Unity Medical Center
164 W 13Th Street, Grafton, ND 58237 · 59 Priced Procedures · 93% Patient Recommendation
Typical commercial prices here are +128% above the fair benchmark (2.28×) even after accounting for local nurse/doctor wages and patient complexity.
Balances commercial hospital prices against CMS clinical safety, infection control, and patient experience.
Wide Procedure Spread · Upper-Quartile Skew Pricer
Unity Medical Center prices routine shoppable procedures at 2.4× Medicare (median 2.05× Fair BaseRate) while upper-quartile commercial rates jump +56% to 3.19× 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 1.22× the peer BaseRate benchmark
- Self-pay cash beats commercial insurance on 0% of shoppable procedures (25/100 Cash Honesty)
- CMS clinical safety score (75/100 safety score) with 93% patient recommendation
- IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (72.8% AGB cap)
Where You Can Get Burned (Markup Traps)
- Even at low-cost facilities (2.28× 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 2.05× Fair BaseRate (2.4× Medicare), so insured patients should always compare the self-pay cash price before paying.
- Upper-quartile procedures (Q75 3.19×) jump +56% above the median procedure ratio (Q50 2.05×)
- Unnegotiated chargemaster list prices average 4.8× Medicare (34¢ true HCRIS cost per $1 gross)
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 Unity Medical Center
High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 59 published procedures.
| Procedure & Billing Code | This Hospital | vs. Fair |
|---|---|---|
| MRI, knee or other leg joint CPT Code: 73721 | $1,842 | unverified |
| Ultrasound, leg veins (duplex) CPT Code: 93970 | $923 | unverified |
| Blood transfusion CPT Code: 36430 | $607 | 1.2× |
| Colonoscopy (diagnostic) CPT Code: 45378 | $504 | 0.5× |
| Ultrasound, thyroid and neck CPT Code: 76536 | $497 | unverified |
| Diagnostic mammogram (both breasts) CPT Code: 77066 | $503 | unverified |
| Ultrasound, abdomen (complete) CPT Code: 76700 | $458 | 3.4× |
| Ultrasound, pelvis CPT Code: 76856 | $416 | 3.2× |
| Screening mammogram (both breasts) CPT Code: 77067 | $392 | 3.2× |
| Ultrasound, abdomen (limited) CPT Code: 76705 | $349 | 2.8× |
| Psychiatric evaluation (first visit) CPT Code: 90791 | $337 | 1.8× |
| Office visit, established patient (30-39 min) CPT Code: 99214 | $269 | unverified |
| Speech therapy (language evaluation) CPT Code: 92507 | $231 | 2.7× |
| New patient office visit (30-44 min) CPT Code: 99203 | $225 | 2.0× |
| Office visit, established patient (20-29 min) CPT Code: 99213 | $210 | unverified |
| X-ray, hip CPT Code: 73502 | $177 | 1.9× |
| X-ray, lower back CPT Code: 72110 | $199 | 1.8× |
| Colonoscopy with biopsy CPT Code: 45380 | $209 | 0.2× |
| X-ray, neck (cervical spine) CPT Code: 72040 | $145 | 1.6× |
| Diagnostic procedure preparation HCPCS Code: G0279 | $114 | 3.3× |
| X-ray, hand CPT Code: 73130 | $133 | 1.4× |
| X-ray, shoulder CPT Code: 73030 | $117 | 1.3× |
| X-ray, pelvis CPT Code: 72170 | $132 | 1.2× |
| Occupational therapy (self-care training) CPT Code: 97535 | $98 | 2.6× |
| Physical therapy (manual therapy) CPT Code: 97140 | $81 | 2.4× |
Audit a Bill or Quote at Unity Medical Center (Zero PHI Required)
Statutory 501(r) AGB Cap Limits Bill to $1,801
At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (72.8% of gross = $1,801).
Compare Prompt-Pay Cash Rate Against Remaining Deductible
Unity Medical Center's published 45 CFR § 180 self-pay cash rate is $2,475 (vs. $1,842 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.
Negotiate Toward $369 Fair BaseRate ($244 Medicare)
Your bill ($2,475) is $2,106 above the denoised Fair BaseRate ($369) and 10.1× the $244 Medicare rate.
Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)
Hospital-Specific CMS HCRIS Benchmark (72.8% 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
CMS Price Transparency Administrative Enforcement Log
Factual public administrative actions published by the Centers for Medicare & Medicaid Services regarding 45 CFR § 180 compliance at Unity Medical Center. Prior administrative notices do not necessarily reflect current compliance status.
- 2025-01-23·administrative_or_closure
Closure Notice
Recorded - 2025-01-08·cap_corrective_action
CAP Request
Recorded - 2024-09-25·warning_notice
Warning Notice
Recorded
Source: CMS Hospital Care Compare (26 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 Unity Medical Center.
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.