Mountrail County Medical Center Inc
Stanley, ND · Critical Access Hospital
Posts prices for 42 of the 66 common shoppable procedures we track. Price file retrieved 2026-09-08.
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| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Epidural injection, lumbar/sacral (with imaging) (62322) | $1,270 | $1,411 | 1.4× |
| CT head/brain without contrast (70450) | $976 | $1,084 | 9.1× |
| MRI brain without contrast (70551) | $1,311 | $1,457 | 5.4× |
| MRI brain with contrast (70552) | $1,775 | $1,972 | 5.0× |
| MRI brain without and with contrast (70553) | $2,238 | $2,487 | 6.3× |
| X-ray lower spine, 4+ views (72110) | $338 | $376 | 3.2× |
| MRI lumbar spine without contrast (72148) | $1,794 | $1,993 | 7.4× |
| CT pelvis with contrast (72193) | $1,474 | $1,638 | 8.2× |
| MRI lower-extremity joint without contrast (73721) range across 3 matching MRF lines |
$1,616–$3,447 | $1,796–$3,830 | varies |
| CT abdomen and pelvis with contrast (74177) | $1,794 | $1,993 | 5.0× |
| Ultrasound, abdomen complete (76700) | $505 | $561 | 4.7× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) | $776 | $862 | 7.3× |
| Ultrasound, transvaginal (76830) range across 2 matching MRF lines |
$408–$712 | $453–$791 | varies |
| Mammography, one breast (diagnostic) (77065) range across 3 matching MRF lines |
$249–$310 | $277–$344 | varies |
| Mammography, both breasts (diagnostic) (77066) range across 2 matching MRF lines |
$310–$391 | $344–$434 | varies |
| Mammography, screening (bilateral) (77067) range across 3 matching MRF lines |
$312–$391 | $347–$434 | varies |
| Basic metabolic panel (80048) | $105 | $117 | 12.4× |
| Comprehensive metabolic panel (80053) | $132 | $147 | 12.5× |
| Obstetric panel (80055) | $241 | $268 | 5.0× |
| Lipid panel (80061) | $124 | $138 | 9.3× |
| Renal function panel (80069) | $132 | $147 | 15.2× |
| Hepatic function panel (80076) | $120 | $133 | 14.7× |
| Urinalysis, non-automated, without microscopy (81002) range across 3 matching MRF lines |
$14–$31 | $16–$34 | varies |
| PSA, total (84153) range across 3 matching MRF lines |
$62–$123 | $69–$137 | varies |
| Thyroid stimulating hormone (TSH) (84443) range across 2 matching MRF lines |
$137–$149 | $152–$165 | varies |
| CBC with automated differential (85025) | $88 | $98 | 11.3× |
| CBC, automated (85027) range across 2 matching MRF lines |
$63–$81 | $70–$90 | varies |
| Prothrombin time (PT) (85610) range across 6 matching MRF lines |
$18–$74 | $20–$82 | varies |
| Partial thromboplastin time (PTT) (85730) range across 6 matching MRF lines |
$28–$113 | $31–$126 | varies |
| Psychotherapy, 30 minutes (90832) | $149 | $165 | 0.8× |
| Psychotherapy, 45 minutes (90834) | $162 | $180 | 0.9× |
| Psychotherapy, 60 minutes (90837) | $255 | $283 | 1.4× |
| Family psychotherapy, without patient (50 min) (90846) | $162 | $180 | 0.9× |
| Family psychotherapy, with patient (50 min) (90847) | $248 | $275 | 1.4× |
| Sleep study (attended polysomnography) (95810) range across 2 matching MRF lines |
$1,782–$2,410 | $1,980–$2,678 | varies |
| Physical therapy, therapeutic exercise (per 15 min) (97110) | $140 | $155 | 4.8× |
| Office visit, new patient (low complexity, ~30 min) (99203) | $281 | $312 | 2.1× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) | $382 | $424 | 2.8× |
| Office visit, new patient (high complexity, ~60 min) (99205) | $527 | $586 | 3.9× |
| Office consultation (low complexity, ~30 min) (99243) | $382 | $424 | 2.8× |
| Preventive visit, new patient (age 18–39) (99385) range across 3 matching MRF lines |
$61–$315 | $68–$350 | varies |
| Preventive visit, new patient (age 40–64) (99386) | $383 | $425 | — |
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: 280 codes with posted prices and Medicare benchmarks
- Lab & pathology: 761 codes with posted prices and Medicare benchmarks
- Visits & medical services: 143 codes with posted prices and Medicare benchmarks
- Procedures & surgery: 416 codes with posted prices and Medicare benchmarks
- Supplies, drugs & other: 45 codes with posted prices and Medicare benchmarks
Get the raw price file
Download the machine-readable file (UNKNOWN, 7.5 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.