Fargo, ND, 58104
The report bundles all published codes × every payer rate + compliance grade as a downloadable PDF + CSV with a data-version manifest.
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vs nat'l shows this hospital's negotiated median against the national median for that code (green = at/below market, amber = 1–1.5×, red = >1.5× the national median).
| Procedure | Type | Code | Payers | Gross | Cash | Neg min | Neg median | vs nat'l | Neg max |
|---|---|---|---|---|---|---|---|---|---|
| emergency | |||||||||
| Critical care, first hour | CPT | 99291 | 8 | $4,466.63 | $4,466.63 | $3,126.64 | $3,349.97 | 3.1× | $4,019.97 |
| imaging | |||||||||
| CT head without contrast | CPT | 70450 | 8 | $3,991.45 | $3,991.45 | $2,794.02 | $2,993.59 | 14.5× | $3,592.31 |
| CT head with contrast | CPT | 70460 | 8 | $6,166.95 | $6,166.95 | $4,316.87 | $4,625.21 | 19.8× | $5,550.26 |
| CT head with and without contrast | CPT | 70470 | 8 | $6,866.53 | $6,866.53 | $4,806.57 | $5,149.9 | 19.3× | $6,179.88 |
| CT neck with contrast | CPT | 70491 | 8 | $839.17 | $839.17 | $587.42 | $629.38 | 2.3× | $755.25 |
| MRI brain without contrast | CPT | 70551 | 8 | $7,057.7 | $7,057.7 | $4,940.39 | $5,293.28 | 13.1× | $6,351.93 |
| MRI brain with contrast | CPT | 70552 | 8 | $4,673.35 | $4,673.35 | $3,271.35 | $3,505.01 | 7.3× | $4,206.02 |
| MRI brain with and without contrast | CPT | 70553 | 8 | $11,377 | $11,377 | $7,964.01 | $8,532.86 | 14.5× | $10,239 |
| Chest X-ray single view | CPT | 71045 | 8 | $345.35 | $345.35 | $241.75 | $259.01 | 2.7× | $310.82 |
| Chest X-ray 2 views | CPT | 71046 | 8 | $615.4 | $615.4 | $430.78 | $461.55 | 4.7× | $553.86 |
| CT chest without contrast | CPT | 71250 | 8 | $1,047.28 | $1,047.28 | $733.1 | $785.46 | 3.7× | $942.55 |
| CT chest with contrast | CPT | 71260 | 8 | $6,166.95 | $6,166.95 | $4,316.87 | $4,625.21 | 16.4× | $5,550.26 |
| CT chest with and without contrast | CPT | 71270 | 8 | $6,869.35 | $6,869.35 | $4,808.55 | $5,152.01 | 17.7× | $6,182.42 |
| Lumbosacral spine X-ray | CPT | 72100 | 8 | $556.9 | $556.9 | $389.83 | $417.68 | 4.0× | $501.21 |
| CT cervical spine without contrast | CPT | 72125 | 8 | $3,991.45 | $3,991.45 | $2,794.02 | $2,993.59 | 14.9× | $3,592.31 |
| CT thoracic spine without contrast | CPT | 72128 | 8 | $4,142.05 | $4,142.05 | $2,899.44 | $3,106.54 | 15.6× | $3,727.85 |
| CT lumbar spine without contrast | CPT | 72131 | 8 | $3,991.45 | $3,991.45 | $2,794.02 | $2,993.59 | 14.7× | $3,592.31 |
| MRI cervical spine without contrast | CPT | 72141 | 8 | $7,057.7 | $7,057.7 | $4,940.39 | $5,293.28 | 13.3× | $6,351.93 |
| MRI thoracic spine without contrast | CPT | 72146 | 8 | $7,057.7 | $7,057.7 | $4,940.39 | $5,293.28 | 14.2× | $6,351.93 |
| MRI lumbar spine without contrast | CPT | 72148 | 8 | $7,324 | $7,324 | $5,126.8 | $5,493 | 14.6× | $6,591.6 |
| MRI lumbar spine with and without contrast | CPT | 72149 | 8 | $7,324 | $7,324 | $5,126.8 | $5,493 | 12.1× | $6,591.6 |
| MRI cervical spine with and without contrast | CPT | 72156 | 8 | $10,963 | $10,963 | $7,674.38 | $8,222.55 | 15.2× | $9,867.06 |
| MRI lumbar spine with contrast | CPT | 72158 | 8 | $11,377 | $11,377 | $7,964.01 | $8,532.86 | 15.6× | $10,239 |
| CT pelvis without contrast | CPT | 72192 | 8 | $3,991.45 | $3,991.45 | $2,794.02 | $2,993.59 | 15.0× | $3,592.31 |
| CT pelvis with contrast | CPT | 72193 | 8 | $6,166.95 | $6,166.95 | $4,316.87 | $4,625.21 | 16.4× | $5,550.26 |
| Shoulder X-ray | CPT | 73030 | 8 | $1,434.24 | $1,434.24 | $318.92 | $510.93 | 5.5× | $1,290.82 |
| Humerus X-ray | CPT | 73060 | 8 | $429.65 | $429.65 | $300.76 | $322.24 | 3.6× | $386.69 |
| Hand X-ray 3 views | CPT | 73130 | 8 | $404.1 | $404.1 | $282.87 | $303.08 | 3.3× | $363.69 |
| Knee X-ray 1-2 views | CPT | 73560 | 8 | $354.3 | $354.3 | $235.69 | $265.73 | 2.8× | $318.87 |
| Ankle X-ray 3 views | CPT | 73610 | 8 | $398.69 | $398.69 | $165.48 | $245.92 | 2.7× | $358.82 |
| MRI lower extremity joint with and without contrast | CPT | 73723 | 8 | $1,746.94 | $1,746.94 | $1,222.86 | $1,310.21 | 2.1× | $1,572.25 |
| CT abdomen without contrast | CPT | 74150 | 8 | $3,991.45 | $3,991.45 | $2,794.02 | $2,993.59 | 15.9× | $3,592.31 |
| CT abdomen with contrast | CPT | 74160 | 8 | $6,166.95 | $6,166.95 | $4,316.87 | $4,625.21 | 16.1× | $5,550.26 |
| CT abdomen with and without contrast | CPT | 74170 | 8 | $6,869.35 | $6,869.35 | $4,808.55 | $5,152.01 | 15.4× | $6,182.42 |
| CT abdomen and pelvis without contrast | CPT | 74176 | 8 | $6,213.05 | $6,213.05 | $4,349.14 | $4,659.79 | 12.8× | $5,591.75 |
| CT abdomen and pelvis with contrast | CPT | 74177 | 8 | $9,599.45 | $9,599.45 | $6,719.62 | $7,199.59 | 13.1× | $8,639.51 |
| CT abdomen and pelvis with and without contrast | CPT | 74178 | 8 | $10,693 | $10,693 | $7,484.89 | $8,019.53 | 13.9× | $9,623.43 |
| MRI abdomen without contrast | CPT | 74181 | 8 | $7,324 | $7,324 | $5,126.8 | $5,493 | 14.1× | $6,591.6 |
| Abdominal ultrasound complete | CPT | 76700 | 8 | $1,265.7 | $1,265.7 | $885.99 | $949.28 | 6.4× | $1,139.13 |
| Abdominal ultrasound limited | CPT | 76705 | 8 | $1,137.05 | $1,137.05 | $766.99 | $852.79 | 5.8× | $1,023.35 |
| Retroperitoneal ultrasound complete | CPT | 76770 | 8 | $1,415.51 | $1,415.51 | $799.89 | $1,009.65 | 7.0× | $1,273.96 |
| Pelvic ultrasound complete | CPT | 76856 | 8 | $1,313.45 | $1,313.45 | $919.42 | $985.09 | 6.9× | $1,182.11 |
| Scrotal ultrasound | CPT | 76870 | 8 | $500.15 | $500.15 | $350.11 | $375.11 | 2.9× | $450.14 |
| EKG tracing only | CPT | 93005 | 8 | $390.7 | $390.7 | $273.49 | $293.03 | 2.5× | $351.63 |
| Transthoracic echocardiogram complete | CPT | 93306 | 8 | $1,235.6 | $1,235.6 | $864.92 | $926.7 | 1.5× | $1,112.04 |
| Transthoracic echocardiogram | CPT | 93307 | 8 | $1,235.6 | $1,235.6 | $864.92 | $926.7 | 3.7× | $1,112.04 |
| lab | |||||||||
| Basic metabolic panel (BMP) | CPT | 80048 | 8 | $502.85 | $502.85 | $352 | $377.14 | 11.6× | $452.57 |
| Comprehensive metabolic panel | CPT | 80053 | 8 | $655.8 | $655.8 | $459.06 | $491.85 | 11.1× | $590.22 |
| Lipid panel | CPT | 80061 | 8 | $262.35 | $262.35 | $183.65 | $196.76 | 5.2× | $236.12 |
| Renal function panel | CPT | 80069 | 8 | $640.75 | $640.75 | $448.53 | $480.56 | 17.6× | $576.68 |
| Hepatic function panel | CPT | 80076 | 8 | $420 | $420 | $294 | $315 | 11.8× | $378 |
| Urinalysis automated | CPT | 81003 | 8 | $87.75 | $87.75 | $61.43 | $65.81 | 4.7× | $78.98 |
| Hemoglobin A1c | CPT | 83036 | 8 | $164.7 | $164.7 | $115.29 | $123.53 | 4.6× | $148.23 |
| Thyroid stimulating hormone (TSH) | CPT | 84443 | 8 | $246.05 | $246.05 | $172.24 | $184.54 | 3.9× | $221.45 |
| Complete blood count with automated differential | CPT | 85025 | 8 | $143.2 | $143.2 | $100.24 | $107.4 | 4.1× | $128.88 |
| Complete blood count without differential | CPT | 85027 | 8 | $156.35 | $156.35 | $109.45 | $117.26 | 5.4× | $140.72 |
| Urine culture bacterial | CPT | 87086 | 8 | $258.65 | $258.65 | $181.06 | $193.99 | 8.3× | $232.79 |
| Urine culture identification | CPT | 87088 | 8 | $299.1 | $299.1 | $209.37 | $224.33 | 10.1× | $269.19 |
| Tissue exam by pathologist level IV | CPT | 88305 | 8 | $319.2 | $319.2 | $223.44 | $239.4 | 2.3× | $287.28 |
| preventive | |||||||||
| Upper GI endoscopy diagnostic | CPT | 43235 | 8 | $4,788.5 | $4,788.5 | $3,351.95 | $3,591.38 | 3.9× | $4,309.65 |
| Upper GI endoscopy with biopsy | CPT | 43239 | 9 | $2,503.44 | $2,503.44 | $300 | $1,877.58 | 1.9× | $2,253.1 |
| Colonoscopy diagnostic | CPT | 45378 | 8 | $4,560.55 | $4,560.55 | $3,192.39 | $3,420.41 | 3.9× | $4,104.5 |
| Payer | Codes covered | Median rate |
|---|---|---|
| america's choice provider network | 62 | $885.99 |
| medincrease | 62 | $1,139.13 |
| Multiplan | 62 | $1,012.56 |
| prime health services | 62 | $1,075.85 |
| provider network of america | 62 | $949.28 |
| quik trip | 62 | $949.28 |
| usa managed care organization | 62 | $949.28 |
| velocity provider ppo network | 62 | $949.28 |
| wellpoint (amerigroup) | 1 | $300 |
