Visits & medical services prices at CHI St. Alexius Health Dickinson
Dickinson, ND · every code in this section with a posted price and a Medicare benchmark.
101 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Actinotherapy Ultraviolet Light (96900) | $52.92 | $84 | 1.4× |
| Admn Sarscov2 Vacc 1 Dose (90480) range across 2 matching MRF lines |
$44.10–$85.05 | $70–$135 | varies |
| Airway Inhalation Treatment (94640) range across 3 matching MRF lines |
$14.49–$96.39 | $23–$153 | varies |
| Brief Emotional/Behav Assmt (96127) | $11.34 | $18 | 0.3× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) range across 2 matching MRF lines |
$70.56–$413.28 | $112–$656 | varies |
| Car seat/bed test 60 min (94780) | $52.92 | $84 | 1.4× |
| Cardiac Stress Tst,Tracing Only (93017) | $463.68 | $736 | 2.1× |
| Cardiopulmonary resuscitation (92950) range across 4 matching MRF lines |
$395.01–$636.30 | $627–$1,010 | varies |
| Cardioversion (92960) range across 4 matching MRF lines |
$223.65–$1,098.72 | $355–$1,744 | varies |
| Chemo IV infusion addl hr (96415) | $157.50 | $250 | 2.1× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) | $830.34 | $1,318 | 2.5× |
| Chest Wall Manipulation (94668) | $126 | $200 | 0.9× |
| Circadian Respiratry Pattern Rec 12-24 Hr Infant (94772) | $498.96 | $792 | 1.3× |
| Color/duplex Doppler, complete (93975) | $970.20 | $1,540 | 4.0× |
| Color/duplex Doppler, limited (93976) | $659.61 | $1,047 | 6.2× |
| Cont gluc mntr physician/qhp provided equiptment (95250) range across 2 matching MRF lines |
$250.11–$415.17 | $397–$659 | varies |
| Cont Gluc Mntr Pt Prov Eqp (95249) | $155.61 | $247 | 2.6× |
| Continuous Pulse Ox (94762) | $515.34 | $818 | 3.9× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) range across 3 matching MRF lines |
$117.18–$432.18 | $186–$686 | varies |
| Cpt initial (94667) | $126 | $200 | 0.9× |
| Critical care first hour (99291) range across 3 matching MRF lines |
$429.03–$1,449.63 | $681–$2,301 | varies |
| Debridement Open Wound 20 Sq Cm< (97597) range across 3 matching MRF lines |
$60.48–$265.86 | $96–$422 | varies |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) range across 3 matching MRF lines |
$829.71–$996.03 | $1,317–$1,581 | varies |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) | $481.32 | $764 | 4.5× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) | $827.19 | $1,313 | 3.4× |
| Dup-scan xtr veins unilateral/limited study (93971) | $570.15 | $905 | 5.3× |
| Duplex Scan Hemodialysis Access (93990) | $437.22 | $694 | 4.1× |
| Duplex up extrem art bilat (93930) | $643.86 | $1,022 | 2.6× |
| Duplex up extrem art unilat/ltd (93931) range across 2 matching MRF lines |
$316.89–$367.29 | $503–$583 | varies |
| ECG/monitoring and analysis (93271) | $657.09 | $1,043 | 6.8× |
| Echo Heart Xthoracic,Limited (93308) | $498.96 | $792 | 2.0× |
| Eeg 41-60 Minutes (95812) | $651.42 | $1,034 | 3.0× |
| EEG awake and asleep (95819) | $808.92 | $1,284 | 3.7× |
| EEG awake drowsy (95816) | $691.11 | $1,097 | 3.1× |
| EEG cerebral death evaluation (95824) | $345.24 | $548 | 0.9× |
| EEG extended monitoring 61-119 minutes (95813) | $733.95 | $1,165 | 3.3× |
| Electrocardiogram Tracing (93005) range across 2 matching MRF lines |
$11.34–$191.52 | $18–$304 | varies |
| Emergency Dept Visit Level 2 (99282) range across 4 matching MRF lines |
$86.31–$246.33 | $137–$391 | varies |
| Emergency Dept Visit Level 3 (99283) range across 4 matching MRF lines |
$128.52–$358.47 | $204–$569 | varies |
| Emergency Dept Visit Level 4 (99284) range across 5 matching MRF lines |
$243.18–$648.90 | $386–$1,030 | varies |
| Er level 1 (99281) range across 4 matching MRF lines |
$44.10–$179.55 | $70–$285 | varies |
| Er level v (99285) range across 4 matching MRF lines |
$358.47–$1,119.51 | $569–$1,777 | varies |
| Esophgl funcj g-esop rflx impd eltrd prolng (91038) range across 2 matching MRF lines |
$176.40–$529.20 | $280–$840 | varies |
| Evaluate pt use of inhaler (94664) range across 2 matching MRF lines |
$111.51–$115.92 | $177–$184 | varies |
| Evoked Auditory Test,Limited (92587) range across 2 matching MRF lines |
$13.86–$203.49 | $22–$323 | varies |
| Exercise test for bronchospasm (94617) | $496.44 | $788 | 3.7× |
| External ECG rec>48hr<7d recording (93242) | $154.35 | $245 | 4.0× |
| External ECG rec>7d<15d recording (93246) range across 2 matching MRF lines |
$21.42–$97.65 | $34–$155 | varies |
| External Ecg Scanning Analysis Report (93226) | $380.52 | $604 | 6.3× |
| Extracranial Bilat Study (93880) | $693 | $1,100 | 2.8× |
| Gastroesophag Reflx Test W/Intrluml Imped Eltrd (91037) range across 2 matching MRF lines |
$77.49–$232.47 | $123–$369 | varies |
| Holter monitor recording (93225) | $274.05 | $435 | 2.0× |
| Immunization administration (90471) range across 4 matching MRF lines |
$13.23–$62.37 | $20.99–$99 | varies |
| Inhlj Brncl Challenge Tstg W/Histam/Methachol (95070) | $63.63 | $101 | 0.2× |
| Insert/Place Heart Catheter (93503) | $251.37 | $399 | 0.2× |
| Irrig Drug Delivery Device (96523) | $103.95 | $165 | 1.7× |
| IV infusion hydration each additional hour (96361) range across 3 matching MRF lines |
$21.42–$97.65 | $34–$155 | varies |
| IV infusion hydration initial 31 min-1 hour (96360) range across 4 matching MRF lines |
$56.07–$277.83 | $89–$441 | varies |
| IV infusion ther proph addl sequential to 1 hr (96367) range across 2 matching MRF lines |
$149.94–$161.91 | $238–$257 | varies |
| IV infusion therapy prophylaxis/dx ea hour (96366) range across 3 matching MRF lines |
$105.21–$117.18 | $167–$186 | varies |
| IV push initial (96374) range across 5 matching MRF lines |
$63.63–$208.53 | $101–$331 | varies |
| Lwr Xtr Vasc Stdy Bilat (93924) | $570.78 | $906 | 2.6× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) range across 3 matching MRF lines |
$14.49–$90.09 | $23–$143 | varies |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) range across 3 matching MRF lines |
$16.38–$109.62 | $26–$174 | varies |
| Medical nutrition therapy grp2/ indiv ea 30 mi (97804) range across 3 matching MRF lines |
$7.56–$41.58 | $12–$66 | varies |
| Methacholine challenge (94070) range across 4 matching MRF lines |
$28.35–$698.04 | $45–$1,108 | varies |
| Motility study esophagus (91010) range across 3 matching MRF lines |
$97.65–$391.86 | $155–$622 | varies |
| Nasopharyngoscopy (92511) range across 2 matching MRF lines |
$83.16–$232.47 | $132–$369 | varies |
| Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) | $219.24 | $348 | 0.5× |
| Newborn resuscitation (99465) range across 2 matching MRF lines |
$286.02–$348.39 | $454–$553 | varies |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) | $151.20 | $240 | 1.1× |
| Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) | $151.20 | $240 | 1.1× |
| Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) | $280.35 | $445 | 1.3× |
| Phlebotomy therapeutic (99195) | $182.07 | $289 | 1.3× |
| Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) | $229.95 | $365 | 3.8× |
| Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) | $229.95 | $365 | 3.8× |
| Plethysmography (94726) | $251.37 | $399 | 0.7× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) | $3,344.04 | $5,308 | 3.8× |
| Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) | $19.53 | $31 | 0.4× |
| Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) | $22.05 | $35 | 0.5× |
| Pulm function test by gas (94727) | $204.75 | $325 | 0.9× |
| Pulmonary service/procedure (94799) | $100.80 | $160 | 0.8× |
| Pulmonary Stress Testing (94618) range across 3 matching MRF lines |
$16.38–$157.50 | $26–$250 | varies |
| Remote 30 Day Ecg Rev/Report (93270) | $192.78 | $306 | 5.1× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) range across 4 matching MRF lines |
$32.76–$207.27 | $52–$329 | varies |
| Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) | $312.48 | $496 | 1.4× |
| Spirometry (94010) range across 2 matching MRF lines |
$49.14–$98.28 | $78–$156 | varies |
| Temp transcutaneous pacing (92953) range across 2 matching MRF lines |
$28.98–$56.70 | $46–$90 | varies |
| Ther/Proph/Diag Inj Sc/Im (96372) range across 6 matching MRF lines |
$25.83–$97.02 | $41–$154 | varies |
| Ther/Proph/Diag Iv Inf Init (96365) range across 3 matching MRF lines |
$403.20–$444.15 | $640–$705 | varies |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) range across 2 matching MRF lines |
$6.30–$18.90 | $10–$30 | varies |
| Trans Care Mgmt 14 Day Disch (99495) range across 5 matching MRF lines |
$92.61–$375.48 | $147–$596 | varies |
| Trans Care Mgmt 7 Day Disch (99496) range across 2 matching MRF lines |
$125.37–$378 | $199–$600 | varies |
| Tte w/doppler, complete (93306) | $870.03 | $1,381 | 1.6× |
| Tte W/O Doppler Complete (93307) | $779.31 | $1,237 | 3.2× |
| Tx/Pro/Dx Inj New Drug Addon (96375) range across 3 matching MRF lines |
$202.23–$214.20 | $321–$340 | varies |
| Tympanometry (92567) range across 2 matching MRF lines |
$6.93–$22.05 | $11–$35 | varies |
| Upr/L Xtremity Art 2 Levels (93922) | $331.38 | $526 | 2.4× |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) | $570.78 | $906 | 2.6× |
| Vent Mgmt Inpat Init Day (94002) | $1,220.31 | $1,937 | 1.9× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) | $658.98 | $1,046 | 1.0× |
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.