Therapy Procedure Using Functional Activities Cost in North Dakota
What this costs without insurance: real self-pay cash prices and insurance-negotiated rates at 30 North Dakota hospitals. CPT 97530. Sourced directly from each facility's CMS-mandated transparency file. Dataset: Q4 2026.
Hospital comparison — North Dakota
Sorted by cash price (lowest first). Showing top 30 of 30 hospitals.
| Hospital | Cash | BCBS | UHC | Aetna | MultiPlan | Humana | Medicare | Cigna | Health Net |
|---|---|---|---|---|---|---|---|---|---|
| CHI ST. ALEXIUS HEALTH BISMARCK BISMARCK |
$70.38 | — | $91.08 | — | $124 | — | — | — | — |
| ESSENTIA HEALTH FARGO ND AVE S FARGO |
$75.00 | $34.45 | $34.45 | $85.00 | — | — | $34.45 | $67.00 | — |
| CHI ST. ALEXIUS HEALTH WILLISTON WILLISTON |
$90.48 | $70.02 | $114 | — | $147 | — | — | — | — |
| NELSON COUNTY HEALTH SYSTEM MCVILLE |
$92.00 | $78.20 | $96.60 | — | — | — | — | — | — |
| CHI ST. ALEXIUS HEALTH GARRISON GARRISON |
$94.52 | $70.89 | $69.50 | — | $125 | $69.50 | — | — | — |
| CHI ST. ALEXIUS HEALTH TURTLE LAKE TURTLE LAKE |
$102 | $104 | $102 | — | $130 | $102 | — | — | — |
| SANFORD BROADWAY MEDICAL CENTER FARGO |
$110 | $35.44 | $35.44 | $35.44 | $123 | — | $35.44 | $123 | $123 |
| PAM HEALTH REHABILITATION HOSPITAL FARGO FARGO |
$115 | $27.26 | $95.00 | $34.87 | $92.00 | — | — | $124 | — |
| TRINITY HEALTH KENMARE HOSPITAL KENMARE |
$115 | — | — | — | — | — | — | — | — |
| TRINITY HOSPITAL MINOT |
$115 | — | — | — | — | — | — | — | — |
| SANFORD MEDICAL CENTER HILLSBORO HILLSBORO |
$118 | $60.50 | $72.62 | $72.62 | $132 | — | $72.62 | — | $132 |
| SANFORD MEDICAL CENTER MAYVILLE MAYVILLE |
$118 | $60.50 | $78.79 | $78.79 | $132 | — | $78.79 | — | $132 |
| SANFORD MEDICAL CENTER - BISMARCK BISMARCK |
$122 | $35.49 | $35.49 | $35.49 | $137 | — | $35.49 | $137 | $137 |
| VIBRA HOSPITAL OF FARGO SOUTH UNIVERSITY DRIVE FARGO |
$123 | — | — | — | — | — | — | — | — |
| VIBRA HOSPITAL OF CENTRAL DAKOTAS MANDAN |
$123 | — | — | — | — | — | — | — | — |
| SMP HEALTH ST. KATERI ROLLA |
$126 | $112 | — | — | — | — | — | — | — |
| JAMESTOWN REGIONAL MEDICAL CENTER JAMESTOWN |
$130 | $162 | — | $113 | — | — | — | — | — |
| JACOBSON MEMORIAL HOSPITAL CARE CENTER ELGIN |
$132 | $176 | — | — | — | $176 | — | — | — |
| SOUTH CENTRAL HEALTH WISHEK |
$140 | — | — | — | — | — | — | — | — |
| NORTHWOOD DEACONESS HEALTH CENTER NORTHWOOD |
$143 | — | — | — | — | — | — | — | — |
| MOUNTRAIL COUNTY MEDICAL CENTER STANLEY |
$144 | $160 | $70.00 | $120 | — | $152 | — | — | — |
| SOUTHWEST HEALTHCARE SERVICES BOWMAN |
$148 | — | — | — | — | — | — | — | — |
| MCKENZIE COUNTY HEALTHCARE SYSTEMS WATFORD CITY |
$159 | $120 | $233 | — | — | $118 | — | — | — |
| ASHLEY MEDICAL CENTER ASHLEY |
$161 | — | — | — | — | — | — | — | — |
| SMP HEALTH ST. ALOISIUS HARVEY |
$168 | $117 | — | — | — | — | — | — | — |
| LINTON REGIONAL MEDICAL CENTER LINTON |
$171 | $171 | $51.00 | $128 | — | — | — | — | — |
| TOWNER COUNTY MEDICAL CENTER CANDO |
$174 | $101 | $104 | $104 | — | — | — | — | — |
| FIRST CARE HEALTH CENTER PARK RIVER |
$175 | — | — | — | — | — | — | — | — |
| SMP HEALTH ST. ANDREW'S BOTTINEAU |
$181 | $131 | $176 | — | — | — | — | — | — |
| TIOGA MEDICAL CENTER TIOGA |
$206 | $206 | — | — | — | — | — | — | — |
That is the median of what the 30 North Dakota hospitals above publish for Therapy procedure using functional activities — their own figures, filed under federal law. A bill well above them is evidence you can put in writing.
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Medicare reimbursement benchmark
For CPT 97530 in North Dakota, Medicare reimburses about $34.87 on the 2026 Physician Fee Schedule (non-facility, state average across localities). Hospital cash prices for the same code in North Dakota range from $70.38 to $206 — that means hospital cash prices are typically 3.5x what Medicare pays. If a self-pay quote you receive is more than 2-3x the Medicare rate, ask the hospital for the cash-discount price in writing.
Frequently asked questions
- How much does therapy procedure using functional activities cost in North Dakota?
- Cash prices for therapy procedure using functional activities (CPT 97530) in North Dakota range from $70.38 to $206, with a median of $123. Prices vary widely by hospital.
- Where can I find the cheapest therapy procedure using functional activities in North Dakota?
- The cheapest North Dakota hospital published cash price for this procedure is $70.38. Use the table above sorted by cash price to find the lowest-priced facility near you.
- Are these the prices I'll pay?
- These are the rates hospitals publish. Final price depends on your insurance, deductible, and the specific services billed. Always confirm with the facility and your insurer before any procedure.
- Why do prices vary so much between hospitals?
- Hospitals set cash prices independently, and insurance contracts negotiate different rates per payer. Two facilities a few miles apart can charge 5-10x different prices for the same procedure.
- Where does this data come from?
- Federal law (45 CFR § 180) requires hospitals to publish their pricing in a machine-readable file. We aggregate these files and republish in a consumer-friendly format.