, both breasts: rates for 2 insurance plans BLUE CROSS BLUE SHIELD OF ND - Medicare Part A — Medicare Advantage: $39.44 NEXTBLUE OF NORTH DAKOTA - Commercial-PPO — Next Blue of ND: $39.44

Physical therapy and mental health

Service	Hospital charge	Cash price	Insurance 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	$131	$131	$72.39 – $127
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 12 insurance plan rates AMERICAN CONTINENTAL INSU. - Medicare Part A — Medicare Advantage: $75.19 BLUE CROSS AND BLUE SHIELD OF MINNESOTA - Commercial-PPO — Blue Cross Blue Shield of MN: $126.50 BLUE CROSS BLUE SHIELD OF ND - Medicare Part A — Medicare Advantage: $75.18 BLUE CROSS BLUE SHIELD OF NORTH DAKOTA - Commercial-POS — Blue Cross Blue Shield of ND: $106.68 BLUE CROSS BLUE SHIELD OF NORTH DAKOTA - Commercial-PPO — Blue Cross Blue Shield of ND: $88.03 MEDICA - Medicare-HMO — Medicare Advantage: $127 MEDICA, PART B ONLY - Medicare Part A — Medicare Advantage: $75.18 MUTUAL OF OMAHA - Medicare Part A — Medicare Advantage: $75.18 ND DEPT OF HUMAN SERVICES, MEDIC - Medicare Part A — Medicare Advantage: $75.18 NEXTBLUE OF NORTH DAKOTA - Commercial-PPO — Next Blue of ND: $76.47
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient or outpatient · Hospital (facility) fee In the file: HC PT EVAL LOW COMPLEX 20 MIN	$324	$324	$178.95 – $231
Physical therapy evaluation (low complexity): 10 of 11 insurance plan rates AMERICAN CONTINENTAL INSU. - Medicare Part A — Medicare Advantage: $191.81 BLUE CROSS AND BLUE SHIELD OF MINNESOTA - Commercial-PPO — Blue Cross Blue Shield of MN: $231 BLUE CROSS BLUE SHIELD OF ND - Medicare Part A — Medicare Advantage: $185.86 BLUE CROSS BLUE SHIELD OF NORTH DAKOTA - Commercial-POS — Blue Cross Blue Shield of ND: $217.63 BLUE CROSS BLUE SHIELD OF NORTH DAKOTA - Commercial-PPO — Blue Cross Blue Shield of ND: $217.63 MEDICA, PART B ONLY - Medicare Part A — Medicare Advantage: $185.86 MUTUAL OF OMAHA - Medicare Part A — Medicare Advantage: $192.01 ND DEPT OF HUMAN SERVICES, MEDIC - Medicare Part A — Medicare Advantage: $185.86 NEXTBLUE OF NORTH DAKOTA - Commercial-PPO — Next Blue of ND: $188.90 SANFORD HEALTH PLAN - Medicare Part A — Medicare Advantage: $185.86
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient or outpatient · Hospital (facility) fee In the file: HC PT EVAL MOD COMPLEX 30 MIN	$335	$335	$184.94 – $272.53
Physical therapy evaluation (moderate complexity): rates for 7 insurance plans BLUE CROSS AND BLUE SHIELD OF MINNESOTA - Commercial-PPO — Blue Cross Blue Shield of MN: $187.69 BLUE CROSS BLUE SHIELD OF ND - Medicare Part A — Medicare Advantage: $192.07 BLUE CROSS BLUE SHIELD OF NORTH DAKOTA - Commercial-POS — Blue Cross Blue Shield of ND: $272.53 BLUE CROSS BLUE SHIELD OF NORTH DAKOTA - Commercial-PPO — Blue Cross Blue Shield of ND: $224.90 MEDICA, PART B ONLY - Medicare Part A — Medicare Advantage: $198.43 ND DEPT OF HUMAN SERVICES, MEDIC - Medicare Part A — Medicare Advantage: $192.07 UNITED HEALTHCARE INSURANCE COMPANY - Medicare-HMO — Medicare Advantage: $184.94
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient or outpatient · Hospital (facility) fee In the file: HC PT EVAL HIGH COMPLEX 45 MIN	$345	$345	$198.29
Physical therapy evaluation (high complexity): rates for 1 insurance plan BLUE CROSS BLUE SHIELD OF ND - Medicare Part A — Medicare Advantage: $198.29

Procedures and surgery

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Gallbladder removal by laparoscope CPT 47562 · Inpatient or outpatient · Hospital (facility) fee In the file: HC LAPAROSCOPIC CHOLECYSTECTOMY	$10,264	$10,264	$5,571.75 – $6,776.03
Gallbladder removal by laparoscope: rates for 2 insurance plans BLUE CROSS BLUE SHIELD OF NORTH DAKOTA - Commercial-PPO — Blue Cross Blue Shield of ND: $6,776.03 UNITED HEALTHCARE INSURANCE COMPANY - Medicare-HMO — Medicare Advantage: $5,571.75

Source: Pembina County Memorial Hospital’s standard charges file (hospitalpricetransparencyfiles.com, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on November 13, 2025; 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	Box 380, Cavalier, ND 58220
County	Pembina County
State	North Dakota
Phone	(701) 265‑8461
Emergency services	Yes
Ownership	Voluntary non-profit - Private
Medicare overall rating	Not rated by CMS
CMS Certification Number	351319
Name in Medicare records	PEMBINA COUNTY MEMORIAL HOSPITAL
Profile level	Medicare data + hospital website
Official website	cavalierhospital.com
Corrections	Report an error or suggest an update →

Sources

Hospital General Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-10-26, retrieved 2026-11-13
Medicare Care Compare — official Medicare profile of this hospital
U.S. Census Bureau ZIP code areas (Gazetteer) — approximate position (center of the ZIP code area) used for distances

From the hospital’s website

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

Home : Pembina County Memorial Hospital — cavalierhospital.com
Overview : Staff/Volunteers/Employment : Pembina County Memorial Hospital — cavalierhospital.com
Rehabilitation Services : Services : What We Offer : Pembina County Memorial Hospital — cavalierhospital.com
Emergency Services : Services : What We Offer : Pembina County Memorial Hospital — cavalierhospital.com
Surgery : Services : What We Offer : Pembina County Memorial Hospital — cavalierhospital.com
Radiology : Services : What We Offer : Pembina County Memorial Hospital — cavalierhospital.com
Cardiac Rehabilitation : Services : What We Offer : Pembina County Memorial Hospital — cavalierhospital.com
Nutrition Services/Diabetes Education Center : Services : What We Offer : Pembina County Memorial Hospital — cavalierhospital.com
Lab : Services : What We Offer : Pembina County Memorial Hospital — cavalierhospital.com
Acute Care : Services : What We Offer : Pembina County Memorial Hospital — cavalierhospital.com
Chemotherapy/Infusion Services : Services : What We Offer : Pembina County Memorial Hospital — cavalierhospital.com
Sleep Apnea Testing : Services : What We Offer : Pembina County Memorial Hospital — cavalierhospital.com

Pembina County Memorial Hospital

Summary

Profile from official sources

At a glance

Quick answers

Specialties and care areas^{[4][5][6][11][12][15]}

Conditions treated^{[6][10][11][16]}

Treatments^{[4][5][6][8][9][12][15][16]}

Programs and centers^{[6][10][11][14]}

Emergency care (hospital website)^[4][5][7]

Doctors and clinicians (66)

Main specialties

Doctors with a page on this site (66)

Other emergency rooms nearby

Other hospitals near Cavalier

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)

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)

Physical therapy and mental health

Procedures and surgery

Hospital information

Sources

From the hospital’s website

Pembina County Memorial Hospital

Summary

Profile from official sources

At a glance

Quick answers

Specialties and care areas[4][5][6][11][12][15]

Conditions treated[6][10][11][16]

Treatments[4][5][6][8][9][12][15][16]

Programs and centers[6][10][11][14]

Emergency care (hospital website)[4][5][7]

Doctors and clinicians (66)

Main specialties

Doctors with a page on this site (66)

Other emergency rooms nearby

Other hospitals near Cavalier

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)

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)

Physical therapy and mental health

Procedures and surgery

Hospital information

Sources

From the hospital’s website

Specialties and care areas^{[4][5][6][11][12][15]}

Conditions treated^{[6][10][11][16]}

Treatments^{[4][5][6][8][9][12][15][16]}

Programs and centers^{[6][10][11][14]}

Emergency care (hospital website)^[4][5][7]