▸ Hospital · ND · CCN 351334
Chi St Alexius Health Williston
1301 15TH AVENUE W, WILLISTON, ND, 58801
25 bedsCritical Access Hospitals1
Compliance grade
A
97/100
Procedures tracked
123
of 209 target codes
Payers
6
with negotiated rates
Rates published
6,914
last crawl 2026-05-23
Procedures & rates
| Procedure | Type | Code | Payers | Gross | Cash | Neg min | Neg median | Neg max |
|---|---|---|---|---|---|---|---|---|
| behavioral | ||||||||
| Psychiatric eval with medical services | CPT | 90792 | 6 | $548 | $317.84 | $60.28 | $300.03 | $515.12 |
| Psychotherapy 30 minutes | CPT | 90832 | 6 | $610 | $353.8 | $268.4 | $500.2 | $573.4 |
| Psychotherapy 45 minutes | CPT | 90834 | 6 | $755 | $437.9 | $332.2 | $619.1 | $709.7 |
| Psychotherapy 60 minutes | CPT | 90837 | 6 | $770 | $446.6 | $338.8 | $631.4 | $723.8 |
| emergency | ||||||||
| ED visit level 1 | CPT | 99281 | 6 | $295 | $171.1 | $30.8 | $100.86 | $277.3 |
| ED visit level 2 | CPT | 99282 | 6 | $401 | $232.58 | $60.28 | $151.7 | $376.94 |
| ED visit level 3 | CPT | 99283 | 6 | $643 | $372.94 | $89.76 | $238.62 | $604.42 |
| ED visit level 4 | CPT | 99284 | 6 | $1,044 | $605.52 | $169.84 | $414.1 | $981.36 |
| ED visit level 5 | CPT | 99285 | 6 | $1,805 | $1,046.9 | $250.36 | $639.6 | $1,696.7 |
| Critical care, first hour | CPT | 99291 | 6 | $2,228 | $1,292.24 | $299.64 | $735.08 | $2,094.32 |
| imaging | ||||||||
| CT head without contrast | CPT | 70450 | 6 | $1,532 | $888.56 | $674.08 | $1,256.24 | $1,440.08 |
| CT head with contrast | CPT | 70460 | 6 | $1,838 | $1,066.04 | $99.88 | $511.05 | $1,727.72 |
| CT head with and without contrast | CPT | 70470 | 6 | $2,282 | $1,323.56 | $112.2 | $621.89 | $2,145.08 |
| CT neck with contrast | CPT | 70491 | 6 | $1,831 | $1,061.98 | $121.44 | $532.54 | $1,721.14 |
| MRI brain without contrast | CPT | 70551 | 6 | $2,888 | $1,675.04 | $130.24 | $774.48 | $2,714.72 |
| MRI brain with contrast | CPT | 70552 | 6 | $3,285 | $1,905.3 | $156.64 | $890.02 | $3,087.9 |
| MRI brain with and without contrast | CPT | 70553 | 6 | $5,663 | $3,284.54 | $206.8 | $1,466.76 | $5,323.22 |
| Chest X-ray single view | CPT | 71045 | 6 | $200 | $116 | $11.88 | $38.54 | $188 |
| Chest X-ray 2 views | CPT | 71046 | 6 | $260 | $150.8 | $20.68 | $79.29 | $244.4 |
| Chest X-ray 3 views | CPT | 71047 | 6 | $308 | $178.64 | $25.96 | $95.49 | $289.52 |
| CT chest without contrast | CPT | 71250 | 6 | $1,828 | $1,060.24 | $804.32 | $1,498.96 | $1,718.32 |
| CT chest with contrast | CPT | 71260 | 6 | $2,176 | $1,262.08 | $110 | $596.22 | $2,045.44 |
| CT chest with and without contrast | CPT | 71270 | 6 | $2,873 | $1,666.34 | $121.44 | $761.78 | $2,700.62 |
| MRI chest without contrast | CPT | 71550 | 6 | $2,908 | $1,686.64 | $1,279.52 | $2,384.56 | $2,733.52 |
| MRI chest with contrast | CPT | 71551 | 6 | $3,315 | $1,922.7 | $151.8 | $891.45 | $3,116.1 |
| MRI chest with and without contrast | CPT | 71552 | 6 | $5,233 | $3,035.14 | $198 | $1,362.76 | $4,919.02 |
| Lumbosacral spine X-ray | CPT | 72100 | 6 | $302 | $175.16 | $20.68 | $88.53 | $283.88 |
| CT cervical spine without contrast | CPT | 72125 | 6 | $1,820 | $1,055.6 | $94.6 | $501.45 | $1,710.8 |
| CT thoracic spine without contrast | CPT | 72128 | 6 | $1,820 | $1,055.6 | $88.44 | $494.87 | $1,710.8 |
| CT lumbar spine without contrast | CPT | 72131 | 6 | $1,835 | $1,064.3 | $88.44 | $498.17 | $1,724.9 |
| MRI cervical spine without contrast | CPT | 72141 | 6 | $2,665 | $1,545.7 | $141.24 | $737.17 | $2,505.1 |
| MRI thoracic spine without contrast | CPT | 72146 | 6 | $2,815 | $1,632.7 | $141.24 | $770.17 | $2,646.1 |
| MRI lumbar spine without contrast | CPT | 72148 | 6 | $2,834 | $1,643.72 | $130.24 | $762.6 | $2,663.96 |
| MRI lumbar spine with and without contrast | CPT | 72149 | 6 | $3,259 | $1,890.22 | $156.64 | $884.3 | $3,063.46 |
| MRI cervical spine with and without contrast | CPT | 72156 | 6 | $5,676 | $3,292.08 | $225.28 | $1,489.36 | $5,335.44 |
| MRI lumbar spine with contrast | CPT | 72158 | 6 | $5,668 | $3,287.44 | $206.8 | $1,467.86 | $5,327.92 |
| CT pelvis without contrast | CPT | 72192 | 6 | $1,912 | $1,108.96 | $96.36 | $523.57 | $1,797.28 |
| CT pelvis with contrast | CPT | 72193 | 6 | $2,103 | $1,219.74 | $102.96 | $572.64 | $1,976.82 |
| Shoulder X-ray | CPT | 73030 | 6 | $298 | $172.84 | $45.32 | $132.44 | $280.12 |
| Humerus X-ray | CPT | 73060 | 6 | $157 | $91.06 | $45.32 | $96.82 | $147.58 |
| Hand X-ray 3 views | CPT | 73130 | 6 | $241 | $139.78 | $17.6 | $144.6 | $226.54 |
| MRI upper extremity joint without contrast | CPT | 73221 | 6 | $2,751 | $1,595.58 | $119.24 | $732.59 | $2,585.94 |
| MRI upper extremity joint with and without contrast | CPT | 73223 | 6 | $6,025 | $3,494.5 | $188.32 | $1,526.66 | $5,663.5 |
| Knee X-ray 1-2 views | CPT | 73560 | 6 | $230 | $133.4 | $17.6 | $69.4 | $216.2 |
| Ankle X-ray 3 views | CPT | 73610 | 6 | $256 | $148.48 | $17.6 | $75.12 | $240.64 |
| MRI lower extremity joint without contrast | CPT | 73721 | 6 | $4,011 | $2,326.38 | $119.24 | $823.26 | $3,770.34 |
| MRI lower extremity joint with and without contrast | CPT | 73723 | 6 | $8,578 | $4,975.24 | $188.32 | $1,580.45 | $8,063.32 |
| CT abdomen without contrast | CPT | 74150 | 6 | $1,920 | $1,113.6 | $844.8 | $1,574.4 | $1,804.8 |
| CT abdomen with contrast | CPT | 74160 | 6 | $2,285 | $1,325.3 | $112.2 | $622.55 | $2,147.9 |
| CT abdomen with and without contrast | CPT | 74170 | 6 | $2,880 | $1,670.4 | $123.2 | $765.2 | $2,707.2 |
| CT abdomen and pelvis without contrast | CPT | 74176 | 6 | $3,722 | $2,158.76 | $153.12 | $982.4 | $3,498.68 |
| CT abdomen and pelvis with contrast | CPT | 74177 | 6 | $4,278 | $2,481.24 | $160.16 | $1,112.24 | $4,021.32 |
| CT abdomen and pelvis with and without contrast | CPT | 74178 | 6 | $5,476 | $3,176.08 | $176 | $1,392.72 | $5,147.44 |
| MRI abdomen without contrast | CPT | 74181 | 6 | $3,292 | $1,909.36 | $128.48 | $861.48 | $3,094.48 |
| MRI abdomen with and without contrast | CPT | 74183 | 6 | $5,579 | $3,235.82 | $198 | $1,438.88 | $5,244.26 |
| Abdominal ultrasound complete | CPT | 76700 | 6 | $879 | $509.82 | $72.16 | $270.46 | $826.26 |
| Abdominal ultrasound limited | CPT | 76705 | 6 | $666 | $386.28 | $53.24 | $203.39 | $626.04 |
| Retroperitoneal ultrasound complete | CPT | 76770 | 6 | $644 | $373.52 | $66.44 | $212.65 | $605.36 |
| Obstetric ultrasound first trimester | CPT | 76801 | 6 | $537 | $311.46 | $87.56 | $211.67 | $504.78 |
| Obstetric ultrasound after first trimester | CPT | 76805 | 6 | $671 | $389.18 | $87.56 | $241.15 | $630.74 |
| Obstetric ultrasound with fetal anatomy | CPT | 76811 | 6 | $795 | $461.1 | $166.76 | $356.26 | $747.3 |
| Transvaginal ultrasound | CPT | 76830 | 6 | $671 | $389.18 | $62.04 | $213.89 | $630.74 |
| Pelvic ultrasound complete | CPT | 76856 | 6 | $627 | $363.66 | $62.04 | $204.21 | $589.38 |
| Scrotal ultrasound | CPT | 76870 | 6 | $521 | $302.18 | $36.08 | $121.26 | $489.74 |
| Diagnostic mammography unilateral | CPT | 77065 | 6 | $665 | $385.7 | $62.48 | $213.04 | $625.1 |
| Diagnostic mammography bilateral | CPT | 77066 | 6 | $811 | $470.38 | $77.88 | $261.61 | $762.34 |
| Screening mammography bilateral | CPT | 77067 | 6 | $586 | $339.88 | $85.2 | $133.48 | $550.84 |
| EKG complete | CPT | 93000 | 6 | $40 | $23.2 | $17.6 | $32.8 | $37.6 |
| EKG tracing only | CPT | 93005 | 6 | $207 | $120.06 | $7.92 | $124.2 | $194.58 |
| EKG interpretation only | CPT | 93010 | 6 | $36 | $20.88 | $9.68 | $20.68 | $33.84 |
| Transthoracic echocardiogram complete | CPT | 93306 | 6 | $1,750 | $1,015 | $621.28 | $1,277.5 | $1,645 |
| Transthoracic echocardiogram | CPT | 93307 | 6 | $739 | $428.62 | $325.16 | $605.98 | $694.66 |
| inpatient | ||||||||
| Initial hospital care, low complexity | CPT | 99221 | 6 | $227 | $131.66 | $99.88 | $186.14 | $213.38 |
| Initial hospital care, moderate complexity | CPT | 99222 | 6 | $361 | $209.38 | $158.84 | $296.02 | $339.34 |
| Initial hospital care, high complexity | CPT | 99223 | 6 | $481 | $278.98 | $211.64 | $394.42 | $452.14 |
| Hospital discharge, <30 min | CPT | 99238 | 6 | $226 | $131.08 | $99.44 | $185.32 | $212.44 |
| Hospital discharge, >30 min | CPT | 99239 | 6 | $320 | $185.6 | $140.8 | $262.4 | $300.8 |
| lab | ||||||||
| Basic metabolic panel (BMP) | CPT | 80048 | 6 | $130 | $75.4 | $8.46 | $105.37 | $122.2 |
| Electrolyte panel | CPT | 80051 | 6 | $102 | $59.16 | $7.01 | $83.64 | $95.88 |
| Comprehensive metabolic panel | CPT | 80053 | 6 | $151 | $87.58 | $10.56 | $123.82 | $141.94 |
| Lipid panel | CPT | 80061 | 6 | $154 | $89.32 | $13.39 | $95.48 | $144.76 |
| Renal function panel | CPT | 80069 | 6 | $106 | $61.48 | $8.68 | $86.92 | $99.64 |
| Hepatic function panel | CPT | 80076 | 6 | $135 | $78.3 | $8.17 | $77.08 | $126.9 |
| Urinalysis automated | CPT | 81003 | 6 | $68 | $39.44 | $2.25 | $36.66 | $63.92 |
| Glucose quantitative | CPT | 82947 | 6 | $96 | $55.68 | $3.93 | $59.52 | $90.24 |
| Hemoglobin A1c | CPT | 83036 | 6 | $117 | $67.86 | $9.71 | $95.94 | $109.98 |
| Thyroid stimulating hormone (TSH) | CPT | 84443 | 6 | $200 | $116 | $16.8 | $123.5 | $188 |
| Complete blood count with automated differential | CPT | 85025 | 6 | $328 | $190.24 | $7.77 | $99.64 | $308.32 |
| Complete blood count without differential | CPT | 85027 | 6 | $156 | $90.48 | $6.47 | $96.82 | $146.64 |
| Urine culture bacterial | CPT | 87086 | 6 | $122 | $70.76 | $8.07 | $100.04 | $114.68 |
| Urine culture identification | CPT | 87088 | 6 | $102 | $59.16 | $8.09 | $83.64 | $95.88 |
| Tissue exam by pathologist level IV | CPT | 88305 | 6 | $377 | $218.66 | $68.16 | $155.74 | $354.38 |
| maternity | ||||||||
| Fetal non-stress test | CPT | 59025 | 6 | $365 | $211.7 | $59.84 | $144.22 | $343.1 |
| Vaginal delivery only | CPT | 59409 | 6 | $2,124 | $1,231.92 | $855.8 | $1,594.9 | $1,996.56 |
| Vaginal delivery with postpartum | CPT | 59410 | 6 | $2,874.97 | $1,667.49 | $1,264.99 | $2,357.48 | $2,702.48 |
| C-section delivery only | CPT | 59514 | 6 | $3,490 | $2,024.2 | $1,049.4 | $2,241.9 | $3,280.6 |
| office | ||||||||
| Office visit, new patient, 15-29 min | CPT | 99202 | 6 | $204 | $118.32 | $22.44 | $89.76 | $191.76 |
| Office visit, new patient, 30-44 minutes | CPT | 99203 | 6 | $316 | $183.28 | $34.76 | $128.48 | $297.04 |
| Office visit, new patient, 45-59 min | CPT | 99204 | 6 | $473 | $274.34 | $51.92 | $188.34 | $444.62 |
| Office visit, new patient, 60-74 min | CPT | 99205 | 6 | $624 | $361.92 | $68.64 | $248.93 | $586.56 |
| Office visit, established patient, 5 min | CPT | 99211 | 6 | $1,274 | $738.92 | $7.04 | $40.2 | $1,197.56 |
| Office visit, established patient, 10-19 min | CPT | 99212 | 6 | $161 | $93.38 | $17.6 | $47.77 | $151.34 |
| Office visit, established patient, 20-29 minutes | CPT | 99213 | 6 | $260 | $150.8 | $28.6 | $85.54 | $244.4 |
| Office visit, established patient, 30-39 minutes | CPT | 99214 | 6 | $365 | $211.7 | $40.04 | $110.92 | $343.1 |
| Office visit, established patient, 40-54 min | CPT | 99215 | 6 | $511 | $296.38 | $46.2 | $127.84 | $480.34 |
| preventive | ||||||||
| Upper GI endoscopy diagnostic | CPT | 43235 | 6 | $777 | $450.66 | $341.88 | $637.14 | $730.38 |
| Upper GI endoscopy with biopsy | CPT | 43239 | 6 | $1,053 | $610.74 | $463.32 | $863.46 | $989.82 |
| Sigmoidoscopy diagnostic | CPT | 45330 | 6 | $533 | $309.14 | $234.52 | $437.06 | $501.02 |
| Sigmoidoscopy with biopsy | CPT | 45331 | 6 | $806 | $467.48 | $354.64 | $660.92 | $757.64 |
| Colonoscopy diagnostic | CPT | 45378 | 6 | $957 | $555.06 | $420.64 | $783.92 | $899.58 |
| Colonoscopy with biopsy | CPT | 45380 | 6 | $1,215 | $704.7 | $534.6 | $996.3 | $1,142.1 |
| Colonoscopy with polyp removal | CPT | 45385 | 6 | $1,271 | $737.18 | $559.24 | $1,042.22 | $1,194.74 |
| surgery | ||||||||
| Total shoulder arthroplasty | CPT | 23472 | 6 | — | — | $44 | $77.5 | $19,532 |
| Total hip replacement | CPT | 27130 | 6 | $3,551 | $2,059.58 | $1,562.44 | $2,911.82 | $17,556 |
| Total knee replacement | CPT | 27447 | 6 | $3,546 | $2,056.68 | $1,560.24 | $2,907.72 | $17,556 |
| Knee revision arthroplasty all components | CPT | 27487 | 6 | $4,829 | $2,800.82 | $2,124.76 | $3,959.78 | $4,539.26 |
| Shoulder arthroscopy with decompression | CPT | 29826 | 6 | $466 | $270.28 | $205.04 | $382.12 | $438.04 |
| Shoulder arthroscopy with rotator cuff repair | CPT | 29827 | 6 | $2,977 | $1,726.66 | $1,309.88 | $2,441.14 | $2,798.38 |
| Knee arthroscopy with meniscectomy | CPT | 29881 | 6 | $1,535 | $890.3 | $675.4 | $1,258.7 | $1,442.9 |
| Laparoscopic appendectomy | CPT | 44970 | 6 | $1,647 | $955.26 | $724.68 | $1,350.54 | $1,548.18 |
| Laparoscopic cholecystectomy | CPT | 47562 | 6 | $1,802 | $1,045.16 | $792.88 | $1,477.64 | $1,693.88 |
| Lap inguinal hernia repair | CPT | 49650 | 6 | $1,195 | $693.1 | $525.8 | $979.9 | $1,123.3 |
| Lap salpingo-oophorectomy | CPT | 58661 | 6 | $1,794 | $1,040.52 | $789.36 | $1,471.08 | $1,686.36 |
Payer mix (top 6)
| Payer | Codes covered | Median rate |
|---|---|---|
| Blue Cross Blue Shield | 123 | $160.58 |
| health partners | 123 | $274.48 |
| medica | 123 | $224.84 |
| Multiplan | 123 | $274.48 |
| sanford health plan | 123 | $175.2 |
| UnitedHealthcare | 123 | $224.84 |