| Procedure | Essentia Health Fosston | Sanford Bemidji Medical Center | Medicare |
|---|
| 3D mammogram (tomosynthesis) | $65 | $166 | $51 |
| Abdominal fluid drain (paracentesis) | $1,173 | $2,093 | $284 |
| Abdominal ultrasound | $539 | $842 | $100 |
| Abdominal ultrasound (complete) | $611 | $941 | $114 |
| Abdominal ultrasound (limited) | $468 | $743 | $86 |
| Abscess drainage (complex or multiple) | $941 | $852 | $220 |
| Abscess drainage (simple) | $288 | $556 | $129 |
| Abscess incision and drainage | $941 | $704 | $174 |
| Anoscopy | $375 | $295 | $129 |
| Bartholin cyst removal | $379 | $490 | $182 |
| Benign skin lesion removal | $944 | $1,906 | $171 |
| Bladder scope (cystoscopy) | $1,451 | $3,484 | $216 |
| Blood transfusion | $840 | $937 | $47 |
| Bone density scan (DEXA) | $398 | $530 | $39 |
| Bone scan (nuclear) | $1,225 | $1,858 | $259 |
| Botox for migraine | $663 | $570 | $157 |
| Breast biopsy | $954 | $3,918 | $478 |
| Breast ultrasound | $399 | $509 | $92 |
| Breast ultrasound (complete) | $448 | $536 | $100 |
| Breast ultrasound (limited) | $351 | $482 | $84 |
| Breathing tube insertion (intubation) | $651 | $798 | $133 |
| Bronchoscopy | $1,659 | $3,034 | $303 |
| Burn dressing and debridement (medium) | $405 | $429 | $166 |
| Burn dressing and debridement (small) | $276 | $442 | $93 |
| Burn treatment | $341 | $436 | $129 |
| Cardiac ablation | $13,405 | $45,697 | $759 |
| Cardiac rehabilitation | $245 | $319 | $26 |
| Cardiac stress test | $786 | $1,175 | $39 |
| Cardioversion | $1,343 | $1,792 | $155 |
| Carotid artery ultrasound | $668 | $834 | $156 |
| Central line placement | $2,172 | $2,311 | $238 |
| Chemotherapy infusion | $573 | $269 | $81 |
| Chemotherapy infusion (each additional) | $222 | $95 | $28 |
| Chemotherapy infusion (first hour) | $573 | $443 | $133 |
| Chest fluid drain (thoracentesis) | $1,293 | $1,852 | $311 |
| Chest tube insertion | $1,389 | $1,410 | $143 |
| Chest X-ray | $226 | $422 | $37 |
| Chest X-ray (1 view) | $226 | $307 | $25 |
| Chest X-ray (2 views) | $231 | $386 | $33 |
| Colonoscopy | $2,177 | $2,702 | $480 |
| Complex wound repair | $504 | $2,721 | $390 |
| Contraceptive implant (Nexplanon) | $366 | $617 | $115 |
| CPAP titration study | $746 | $462 | $69 |
| CT angiography of the chest | $1,933 | $2,758 | $281 |
| CT angiography of the head | $1,917 | $2,606 | $274 |
| CT scan of the abdomen | $1,512 | $2,364 | $230 |
| CT scan of the abdomen and pelvis | $2,528 | $4,016 | $300 |
| CT scan of the abdomen and pelvis with and without contrast | $2,955 | $4,289 | $338 |
| CT scan of the abdomen and pelvis with contrast | $2,528 | $4,016 | $300 |
| CT scan of the abdomen and pelvis without contrast | $2,197 | $3,476 | $183 |
| CT scan of the abdomen with and without contrast | $1,743 | $2,674 | $259 |
| CT scan of the abdomen with contrast | $1,512 | $2,364 | $230 |
| CT scan of the abdomen without contrast | $1,179 | $1,929 | $136 |
| CT scan of the arm | $1,520 | $2,151 | $199 |
| CT scan of the arm with contrast | $1,520 | $2,151 | $199 |
| CT scan of the arm without contrast | $1,264 | $1,745 | $161 |
| CT scan of the chest | $1,559 | $2,297 | $167 |
| CT scan of the chest with and without contrast | $1,590 | $2,644 | $196 |
| CT scan of the chest with contrast | $1,559 | $2,297 | $167 |
| CT scan of the chest without contrast | $1,339 | $1,965 | $133 |
| CT scan of the head | $1,278 | $2,047 | $148 |
| CT scan of the head with and without contrast | $1,590 | $2,363 | $173 |
| CT scan of the head with contrast | $1,298 | $2,047 | $148 |
| CT scan of the head without contrast | $1,259 | $1,863 | $107 |
| CT scan of the leg | $1,539 | $2,099 | $166 |
| CT scan of the leg with contrast | $1,539 | $2,099 | $166 |
| CT scan of the leg without contrast | $1,315 | $1,751 | $130 |
| CT scan of the lower back (lumbar spine) | $1,505 | $2,434 | $169 |
| CT scan of the lower back (lumbar spine) with and without contrast | $1,618 | $3,073 | $197 |
| CT scan of the lower back (lumbar spine) with contrast | $1,553 | $2,434 | $169 |
| CT scan of the lower back (lumbar spine) without contrast | $1,457 | $1,997 | $130 |
| CT scan of the neck | $1,415 | $2,211 | $183 |
| CT scan of the neck (cervical spine) | $1,435 | $2,451 | $168 |
| CT scan of the neck (cervical spine) with contrast | $1,525 | $2,451 | $168 |
| CT scan of the neck (cervical spine) without contrast | $1,435 | $1,997 | $131 |
| CT scan of the neck with and without contrast | $1,485 | $2,640 | $220 |
| CT scan of the neck with contrast | $1,415 | $2,211 | $183 |
| CT scan of the neck without contrast | $1,141 | $1,799 | $150 |
| CT scan of the pelvis | $1,402 | $2,002 | $226 |
| CT scan of the pelvis with contrast | $1,470 | $2,002 | $226 |
| CT scan of the pelvis without contrast | $1,335 | $1,715 | $133 |
| CT scan of the sinuses | $1,403 | $2,211 | $152 |
| CT scan of the sinuses with contrast | $1,415 | $2,211 | $152 |
| CT scan of the sinuses without contrast | $1,392 | $1,876 | $128 |
| Diagnostic mammogram | $364 | $523 | $140 |
| Echocardiogram | $1,175 | $1,427 | $138 |
| Echocardiogram with and without contrast | $728 | $992 | $101 |
| EKG / ECG (tracing only) | $196 | $261 | $7 |
| Electrocardiogram (EKG) | $196 | $261 | $8 |
| Electromyography (EMG) | $184 | $517 | $141 |
| Emergency department visit | $723 | $888 | $69 |
| Emergency department visit (level 1) | $208 | $315 | $11 |
| Emergency department visit (level 2) | $336 | $502 | $40 |
| Emergency department visit (level 3) | $548 | $888 | $69 |
| Emergency department visit (level 4) | $897 | $1,411 | $118 |
| Emergency department visit (level 5) | $1,365 | $2,053 | $171 |
| Endometrial biopsy | $555 | $406 | $98 |
| Epidural steroid injection | $1,459 | $2,171 | $275 |
| ERCP (bile duct endoscopy) | $1,673 | $4,233 | $311 |
| Esophageal dilation | $806 | $2,042 | $522 |
| Facet joint injection (spine) | $1,087 | $1,198 | $99 |
| Feeding tube (PEG) placement | $2,541 | $3,670 | $178 |
| Flexible sigmoidoscopy | $1,267 | $2,358 | $323 |
| Foreign body removal (skin) | $613 | $858 | $157 |
| Gallbladder scan (HIDA) | $1,458 | $1,829 | $334 |
| Hemorrhoid removal | $1,310 | $2,023 | $338 |
| Hepatitis B vaccine | $126 | $79 | — |
| Holter heart monitor | $328 | $552 | $26 |
| HPV vaccine | $546 | $243 | — |
| IUD removal | $908 | $802 | $112 |
| IV infusion therapy | $261 | $368 | $44 |
| IV infusion therapy (each additional) | $152 | $117 | $21 |
| IV infusion therapy (initial) | $370 | $620 | $67 |
| Joint aspiration (small/intermediate) | $305 | $662 | $57 |
| Joint aspiration or injection (mid-size joint) | $305 | $658 | $57 |
| Joint aspiration or injection (small joint) | $346 | $666 | $56 |
| Kidney scan (nuclear) | $1,304 | $1,971 | $172 |
| Kidney ultrasound | $526 | $562 | $84 |
| Kidney ultrasound (limited) | $418 | $399 | $61 |
| Knee joint injection | $364 | $856 | $69 |
| Laryngoscopy | $480 | $2,021 | $189 |
| Leg vein ultrasound (Doppler) | $793 | $1,061 | $150 |
| Leg vein ultrasound (Doppler) (limited) | $619 | $878 | $116 |
| Liver biopsy | $1,557 | $2,575 | $288 |
| Lung function test (PFT) | $258 | $479 | $37 |
| Lung scan (V/Q) | $1,247 | $2,066 | $291 |
| MMR vaccine | $171 | $111 | — |
| MRA of the brain | $2,377 | $3,235 | $226 |
| MRA of the brain without contrast | $2,564 | $3,830 | $328 |
| MRA of the neck | $2,021 | $3,235 | $245 |
| MRA of the neck with contrast | $2,021 | $3,063 | $245 |
| MRA of the neck without contrast | $2,765 | $3,708 | $343 |
| MRI of the abdomen | $2,402 | $3,465 | $300 |
| MRI of the abdomen with contrast | $2,402 | $3,465 | $300 |
| MRI of the abdomen without contrast | $2,179 | $2,805 | $194 |
| MRI of the ankle | $2,226 | $3,207 | $261 |
| MRI of the ankle with contrast | $2,226 | $3,207 | $261 |
| MRI of the ankle without contrast | $2,114 | $2,974 | $222 |
| MRI of the brain | $2,291 | $3,406 | $269 |
| MRI of the brain with contrast | $2,291 | $3,406 | $269 |
| MRI of the brain without contrast | $2,170 | $3,083 | $195 |
| MRI of the chest | $2,104 | $3,324 | $371 |
| MRI of the chest without contrast | $2,399 | $3,922 | $466 |
| MRI of the knee | $2,569 | $3,164 | $315 |
| MRI of the knee without contrast | $2,104 | $2,974 | $204 |
| MRI of the lower back (lumbar spine) | $2,093 | $3,377 | $270 |
| MRI of the lower back (lumbar spine) without contrast | $2,093 | $2,873 | $192 |
| MRI of the mid-back (thoracic spine) | $2,446 | $3,461 | $271 |
| MRI of the mid-back (thoracic spine) with and without contrast | $2,766 | $4,034 | $319 |
| MRI of the mid-back (thoracic spine) without contrast | $2,127 | $2,976 | $190 |
| MRI of the neck (cervical spine) | $2,451 | $3,478 | $274 |
| MRI of the neck (cervical spine) with and without contrast | $2,785 | $4,034 | $318 |
| MRI of the neck (cervical spine) without contrast | $2,117 | $2,959 | $191 |
| MRI of the pelvis | $1,993 | $3,342 | $268 |
| MRI of the pelvis with contrast | $1,870 | $3,342 | $268 |
| MRI of the pelvis without contrast | $2,116 | $2,744 | $227 |
| MRI of the shoulder | $2,313 | $3,234 | $313 |
| MRI of the shoulder with contrast | $2,313 | $3,234 | $313 |
| MRI of the shoulder without contrast | $2,144 | $3,041 | $205 |
| MRI of the wrist | $2,390 | $3,266 | $330 |
| MRI of the wrist with contrast | $2,390 | $3,266 | $330 |
| MRI of the wrist without contrast | $2,135 | $3,222 | $303 |
| Nebulizer breathing treatment | $100 | $168 | $9 |
| Nuclear cardiac stress test | $2,837 | $3,842 | $428 |
| Occupational therapy evaluation | $185 | $290 | $101 |
| Occupational therapy evaluation (high complexity) | $200 | $303 | $101 |
| Occupational therapy evaluation (low complexity) | $169 | $269 | $101 |
| Occupational therapy evaluation (moderate complexity) | $185 | $290 | $101 |
| Office visit (established patient) | $148 | $224 | $115 |
| Office visit (new patient) | $183 | $269 | $177 |
| Office visit, established patient (level 3) | $132 | $194 | $95 |
| Office visit, established patient (level 4) | $151 | $254 | $136 |
| Office visit, new patient (level 3) | $117 | $203 | $118 |
| Office visit, new patient (level 4) | $183 | $269 | $177 |
| Office visit, new patient (level 5) | $242 | $328 | $237 |
| Pap smear (cervical screening) | $92 | $84 | $20 |
| Pelvic ultrasound | $339 | $591 | $78 |
| Pelvic ultrasound (complete) | $489 | $772 | $105 |
| Pelvic ultrasound (limited) | $339 | $410 | $51 |
| Physical therapy evaluation | $184 | $304 | $98 |
| Physical therapy evaluation (high complexity) | $200 | $341 | $98 |
| Physical therapy evaluation (moderate complexity) | $184 | $304 | $98 |
| Pneumonia vaccine | $177 | $171 | — |
| Pregnancy ultrasound | $478 | $498 | $126 |
| Pregnancy ultrasound (first trimester) | $453 | $426 | $117 |
| Pregnancy ultrasound (second or third trimester) | $503 | $570 | $136 |
| Psychiatric evaluation | $256 | $324 | $188 |
| Pulmonary rehabilitation | $187 | $166 | $87 |
| Radiofrequency nerve ablation | $2,998 | $3,442 | $462 |
| RSV vaccine | $510 | $288 | — |
| Sacroiliac joint injection | $1,060 | $1,225 | $176 |
| Scoliosis spine X-ray | $294 | $390 | $58 |
| Scoliosis spine X-ray (1 view) | $239 | $319 | $44 |
| Scoliosis spine X-ray (3 views) | $349 | $462 | $72 |
| Screening mammogram | $338 | $487 | $126 |
| Scrotal ultrasound | $481 | $614 | $99 |
| Semen analysis | $92 | $78 | $12 |
| Simple laceration repair (small, up to 2.5 cm) | $307 | $470 | $114 |
| Simple wound stitches | $311 | $481 | $127 |
| Skin biopsy | $303 | $474 | $121 |
| Skin biopsy (punch) | $343 | $573 | $121 |
| Skin cancer lesion removal | $905 | $1,548 | $240 |
| Skin tag removal | $397 | $534 | $92 |
| Sleep study (polysomnography) | $3,722 | $4,564 | $691 |
| Soft tissue ultrasound | $375 | $238 | $64 |
| Speech therapy | $210 | $306 | $76 |
| Spinal cord stimulator | $6,267 | $8,555 | $2,388 |
| Spinal tap (lumbar puncture) | $930 | $1,302 | $165 |
| Spirometry (lung function test) | $179 | $312 | $30 |
| Spirometry with bronchodilator | $329 | $646 | $43 |
| Stress echocardiogram | $1,175 | $2,272 | $209 |
| Swallow study | $307 | $341 | $85 |
| Tdap (tetanus) vaccine | $82 | $81 | — |
| Thyroid ultrasound | $474 | $638 | $109 |
| Thyroid uptake scan | $528 | $1,102 | $145 |
| Transvaginal ultrasound | $418 | $661 | $118 |
| Trigger point injection | $393 | $663 | $56 |
| Trigger point injection (1-2 muscles) | $357 | $706 | $52 |
| Turning a breech baby (version) | $2,575 | $2,271 | $94 |
| Upper GI endoscopy (EGD) | $2,287 | $2,673 | $371 |
| Urinalysis | $47 | $10 | $3 |
| Vaccine administration | $52 | $81 | $19 |
| Vaccine administration (each additional) | $35 | $65 | $16 |
| Varicose vein ablation | $3,072 | $7,462 | $1,018 |
| Vasectomy | $1,723 | $2,690 | $347 |
| Wart removal | $274 | $298 | $121 |
| Wound debridement | $1,127 | $1,388 | $186 |
| X-ray of the abdomen | $275 | $438 | $36 |
| X-ray of the ankle | $235 | $514 | $37 |
| X-ray of the collarbone | $205 | $366 | $33 |
| X-ray of the elbow | $239 | $438 | $33 |
| X-ray of the facial bones | $253 | $453 | $39 |
| X-ray of the foot | $222 | $438 | $34 |
| X-ray of the forearm | $207 | $391 | $29 |
| X-ray of the hand | $220 | $506 | $38 |
| X-ray of the hip | $258 | $350 | $49 |
| X-ray of the hip (1 view) | $240 | $293 | $34 |
| X-ray of the hip (3 views) | $276 | $350 | $49 |
| X-ray of the knee | $248 | $533 | $42 |
| X-ray of the knee (2 views) | $231 | $446 | $34 |
| X-ray of the knee (3 views) | $248 | $533 | $42 |
| X-ray of the knee (4+ views) | $282 | $641 | $49 |
| X-ray of the lower back (lumbar spine) | $266 | $536 | $47 |
| X-ray of the lower back (lumbar spine) (2 views) | $266 | $444 | $40 |
| X-ray of the lower back (lumbar spine) (4+ views) | $344 | $627 | $53 |
| X-ray of the lower leg | $228 | $533 | $31 |
| X-ray of the mid-back (thoracic spine) | $284 | $468 | $36 |
| X-ray of the mid-back (thoracic spine) (2 views) | $261 | $406 | $33 |
| X-ray of the mid-back (thoracic spine) (3 views) | $307 | $530 | $39 |
| X-ray of the neck (cervical spine) | $248 | $528 | $47 |
| X-ray of the neck (cervical spine) (3 views) | $248 | $451 | $40 |
| X-ray of the pelvis | $255 | $404 | $36 |
| X-ray of the pelvis (1 view) | $228 | $351 | $28 |
| X-ray of the ribs | $233 | $503 | $42 |
| X-ray of the ribs (2 views) | $214 | $413 | $36 |
| X-ray of the ribs (3 views) | $299 | $503 | $42 |
| X-ray of the shoulder | $239 | $530 | $36 |
| X-ray of the skull | $235 | $591 | $40 |
| X-ray of the upper arm | $228 | $533 | $32 |
| X-ray of the wrist | $234 | $510 | $43 |
Green = lower cash price. Source: hospitals' machine-readable files (45 CFR §180). Estimates — confirm with the hospital.