▸ Hospital · ND · CCN 351303

Garrison Memorial Hospital

407 3RD AVENUE SE, GARRISON, ND, 58540

22 bedsCritical Access Hospitals1

Compliance grade

92/100

Procedures tracked

of 209 target codes

Payers

with negotiated rates

Rates published

1,764

last crawl 2026-05-23

▸ Compare with other hospitals All ND hospitals JSON Full cost report on HCRIS.io →

Source MRF: https://www.chistalexiushealth.org/content/dam/stalexiushealthorg/documents/financial/price-transparency/450227752_chi-st-alexius-health-garrison_standardcharges.json · JSON

Procedures & rates

Procedure	Type	Code	Payers	Gross	Cash	Neg min	Neg median	Neg max
emergency
ED visit level 1	CPT	99281	7	$219	$148.92	$29	$82.3	$208.05
ED visit level 2	CPT	99282	7	$321	$218.28	$57	$134.4	$304.95
ED visit level 3	CPT	99283	7	$496	$337.28	$83	$202.85	$471.2
ED visit level 4	CPT	99284	7	$889	$604.52	$152.5	$367.13	$844.55
ED visit level 5	CPT	99285	7	$1,457	$990.76	$222	$575.15	$1,384.15
Critical care, first hour	CPT	99291	7	$2,057	$1,398.76	$358	$854.35	$1,954.15
imaging
CT head without contrast	CPT	70450	7	$918	$624.24	$459	$780.3	$872.1
CT neck with contrast	CPT	70491	7	$1,175	$799	$587.5	$998.75	$1,116.25
MRI brain without contrast	CPT	70551	7	$1,691	$1,149.88	$845.5	$1,437.35	$1,606.45
MRI brain with and without contrast	CPT	70553	7	$2,772	$1,884.96	$1,386	$2,356.2	$2,633.4
Chest X-ray single view	CPT	71045	7	$108	$73.44	$54	$91.8	$102.6
Chest X-ray 2 views	CPT	71046	7	$133	$90.44	$66.5	$113.05	$126.35
Chest X-ray 3 views	CPT	71047	7	$126	$85.68	$63	$107.1	$119.7
CT chest without contrast	CPT	71250	7	$1,154	$784.72	$577	$980.9	$1,096.3
CT chest with contrast	CPT	71260	7	$1,442	$980.56	$721	$1,225.7	$1,369.9
CT chest with and without contrast	CPT	71270	7	$1,811	$1,231.48	$905.5	$1,539.35	$1,720.45
MRI chest without contrast	CPT	71550	7	$1,963	$1,334.84	$981.5	$1,668.55	$1,864.85
Lumbosacral spine X-ray	CPT	72100	7	$154	$104.72	$77	$130.9	$146.3
CT cervical spine without contrast	CPT	72125	7	$1,266	$860.88	$633	$1,076.1	$1,202.7
CT thoracic spine without contrast	CPT	72128	7	$980	$666.4	$490	$833	$931
CT lumbar spine without contrast	CPT	72131	7	$1,182	$803.76	$591	$1,004.7	$1,122.9
MRI cervical spine without contrast	CPT	72141	7	$2,102	$1,429.36	$1,051	$1,786.7	$1,996.9
MRI thoracic spine without contrast	CPT	72146	7	$1,612	$1,096.16	$806	$1,370.2	$1,531.4
MRI lumbar spine without contrast	CPT	72148	7	$2,167	$1,473.56	$1,083.5	$1,841.95	$2,058.65
MRI cervical spine with and without contrast	CPT	72156	7	$2,523	$1,715.64	$1,261.5	$2,144.55	$2,396.85
MRI lumbar spine with contrast	CPT	72158	7	$2,535	$1,723.8	$1,267.5	$2,154.75	$2,408.25
CT pelvis without contrast	CPT	72192	7	$819	$556.92	$409.5	$696.15	$778.05
CT pelvis with contrast	CPT	72193	7	$1,896	$1,289.28	$948	$1,611.6	$1,801.2
Shoulder X-ray	CPT	73030	7	$131	$89.08	$65.5	$111.35	$124.45
Humerus X-ray	CPT	73060	7	$119	$80.92	$59.5	$101.15	$113.05
Hand X-ray 3 views	CPT	73130	7	$146	$99.28	$73	$124.1	$138.7
MRI upper extremity joint without contrast	CPT	73221	7	$2,380	$1,618.4	$1,190	$2,023	$2,261
MRI upper extremity joint with and without contrast	CPT	73223	7	$2,713	$1,844.84	$1,356.5	$2,306.05	$2,577.35
Hip X-ray 2 views	CPT	73510	7	$98	$66.64	$49	$83.3	$93.1
Knee X-ray 1-2 views	CPT	73560	7	$136	$92.48	$68	$115.6	$129.2
Ankle X-ray 3 views	CPT	73610	7	$148	$100.64	$74	$125.8	$140.6
MRI lower extremity joint without contrast	CPT	73721	7	$2,452	$1,667.36	$1,226	$2,084.2	$2,329.4
CT abdomen without contrast	CPT	74150	7	$706	$480.08	$353	$600.1	$670.7
CT abdomen with contrast	CPT	74160	7	$1,040	$707.2	$520	$884	$988
CT abdomen with and without contrast	CPT	74170	7	$1,410	$958.8	$705	$1,198.5	$1,339.5
CT abdomen and pelvis without contrast	CPT	74176	7	$1,397	$949.96	$698.5	$1,187.45	$1,327.15
CT abdomen and pelvis with contrast	CPT	74177	7	$2,360	$1,604.8	$1,180	$2,006	$2,242
CT abdomen and pelvis with and without contrast	CPT	74178	7	$2,709	$1,842.12	$1,354.5	$2,302.65	$2,573.55
MRI abdomen with and without contrast	CPT	74183	7	$2,308	$1,569.44	$1,154	$1,961.8	$2,192.6
Abdominal ultrasound complete	CPT	76700	7	$553	$376.04	$276.5	$470.05	$525.35
Abdominal ultrasound limited	CPT	76705	7	$325	$221	$162.5	$276.25	$308.75
Retroperitoneal ultrasound complete	CPT	76770	7	$503	$342.04	$251.5	$427.55	$477.85
Transvaginal ultrasound	CPT	76830	7	$328	$223.04	$164	$278.8	$311.6
Pelvic ultrasound complete	CPT	76856	7	$463	$314.84	$231.5	$393.55	$439.85
Scrotal ultrasound	CPT	76870	7	$395	$268.6	$197.5	$335.75	$375.25
Diagnostic mammography unilateral	CPT	77065	7	$427	$290.36	$202	$351.48	$405.65
Diagnostic mammography bilateral	CPT	77066	7	$563	$382.84	$238	$415.37	$534.85
Screening mammography bilateral	CPT	77067	7	$601	$408.68	$217	$390.6	$570.95
EKG tracing only	CPT	93005	7	$133	$90.44	$66.5	$113.05	$126.35
EKG interpretation only	CPT	93010	7	$26	$17.68	$13	$22.1	$24.7
Transthoracic echocardiogram complete	CPT	93306	7	$686	$466.48	$343	$583.1	$651.7
Transthoracic echocardiogram	CPT	93307	7	$280	$190.4	$140	$238	$266
inpatient
Initial hospital care, low complexity	CPT	99221	7	$150	$102	$75	$127.5	$142.5
Initial hospital care, moderate complexity	CPT	99222	7	$289	$196.52	$144.5	$245.65	$274.55
Hospital discharge, <30 min	CPT	99238	7	$185	$125.8	$92.5	$157.25	$175.75
lab
Electrolyte panel	CPT	80051	7	$77	$52.36	$7.01	$65.45	$73.15
Glucose quantitative	CPT	82947	7	$46	$31.28	$3.93	$39.1	$43.7
maternity
Vaginal delivery only	CPT	59409	7	$3,191	$2,169.88	$1,595.5	$2,712.35	$3,031.45
office
Office visit, established patient, 5 min	CPT	99211	7	$114	$77.52	$57	$96.9	$108.3
surgery
Total shoulder arthroplasty	CPT	23472	7	—	—	$50	$85	$19,532
Total hip replacement	CPT	27130	7	—	—	$50	$85	$17,556
Total knee replacement	CPT	27447	7	—	—	$50	$85	$17,556

Payer mix (top 7)

Payer	Codes covered	Median rate
Blue Cross Blue Shield	67	$371.49
health partners	67	$444.55
Humana	67	$251.5
medica	67	$402.81
Multiplan	67	$470.7
sanford health plan	67	$496.85
UnitedHealthcare	67	$352.24