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Hospital Profile Critical Access Hospitals Voluntary non-profit - Private

Tioga Medical Center

810N WELO ST, Tioga, ND 58852

CMS Overall Rating No CMS Rating
Factual Overview

Tioga Medical Center is a Critical Access Hospitals (Voluntary non-profit - Private) operating in Tioga, ND. Mapped commercial insurance prices across 83 procedures average 8.49x the Medicare baseline. CMS has not published a quality star rating for this facility.

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: 83 codes Avg Markup vs Medicare: 8.49x Price File In Index: Yes MRF Version: 3.0.0
Procedure & Code Cash Price Actions
Breast lump removal
CPT Code: 19120
 $6,185 Calc
Bunion correction surgery
CPT Code: 28296
 $6,237 Calc
Knee arthroscopy with meniscus repair
CPT Code: 29881
 $6,082 Calc
Blood transfusion
CPT Code: 36430
 $1,558 Calc
Upper endoscopy with biopsy
CPT Code: 43239
 $1,983 Calc
Colonoscopy (diagnostic)
CPT Code: 45378
 $2,102 Calc
Colonoscopy with biopsy
CPT Code: 45380
 $2,293 Calc
Gallbladder removal (laparoscopic)
CPT Code: 47562
 $10,726 Calc
Inguinal hernia repair
CPT Code: 49505
 $7,128 Calc
CT scan, head (no contrast)
CPT Code: 70450
 $1,632 Calc
CT scan, head (with contrast)
CPT Code: 70460
 $1,952 Calc
CT scan, head (with and without contrast)
CPT Code: 70470
 $2,434 Calc
CT scan, sinuses
CPT Code: 70486
 $1,632 Calc
MRI, brain (no contrast)
CPT Code: 70551
 $1,640 Calc
MRI, brain (with and without contrast)
CPT Code: 70553
 $5,010 Calc
X-ray, chest (single view)
CPT Code: 71045
 $212 Calc
X-ray, chest (two views)
CPT Code: 71046
 $266 Calc
CT scan, chest (no contrast)
CPT Code: 71250
 $2,039 Calc
X-ray, neck (cervical spine)
CPT Code: 72040
 $289 Calc
X-ray, lower back
CPT Code: 72110
 $359 Calc
CT scan, neck (cervical spine)
CPT Code: 72125
 $2,039 Calc
CT scan, lower back (lumbar spine)
CPT Code: 72131
 $2,039 Calc
MRI, lower back (no contrast)
CPT Code: 72148
 $2,673 Calc
X-ray, pelvis
CPT Code: 72170
 $223 Calc
CT scan, pelvis
CPT Code: 72192
 $2,039 Calc
X-ray, shoulder
CPT Code: 73030
 $250 Calc
X-ray, hand
CPT Code: 73130
 $236 Calc
X-ray, hip
CPT Code: 73502
 $374 Calc
X-ray, ankle
CPT Code: 73610
 $234 Calc
X-ray, foot
CPT Code: 73630
 $236 Calc
MRI, knee or other leg joint
CPT Code: 73721
 $2,699 Calc
CT scan, abdomen and pelvis (no contrast)
CPT Code: 74176
 $2,039 Calc
CT scan, abdomen and pelvis (with contrast)
CPT Code: 74177
 $2,777 Calc
Ultrasound, thyroid and neck
CPT Code: 76536
 $574 Calc
Ultrasound, abdomen (complete)
CPT Code: 76700
 $783 Calc
Ultrasound, abdomen (limited)
CPT Code: 76705
 $644 Calc
Ultrasound, pelvis
CPT Code: 76856
 $574 Calc
Blood test, basic metabolic panel
CPT Code: 80048
 $140 Calc
Blood test, comprehensive metabolic panel
CPT Code: 80053
 $149 Calc
Blood test, cholesterol (lipid panel)
CPT Code: 80061
 $142 Calc
Blood test, liver function panel
CPT Code: 80076
 $123 Calc
Blood test, amylase
CPT Code: 82150
 $136 Calc
Blood test, vitamin D
CPT Code: 82306
 $238 Calc
Blood test, calcium
CPT Code: 82310
 $78 Calc
Blood test, creatinine (kidney)
CPT Code: 82565
 $78 Calc
Blood test, vitamin B12
CPT Code: 82607
 $155 Calc
Blood test, ferritin (iron stores)
CPT Code: 82728
 $144 Calc
Blood test, glucose (blood sugar)
CPT Code: 82947
 $60 Calc
Blood test, average blood sugar (A1c)
CPT Code: 83036
 $90 Calc
Blood test, lipase
CPT Code: 83690
 $99 Calc
Blood test, magnesium
CPT Code: 83735
 $66 Calc
Blood test, potassium
CPT Code: 84132
 $83 Calc
Blood test, PSA (prostate screen)
CPT Code: 84153
 $190 Calc
Blood test, sodium
CPT Code: 84295
 $68 Calc
Blood test, thyroid (TSH)
CPT Code: 84443
 $173 Calc
Blood test, urea nitrogen (BUN, kidney)
CPT Code: 84520
 $60 Calc
Blood test, hemoglobin
CPT Code: 85018
 $79 Calc
Blood test, complete blood count (CBC)
CPT Code: 85025
 $96 Calc
Blood test, clotting time (PT/INR)
CPT Code: 85610
 $34 Calc
Blood test, clotting time (PTT)
CPT Code: 85730
 $102 Calc
Hepatitis C antibody test
CPT Code: 86803
 $137 Calc
Blood antibody screen
CPT Code: 86850
 $166 Calc
Culture, blood
CPT Code: 87040
 $155 Calc
Culture, bacterial
CPT Code: 87070
 $118 Calc
Speech therapy (language evaluation)
CPT Code: 92507
 $382 Calc
Speech therapy (group session)
CPT Code: 92508
 $162 Calc
Electrocardiogram (EKG, tracing only)
CPT Code: 93005
 $124 Calc
Echocardiogram (heart ultrasound)
CPT Code: 93306
 $1,458 Calc
Ultrasound, leg veins (duplex)
CPT Code: 93970
 $1,526 Calc
Breathing treatment (nebulizer)
CPT Code: 94640
 $62 Calc
Sleep study (overnight, in lab)
CPT Code: 95810
 $3,463 Calc
Neurobehavioral status check
CPT Code: 96116
 $551 Calc
Physical therapy (therapeutic exercise)
CPT Code: 97110
 $175 Calc
Physical therapy (neuromuscular re-education)
CPT Code: 97112
 $175 Calc
Physical therapy (gait training)
CPT Code: 97116
 $151 Calc
Physical therapy (manual therapy)
CPT Code: 97140
 $180 Calc
Occupational therapy (therapeutic activities)
CPT Code: 97530
 $206 Calc
Occupational therapy (self-care training)
CPT Code: 97535
 $180 Calc
Orthotic fitting and training
CPT Code: 97760
 $228 Calc
Prosthetic fitting and training
CPT Code: 97761
 $195 Calc
New patient office visit (30-44 min)
CPT Code: 99203
 $339 Calc
Office visit, established patient (20-29 min)
CPT Code: 99213
 $232 Calc
Office visit, established patient (30-39 min)
CPT Code: 99214
 $341 Calc