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North Dakota

Cost of a Echocardiogram Visit
in North Dakota

Reviewed by Momentary Medical Group West PC

North Dakota's healthcare system operates within a largely rural framework, with Sanford Health and Altru Health System serving as the state's primary healthcare anchors across vast geographic distances. Patients seeking an Echocardiogram in North Dakota typically pay between $75 and $619, with a median out-of-pocket cost of $183 based on negotiated insurance rates. The state maintains 67 active Echocardiogram providers distributed across urban centers like Fargo and Bismarck as well as smaller communities, allowing patients to browse all providers throughout North Dakota.

Average

$292

Median

$183

Lowest

$75

Highest

$619

Providers

67

National avg: $247North Dakota: $292

18% above national average

Compare Similar Procedures

How does echocardiogram compare to related procedures in North Dakota?

ProcedureCPTLowMedianHighProviders
Colonoscopy

Diagnostic colonoscopy

45378$165$2,255$2,255473
Colonoscopy with Biopsy

Colonoscopy with biopsy

45380$80$434$1,26855
Colonoscopy with Polyp Removal

Colonoscopy with polyp removal by snare

45385$80$515$2,33452
Upper Endoscopy (EGD)

Diagnostic upper GI endoscopy

43235$118$348$85342
Upper Endoscopy with Biopsy

Upper GI endoscopy with biopsy

43239$181$2,396$2,396470
ECG / EKG

12-lead electrocardiogram with interpretation

93000$26$26$26253
OB Ultrasound

Obstetric ultrasound, complete

76805$68$68$157236

Important: These are cost estimates only — not a quote and not medical advice.

The prices on this page are self-pay rates, drawn from federal Transparency in Coverage machine-readable files (CPT 93306Echocardiography, transthoracic, with Doppler). They represent what a patient might pay without insurance.

Your actual cost depends on: your specific insurance plan, your remaining deductible, your coinsurance percentage, whether you have met your out-of-pocket maximum, whether the facility and provider are both in-network, and any separate anesthesia or implant fees billed independently.

This page does not constitute medical advice. Whether you need this procedure, and which approach is right for you, is a decision to make with a licensed healthcare provider.

Where this data comes from & what CPT 93306 covers

Data source: Cost figures are derived from UnitedHealthcare Transparency in Coverage machine-readable files for CPT code 93306 (Echocardiography, transthoracic, with Doppler), as mandated by the CMS Price Transparency Rule.

What CPT 93306 covers: the provider's professional fee for echocardiogram. It does not include facility/hospital fees, anesthesia, pre-operative imaging, post-operative care, or any add-on codes billed separately.

How to read this data

Negotiated Rate

The discounted price an insurer has agreed to pay a specific provider. Most insured patients' bills are calculated from this number, not the higher list price hospitals publish separately.

P5, Median, P95

P5 is the rate at the 5th percentile (low end), Median is the middle value, and P95 is the 95th percentile (high end). This range shows how much the same visit can vary between providers.

What this does not tell you

These rates do not tell you what you personally will pay out of pocket. That depends on your specific plan, how much of your deductible you have already met, your coinsurance rate, and whether the provider is in your network. Call your insurer's member line to get your exact estimate.

Why Echocardiogram Visit Costs Vary Across North Dakota

North Dakota's healthcare costs run approximately 4% above national averages, reflecting the state's rural geography and limited provider competition outside major population centers. The state's oil boom regions have seen healthcare infrastructure strain, while traditional agricultural areas face ongoing rural hospital closures affecting specialist access and pricing dynamics.

Urban vs. Rural Provider Availability

Fargo and Bismarck concentrate most of North Dakota's cardiologists, creating significant travel burdens for patients in western oil patch counties or northeastern agricultural regions. Rural patients often face 2-3 hour drives to reach echocardiogram services, with some providers offering mobile cardiac imaging to underserved areas. This geographic disparity creates cost variations based on facility overhead and patient volume differences.

Facility Type and Overhead Costs

Sanford Health and Altru Health System dominate North Dakota's cardiac imaging landscape through hospital-owned specialty clinics that typically charge higher facility fees than independent practices. Critical Access Hospitals in rural areas may have limited echocardiogram capabilities, requiring patient transfers to regional medical centers. Equipment maintenance costs in isolated locations contribute to higher per-procedure expenses.

Insurance Market Competition in North Dakota

Blue Cross Blue Shield of North Dakota maintains the largest market share, followed by Sanford Health Plan and UnitedHealthcare, creating moderate insurer competition in urban areas but limited choices rurally. This concentrated market allows major insurers significant leverage in rate negotiations with providers. Employer-sponsored plans often have narrow networks that exclude certain high-cost hospital systems.

Physician Supply and Demand in North Dakota

With 67 active echocardiogram providers serving a population of 780,000, North Dakota maintains adequate cardiac imaging capacity in urban centers but significant shortages in rural regions. The state's physician supply challenges are compounded by recruitment difficulties in remote areas, leading to higher compensation demands that affect service pricing. Wait times for routine echocardiograms average 2-3 weeks in cities but can extend to 6-8 weeks in rural areas.

JP

Jayant Panwar

CEO, Momentary Labs · San Francisco, CA

Jayant has analyzed healthcare pricing data from CMS Transparency in Coverage files since 2022, covering more than 50 million negotiated rate records across all 50 states. His work focuses on making insurer machine-readable files accessible to patients and researchers.

The cost figures on this page reflect his ongoing work to make this data accessible to patients.

Healthcare Data AnalyticsCMS TiC DataInsurance Price Transparency

Frequently Asked Questions — Echocardiogram Costs in North Dakota

What is the average cost of a Echocardiogram visit in North Dakota without insurance?

Without insurance, echocardiogram costs in North Dakota range from $75 to $619, with a median cost of $183 based on negotiated rates between insurers and providers. Self-pay patients may qualify for cash discounts that reduce these amounts by 20-40% at many facilities. Hospital-based imaging centers typically charge more than independent cardiology practices, so shopping around can lead to significant savings.

Does North Dakota Medicaid cover Echocardiogram visits?

Yes, North Dakota Medicaid covers medically necessary echocardiograms when ordered by a physician for diagnostic purposes. The state's Medicaid expansion provides coverage for adults earning up to 138% of the federal poverty level through managed care organizations. Prior authorization may be required for certain types of specialized echocardiographic studies, and patients should verify their specific managed care plan's requirements.

How do I find an affordable Echocardiogram near me in North Dakota?

Compare costs between hospital-owned cardiology clinics and independent practices, as independents often charge 30-50% less for the same service. Ask about self-pay discounts if you're uninsured, and consider community health centers that may offer sliding scale fees. Rural health clinics sometimes provide cardiac imaging at reduced rates, though you may need to travel to urban centers for specialized echocardiographic studies.

What is the difference in cost between an initial consultation and a follow-up visit?

Initial cardiology consultations typically cost more than follow-up visits due to the comprehensive evaluation required for new patients. The echocardiogram procedure itself costs the same regardless of whether it's your first or follow-up visit, ranging from $75 to $619 in North Dakota. However, the associated office visit charges will be higher for new patient encounters, often 40-60% more than established patient visits.

Can I use an HSA or FSA to pay for a Echocardiogram visit in North Dakota?

Yes, echocardiograms are qualified medical expenses that can be paid for using Health Savings Account (HSA) or Flexible Spending Account (FSA) funds. This includes both the physician consultation and the imaging procedure itself when medically necessary. Keep all receipts and documentation, as some HSA administrators may require proof that the service was prescribed by a physician for reimbursement purposes.

How does telemedicine affect the cost of seeing a Echocardiogram in North Dakota?

While echocardiograms require in-person imaging that cannot be performed via telemedicine, initial consultations and follow-up visits can often be conducted virtually at reduced costs. Telehealth cardiology consultations typically cost 20-30% less than in-person visits and can be particularly valuable for North Dakota's rural patients who face long travel distances. Many insurers now cover telehealth cardiology visits at the same rate as in-person consultations, making remote follow-up care more accessible and affordable.

Click a state to compare costs

Average Visit Cost

$143
$463

Office visit (CPT 93306)

Compare With Other States

RankStateAverage
1West Virginia
Range: $66$1,167
$463
2Wisconsin
Range: $73$1,020
$423
3Rhode Island
Range: $64$895
$389
4New York
Range: $51$895
$373
5Massachusetts
Range: $77$677
$324
6Minnesota
Range: $77$644
$319
7Georgia
Range: $68$653
$309
8Wyoming
Range: $94$605
$306
9Delaware
Range: $60$677
$303
10Pennsylvania
Range: $61$677
$298
11North Dakota
Range: $75$619
$292
12Connecticut
Range: $64$677
$289
13Nebraska
Range: $101$477
$287
14New Hampshire
Range: $78$519
$282
15District of Columbia
Range: $59$569
$273
16Iowa
Range: $85$477
$269
17Oregon
Range: $79$568
$268
18Washington
Range: $80$513
$260
19California
Range: $79$586
$256
20North Carolina
Range: $68$501
$254
21Missouri
Range: $79$449
$250
22Maine
Range: $95$394
$249
23New Mexico
Range: $80$440
$244
24New Jersey
Range: $60$490
$238
25Vermont
Range: $61$471
$234
26South Dakota
Range: $67$460
$232
27Kentucky
Range: $64$477
$231
28Florida
Range: $60$460
$227
29Colorado
Range: $77$428
$225
30Indiana
Range: $65$436
$224
31Hawaii
Range: $75$438
$222
32Idaho
Range: $78$430
$213
33Michigan
Range: $67$405
$213
34Texas
Range: $64$418
$212
35Illinois
Range: $74$378
$210
36Nevada
Range: $85$321
$208
37Utah
Range: $80$340
$207
38Maryland
Range: $55$399
$205
39Arkansas
Range: $72$369
$201
40Virginia
Range: $59$390
$200
41Mississippi
Range: $57$377
$191
42Tennessee
Range: $64$340
$190
43South Carolina
Range: $62$364
$188
44Kansas
Range: $71$316
$186
45Louisiana
Range: $57$342
$182
46Alabama
Range: $60$329
$179
47Ohio
Range: $52$351
$178
48Oklahoma
Range: $60$356
$177
49Alaska
Range: $80$345
$168
50Arizona
Range: $60$264
$145
51Montana
Range: $80$269
$143
Echocardiogram in Other States