CT imaging
CT abdomen and pelvis with contrast
CPT 74177
$199 - $1,691
from 3 insurers · median $1,435
Typical for a hospital with this service line
Cavalier, ND
20
In-network payers
325
Disclosed rate categories
20
Beds
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 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 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
CPT 74177
$199 - $1,691
from 3 insurers · median $1,435
Typical for a hospital with this service line
CT imaging
CPT 70450
$81 - $653
from 3 insurers · median $537
Typical for a hospital with this service line
Mammography
CPT 77067
$138 - $394
from 3 insurers · median $337
Typical for a hospital with this service line
CT imaging
CPT 71275
$191 - $1,642
from 3 insurers · median $1,146
Typical for a hospital with this service line
MRI imaging
CPT 70553
$368 - $2,302
from 3 insurers · median $1,860
Typical for a hospital with this service line
CT imaging
CPT 74176
$110 - $839
from 3 insurers · median $712
Typical for a hospital with this service line
Medicine & Surgery
CPT 47562
$6,776 - $8,160
from 2 insurers · median $7,468
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93306
$210 - $551
from 3 insurers · median $446
Typical for a hospital with this service line
MRI imaging
CPT 74183
$395 - $2,595
from 3 insurers · median $2,097
Typical for a hospital with this service line
MRI imaging
CPT 70551
$135 - $1,365
from 3 insurers · median $1,090
Typical for a hospital with this service line
MRI imaging
CPT 72148
$219 - $1,251
from 3 insurers · median $1,062
Typical for a hospital with this service line
X-ray and bone density
CPT 71046
$32 - $85
from 3 insurers · median $68
Typical for a hospital with this service line
Ultrasound
CPT 76830
$124 - $383
from 3 insurers · median $306
Typical for a hospital with this service line
Mammography
CPT 77066
$171 - $476
from 3 insurers · median $415
Typical for a hospital with this service line
Laboratory and pathology
CPT 80053
$7 - $67
from 3 insurers · median $57
Typical for a hospital with this service line
Ultrasound
CPT 76856
$110 - $384
from 3 insurers · median $306
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93971
$112 - $340
from 3 insurers · median $274
Typical for a hospital with this service line
Ultrasound
CPT 76536
$103 - $383
from 3 insurers · median $310
Typical for a hospital with this service line
Ultrasound
CPT 76705
$92 - $266
from 3 insurers · median $153
Typical for a hospital with this service line
Laboratory and pathology
CPT 85025
$5 - $50
from 3 insurers · median $43
Typical for a hospital with this service line
X-ray and bone density
CPT 77080
$34 - $178
from 3 insurers · median $134
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93970
$197 - $449
from 3 insurers · median $322
Typical for a hospital with this service line
Lung function and sleep
CPT 95810
$556 - $1,363
from 2 insurers · median $959
Typical for a hospital with this service line
Orthopedics and pain
CPT 20610
$336 - $426
from 2 insurers · median $381
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* | 23 | 360% | 12 | 9 |
| Insurer B* | 24 | 291% | 2 | 18 |
| Insurer C* | 22 | 84% | 1 | 13 |
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.
301 Mountain Street East, Cavalier, ND 58220
(701) 265-8461
About Pembina County Memorial Hospital's rates and hospital price transparency.
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.
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.
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.
Pembina County Memorial Hospital has 20 beds. Facility type: Critical Access Hospital.
Pembina County Memorial Hospital is located at 301 Mountain Street East, Cavalier, ND 58220. Its main phone number is (701) 265-8461.
Pembina County Memorial Hospital's CMS Certification Number (CCN), also called its Medicare provider number, is 351319.
The National Provider Identifier (NPI) on file for Pembina County Memorial Hospital is 1760542500.
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.
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.
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.
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{
"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