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Hospital Profile Critical Access Hospitals Voluntary non-profit - Private

Ashley Medical Center

612 CENTER AVE N, Ashley, ND 58413

CMS Overall Rating No CMS Rating
Factual Overview

Ashley Medical Center is a Critical Access Hospitals (Voluntary non-profit - Private) operating in Ashley, ND. Mapped commercial insurance prices across 92 procedures average 2.40x the Medicare baseline. CMS has not published a quality star rating for this facility.

Facility Overview

Setting: rural Bed Count: 20 Beds Teaching Status: Non-Teaching Annual Discharges: 41

Patient Experience

Recommendation Rate: N/A High Patient Rating: N/A ER Wait Time (Med): 85 min Readmission Rate: N/A

Pricing & Transparency

Procedures Mapped: 92 codes Avg Markup vs Medicare: 2.40x Price File In Index: Yes MRF Version: 3.0.0
Procedure & Code Cash Price Actions
Breast lump removal
CPT Code: 19120
 $1,159 Calc
Blood transfusion
CPT Code: 36430
 $1,601 —
Upper endoscopy with biopsy
CPT Code: 43239
 $1,007 Calc
Colonoscopy (diagnostic)
CPT Code: 45378
 $916 Calc
Colonoscopy with biopsy
CPT Code: 45380
 $1,164 Calc
Inguinal hernia repair
CPT Code: 49505
 $1,448 Calc
CT scan, head (no contrast)
CPT Code: 70450
 $1,014 —
CT scan, head (with contrast)
CPT Code: 70460
 $1,236 —
CT scan, head (with and without contrast)
CPT Code: 70470
 $1,544 —
CT scan, sinuses
CPT Code: 70486
 $1,289 —
MRI, brain (no contrast)
CPT Code: 70551
 $2,804 —
MRI, brain (with and without contrast)
CPT Code: 70553
 $4,624 —
X-ray, chest (single view)
CPT Code: 71045
 $176 —
X-ray, chest (two views)
CPT Code: 71046
 $176 —
CT scan, chest (no contrast)
CPT Code: 71250
 $1,466 —
X-ray, neck (cervical spine)
CPT Code: 72040
 $176 —
X-ray, lower back
CPT Code: 72110
 $238 —
CT scan, neck (cervical spine)
CPT Code: 72125
 $1,489 —
CT scan, lower back (lumbar spine)
CPT Code: 72131
 $1,474 —
MRI, lower back (no contrast)
CPT Code: 72148
 $2,437 —
X-ray, pelvis
CPT Code: 72170
 $156 —
CT scan, pelvis
CPT Code: 72192
 $1,260 —
X-ray, shoulder
CPT Code: 73030
 $176 —
X-ray, hand
CPT Code: 73130
 $150 —
X-ray, hip
CPT Code: 73502
 $198 —
X-ray, ankle
CPT Code: 73610
 $152 —
X-ray, foot
CPT Code: 73630
 $139 —
MRI, knee or other leg joint
CPT Code: 73721
 $2,902 —
CT scan, abdomen and pelvis (no contrast)
CPT Code: 74176
 $1,321 —
CT scan, abdomen and pelvis (with contrast)
CPT Code: 74177
 $2,502 —
Ultrasound, thyroid and neck
CPT Code: 76536
 $604 —
Ultrasound, abdomen (complete)
CPT Code: 76700
 $615 —
Ultrasound, abdomen (limited)
CPT Code: 76705
 $473 —
Ultrasound, pelvis
CPT Code: 76856
 $521 —
Diagnostic mammogram (both breasts)
CPT Code: 77066
 $655 —
Screening mammogram (both breasts)
CPT Code: 77067
 $541 —
Blood test, basic metabolic panel
CPT Code: 80048
 $74 —
Blood test, comprehensive metabolic panel
CPT Code: 80053
 $93 —
Blood test, cholesterol (lipid panel)
CPT Code: 80061
 $144 —
Blood test, liver function panel
CPT Code: 80076
 $72 —
Blood test, amylase
CPT Code: 82150
 $58 —
Blood test, vitamin D
CPT Code: 82306
 $258 —
Blood test, calcium
CPT Code: 82310
 $47 —
Blood test, creatinine (kidney)
CPT Code: 82565
 $46 —
Blood test, vitamin B12
CPT Code: 82607
 $133 —
Blood test, ferritin (iron stores)
CPT Code: 82728
 $120 —
Blood test, glucose (blood sugar)
CPT Code: 82947
 $36 —
Blood test, average blood sugar (A1c)
CPT Code: 83036
 $86 —
Blood test, lipase
CPT Code: 83690
 $62 —
Blood test, magnesium
CPT Code: 83735
 $86 —
Blood test, potassium
CPT Code: 84132
 $41 —
Blood test, PSA (prostate screen)
CPT Code: 84153
 $157 —
Blood test, sodium
CPT Code: 84295
 $43 —
Blood test, thyroid (TSH)
CPT Code: 84443
 $148 —
Blood test, urea nitrogen (BUN, kidney)
CPT Code: 84520
 $36 —
Blood test, hemoglobin
CPT Code: 85018
 $22 —
Blood test, complete blood count (CBC)
CPT Code: 85025
 $67 —
Blood test, clotting time (PT/INR)
CPT Code: 85610
 $36 —
Blood test, clotting time (PTT)
CPT Code: 85730
 $54 —
Hepatitis C antibody test
CPT Code: 86803
 $122 —
Blood antibody screen
CPT Code: 86850
 $165 —
Culture, blood
CPT Code: 87040
 $91 —
Culture, bacterial
CPT Code: 87070
 $76 —
Flu vaccine (high dose)
HCPCS Code: 90656
 $68 —
Typhoid vaccine
HCPCS Code: 90675
 $417 Calc
DTaP vaccine (diphtheria, tetanus, pertussis)
HCPCS Code: 90700
 $38 Calc
Tdap vaccine (tetanus, diphtheria, pertussis)
HCPCS Code: 90715
 $111 Calc
Pneumococcal vaccine
HCPCS Code: 90732
 $151 Calc
Hepatitis B vaccine
HCPCS Code: 90744
 $36 Calc
Electrocardiogram (EKG, tracing only)
CPT Code: 93005
 $110 —
Echocardiogram (heart ultrasound)
CPT Code: 93306
 $1,194 —
Ultrasound, leg veins (duplex)
CPT Code: 93970
 $1,232 —
Breathing treatment (nebulizer)
CPT Code: 94640
 $22 Calc
Physical therapy (therapeutic exercise)
CPT Code: 97110
 $161 —
Physical therapy (neuromuscular re-education)
CPT Code: 97112
 $183 —
Physical therapy (gait training)
CPT Code: 97116
 $159 —
Physical therapy (manual therapy)
CPT Code: 97140
 $147 —
Occupational therapy (therapeutic activities)
CPT Code: 97530
 $184 —
Occupational therapy (self-care training)
CPT Code: 97535
 $179 —
Physical therapy (functional capacity test)
CPT Code: 97750
 $264 Calc
Prosthetic fitting and training
CPT Code: 97761
 $215 —
New patient office visit (30-44 min)
CPT Code: 99203
 $257 Calc
Office visit, established patient (20-29 min)
CPT Code: 99213
 $212 Calc
Office visit, established patient (30-39 min)
CPT Code: 99214
 $295 Calc
Flu vaccine injection
HCPCS Code: G0008
 $56 Calc
Pneumonia vaccine injection
HCPCS Code: G0009
 $56 Calc
Prostate cancer screening (blood test)
HCPCS Code: G0103
 $162 —
Colorectal cancer screening (alternative)
HCPCS Code: G0145
 $232 —
Electrical stimulation therapy
HCPCS Code: G0283
 $79 —
Hospital observation (per hour)
HCPCS Code: G0378
 $73 —
Trauma team activation
HCPCS Code: G0390
 $786 —
Drug screening test
HCPCS Code: G0480
 $346 —