Estimated using RAND 2024 commercial-to-Medicare ratios. Actual prices vary by insurer, plan, and facility.
North Dakota Pricing in Context
In North Dakota, CPT code 97150 (Therapy Procedure In A Group Setting) carries an average Medicare payment of $13.30 — 23% above the national benchmark of $10.78. 1 providers across the state submitted claims for this procedure in 2023, performing 17 total services. Individual payments in ND ranged from N/A at the low end to N/A at the high end, reflecting differences in provider setting (office vs. facility), modifiers, and the specific geographic locality code applied within the state.
The average billed charge in North Dakota is $65.00, which is the figure uninsured patients would most likely encounter before any negotiation or charity discount. Medicare, by statute, only reimburses the allowed amount — the balance between billed and paid is written off under provider participation agreements. Insured patients generally pay a negotiated rate that falls between these two figures; the exact amount depends on plan design, deductible status, and in-network participation. Because North Dakota sits above the national Medicare average, commercial rates in the state may also run higher than the US median.
Using RAND 2024 commercial-to-Medicare ratios for Medicine procedures, the estimated commercial insurance price in North Dakota lands near $35.65, with self-pay cash prices typically around $31.24. Before scheduling, patients can request a Good Faith Estimate under the No Surprises Act, compare cash rates from hospital Machine-Readable Files, and confirm whether the provider is in-network with their specific plan. This page presents CMS reference data for informational use; it does not constitute medical or financial advice.
Frequently Asked Questions
How much does Therapy Procedure In A Group Setting cost in North Dakota?
The average Medicare payment for Therapy Procedure In A Group Setting in North Dakota is $13.30, which is 23% above the national average of $10.78. Providers in ND typically bill $65.00 for this procedure.
What does Therapy Procedure In A Group Setting cost with insurance in North Dakota?
With commercial insurance in North Dakota, Therapy Procedure In A Group Setting costs an estimated $35.65. Without insurance, the estimated cash price is $31.24. These estimates are based on RAND 2024 commercial-to-Medicare ratios and vary by insurer, plan, and facility.
How many providers perform Therapy Procedure In A Group Setting in North Dakota?
1 providers in North Dakota billed Medicare for Therapy Procedure In A Group Setting in 2023, performing 17 total services. Medicare payments ranged from N/A to N/A depending on the provider.
Is Therapy Procedure In A Group Setting cheaper in North Dakota than the national average?
No — Therapy Procedure In A Group Setting costs 23% above the national average in North Dakota. The state average Medicare payment is $13.30 compared to $10.78 nationally. Factors like local cost of living, provider competition, and regional Medicare fee schedules all influence state-level pricing.
Related Guides
Related Data Sources
Data from CMS Medicare Physician & Other Practitioners (2023).
Read our methodology — how this data is sourced, computed, and verified.