Echocardiogram Cost in North Dakota (2026): Average Prices & What You'll Pay
What does a echocardiogram cost in North Dakota?
You could pay $236 or $427 for the same echocardiogram in North Dakota - depending entirely on which facility you choose. The median cash price across 31 reporting hospitals is $311. This data comes directly from hospital price transparency files published under federal law. Pick your coverage in the tabs below to see your number.
Insurance
With commercial insurance, echocardiogram in North Dakota typically runs $236–$427, facility and physician fees combined. What you pay out of pocket depends on your deductible and coinsurance.
Medicare
Medicare pays the same national rate to every provider that accepts it, adjusted slightly for local wages, so choosing a different hospital doesn't change what Medicare pays. After the Part B deductible you generally pay 20% of the approved amount.
Read the full Medicare coverage guide →
Your personalized cost report includes:
- ✓ Why prior authorization is the most preventable echo billing surprise - and how to confirm it
- ✓ Why a facility splits into a technical bill and a separate cardiologist bill (an office bills one global fee)
- ✓ How the interpreting cardiologist can be out-of-network even at an in-network facility
- ✓ Why a hospital outpatient department costs far more than a cardiology office or imaging center
- ✓ A real patient billing breakdown, line by line
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Medicaid
Medicaid is run by each state, and it pays fixed rates to the providers that accept it, so the price doesn't change from one hospital to the next. Most people on Medicaid owe nothing or a small copay for covered care, but what's covered and what you owe depends on your state and plan. CostKits doesn't show a Medicaid price here because those rates are set by the state, not negotiated by each hospital. The question that matters is whether the provider accepts your Medicaid plan, so ask before you schedule.
Your personalized cost report includes:
- ✓ Why prior authorization is the most preventable echo billing surprise - and how to confirm it
- ✓ Why a facility splits into a technical bill and a separate cardiologist bill (an office bills one global fee)
- ✓ How the interpreting cardiologist can be out-of-network even at an in-network facility
- ✓ Why a hospital outpatient department costs far more than a cardiology office or imaging center
- ✓ A real patient billing breakdown, line by line
Free for patients - takes 30 seconds to get.
We'll send a sign-in link to your email — click it to get your guide. No account required, no spam.
No insurance
The lowest posted price we found is OAKES COMMUNITY HOSPITAL in Oakes, ND at $131. Ask for the cash or self-pay price and for the hospital’s financial-assistance policy before you book.
Once you have a bill or an appointment on the calendar, CostKits can help you keep it all organized.
Where echocardiogram costs vary in North Dakota
Pins show hospitals with price-transparency data (colored by vs. state average) and nearby imaging centers and other facilities (colored by type). Click any pin for facility name and estimated cost range.
26+ people checked prices near them this month.
A missing prior authorization can turn a covered echocardiogram into a denied claim - and the same study is one bill or two.
Your personalized cost report includes:
- ✓ Why prior authorization is the most preventable echo billing surprise - and how to confirm it
- ✓ Why a facility splits into a technical bill and a separate cardiologist bill (an office bills one global fee)
- ✓ How the interpreting cardiologist can be out-of-network even at an in-network facility
- ✓ Why a hospital outpatient department costs far more than a cardiology office or imaging center
- ✓ A real patient billing breakdown, line by line
Free for patients - takes 30 seconds to get.
We'll send a sign-in link to your email - click it to get your guide. No account required, no spam.
Cheapest Echocardiogram Providers in North Dakota
Based on declared cash/self-pay prices from CMS hospital price transparency files.
| # | Facility | City | Price | vs Median |
|---|---|---|---|---|
| 1 | Hospital name hidden | Your City, ND | $191 | -$000 |
| 2 | Hospital name hidden | Your City, ND | $192 | -$000 |
| 3 | ST. ALEXIUS MEDICAL CENTER | Bismarck, ND | $157 | -$154 |
| 4 | ST. ALEXIUS MEDICAL CENTER | Turtle Lake, ND | $187 | -$124 |
| 5 | GARRISON MEMORIAL HOSPITAL | Garrison, ND | $190 | -$121 |
| 6 | Hospital name hidden | Your City, ND | $196 | -$000 |
| 7 | Hospital name hidden | Your City, ND | $197 | -$000 |
| 8 | Hospital name hidden | Your City, ND | $198 | -$000 |
Your ranked price list is on its way to your email. Open the PDF now.
Prices are declared self-pay rates. Contact each facility for a formal quote before scheduling.
Email me this price comparison plus what to ask before booking
Sends a PDF with all 31 facilities ranked cheapest first, plus a short checklist of questions that change what you pay. We don't sell your information (privacy policy).
Before you book: three questions that change the price
- Is this the self-pay price, and does it include the doctor, anesthesia and any lab or pathology? Those are often billed separately.
- Can you give me the price in writing, with the billing codes it covers?
- What happens to the price if something extra is needed during the procedure?
Estimate your out-of-pocket cost → · When the bills arrive, we check them for errors →
Quick take
- OAKES COMMUNITY HOSPITAL is the lowest-cost option at $131 - $180 below the state median, just by choosing where you go.
- Ask for the cash price if your deductible isn't met - the median cash price here is $311, and it's often lower than what insurance pays before your deductible is satisfied.
- Independent imaging centers often charge much less than hospital outpatient departments for the same scan and may not appear in this hospital-only dataset - ask your doctor whether one is an option.
How where you go changes what you pay for echocardiogram
The same echocardiogram bundles different services depending on the setting - facility fee, surgeon fee, and anesthesia each arrive as separate bills. Estimated ranges below reflect the typical full bundled cost, including all expected charges.
- Facility fee $103–$1,444
- Professional fee $146–$928
Estimated from CMS fee schedules + commercial rate multipliers
- Facility fee $311–$1,194
- Professional fee $146–$928
Estimated from CMS fee schedules + commercial rate multipliers
Sanford Health and CHI St. Alexius divide most of North Dakota's hospital market, with Bismarck and Fargo each effectively dominated by one system. The state's oil-economy wage growth has increased hospital labor costs, pushing prices above what the rural market structure would otherwise suggest. Critical access hospitals cover most of the rural tier. Echocardiograms are unusual in that the physician component (interpretation fee) and technical component (sonographer and equipment) are often billed separately, meaning you may receive two bills from two different providers. Hospital-based cardiology departments also add a facility fee that independent echo labs and cardiology offices don't charge. The same study can cost $200 at a freestanding cardiology office and $2,000 at a hospital outpatient department.
Received a bill? Check it for errors → Estimate YOUR cost before you go → Managing more than one bill? See the family tracker →
Why prices vary - and what it means for your coverage
A small number of hospitals (2) report prices above $892, including Sanford Fargo Medical Center at $1,444, which drives most of the overall spread - excluding them, most facilities cluster in a much tighter band. Setting matters too: the median outpatient price is $306 versus $584 inpatient (about 1.9× more), so where a procedure happens often matters more than which hospital you pick. Whether the scan happens in a hospital outpatient department (which adds a separate facility fee) or a freestanding imaging center is usually the single biggest driver of price for this procedure.
On top of the facility price, your actual bill depends on your deductible, your out-of-pocket maximum, and whether every provider involved - not just the facility - is in-network.
| Your situation | Estimated out-of-pocket |
|---|---|
| Deductible not yet met | ~$311 |
| Deductible met - 20% coinsurance | ~$62 |
| Out-of-network provider | $684+ |
Frequently asked questions: echocardiogram costs in North Dakota
How much does an echocardiogram cost in North Dakota?
The typical insurer-negotiated rate is $184, with most facilities between $99 and $214 (based on 27 hospitals reporting negotiated rates). Full market pricing - including cash rates, gross charges, and outlier facilities - ranges more widely, from $103 to $3,934 across all 31 North Dakota hospitals that publish prices. What you pay depends on the facility, your insurance, and whether you have met your deductible.
Where is the cheapest place to get an echocardiogram in North Dakota?
Based on declared prices, the lowest-cost facility in our North Dakota data is Altru Hospital Devils Lake in Devils Lake at about $103. By metro, Bismarck has the lowest median ($146). Independent imaging centers are often cheaper still and may not appear in hospital price data - ask your doctor whether one is an option.
Why is an echocardiogram so much cheaper at some North Dakota hospitals?
Prices vary up to 38.2× because each hospital sets its own list price, cash discount, and insurer-negotiated rates. In North Dakota, the median cash (self-pay) price is $311 versus a median negotiated rate of $184 - about 1.7× higher. Asking for the cash price as well as your insurer's negotiated rate is often the single biggest lever on what you pay.
How much will I actually pay out of pocket for an echocardiogram in North Dakota?
Your out-of-pocket cost depends on your deductible, coinsurance, out-of-pocket maximum, and whether the facility is in-network - not just the sticker price. If you have not met your deductible, you will typically pay the negotiated rate in full until you do. Use the CostKits cost forecaster to estimate your specific out-of-pocket amount before you go.
Before you book
- How to read your medical bill
- How to stop medical bill problems before they start
- How to negotiate your medical bills
- Allowed amount vs negotiated rate: what your EOB is really saying
- Understanding your UnitedHealthcare EOB
Other procedures in North Dakota
Echocardiogram, elsewhere
What matters before you schedule
Imaging center vs. hospital
Hospital outpatient departments typically charge 2-4x more than independent imaging centers for the same echocardiogram - same outcome, very different bill. The ER charges the most of any setting and should only be used when the situation is medically urgent. Call ahead and ask for a self-pay or cash quote at each setting you're considering.
Cost by type
Which type your doctor orders for this echocardiogram changes the billing code, and what you pay. For example: A recognized variation that can change the billing code and what you owe.
This is shoppable
Echocardiogram is elective and schedulable, so you have time to compare facilities before booking - hospital outpatient prices often run 2-4x higher than alternative settings for the identical clinical outcome.
What to ask before you book
Get the CPT code from your doctor, confirm every provider involved (not just the facility) is in-network, ask for the cash-pay rate if you're uninsured or haven't met your deductible, and request a written estimate for echocardiogram before you schedule.
CostKits compiles hospital price transparency data to help families make informed decisions. Track and manage your healthcare costs (free account).
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About the Author
John Caruso, FSA, MAAA
Healthcare actuary with 20+ years of experience in insurance pricing, medical billing systems, and healthcare cost analytics.
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