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Critical Access HospitalVoluntary Non-Profit - Private

Pembina County Memorial Hospital

Cavalier, ND

301 Mountain Street East, Cavalier, ND 58220(701) 265-8461

20

In-network payers

325

Disclosed rate categories

20

Beds

About this hospital

Pembina County Memorial Hospital is a 20-bed voluntary non-profit - private hospital in Cavalier, ND. Below you'll find publicly disclosed negotiated rates and facility details, including 20 in-network payers and 325 disclosed rate categories.

CCN (Medicare provider number)

351319

NPI

1760542500

Type

Critical Access Hospital

Ownership

Voluntary Non-Profit - Private

Beds

20

Insurance Accepted

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.

Medicare
Aetna
BCBS
United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health)
Ameri HealthAspirus Health PlanAvera Health PlansBanner HealthCenteneGroup Health Cooperative of South Central Wisconsin

Prices for common services

The 24 services Pembina County Memorial Hospital 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

CT abdomen and pelvis with contrast

CPT 74177

$199 - $1,691

from 3 insurers · median $1,435

Aetna$199
Insurer A*$1,435
Insurer B*$1,691
Medicare $356Nearby hospitals $1,3298% above nearby hospitals

Typical for a hospital with this service line

CT imaging

CT head or brain without contrast

CPT 70450

$81 - $653

from 3 insurers · median $537

Aetna$81
Insurer A*$537
Insurer B*$653
Medicare $107Nearby hospitals $524In line with nearby hospitals

Typical for a hospital with this service line

Mammography

Screening mammography, bilateral

CPT 77067

$138 - $394

from 3 insurers · median $337

UnitedHealthcare$394
Insurer A*$138
Insurer B*$337
Medicare $92Nearby hospitals $157115% above nearby hospitals

Typical for a hospital with this service line

CT imaging

CT angiography of chest blood vessels

CPT 71275

$191 - $1,642

from 3 insurers · median $1,146

Aetna$191
Insurer A*$1,146
Insurer B*est.$1,642
Medicare $179Nearby hospitals $85734% above nearby hospitals

Typical for a hospital with this service line

MRI imaging

MRI brain before and after contrast

CPT 70553

$368 - $2,302

from 3 insurers · median $1,860

Blue Cross$1,860
Insurer A*$368
Insurer B*est.$2,302
Medicare $356Nearby hospitals $1,31042% above nearby hospitals

Typical for a hospital with this service line

CT imaging

CT of the abdomen and pelvis, without contrast

CPT 74176

$110 - $839

from 3 insurers · median $712

Aetna$110
Insurer A*$712
Insurer B*$839
Medicare $244Nearby hospitals $91022% below nearby hospitals

Typical for a hospital with this service line

Medicine & Surgery

Laparoscopic cholecystectomy

CPT 47562

$6,776 - $8,160

from 2 insurers · median $7,468

Blue Cross$6,776
Insurer A*est.$8,160
Medicare $6,176

Typical for a hospital with this service line

Cardiology and vascular testing

Complete echocardiogram with Doppler and color flow

CPT 93306

$210 - $551

from 3 insurers · median $446

Blue Cross$446
Insurer A*$210
Insurer B*est.$551
Medicare $558Nearby hospitals $65332% below nearby hospitals

Typical for a hospital with this service line

MRI imaging

MRI of the abdomen, before and after contrast

CPT 74183

$395 - $2,595

from 3 insurers · median $2,097

Blue Cross$2,097
Insurer A*$395
Insurer B*est.$2,595
Medicare $356Nearby hospitals $1,35755% above nearby hospitals

Typical for a hospital with this service line

MRI imaging

MRI of the brain, without contrast

CPT 70551

$135 - $1,365

from 3 insurers · median $1,090

Blue Cross$1,090
Insurer A*$135
Insurer B*est.$1,365
Medicare $244Nearby hospitals $89921% above nearby hospitals

Typical for a hospital with this service line

MRI imaging

MRI lumbar spine without contrast

CPT 72148

$219 - $1,251

from 3 insurers · median $1,062

Blue Cross$1,062
Insurer A*$219
Insurer B*est.$1,251
Medicare $244Nearby hospitals $1,0056% above nearby hospitals

Typical for a hospital with this service line

X-ray and bone density

Chest X-ray, two views

CPT 71046

$32 - $85

from 3 insurers · median $68

Aetna$32
Insurer A*$68
Insurer B*$85
Medicare $89Nearby hospitals $10031% below nearby hospitals

Typical for a hospital with this service line

Ultrasound

Transvaginal pelvic ultrasound

CPT 76830

$124 - $383

from 3 insurers · median $306

Aetna$124
Insurer A*$306
Insurer B*est.$383
Medicare $107Nearby hospitals $23630% above nearby hospitals

Typical for a hospital with this service line

Mammography

Diagnostic mammography, bilateral

CPT 77066

$171 - $476

from 3 insurers · median $415

UnitedHealthcareest.$476
Insurer A*$171
Insurer B*$415
Medicare $112Nearby hospitals $191118% above nearby hospitals

Typical for a hospital with this service line

Laboratory and pathology

Comprehensive metabolic panel

CPT 80053

$7 - $67

from 3 insurers · median $57

UnitedHealthcare$67
Insurer A*$7
Insurer B*$57
Medicare $11Nearby hospitals $7019% below nearby hospitals

Typical for a hospital with this service line

Ultrasound

Complete pelvic ultrasound

CPT 76856

$110 - $384

from 3 insurers · median $306

Aetna$110
Insurer A*$306
Insurer B*est.$384
Medicare $107Nearby hospitals $25022% above nearby hospitals

Typical for a hospital with this service line

Cardiology and vascular testing

Ultrasound of veins in one limb or a limited bilateral study

CPT 93971

$112 - $340

from 3 insurers · median $274

Blue Cross$274
Insurer A*$112
Insurer B*est.$340
Medicare $107Nearby hospitals $42435% below nearby hospitals

Typical for a hospital with this service line

Ultrasound

Ultrasound of head or neck soft tissues

CPT 76536

$103 - $383

from 3 insurers · median $310

Aetna$103
Insurer A*$310
Insurer B*est.$383
Medicare $107Nearby hospitals $23233% above nearby hospitals

Typical for a hospital with this service line

Ultrasound

Limited ultrasound of the abdomen

CPT 76705

$92 - $266

from 3 insurers · median $153

Aetna$92
Insurer A*est.$153
Insurer B*$266
Medicare $107Nearby hospitals $21930% below nearby hospitals

Typical for a hospital with this service line

Laboratory and pathology

Complete blood count with differential

CPT 85025

$5 - $50

from 3 insurers · median $43

UnitedHealthcare$50
Insurer A*$5
Insurer B*$43
Medicare $8Nearby hospitals $4912% below nearby hospitals

Typical for a hospital with this service line

X-ray and bone density

Bone-density scan of the spine and hip

CPT 77080

$34 - $178

from 3 insurers · median $134

Aetna$34
Insurer A*$134
Insurer B*est.$178
Medicare $107Nearby hospitals $21838% below nearby hospitals

Typical for a hospital with this service line

Cardiology and vascular testing

Complete ultrasound of veins in both arms or both legs

CPT 93970

$197 - $449

from 3 insurers · median $322

Blue Cross$449
Insurer A*$197
Insurer B*est.$322
Medicare $244Nearby hospitals $56343% below nearby hospitals

Typical for a hospital with this service line

Lung function and sleep

Attended overnight sleep study

CPT 95810

$556 - $1,363

from 2 insurers · median $959

Aetna$556
Insurer A*$1,363
Medicare $877Nearby hospitals $1,39931% below nearby hospitals

Typical for a hospital with this service line

Orthopedics and pain

Aspiration or injection of a major joint, without ultrasound

CPT 20610

$336 - $426

from 2 insurers · median $381

Blue Cross$336
Insurer A*est.$426
Medicare $314Nearby hospitals $64040% below nearby hospitals

Typical for a hospital with this service line

How the insurers pay at Pembina County Memorial Hospital

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.

InsurerServicesMedian % of MedicareAbove nearbyBelow nearby
Insurer A*23
360%
129
Insurer B*24
291%
218
Insurer C*22
84%
113

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 Pembina County Memorial Hospital.

Location

301 Mountain Street East, Cavalier, ND 58220

(701) 265-8461

Get directions

Frequently asked questions

About Pembina County Memorial Hospital's rates and hospital price transparency.

How much does an MRI cost at Pembina County Memorial Hospital?

For MRI brain before and after contrast (CPT 70553), published negotiated rates at Pembina County Memorial Hospital range from $368 to $2,302 across 3 insurers. Blue Cross Blue Shield's rate is $1,860. The median at nearby comparable hospitals is $1,310. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a CT scan cost at Pembina County Memorial Hospital?

For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Pembina County Memorial Hospital range from $199 to $1,691 across 3 insurers. Aetna's rate is $199. The median at nearby comparable hospitals is $1,329. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a mammogram cost at Pembina County Memorial Hospital?

For Screening mammography, bilateral (CPT 77067), published negotiated rates at Pembina County Memorial Hospital range from $138 to $394 across 3 insurers. UnitedHealthcare's rate is $394. The median at nearby comparable hospitals is $157. What a patient pays depends on their plan's deductible, coinsurance and network status.

How many beds does Pembina County Memorial Hospital have?

Pembina County Memorial Hospital has 20 beds. Facility type: Critical Access Hospital.

Where is Pembina County Memorial Hospital and what is its phone number?

Pembina County Memorial Hospital is located at 301 Mountain Street East, Cavalier, ND 58220. Its main phone number is (701) 265-8461.

What is Pembina County Memorial Hospital's CCN (Medicare provider number)?

Pembina County Memorial Hospital's CMS Certification Number (CCN), also called its Medicare provider number, is 351319.

What is Pembina County Memorial Hospital's NPI number?

The National Provider Identifier (NPI) on file for Pembina County Memorial Hospital is 1760542500.

Which insurance plans are in network at Pembina County Memorial Hospital?

Pembina County Memorial Hospital lists 20 in-network payers, including Aetna, Ameri Health, Aspirus Health Plan, Avera Health Plans, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.

What price transparency data is available for Pembina County Memorial Hospital?

325 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.

What is a hospital price transparency MRF?

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.

For hospital finance and compliance teams

Running price transparency at a hospital like this one?

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.

Compliance MRF

Publish a CMS-compliant machine-readable file

We turn your chargemaster and payer contracts into the CMS template file, then keep it current as rates change.

CMS v3 example: standard_charge_information[0]
{
  "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
      }
    ]
  }]
}
  • CMS template layout, in JSON or CSV
  • Gross, discounted cash, payer-specific and de-identified min / max charges
  • cms-hpt.txt file and homepage footer link
  • Refreshed when your contracts change
Talk to us about your MRF
Chargemaster analysis

Get your chargemaster right for billing and payer contracts

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

CodingPricingPayer contractsCompliance
  • CPT, HCPCS, revenue code and modifier errors flagged line by line
  • Missing, duplicate and outdated charge lines identified
  • Charges set below payer allowables caught before lesser-of clauses cut payment
  • Revenue impact of charge changes modeled across percent-of-charge and stop-loss terms
  • Your negotiated rates benchmarked against peer hospitals for the same payers
Talk to us about your chargemaster