Supplies, drugs & other prices at CHI St. Alexius Health Dickinson
Dickinson, ND · every code in this section with a posted price and a Medicare benchmark.
24 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Adm tocilizu covid-19 1st (M0249) | $461.16 | $732 | 1.0× |
| Adm tocilizu covid-19 2nd (M0250) | $461.16 | $732 | 1.0× |
| Ca screen;flexi sigmoidscope (G0104) | $647.01 | $1,027 | 0.7× |
| Ca screen;pelvic/breast exam (G0101) | $69.30 | $110 | 0.7× |
| Diab manage trn per indiv (G0108) range across 5 matching MRF lines |
$23.94–$140.49 | $38–$223 | varies |
| Diab manage trn ind/group (G0109) range across 4 matching MRF lines |
$6.93–$39.06 | $11–$62 | varies |
| Direct refer hospital observ (G0379) | $181.44 | $288 | 0.3× |
| Ekg tracing for initial prev (G0404) | $11.34 | $18 | 0.4× |
| Group mnt 2 or more 30 mins (G0271) | $46.62 | $74 | 2.7× |
| Hep c screen high risk/other (G0472) | $170.10 | $270 | 3.7× |
| Hopd mntl hlt, 15-29 min (C7900) | $403.83 | $641 | 10.5× |
| Hopd mntl hlt, 30-60 min (C7901) | $499.59 | $793 | 4.8× |
| Hopd mntl hlt, grp (C7903) | $486.36 | $772 | 12.7× |
| Initial preventive exam (G0402) | $296.10 | $470 | 2.2× |
| Mnt subs tx for change dx (G0270) | $86.94 | $138 | 2.7× |
| Obtaining screen pap smear (Q0091) range across 2 matching MRF lines |
$20.16–$80.64 | $32–$128 | varies |
| Onc Merkel Cll Carc Srm Quan (0058U) | $610.40 | $968.88 | 1.9× |
| Oth resp proc, group (G0239) | $59.22 | $94 | 1.6× |
| Oth resp proc, indiv (G0238) | $59.22 | $94 | 2.0× |
| Ppps, initial visit (G0438) | $295.47 | $469 | 1.7× |
| Ppps, subseq visit (G0439) | $232.47 | $369 | 1.7× |
| Psa screening (G0103) | $139.86 | $222 | 7.2× |
| Therapeutic procd strg endur (G0237) | $59.22 | $94 | 2.0× |
| Trauma respons w/hosp criti (G0390) range across 2 matching MRF lines |
$714.42–$1,287.72 | $1,134–$2,044 | 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.