Visits & medical services prices at Mountrail County Medical Center Inc
Stanley, ND · every code in this section with a posted price and a Medicare benchmark.
143 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Admn Sarscov2 Vacc 1 Dose (90480) range across 2 matching MRF lines |
$19–$59 | $21–$65 | varies |
| Airway Inhalation Treatment (94640) range across 7 matching MRF lines |
$64–$509 | $71–$565 | varies |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) range across 4 matching MRF lines |
$74–$93 | $82–$103 | varies |
| Application Modality 1/> Areas Infrared (97026) | $18 | $20 | 2.7× |
| Assessment of aphasia per hr (96105) | $304 | $338 | 3.1× |
| Behavral qualit analys voice (92524) | $221 | $245 | 2.0× |
| Biofeedback training any modality (90901) | $121 | $134 | 2.9× |
| Car seat/bed test 60 min (94780) | $81 | $90 | 2.1× |
| Cardiac Stress Tst,Tracing Only (93017) | $547 | $608 | 2.5× |
| Cardiopulmonary resuscitation (92950) range across 3 matching MRF lines |
$751–$1,212 | $834–$1,347 | varies |
| Cardioversion (92960) range across 4 matching MRF lines |
$477–$1,206 | $530–$1,340 | varies |
| Chemotherapy Into Cns (96450) | $449 | $499 | 1.3× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) | $675 | $750 | 2.0× |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) | $307 | $341 | 0.9× |
| Chron Care Mgmt Srvc 20 Min (99490) | $153 | $170 | 1.5× |
| Color/duplex Doppler, complete (93975) | $1,724 | $1,915 | 7.1× |
| Color/duplex Doppler, limited (93976) range across 4 matching MRF lines |
$554–$712 | $615–$791 | varies |
| Community/Work Reintegration Trainj Ea 15 Min (97537) | $104 | $116 | 3.2× |
| Complex chronic care mgmt svc 1st 60 min cal mo (99487) range across 2 matching MRF lines |
$277–$333 | $308–$370 | varies |
| Continuous Pulse Ox (94762) | $495 | $550 | 3.8× |
| Critical care first hour (99291) range across 2 matching MRF lines |
$882–$1,391 | $980–$2,525 | varies |
| Debridement Open Wound 20 Sq Cm< (97597) range across 5 matching MRF lines |
$243–$403 | $270–$448 | varies |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) | $712 | $791 | 2.9× |
| Dup-Scan Artl Infl&Ven O/F Pen Vsl Compl (93980) | $712 | $791 | 6.7× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) | $1,724 | $1,915 | 7.1× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) | $712 | $791 | 6.7× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) range across 2 matching MRF lines |
$723–$1,175 | $803–$1,306 | varies |
| Dup-scan xtr veins unilateral/limited study (93971) range across 4 matching MRF lines |
$491–$712 | $546–$791 | varies |
| Duplex Scan Hemodialysis Access (93990) | $712 | $791 | 6.7× |
| Duplex up extrem art bilat (93930) | $712 | $791 | 2.9× |
| Duplex up extrem art unilat/ltd (93931) | $712 | $791 | 6.7× |
| ECG/monitoring and analysis (93271) | $698 | $776 | 7.2× |
| Echo Heart Xthoracic,Limited (93308) range across 3 matching MRF lines |
$340–$464 | $378–$515 | varies |
| Echo transesophageal (93312) | $3,420 | $3,800 | 6.1× |
| Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) | $3,420 | $3,800 | 6.1× |
| EEG awake drowsy (95816) | $418 | $464 | 1.9× |
| EKG signal averaged (93278) | $368 | $409 | 6.1× |
| Electrical Stimulation Ea 15 Min (97032) range across 3 matching MRF lines |
$69–$76 | $77–$84 | varies |
| Electrocardiogram Tracing (93005) range across 7 matching MRF lines |
$131–$204 | $146–$227 | varies |
| Emergency Dept Visit Level 2 (99282) range across 2 matching MRF lines |
$142–$431 | $158–$637 | varies |
| Emergency Dept Visit Level 3 (99283) range across 2 matching MRF lines |
$212–$603 | $236–$906 | varies |
| Emergency Dept Visit Level 4 (99284) range across 2 matching MRF lines |
$403–$860 | $448–$1,403 | varies |
| Endomyocardial Biopsy (93505) | $24 | $27 | 0.0× |
| Er level 1 (99281) range across 2 matching MRF lines |
$72–$316 | $80–$431 | varies |
| Er level v (99285) range across 2 matching MRF lines |
$595–$1,516 | $661–$2,345 | varies |
| Eval aud funcj cand/po surg implt dev 1st hr (92626) | $327 | $363 | 2.5× |
| Evaluate Speech Production (92522) | $213 | $237 | 1.9× |
| Evaluate Swallowing Function (92610) | $437 | $485 | 5.2× |
| Evaluation of speech fluency (92521) | $382 | $424 | 2.9× |
| External ECG rec>48hr<7d recording (93242) | $116 | $129 | 3.0× |
| External ECG rec>7d<15d recording (93246) | $116 | $129 | 3.0× |
| Extracranial Bilat Study (93880) | $776 | $862 | 3.2× |
| Extracranial Uni/Ltd Study (93882) | $712 | $791 | 6.7× |
| Group Therapeutic Procedures (97150) range across 2 matching MRF lines |
$86–$89 | $96–$99 | varies |
| Hubbard tank 15 min (97036) | $95 | $106 | 2.7× |
| Icd device progr eval dual (93283) | $68 | $75 | 1.8× |
| Im Adm Intransl/Oral 1 Vaccine (90473) range across 5 matching MRF lines |
$19–$52 | $21–$58 | varies |
| Immunization administration (90471) range across 11 matching MRF lines |
$9–$96 | $10–$107 | varies |
| Intracranial Complete Study (93886) | $712 | $791 | 2.9× |
| Iontophoresis 15 min (97033) range across 2 matching MRF lines |
$73–$80 | $81–$89 | varies |
| Irrig Drug Delivery Device (96523) range across 5 matching MRF lines |
$78–$149 | $87–$166 | varies |
| IV infusion hydration each additional hour (96361) | $96 | $107 | 2.0× |
| IV infusion hydration initial 31 min-1 hour (96360) | $272 | $302 | 1.3× |
| IV infusion ther proph addl sequential to 1 hr (96367) | $116 | $129 | 1.6× |
| IV infusion therapy prophylaxis/dx ea hour (96366) | $140 | $155 | 2.9× |
| IV push initial (96374) | $278 | $309 | 1.3× |
| Lwr Xtr Vasc Stdy Bilat (93924) | $464 | $515 | 2.1× |
| Motion Fluoroscopy/Swallow (92611) | $437 | $485 | 4.8× |
| Multiple Sleep Latency Test (95805) range across 2 matching MRF lines |
$2,127–$2,219 | $2,363–$2,466 | varies |
| Nasopharyngoscopy (92511) | $320 | $356 | 1.6× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) range across 2 matching MRF lines |
$111–$203 | $123–$225 | varies |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) | $278 | $309 | 0.7× |
| Neurobehavioral Status Exam (96116) | $359 | $399 | 1.6× |
| Neuromuscular Reeducation (97112) | $140 | $155 | 4.3× |
| Newborn resuscitation (99465) | $651 | $723 | 1.0× |
| Oral Function Therapy (92526) | $283 | $314 | 3.4× |
| Oral Speech Device Eval (92597) | $322 | $358 | 4.5× |
| Orthc/Prostc Mgmt Sbsq Enc (97763) | $109 | $121 | 2.2× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) | $109 | $121 | 2.4× |
| Osteopathic Manipulative Tx 1-2 Body Regions (98925) | $41 | $46 | 1.9× |
| Ot Contrast Bath Ea 15 Min (97034) | $52 | $58 | 3.7× |
| Ot eval high complexity (97167) | $418 | $464 | 4.2× |
| Ot Eval Low Complex (97165) | $325 | $361 | 3.2× |
| Ot Eval Moderate Complexity (97166) | $371 | $412 | 3.7× |
| Ot manual therapy 15 min (97140) range across 4 matching MRF lines |
$106–$140 | $118–$155 | varies |
| Ot paraffin bath (97018) | $47 | $52 | 7.8× |
| Ot Prosthetic Training, Each 15 Min (97761) | $95 | $105 | 2.4× |
| Ot Re-Eval Est Plan Care (97168) | $232 | $258 | 3.4× |
| Ot rom hand (95852) | $99 | $110 | 4.6× |
| Phlebotomy therapeutic (99195) range across 2 matching MRF lines |
$254–$326 | $282–$362 | varies |
| Physical Performance Test (97750) range across 6 matching MRF lines |
$47–$144 | $52–$160 | varies |
| Pm device eval in person (93288) | $89 | $99 | 2.3× |
| Pm device progr eval dual (93280) | $62 | $69 | 1.6× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) range across 3 matching MRF lines |
$1,917–$2,410 | $2,130–$2,678 | varies |
| Polysom <6 yrs 4/> paramtrs (95782) | $2,201 | $2,445 | 2.5× |
| Polysom <6 Yrs Sleep W/Cpap/Bilvl Vent 4/> Param (95783) | $2,303 | $2,559 | 2.6× |
| Prepj& allergen immunotherapy 1/mlt antigen (95165) | $34 | $38 | 0.7× |
| Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) | $31 | $34 | 0.6× |
| Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) | $35 | $39 | 0.7× |
| Psych diag eval w/med srvcs (90792) | $302 | $335 | 1.7× |
| Psychiatric diagnostic evaluation (90791) | $302 | $335 | 1.7× |
| Pt Eval High Complex (97163) | $455 | $505 | 4.6× |
| Pt eval low complex 20 min (97161) | $325 | $361 | 3.3× |
| Pt Eval Mod Complex (97162) | $371 | $412 | 3.8× |
| Pt gait training 15 min (97116) | $93 | $103 | 3.2× |
| Pt mechanical traction (97012) | $74 | $82 | 5.2× |
| Pt Re-Eval Est Plan Care (97164) | $232 | $258 | 3.4× |
| Rapid Desensitization Procedure Each Hour (95180) | $375 | $417 | 0.8× |
| Refill&Maintenance Pump Drug Dlvr Spinal/Brain (95990) | $663 | $737 | 2.0× |
| Rem ther mntr dev sply data muscskel sys ea 30 d (98977) | $69 | $77 | 1.8× |
| Remote 30 Day Ecg Rev/Report (93270) | $88 | $98 | 2.3× |
| Remote therapeutic mntr 1st set-up&pt educaj eqp (98975) | $28 | $31 | 0.2× |
| Remote therapeutic monitoring treatment management services, physician or other qualified health care professional time… (98981) | $51 | $57 | 1.2× |
| Remote therapeutic monitoring treatment management services, physician or other qualified health care professional time… (98980) | $65 | $72 | 1.2× |
| Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) | $185 | $205 | 3.1× |
| Rom Meas&Reprt Ea Xtr Ex Hand/Ea Trnk Sctj Spi (95851) | $99 | $110 | 3.8× |
| Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) | $377 | $419 | 3.1× |
| Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) | $127 | $141 | 2.7× |
| Self Care Mngment Training (97535) | $140 | $155 | 4.3× |
| Sensory Integration Ea 15 Min (97533) | $84 | $93 | 1.4× |
| Speech sound lang comprehen (92523) | $543 | $603 | 2.4× |
| Spin/Brain Pump Refil & Main (95991) | $361 | $401 | 1.2× |
| Standardized Cognitive Performance Testing (96125) | $344 | $382 | 3.3× |
| Stress Tte Only (93350) | $3,420 | $3,800 | 6.1× |
| Temp transcutaneous pacing (92953) range across 2 matching MRF lines |
$1,206–$1,301 | $1,340–$1,445 | varies |
| Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) | $152 | $169 | 4.1× |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) | $74 | $82 | 2.5× |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) | $266 | $295 | 2.6× |
| Ther/Proph/Diag Inj Ia (96373) | $334 | $371 | 1.5× |
| Ther/Proph/Diag Inj Sc/Im (96372) range across 6 matching MRF lines |
$88–$148 | $98–$164 | varies |
| Ther/Proph/Diag Iv Inf Init (96365) | $272 | $302 | 1.3× |
| Therapeutic Activities (97530) range across 2 matching MRF lines |
$149–$158 | $165–$175 | varies |
| Tobacco Use Cessation Intensive >10 Minutes (99407) | $32 | $36 | 0.8× |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) | $19 | $21 | 0.5× |
| Tte w/doppler, complete (93306) range across 4 matching MRF lines |
$696–$1,011 | $773–$1,123 | varies |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) | $232 | $258 | 3.0× |
| Tx/Pro/Dx Inj New Drug Addon (96375) | $185 | $206 | 3.9× |
| Tympanometry (92567) | $72 | $80 | 1.9× |
| Unlisted noninvasive vascular diagnostic study (93998) | $54 | $60 | 1.8× |
| Upr/L Xtremity Art 2 Levels (93922) | $321 | $357 | 2.4× |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) | $464 | $515 | 2.1× |
| Wheelchair Mgmt Ea 15 Min (97542) | $104 | $115 | 3.3× |
| Whirlpool Therapy (97022) range across 3 matching MRF lines |
$66–$68 | $73–$75 | 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.