Hospital Profile Critical Access Hospitals Voluntary non-profit - Private

Mountrail County Medical Center Inc

615 6TH ST SE, Stanley, ND 58784

CMS Overall Rating No CMS Rating

Mountrail County Medical Center Inc publishes prices for 97 shoppable procedures in Stanley, ND. It's classified by CMS as Critical Access Hospitals (Voluntary non-profit - Private). CMS has not published a star rating for it.

Facility Overview

Setting: rural Bed Count: 11 Beds Teaching Status: Non-Teaching Annual Discharges: 51

Patient Experience

Recommendation Rate: N/A High Patient Rating: N/A ER Wait Time (Med): 79 min Readmission Rate: N/A

Pricing & Transparency

Procedures Mapped: 97 codes Typical vs Fair BaseRate: — Price File In Index: Yes MRF Version: 3.0.0

Prices at Mountrail County Medical Center Inc

Every shoppable procedure, ranked by how far its price sits above the fair BaseRate. Fair BaseRate is the modeled typical charge; vs Fair is how many times higher this hospital's price is.

Search Procedures & Codes

Procedure & Code	Cash Price	This Hospital	Fair BaseRate	vs Fair
Blood test, magnesium CPT Code: `83735`	$41	—	—	—
Blood test, lipase CPT Code: `83690`	$103	—	—	—
Blood test, clotting time (PTT) CPT Code: `85730`	$79	—	—	—
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$343	—	—	—
Psychiatric evaluation (first visit) CPT Code: `90791`	$302	—	—	—
Blood test, complete blood count (CBC) CPT Code: `85025`	$86	—	—	—
Psychotherapy session (45 minutes) CPT Code: `90834`	$162	—	—	—
Occupational therapy (self-care training) CPT Code: `97535`	$135	—	—	—
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$140	—	—	—
X-ray, chest (single view) CPT Code: `71045`	$131	—	—	—
Blood test, comprehensive metabolic panel CPT Code: `80053`	$129	—	—	—
Physical therapy (manual therapy) CPT Code: `97140`	$126	—	—	—
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$77	—	—	—
Orthotic fitting and training CPT Code: `97760`	$105	—	—	—
CT scan, pelvis CPT Code: `72192`	$981	—	—	—
Flu vaccine (high dose) HCPCS Code: `90656`	$18	—	—	—
MRI, knee or other leg joint CPT Code: `73721`	$1,620	—	—	—
X-ray, chest (two views) CPT Code: `71046`	$213	—	—	—
Colorectal cancer screening HCPCS Code: `G0010`	$60	—	—	—
Blood test, sodium CPT Code: `84295`	$38	—	—	—
Blood test, average blood sugar (A1c) CPT Code: `83036`	$91	—	—	—
Office visit, established patient (30-39 min) CPT Code: `99214`	$201	—	—	—
Blood test, vitamin D CPT Code: `82306`	$151	—	—	—
MRI, brain (no contrast) CPT Code: `70551`	$1,274	—	—	—
CT scan, head (with contrast) CPT Code: `70460`	$1,397	—	—	—
Culture, bacterial CPT Code: `87070`	$92	—	—	—
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$54	—	—	—
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$121	—	—	—
CT scan, head (with and without contrast) CPT Code: `70470`	$1,868	—	—	—
CT scan, sinuses CPT Code: `70486`	$942	—	—	—
Physical therapy (gait training) CPT Code: `97116`	$90	—	—	—
Blood test, ferritin (iron stores) CPT Code: `82728`	$156	—	—	—
Ultrasound, abdomen (complete) CPT Code: `76700`	$491	—	—	—
Sleep study (overnight, in lab) CPT Code: `95810`	$2,035	—	—	—
Hepatitis B vaccine HCPCS Code: `90744`	$52	—	—	—
Diagnostic mammogram (both breasts) CPT Code: `77066`	$340	—	—	—
X-ray, foot CPT Code: `73630`	$339	—	—	—
Speech therapy (language evaluation) CPT Code: `92507`	$225	—	—	—
X-ray, shoulder CPT Code: `73030`	$324	—	—	—
CT scan, head (no contrast) CPT Code: `70450`	$947	—	—	—
X-ray, hand CPT Code: `73130`	$482	—	—	—
CT scan, chest (no contrast) CPT Code: `71250`	$720	—	—	—
X-ray, hip CPT Code: `73502`	$342	—	—	—
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$1,668	—	—	—
Electrical stimulation therapy HCPCS Code: `G0283`	$67	—	—	—
Varicella (chickenpox) vaccine HCPCS Code: `90716`	$594	—	—	—
Psychotherapy session (60 minutes) CPT Code: `90837`	$255	—	—	—
Blood antibody screen CPT Code: `86850`	$133	—	—	—
Blood test, glucose (blood sugar) CPT Code: `82947`	$22	—	—	—
Breathing treatment (nebulizer) CPT Code: `94640`	$158	—	—	—
Blood test, amylase CPT Code: `82150`	$102	—	—	—
Blood test, PSA (prostate screen) CPT Code: `84153`	$68	—	—	—
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$135	—	—	—
Ultrasound, thyroid and neck CPT Code: `76536`	$402	—	—	—
Blood test, liver function panel CPT Code: `80076`	$116	—	—	—
Blood test, thyroid (TSH) CPT Code: `84443`	$139	—	—	—
Blood test, calcium CPT Code: `82310`	$52	—	—	—
X-ray, neck (cervical spine) CPT Code: `72040`	$188	—	—	—
Ultrasound, abdomen (limited) CPT Code: `76705`	$514	—	—	—
Neurobehavioral status check CPT Code: `96116`	$348	—	—	—
Prosthetic fitting and training CPT Code: `97761`	$92	—	—	—
Physical therapy (functional capacity test) CPT Code: `97750`	$95	—	—	—
Echocardiogram (heart ultrasound) CPT Code: `93306`	$828	—	—	—
Blood test, creatinine (kidney) CPT Code: `82565`	$42	—	—	—
CT scan, neck (cervical spine) CPT Code: `72125`	$957	—	—	—
Physical therapy (therapeutic exercise) CPT Code: `97110`	$135	—	—	—
Trauma team activation HCPCS Code: `G0390`	$600	—	—	—
X-ray, pelvis CPT Code: `72170`	$493	—	—	—
Blood test, basic metabolic panel CPT Code: `80048`	$103	—	—	—
CT scan, lower back (lumbar spine) CPT Code: `72131`	$981	—	—	—
Blood test, vitamin B12 CPT Code: `82607`	$118	—	—	—
Blood transfusion CPT Code: `36430`	$1,425	—	—	—
Office visit, established patient (20-29 min) CPT Code: `99213`	$150	—	—	—
Blood test, potassium CPT Code: `84132`	$42	—	—	—
MRI, brain (with and without contrast) CPT Code: `70553`	$2,174	—	—	—
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$1,742	—	—	—
MRI, lower back (no contrast) CPT Code: `72148`	$1,742	—	—	—
Flu vaccine injection HCPCS Code: `G0008`	$75	—	—	—
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$178	—	—	—
Diagnostic procedure preparation HCPCS Code: `G0279`	$79	—	—	—
X-ray, ankle CPT Code: `73610`	$339	—	—	—
Hepatitis C antibody test CPT Code: `86803`	$94	—	—	—
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$126	—	—	—
Occupational therapy (therapeutic activities) CPT Code: `97530`	$149	—	—	—
Ultrasound, leg veins (duplex) CPT Code: `93970`	$922	—	—	—
Blood test, hemoglobin CPT Code: `85018`	$28	—	—	—
Drug screening test HCPCS Code: `G0480`	$140	—	—	—
Screening mammogram (both breasts) CPT Code: `77067`	$330	—	—	—
Blood test, clotting time (PT/INR) CPT Code: `85610`	$56	—	—	—
X-ray, lower back CPT Code: `72110`	$329	—	—	—
Urinalysis (automated, with microscopy) CPT Code: `81001`	$42	—	—	—
Culture, blood CPT Code: `87040`	$184	—	—	—
Family therapy session CPT Code: `90847`	$248	—	—	—
Pneumonia vaccine injection HCPCS Code: `G0009`	$75	—	—	—
New patient office visit (30-44 min) CPT Code: `99203`	$281	—	—	—
Ultrasound, pelvis CPT Code: `76856`	$518	—	—	—
Pneumococcal vaccine HCPCS Code: `90732`	$202	—	—	—