Hospital

Big Sandy Medical Center

Big Sandy Medical Center in Big Sandy, MT publishes cash prices for 222 common procedures listed here, from its own machine-readable price file (the file does not say when it was last updated). Compared with other hospitals in the state, its outpatient cash prices are below the Montana median for 142 of 220 procedures and above it for 70. By typical cash price it ranks #3 of 15 Montana hospitals, cheapest first. Click a procedure to compare it with other hospitals nearby.

166 Montana Ave E, Big Sandy, MT 59520 Collected Sep 27, 2026 Source price file (406) 378-2188

Critical access hospital (rural, 25 beds or fewer) Emergency department CCN 271311 · CMS hospital register

Scans and imaging

ProcedureCash price List priceInsurers payvs MontanaOff list
Ankle X-ray, complete, 3 or more views one side CPT 73610 Left Ankle (Comp 3 Views) $118.00 $147.00 $143.00–$148.00 35% below 20%
Ankle X-ray, complete, 3 or more views one side CPT 73610 Right Ankle (Comp 3 Views) $118.00 $147.00 $143.00–$148.00 35% below 20%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 Us Ankle/brachial Indices $194.00 $243.00 $236.00–$245.00 35% below 20%
Breast ultrasound, complete, one breast both sides CPT 76641 Us Breast Bilateral Complete $78.00 $97.00 $94.00–$98.00 — 20%
Breast ultrasound, complete, one breast one side CPT 76641 Us Breast Right Complete $230.00 $287.00 $278.00–$290.00 16% below 20%
Breast ultrasound, complete, one breast one side CPT 76641 Us Breast Left Complete $230.00 $287.00 $278.00–$290.00 16% below 20%
Breast ultrasound, limited (one breast or one area) both sides CPT 76642 Us Breast Bilateral Ltd $119.00 $149.00 $145.00–$150.00 — 20%
Breast ultrasound, limited (one breast or one area) one side CPT 76642 Us Breast Right Ltd $231.00 $289.00 $280.00–$292.00 12% below 20%
Breast ultrasound, limited (one breast or one area) one side CPT 76642 Us Breast Left Ltd $231.00 $289.00 $280.00–$292.00 12% below 20%
Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 Us Carotid Doppler $402.00 $503.00 $488.00–$508.00 60% below 20%
Chest X-ray, 2 views CPT 71046 Chest (2 Views) $147.00 $184.00 $178.00–$186.00 17% below 20%
Chest X-ray, single view CPT 71045 Chest (1 View) $122.00 $152.00 $147.00–$154.00 32% below 20%
Chest X-ray, single view CPT 71045 Ultrasound Exam, Breasts $252.00 $315.00 $306.00–$318.00 40% above 20%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 Us Retroperitoneal (Kidney & Bladder) $224.00 $280.00 $272.00–$283.00 47% below 20%
DEXA bone density scan of the hip, pelvis or spine CPT 77080 Dexa Bone Density Scan, Axial $212.00 $265.00 $257.00–$268.00 35% below 20%
DEXA bone density scan of the hip, pelvis or spine CPT 77080 Dexa Bone Density Scan $212.00 $265.00 $257.00–$268.00 35% below 20%
Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 Us Arterial Le Bilateral $566.00 $707.00 $686.00–$714.00 — 20%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 Us Venous Doppler Le Bilateral $714.00 $893.00 $866.00–$902.00 — 20%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 Us Venous Doppler Ue Bilateral $714.00 $893.00 $866.00–$902.00 — 20%
Duplex ultrasound of the leg veins, both legs CPT 93970 Us Venous Duplex Scan $129.00 $161.00 $156.00–$163.00 88% below 20%
Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 Home Sleep Test $210.00 $263.00 $255.00–$266.00 at median 20%
Knee X-ray, 3 views one side CPT 73562 Right Knee (Min 3 Obl) $101.00 $126.00 $122.00–$127.00 44% below 20%
Knee X-ray, 3 views one side CPT 73562 Left Knee (Min 3 Obl) $101.00 $126.00 $122.00–$127.00 44% below 20%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 Us Fast Abdominal Limited $224.00 $280.00 $272.00–$283.00 42% below 20%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 Us Spleen $224.00 $280.00 $272.00–$283.00 42% below 20%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 Us Gallbladder $224.00 $280.00 $272.00–$283.00 42% below 20%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 Us Liver $224.00 $280.00 $272.00–$283.00 42% below 20%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 Us Abdomen Limited $224.00 $280.00 $272.00–$283.00 42% below 20%
MRI of the lower back, without and then with contrast dye CPT 72158 Mri L Spine W/o & W/ Dye $4,704.00 $5,880.00 $5,704.00–$5,939.00 56% above 20%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 Us Bladder $180.00 $225.00 $218.00–$227.00 40% below 20%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 Us Pelvic Limited $208.00 $260.00 $252.00–$263.00 31% below 20%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 Us Pelvis $246.00 $307.00 $298.00–$310.00 46% below 20%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 Us Ob <14 Weeks $356.00 $445.00 $432.00–$449.00 25% below 20%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 Us Ob Limited $245.00 $306.00 $297.00–$309.00 22% below 20%
Screening mammogram, both breasts both sides CPT 77067 Mammography, screening, bilateral $191.00 $239.00 $232.00–$241.00 — 20%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 Left Shoulder (Min 2 Views) $136.00 $170.00 $165.00–$172.00 23% below 20%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 Right Shoulder (Min 2 Views) $136.00 $170.00 $165.00–$172.00 23% below 20%
Ultrasound of the abdomen, complete CPT 76700 Ultrasound of abdomen $525.00 $656.00 $636.00–$663.00 at median 20%
Ultrasound of the scrotum and testicles CPT 76870 Us Scrotum $200.00 $250.00 $243.00–$253.00 57% below 20%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 Us Thyroid $250.00 $312.00 $303.00–$315.00 42% below 20%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 Us Soft Tissue Head & Neck $250.00 $312.00 $303.00–$315.00 42% below 20%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 Us Venous Doppler Le Unilateral $394.00 $492.00 $477.00–$497.00 35% below 20%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 Us Venous Doppler Ue Unilateral $416.00 $520.00 $504.00–$525.00 32% below 20%
Wrist X-ray, complete, 3 or more views one side CPT 73110 Left Wrist (3 Views) $121.00 $151.00 $146.00–$153.00 34% below 20%
Wrist X-ray, complete, 3 or more views one side CPT 73110 Right Wrist (3 Views) $121.00 $151.00 $146.00–$153.00 34% below 20%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 Left Hip (2 Views) $72.00 $90.00 $87.00–$91.00 62% below 20%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 Right Hip (2 Views) $72.00 $90.00 $87.00–$91.00 62% below 20%
X-ray of the abdomen, 1 view CPT 74018 Abdomen (1 View Kub) $128.00 $160.00 $155.00–$162.00 25% below 20%
X-ray of the finger(s), 2 or more views one side CPT 73140 Right Fingers (Min 2 Views) $88.00 $110.00 $107.00–$111.00 39% below 20%
X-ray of the finger(s), 2 or more views one side CPT 73140 Left Fingers (Min 2 Views) $88.00 $110.00 $107.00–$111.00 39% below 20%
X-ray of the foot, 2 views one side CPT 73620 Right Foot (2 Views) $104.00 $130.00 $126.00–$131.00 16% below 20%
X-ray of the foot, 2 views one side CPT 73620 Left Foot (2 Views) $104.00 $130.00 $126.00–$131.00 16% below 20%
X-ray of the foot, complete, 3 or more views one side CPT 73630 Left Foot (3 Views) $116.00 $145.00 $141.00–$146.00 33% below 20%
X-ray of the foot, complete, 3 or more views one side CPT 73630 Right Foot (3 Views) $116.00 $145.00 $141.00–$146.00 33% below 20%
X-ray of the hand, 3 or more views one side CPT 73130 Left Hand (3 Views) $119.00 $149.00 $145.00–$150.00 34% below 20%
X-ray of the hand, 3 or more views one side CPT 73130 Right Hand (3 Views) $119.00 $149.00 $145.00–$150.00 34% below 20%
X-ray of the knee, 1 or 2 views one side CPT 73560 Right Knee (2 Views) $76.00 $95.00 $92.00–$96.00 55% below 20%
X-ray of the knee, 1 or 2 views one side CPT 73560 Left Knee (2 Views) $76.00 $95.00 $92.00–$96.00 55% below 20%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 Lumbar Spine (2 Or 3 Views) $143.00 $179.00 $174.00–$181.00 38% below 20%
X-ray of the lower back, 4 or more views CPT 72110 X-Ray of lower back $208.00 $260.00 $252.00–$263.00 21% below 20%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 Thoracic Spine (Pa & Lat) $134.00 $167.00 $162.00–$169.00 37% below 20%
X-ray of the nasal bones, 3 or more views CPT 70160 Nasal Bones (Min 3 Views) $98.00 $123.00 $119.00–$124.00 53% below 20%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 Cervical Spine (3 Views Or Less) $139.00 $174.00 $169.00–$176.00 35% below 20%
X-ray of the pelvis, 1 or 2 views CPT 72170 Pelvis (Ap) $114.00 $143.00 $139.00–$144.00 47% below 20%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 Coccyx & Sacrum (2 Views) $153.00 $191.00 $185.00–$193.00 35% below 20%

Lab tests

ProcedureCash price List priceInsurers payvs MontanaOff list
ALT (alanine aminotransferase) liver enzyme test CPT 84460 Alt $34.00 $42.00 $41.00–$42.00 2% below 19%
AST (aspartate aminotransferase) enzyme test CPT 84450 Ast (Sgot)transerase; Aspartate $34.00 $42.00 $41.00–$42.00 19% below 19%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 Acute Hep Panel (8691send Out $380.00 $475.00 $461.00–$480.00 87% above 20%
Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Specific Igesend Out $32.00 $40.00 $39.00–$40.00 at median 20%
Allergy blood test, specific IgE, per allergen CPT 86003 Horse Dander Ige Serumsend Out $62.00 $77.00 $75.00–$78.00 94% above 19%
Allergy blood test, specific IgE, per allergen CPT 86003 Food Serum Allergensend Out (Food6) $62.00 $77.00 $75.00–$78.00 94% above 19%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 Ccp Absendout $120.00 $150.00 $146.00–$152.00 21% above 20%
Antinuclear antibody (ANA) blood test, screen CPT 86038 Ana Titersend Out $38.00 $47.00 $46.00–$47.00 43% below 19%
Antinuclear antibody (ANA) blood test, screen CPT 86038 Ana (Antinuclear Antibodies)send Out $87.00 $109.00 $106.00–$110.00 30% above 20%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 Bnp $190.00 $238.00 $231.00–$240.00 7% above 20%
Basic metabolic panel (blood test) CPT 80048 Basic metabolic panel $75.00 $94.00 $91.00–$95.00 14% below 20%
Blood culture for bacteria CPT 87040 Blood Culturesend Out $91.00 $114.00 $111.00–$115.00 42% below 20%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 Draw Feelawenforcement $30.00 $38.00 $37.00–$38.00 63% above 21%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 Specimen Collection Venipuncture $30.00 $38.00 $37.00–$38.00 63% above 21%
Blood glucose (sugar) test CPT 82947 Pdtglucose $12.00 $15.00 $15.00 60% below 20%
Blood glucose (sugar) test CPT 82947 Glucose $29.00 $36.00 $35.00–$36.00 4% below 19%
Blood glucose (sugar) test CPT 82947 Glucose Fasting $46.00 $57.00 $55.00–$58.00 52% above 19%
Blood lead test CPT 83655 Leadsend Out $75.00 $94.00 $91.00–$95.00 28% above 20%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 Beta Hcg Qualitative, Serum Only $67.00 $84.00 $81.00–$85.00 45% above 20%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 Abo Group -Send Out $35.00 $44.00 $43.00–$44.00 48% below 20%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 Crp (C Reactive Protein) $60.00 $75.00 $73.00–$76.00 25% above 20%
C. difficile toxin gene test (stool PCR) CPT 87493 Clostridium Difficile Toxinsend Out $62.00 $78.00 $76.00–$79.00 63% below 21%
C. difficile toxin gene test (stool PCR) CPT 87493 C Difficile Toxin 027 Pcr $126.00 $158.00 $153.00–$160.00 24% below 20%
C. difficile toxin gene test (stool PCR) CPT 87493 C Difficile Toxin B Pcr $140.00 $175.00 $170.00–$177.00 16% below 20%
C. difficile toxin gene test (stool PCR) CPT 87493 C Difficilesend Out $140.00 $175.00 $170.00–$177.00 16% below 20%
C. difficile toxin gene test (stool PCR) CPT 87493 C Difficile Pcrcepheid $252.00 $315.00 $306.00–$318.00 52% above 20%
CA 19-9 blood test (tumor marker) CPT 86301 Ca 19-9send Out $143.00 $179.00 $174.00–$181.00 15% above 20%
CA-125 blood test (ovarian cancer marker) CPT 86304 Ca 125send Out $153.00 $191.00 $185.00–$193.00 22% above 20%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 Sars-cov-2 Pcrcepheid $84.00 $105.00 $102.00–$106.00 36% below 20%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 Sars Cov-2 Rna (Sent To State Lab) $168.00 $210.00 $204.00–$212.00 29% above 20%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Chlamydia Trichomatis $120.00 $150.00 $146.00–$152.00 55% above 20%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Wound Culture In-house $194.00 $242.00 $235.00–$244.00 151% above 20%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Blood test, lipids $232.00 $290.00 $281.00–$293.00 204% above 20%
Complete blood count (CBC) with differential CPT 85025 Complete blood cell count (CBC), with differential white blood cells, automated $80.00 $100.00 $97.00–$101.00 37% above 20%
Complete blood count (CBC), no differential CPT 85027 Complete blood cell count (CBC), automated $38.00 $48.00 $47.00–$48.00 12% below 21%
Comprehensive metabolic panel (blood test) CPT 80053 Blood test, comprehensive group of blood chemicals $87.00 $109.00 $106.00–$110.00 6% below 20%
D-dimer blood test (blood clot marker) CPT 85379 D-dimer Quantitative $191.00 $239.00 $232.00–$241.00 67% above 20%
DHEA sulfate (DHEA-S) blood test CPT 82627 Dhea-so4send Out $166.00 $208.00 $202.00–$210.00 26% above 20%
Estradiol blood test CPT 82670 Estradiolsend Out $151.00 $189.00 $183.00–$191.00 2% above 20%
FSH (follicle-stimulating hormone) test CPT 83001 Fshsend Out $111.00 $139.00 $135.00–$140.00 11% below 20%
Fecal calprotectin (stool inflammation test) CPT 83993 Calprotectin, Fecessend Out $210.00 $263.00 $255.00–$266.00 26% below 20%
Ferritin blood test (iron stores) CPT 82728 Pdtferritin $36.00 $45.00 $44.00–$45.00 61% below 20%
Ferritin blood test (iron stores) CPT 82728 Ferritin $76.00 $95.00 $92.00–$96.00 18% below 20%
Folate (folic acid) blood test CPT 82746 Folic Acid $13.00 $16.00 $16.00 85% below 19%
Free T3 thyroid hormone test CPT 84481 Pdtfree T3 $40.00 $50.00 $49.00–$51.00 64% below 20%
Free T3 thyroid hormone test CPT 84481 T3 Free $183.00 $229.00 $222.00–$231.00 66% above 20%
Free T4 (free thyroxine) thyroid blood test CPT 84439 Pdtfree T4 $36.00 $45.00 $44.00–$45.00 12% below 20%
Free T4 (free thyroxine) thyroid blood test CPT 84439 T4 Free $110.00 $138.00 $134.00–$139.00 170% above 20%
Free testosterone test CPT 84402 Testosterone Freesend Out $145.00 $181.00 $176.00–$183.00 at median 20%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 Glucose Challenge 1hr $38.00 $48.00 $47.00–$48.00 39% below 21%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 Glucose 1 Hour $55.00 $69.00 $67.00–$70.00 11% below 20%
Glucose tolerance test, 3 samples CPT 82951 Glucose 2 Hour $27.00 $34.00 $33.00–$34.00 75% below 21%
Glucose tolerance test, 3 samples CPT 82951 Gtt 3 Specimens (Gtt2hr) $87.00 $109.00 $106.00–$110.00 19% below 20%
H. pylori antibody blood test CPT 86677 Helicobactor/pylori/absend Out $137.00 $171.00 $166.00–$173.00 14% above 20%
H. pylori stool antigen test CPT 87338 Stool For Helicobacter Pylorisend Out $168.00 $210.00 $204.00–$212.00 64% above 20%
HIV-1 and HIV-2 antibody test CPT 86703 Hiv 1&2single Resultsend Out $74.00 $92.00 $89.00–$93.00 5% below 20%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Pdthemoglobin A1c $24.00 $30.00 $29.00–$30.00 44% below 20%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 A1c Screening $67.00 $84.00 $81.00–$85.00 55% above 20%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Glycohemoglobin (Hgb A1c) $67.00 $84.00 $81.00–$85.00 55% above 20%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 Hepatitis B Surface Absend Out $86.00 $107.00 $104.00–$108.00 8% above 20%
Hepatitis B surface antigen (HBsAg) test CPT 87340 Hep B Surface Antigensend Out $70.00 $87.00 $84.00–$88.00 11% above 20%
Hepatitis C antibody blood test (screening) CPT 86803 Hep C Antibody -Send Out $114.00 $143.00 $139.00–$144.00 1% below 20%
Hepatitis C viral load (HCV RNA) test CPT 87522 Hep C Rna (Hcvqn) $646.00 $808.00 $784.00–$816.00 37% above 20%
Hepatitis C viral load (HCV RNA) test one side CPT 87522 Hcv Rna Quant Rt-pcr Send Out $242.00 $302.00 $293.00–$305.00 49% below 20%
Herpes blood test, HSV-1 antibody CPT 86695 Herpes Simplex Type 1send Out $86.00 $108.00 $105.00–$109.00 9% above 20%
Herpes blood test, HSV-2 antibody CPT 86696 Herpes Simplex Type 2send Out $121.00 $151.00 $146.00–$153.00 19% above 20%
High-sensitivity CRP (hs-CRP) test CPT 86141 High Sensitivity Crp $77.00 $96.00 $93.00–$97.00 1% above 20%
Homocysteine blood test CPT 83090 Homocysteine (Cardiac)send Out $176.00 $220.00 $213.00–$222.00 40% above 20%
Insulin blood test CPT 83525 Insulin (Order This One)send Out $74.00 $92.00 $89.00–$93.00 24% below 20%
Iron blood test (serum iron) CPT 83540 Pdtiron $20.00 $25.00 $24.00–$25.00 47% below 20%
Iron blood test (serum iron) CPT 83540 Iron (Serum) $28.00 $35.00 $34.00–$35.00 25% below 20%
Iron-binding capacity (TIBC) test CPT 83550 Pdttotal Iron Binding Capacity $24.00 $30.00 $29.00–$30.00 46% below 20%
Iron-binding capacity (TIBC) test CPT 83550 Iron Saturation % $38.00 $47.00 $46.00–$47.00 15% below 19%
Iron-binding capacity (TIBC) test CPT 83550 Iron Binding Capacity $39.00 $49.00 $48.00–$49.00 13% below 20%
Kidney function blood test panel CPT 80069 Kidney function panel test $94.00 $117.00 $113.00–$118.00 5% below 20%
LH (luteinizing hormone) test CPT 83002 Lutenizing Hormonesend Out $111.00 $139.00 $135.00–$140.00 4% below 20%
Lipase blood test (pancreas enzyme) CPT 83690 Lipase $38.00 $48.00 $47.00–$48.00 37% below 21%
Liver function blood test panel CPT 80076 Liver function blood test $78.00 $97.00 $94.00–$98.00 1% above 20%
Lyme disease antibody test CPT 86618 Babesia Ab $69.00 $86.00 $83.00–$87.00 41% below 20%
Lyme disease antibody test CPT 86618 E Chaffeeniss Ab $81.00 $101.00 $98.00–$102.00 31% below 20%
Lyme disease antibody test CPT 86618 Lyme Disease Screen $94.00 $117.00 $113.00–$118.00 20% below 20%
Magnesium blood test CPT 83735 Pdtmagnesium $20.00 $25.00 $24.00–$25.00 66% below 20%
Magnesium blood test CPT 83735 Magnesium $57.00 $71.00 $69.00–$72.00 4% below 20%
Measles (rubeola) antibody test CPT 86765 Rubeola Send Out $117.00 $146.00 $142.00–$147.00 124% above 20%
Mono test (heterophile antibody, Monospot) CPT 86308 Monotest $54.00 $68.00 $66.00–$69.00 at median 21%
Obstetric blood test panel CPT 80055 Obstetric blood test panel $269.00 $336.00 $326.00–$339.00 at median 20%
PSA (prostate-specific antigen) blood test, free CPT 84154 Total prostate-specific antigen (PSA) test $98.00 $122.00 $118.00–$123.00 7% above 20%
PSA (prostate-specific antigen) blood test, total CPT 84153 Total prostate-specific antigen (PSA) test $117.00 $146.00 $142.00–$147.00 2% above 20%
Pap test (liquid-based, automated screening with review) CPT 88175 Cyto Thin Lyr Scr $50.00 $63.00 $61.00–$64.00 21% below 21%
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 Prep Mnl Scn $59.00 $74.00 $72.00–$75.00 13% below 20%
Parathyroid hormone (PTH) blood test CPT 83970 Pth (Parathyroid Hormone)send Out $222.00 $277.00 $269.00–$280.00 8% above 20%
Partial thromboplastin time (PTT) clotting test CPT 85730 Coagulation assessment blood test $44.00 $55.00 $53.00–$56.00 15% below 20%
Progesterone blood test CPT 84144 Progesteronesend Out $122.00 $152.00 $147.00–$154.00 8% below 20%
Prolactin blood test CPT 84146 Prolactinsend Out $130.00 $163.00 $158.00–$165.00 at median 20%
Prolactin blood test CPT 84146 Heavy Metalsend Out $192.00 $240.00 $233.00–$242.00 48% above 20%
Prothrombin time (PT/INR) clotting test CPT 85610 Blood test, clotting time $33.00 $41.00 $40.00–$41.00 16% above 20%
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 Pdturine Drug Screen $36.00 $45.00 $44.00–$45.00 44% below 20%
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 Drugs Of Abuse Screen Urine $58.00 $73.00 $71.00–$74.00 10% below 21%
Rapid flu test (influenza antigen) CPT 87804 Zzzinfluenza A/b Do Not Order $41.00 $51.00 $49.00–$52.00 25% below 20%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 Zzzrapid Strep Idno Longer Performed $38.00 $48.00 $47.00–$48.00 28% below 21%
Rheumatoid factor (RF) test CPT 86431 Rheumatoid Factor (Quant)sendout $47.00 $59.00 $57.00–$60.00 5% above 20%
Rubella antibody test (immunity check) CPT 86762 Rubella Screen (Bc) Send Out $70.00 $87.00 $84.00–$88.00 17% above 20%
Stool test for hidden blood (guaiac FOBT) CPT 82270 Occult Blood 1st Specimen $87.00 $109.00 $106.00–$110.00 228% above 20%
Stool test for hidden blood by immunoassay (FIT) CPT 82274 Occult Bld Single Specimen $19.00 $24.00 $23.00–$24.00 63% below 21%
Stool test for hidden blood by immunoassay (FIT) CPT 82274 Occult Blood Test-immunoassaysend Out $87.00 $109.00 $106.00–$110.00 71% above 20%
Stool test for hidden blood by immunoassay (FIT) CPT 82274 Occult Blood Fecal $87.00 $109.00 $106.00–$110.00 71% above 20%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 Rpr Send Out $34.00 $42.00 $41.00–$42.00 35% below 19%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 Tb Quantiferon Gold Plus $190.00 $237.00 $230.00–$239.00 93% above 20%
Testosterone blood test, total (not free testosterone) CPT 84403 Testosterone Totalsend Out $153.00 $191.00 $185.00–$193.00 7% above 20%
Thyroid peroxidase (TPO) antibody test CPT 86376 Thyroid Microsomal Ab/tpo Send Out $108.00 $135.00 $131.00–$136.00 19% above 20%
Thyroid peroxidase (TPO) antibody test CPT 86376 Liver/kidney Microsomal Ab Type 1 $108.00 $135.00 $131.00–$136.00 19% above 20%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 Blood test, thyroid stimulating hormone (TSH) $99.00 $124.00 $120.00–$125.00 26% above 20%
Trichomonas test (NAAT) CPT 87661 Trichomonas Vaginalis Cepheid $101.00 $126.00 $122.00–$127.00 56% above 20%
Trichomonas test (NAAT) CPT 87661 Bacterial Vaginalis Pcrcepheid $143.00 $179.00 $174.00–$181.00 121% above 20%
Uric acid blood test CPT 84550 Uric Acid $30.00 $38.00 $37.00–$38.00 22% below 21%
Urinalysis with microscope exam, automated CPT 81001 Urinalysis test using microscope $81.00 $101.00 $98.00–$102.00 53% above 20%
Urinalysis without microscope exam, automated CPT 81003 Urinalysis test $38.00 $47.00 $46.00–$47.00 17% above 19%
Urine culture for bacteria, with colony count CPT 87086 Organism Idsend Out $60.00 $75.00 $73.00–$76.00 15% below 20%
Urine culture for bacteria, with colony count CPT 87086 Urine Culture $60.00 $75.00 $73.00–$76.00 15% below 20%
Urine pregnancy test, read by color change CPT 81025 Pregnancy Testurine $27.00 $34.00 $33.00–$34.00 22% below 21%
Vitamin B12 (cobalamin) blood test CPT 82607 Pdtvitamin D $68.00 $85.00 $82.00–$86.00 23% below 20%
Vitamin B12 (cobalamin) blood test CPT 82607 Vitamin B12 $97.00 $121.00 $117.00–$122.00 10% above 20%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 Pdtvitamin B12 $32.00 $40.00 $39.00–$40.00 64% below 20%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 Vitamin D 25-hydroxy/calcifediol D $209.00 $261.00 $253.00–$264.00 137% above 20%
Zinc blood test CPT 84630 Zinc Levelsend Out $58.00 $73.00 $71.00–$74.00 29% below 21%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 Beta Hcg Quantitative, Serumsend Out $112.00 $140.00 $136.00–$141.00 at median 20%

Surgery and procedures

ProcedureCash price List priceInsurers payvs MontanaOff list
Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 Tx Closd Fx Lat Malleolus W/o Mani $609.00 $761.00 $738.00–$769.00 30% above 20%
Broken foot (metatarsal) treatment without surgery or setting CPT 28470 Tx Closed Metatarsal Fx--w/o Manip $517.00 $646.00 $627.00–$652.00 42% above 20%
Cardioversion, elective (restoring heart rhythm) CPT 92960 Cardioversion $230.00 $288.00 $279.00–$291.00 44% below 20%
Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 Tx Closd Fx Dist Radius/ulna W/o M $575.00 $719.00 $697.00–$726.00 31% above 20%
Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 Prevnar-20 0.5ml $315.00 $394.00 $382.00–$398.00 36% below 20%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 Dest Lesion $122.00 $153.00 $148.00–$155.00 26% below 20%
Earwax removal by irrigation (rinsing), one ear CPT 69209 Ear Lavage $41.00 $51.00 $49.00–$52.00 31% above 20%
Earwax removal with instruments, one ear CPT 69210 Rem Impacted Cerumen 1 Or 2 Ears $78.00 $97.00 $94.00–$98.00 3% above 20%
Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 Biopsy Endometrial $190.00 $238.00 $231.00–$240.00 11% below 20%
Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 Sigmoidoscopy $219.00 $274.00 $266.00–$277.00 22% below 20%
Hemorrhoid banding (rubber band ligation) CPT 46221 Hemorrhoidectomyligation $323.00 $404.00 $392.00–$408.00 37% below 20%
IUD insertion (the device itself billed separately) CPT 58300 Insertion Of Intrauterine Device (Iud) $198.00 $248.00 $241.00–$250.00 1% above 20%
Incision and drainage of a simple or single skin abscess CPT 10060 I&d Abscess Simple Or Single $186.00 $233.00 $226.00–$235.00 11% below 20%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 Inj Tendon Sheath/ligament $130.00 $163.00 $158.00–$165.00 37% below 20%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 Inj/aspir Major Jointajor Joint $155.00 $194.00 $188.00–$196.00 45% below 20%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 Inj/aspit I-med Joint/bursa $130.00 $162.00 $157.00–$164.00 24% below 20%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 Inj/aspir Sm Joint Finger/toe $125.00 $156.00 $151.00–$158.00 3% above 20%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 Rep I-med Sc/ax/trnk/ex <2.5cm $3,200.00 $4,000.00 $3,880.00–$4,040.00 783% above 20%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 Exc B9 Les Trnk/arm/leg <=0.5cm $186.00 $233.00 $226.00–$235.00 18% below 20%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 Exc B9 Les Face <=0.5cm $201.00 $251.00 $243.00–$254.00 47% below 20%
Nail removal (partial or complete), one nail CPT 11730 Avulsion Of Nail Plate Single $149.00 $186.00 $180.00–$188.00 at median 20%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 Exc Nail And Nail Matrix $803.00 $1,004.00 $974.00–$1,014.00 117% above 20%
Removal of a breast lump, open surgery CPT 19120 Removal of one or more breast growth, open procedure $838.00 $1,047.00 $1,016.00–$1,057.00 25% below 20%
Removal of a foreign object under the skin, simple CPT 10120 Rem/inc Fb Sub Q Tissue Simple $230.00 $288.00 $279.00–$291.00 5% below 20%
Short arm cast (elbow to hand) CPT 29075 Apply Cast Forearm $151.00 $189.00 $183.00–$191.00 14% below 20%
Short arm splint (forearm and hand) CPT 29125 Apply Splint Short Arm $110.00 $137.00 $133.00–$138.00 6% below 20%
Short leg cast (below the knee) CPT 29405 Apply Cast Short Leg $153.00 $191.00 $185.00–$193.00 9% below 20%
Short leg splint (calf to foot) CPT 29515 Apply Splint Short Leg $106.00 $132.00 $128.00–$133.00 23% below 20%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 Rep Simple Not Face 0-2.5cm $701.00 $876.00 $850.00–$885.00 192% above 20%
Skin biopsy, punch, one lesion CPT 11104 Punch Biopsy Of Skin-sngl Lesion $521.00 $651.00 $631.00–$658.00 77% above 20%
Skin cancer removal (excision), body, arms or legs, up to 0.5 cm CPT 11600 Exc Mal Les Trnk/arm/leg <=0.5cm $289.00 $361.00 $350.00–$365.00 19% below 20%
Skin tag removal, up to 15 tags CPT 11200 Rem Skin Tags <=15 $131.00 $164.00 $159.00–$166.00 4% below 20%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 Rep Simple Not Face 2.6-7.5cm $919.00 $1,149.00 $1,115.00–$1,160.00 289% above 20%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 Rep Simple Face 0-2.5cm $911.00 $1,139.00 $1,105.00–$1,150.00 216% above 20%
Tangential (shave-style) skin biopsy, one lesion CPT 11102 Tangenital Biopsy Of Skin-sngl Lesion $147.00 $184.00 $178.00–$186.00 15% below 20%
Trigger point injections, 1 or 2 muscles CPT 20552 Inj Trigger Point Muscle $132.00 $165.00 $160.00–$167.00 1% above 20%
Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 Egd With Dilation $451.00 $564.00 $547.00–$570.00 23% below 20%
Upper endoscopy (EGD) with biopsy CPT 43239 Biopsy exam of esophagus, stomach or small bowel using an endoscope $945.00 $1,181.00 $1,146.00–$1,193.00 42% above 20%
Upper endoscopy (EGD), diagnostic CPT 43235 Diagnostic exam of esophagus, stomach or small bowel using an endoscope $390.00 $488.00 $473.00–$493.00 28% below 20%
Wart removal, up to 14 warts CPT 17110 Dest Wart <=14 $166.00 $207.00 $201.00–$209.00 23% below 20%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 Deb Skin/sub Q 20 Sq Cm Or Less $171.00 $214.00 $208.00–$216.00 at median 20%

Doctor visits and therapy

ProcedureCash price List priceInsurers payvs MontanaOff list
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Inhalation Treatment $42.00 $53.00 $51.00–$54.00 58% below 21%
Critical care, first 30 to 74 minutes CPT 99291 Critical Care 1hr-physycian Fee $840.00 $1,050.00 $201.00–$1,040.00 39% above 20%
Critical care, first 30 to 74 minutes CPT 99291 Critical Care First Hour $840.00 $1,050.00 $1,019.00–$1,061.00 39% above 20%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 Ekg Without Interpretation $146.00 $182.00 $177.00–$184.00 1% below 20%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 Er 1-physician Fee $157.00 $196.00 $11.00–$194.00 35% above 20%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 Emerg Room 1-minor $157.00 $196.00 $190.00–$198.00 35% above 20%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 Er 2-physician Fee $210.00 $263.00 $41.00–$260.00 27% above 20%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 Emerg Room 2 Moderate $210.00 $263.00 $255.00–$266.00 27% above 20%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 Er 3-physician Fee $115.00 $144.00 $70.00–$143.00 46% below 20%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 Emerg Room 3 Intermediate $318.00 $398.00 $386.00–$402.00 50% above 20%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 Er 4-physician Fee $194.00 $242.00 $119.00–$240.00 51% below 20%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 Emerg Room 4 Extended $482.00 $603.00 $585.00–$609.00 22% above 20%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 Er 5-physician Fee $282.00 $352.00 $173.00–$348.00 47% below 20%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 Emerg Room 5 Complex $699.00 $874.00 $848.00–$883.00 31% above 20%
Family therapy with the patient, 50 minutes CPT 90847 Family psychotherapy, including patient, 50 min $126.00 $158.00 $153.00–$160.00 21% below 20%
Family therapy without the patient, 50 minutes CPT 90846 Family psychotherapy, not including patient, 50 min $118.00 $147.00 $143.00–$148.00 30% below 20%
Group psychotherapy session CPT 90853 Group psychotherapy $34.00 $42.00 $41.00–$42.00 63% below 19%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 Iv Infusn Hydration; Initial 31 To 60min $139.00 $174.00 $169.00–$176.00 40% below 20%
IV infusion of a medicine, first hour CPT 96365 Iv Infusnthrpy, Prphylxs, Dx Intl Hr $212.00 $265.00 $257.00–$268.00 26% below 20%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 Injection For Tx Or Dx $45.00 $56.00 $54.00–$57.00 28% below 20%
Mental health diagnostic evaluation (intake), without medical services CPT 90791 Psych Diagnostic Evaluation $218.00 $273.00 $265.00–$276.00 8% below 20%
Neuromuscular re-education, 15 minutes CPT 97112 Pt Neurologic Re-education $64.00 $80.00 $78.00–$81.00 14% below 20%
Neuromuscular re-education, 15 minutes CPT 97112 Otneuromuscular Re-education $64.00 $80.00 $78.00–$81.00 14% below 20%
New patient office visit, about 30 minutes CPT 99203 New patient office or other outpatient visit, 30 min $190.00 $237.00 $230.00–$239.00 4% above 20%
New patient office visit, about 45 minutes CPT 99204 New patient office or other outpatient visit, 45 min $214.00 $268.00 $260.00–$271.00 25% below 20%
New patient office visit, about 60 minutes CPT 99205 New patient office or other outpatient visit, 60 min $294.00 $368.00 $357.00–$372.00 15% below 20%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 Rotc Physical $160.00 $200.00 $194.00–$202.00 6% above 20%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 New Patient Level 2 $160.00 $200.00 $194.00–$202.00 6% above 20%
Occupational therapy evaluation, low complexity CPT 97165 Otevaluation Low Complexity $126.00 $158.00 $153.00–$160.00 31% below 20%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 Pt Evaluation High Complexity $140.00 $175.00 $170.00–$177.00 26% below 20%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 Pt Evaluation Low Complexity $120.00 $150.00 $146.00–$152.00 30% below 20%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 Pt Evaluation Moderate Complexity $142.00 $177.00 $172.00–$179.00 23% below 20%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 Otmanual Therapy Techniques $63.00 $79.00 $77.00–$80.00 12% below 20%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 Pt Manual Therapy $63.00 $79.00 $77.00–$80.00 12% below 20%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Physical therapy, therapeutic exercise $84.00 $105.00 $102.00–$106.00 6% above 20%
Preventive checkup, new patient aged 18–39 CPT 99385 Initial new patient preventative medicine evaluation (18-39 years) $222.00 $277.00 $269.00–$280.00 18% above 20%
Preventive checkup, new patient aged 40–64 CPT 99386 Initial new patient preventative medicine evaluation (40-64 years) $264.00 $330.00 $320.00–$333.00 16% above 20%
Preventive checkup, new patient aged 65 or older CPT 99387 Well Exam New Pt-7 (>/=65yr) $293.00 $366.00 $355.00–$370.00 16% above 20%
Preventive checkup, returning patient aged 18–39 CPT 99395 Well Exam Est Pt (18-39yr) $204.00 $255.00 $247.00–$258.00 25% above 20%
Preventive checkup, returning patient aged 40–64 CPT 99396 Well Exam Est Pt (40-64yr) $218.00 $273.00 $265.00–$276.00 36% above 20%
Preventive checkup, returning patient aged 65 or older CPT 99397 Well Exam Est Pt (>/=65yr) $243.00 $304.00 $295.00–$307.00 39% above 20%
Psychiatric evaluation with medical services CPT 90792 Psych Diag Eval W/med Srvcs $244.00 $305.00 $296.00–$308.00 20% below 20%
Psychotherapy for crisis, first 60 minutes CPT 90839 Psytx Crisis Initial 60 Min $177.00 $221.00 $214.00–$223.00 12% below 20%
Psychotherapy session, 30 minutes CPT 90832 Psychotherapy, 30 min $93.00 $116.00 $113.00–$117.00 22% below 20%
Psychotherapy session, 45 minutes CPT 90834 Psychotherapy, 45 min $126.00 $158.00 $153.00–$160.00 15% below 20%
Psychotherapy session, 60 minutes CPT 90837 Psychotherapy, 60 min $185.00 $231.00 $224.00–$233.00 2% below 20%
Quit-smoking counseling, 3 to 10 minutes CPT 99406 Smoking/tobacco Counceling 3-10 Min $37.00 $46.00 $45.00–$46.00 23% above 20%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 Est Patient Level 5 $232.00 $290.00 $281.00–$293.00 9% below 20%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 Lab One Insurance Physical $126.00 $158.00 $153.00–$160.00 6% below 20%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 Dot/insurance Physical $160.00 $200.00 $194.00–$202.00 19% above 20%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 Est Patient Level 3 $160.00 $200.00 $194.00–$202.00 19% above 20%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 Work Related Physical Exam $160.00 $200.00 $194.00–$202.00 19% above 20%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 Fire Fighter / Police Physical $160.00 $200.00 $194.00–$202.00 19% above 20%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 Est Patient Level 4 $154.00 $192.00 $186.00–$194.00 24% below 20%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 Est Patient Level 2 $94.00 $117.00 $113.00–$118.00 9% above 20%
Speech and language evaluation CPT 92523 St Eval Of Speech Sound And Lng Comp $294.00 $368.00 $357.00–$372.00 7% below 20%
Speech therapy session, individual CPT 92507 St Treatment Of Speech & Language $126.00 $158.00 $153.00–$160.00 26% below 20%
Spirometry (breathing test) CPT 94010 Spirometry $84.00 $105.00 $102.00–$106.00 45% below 20%
Therapeutic activities (functional training), 15 minutes CPT 97530 Pt Therapeutic Activity $63.00 $79.00 $77.00–$80.00 22% below 20%
Therapeutic activities (functional training), 15 minutes CPT 97530 Otdynamic Therapeutic Activities $63.00 $79.00 $77.00–$80.00 22% below 20%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 Phlebotomy (Therapeutic) $213.00 $266.00 $258.00–$269.00 23% above 20%

Vaccines

ProcedureCash price List priceInsurers payvs MontanaOff list
Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older CPT 90653 Fluad Adults 65 And Older $40.00 $50.00 $49.00–$51.00 25% below 20%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Flu Vaccine Administration $6.00 $8.00 $8.00 87% below 25%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Hydrocortisone 10mg Tablet $43.00 $54.00 $52.00–$55.00 6% below 20%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Pneu Vac Admin $50.00 $63.00 $61.00–$64.00 10% above 21%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Immunization Admin (1 Vaccine) $50.00 $63.00 $61.00–$64.00 10% above 21%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 Sodium Chloride 1gm Tab $4.00 $5.00 $5.00 87% below 20%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 Senna 8.6mg Tab $4.00 $5.00 $5.00 87% below 20%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 Dexamethasone 4mg Tab $5.00 $6.00 $6.00 84% below 17%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 Immunization Admin (Each Add) $28.00 $35.00 $34.00–$35.00 10% below 20%

Source file: https://secure.claraprice.net/price-transparency/ZVEI-1742918921118/machine-readable/810291695_big-sandy-medical-center_standardcharges.json