CHI St Alexius Health Dickinson
2500 Fairway Street, Dickinson, ND 58601 · 88 Priced Procedures · 56% Patient Recommendation
Typical commercial prices here are +150% above the fair benchmark (2.50×) even after accounting for local nurse/doctor wages and patient complexity.
4-Star CMS clinical quality rating paired with 2.50× fair market pricing.
Wide Procedure Spread · Upper-Quartile Skew Pricer
CHI St Alexius Health Dickinson prices routine shoppable procedures at 4.3× Medicare (median 1.87× Fair BaseRate) while upper-quartile commercial rates jump +120% to 4.11× Fair BaseRate. Self-pay cash discounts and comparing specific CPT procedure codes before scheduling yield the strongest savings.
Where They're Good (Patient & Payer Edge)
- Bottom-quartile procedures (Q25) price at 1.09× the peer BaseRate benchmark
- Self-pay cash beats commercial insurance on 80% of shoppable procedures (99/100 Cash Honesty)
- 2-Star CMS clinical rating with 56% patient recommendation (69/100 safety score)
- IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (70.0% AGB cap)
Where You Can Get Burned (Markup Traps)
- Outpatient surgery & OR suites carry a 1.2× markup over Medicare rates
- Commercial insurance median sits at 1.87× Fair BaseRate (4.3× Medicare), so insured patients should always compare the self-pay cash price before paying.
- Upper-quartile procedures (Q75 4.11×) jump +120% above the median procedure ratio (Q50 1.87×)
- Consolidated metro market (HHI 10,000) limits in-network hospital competition (Highly Concentrated Monopoly (>2,500))
Pre-scheduled outpatient procedures where patients can comparison-shop.
Emergency, inpatient DRG, lab, and specialty drug lines billed after admission.
Detects median-gaming when upper-quartile codes spike above the p50 median.
Procedure Prices at CHI St Alexius Health Dickinson
High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 88 published procedures.
| Procedure & Billing Code | This Hospital | vs. Fair |
|---|---|---|
| Total hip replacement CPT Code: 27130 | $17,556 | 1.3× |
| Total knee replacement CPT Code: 27447 | $17,556 | unverified |
| Rabies immune globulin HCPCS Code: 90375 | $5,866 | unverified |
| Sleep study (overnight, in lab) CPT Code: 95810 | $3,813 | unverified |
| MRI, brain (with and without contrast) CPT Code: 70553 | $3,557 | 7.0× |
| MRI, lower back (no contrast) CPT Code: 72148 | $2,447 | 7.2× |
| MRI, brain (no contrast) CPT Code: 70551 | $2,455 | 7.2× |
| CT scan, abdomen and pelvis (no contrast) CPT Code: 74176 | $2,373 | 7.8× |
| CT scan, abdomen and pelvis (with contrast) CPT Code: 74177 | $2,373 | 5.3× |
| CT scan, head (with and without contrast) CPT Code: 70470 | $1,822 | 7.1× |
| CT scan, neck (cervical spine) CPT Code: 72125 | $1,725 | 10.2× |
| CT scan, lower back (lumbar spine) CPT Code: 72131 | $1,627 | 9.7× |
| CT scan, head (with contrast) CPT Code: 70460 | $1,620 | 6.7× |
| CT scan, chest (no contrast) CPT Code: 71250 | $1,534 | 9.2× |
| Gallbladder removal (laparoscopic) CPT Code: 47562 | $1,424 | 0.2× |
| CT scan, sinuses CPT Code: 70486 | $1,398 | 8.4× |
| Breast lump removal CPT Code: 19120 | $1,394 | 0.4× |
| CT scan, pelvis CPT Code: 72192 | $1,365 | 8.4× |
| CT scan, head (no contrast) CPT Code: 70450 | $1,292 | 8.1× |
| Inguinal hernia repair CPT Code: 49505 | $1,135 | 0.3× |
| Echocardiogram (heart ultrasound) CPT Code: 93306 | $1,091 | 1.9× |
| Trauma team activation HCPCS Code: G0390 | $1,077 | 0.7× |
| Ultrasound, leg veins (duplex) CPT Code: 93970 | $1,037 | 3.8× |
| Colonoscopy with biopsy CPT Code: 45380 | $960 | 0.8× |
| Upper endoscopy with biopsy CPT Code: 43239 | $832 | 0.8× |
Audit a Bill or Quote at CHI St Alexius Health Dickinson (Zero PHI Required)
Statutory 501(r) AGB Cap Limits Bill to $29,494
At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (70.0% of gross = $29,494).
Compare Prompt-Pay Cash Rate Against Remaining Deductible
Ask CHI St Alexius Health Dickinson's billing desk for their written 45 CFR § 180 discounted self-pay cash price and Good Faith Estimate under the No Surprises Act.
Negotiate Toward $13,413 Fair BaseRate ($13,117 Medicare)
Your bill ($42,134) is $28,721 above the denoised Fair BaseRate ($13,413) and 3.2× the $13,117 Medicare rate.
Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)
Hospital-Specific CMS HCRIS Benchmark (70.0% of gross charges)
Under 26 U.S.C. § 501(r)(5), a tax-exempt hospital organization may not bill FAP-eligible patients more than Amounts Generally Billed (AGB) to individuals with insurance covering emergency or medically necessary care. Derived from this facility’s reported CMS HCRIS cost-to-charge & insurer allowance filings. Verify your exact Financial Assistance Policy (FAP) determination directly with the billing office.
Clinical Quality, Patient Experience & Infection Benchmarks
Healthcare-Associated Infections (CDC NHSN / CMS HAI)
1.00 SIR = National Predicted Baseline (Lower Is Safer)Source: CMS Hospital Care Compare (207 completed HCAHPS patient surveys). Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.
How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings
2D regional comparison of commercial negotiated price index against CMS clinical quality composite for CHI St Alexius Health Dickinson.
Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings
Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.