Hospital Profile Critical Access Hospitals Voluntary non-profit - Private

Tioga Medical Center

810N WELO ST, Tioga, ND 58852

CMS Overall Rating No CMS Rating

Tioga Medical Center publishes prices for 93 shoppable procedures in Tioga, 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: 25 Beds Teaching Status: Non-Teaching Annual Discharges: 138

Patient Experience

Recommendation Rate: N/A High Patient Rating: N/A ER Wait Time (Med): 84 min Readmission Rate: same

Pricing & Transparency

Procedures Mapped: 93 codes Typical vs Fair BaseRate: — Price File In Index: Yes MRF Version: 3.0.0

Prices at Tioga Medical Center

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
CT scan, lower back (lumbar spine) CPT Code: `72131`	$2,039	—	—	—
Blood test, potassium CPT Code: `84132`	$83	—	—	—
Blood test, glucose (blood sugar) CPT Code: `82947`	$60	—	—	—
Neurobehavioral status check CPT Code: `96116`	$551	—	—	—
Blood antibody screen CPT Code: `86850`	$166	—	—	—
X-ray, neck (cervical spine) CPT Code: `72040`	$289	—	—	—
Breathing treatment (nebulizer) CPT Code: `94640`	$63	—	—	—
Blood test, vitamin D CPT Code: `82306`	$239	—	—	—
Ultrasound, abdomen (complete) CPT Code: `76700`	$783	—	—	—
New patient office visit (30-44 min) CPT Code: `99203`	$339	—	—	—
Hospital observation (per hour) HCPCS Code: `G0378`	$1,253	—	—	—
Blood test, hemoglobin CPT Code: `85018`	$79	—	—	—
X-ray, chest (single view) CPT Code: `71045`	$212	—	—	—
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$52	—	—	—
Blood test, clotting time (PT/INR) CPT Code: `85610`	$34	—	—	—
X-ray, hip CPT Code: `73502`	$374	—	—	—
CT scan, head (no contrast) CPT Code: `70450`	$1,632	—	—	—
Blood test, PSA (prostate screen) CPT Code: `84153`	$191	—	—	—
Blood test, sodium CPT Code: `84295`	$68	—	—	—
CT scan, chest (no contrast) CPT Code: `71250`	$2,039	—	—	—
Blood test, liver function panel CPT Code: `80076`	$123	—	—	—
Blood transfusion CPT Code: `36430`	$1,558	—	—	—
Bunion correction surgery CPT Code: `28296`	$6,237	—	—	—
Blood test, vitamin B12 CPT Code: `82607`	$155	—	—	—
Ultrasound, pelvis CPT Code: `76856`	$574	—	—	—
Hepatitis C antibody test CPT Code: `86803`	$137	—	—	—
Ultrasound, leg veins (duplex) CPT Code: `93970`	$1,526	—	—	—
Office visit, established patient (20-29 min) CPT Code: `99213`	$232	—	—	—
Blood test, complete blood count (CBC) CPT Code: `85025`	$96	—	—	—
Gallbladder removal (laparoscopic) CPT Code: `47562`	—	—	—	—
Culture, blood CPT Code: `87040`	$155	—	—	—
X-ray, hand CPT Code: `73130`	$236	—	—	—
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$125	—	—	—
Electrical stimulation therapy HCPCS Code: `G0283`	$88	—	—	—
Breast lump removal CPT Code: `19120`	—	—	—	—
Office visit, established patient (30-39 min) CPT Code: `99214`	$341	—	—	—
X-ray, shoulder CPT Code: `73030`	$250	—	—	—
Flu vaccine (high dose) HCPCS Code: `90656`	$28	—	—	—
Ultrasound, thyroid and neck CPT Code: `76536`	$574	—	—	—
X-ray, foot CPT Code: `73630`	$236	—	—	—
Typhoid vaccine HCPCS Code: `90675`	$624	—	—	—
MRI, lower back (no contrast) CPT Code: `72148`	$2,673	—	—	—
Blood test, lipase CPT Code: `83690`	$99	—	—	—
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$175	—	—	—
Occupational therapy (therapeutic activities) CPT Code: `97530`	$206	—	—	—
CT scan, head (with contrast) CPT Code: `70460`	$1,952	—	—	—
CT scan, head (with and without contrast) CPT Code: `70470`	$2,434	—	—	—
Inguinal hernia repair CPT Code: `49505`	—	—	—	—
Trauma team activation HCPCS Code: `G0390`	$492	—	—	—
Pneumococcal vaccine HCPCS Code: `90732`	$219	—	—	—
Speech therapy (group session) CPT Code: `92508`	$162	—	—	—
MRI, knee or other leg joint CPT Code: `73721`	$2,699	—	—	—
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$142	—	—	—
Prosthetic fitting and training CPT Code: `97761`	$195	—	—	—
Sleep study (overnight, in lab) CPT Code: `95810`	$3,463	—	—	—
MRI, brain (with and without contrast) CPT Code: `70553`	$5,010	—	—	—
Physical therapy (therapeutic exercise) CPT Code: `97110`	$175	—	—	—
Blood test, clotting time (PTT) CPT Code: `85730`	$102	—	—	—
X-ray, pelvis CPT Code: `72170`	$223	—	—	—
Blood test, basic metabolic panel CPT Code: `80048`	$140	—	—	—
X-ray, lower back CPT Code: `72110`	$359	—	—	—
Colonoscopy (diagnostic) CPT Code: `45378`	—	—	—	—
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$75	—	—	—
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$60	—	—	—
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$2,777	—	—	—
Blood test, comprehensive metabolic panel CPT Code: `80053`	$149	—	—	—
X-ray, chest (two views) CPT Code: `71046`	$266	—	—	—
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$191	—	—	—
Rabies immune globulin HCPCS Code: `90375`	$1,047	—	—	—
Blood test, calcium CPT Code: `82310`	$78	—	—	—
CT scan, neck (cervical spine) CPT Code: `72125`	$2,039	—	—	—
Echocardiogram (heart ultrasound) CPT Code: `93306`	$1,458	—	—	—
Colonoscopy with biopsy CPT Code: `45380`	—	—	—	—
Culture, bacterial CPT Code: `87070`	$118	—	—	—
Occupational therapy (self-care training) CPT Code: `97535`	$180	—	—	—
Blood test, thyroid (TSH) CPT Code: `84443`	$173	—	—	—
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$2,039	—	—	—
MRI, brain (no contrast) CPT Code: `70551`	$1,640	—	—	—
CT scan, pelvis CPT Code: `72192`	$2,039	—	—	—
Blood test, magnesium CPT Code: `83735`	$66	—	—	—
Knee arthroscopy with meniscus repair CPT Code: `29881`	$6,082	—	—	—
Speech therapy (language evaluation) CPT Code: `92507`	$382	—	—	—
Physical therapy (manual therapy) CPT Code: `97140`	$180	—	—	—
Upper endoscopy with biopsy CPT Code: `43239`	—	—	—	—
CT scan, sinuses CPT Code: `70486`	$1,632	—	—	—
Orthotic fitting and training CPT Code: `97760`	$228	—	—	—
Blood test, ferritin (iron stores) CPT Code: `82728`	$144	—	—	—
Blood test, average blood sugar (A1c) CPT Code: `83036`	$90	—	—	—
Blood test, amylase CPT Code: `82150`	$136	—	—	—
Ultrasound, abdomen (limited) CPT Code: `76705`	$644	—	—	—
Blood test, creatinine (kidney) CPT Code: `82565`	$78	—	—	—
Physical therapy (gait training) CPT Code: `97116`	$151	—	—	—
X-ray, ankle CPT Code: `73610`	$234	—	—	—