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Tioga Medical Center prices. From its own published file.

Tioga Medical Center in Tioga, ND publishes its standard charges as required by federal rule. Here's what it lists for common services, and how to check your bill against it.

1,346prices published
—file last updated
$450cash price for upper gi endoscopy with biopsy (list $2,087)

Common services

ServiceCash priceList priceInsurers pay
Emergency visit, moderate (level 3)
99283
$227$227$227–$565
Emergency visit, high (level 4)
99284
$386$386$386–$914
Emergency visit, highest (level 5)
99285
$542$542$542–$1,494
Comprehensive metabolic panel
80053
$137$149$137–$161
Basic metabolic panel
80048
$140$140$140–$140
Complete blood count (CBC)
85025
$96.00$96.00$96.00–$96.00
Blood draw (venipuncture)
36415
$28.00$28.00$28.00–$28.00
Troponin (heart test)
84484
$178$183$178–$188
EKG tracing
93005
$49.00$125$49.00–$200
Chest X-ray, 2 views
71046
$266$266$266–$266
CT head without contrast
70450
$1,632$1,632$1,632–$1,632
CT abdomen and pelvis with contrast
74177
$2,777$2,777$2,777–$2,777
MRI lower back without contrast
72148
$2,673$2,673$2,673–$2,673
Ultrasound, abdomen
76700
$783$783$783–$783
IV push, single drug
96374
$292$402$292–$511
IV fluids, first hour
96360
$190$351$190–$511
Ketorolac injection, 15 mg
J1885
$18.00$18.00$18.00–$18.00
Ondansetron injection
J2405
$21.00$21.00$21.00–$21.00
Colonoscopy, diagnostic
45378
$616$2,213$616–$2,213
Upper GI endoscopy with biopsy
43239
$450$2,087$450–$2,087
Knee arthroscopy
29881
$5,926$6,238$6,238–$6,238

Cash price: the discounted price for self-pay patients. List price: the hospital's gross charge. Insurers pay: the lowest and highest rates it lists for insurance plans. Source: Tioga Medical Center price transparency page.

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