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
| Procedure | Cash price | List price | Insurers pay | vs Montana | Off 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
| Procedure | Cash price | List price | Insurers pay | vs Montana | Off 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
| Procedure | Cash price | List price | Insurers pay | vs Montana | Off 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
| Procedure | Cash price | List price | Insurers pay | vs Montana | Off 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
| Procedure | Cash price | List price | Insurers pay | vs Montana | Off 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% |