Pembina County Memorial Hospital

Cavalier, ND · Critical Access Hospital

Posts prices for 28 of the 66 common shoppable procedures we track. Price file retrieved 2026-09-08.

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ProcedurePosted cashPosted gross× Medicare
Laparoscopic gallbladder removal (47562) $10,264 $10,264 1.7×
CT head/brain without contrast (70450) $864 $864 8.1×
MRI brain without contrast (70551) $1,717 $1,717 7.0×
MRI brain without and with contrast (70553) $2,895 $2,895 8.1×
X-ray lower spine, 4+ views (72110) $187 $187 1.8×
MRI lumbar spine without contrast (72148) $1,574 $1,574 6.5×
CT pelvis with contrast (72193) $1,724 $1,724 9.6×
MRI lower-extremity joint without contrast (73721) $1,773 $1,773 7.3×
CT abdomen and pelvis with contrast (74177) $2,234 $2,234 6.3×
Ultrasound, abdomen complete (76700) $515 $515 4.8×
Ultrasound, pregnant uterus (≥14 weeks) (76805) $553 $553 5.2×
Ultrasound, transvaginal (76830) $482 $482 4.5×
Mammography, both breasts (diagnostic) (77066) $599 $599 5.4×
Mammography, screening (bilateral) (77067) $495 $495 5.4×
Basic metabolic panel (80048) $71 $71 8.4×
Comprehensive metabolic panel (80053) $89 $89 8.4×
Lipid panel (80061) $101 $101 7.5×
Renal function panel (80069) $66 $66 7.6×
Hepatic function panel (80076) $72 $72 8.8×
PSA, total (84153) $142 $142 7.7×
Thyroid stimulating hormone (TSH) (84443) $139 $139 8.3×
CBC with automated differential (85025) $67 $67 8.6×
Prothrombin time (PT) (85610) $34 $34 7.9×
Partial thromboplastin time (PTT) (85730) $50 $50 8.3×
Physical therapy, therapeutic exercise (per 15 min) (97110) $131 $131 4.5×
Office visit, new patient (low complexity, ~30 min) (99203)
range across 2 matching MRF lines
$236–$340 $236–$340 varies
Office visit, new patient (moderate complexity, ~45 min) (99204)
range across 2 matching MRF lines
$375–$518 $375–$518 varies
Office visit, new patient (high complexity, ~60 min) (99205)
range across 2 matching MRF lines
$491–$642 $491–$642 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.

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.

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Download the machine-readable file (CSV, 1.3 MB) ↓ — captured 2026-09-08

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