CHI St. Alexius Health Dickinson
Dickinson, ND · Critical Access Hospital
Posts prices for 48 of the 66 common shoppable procedures we track. Price file retrieved 2026-09-08.
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| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Breast lesion removal (open) (19120) range across 2 matching MRF lines |
$914.76–$2,027.34 | $1,452–$3,218 | varies |
| Upper GI endoscopy (EGD), diagnostic (43235) | $489.51 | $777 | 0.5× |
| Upper GI endoscopy (EGD) with biopsy (43239) | $663.39 | $1,053 | 0.7× |
| Diagnostic colonoscopy (45378) range across 2 matching MRF lines |
$602.28–$602.91 | $956–$957 | varies |
| Colonoscopy with biopsy (45380) | $765.45 | $1,215 | 0.6× |
| Colonoscopy with lesion removal (45385) | $800.73 | $1,271 | 0.7× |
| Laparoscopic gallbladder removal (47562) likely a partial charge, not the full procedure |
$1,135.26 | $1,802 | 0.2× |
| Inguinal hernia repair (age 5+) (49505) | $905.31 | $1,437 | 0.2× |
| Epidural injection, lumbar/sacral (with imaging) (62322) | $177.66 | $282 | 0.2× |
| CT head/brain without contrast (70450) | $1,292.13 | $2,051 | 12.1× |
| MRI brain without contrast (70551) | $1,957.41 | $3,107 | 8.0× |
| MRI brain with contrast (70552) | $1,957.41 | $3,107 | 5.5× |
| MRI brain without and with contrast (70553) | $2,836.26 | $4,502 | 8.0× |
| X-ray lower spine, 4+ views (72110) | $366.03 | $581 | 3.4× |
| MRI lumbar spine without contrast (72148) | $1,951.74 | $3,098 | 8.0× |
| CT pelvis with contrast (72193) | $1,365.21 | $2,167 | 7.6× |
| CT abdomen and pelvis with contrast (74177) | $2,372.58 | $3,766 | 6.7× |
| Ultrasound, abdomen complete (76700) | $512.19 | $813 | 4.8× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) | $432.81 | $687 | 4.1× |
| Ultrasound, transvaginal (76830) | $413.91 | $657 | 3.9× |
| Mammography, both breasts (diagnostic) (77066) | $490.14 | $778 | 4.4× |
| Mammography, screening (bilateral) (77067) | $705.60 | $1,120 | 7.7× |
| Basic metabolic panel (80048) range across 2 matching MRF lines |
$56.70–$153.09 | $90–$243 | varies |
| Comprehensive metabolic panel (80053) range across 2 matching MRF lines |
$74.34–$176.40 | $118–$280 | varies |
| Obstetric panel (80055) | $333.27 | $529 | 7.0× |
| Lipid panel (80061) range across 4 matching MRF lines |
$38.43–$120.96 | $61–$192 | varies |
| Renal function panel (80069) | $172.62 | $274 | 19.9× |
| Hepatic function panel (80076) | $153.09 | $243 | 18.7× |
| Urinalysis, non-automated, without microscopy (81002) | $25.20 | $40 | 7.2× |
| PSA, total (84153) range across 4 matching MRF lines |
$34.76–$132.93 | $55.17–$211 | varies |
| Thyroid stimulating hormone (TSH) (84443) range across 2 matching MRF lines |
$31.76–$129.15 | $50.40–$205 | varies |
| CBC with automated differential (85025) range across 2 matching MRF lines |
$57.96–$129.78 | $92–$206 | varies |
| CBC, automated (85027) range across 2 matching MRF lines |
$47.88–$89.46 | $76–$142 | varies |
| Prothrombin time (PT) (85610) range across 4 matching MRF lines |
$8.11–$40.32 | $12.87–$64 | varies |
| Partial thromboplastin time (PTT) (85730) range across 3 matching MRF lines |
$11.36–$80.64 | $18.03–$128 | varies |
| Psychotherapy, 30 minutes (90832) | $384.30 | $610 | 2.1× |
| Psychotherapy, 45 minutes (90834) | $475.65 | $755 | 2.6× |
| Psychotherapy, 60 minutes (90837) | $485.10 | $770 | 2.7× |
| Family psychotherapy, without patient (50 min) (90846) | $507.15 | $805 | 2.8× |
| Family psychotherapy, with patient (50 min) (90847) | $532.35 | $845 | 2.9× |
| Group psychotherapy (90853) | $463.05 | $735 | 4.5× |
| Electrocardiogram (ECG), complete (93000) | $25.20 | $40 | 0.4× |
| Sleep study (attended polysomnography) (95810) | $3,040.38 | $4,826 | 3.5× |
| Office visit, new patient (low complexity, ~30 min) (99203) range across 3 matching MRF lines |
$49.77–$199.08 | $79–$316 | varies |
| Office visit, new patient (moderate complexity, ~45 min) (99204) range across 3 matching MRF lines |
$74.34–$297.99 | $118–$473 | varies |
| Office visit, new patient (high complexity, ~60 min) (99205) range across 3 matching MRF lines |
$98.28–$393.12 | $156–$624 | varies |
| Preventive visit, new patient (age 18–39) (99385) range across 2 matching MRF lines |
$59.22–$178.92 | $94–$284 | varies |
| Preventive visit, new patient (age 40–64) (99386) range across 2 matching MRF lines |
$68.67–$206.01 | $109–$327 | 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.
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: 217 codes with posted prices and Medicare benchmarks
- Lab & pathology: 760 codes with posted prices and Medicare benchmarks
- Visits & medical services: 101 codes with posted prices and Medicare benchmarks
- Procedures & surgery: 515 codes with posted prices and Medicare benchmarks
- Supplies, drugs & other: 24 codes with posted prices and Medicare benchmarks
Get the raw price file
Download the machine-readable file (JSON, 21.6 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.