CT imaging
CT abdomen and pelvis with contrast
CPT 74177
$1,940 - $3,606
from 3 insurers ยท median $2,636
Typical for a hospital with this service line
CHI St. Alexius Health ยท Dickinson, ND
18
In-network payers
180
Disclosed rate categories
25
Beds
4
Care quality
Chi St. Alexius Health Dickinson Medical Center is a 25-bed voluntary non-profit - church hospital in Dickinson, ND, affiliated with CHI St. Alexius Health. Below you'll find publicly disclosed negotiated rates and facility details, including 18 in-network payers and 180 disclosed rate categories.
CCN (Medicare provider number)
351336
NPI
1992947956
Type
Critical Access Hospital
Ownership
Voluntary Non-Profit - Church
Beds
25
Care Quality
4
Insurance acceptance may vary by specific plan, network status, and services required. Contact your insurance provider or the hospital's billing department to confirm coverage details.




The 24 services Chi St. Alexius Health Dickinson Medical Center most likely performs, ranked by likely volume and what it is paid. Each service names one insurer. * marks hidden insurer names; A, B and C rank the remaining rates from low to high and reset for each service.
Book a demo to see hidden insurer names, more payer rates, and hospital data.
CT imaging
CPT 74177
$1,940 - $3,606
from 3 insurers ยท median $2,636
Typical for a hospital with this service line
CT imaging
CPT 70450
$430 - $1,436
from 3 insurers ยท median $1,246
Typical for a hospital with this service line
CT imaging
CPT 74176
$914 - $3,207
from 3 insurers ยท median $2,636
Typical for a hospital with this service line
CT imaging
CPT 71275
$2,470 - $3,176
from 2 insurers ยท median $2,823
Typical for a hospital with this service line
Mammography
CPT 77067
$373 - $784
from 3 insurers ยท median $508
Typical for a hospital with this service line
MRI imaging
CPT 70553
$3,151 - $3,377
from 2 insurers ยท median $3,264
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93306
$525 - $1,770
from 3 insurers ยท median $967
Typical for a hospital with this service line
MRI imaging
CPT 72148
$1,088 - $3,862
from 3 insurers ยท median $2,169
Typical for a hospital with this service line
X-ray and bone density
CPT 71046
$90 - $276
from 3 insurers ยท median $245
Typical for a hospital with this service line
MRI imaging
CPT 70551
$1,116 - $2,548
from 3 insurers ยท median $2,175
Typical for a hospital with this service line
MRI imaging
CPT 74183
$2,139 - $3,565
from 3 insurers ยท median $3,327
Typical for a hospital with this service line
Medicine & Surgery
CPT 47562
$7,486 - $7,804
from 2 insurers ยท median $7,645
Typical for a hospital with this service line
Nuclear imaging
CPT 78452
$1,563 - $3,247
from 3 insurers ยท median $2,548
Hospital reports nuclear medicine services to CMS
Digestive procedures
CPT 45380
$851 - $3,833
from 3 insurers ยท median $1,458
Typical for a hospital with this service line
Digestive procedures
CPT 45385
$890 - $1,591
from 3 insurers ยท median $1,163
Typical for a hospital with this service line
Gynecology
CPT 58571
$21,723
negotiated rate
Typical for a hospital with this service line
Digestive procedures
CPT 43239
$737 - $1,420
from 3 insurers ยท median $945
Typical for a hospital with this service line
Ultrasound
CPT 76705
$245 - $649
from 3 insurers ยท median $459
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93971
$325 - $634
from 3 insurers ยท median $542
Typical for a hospital with this service line
Laboratory and pathology
CPT 80053
$56 - $139
from 2 insurers ยท median $98
Typical for a hospital with this service line
Digestive procedures
CPT 45378
$670 - $3,375
from 3 insurers ยท median $1,119
Typical for a hospital with this service line
Lung function and sleep
CPT 95810
$1,620 - $4,606
from 3 insurers ยท median $3,378
Typical for a hospital with this service line
X-ray and bone density
CPT 77080
$109 - $413
from 3 insurers ยท median $404
Typical for a hospital with this service line
Laboratory and pathology
CPT 85025
$41 - $117
from 3 insurers ยท median $104
Typical for a hospital with this service line
Median rate as a percent of Medicare across the outpatient services above, and how many services sit above or below the same insurer's median at nearby hospitals. * marks hidden insurer names. These table labels track the same insurers across services; the labels on each service card reset.
| Insurer | Services | Median % of Medicare | Above nearby | Below nearby |
|---|---|---|---|---|
| Insurer A* | 22 | 666% | 17 | 4 |
| Insurer B* | 23 | 525% | 13 | 0 |
| Insurer C* | 21 | 230% | 8 | 3 |
How we chose these services: 0 appear in this hospital's own Medicare claims, 0 are common here based on CMS Medicare volume, and 24 are typical for the service lines it reports to CMS. Rates come from insurer and hospital price transparency files as of October 2026. Rates under a quarter of Medicare or over 20 times Medicare are left out as likely physician-fee rows or file errors. Book a demo to see all 300 CMS shoppable services for Chi St. Alexius Health Dickinson Medical Center.
2500 Fairway Street, Dickinson, ND 58601
(701) 456-4000
About Chi St. Alexius Health Dickinson Medical Center's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Chi St. Alexius Health Dickinson Medical Center range from $3,151 to $3,377 across 2 insurers. UnitedHealthcare's rate is $3,151. The median at nearby comparable hospitals is $2,623. What a patient pays depends on their plan's deductible, coinsurance and network status.
For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Chi St. Alexius Health Dickinson Medical Center range from $1,940 to $3,606 across 3 insurers. Aetna's rate is $3,606. The median at nearby comparable hospitals is $1,921. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Colonoscopy with biopsy (CPT 45380), published negotiated rates at Chi St. Alexius Health Dickinson Medical Center range from $851 to $3,833 across 3 insurers. Blue Cross Blue Shield's rate is $1,458. The median at nearby comparable hospitals is $1,068. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Chi St. Alexius Health Dickinson Medical Center range from $373 to $784 across 3 insurers. Aetna's rate is $508. The median at nearby comparable hospitals is $360. What a patient pays depends on their plan's deductible, coinsurance and network status.
Chi St. Alexius Health Dickinson Medical Center has 25 beds. Facility type: Critical Access Hospital.
Chi St. Alexius Health Dickinson Medical Center is located at 2500 Fairway Street, Dickinson, ND 58601. Its main phone number is (701) 456-4000.
Chi St. Alexius Health Dickinson Medical Center's CMS Certification Number (CCN), also called its Medicare provider number, is 351336.
The National Provider Identifier (NPI) on file for Chi St. Alexius Health Dickinson Medical Center is 1992947956.
Chi St. Alexius Health Dickinson Medical Center is affiliated with CHI St. Alexius Health.
Chi St. Alexius Health Dickinson Medical Center lists 18 in-network payers, including Aetna, Ameri Health, Avera Health Plans, BCBS, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.
180 disclosed rate categories. Each shows the payer, category, code type and group with its code range, and contract type, along with how the rate compares with the state average.
Under 45 CFR Part 180, every US hospital must publish a machine-readable file of its standard charges, including gross charges, discounted cash prices and payer-specific negotiated rates, in the CMS template format. PayerPrice can help hospitals publish and maintain these files.
A chargemaster (charge description master, or CDM) is a hospital's master list of billable items, with codes, descriptions and gross charges. A chargemaster review looks at those lines for accuracy and pricing. PayerPrice can help hospitals review their chargemaster; contact us to discuss your needs.
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The data on this page comes from the files hospitals and payers publish. We help hospitals publish theirs correctly, and take a fresh look at their chargemaster.
We turn your chargemaster and payer contracts into the CMS template file, then keep it current as rates change.
{
"description": "MRI of brain (no contrast)",
"code_information": [
{ "code": "611", "type": "RC" },
{ "code": "70551", "type": "CPT" }
],
"standard_charges": [{
"setting": "outpatient",
"minimum": 250,
"maximum": 400,
"gross_charge": 1200,
"discounted_cash": 1080,
"payers_information": [
{
"payer_name": "Platform Health Insurance",
"plan_name": "PPO",
"methodology": "fee schedule",
"standard_charge_dollar": 400
},
{
"payer_name": "Region Health Insurance",
"plan_name": "HMO",
"methodology": "fee schedule",
"standard_charge_dollar": 250
}
]
}]
}Your chargemaster sets the gross charge on every claim, and many payer contracts base payment on it through percent-of-charge, lesser-of and stop-loss terms. We audit it line by line and show how your charges and negotiated rates compare with peer hospitals before your next negotiation.
What a review covers