Medical Procedure Costs in North Dakota

North Dakota Medicare physician rates are generally below the national average (-2.4%). One statewide locality — the ZIP tool still maps you onto that locality.

Look up any CPT in North Dakota

Featured table below is 59 procedures. Search covers 7,500+ fee-schedule codes.

Try
vs national (featured set)
-2.4%
Medicare localities
1
PE GPCI 1.000
On this page
59
featured procedures · rest via search

What these numbers are

Every figure on this page is a 2026 Medicare allowed amount: the physician line comes from the Physician Fee Schedule adjusted by geographic practice-cost indices, and the facility totals come from the CMS hospital outpatient (OPPS) and ambulatory surgery centre rates. None of them is a hospital chargemaster price, your insurer's contracted rate, or a quote. Anesthesia, pathology, imaging reads and follow-up care are billed under their own codes when they apply, and an inpatient stay is paid a different way again. These North Dakota averages are unweighted means of the state’s localities, not population-weighted.

How Medicare prices North Dakota

North Dakota's entire fee schedule flows through one statewide locality whose geographic indices sit near the national floor, lifted partly by the work index floor CMS applies to low-cost states. Fargo and a prairie town on the Canadian border publish identical Medicare-approved amounts. With no metro large enough to justify its own locality, the state is among the most straightforward in the country for Medicare pricing. Oil-patch growth in the west changed local economies but not the fee schedule structure.

Fargo and Bismarck are the state's two care anchors, each dominated by large regional systems that also reach into Minnesota, South Dakota, and Montana, with Grand Forks and Minot serving their own areas. Much of rural North Dakota depends on critical access hospitals, and winter travel adds a genuine planning constraint. Some eastern residents cross into Minnesota for care, particularly toward Fargo-Moorhead's twin market.

Enter a ZIP code for your part of North Dakota, whether Fargo, Bismarck, Grand Forks, Minot, or the farm and oil country in between.

Featured physician rates in North Dakota

ProcedureNorth Dakota
Incision & Drainage of Abscess10060$126
Skin Biopsy (Tangential)11102$94
Skin Biopsy (Punch)11104$119
Destruction of Skin Lesion17000$65
Partial Mastectomy19301$582
Total Hip Replacement27130$1,082
Total Knee Replacement27447$1,080
Knee Arthroscopy29881$488
Upper Endoscopy (EGD)43235$318
Upper Endoscopy (EGD) With Biopsy43239$413
Colonoscopy (Diagnostic)45378$370
Colonoscopy With Biopsy45380$472
Colonoscopy With Polyp Removal45385$490
Laparoscopic Cholecystectomy47562$579
Laparoscopic Inguinal Hernia Repair49650$392
Laparoscopic Removal of Ovarian Cyst58661$544
Vaginal Delivery (Global)59400$2,005
Cesarean Delivery (Global)59510$2,215
Lumbar Discectomy63030$822
Cataract Surgery66984$452
MRI Brain Without Contrast70551$193
MRI Brain With Contrast70552$267
MRI Brain70553$314
Chest X-Ray71046$33
CT Chest Without Contrast71250$131
CT Chest With Contrast71260$165
MRI Cervical Spine72141$189
MRI Lumbar Spine72148$190
Shoulder X-Ray73030$35
MRI Shoulder73221$203
Knee X-Ray73560$34
MRI Knee73721$203
CT Abdomen & Pelvis Without Contrast74176$181
CT Abdomen & Pelvis With Contrast74177$298
Ultrasound Abdomen76700$113
Ultrasound Transvaginal76830$116
Ultrasound Pelvis76856$104
Diagnostic Mammogram77066$155
Screening Mammogram77067$125
Nuclear Stress Test78452$425
Psychiatric Evaluation90791$173
Psychiatric Evaluation With Medical Services90792$199
Psychotherapy (45 min)90834$114
Psychotherapy (60 min)90837$167
ECG/EKG93000$15
Echocardiogram93306$195
Stress Echocardiogram93350$184
Carotid Ultrasound93880$187
Laser Treatment for Skin96920$137
Physical Therapy (Therapeutic Exercise)97110$29
Physical Therapy (Manual Therapy)97140$28
PT Evaluation (Low Complexity)97161$98
PT Evaluation (Moderate Complexity)97162$98
Office Visit (New, Low)99203$114
Office Visit (New, Moderate-High)99204$173
Office Visit (New, High)99205$230
Office Visit (Established, Moderate)99213$93
Office Visit (Established, Moderate-High)99214$133
Office Visit (Established, High)99215$188

Office (non-facility) physician rates. Open a row for the locality table and ZIP tool.

Medical costs in North Dakota: questions

Across the 59 featured procedures on this page, North Dakota sits below the national average by about 2%. Examples: incision & drainage of abscess $126, skin biopsy (tangential) $94, skin biopsy (punch) $119. Search any other CPT in the box above — those codes are in the tool, not as extra North Dakota articles.

North Dakota is one Medicare locality, so the physician fee schedule is statewide. Site of service (office vs hospital) and hospital facility fees still change what a patient is billed.

Medicare physician allowed amounts only — the professional fee after GPCI. They do not include hospital facility charges, anesthesia, or your plan’s contracted rate. Medicare patients typically owe 20% of the allowed amount after the Part B deductible, before Medigap.

Yes. The table is the featured set (59 procedures). The search box looks up 7,500+ payable codes from the 2026 fee schedule and applies North Dakota’s locality when you enter a ZIP.

Data source: 2026 Medicare Physician Fee Schedule (CMS PPRRVU26B, released March 2026). Conversion factor: $33.4009. Prices shown are Medicare allowed amounts for the physician service and may not match what you are billed. Private insurance and self-pay ranges, when shown, are labeled estimates (typical multiples of Medicare), not quotes. This site is an independent cost tool, not medical advice.