CHI Lisbon Health
Lisbon, ND · Critical Access Hospital
Posts prices for 28 of the 66 common shoppable procedures we track. Price file retrieved 2026-09-08.
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| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| CT head/brain without contrast (70450) | $945.84 | $1,689 | 8.9× |
| MRI brain without contrast (70551) | $1,880.48 | $3,358 | 7.7× |
| MRI brain with contrast (70552) | $2,343.60 | $4,185 | 6.6× |
| MRI brain without and with contrast (70553) | $2,724.96 | $4,866 | 7.6× |
| X-ray lower spine, 4+ views (72110) | $218.96 | $391 | 2.0× |
| MRI lumbar spine without contrast (72148) range across 2 matching MRF lines |
$1,790.88–$1,844.64 | $3,198–$3,294 | varies |
| CT pelvis with contrast (72193) | $1,975.12 | $3,527 | 11.0× |
| MRI lower-extremity joint without contrast (73721) range across 2 matching MRF lines |
$1,819.44–$2,193.52 | $3,249–$3,917 | varies |
| CT abdomen and pelvis with contrast (74177) | $2,601.20 | $4,645 | 7.3× |
| Ultrasound, abdomen complete (76700) | $585.76 | $1,046 | 5.5× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) | $476 | $850 | 4.5× |
| Ultrasound, transvaginal (76830) | $462 | $825 | 4.3× |
| Mammography, both breasts (diagnostic) (77066) | $661.92 | $1,182 | 6.0× |
| Mammography, screening (bilateral) (77067) | $421.68 | $753 | 4.6× |
| Basic metabolic panel (80048) | $78.96 | $141 | 9.3× |
| Comprehensive metabolic panel (80053) | $96.88 | $173 | 9.2× |
| Obstetric panel (80055) | $239.12 | $427 | 5.0× |
| Lipid panel (80061) range across 2 matching MRF lines |
$34.16–$99.12 | $61–$177 | varies |
| Renal function panel (80069) | $80.64 | $144 | 9.3× |
| Hepatic function panel (80076) | $72.24 | $129 | 8.8× |
| Urinalysis, non-automated, without microscopy (81002) | $17.92 | $32 | 5.1× |
| PSA, total (84153) range across 2 matching MRF lines |
$30.90–$127.68 | $55.17–$228 | varies |
| Thyroid stimulating hormone (TSH) (84443) range across 2 matching MRF lines |
$28.23–$129.92 | $50.40–$232 | varies |
| CBC with automated differential (85025) | $57.12 | $102 | 7.4× |
| CBC, automated (85027) | $51.52 | $92 | 8.0× |
| Prothrombin time (PT) (85610) range across 2 matching MRF lines |
$7.21–$35.84 | $12.87–$64 | varies |
| Partial thromboplastin time (PTT) (85730) range across 4 matching MRF lines |
$10.10–$59.36 | $18.03–$106 | varies |
| Sleep study (attended polysomnography) (95810) | $2,461.20 | $4,395 | 2.8× |
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.
As a Critical Access Hospital, Medicare pays this facility about 101% of its own costs. The × Medicare column compares the cash price against that cost-based benchmark, not a standard rate.
More prices at this hospital
- Imaging: 207 codes with posted prices and Medicare benchmarks
- Lab & pathology: 620 codes with posted prices and Medicare benchmarks
- Visits & medical services: 28 codes with posted prices and Medicare benchmarks
- Procedures & surgery: 8 codes with posted prices and Medicare benchmarks
- Supplies, drugs & other: 3 codes with posted prices and Medicare benchmarks
Get the raw price file
Download the machine-readable file (JSON, 11.8 MB) ↓ — captured 2026-09-08
File links point at the hospital's own hosting and sometimes rotate — if the download fails, use the hospital's transparency page.