Supplies, drugs & other prices at Altru Hospital
Grand Forks, ND · every code in this section with a posted price and a Medicare benchmark.
133 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 2d tee w or w/o fol w/con,in (C8925) | $1,071.77 | $1,757 | 1.3× |
| 2d tte w or w/o fol w/con,fu (C8924) | $1,232.81 | $2,021 | 3.5× |
| Ablation b9 thyroid nodule perq laser w/img gdn (0673T) range across 2 matching MRF lines |
$628.30–$1,819.63 | $1,030–$2,983 | varies |
| Admin hepatitis b vaccine (G0010) range across 4 matching MRF lines |
$13.42–$47.58 | $22–$78 | varies |
| Admin influenza virus vac (G0008) range across 4 matching MRF lines |
$13.42–$47.58 | $22–$78 | varies |
| Admin pneumococcal vaccine (G0009) range across 4 matching MRF lines |
$13.42–$47.58 | $22–$78 | varies |
| Alcohol/subs interv 15-30mn (G0396) range across 3 matching MRF lines |
$34.77–$84.79 | $57–$139 | varies |
| Alcohol/subs interv >30 min (G0397) range across 3 matching MRF lines |
$73.81–$147.01 | $121–$241 | varies |
| Amalgam one surface permanen (D2140) | $86.62 | $142 | 0.1× |
| Annual alcohol screen 15 min (G0442) range across 3 matching MRF lines |
$14.03–$50.63 | $23–$83 | varies |
| Ant resin-based cmpst crown (D2390) | $223.87 | $367 | 0.3× |
| Ascvd rsk mng clin stf pr mo (G0538) range across 4 matching MRF lines |
$12.81–$115.90 | $21–$190 | varies |
| Behavior counsel obesity 15m (G0447) range across 3 matching MRF lines |
$23.79–$84.18 | $39–$138 | varies |
| Brief alcohol misuse counsel (G0443) range across 3 matching MRF lines |
$23.79–$61 | $39–$100 | varies |
| Ca screen;flexi sigmoidscope (G0104) range across 2 matching MRF lines |
$992.47–$1,180.96 | $1,627–$1,936 | varies |
| Ca screen;pelvic/breast exam (G0101) range across 3 matching MRF lines |
$35.99–$106.75 | $59–$175 | varies |
| Catheterize for urine spec (P9612) range across 3 matching MRF lines |
$95.16–$253.76 | $156–$416 | varies |
| Colon ca scrn not hi rsk ind (G0121) range across 2 matching MRF lines |
$644.16–$1,561.60 | $1,056–$2,560 | varies |
| Colorectal scrn; hi risk ind (G0105) range across 2 matching MRF lines |
$1,561.60–$2,180.14 | $2,560–$3,574 | varies |
| Covid-19 lab test non-cdc (U0002) | $107.97 | $177 | 2.1× |
| Cyp1a2 gene analysis common variants (0031U) | $416.63 | $683 | 2.4× |
| Cysto impl 4 or more (C9740) range across 2 matching MRF lines |
$3,250.08–$11,584.51 | $5,328–$18,991 | varies |
| Cysto, litho, vacuum kidney (C9761) | $10,431 | $17,100 | 1.1× |
| Cystoscopy prostatic imp 1-3 (C9739) range across 3 matching MRF lines |
$2,348.50–$10,413.31 | $3,850–$17,071 | varies |
| Demonstrate use home inr mon (G0248) range across 2 matching MRF lines |
$537.41–$558.76 | $881–$916 | varies |
| Depression screen annual (G0444) range across 3 matching MRF lines |
$13.42–$50.02 | $22–$82 | varies |
| Diab manage trn per indiv (G0108) | $97.60 | $160 | 1.7× |
| Diab manage trn ind/group (G0109) | $37.21 | $61 | 2.3× |
| Direct refer hospital observ (G0379) | $512.40 | $840 | 0.8× |
| Ed svc ckd ind per session (G0420) | $228.75 | $375 | 2.0× |
| Ekg tracing for initial prev (G0404) | $147.62 | $242 | 5.0× |
| Elec stim other than wound (G0283) range across 2 matching MRF lines |
$31.72–$200.69 | $52–$329 | varies |
| Exposure of unerupted tooth (D7280) | $634.40 | $1,040 | 1.0× |
| Extraction coronal remnants (D7111) | $826.55 | $1,355 | 1.3× |
| Extraction erupted tooth/exr (D7140) | $634.40 | $1,040 | 1.0× |
| Facility svs dental rehab (G0330) | $2,294.82 | $3,762 | 0.7× |
| Fecal microbiota prep instil (G0455) range across 3 matching MRF lines |
$57.95–$292.19 | $95–$479 | varies |
| Fractional abl lsr fenestration first 100 sqcm (0479T) | $134.20 | $220 | 0.2× |
| Hbot, full body chamber, 30m (G0277) | $188.49 | $309 | 1.3× |
| Hep c screen high risk/other (G0472) range across 2 matching MRF lines |
$117.12–$134.81 | $192–$221 | varies |
| High inten beh couns std 30m (G0445) range across 3 matching MRF lines |
$23.79–$61 | $39–$100 | varies |
| Hiv prep counsel, clin staff (G0013) | $28.67 | $47 | 0.7× |
| Home sleep test/type 3 porta (G0399) range across 2 matching MRF lines |
$187.27–$222.65 | $307–$365 | varies |
| Hospital outpt clinic visit (G0463) range across 9 matching MRF lines |
$101.26–$225.70 | $166–$370 | varies |
| Ig paraprotein qual imprcip&ms bld/ur w/isotype (0077U) range across 10 matching MRF lines |
$17.69–$416.02 | $29–$682 | varies |
| Impact tooth rem bony w/comp (D7241) | $634.40 | $1,040 | 1.0× |
| Impact tooth remov comp bony (D7240) | $634.40 | $1,040 | 1.0× |
| Impact tooth remov part bony (D7230) | $634.40 | $1,040 | 1.0× |
| Impact tooth remov soft tiss (D7220) | $634.40 | $1,040 | 1.0× |
| Initial preventive exam (G0402) range across 3 matching MRF lines |
$126.88–$265.35 | $208–$435 | varies |
| Inj for sacroiliac jt anesth (G0260) range across 2 matching MRF lines |
$222.04–$1,124.84 | $364–$1,844 | varies |
| Injection of hiv prep drug (G0012) | $17.69 | $29 | 0.2× |
| Injection posterior chamber eye medication (0699T) | $1,695.19 | $2,779 | 0.7× |
| Instlj fecal microbiota ssp (0780T) range across 3 matching MRF lines |
$57.95–$292.19 | $95–$479 | varies |
| Intens behave ther cardio dx (G0446) range across 3 matching MRF lines |
$23.79–$61 | $39–$100 | varies |
| Intens cardiac rehab no exer (G0423) | $173.24 | $284 | 1.3× |
| Intens cardiac rehab w/exerc (G0422) | $173.24 | $284 | 1.3× |
| Jak2 Gene Analysis Trgt Seq Alys Exons 12-15 (0027U) | $281.21 | $461 | 2.3× |
| Mnt subs tx for change dx (G0270) | $26.23 | $43 | 0.8× |
| Mra w/cont, abd (C8900) | $1,915.40 | $3,140 | 5.4× |
| Mra w/cont, chest (C8909) | $1,933.70 | $3,170 | 5.4× |
| Mra w/cont, lwr ext (C8912) | $1,933.70 | $3,170 | 5.4× |
| Mra w/o cont, abd (C8901) | $1,629.31 | $2,671 | 6.7× |
| Mra w/o cont, chest (C8910) | $1,645.78 | $2,698 | 6.8× |
| Mra w/o cont, lwr ext (C8913) | $1,645.78 | $2,698 | 6.8× |
| Mra w/o fol w/cont, abd (C8902) | $2,321.66 | $3,806 | 6.5× |
| Mra w/o fol w/cont, chest (C8911) | $2,321.66 | $3,806 | 6.5× |
| Mra w/o fol w/cont, lwr ext (C8914) | $2,321.66 | $3,806 | 6.5× |
| Mri w/cont, breast, bi (C8906) | $637.45 | $1,045 | 1.8× |
| Mri w/cont, breast, uni (C8903) | $637.45 | $1,045 | 3.6× |
| Mri w/o fol w/cont, breast, (C8908) range across 2 matching MRF lines |
$165.31–$637.45 | $271–$1,045 | varies |
| Mri w/o fol w/cont, brst, un (C8905) range across 2 matching MRF lines |
$165.31–$637.45 | $271–$1,045 | varies |
| Neuro csf prion prtn qual (0035U) | $479.46 | $786 | 0.9× |
| Njx platelet plasma (0232T) range across 3 matching MRF lines |
$532.53–$831.43 | $873–$1,363 | varies |
| Obtaining screen pap smear (Q0091) range across 3 matching MRF lines |
$26.23–$73.81 | $43–$121 | varies |
| Onc merkel cell carc detcj antb serum reprtd +/- (0059U) | $294.63 | $483 | 0.9× |
| Onc Merkel Cll Carc Srm Quan (0058U) | $294.63 | $483 | 0.9× |
| Oral antral fistula closure (D7260) | $634.40 | $1,040 | 1.0× |
| Oral/facial photo images (D0350) | $37.21 | $61 | 0.4× |
| Oth resp proc, group (G0239) range across 2 matching MRF lines |
$145.79–$405.65 | $239–$665 | varies |
| Oth resp proc, indiv (G0238) | $107.97 | $177 | 3.7× |
| Perc d-e cor revasc chro sin (C9607) | $11,886.46 | $19,486 | 0.6× |
| Perc d-e cor revasc t cabg s (C9604) | $11,886.46 | $19,486 | 1.0× |
| Perc d-e cor stent ather s (C9602) | $11,886.46 | $19,486 | 0.6× |
| Perc drug-el cor stent sing (C9600) | $11,886.46 | $19,486 | 1.0× |
| Periodontal scaling & root (D4341) | $102.48 | $168 | 0.2× |
| Periodontal scaling 1-3teeth (D4342) | $222.65 | $365 | 0.3× |
| Perq Sacral Augmt Bilat Inj (0201T) range across 2 matching MRF lines |
$1,687.87–$3,941.21 | $2,767–$6,461 | varies |
| Perq Sacral Augmt Unilat Inj (0200T) range across 2 matching MRF lines |
$1,731.79–$3,142.11 | $2,839–$5,151 | varies |
| Perq tcat ther rx dlvr ntrac rx balo 1 maj c art (0913T) range across 2 matching MRF lines |
$1,479.86–$10,934.25 | $2,426–$17,925 | varies |
| Ppps, initial visit (G0438) | $305 | $500 | 1.7× |
| Ppps, subseq visit (G0439) | $204.96 | $336 | 1.5× |
| Prefab steel crown primary (D2934) | $234.24 | $384 | 0.4× |
| Prefab stnlss steel crown pe (D2931) | $234.24 | $384 | 0.4× |
| Prefab stnlss steel crwn pri (D2930) | $234.24 | $384 | 0.4× |
| Prefabricated resin crown (D2932) | $206.18 | $338 | 0.3× |
| Prolonged iv inf, req pump (C8957) | $355.63 | $583 | 1.6× |
| Prostate biopsy, any mthd (G0416) range across 2 matching MRF lines |
$892.43–$1,163.88 | $1,463–$1,908 | varies |
| Provide inr test mater/equip (G0249) | $252.54 | $414 | 1.9× |
| Psa screening (G0103) | $106.75 | $175 | 5.5× |
| Rem imp tooth w mucoper flp (D7210) | $634.40 | $1,040 | 0.4× |
| Revasc intra lithotrip-ather (C9766) | $18,675.76 | $30,616 | 1.0× |
| Revasc intra lithotrip-stent (C9765) | $20,438.66 | $33,506 | 1.1× |
| Revasc intravasc lithotripsy (C9764) | $12,880.15 | $21,115 | 1.1× |
| Revasc lith-sten-ath tib/per (C9775) | $20,843.09 | $34,169 | 1.1× |
| Revasc lithotr-ather tib/per (C9774) | $20,843.09 | $34,169 | 1.1× |
| Revasc lithotr-stent tib/per (C9773) | $20,843.09 | $34,169 | 1.1× |
| Revasc lithotrip tibi/perone (C9772) | $12,880.76 | $21,116 | 1.1× |
| Revasc lithotrip-stent-ather (C9767) | $14,627.19 | $23,979 | 0.8× |
| Risk ascvd tst once pr 12 mo (G0537) range across 4 matching MRF lines |
$12.81–$45.75 | $21–$75 | varies |
| Rx Metab Advrs Trgt Seq Alys (0029U) range across 2 matching MRF lines |
$442.25–$493.49 | $725–$809 | varies |
| Screen cerv/vag thin layer (G0123) range across 2 matching MRF lines |
$80.52–$104.31 | $132–$171 | varies |
| Screen pap by tech w md supv (P3000) | $77.47 | $127 | 4.2× |
| Syphilis tst non-treponemal antibody ia qual rpr (0065U) | $49.41 | $81 | 2.7× |
| Tcat Rmvl/Debulk Icar Mass Suction Device Perq (0644T) range across 2 matching MRF lines |
$666.12–$6,741.11 | $1,092–$11,051 | varies |
| Tee w or w/o fol w/cont,cong (C8926) | $1,071.77 | $1,757 | 1.3× |
| Therapeutic procd strg endur (G0237) | $107.97 | $177 | 3.7× |
| Therapeutic pulpotomy (D3220) | $215.33 | $353 | 0.3× |
| Tomosynthesis, mammo (G0279) range across 3 matching MRF lines |
$53.68–$64.66 | $88–$106 | varies |
| Tooth reimplantation (D7270) | $298.29 | $489 | 0.5× |
| Tooth root removal (D7250) | $634.40 | $1,040 | 1.0× |
| Tpmt and Nudt15 Genotype (0034U) | $373.32 | $612 | 0.8× |
| Transcatheter Renal Sympath Denervation Bilat (0339T) range across 2 matching MRF lines |
$1,873.92–$6,344 | $3,072–$10,400 | varies |
| Transcatheter renal sympath denervation unilat (0338T) range across 2 matching MRF lines |
$2,543.70–$6,344 | $4,170–$10,400 | varies |
| Trauma respons w/hosp criti (G0390) range across 3 matching MRF lines |
$2,005.07–$5,085.57 | $3,287–$8,337 | varies |
| Trim nail(s) (G0127) range across 3 matching MRF lines |
$17.69–$120.17 | $29–$197 | varies |
| Trluml Perip Athrc Brchiocph (0237T) range across 2 matching MRF lines |
$1,173.64–$12,633.71 | $1,924–$20,711 | varies |
| Trluml Perip Athrc Iliac Art (0238T) range across 2 matching MRF lines |
$820.45–$12,633.71 | $1,345–$20,711 | varies |
| Trluml Peripheral Atherectomy Renal Artery Ea (0234T) range across 2 matching MRF lines |
$1,401.78–$12,633.71 | $2,298–$20,711 | varies |
| Tte w or w/o fol w/con,stres (C8928) | $1,831.83 | $3,003 | 2.3× |
| Tte w or wo fol wcon,doppler (C8929) range across 2 matching MRF lines |
$864.98–$879.01 | $1,418–$1,441 | varies |
| Unsched dialysis esrd pt hos (G0257) | $897.92 | $1,472 | 1.3× |
| Visit to determ ldct elig (G0296) range across 3 matching MRF lines |
$26.84–$111.63 | $44–$183 | varies |
A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.