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Unity Medical Center
Grafton, ND · CMS ID: 351320
This hospital has pricing data for 35 procedures.
Procedures (35)
Chest X-Ray 1 View
71045Cash Price
(No Insurance)
—
Gross Charge
$20
Medicare Rate
$24
Insurance Negotiated Rates
Blue Cross Blue Shield$17
Chest X-Ray 2 Views
71046Cash Price
(No Insurance)
—
Gross Charge
$24
Medicare Rate
$31
Insurance Negotiated Rates
Blue Cross Blue Shield$21
Cash Price
(No Insurance)
—
Gross Charge
$460
Medicare Rate
$356
Insurance Negotiated Rates
Blue Cross Blue Shield$354
Cash Price
(No Insurance)
—
Gross Charge
$562
Medicare Rate
$450
Insurance Negotiated Rates
Blue Cross Blue Shield$384
Cash Price
(No Insurance)
—
Gross Charge
$666
Medicare Rate
$471
Insurance Negotiated Rates
Blue Cross Blue Shield$487
Cash Price
(No Insurance)
—
Gross Charge
$43
Insurance Negotiated Rates
Sanford Health Plan$41
Cash Price
(No Insurance)
—
Gross Charge
$59
Insurance Negotiated Rates
Sanford Health Plan$56
Cash Price
(No Insurance)
—
Gross Charge
$233
Medicare Rate
$280
Insurance Negotiated Rates
Blue Cross Blue Shield$172
Cash Price
(No Insurance)
—
Gross Charge
$222
Medicare Rate
$172
Insurance Negotiated Rates
Blue Cross Blue Shield$164
Cash Price
(No Insurance)
—
Gross Charge
$137
Medicare Rate
$156
Insurance Negotiated Rates
Blue Cross Blue Shield$117
ER Visit Level 3
99283Cash Price
(No Insurance)
—
Gross Charge
$130
Medicare Rate
$69
Insurance Negotiated Rates
Blue Cross Blue Shield$114
ER Visit Level 4
99284Cash Price
(No Insurance)
—
Gross Charge
$250
Medicare Rate
$117
Insurance Negotiated Rates
Blue Cross Blue Shield$210
ER Visit Level 5
99285Cash Price
(No Insurance)
—
Gross Charge
$370
Medicare Rate
$170
Insurance Negotiated Rates
Blue Cross Blue Shield$304
Hemoglobin A1C
83036Cash Price
(No Insurance)
—
Gross Charge
$54
Insurance Negotiated Rates
Sanford Health Plan$51
Knee X-Ray
73560Cash Price
(No Insurance)
—
Gross Charge
$22
Medicare Rate
$32
Insurance Negotiated Rates
Blue Cross Blue Shield$16
Cash Price
(No Insurance)
—
Gross Charge
$1,487
Medicare Rate
$615
Insurance Negotiated Rates
Blue Cross Blue Shield$1,271
Lipid Panel
80061Cash Price
(No Insurance)
—
Gross Charge
$68
Insurance Negotiated Rates
Sanford Health Plan$65
Mammogram Diagnostic
77066Cash Price
(No Insurance)
—
Gross Charge
$128
Medicare Rate
$146
Insurance Negotiated Rates
Blue Cross Blue Shield$94
Mammogram Screening
77067Cash Price
(No Insurance)
—
Gross Charge
$91
Medicare Rate
$118
Insurance Negotiated Rates
Blue Cross Blue Shield$72
MRI Brain
70551Cash Price
(No Insurance)
—
Gross Charge
$163
Medicare Rate
$183
Insurance Negotiated Rates
Blue Cross Blue Shield$140
Cash Price
(No Insurance)
—
Gross Charge
$261
Medicare Rate
$296
Insurance Negotiated Rates
Blue Cross Blue Shield$215
MRI Cervical Spine
72141Cash Price
(No Insurance)
—
Gross Charge
$178
Medicare Rate
$179
Insurance Negotiated Rates
Blue Cross Blue Shield$140
MRI Knee
73721Cash Price
(No Insurance)
—
Gross Charge
$152
Medicare Rate
$191
Insurance Negotiated Rates
Blue Cross Blue Shield$127
MRI Lumbar Spine
72148Cash Price
(No Insurance)
—
Gross Charge
$204
Medicare Rate
$180
Insurance Negotiated Rates
Blue Cross Blue Shield$140
MRI Shoulder
73221Cash Price
(No Insurance)
—
Gross Charge
$152
Medicare Rate
$191
Insurance Negotiated Rates
Blue Cross Blue Shield$129
Office Visit Level 3
99213Cash Price
(No Insurance)
—
Gross Charge
$158
Medicare Rate
$91
Insurance Negotiated Rates
Blue Cross Blue Shield$90
Office Visit Level 4
99214Cash Price
(No Insurance)
—
Gross Charge
$230
Medicare Rate
$130
Insurance Negotiated Rates
Blue Cross Blue Shield$138
Shoulder X-Ray
73030Cash Price
(No Insurance)
—
Gross Charge
$23
Medicare Rate
$33
Insurance Negotiated Rates
Blue Cross Blue Shield$18
TSH (Thyroid)
84443Cash Price
(No Insurance)
—
Gross Charge
$94
Insurance Negotiated Rates
Sanford Health Plan$89
Ultrasound Abdomen
76700Cash Price
(No Insurance)
—
Gross Charge
$89
Medicare Rate
$107
Insurance Negotiated Rates
Blue Cross Blue Shield$77
Ultrasound Pelvis
76856Cash Price
(No Insurance)
—
Gross Charge
$76
Medicare Rate
$98
Insurance Negotiated Rates
Blue Cross Blue Shield$64
Cash Price
(No Insurance)
—
Gross Charge
$77
Medicare Rate
$109
Insurance Negotiated Rates
Blue Cross Blue Shield$65
Cash Price
(No Insurance)
—
Gross Charge
$315
Medicare Rate
$301
Insurance Negotiated Rates
Blue Cross Blue Shield$235
Cash Price
(No Insurance)
—
Gross Charge
$372
Medicare Rate
$390
Insurance Negotiated Rates
Blue Cross Blue Shield$264
Urinalysis
81001Cash Price
(No Insurance)
—
Gross Charge
$18
Insurance Negotiated Rates
Sanford Health Plan$17