Skip to main content

Sanford Mayville

42 6Th Avenue Se, Mayville, ND 58257 · (701) 788-3800

Critical Access HospitalsVoluntary non-profit - Private

Price file

Prices published

File dated 2026-03-04

2,193 price rows for 40 procedures

Published prices

cash · negotiated range · list
Basic metabolic panel (blood test)

CPT 80048 · lowest of 2 lines

$98
cash
$2,493
cash
CT scan of the head, no contrast

CPT 70450 · lowest of 2 lines

$1,469
cash
CT scan of the pelvis, with contrast

CPT 72193 · lowest of 2 lines

$2,153
cash
Cataract surgery with lens implant

CPT 66984 · lowest of 2 lines

$4,161
cash
Chlamydia test (DNA)

CPT 87491 · lowest of 6 lines

$114
cash
Colonoscopy (diagnostic)

CPT 45378 · lowest of 2 lines

$1,846
cash
Colonoscopy with biopsy

CPT 45380 · lowest of 2 lines

$1,846
cash
Colonoscopy with polyp removal

CPT 45385 · lowest of 2 lines

$1,958
cash
Complete blood count (CBC) with differential

CPT 85025 · lowest of 2 lines

$77
cash
Comprehensive metabolic panel (blood test)

CPT 80053 · lowest of 2 lines

$136
cash
Diagnostic mammogram (both breasts)

CPT 77066 · lowest of 2 lines

$494
cash
Electrocardiogram (ECG) with interpretation

CPT 93000 · lowest of 2 lines

$103
cash
Family psychotherapy with the patient

CPT 90847 · lowest of 2 lines

$676
cash
Family psychotherapy without the patient

CPT 90846 · lowest of 2 lines

$644
cash
Gonorrhea test (DNA)

CPT 87591 · lowest of 6 lines

$86
cash
Group psychotherapy

CPT 90853 · lowest of 2 lines

$588
cash
Lipid panel (cholesterol test)

CPT 80061 · lowest of 2 lines

$113
cash
Liver function panel

CPT 80076 · lowest of 2 lines

$113
cash
MRI of the brain, with and without contrast

CPT 70553 · lowest of 2 lines

$3,730
cash
$2,511
cash
$2,202
cash
MRI of the neck (cervical spine), no contrast

CPT 72141 · lowest of 2 lines

$2,066
cash
PSA test (prostate)

CPT 84153 · lowest of 4 lines

$90
cash
$15
cash
$110
cash
Pregnancy ultrasound (after first trimester)

CPT 76805 · lowest of 2 lines

$554
cash
Prothrombin time (blood clotting test)

CPT 85610 · lowest of 8 lines

$11
cash
Psychotherapy, 30 minutes

CPT 90832 · lowest of 2 lines

$488
cash
Psychotherapy, 45 minutes

CPT 90834 · lowest of 2 lines

$604
cash
Psychotherapy, 60 minutes

CPT 90837 · lowest of 2 lines

$616
cash
Screening mammogram (both breasts)

CPT 77067 · lowest of 4 lines

$403
cash
Sleep study (overnight, attended)

CPT 95810 · lowest of 4 lines

$3,965
cash
TSH test (thyroid)

CPT 84443 · lowest of 2 lines

$86
cash
Transvaginal ultrasound

CPT 76830 · lowest of 2 lines

$523
cash
Ultrasound of the abdomen (complete)

CPT 76700 · lowest of 2 lines

$582
cash
Upper endoscopy (EGD)

CPT 43235 · lowest of 2 lines

$1,760
cash
Upper endoscopy with biopsy

CPT 43239 · lowest of 2 lines

$1,760
cash
Urinalysis with microscope

CPT 81001 · lowest of 2 lines

$36
cash
X-ray of the lower spine (4 or more views)

CPT 72110 · lowest of 2 lines

$369
cash

Source files

The machine-readable files this hospital lists in its cms-hpt.txt. Every price above comes from one of them.