How many shoppable procedure prices are published for McKenzie County Healthcare Systems Inc?

McKenzie County Healthcare Systems Inc in Watford City, ND currently has 106 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do McKenzie County Healthcare Systems Inc's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, McKenzie County Healthcare Systems Inc's median negotiated commercial rate is 1.9× the regionally adjusted fair BaseRate benchmark.

Hospital Profile Critical Access Hospital Voluntary non-profit - Private 24 Beds · rural Updated: 2026-05-01

McKenzie County Healthcare Systems Inc

709 4Th Ave Ne, Watford City, ND 58854 · 106 Priced Procedures · 71% Patient Recommendation

CMS Overall Rating No CMS Rating

High Markup · Shop Alternatives

1.92×vs. Fair Market Price

Typical commercial prices here are +92% above the fair benchmark (1.92×) even after accounting for local nurse/doctor wages and patient complexity.

78/100 · Corroborated

78/100Self-Pay Cash Beats Insurance 87% of the Time

File Completeness61

Price Logic88

Peer Alignment64

Clean Billing78

Real Cash Discount100

High-Markup · Check Safety

Balances commercial hospital prices against CMS clinical safety, infection control, and patient experience.

Behavioral Pricing FingerprintHigh Insurer Rate · Deep Cash Discount

Cash-Arbitrage Bifurcated Pricer

McKenzie County Healthcare Systems Inc maintains elevated commercial insurance contracts (1.92× Fair BaseRate) while offering direct self-pay cash discounts that beat commercial negotiated medians on 87% of procedures. High-deductible and uninsured patients should always request the self-pay cash rate prior to billing.

#13 of 23 in ND · 52nd State Percentile#3,039 of 3,385 in U.S. · 89th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 1.88× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 87% of shoppable procedures (99/100 Cash Honesty)
CMS clinical safety score (66/100 safety score) with 71% patient recommendation
IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (88.0% AGB cap)

Watchout

Where You Can Get Burned (Markup Traps)

Even at low-cost facilities (1.92× Fair BaseRate), out-of-network or unnegotiated chargemaster bills can exceed commercial medians — confirm in-network status or request a self-pay cash quote up front.
Commercial insurance median sits at 1.91× Fair BaseRate (2.0× Medicare), so insured patients should always compare the self-pay cash price before paying.
Even at low-cost facilities (1.92× Fair BaseRate), out-of-network or unnegotiated chargemaster bills can exceed commercial medians — confirm in-network status or request a self-pay cash quote up front.
Unnegotiated chargemaster list prices average 7.9× Medicare (30¢ true HCRIS cost per $1 gross)

Front-Door ShoppableElective / Imaging

2.0× Medicare

Pre-scheduled outpatient procedures where patients can comparison-shop.

Back-Door Captive & ER1.00× Divergence

2.0× Medicare

Emergency, inpatient DRG, lab, and specialty drug lines billed after admission.

Quantile Tail Spread+2% Upper Tail

Q25 1.88× · Q50 1.91× · Q75 1.95×

Detects median-gaming when upper-quartile codes spike above the p50 median.

Select any lens to inspect department markups, federal cost accounting, or insurer discounts.

Department & Integrity Multiples (vs. CMS Medicare Cost Anchor) Green ≤1.3× · Teal 1.3–1.8× · Amber 1.8–2.5× · Rose >2.5×

Front-Door Shoppable CareFront-Door Shoppable

2.0× MedicareGood

Outpatient Surgery & ORBack-Door Captive

0.9× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

2.2× MedicareFair

Back-Door Captive ER VisitsBack-Door Captive

0.5× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

3.9× MedicareElevated

Specialty & Infusion Drugs (J-Codes)Back-Door Captive

0.9× MedicareGood

Self-Pay Cash Honesty & 501(r)Integrity & Outcomes

87% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

3 CMS · 66/100Fair

Procedure Prices at McKenzie County Healthcare Systems Inc

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 106 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Total hip replacement CPT Code: `27130`	$32,830	$32,830	$13,413	2.4×
Total knee replacement CPT Code: `27447`	$30,644	$30,644	$13,523	2.3×
Gallbladder removal (laparoscopic) CPT Code: `47562`	$10,080	$10,080	$6,109	1.7×
Inguinal hernia repair CPT Code: `49505`	$6,391	$6,391	$3,629	1.8×
Knee arthroscopy with meniscus repair CPT Code: `29881`	$5,814	$5,814	$3,372	1.7×
Bunion correction surgery CPT Code: `28296`	$5,814	$5,814	$3,446	1.7×
Sleep study (overnight, in lab) CPT Code: `95810`	$3,960	$3,960	$1,021	3.9×
Breast lump removal CPT Code: `19120`	$3,682	$3,682	$3,875	1.0×
MRI, brain (with and without contrast) CPT Code: `70553`	$3,338	$3,338	$511	6.5×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$2,312	$2,312	$448	5.2×
MRI, knee or other leg joint CPT Code: `73721`	$1,709	$1,709	$369	4.6×
CT scan, head (with and without contrast) CPT Code: `70470`	$1,645	$1,645	$258	6.4×
MRI, brain (no contrast) CPT Code: `70551`	$1,587	$1,587	$343	4.6×
MRI, lower back (no contrast) CPT Code: `72148`	$1,508	$1,508	$338	4.5×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$1,421	$1,421	$168	8.5×
CT scan, head (with contrast) CPT Code: `70460`	$1,427	$1,427	$242	5.9×
Colonoscopy with biopsy CPT Code: `45380`	$1,431	$1,431	$1,256	1.1×
CT scan, pelvis CPT Code: `72192`	$1,342	$1,342	$163	8.2×
CT scan, chest (no contrast) CPT Code: `71250`	$1,367	$1,367	$167	8.2×
CT scan, neck (cervical spine) CPT Code: `72125`	$1,328	$1,328	$169	7.9×
Trauma team activation HCPCS Code: `G0390`	$1,306	$1,306	$1,453	0.9×
CT scan, sinuses CPT Code: `70486`	$1,109	$1,109	$166	6.7×
Colonoscopy (diagnostic) CPT Code: `45378`	$1,120	$1,120	$981	1.1×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$1,075	$1,075	$303	3.5×
Upper endoscopy with biopsy CPT Code: `43239`	$1,089	$1,089	$987	1.1×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$1,041	$1,041	$272	3.8×
Rabies immune globulin HCPCS Code: `90375`	$930	$930	$322	2.9×
Blood transfusion CPT Code: `36430`	$835	$835	$498	1.7×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$749	$749	$583	1.3×
CT scan, head (no contrast) CPT Code: `70450`	$693	$693	$160	4.3×
Ultrasound, thyroid and neck CPT Code: `76536`	$654	$654	$132	5.0×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$652	$652	$148	4.4×
Screening mammogram (both breasts) CPT Code: `77067`	$538	$538	$123	4.4×
Ultrasound, abdomen (complete) CPT Code: `76700`	$507	$507	$134	3.8×
Ultrasound, pelvis CPT Code: `76856`	$453	$453	$130	3.5×
Ultrasound, abdomen (limited) CPT Code: `76705`	$389	$389	$126	3.1×
Office visit, established patient (30-39 min) CPT Code: `99214`	$347	$347	$123	2.8×
New patient office visit (30-44 min) CPT Code: `99203`	$300	$300	$110	2.7×
Office visit, established patient (20-29 min) CPT Code: `99213`	$246	$246	$87	2.8×
X-ray, lower back CPT Code: `72110`	$233	$233	$112	2.1×
Orthotic fitting and training CPT Code: `97760`	$198	$198	$51	3.9×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$159	$159	$40	4.0×
Prosthetic fitting and training CPT Code: `97761`	$168	$168	$45	3.7×
Speech therapy (language evaluation) CPT Code: `92507`	$183	$183	$86	2.1×
X-ray, hip CPT Code: `73502`	$177	$177	$93	1.9×
X-ray, chest (two views) CPT Code: `71046`	$163	$163	$93	1.8×
Diagnostic procedure preparation HCPCS Code: `G0279`	$137	$137	$35	3.9×
X-ray, neck (cervical spine) CPT Code: `72040`	$157	$157	$93	1.7×
Physical therapy (gait training) CPT Code: `97116`	$122	$122	$33	3.7×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$139	$139	$38	3.7×
Physical therapy (functional capacity test) CPT Code: `97750`	$139	$139	$38	3.7×
Occupational therapy (self-care training) CPT Code: `97535`	$137	$137	$38	3.6×
X-ray, shoulder CPT Code: `73030`	$142	$142	$92	1.5×
X-ray, ankle CPT Code: `73610`	$140	$140	$93	1.5×
X-ray, hand CPT Code: `73130`	$138	$138	$93	1.5×
Physical therapy (manual therapy) CPT Code: `97140`	$111	$111	$34	3.3×
X-ray, foot CPT Code: `73630`	$134	$134	$92	1.5×
X-ray, chest (single view) CPT Code: `71045`	$133	$133	$92	1.4×
X-ray, pelvis CPT Code: `72170`	$149	$149	$110	1.4×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$103	$103	$35	2.9×
Breathing treatment (nebulizer) CPT Code: `94640`	$102	$102	$201	0.5×
Typhoid vaccine HCPCS Code: `90675`	$728	$728	$347	2.1×
Pneumococcal vaccine HCPCS Code: `90732`	$177	$177	$140	1.3×
Varicella (chickenpox) vaccine HCPCS Code: `90716`	$200	$200	$203	1.0×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$133	$133	$20	6.7×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$99	$99	$39	2.5×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$115	$115	$111	1.0×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$59	$59	$10	5.9×
Blood test, vitamin D CPT Code: `82306`	$181	$59	$31	1.9×
Hepatitis B vaccine HCPCS Code: `90744`	$64	$64	$37	1.7×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$83	$83	$56	1.5×
Blood antibody screen CPT Code: `86850`	$90	$67	$46	1.5×
Flu vaccine injection HCPCS Code: `G0008`	$61	$61	$48	1.3×
Psychotherapy session (60 minutes) CPT Code: `90837`	$66	$66	$181	0.4×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$38	$6	$3	2.0×
Blood test, calcium CPT Code: `82310`	$50	$10	$5	2.0×
Blood test, creatinine (kidney) CPT Code: `82565`	$50	$10	$5	2.0×
Blood test, glucose (blood sugar) CPT Code: `82947`	$38	$8	$4	2.0×
Blood test, lipase CPT Code: `83690`	$75	$14	$7	2.0×
Blood test, clotting time (PTT) CPT Code: `85730`	$40	$12	$6	2.0×
Blood test, PSA (prostate screen) CPT Code: `84153`	$112	$37	$19	1.9×
Blood test, potassium CPT Code: `84132`	$46	$10	$5	2.0×
Blood test, sodium CPT Code: `84295`	$47	$10	$5	2.0×
Hepatitis C antibody test CPT Code: `86803`	$77	$29	$15	1.9×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$82	$27	$14	1.9×
Blood test, ferritin (iron stores) CPT Code: `82728`	$101	$27	$14	1.9×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$64	$21	$11	1.9×
Blood test, basic metabolic panel CPT Code: `80048`	$51	$17	$9	1.9×
Blood test, thyroid (TSH) CPT Code: `84443`	$102	$34	$18	1.9×
Blood test, vitamin B12 CPT Code: `82607`	$196	$30	$16	1.9×
Pneumonia vaccine injection HCPCS Code: `G0009`	$51	$51	$49	1.0×
Colorectal cancer screening HCPCS Code: `G0010`	$51	$51	$49	1.0×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$58	$58	$64	0.9×
Hospital observation (per hour) HCPCS Code: `G0378`	$59	$59	$86	0.7×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$38	$8	$4	2.0×
Blood test, complete blood count (CBC) CPT Code: `85025`	$47	$16	$8	2.0×
Culture, blood CPT Code: `87040`	$134	$21	$11	1.9×
Psychotherapy session (45 minutes) CPT Code: `90834`	$44	$44	$166	0.3×
Culture, bacterial CPT Code: `87070`	$112	$17	$9	1.9×
Blood test, amylase CPT Code: `82150`	$70	$13	$7	1.9×
Blood test, magnesium CPT Code: `83735`	$42	$13	$7	1.9×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$25	$9	$5	1.8×
Blood test, liver function panel CPT Code: `80076`	$86	$16	$9	1.8×
Blood test, hemoglobin CPT Code: `85018`	$14	$5	$3	1.7×
Flu vaccine (high dose) HCPCS Code: `90656`	$16	$16	$25	0.6×
Family therapy session CPT Code: `90847`	$3	$3	$173	0.0×

Showing top 25 high-impact procedures of 106 total

Inline Bill X-Ray & 501(r) Calculator 501(c)(3) Nonprofit · Free Care ≤200% FPL · AGB Cap 88.0%

Audit a Bill or Quote at McKenzie County Healthcare Systems Inc (Zero PHI Required)

CMS CCN: 351302

CPT 27130

Select Procedure to Audit:

Fair BaseRate™ $13,413

Medicare Rate $13,117

Self-Pay Cash $32,830

Insurer Median $32,830

1. Amount on Your Bill or Quote ($) Pre-filled with McKenzie County Healthcare Systems Inc’s charged/list benchmark

2. Household Annual Income ($) Screened against 2026 HHS Federal Poverty Guidelines

3. Household Size (1–8) 2026 FPL: $15,650 + $5,500 per additional person

Step 1 · 501(r) Charity Care Check 501(r) AGB Cap: $44,447 (274% FPL)

Statutory 501(r) AGB Cap Limits Bill to $44,447

At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (88.0% of gross = $44,447).

Step 2 · Cash vs. Insurance Arbitrage Save $17,678 Paying Cash

Self-Pay Cash Rate ($32,830) Beats Your Bill

McKenzie County Healthcare Systems Inc's published 45 CFR § 180 self-pay cash rate is $32,830 (vs. $32,830 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.

Step 3 · Fair BaseRate Target +$37,095 Above Fair BaseRate

Negotiate Toward $13,413 Fair BaseRate ($13,117 Medicare)

Your bill ($50,508) is $37,095 above the denoised Fair BaseRate ($13,413) and 3.9× the $13,117 Medicare rate.

1-Click Factual Dispute Summary: Copy a citation-backed benchmark memo (with CMS CCN, CPT code, Medicare reference, Fair BaseRate, and 26 U.S.C. § 501(r) calculations) to paste into patient-portal messages or billing appeals.

IRS Form 990 Schedule H & 26 U.S.C. § 501(r) 501(c)(3) Nonprofit Hospital

Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)

EIN: 770637498

Filing Period: 202109

Free Care Eligibility BenchmarkUp to 200% FPL100% charity write-off income threshold

Discounted Care EligibilityUp to 400% FPLSliding-scale & AGB billing cap tier

Charity Care Share of ExpensesSee Schedule HNet community financial assistance reported

26 U.S.C. § 501(r)(5) AGB Benchmark Method: lookback_commercial_median

Hospital-Specific CMS HCRIS Benchmark (88.0% 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.

Screen your household size, income, and itemized CPT codes against 2026 HHS Federal Poverty Guidelines: Calculate Your 501(r) Cap Above ↑

CMS Care Compare Public Quality Record

Clinical Quality, Patient Experience & Infection Benchmarks

Safety Composite66/100

Would Recommend71%

Rated 9 or 10 (HCAHPS)69%

Median ER Wait123 min

Left ER Before Seen0%

30-Day Mortality vs U.S.same

Unplanned Readmissionsame

Hip/Knee Complication Rate4%

CMS Price Transparency Administrative Enforcement Log

Factual public administrative actions published by the Centers for Medicare & Medicaid Services regarding 45 CFR § 180 compliance at McKenzie County Healthcare Systems Inc. Prior administrative notices do not necessarily reflect current compliance status.

2026-04-20·warning_notice
Warning Notice
Recorded

Source: CMS Hospital Care Compare (69 completed HCAHPS patient surveys). Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.

Care-Setting Arbitrage, Bilateral SVD Insurer Leverage & Regional Alternatives

How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings

Above-Benchmark Price Tier

2D regional comparison of commercial negotiated price index against CMS clinical quality composite for McKenzie County Healthcare Systems Inc.

Price Index: 1.97× regional baseline

Quality: 55/100 CMS composite

Notable Payer Contract Outliers (SVD Matrix Anomalies)

Blue Cross Blue Shield

-41.7%

Median Household Income$88,289U.S. Census ACS

Local Uninsured Share13.5%Regional ACS estimate

200% FPL (1 Person)$31,920Common free-care ceiling

400% FPL (Family of 4)$128,600Common AGB cap ceiling

45 CFR § 180 Primary-Source Lineage & Federal Verification VeriRate 78/100 · Corroborated CMS CCN 351302 EIN 770637498

Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings

MRF Portal Indexed (CMS_45_CFR_180_FILING.json) Verify on CMS Medicare.gov (CCN 351302) ↗ Verify IRS Form 990 (EIN 770637498) ↗ CMS HCRIS Cost Reports ↗

Published MRF FileCMS_45_CFR_180_FILING.json

Publication / Vintage2026-05-01

Validated Rate Rows2,103 (CMS v3.0.0)

File Integrity DigestVerified · CCN 351302

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.

Submit MRF Update Correction Policy