Sheridan Memorial Hospital Association
Sheridan Memorial Hospital Association in Plentywood, MT publishes cash prices for 202 common procedures listed here, from its own machine-readable price file updated Sep 8, 2026. Compared with other hospitals in the state, its outpatient cash prices are above the Montana median for 179 of 202 procedures and below it for 19. By typical cash price it ranks #14 of 14 Montana hospitals, cheapest first. Click a procedure to compare it with other hospitals nearby.
440 W Laurel Ave Plentywood MT 59254 Collected Sep 27, 2026 Source price file (406) 765-3700
Critical access hospital (rural, 25 beds or fewer) Emergency department CCN 271322 · 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 CPT 73610 X-ray of ankle, minimum of 3 views | $432.90 | $481.00 | $432.90–$466.57 | 112% above | 10% |
| Barium swallow (esophagus X-ray with contrast) CPT 74220 Single contrast X-ray of esophagus | $717.30 | $797.00 | $717.30–$773.09 | 97% above | 10% |
| Breast ultrasound, complete, one breast CPT 76641 Complete ultrasound scan of 1 breast | $204.30 | $227.00 | $204.30–$220.19 | 35% below | 10% |
| Breast ultrasound, limited (one breast or one area) CPT 76642 Limited ultrasound scan of 1 breast | $589.50 | $655.00 | $589.50–$635.35 | 125% above | 10% |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CT scan of blood vessels of chest with contrast | $3,786.30 | $4,207.00 | $3,786.30–$4,080.79 | 64% above | 10% |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT scan of abdomen and pelvis without contrast | $3,155.40 | $3,506.00 | $3,155.40–$3,400.82 | 32% above | 10% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT scan of abdomen and pelvis with contrast | $4,186.80 | $4,652.00 | $4,186.80–$4,512.44 | 41% above | 10% |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT scan of abdomen and pelvis before and after contrast | $5,763.60 | $6,404.00 | $5,763.60–$6,211.88 | 72% above | 10% |
| CT scan of the abdomen with contrast CPT 74160 CT scan of abdomen with contrast | $2,939.40 | $3,266.00 | $2,939.40–$3,168.02 | 63% above | 10% |
| CT scan of the abdomen without contrast CPT 74150 CT scan of abdomen without contrast | $2,354.40 | $2,616.00 | $2,354.40–$2,537.52 | 51% above | 10% |
| CT scan of the face and sinuses, no contrast dye CPT 70486 CT scan of face without contrast | $1,908.00 | $2,120.00 | $1,908.00–$2,056.40 | 54% above | 10% |
| CT scan of the head or brain, no contrast dye CPT 70450 CT scan head or brain without contrast | $2,127.60 | $2,364.00 | $2,127.60–$2,293.08 | 46% above | 10% |
| CT scan of the head with contrast CPT 70460 CT scan head or brain with contrast | $2,102.40 | $2,336.00 | $2,102.40–$2,265.92 | 30% above | 10% |
| CT scan of the head without and with contrast CPT 70470 CT scan of head or brain before and after contrast | $3,127.50 | $3,475.00 | $3,127.50–$3,370.75 | 49% above | 10% |
| CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT scan of lower spine without contrast | $2,429.10 | $2,699.00 | $2,429.10–$2,618.03 | 54% above | 10% |
| CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT scan of upper spine without contrast | $2,430.90 | $2,701.00 | $2,430.90–$2,619.97 | 62% above | 10% |
| CT scan of the pelvis, with contrast dye CPT 72193 CT scan of pelvis with contrast | $2,275.20 | $2,528.00 | $2,275.20–$2,452.16 | 22% above | 10% |
| Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 Ultrasound of both sides of head and neck blood flow | $1,673.10 | $1,859.00 | $1,673.10–$1,803.23 | 51% above | 10% |
| Chest X-ray, 2 views CPT 71046 X-ray of chest, 2 views | $66.60 | $74.00 | $66.60–$71.78 | 70% below | 10% |
| Chest X-ray, single view CPT 71045 X-ray of chest, 1 view | $312.30 | $347.00 | $312.30–$336.59 | 70% above | 10% |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 Complete ultrasound scan behind abdominal cavity | $332.10 | $369.00 | $332.10–$357.93 | 31% below | 10% |
| DEXA bone density scan of the hip, pelvis or spine CPT 77080 DXA bone density measurement of hip, pelvis, spine | $844.20 | $938.00 | $844.20–$909.86 | 152% above | 10% |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT scan of chest without contrast | $2,214.90 | $2,461.00 | $2,214.90–$2,387.17 | 50% above | 10% |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT scan of chest with contrast | $2,917.80 | $3,242.00 | $2,917.80–$3,144.74 | 56% above | 10% |
| Diagnostic mammogram, both breasts CPT 77066 Diagnostic mammography of both breasts | $458.10 | $509.00 | $458.10–$493.73 | 43% above | 10% |
| Diagnostic mammogram, one breast CPT 77065 Diagnostic mammography of 1 breast | $324.90 | $361.00 | $324.90–$350.17 | 31% above | 10% |
| Duplex ultrasound of the leg arteries, both legs CPT 93925 Ultrasound of leg arteries or artery grafts | $2,655.00 | $2,950.00 | $2,655.00–$2,861.50 | 164% above | 10% |
| Duplex ultrasound of the leg veins, both legs CPT 93970 Ultrasound study of arm or leg veins with compression and maneuvers | $1,519.20 | $1,688.00 | $1,519.20–$1,637.36 | 39% above | 10% |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function | $2,752.20 | $3,058.00 | $2,752.20–$2,966.26 | 93% above | 10% |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 Sleep study in sleep lab with continuous airway pressure (6 years or older) | $4,838.40 | $5,376.00 | $4,838.40–$5,214.72 | 101% above | 10% |
| Knee X-ray, 3 views CPT 73562 X-ray of knee, 3 views | $177.30 | $197.00 | $177.30–$191.09 | 7% below | 10% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 Limited ultrasound scan of abdomen | $987.30 | $1,097.00 | $987.30–$1,064.09 | 154% above | 10% |
| Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 Low dose CT scan of chest for lung cancer screening | $455.40 | $506.00 | $455.40–$490.82 | at median | 10% |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MRI scan of leg joint without contrast | $3,188.70 | $3,543.00 | $3,188.70–$3,436.71 | 76% above | 10% |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 MRI scan of leg joint before and after contrast | $4,662.00 | $5,180.00 | $4,662.00–$5,024.60 | 59% above | 10% |
| MRI of the abdomen, without and then with contrast dye CPT 74183 MRI scan of abdomen before and after contrast | $5,557.50 | $6,175.00 | $5,557.50–$5,989.75 | 74% above | 10% |
| MRI of the brain, no contrast dye CPT 70551 MRI scan of brain without contrast | $4,188.60 | $4,654.00 | $4,188.60–$4,514.38 | 112% above | 10% |
| MRI of the brain, with and without contrast dye CPT 70553 MRI scan of brain before and after contrast | $3,396.60 | $3,774.00 | $3,396.60–$3,660.78 | 4% above | 10% |
| MRI of the lower back, no contrast dye CPT 72148 MRI scan of lower spinal canal without contrast | $4,172.40 | $4,636.00 | $4,172.40–$4,496.92 | 105% above | 10% |
| MRI of the lower back, without and then with contrast dye CPT 72158 MRI scan of lower spinal canal before and after contrast | $6,105.60 | $6,784.00 | $6,105.60–$6,580.48 | 107% above | 10% |
| MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI scan of middle spinal canal without contrast | $4,348.80 | $4,832.00 | $4,348.80–$4,687.04 | 114% above | 10% |
| MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI scan of upper spinal canal before and after contrast | $5,826.60 | $6,474.00 | $5,826.60–$6,279.78 | 101% above | 10% |
| MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI scan of upper spinal canal without contrast | $4,006.80 | $4,452.00 | $4,006.80–$4,318.44 | 101% above | 10% |
| MRI of the pelvis without and with contrast CPT 72197 MRI scan of pelvis before and after contrast | $2,776.50 | $3,085.00 | $2,776.50–$2,992.45 | 10% below | 10% |
| MRI of the pelvis, no contrast dye CPT 72195 MRI scan of pelvis without contrast | $3,038.40 | $3,376.00 | $3,038.40–$3,274.72 | 34% above | 10% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 MRI scan of arm joint without contrast | $3,247.20 | $3,608.00 | $3,247.20–$3,499.76 | 68% above | 10% |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 Limited ultrasound scan of pelvis | $681.30 | $757.00 | $681.30–$734.29 | 115% above | 10% |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 Complete ultrasound scan of pelvis | $803.70 | $893.00 | $803.70–$866.21 | 67% above | 10% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 Ultrasound scan of pregnant uterus (14 weeks or more), single or first fetus | $768.60 | $854.00 | $768.60–$828.38 | 29% above | 10% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 Ultrasound scan of pregnant uterus (less than 14 weeks), single or first fetus | $716.40 | $796.00 | $716.40–$772.12 | 34% above | 10% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 Limited ultrasound of pregnant uterus | $494.10 | $549.00 | $494.10–$532.53 | 41% above | 10% |
| Screening mammogram, both breasts CPT 77067 Screening mammography | $375.30 | $417.00 | $375.30–$404.49 | 34% above | 10% |
| Shoulder X-ray, complete, 2 or more views CPT 73030 X-ray of shoulder, minimum of 2 views | $411.30 | $457.00 | $411.30–$443.29 | 82% above | 10% |
| Sleep study in a lab (polysomnography) CPT 95810 Sleep study in sleep lab (6 years or older) | $4,480.20 | $4,978.00 | $4,480.20–$4,828.66 | 100% above | 10% |
| Swallow study (modified barium swallow, video X-ray) CPT 74230 Imaging for evaluation of swallowing function | $828.90 | $921.00 | $828.90–$893.37 | 92% above | 10% |
| Transvaginal pelvic ultrasound CPT 76830 Ultrasound scan of uterus, ovaries, tubes, cervix and pelvic area through vagina | $672.30 | $747.00 | $672.30–$724.59 | 54% above | 10% |
| Transvaginal ultrasound during pregnancy CPT 76817 Vaginal ultrasound of pregnant uterus | $647.10 | $719.00 | $647.10–$697.43 | 54% above | 10% |
| Ultrasound of the abdomen, complete CPT 76700 Complete ultrasound scan of abdomen | $963.00 | $1,070.00 | $963.00–$1,037.90 | 82% above | 10% |
| Ultrasound of the scrotum and testicles CPT 76870 Ultrasound scan of scrotum | $813.60 | $904.00 | $813.60–$876.88 | 73% above | 10% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 Ultrasound scan of head and neck soft tissue | $1,191.60 | $1,324.00 | $1,191.60–$1,284.28 | 175% above | 10% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 Ultrasound study of one arm or leg veins with compression and maneuvers | $1,472.40 | $1,636.00 | $1,472.40–$1,586.92 | 108% above | 10% |
| Wrist X-ray, complete, 3 or more views CPT 73110 X-ray of wrist, minimum of 3 views | $374.40 | $416.00 | $374.40–$403.52 | 66% above | 10% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 X-ray of hip, 2-3 views | $459.90 | $511.00 | $459.90–$495.67 | 140% above | 10% |
| X-ray of the abdomen, 1 view CPT 74018 X-ray of abdomen, 1 view | $391.50 | $435.00 | $391.50–$421.95 | 118% above | 10% |
| X-ray of the ankle, 2 views CPT 73600 X-ray of ankle, 2 views | $282.60 | $314.00 | $282.60–$304.58 | 58% above | 10% |
| X-ray of the finger(s), 2 or more views CPT 73140 X-ray of finger, minimum of 2 views | $328.50 | $365.00 | $328.50–$354.05 | 85% above | 10% |
| X-ray of the foot, 2 views CPT 73620 X-ray of foot, 2 views | $317.70 | $353.00 | $317.70–$342.41 | 99% above | 10% |
| X-ray of the foot, complete, 3 or more views CPT 73630 X-ray of foot, minimum of 3 views | $405.00 | $450.00 | $405.00–$436.50 | 113% above | 10% |
| X-ray of the hand, 3 or more views CPT 73130 X-ray of hand, minimum of 3 views | $405.90 | $451.00 | $405.90–$437.47 | 81% above | 10% |
| X-ray of the knee, 1 or 2 views CPT 73560 X-ray of knee, 1-2 views | $152.10 | $169.00 | $152.10–$163.93 | 14% below | 10% |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 X-ray of lower and sacral spine, 2-3 views | $481.50 | $535.00 | $481.50–$518.95 | 85% above | 10% |
| X-ray of the lower back, 4 or more views CPT 72110 X-ray of lower and sacral spine, minimum of 4 views | $735.30 | $817.00 | $735.30–$792.49 | 133% above | 10% |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 X-ray of middle spine, 2 views | $481.50 | $535.00 | $481.50–$518.95 | 97% above | 10% |
| X-ray of the nasal bones, 3 or more views CPT 70160 X-ray of nose bones, minimum of 3 views | $290.70 | $323.00 | $290.70–$313.31 | 31% above | 10% |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 X-ray of upper spine, 2-3 views | $373.50 | $415.00 | $373.50–$402.55 | 53% above | 10% |
| X-ray of the pelvis, 1 or 2 views CPT 72170 X-ray of pelvis, 1-2 views | $403.20 | $448.00 | $403.20–$434.56 | 81% above | 10% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 X-ray of sacrum and tailbone, minimum of 2 views | $426.60 | $474.00 | $426.60–$459.78 | 70% above | 10% |
Lab tests
| Procedure | Cash price | List price | Insurers pay | vs Montana | Off list |
|---|---|---|---|---|---|
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 Liver enzyme (SGPT), level | $72.90 | $81.00 | $72.90–$78.57 | 102% above | 10% |
| AST (aspartate aminotransferase) enzyme test CPT 84450 Liver enzyme (SGOT), level | $101.70 | $113.00 | $101.70–$109.61 | 131% above | 10% |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 Acute hepatitis panel | $444.60 | $494.00 | $444.60–$479.18 | 125% above | 10% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Measurement of antibody (IgE) to allergic substance, crude allergen extract, each | $71.10 | $79.00 | $71.10–$76.63 | 117% above | 10% |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 Measurement of antibody for rheumatoid arthritis assessment | $175.50 | $195.00 | $175.50–$189.15 | 93% above | 10% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 Screening test for autoimmune disorder | $163.80 | $182.00 | $163.80–$176.54 | 141% above | 10% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 Natriuretic peptide (heart and blood vessel protein) level | $346.50 | $385.00 | $346.50–$373.45 | 99% above | 10% |
| Basic metabolic panel (blood test) CPT 80048 Blood test, basic group of blood chemicals (Calcium, total) | $196.20 | $218.00 | $196.20–$211.46 | 129% above | 10% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 Pathology examination of tissue using a microscope, intermediate complexity | $316.80 | $352.00 | $316.80–$341.44 | 50% above | 10% |
| Blood culture for bacteria CPT 87040 Bacterial blood culture | $406.80 | $452.00 | $406.80–$438.44 | 150% above | 10% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 Insertion of needle into vein for collection of blood sample | $36.90 | $41.00 | $36.90–$39.77 | 74% above | 10% |
| Blood glucose (sugar) test CPT 82947 Blood glucose (sugar) level | $62.10 | $69.00 | $62.10–$66.93 | 79% above | 10% |
| Blood lead test CPT 83655 Lead level | $149.40 | $166.00 | $149.40–$161.02 | 194% above | 10% |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 Gonadotropin (reproductive hormone) analysis | $144.90 | $161.00 | $144.90–$156.17 | 197% above | 10% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 Blood group typing (ABO) | $106.20 | $118.00 | $106.20–$114.46 | at median | 10% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 Measurement C-reactive protein for detection of infection or inflammation | $180.90 | $201.00 | $180.90–$194.97 | 283% above | 10% |
| C. difficile toxin gene test (stool PCR) CPT 87493 Detection test by nucleic acid for clostridium difficile, amplified probe technique | $306.90 | $341.00 | $306.90–$330.77 | 79% above | 10% |
| CA 19-9 blood test (tumor marker) CPT 86301 Immunologic analysis for detection of tumor antigen, quantitative; CA 19-9 | $306.90 | $341.00 | $306.90–$330.77 | 149% above | 10% |
| CA-125 blood test (ovarian cancer marker) CPT 86304 Immunologic analysis for detection of tumor antigen, quantitative; CA 125 | $217.80 | $242.00 | $217.80–$234.74 | 78% above | 10% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 Amplifed DNA or RNA probe detection of severe acute respiratory syndrome coronavirus 2 (Covid-19) antigen | $166.50 | $185.00 | $166.50–$179.45 | 26% above | 10% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Detection test by nucleic acid for chlamydia trachomatis, amplified probe technique | $44.10 | $49.00 | $44.10–$47.53 | 43% below | 10% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Blood test, lipids (cholesterol and triglycerides) | $148.50 | $165.00 | $148.50–$160.05 | 98% above | 10% |
| Complete blood count (CBC) with differential CPT 85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | $58.50 | $65.00 | $58.50–$63.05 | 8% above | 10% |
| Complete blood count (CBC), no differential CPT 85027 Complete blood cell count (red cells, white blood cell, platelets), automated test | $50.40 | $56.00 | $50.40–$54.32 | 5% above | 10% |
| Comprehensive metabolic panel (blood test) CPT 80053 Blood test, comprehensive group of blood chemicals | $170.10 | $189.00 | $170.10–$183.33 | 65% above | 10% |
| D-dimer blood test (blood clot marker) CPT 85379 Coagulation function measurement, D-dimer; quantitative | $237.60 | $264.00 | $237.60–$256.08 | 128% above | 10% |
| DHEA sulfate (DHEA-S) blood test CPT 82627 Dehydroepiandrosterone (DHEA-S) hormone level | $210.60 | $234.00 | $210.60–$226.98 | 66% above | 10% |
| Estradiol blood test CPT 82670 Measurement of total estradiol (hormone) | $231.30 | $257.00 | $231.30–$249.29 | 72% above | 10% |
| FSH (follicle-stimulating hormone) test CPT 83001 Gonadotropin, follicle stimulating (reproductive hormone) level | $189.90 | $211.00 | $189.90–$204.67 | 51% above | 10% |
| Fecal calprotectin (stool inflammation test) CPT 83993 Stool calprotectin (protein) level | $282.60 | $314.00 | $282.60–$304.58 | 4% below | 10% |
| Ferritin blood test (iron stores) CPT 82728 Ferritin (blood protein) level | $178.20 | $198.00 | $178.20–$192.06 | 92% above | 10% |
| Folate (folic acid) blood test CPT 82746 Folic acid level, serum | $230.40 | $256.00 | $230.40–$248.32 | 147% above | 10% |
| Free T3 thyroid hormone test CPT 84481 Thyroid hormone, T3 measurement, free | $228.60 | $254.00 | $228.60–$246.38 | 86% above | 10% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 Thyroxine (thyroid chemical), free | $149.40 | $166.00 | $149.40–$161.02 | 146% above | 10% |
| Free testosterone test CPT 84402 Testosterone (hormone) level, free | $237.60 | $264.00 | $237.60–$256.08 | 70% above | 10% |
| General health panel: metabolic panel, blood count and TSH in one order CPT 80050 General health panel | $348.30 | $387.00 | $348.30–$375.39 | 26% above | 10% |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 Blood glucose (sugar) level after receiving dose of glucose | $108.00 | $120.00 | $108.00–$116.40 | 74% above | 10% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 Detection test by nucleic acid for Neisseria gonorrhoeae (gonorrhoeae bacteria), amplified probe technique | $44.10 | $49.00 | $44.10–$47.53 | 44% below | 10% |
| H. pylori antibody blood test CPT 86677 Analysis for antibody to Helicobacter pylori (gastrointestinal bacteria) | $291.60 | $324.00 | $291.60–$314.28 | 172% above | 10% |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 Detection test by nucleic acid for HIV-1 virus, quantification | $138.60 | $154.00 | $138.60–$149.38 | 47% below | 10% |
| HIV-1 and HIV-2 antibody test CPT 86703 Analysis for antibody to HIV-1 and HIV-2 virus | $186.30 | $207.00 | $186.30–$200.79 | 127% above | 10% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 Detection test by immunoassay technique for HIV-1 antigen and HIV-1 and HIV-2 antibodies | $90.90 | $101.00 | $90.90–$97.97 | at median | 10% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Hemoglobin A1C level | $171.00 | $190.00 | $171.00–$184.30 | 203% above | 10% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 Hepatitis B surface antibody measurement | $113.40 | $126.00 | $113.40–$122.22 | 51% above | 10% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 Detection test by immunoassay technique for hepatitis B surface antigen | $116.10 | $129.00 | $116.10–$125.13 | 87% above | 10% |
| Hepatitis C antibody blood test (screening) CPT 86803 Hepatitis C antibody measurement | $194.40 | $216.00 | $194.40–$209.52 | 68% above | 10% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 Detection test by nucleic acid for Hepatitis C virus, quantification | $738.00 | $820.00 | $738.00–$795.40 | 45% above | 10% |
| Herpes blood test, HSV-1 antibody CPT 86695 Analysis for antibody to Herpes simplex virus, type 1 | $157.50 | $175.00 | $157.50–$169.75 | 107% above | 10% |
| Herpes blood test, HSV-2 antibody CPT 86696 Analysis for antibody to Herpes simplex virus, type 2 | $157.50 | $175.00 | $157.50–$169.75 | 56% above | 10% |
| High-sensitivity CRP (hs-CRP) test CPT 86141 Measurement C-reactive protein for detection of infection or inflammation, high sensitivity | $103.50 | $115.00 | $103.50–$111.55 | 49% above | 10% |
| Homocysteine blood test CPT 83090 Homocysteine (amino acid) level | $207.90 | $231.00 | $207.90–$224.07 | 80% above | 10% |
| Insulin blood test CPT 83525 Insulin measurement, total | $189.00 | $210.00 | $189.00–$203.70 | 91% above | 10% |
| Iron blood test (serum iron) CPT 83540 Iron level | $53.10 | $59.00 | $53.10–$57.23 | 40% above | 10% |
| Iron-binding capacity (TIBC) test CPT 83550 Iron binding capacity | $72.00 | $80.00 | $72.00–$77.60 | 58% above | 10% |
| Kidney function blood test panel CPT 80069 Kidney function blood test panel | $244.80 | $272.00 | $244.80–$263.84 | 136% above | 10% |
| LH (luteinizing hormone) test CPT 83002 Gonadotropin, luteinizing (reproductive hormone) level | $189.90 | $211.00 | $189.90–$204.67 | 63% above | 10% |
| Lipase blood test (pancreas enzyme) CPT 83690 Lipase (fat enzyme) level | $77.40 | $86.00 | $77.40–$83.42 | 27% above | 10% |
| Liver function blood test panel CPT 80076 Liver function blood test panel | $212.40 | $236.00 | $212.40–$228.92 | 177% above | 10% |
| Lyme disease antibody test CPT 86618 Analysis for antibody Borrelia burgdorferi (Lyme disease bacteria) | $171.00 | $190.00 | $171.00–$184.30 | 38% above | 10% |
| Magnesium blood test CPT 83735 Magnesium level | $102.60 | $114.00 | $102.60–$110.58 | 71% above | 10% |
| Measles (rubeola) antibody test CPT 86765 Analysis for antibody to Rubeola (measles virus) | $142.20 | $158.00 | $142.20–$153.26 | 242% above | 10% |
| Mono test (heterophile antibody, Monospot) CPT 86308 Screening test for mononucleosis (mono) | $72.00 | $80.00 | $72.00–$77.60 | 43% above | 10% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 PSA (prostate specific antigen) measurement, free | $233.10 | $259.00 | $233.10–$251.23 | 175% above | 10% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PSA (prostate specific antigen) measurement, total | $118.80 | $132.00 | $118.80–$128.04 | 6% above | 10% |
| Parathyroid hormone (PTH) blood test CPT 83970 Parathormone (parathyroid hormone) level | $498.60 | $554.00 | $498.60–$537.38 | 145% above | 10% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 Coagulation assessment blood test, plasma or whole blood | $190.80 | $212.00 | $190.80–$205.64 | 242% above | 10% |
| Progesterone blood test CPT 84144 Progesterone (reproductive hormone) level | $202.50 | $225.00 | $202.50–$218.25 | 38% above | 10% |
| Prolactin blood test CPT 84146 Prolactin (milk producing hormone) level | $223.20 | $248.00 | $223.20–$240.56 | 71% above | 10% |
| Prothrombin time (PT/INR) clotting test CPT 85610 Blood test, clotting time | $42.30 | $47.00 | $42.30–$45.59 | 18% above | 10% |
| Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 Testing for presence of drug, read by direct observation | $38.70 | $43.00 | $38.70–$41.71 | 48% below | 10% |
| Rapid flu test (influenza antigen) CPT 87804 Detection test by immunoassay with direct visual observation for influenza virus | $68.40 | $76.00 | $68.40–$73.72 | 14% above | 10% |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 Detection test by immunoassay with direct visual observation for Streptococcus, group A (strep) | $108.00 | $120.00 | $108.00–$116.40 | 69% above | 10% |
| Rheumatoid factor (RF) test CPT 86431 Rheumatoid factor level | $95.40 | $106.00 | $95.40–$102.82 | 124% above | 10% |
| Rubella antibody test (immunity check) CPT 86762 Analysis for antibody to Rubella (German measles virus) | $85.50 | $95.00 | $85.50–$92.15 | 50% above | 10% |
| Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 Red blood cell sedimentation rate, to detect inflammation, automated | $41.40 | $46.00 | $41.40–$44.62 | 15% below | 10% |
| Stool ova and parasites exam CPT 87177 Smear for parasites | $44.10 | $49.00 | $44.10–$47.53 | 39% below | 10% |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 Stool analysis for blood to screen for colon tumors | $114.30 | $127.00 | $114.30–$123.19 | 577% above | 10% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 Syphilis detection test | $96.30 | $107.00 | $96.30–$103.79 | 82% above | 10% |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 Tuberculosis test, gamma interferon | $417.60 | $464.00 | $417.60–$450.08 | 162% above | 10% |
| Testosterone blood test, total (not free testosterone) CPT 84403 Testosterone (hormone) level, total | $244.80 | $272.00 | $244.80–$263.84 | 77% above | 10% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 Microsomal antibodies (autoantibody) measurement | $137.70 | $153.00 | $137.70–$148.41 | 68% above | 10% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 Blood test, thyroid stimulating hormone (TSH) | $119.70 | $133.00 | $119.70–$129.01 | 57% above | 10% |
| Trichomonas test (NAAT) CPT 87661 Detection test by nucleic acid for Trichomonas vaginalis (genital parasite), amplified probe technique | $241.20 | $268.00 | $241.20–$259.96 | 348% above | 10% |
| Uric acid blood test CPT 84550 Uric acid level, blood | $112.50 | $125.00 | $112.50–$121.25 | 142% above | 10% |
| Urinalysis with microscope exam, automated CPT 81001 Manual urinalysis test with examination using microscope, automated | $70.20 | $78.00 | $70.20–$75.66 | 34% above | 10% |
| Urinalysis without microscope exam, automated CPT 81003 Automated urinalysis test | $36.00 | $40.00 | $36.00–$38.80 | 12% above | 10% |
| Urine culture for bacteria, with colony count CPT 87086 Bacterial colony count, urine | $178.20 | $198.00 | $178.20–$192.06 | 140% above | 10% |
| Urine pregnancy test, read by color change CPT 81025 Urine pregnancy test | $86.40 | $96.00 | $86.40–$93.12 | 131% above | 10% |
| Vitamin B12 (cobalamin) blood test CPT 82607 Cyanocobalamin (vitamin B-12) level | $212.40 | $236.00 | $212.40–$228.92 | 123% above | 10% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 Vitamin D-3 level | $170.10 | $189.00 | $170.10–$183.33 | 88% above | 10% |
| Zinc blood test CPT 84630 Zinc level | $57.60 | $64.00 | $57.60–$62.08 | 30% below | 10% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 Gonadotropin, chorionic (reproductive hormone) level | $252.00 | $280.00 | $252.00–$271.60 | 123% above | 10% |
Surgery and procedures
| Procedure | Cash price | List price | Insurers pay | vs Montana | Off list |
|---|---|---|---|---|---|
| Cardioversion, elective (restoring heart rhythm) CPT 92960 External shock to heart to regulate heart beat | $1,601.10 | $1,779.00 | $1,601.10–$1,725.63 | 251% above | 10% |
| Earwax removal by irrigation (rinsing), one ear CPT 69209 Removal of impacted ear wax by washing | $46.80 | $52.00 | $46.80–$50.44 | 83% above | 10% |
| Earwax removal by irrigation (rinsing), one ear inpatient CPT 69209 Removal of impacted ear wax by washing | $46.80 | $52.00 | $46.80–$50.44 | — | 10% |
| Paracentesis with imaging guidance CPT 49083 Drainage of fluid from abdominal cavity using imaging guidance | $261.90 | $291.00 | $261.90–$282.27 | 18% below | 10% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 Biopsy of breast and placement of locating device using ultrasound, first growth | $1,025.10 | $1,139.00 | $1,025.10–$1,104.83 | at median | 10% |
Doctor visits and therapy
| Procedure | Cash price | List price | Insurers pay | vs Montana | Off list |
|---|---|---|---|---|---|
| Blood transfusion (giving blood or blood components) CPT 36430 Transfusion of blood or blood products | $1,926.00 | $2,140.00 | $1,926.00–$2,075.80 | 97% above | 10% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Inhalation treatment for airway obstruction or sputum production | $72.00 | $80.00 | $72.00–$77.60 | 44% below | 10% |
| Critical care, first 30 to 74 minutes CPT 99291 Critical care, first 30-74 minutes | $3,204.00 | $3,560.00 | $3,204.00–$3,453.20 | 441% above | 10% |
| Critical care, first 30 to 74 minutes inpatient CPT 99291 Critical care, first 30-74 minutes | $3,204.00 | $3,560.00 | $3,204.00–$3,453.20 | — | 10% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 Routine electrocardiogram (ECG) using at least 12 leads with tracing | $220.50 | $245.00 | $220.50–$237.65 | 44% above | 10% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 Emergency department visit for problem that may not require health care professional | $286.20 | $318.00 | $286.20–$308.46 | 225% above | 10% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 Emergency department visit for problem that may not require health care professional | $286.20 | $318.00 | $286.20–$308.46 | — | 10% |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 Emergency department visit with straightforward medical decision making | $440.10 | $489.00 | $440.10–$474.33 | 213% above | 10% |
| Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 Emergency department visit with straightforward medical decision making | $440.10 | $489.00 | $440.10–$474.33 | — | 10% |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 Emergency department visit with low level of medical decision making | $723.60 | $804.00 | $723.60–$779.88 | 212% above | 10% |
| Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 Emergency department visit with low level of medical decision making | $723.60 | $804.00 | $723.60–$779.88 | — | 10% |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 Emergency department visit with moderate level of medical decision making | $1,243.80 | $1,382.00 | $1,243.80–$1,340.54 | 200% above | 10% |
| Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 Emergency department visit with moderate level of medical decision making | $1,243.80 | $1,382.00 | $1,243.80–$1,340.54 | — | 10% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 Emergency department visit with high level of medical decision making | $1,950.30 | $2,167.00 | $1,950.30–$2,101.99 | 253% above | 10% |
| Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 Emergency department visit with high level of medical decision making | $1,950.30 | $2,167.00 | $1,950.30–$2,101.99 | — | 10% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 Exercise or drug-induced heart stress test with electrocardiogram (ECG) | $1,031.40 | $1,146.00 | $1,031.40–$1,111.62 | 92% above | 10% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 Infusion into a vein for hydration, 31-60 minutes | $551.70 | $613.00 | $551.70–$594.61 | 102% above | 10% |
| IV infusion of a medicine, first hour CPT 96365 Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less | $880.20 | $978.00 | $880.20–$948.66 | 155% above | 10% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 Injection of drug or substance under skin or into muscle | $144.90 | $161.00 | $144.90–$156.17 | 88% above | 10% |
| Neuromuscular re-education, 15 minutes CPT 97112 Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes | $140.40 | $156.00 | $140.40–$151.32 | 71% above | 10% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 Therapy procedure for nutrition management, each 15 minutes | $99.00 | $110.00 | $99.00–$106.70 | 104% above | 10% |
| Occupational therapy evaluation, low complexity CPT 97165 Evaluation for occupational therapy, typically 30 minutes | $309.60 | $344.00 | $309.60–$333.68 | 70% above | 10% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 Evaluation for physical therapy, typically 45 minutes | $386.10 | $429.00 | $386.10–$416.13 | 83% above | 10% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 Evaluation for physical therapy, typically 20 minutes | $324.90 | $361.00 | $324.90–$350.17 | 75% above | 10% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 Evaluation for physical therapy, typically 30 minutes | $364.50 | $405.00 | $364.50–$392.85 | 90% above | 10% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 Therapy procedure using manual technique, each 15 minutes | $140.40 | $156.00 | $140.40–$151.32 | 88% above | 10% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | $148.50 | $165.00 | $148.50–$160.05 | 100% above | 10% |
| Speech and language evaluation CPT 92523 Evaluation of speech sound production with evaluation of language comprehension and expression | $477.00 | $530.00 | $477.00–$514.10 | 32% above | 10% |
| Speech therapy session, individual CPT 92507 Treatment of speech, language, voice, communication, and/or hearing processing disorder | $202.50 | $225.00 | $202.50–$218.25 | 19% above | 10% |
| Spirometry (breathing test) CPT 94010 Test to measure expiratory airflow and volume | $106.20 | $118.00 | $106.20–$114.46 | 31% below | 10% |
| Spirometry before and after a bronchodilator CPT 94060 Test to measure expiratory airflow and volume changes before and after medication administration | $147.60 | $164.00 | $147.60–$159.08 | 43% below | 10% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 Therapy procedure using functional activities | $159.30 | $177.00 | $159.30–$171.69 | 76% above | 10% |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 Drawing of blood for a medical problem | $175.50 | $195.00 | $175.50–$189.15 | 3% below | 10% |
Vaccines
| Procedure | Cash price | List price | Insurers pay | vs Montana | Off list |
|---|---|---|---|---|---|
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Administration of vaccine | $81.00 | $90.00 | $81.00–$87.30 | 64% above | 10% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 Administration of vaccine, each additional vaccine | $38.70 | $43.00 | $38.70–$41.71 | 23% above | 10% |
Source file: https://apps.para-hcfs.com/PTT/FinalLinks/Reports.aspx?dbName=dbSMPLENTYWOODMT&type=CDMWithoutLabel&fileType=CSV