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CCN 351333

Chi St Alexius Health Devils Lake

DEVILS LAKE, ND · 25 beds

A97/10072 codes · 5 payers

Negotiated median rates by procedure

Showing 72 procedures any of these hospitals has published. Best (lowest) negotiated median in each row is highlighted in green.

Procedure	Code	Chi St Alexius Health …
CT head without contrast	CPT 70450	$1,232.97
CT head with contrast	CPT 70460	$1,664.4
CT head with and without contrast	CPT 70470	$1,849.09
CT neck with contrast	CPT 70491	$1,792.15
MRI brain without contrast	CPT 70551	$2,451.34
MRI brain with contrast	CPT 70552	$3,055.05
MRI brain with and without contrast	CPT 70553	$3,552.18
Chest X-ray single view	CPT 71045	$121.91
Chest X-ray 2 views	CPT 71046	$157.68
Chest X-ray 3 views	CPT 71047	$195.64
CT chest without contrast	CPT 71250	$1,524.97
CT chest with contrast	CPT 71260	$2,033.05
CT chest with and without contrast	CPT 71270	$2,479.81
MRI chest without contrast	CPT 71550	$2,617.78
MRI chest with contrast	CPT 71551	$2,870.36
MRI chest with and without contrast	CPT 71552	$3,639.78
Lumbosacral spine X-ray	CPT 72100	$205.13
CT cervical spine without contrast	CPT 72125	$2,017.72
CT thoracic spine without contrast	CPT 72128	$1,484.82
CT lumbar spine without contrast	CPT 72131	$1,999.47
MRI cervical spine without contrast	CPT 72141	$2,137.44
MRI thoracic spine without contrast	CPT 72146	$2,520.69
MRI lumbar spine without contrast	CPT 72148	$2,404.62
MRI lumbar spine with and without contrast	CPT 72149	$2,544.78
MRI cervical spine with and without contrast	CPT 72156	$3,612.04
MRI lumbar spine with contrast	CPT 72158	$4,295.32
CT pelvis without contrast	CPT 72192	$2,060.06
CT pelvis with contrast	CPT 72193	$2,574.71
MRI upper extremity joint without contrast	CPT 73221	$2,714.14
MRI upper extremity joint with and without contrast	CPT 73223	$4,268.31
MRI lower extremity joint without contrast	CPT 73721	$2,859.41
MRI lower extremity joint with and without contrast	CPT 73723	$3,324.42
CT abdomen without contrast	CPT 74150	$1,331.52
CT abdomen with contrast	CPT 74160	$2,580.55
CT abdomen with and without contrast	CPT 74170	$2,716.33
CT abdomen and pelvis without contrast	CPT 74176	$1,695.79
CT abdomen and pelvis with contrast	CPT 74177	$3,390.85
CT abdomen and pelvis with and without contrast	CPT 74178	$3,866.08
MRI abdomen without contrast	CPT 74181	$2,098.02
MRI abdomen with and without contrast	CPT 74183	$3,227.33
Abdominal ultrasound complete	CPT 76700	$763.58
Abdominal ultrasound limited	CPT 76705	$306.6
Retroperitoneal ultrasound complete	CPT 76770	$685.47
Obstetric ultrasound first trimester	CPT 76801	$436.54
Obstetric ultrasound after first trimester	CPT 76805	$620.5
Transvaginal ultrasound	CPT 76830	$602.25
Pelvic ultrasound complete	CPT 76856	$678.9
Scrotal ultrasound	CPT 76870	$508.81
Diagnostic mammography bilateral	CPT 77066	$862.86
Screening mammography bilateral	CPT 77067	$549.69
EKG tracing only	CPT 93005	$176.66
Transthoracic echocardiogram complete	CPT 93306	$886.95
Transthoracic echocardiogram	CPT 93307	$300.76
Basic metabolic panel (BMP)	CPT 80048	$102.93
Electrolyte panel	CPT 80051	$80.3
Comprehensive metabolic panel	CPT 80053	$126.29
Lipid panel	CPT 80061	$146.91
Renal function panel	CPT 80069	$105.12
Hepatic function panel	CPT 80076	$94.17
Urinalysis non-automated	CPT 81002	$23.36
Urinalysis automated	CPT 81003	$24.9
Glucose quantitative	CPT 82947	$51.46
Hemoglobin A1c	CPT 83036	$93.44
Thyroid stimulating hormone (TSH)	CPT 84443	$41.84
Complete blood count with automated differential	CPT 85025	$74.46
Complete blood count without differential	CPT 85027	$67.16
Urine culture bacterial	CPT 87086	$78.11
Urine culture identification	CPT 87088	$89.64
Tissue exam by pathologist level IV	CPT 88305	$113.07
Total shoulder arthroplasty	CPT 23472	$73
Total hip replacement	CPT 27130	$73
Total knee replacement	CPT 27447	$73