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Hospital Profile Critical Access Hospitals Voluntary non-profit - Church

CHI St Alexius Health Dickinson

2500 FAIRWAY ST, Dickinson, ND 58601

CMS Overall Rating ★★☆☆☆
Factual Overview

CHI St Alexius Health Dickinson is a Critical Access Hospitals (Voluntary non-profit - Church) operating in Dickinson, ND. Mapped commercial insurance prices across 74 procedures average 7.10x the Medicare baseline. The facility holds a CMS quality rating of 2/5 stars with a patient recommendation score of 56%.

Facility Overview

Setting: rural Bed Count: 25 Beds Teaching Status: Non-Teaching Annual Discharges: 1,580

Patient Experience

Recommendation Rate: 56% High Patient Rating: 61% ER Wait Time (Med): 185 min Readmission Rate: same

Pricing & Transparency

Procedures Mapped: 74 codes Avg Markup vs Medicare: 7.10x Price File In Index: Yes MRF Version: 3.0.0
Procedure & Code Cash Price Actions
Breast lump removal
CPT Code: 19120
 $1,471 Calc
Total hip replacement
CPT Code: 27130
 Contact Desk Calc
Total knee replacement
CPT Code: 27447
 Contact Desk Calc
Blood transfusion
CPT Code: 36430
 $525 Calc
Upper endoscopy with biopsy
CPT Code: 43239
 $663 Calc
Colonoscopy (diagnostic)
CPT Code: 45378
 $603 Calc
Colonoscopy with biopsy
CPT Code: 45380
 $765 Calc
Gallbladder removal (laparoscopic)
CPT Code: 47562
 $1,135 Calc
Inguinal hernia repair
CPT Code: 49505
 $905 Calc
CT scan, head (no contrast)
CPT Code: 70450
 $1,292 Calc
CT scan, head (with contrast)
CPT Code: 70460
 $1,292 Calc
CT scan, head (with and without contrast)
CPT Code: 70470
 $1,822 Calc
CT scan, sinuses
CPT Code: 70486
 $1,115 Calc
MRI, brain (no contrast)
CPT Code: 70551
 $1,957 Calc
MRI, brain (with and without contrast)
CPT Code: 70553
 $2,836 Calc
X-ray, chest (single view)
CPT Code: 71045
 $155 Calc
X-ray, chest (two views)
CPT Code: 71046
 $220 Calc
CT scan, chest (no contrast)
CPT Code: 71250
 $1,223 Calc
X-ray, neck (cervical spine)
CPT Code: 72040
 $338 Calc
X-ray, lower back
CPT Code: 72110
 $366 Calc
CT scan, neck (cervical spine)
CPT Code: 72125
 $1,376 Calc
CT scan, lower back (lumbar spine)
CPT Code: 72131
 $1,298 Calc
MRI, lower back (no contrast)
CPT Code: 72148
 $1,952 Calc
X-ray, pelvis
CPT Code: 72170
 $164 Calc
CT scan, pelvis
CPT Code: 72192
 $1,365 Calc
CT scan, abdomen and pelvis (no contrast)
CPT Code: 74176
 $2,373 Calc
CT scan, abdomen and pelvis (with contrast)
CPT Code: 74177
 $2,373 Calc
Ultrasound, thyroid and neck
CPT Code: 76536
 $364 Calc
Ultrasound, abdomen (complete)
CPT Code: 76700
 $512 Calc
Ultrasound, abdomen (limited)
CPT Code: 76705
 $413 Calc
Ultrasound, pelvis
CPT Code: 76856
 $339 Calc
Diagnostic mammogram (both breasts)
CPT Code: 77066
 $490 Calc
Screening mammogram (both breasts)
CPT Code: 77067
 $706 Calc
Blood test, basic metabolic panel
CPT Code: 80048
 $105 Calc
Blood test, comprehensive metabolic panel
CPT Code: 80053
 $125 Calc
Blood test, cholesterol (lipid panel)
CPT Code: 80061
 $94 Calc
Blood test, liver function panel
CPT Code: 80076
 $153 Calc
Urinalysis (automated, with microscopy)
CPT Code: 81001
 $47 Calc
Blood test, amylase
CPT Code: 82150
 $13 Calc
Blood test, vitamin D
CPT Code: 82306
 $172 Calc
Blood test, calcium
CPT Code: 82310
 $45 Calc
Blood test, creatinine (kidney)
CPT Code: 82565
 $74 Calc
Blood test, vitamin B12
CPT Code: 82607
 $79 Calc
Blood test, ferritin (iron stores)
CPT Code: 82728
 $69 Calc
Blood test, glucose (blood sugar)
CPT Code: 82947
 $37 Calc
Blood test, average blood sugar (A1c)
CPT Code: 83036
 $74 Calc
Blood test, lipase
CPT Code: 83690
 $50 Calc
Blood test, magnesium
CPT Code: 83735
 $24 Calc
Blood test, potassium
CPT Code: 84132
 $52 Calc
Blood test, PSA (prostate screen)
CPT Code: 84153
 $112 Calc
Blood test, sodium
CPT Code: 84295
 $56 Calc
Blood test, thyroid (TSH)
CPT Code: 84443
 $80 Calc
Blood test, urea nitrogen (BUN, kidney)
CPT Code: 84520
 $74 Calc
Blood test, hemoglobin
CPT Code: 85018
 $40 Calc
Blood test, complete blood count (CBC)
CPT Code: 85025
 $94 Calc
Blood test, clotting time (PT/INR)
CPT Code: 85610
 $23 Calc
Blood test, clotting time (PTT)
CPT Code: 85730
 $43 Calc
Hepatitis C antibody test
CPT Code: 86803
 $110 Calc
Blood antibody screen
CPT Code: 86850
 $83 Calc
Culture, blood
CPT Code: 87040
 $80 Calc
Culture, bacterial
CPT Code: 87070
 $95 Calc
Psychotherapy session (45 minutes)
CPT Code: 90834
 $476 Calc
Psychotherapy session (60 minutes)
CPT Code: 90837
 $485 Calc
Family therapy session
CPT Code: 90847
 $532 Calc
Group therapy session
CPT Code: 90853
 $463 Calc
Electrocardiogram (ECG/EKG)
CPT Code: 93000
 $25 Calc
Electrocardiogram (EKG, tracing only)
CPT Code: 93005
 $101 Calc
Echocardiogram (heart ultrasound)
CPT Code: 93306
 $870 Calc
Ultrasound, leg veins (duplex)
CPT Code: 93970
 $827 Calc
Breathing treatment (nebulizer)
CPT Code: 94640
 $88 Calc
Sleep study (overnight, in lab)
CPT Code: 95810
 $3,040 Calc
New patient office visit (30-44 min)
CPT Code: 99203
 $149 Calc
Office visit, established patient (20-29 min)
CPT Code: 99213
 $87 Calc
Office visit, established patient (30-39 min)
CPT Code: 99214
 $119 Calc