Supplies, drugs & other prices at Mountrail County Medical Center Inc
Stanley, ND · every code in this section with a posted price and a Medicare benchmark.
45 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 2d tee w or w/o fol w/con,in (C8925) | $3,541 | $3,934 | 4.4× |
| Admin hepatitis b vaccine (G0010) range across 2 matching MRF lines |
$59–$63 | $65–$70 | varies |
| Admin influenza virus vac (G0008) range across 2 matching MRF lines |
$59–$93 | $65–$103 | varies |
| Admin pneumococcal vaccine (G0009) range across 2 matching MRF lines |
$59–$93 | $65–$103 | varies |
| Ca screen;pelvic/breast exam (G0101) | $89 | $99 | 0.9× |
| Drug test def 1-7 classes (G0480) range across 72 matching MRF lines |
$79–$382 | $88–$424 | varies |
| Drug test def 22+ classes (G0483) | $626 | $695 | 2.5× |
| Elec stim other than wound (G0283) range across 2 matching MRF lines |
$66–$71 | $73–$79 | varies |
| Extrnl counterpulse, per tx (G0166) | $661 | $734 | 4.9× |
| Fecal blood scrn immunoassay (G0328) | $87 | $97 | 4.8× |
| Hiv combination assay (G0475) | $132 | $147 | 5.5× |
| Hospital outpt clinic visit (G0463) range across 2 matching MRF lines |
$81–$255 | $90–$283 | varies |
| Hpv combo assay ca screen (G0476) | $184 | $204 | 5.2× |
| Initial preventive exam (G0402) | $221 | $246 | 1.6× |
| Jak2 Gene Analysis Trgt Seq Alys Exons 12-15 (0027U) | $383 | $426 | 3.1× |
| Lev 1 hosp type b ed visit (G0380) | $124 | $138 | 1.6× |
| Lev 2 hosp type b ed visit (G0381) | $196 | $218 | 2.1× |
| Lev 3 hosp type b ed visit (G0382) | $303 | $337 | 1.7× |
| Lev 4 hosp type b ed visit (G0383) | $552 | $613 | 2.0× |
| Lev 5 hosp type b ed visit (G0384) | $748 | $831 | 1.8× |
| Mra w/cont, abd (C8900) | $1,311 | $1,457 | 3.7× |
| Mra w/cont, chest (C8909) | $1,311 | $1,457 | 3.7× |
| Mra w/cont, lwr ext (C8912) | $2,369 | $2,632 | 6.6× |
| Mra w/cont, pelvis (C8918) | $1,311 | $1,457 | 3.7× |
| Mra w/o cont, chest (C8910) | $1,724 | $1,915 | 7.1× |
| Mra w/o cont, lwr ext (C8913) range across 2 matching MRF lines |
$1,724–$3,447 | $1,915–$3,830 | varies |
| Mra w/o cont, pelvis (C8919) | $1,724 | $1,915 | 7.1× |
| Mra w/o fol w/cont, abd (C8902) | $2,369 | $2,632 | 6.6× |
| Mra w/o fol w/cont, chest (C8911) | $2,369 | $2,632 | 6.6× |
| Mra w/o fol w/cont, pelvis (C8920) | $2,369 | $2,632 | 6.6× |
| Mri w/cont, breast, bi (C8906) | $2,369 | $2,632 | 6.6× |
| Mri w/cont, breast, uni (C8903) | $2,187 | $2,430 | 12.2× |
| Mri w/o fol w/cont, breast, (C8908) | $2,832 | $3,147 | 7.9× |
| Mri w/o fol w/cont, brst, un (C8905) | $2,651 | $2,945 | 7.4× |
| Neuro csf prion prtn qual (0035U) | $119 | $132 | 0.2× |
| Obtaining screen pap smear (Q0091) | $83 | $92 | 2.8× |
| Ppps, initial visit (G0438) | $221 | $246 | 1.3× |
| Ppps, subseq visit (G0439) | $221 | $246 | 1.6× |
| Psa screening (G0103) | $144 | $160 | 7.5× |
| Screen cerv/vag thin layer (G0123) | $110 | $122 | 5.4× |
| Tomosynthesis, mammo (G0279) | $82 | $91 | 6.5× |
| Trauma respons w/hosp criti (G0390) | $618 | $687 | 0.5× |
| Tte w or w/o contr, cont ecg (C8930) | $3,541 | $3,934 | 4.4× |
| Tte w or wo fol wcon,doppler (C8929) | $3,541 | $3,934 | 4.4× |
| Visit to determ ldct elig (G0296) | $28 | $31 | 0.3× |
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.