Does Phillips County Hospital - CAH have an emergency room?

Yes. Medicare (CMS) data lists emergency services at Phillips County Hospital - CAH. In a medical emergency, call 911.

Where is Phillips County Hospital - CAH?

311 S 8th Ave E, Malta, MT 59538, in Phillips County, Montana.

What is the phone number of Phillips County Hospital - CAH?

(406) 654-1100, as listed by Medicare (CMS).

What is the Medicare star rating of Phillips County Hospital - CAH?

CMS does not show an overall star rating for this hospital. This is common, for example when a hospital reports too few quality measures or is not part of the rating program.

Phillips County Hospital - CAH — Phone, Address & ER

Quick answers

Does Phillips County Hospital - CAH have an emergency room?: Yes. Medicare (CMS) data lists emergency services at Phillips County Hospital - CAH. In a medical emergency, call 911.
Where is Phillips County Hospital - CAH?: 311 S 8th Ave E, Malta, MT 59538, in Phillips County, Montana.
What is the phone number of Phillips County Hospital - CAH?: (406) 654-1100, as listed by Medicare (CMS).
What is the Medicare star rating of Phillips County Hospital - CAH?: CMS does not show an overall star rating for this hospital. This is common, for example when a hospital reports too few quality measures or is not part of the rating program.

Specialties and care areas^[4][6][7]

Family health clinic
Rehabilitation (physical and occupational therapy)
Radiology
Laboratory

Treatments^[4][8]

Swing bed care
Extended care
Visiting nurse services
Chronic care
Physical therapy
Occupational therapy
Durable medical equipment
Home oxygen equipment

Procedures^[4][6]

Laboratory services
Radiology (including CAT scan)
CT scan (64-slice)
MRI (twice monthly via regional cooperative)
Ultrasound
Digital radiography
Mobile mammography (monthly)
Bone density scan

Programs and centers^[4][8]

Personal assisted living services
Home oxygen and durable medical equipment
Acute medical/surgical inpatient care

Emergency care (hospital website)^[5][8]

Emergency room	Yes
Open 24/7	Yes

Visiting and practical information

Visiting	General visiting hours daily 7:00 AM to 8:00 PM; may be limited by patient condition^[5]
Parking	Free parking for patients and visitors near the main entrance; accessible spaces available^[5]
Patient portal	My Care Corner Web Portal

Doctors and clinicians (26)

26 doctors and other clinicians list Phillips County Hospital - CAH as a hospital where they work, in Medicare's official clinician data (updated 2026-10-02). It is not a complete staff list.

Main specialties

And 2 more: the button below opens the full list.

Other emergency rooms nearby

Hospitals that list emergency services, by straight-line distance (not driving distance).

P H S Indian Hospital-Ft Belknap at Harlem - CAH42 mi · Harlem, MT · Critical Access Hospital
Frances Mahon Deaconess Hospital57 mi · Glasgow, MT · Critical Access Hospital
Garfield County Health Center84 mi · Jordan, MT · Rural Emergency Hospital
Northern Montana Hospital85 mi · Havre, MT · Critical Access Hospital
Trinity Hospital104 mi · Wolf Point, MT · Critical Access Hospital

Find the closest emergency room to where you are → · Compare ER wait times

Other hospitals near Malta

Big Sandy Medical Center104 mi · Big Sandy, MT · Critical Access Hospital

Hospitals in Phillips County · Hospitals near me

Community care nearby

Health centers, clinics, urgent care and pharmacies closest to this hospital, by straight-line distance, from official HRSA, Medicare and NPI Registry data. In a medical emergency, call 911.

Clinics and urgent care

Phillips County Family Health Clinic23 mi · Malta, MT · Rural health clinic

About the Medicare star rating

CMS (the federal Medicare agency) gives many hospitals an overall rating from 1 to 5 stars, based on measures of mortality, safety, readmissions, patient experience and timely care. It is one piece of information: ask your doctor what matters for your care. See the full Medicare profile →

Medicare quality data

What Phillips County Hospital - CAH reported to Medicare (CMS), the federal agency that publishes these results for hospitals nationwide. These are averages for many patients, not a prediction for any one person: ask your doctor what matters for your care. In a medical emergency, call 911.

What patients said (patient survey)

What this means: Patients who stayed overnight answered a national survey (HCAHPS) about their stay. More stars mean patients reported a better experience than at other hospitals. The percentages show how often patients gave the best answer, next to the national average.

Rated the hospital 9 or 10 out of 10	72%National average: 72%
Would definitely recommend the hospital	64%National average: 71%
Nurses “always” communicated well	82%National average: 80%
Doctors “always” communicated well	90%National average: 80%
“Always” got help as soon as they wanted	85%National average: 64%
Staff “always” explained medicines before giving them	78%National average: 62%
Were given information about recovery at home	88%National average: 86%
Room and bathroom “always” clean	83%National average: 73%
Not reported to Medicare	Summary star rating (all survey topics); Overall rating of the hospital; Would recommend the hospital; Nurses communicated well; Doctors communicated well; Patients got help quickly from staff; Staff explained medicines; Information about recovery at home; Room and bathroom kept clean; Restfulness of Environment; Care Coordination; Symptoms After Stay
Completed surveys	37Response rate: 37%

Source: Patient survey (HCAHPS) - Hospital — CMS, released October 19, 2026; patients discharged January 2025 to December 2025.

Return visits to the hospital (readmissions)

What this means: The share of patients who had to be admitted to a hospital again within 30 days after going home, adjusted for how sick they were. A lower percentage is better.

Returned to any hospital within 30 days (all patients)	16%
Not reported to Medicare	Readmitted within 30 days: heart attack; Readmitted within 30 days: coronary bypass surgery; Readmitted within 30 days: hip or knee replacement
Too few cases to report	Readmitted within 30 days: heart failure; Readmitted within 30 days: pneumonia; Readmitted within 30 days: COPD

Source: Unplanned Hospital Visits - Hospital — CMS, released October 20, 2026; data from July 2024 to June 2025.

Emergency room times and sepsis care

What this means: ER time is the middle (median) time from arriving at the emergency room to leaving it; busier ERs usually have longer times, so the ER volume is shown too. Leaving before being seen: a lower percentage is better. Sepsis is a life-threatening reaction to an infection; a higher percentage means more patients got every recommended early step.

Average (median) time patients spent in the emergency room before leaving (OP-18b)	80 minutesNational average: 162 minutes
Not reported to Medicare	Patients who left the emergency room before being seen (OP-22); Sepsis patients who got all the recommended early care (SEP-1)

Source: Timely and Effective Care - Hospital — CMS, released October 19, 2026; data from January 2025 to December 2025.

Not reported to Medicare: infections caught in the hospital, complications and deaths. For these topics Medicare shows no result for this hospital (not reported, or too few cases).

See every measure on Medicare Care Compare →

ER wait times and Medicare ratings nearby

How this hospital compares with others in the area, ranked only by official Medicare (CMS) numbers.

ER wait times in Montana

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 48 common services exactly as Phillips County Hospital - CAH lists them in its file. This is not a quote: what you pay depends on your insurance and plan, the doctors involved and the care you actually receive. Prices change: ask the hospital for an estimate before you schedule care (if you are uninsured or paying yourself, you have the right to a written “good faith estimate”). In a medical emergency, call 911.

What the prices mean

Hospital charge: The hospital’s list price (“gross charge”) before any discount or insurance. Few people pay this amount.
Cash price: The price the hospital offers if you pay yourself, without insurance (“discounted cash price”).
Insurance rates: The lowest and highest amounts the hospital has agreed with any insurance plan for the service (“de-identified minimum and maximum”), and some of the rates it lists by insurer and plan. Your share depends on your deductible, copay and coinsurance.
Hospital and doctor fees: A service can have a hospital (facility) fee and a separate doctor (professional) fee; the total for your care can include both, plus other services.

How to use hospital prices: estimates, financial assistance and your rights →

Show the prices of 48 common services

Office and emergency visits

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) In the file: NEW PATIENT CLINIC LEVEL 3	$296	$296	$194.17 – $286.05
New patient office visit (about 30–44 minutes): rates for 10 insurance plans Medicaid Montana — Default: $286.05 Medicare A MT JF — Default: $194.17 Aetna — Default: 80% (a percentage in the contract, not a dollar amount) Allegiance Benefit Plan Management — Default: 95% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of MT — Default: 80% (a percentage in the contract, not a dollar amount) Cigna — Default: 80% (a percentage in the contract, not a dollar amount) Employee Benefit Management Services EBMS — Default: 80% (a percentage in the contract, not a dollar amount) Tricare For Life — Default: 80% (a percentage in the contract, not a dollar amount) TriWest — Default: 80% (a percentage in the contract, not a dollar amount) United Healthcare — Default: 80% (a percentage in the contract, not a dollar amount)
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) In the file: NEW PATIENT CLINIC LEVEL 4	$400	$400	$194.17 – $286.05
New patient office visit (about 45–59 minutes): rates for 10 insurance plans Medicaid Montana — Default: $286.05 Medicare A MT JF — Default: $194.17 Aetna — Default: 80% (a percentage in the contract, not a dollar amount) Allegiance Benefit Plan Management — Default: 95% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of MT — Default: 80% (a percentage in the contract, not a dollar amount) Cigna — Default: 80% (a percentage in the contract, not a dollar amount) Employee Benefit Management Services EBMS — Default: 80% (a percentage in the contract, not a dollar amount) Tricare For Life — Default: 80% (a percentage in the contract, not a dollar amount) TriWest — Default: 80% (a percentage in the contract, not a dollar amount) United Healthcare — Default: 80% (a percentage in the contract, not a dollar amount)
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) In the file: CLINIC NEW PATIENT LEVEL 5	$533	$533	$194.17 – $286.05
New patient office visit (about 60–74 minutes): rates for 10 insurance plans Medicaid Montana — Default: $286.05 Medicare A MT JF — Default: $194.17 Aetna — Default: 80% (a percentage in the contract, not a dollar amount) Allegiance Benefit Plan Management — Default: 95% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of MT — Default: 80% (a percentage in the contract, not a dollar amount) Cigna — Default: 80% (a percentage in the contract, not a dollar amount) Employee Benefit Management Services EBMS — Default: 80% (a percentage in the contract, not a dollar amount) Tricare For Life — Default: 80% (a percentage in the contract, not a dollar amount) TriWest — Default: 80% (a percentage in the contract, not a dollar amount) United Healthcare — Default: 80% (a percentage in the contract, not a dollar amount)
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) In the file: CLINIC VISIT LEVEL 3	$166	$166	$194.17 – $286.05
Established patient office visit (about 20–29 minutes): rates for 10 insurance plans Medicaid Montana — Default: $286.05 Medicare A MT JF — Default: $194.17 Aetna — Default: 80% (a percentage in the contract, not a dollar amount) Allegiance Benefit Plan Management — Default: 95% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of MT — Default: 80% (a percentage in the contract, not a dollar amount) Cigna — Default: 80% (a percentage in the contract, not a dollar amount) Employee Benefit Management Services EBMS — Default: 80% (a percentage in the contract, not a dollar amount) Tricare For Life — Default: 80% (a percentage in the contract, not a dollar amount) TriWest — Default: 80% (a percentage in the contract, not a dollar amount) United Healthcare — Default: 80% (a percentage in the contract, not a dollar amount)
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) In the file: 20-29 MIN E/M MED MANAGEMENT	$237	$237	$194.17 – $286.05
Established patient office visit (about 20–29 minutes): rates for 10 insurance plans Medicaid Montana — Default: $286.05 Medicare A MT JF — Default: $194.17 Aetna — Default: 80% (a percentage in the contract, not a dollar amount) Allegiance Benefit Plan Management — Default: 95% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of MT — Default: 80% (a percentage in the contract, not a dollar amount) Cigna — Default: 80% (a percentage in the contract, not a dollar amount) Employee Benefit Management Services EBMS — Default: 80% (a percentage in the contract, not a dollar amount) Tricare For Life — Default: 80% (a percentage in the contract, not a dollar amount) TriWest — Default: 80% (a percentage in the contract, not a dollar amount) United Healthcare — Default: 80% (a percentage in the contract, not a dollar amount)
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient or outpatient In the file: PROVIDER PUMP FILL	$121	$121	Not listed in the file
Established patient office visit (about 20–29 minutes): rates for 10 insurance plans Aetna — Default: 80% (a percentage in the contract, not a dollar amount) Allegiance Benefit Plan Management — Default: 95% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of MT — Default: 80% (a percentage in the contract, not a dollar amount) Cigna — Default: 80% (a percentage in the contract, not a dollar amount) Employee Benefit Management Services EBMS — Default: 80% (a percentage in the contract, not a dollar amount) Medicaid Montana — Default: 80% (a percentage in the contract, not a dollar amount) Medicare A MT JF — Default: 80% (a percentage in the contract, not a dollar amount) Tricare For Life — Default: 80% (a percentage in the contract, not a dollar amount) TriWest — Default: 80% (a percentage in the contract, not a dollar amount) United Healthcare — Default: 80% (a percentage in the contract, not a dollar amount)
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) In the file: CLINIC VISIT LEVEL 4	$253	$253	$194.17 – $286.05
Established patient office visit (about 30–39 minutes): rates for 10 insurance plans Medicaid Montana — Default: $286.05 Medicare A MT JF — Default: $194.17 Aetna — Default: 80% (a percentage in the contract, not a dollar amount) Allegiance Benefit Plan Management — Default: 95% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of MT — Default: 80% (a percentage in the contract, not a dollar amount) Cigna — Default: 80% (a percentage in the contract, not a dollar amount) Employee Benefit Management Services EBMS — Default: 80% (a percentage in the contract, not a dollar amount) Tricare For Life — Default: 80% (a percentage in the contract, not a dollar amount) TriWest — Default: 80% (a percentage in the contract, not a dollar amount) United Healthcare — Default: 80% (a percentage in the contract, not a dollar amount)
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) In the file: DOT EXAM	$231	$231	$194.17 – $286.05
Established patient office visit (about 30–39 minutes): rates for 10 insurance plans Medicaid Montana — Default: $286.05 Medicare A MT JF — Default: $194.17 Aetna — Default: 80% (a percentage in the contract, not a dollar amount) Allegiance Benefit Plan Management — Default: 95% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of MT — Default: 80% (a percentage in the contract, not a dollar amount) Cigna — Default: 80% (a percentage in the contract, not a dollar amount) Employee Benefit Management Services EBMS — Default: 80% (a percentage in the contract, not a dollar amount) Tricare For Life — Default: 80% (a percentage in the contract, not a dollar amount) TriWest — Default: 80% (a percentage in the contract, not a dollar amount) United Healthcare — Default: 80% (a percentage in the contract, not a dollar amount)
Preventive checkup, new patient, age 18–39 CPT 99385 · Outpatient (no overnight stay) In the file: NEW PATIENT WELLNESS 18-39 YRS	$411	$411	$194.17 – $286.05
Preventive checkup, new patient, age 18–39: rates for 10 insurance plans Medicaid Montana — Default: $286.05 Medicare A MT JF — Default: $194.17 Aetna — Default: 80% (a percentage in the contract, not a dollar amount) Allegiance Benefit Plan Management — Default: 95% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of MT — Default: 80% (a percentage in the contract, not a dollar amount) Cigna — Default: 80% (a percentage in the contract, not a dollar amount) Employee Benefit Management Services EBMS — Default: 80% (a percentage in the contract, not a dollar amount) Tricare For Life — Default: 80% (a percentage in the contract, not a dollar amount) TriWest — Default: 80% (a percentage in the contract, not a dollar amount) United Healthcare — Default: 80% (a percentage in the contract, not a dollar amount)
Preventive checkup, new patient, age 40–64 CPT 99386 · Outpatient (no overnight stay) In the file: NEW PATIENT WELLNESS 40-64 YRS	$436	$436	$194.17 – $286.05
Preventive checkup, new patient, age 40–64: rates for 10 insurance plans Medicaid Montana — Default: $286.05 Medicare A MT JF — Default: $194.17 Aetna — Default: 80% (a percentage in the contract, not a dollar amount) Allegiance Benefit Plan Management — Default: 95% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of MT — Default: 80% (a percentage in the contract, not a dollar amount) Cigna — Default: 80% (a percentage in the contract, not a dollar amount) Employee Benefit Management Services EBMS — Default: 80% (a percentage in the contract, not a dollar amount) Tricare For Life — Default: 80% (a percentage in the contract, not a dollar amount) TriWest — Default: 80% (a percentage in the contract, not a dollar amount) United Healthcare — Default: 80% (a percentage in the contract, not a dollar amount)
Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient In the file: ER LEVEL 3 - NURSING CHARGE	$717	$717	$69.46
Emergency room visit (moderate): rates for 10 insurance plans Medicare A MT JF — Default: $69.46 Aetna — Default: 80% (a percentage in the contract, not a dollar amount) Allegiance Benefit Plan Management — Default: 95% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of MT — Default: 80% (a percentage in the contract, not a dollar amount) Cigna — Default: 80% (a percentage in the contract, not a dollar amount) Employee Benefit Management Services EBMS — Default: 80% (a percentage in the contract, not a dollar amount) Medicaid Montana — Default: 80% (a percentage in the contract, not a dollar amount) Tricare For Life — Default: 80% (a percentage in the contract, not a dollar amount) TriWest — Default: 80% (a percentage in the contract, not a dollar amount) United Healthcare — Default: 80% (a percentage in the contract, not a dollar amount)
Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient In the file: ER LEVEL 3 - PROVIDER CHARGE	$652	$652	$69.46
Emergency room visit (moderate): rates for 10 insurance plans Medicare A MT JF — Default: $69.46 Aetna — Default: 80% (a percentage in the contract, not a dollar amount) Allegiance Benefit Plan Management — Default: 95% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of MT — Default: 80% (a percentage in the contract, not a dollar amount) Cigna — Default: 80% (a percentage in the contract, not a dollar amount) Employee Benefit Management Services EBMS — Default: 80% (a percentage in the contract, not a dollar amount) Medicaid Montana — Default: 80% (a percentage in the contract, not a dollar amount) Tricare For Life — Default: 80% (a percentage in the contract, not a dollar amount) TriWest — Default: 80% (a percentage in the contract, not a dollar amount) United Healthcare — Default: 80% (a percentage in the contract, not a dollar amount)
Emergency room visit (moderately high) CPT 99284 · Inpatient or outpatient In the file: ER LEVEL 4 - NURSING CHARGE	$898	$898	$118.22
Emergency room visit (moderately high): rates for 10 insurance plans Medicare A MT JF — Default: $118.22 Aetna — Default: 80% (a percentage in the contract, not a dollar amount) Allegiance Benefit Plan Management — Default: 95% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of MT — Default: 80% (a percentage in the contract, not a dollar amount) Cigna — Default: 80% (a percentage in the contract, not a dollar amount) Employee Benefit Management Services EBMS — Default: 80% (a percentage in the contract, not a dollar amount) Medicaid Montana — Default: 80% (a percentage in the contract, not a dollar amount) Tricare For Life — Default: 80% (a percentage in the contract, not a dollar amount) TriWest — Default: 80% (a percentage in the contract, not a dollar amount) United Healthcare — Default: 80% (a percentage in the contract, not a dollar amount)
Emergency room visit (moderately high) CPT 99284 · Inpatient or outpatient In the file: ER LEVEL 4 - PROVIDER CHARGE	$823	$823	$118.22
Emergency room visit (moderately high): rates for 10 insurance plans Medicare A MT JF — Default: $118.22 Aetna — Default: 80% (a percentage in the contract, not a dollar amount) Allegiance Benefit Plan Management — Default: 95% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of MT — Default: 80% (a percentage in the contract, not a dollar amount) Cigna — Default: 80% (a percentage in the contract, not a dollar amount) Employee Benefit Management Services EBMS — Default: 80% (a percentage in the contract, not a dollar amount) Medicaid Montana — Default: 80% (a percentage in the contract, not a dollar amount) Tricare For Life — Default: 80% (a percentage in the contract, not a dollar amount) TriWest — Default: 80% (a percentage in the contract, not a dollar amount) United Healthcare — Default: 80% (a percentage in the contract, not a dollar amount)
Emergency room visit (high) CPT 99285 · Inpatient or outpatient In the file: AMBULANCE RUN NURSE	$127	$127	$171.31
Emergency room visit (high): rates for 10 insurance plans Medicare A MT JF — Default: $171.31 Aetna — Default: 80% (a percentage in the contract, not a dollar amount) Allegiance Benefit Plan Management — Default: 95% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of MT — Default: 80% (a percentage in the contract, not a dollar amount) Cigna — Default: 80% (a percentage in the contract, not a dollar amount) Employee Benefit Management Services EBMS — Default: 80% (a percentage in the contract, not a dollar amount) Medicaid Montana — Default: 80% (a percentage in the contract, not a dollar amount) Tricare For Life — Default: 80% (a percentage in the contract, not a dollar amount) TriWest — Default: 80% (a percentage in the contract, not a dollar amount) United Healthcare — Default: 80% (a percentage in the contract, not a dollar amount)
Emergency room visit (high) CPT 99285 · Inpatient or outpatient In the file: ER LEVEL 5 - NURSING CHARGE	$1,341	$1,341	$171.31
Emergency room visit (high): rates for 10 insurance plans Medicare A MT JF — Default: $171.31 Aetna — Default: 80% (a percentage in the contract, not a dollar amount) Allegiance Benefit Plan Management — Default: 95% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of MT — Default: 80% (a percentage in the contract, not a dollar amount) Cigna — Default: 80% (a percentage in the contract, not a dollar amount) Employee Benefit Management Services EBMS — Default: 80% (a percentage in the contract, not a dollar amount) Medicaid Montana — Default: 80% (a percentage in the contract, not a dollar amount) Tricare For Life — Default: 80% (a percentage in the contract, not a dollar amount) TriWest — Default: 80% (a percentage in the contract, not a dollar amount) United Healthcare — Default: 80% (a percentage in the contract, not a dollar amount)
Emergency room visit (high) CPT 99285 · Inpatient or outpatient In the file: ER LEVEL 5 - PROVIDER CHARGE	$1,179	$1,179	$171.31
Emergency room visit (high): rates for 10 insurance plans Medicare A MT JF — Default: $171.31 Aetna — Default: 80% (a percentage in the contract, not a dollar amount) Allegiance Benefit Plan Management — Default: 95% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of MT — Default: 80% (a percentage in the contract, not a dollar amount) Cigna — Default: 80% (a percentage in the contract, not a dollar amount) Employee Benefit Management Services EBMS — Default: 80% (a percentage in the contract, not a dollar amount) Medicaid Montana — Default: 80% (a percentage in the contract, not a dollar amount) Tricare For Life — Default: 80% (a percentage in the contract, not a dollar amount) TriWest — Default: 80% (a percentage in the contract, not a dollar amount) United Healthcare — Default: 80% (a percentage in the contract, not a dollar amount)

Lab tests

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Inpatient or outpatient In the file: BASIC METABOLIC PANEL	$122	$122	$6.77 – $8.46
Basic metabolic panel (blood test): rates for 10 insurance plans Aetna — Default: $6.77 Allegiance Benefit Plan Management — Default: $6.77 Blue Cross Blue Shield of MT — Default: $6.77 Cigna — Default: $6.77 Employee Benefit Management Services EBMS — Default: $6.77 Medicaid Montana — Default: $6.77 Medicare A MT JF — Default: $8.46 Tricare For Life — Default: $6.77 TriWest — Default: $6.77 United Healthcare — Default: $6.77
Basic metabolic panel (blood test) CPT 80048 · Inpatient or outpatient In the file: BASIC METABOLIC PANEL ePOC	$116	$116	$6.77 – $8.46
Basic metabolic panel (blood test): rates for 10 insurance plans Aetna — Default: $6.77 Allegiance Benefit Plan Management — Default: $6.77 Blue Cross Blue Shield of MT — Default: $6.77 Cigna — Default: $6.77 Employee Benefit Management Services EBMS — Default: $6.77 Medicaid Montana — Default: $6.77 Medicare A MT JF — Default: $8.46 Tricare For Life — Default: $6.77 TriWest — Default: $6.77 United Healthcare — Default: $6.77
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient or outpatient In the file: COMPREHENSIVE METABOLIC PANEL	$231	$231	$8.45 – $10.56
Comprehensive metabolic panel (blood test): rates for 10 insurance plans Aetna — Default: $8.45 Allegiance Benefit Plan Management — Default: $8.45 Blue Cross Blue Shield of MT — Default: $8.45 Cigna — Default: $8.45 Employee Benefit Management Services EBMS — Default: $8.45 Medicaid Montana — Default: $8.45 Medicare A MT JF — Default: $10.56 Tricare For Life — Default: $8.45 TriWest — Default: $8.45 United Healthcare — Default: $8.45
Cholesterol panel (lipid panel) CPT 80061 · Inpatient or outpatient In the file: LIPID PANEL	$154	$154	$10.71 – $13.39
Cholesterol panel (lipid panel): rates for 10 insurance plans Aetna — Default: $10.71 Allegiance Benefit Plan Management — Default: $10.71 Blue Cross Blue Shield of MT — Default: $10.71 Cigna — Default: $10.71 Employee Benefit Management Services EBMS — Default: $10.71 Medicaid Montana — Default: $10.71 Medicare A MT JF — Default: $13.39 Tricare For Life — Default: $10.71 TriWest — Default: $10.71 United Healthcare — Default: $10.71
Kidney function panel CPT 80069 · Inpatient or outpatient In the file: RENAL PANEL	$154	$154	$6.94 – $8.68
Kidney function panel: rates for 10 insurance plans Aetna — Default: $6.94 Allegiance Benefit Plan Management — Default: $6.94 Blue Cross Blue Shield of MT — Default: $6.94 Cigna — Default: $6.94 Employee Benefit Management Services EBMS — Default: $6.94 Medicaid Montana — Default: $6.94 Medicare A MT JF — Default: $8.68 Tricare For Life — Default: $6.94 TriWest — Default: $6.94 United Healthcare — Default: $6.94
Liver function panel CPT 80076 · Inpatient or outpatient In the file: HEPATIC PANEL	$134	$134	$6.54 – $8.17
Liver function panel: rates for 10 insurance plans Aetna — Default: $6.54 Allegiance Benefit Plan Management — Default: $6.54 Blue Cross Blue Shield of MT — Default: $6.54 Cigna — Default: $6.54 Employee Benefit Management Services EBMS — Default: $6.54 Medicaid Montana — Default: $6.54 Medicare A MT JF — Default: $8.17 Tricare For Life — Default: $6.54 TriWest — Default: $6.54 United Healthcare — Default: $6.54
Urine test (automated, with microscope) CPT 81001 · Inpatient or outpatient In the file: URINALYSIS WITH MICROSCOPY	$52	$52	$2.54 – $3.17
Urine test (automated, with microscope): rates for 10 insurance plans Aetna — Default: $2.54 Allegiance Benefit Plan Management — Default: $2.54 Blue Cross Blue Shield of MT — Default: $2.54 Cigna — Default: $2.54 Employee Benefit Management Services EBMS — Default: $2.54 Medicaid Montana — Default: $2.54 Medicare A MT JF — Default: $3.17 Tricare For Life — Default: $2.54 TriWest — Default: $2.54 United Healthcare — Default: $2.54
Urine test (manual, without microscope) CPT 81002 · Inpatient or outpatient In the file: ACETONE URINE	$25	$25	$2.78 – $3.48
Urine test (manual, without microscope): rates for 10 insurance plans Aetna — Default: $2.78 Allegiance Benefit Plan Management — Default: $2.78 Blue Cross Blue Shield of MT — Default: $2.78 Cigna — Default: $2.78 Employee Benefit Management Services EBMS — Default: $2.78 Medicaid Montana — Default: $2.78 Medicare A MT JF — Default: $3.48 Tricare For Life — Default: $2.78 TriWest — Default: $2.78 United Healthcare — Default: $2.78
Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient In the file: URINALYSIS DIPSTICK	$32	$32	$1.80 – $2.25
Urine test (automated, without microscope): rates for 10 insurance plans Aetna — Default: $1.80 Allegiance Benefit Plan Management — Default: $1.80 Blue Cross Blue Shield of MT — Default: $1.80 Cigna — Default: $1.80 Employee Benefit Management Services EBMS — Default: $1.80 Medicaid Montana — Default: $1.80 Medicare A MT JF — Default: $2.25 Tricare For Life — Default: $1.80 TriWest — Default: $1.80 United Healthcare — Default: $1.80
Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient In the file: URINALYSIS ROUTINE REFLEX CULTURE	$45	$45	$1.80 – $2.25
Urine test (automated, without microscope): rates for 10 insurance plans Aetna — Default: $1.80 Allegiance Benefit Plan Management — Default: $1.80 Blue Cross Blue Shield of MT — Default: $1.80 Cigna — Default: $1.80 Employee Benefit Management Services EBMS — Default: $1.80 Medicaid Montana — Default: $1.80 Medicare A MT JF — Default: $2.25 Tricare For Life — Default: $1.80 TriWest — Default: $1.80 United Healthcare — Default: $1.80
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient In the file: PSAso	$165	$165	$14.71 – $18.39
PSA (prostate specific antigen) blood test: rates for 10 insurance plans Aetna — Default: $14.71 Allegiance Benefit Plan Management — Default: $14.71 Blue Cross Blue Shield of MT — Default: $14.71 Cigna — Default: $14.71 Employee Benefit Management Services EBMS — Default: $14.71 Medicaid Montana — Default: $14.71 Medicare A MT JF — Default: $18.39 Tricare For Life — Default: $14.71 TriWest — Default: $14.71 United Healthcare — Default: $14.71
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient or outpatient In the file: TSHso	$108	$108	$13.44 – $16.80
Thyroid stimulating hormone (TSH) test: rates for 10 insurance plans Aetna — Default: $13.44 Allegiance Benefit Plan Management — Default: $13.44 Blue Cross Blue Shield of MT — Default: $13.44 Cigna — Default: $13.44 Employee Benefit Management Services EBMS — Default: $13.44 Medicaid Montana — Default: $13.44 Medicare A MT JF — Default: $16.80 Tricare For Life — Default: $13.44 TriWest — Default: $13.44 United Healthcare — Default: $13.44
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient or outpatient In the file: TSH CASCADEso	$112	$112	$13.44 – $16.80
Thyroid stimulating hormone (TSH) test: rates for 10 insurance plans Aetna — Default: $13.44 Allegiance Benefit Plan Management — Default: $13.44 Blue Cross Blue Shield of MT — Default: $13.44 Cigna — Default: $13.44 Employee Benefit Management Services EBMS — Default: $13.44 Medicaid Montana — Default: $13.44 Medicare A MT JF — Default: $16.80 Tricare For Life — Default: $13.44 TriWest — Default: $13.44 United Healthcare — Default: $13.44
Complete blood count (CBC) with differential CPT 85025 · Inpatient or outpatient In the file: .CBC W AUTO DIFFERENTIAL CHARGE ONLY	$91	$91	$6.22 – $7.77
Complete blood count (CBC) with differential: rates for 10 insurance plans Aetna — Default: $6.22 Allegiance Benefit Plan Management — Default: $6.22 Blue Cross Blue Shield of MT — Default: $6.22 Cigna — Default: $6.22 Employee Benefit Management Services EBMS — Default: $6.22 Medicaid Montana — Default: $6.22 Medicare A MT JF — Default: $7.77 Tricare For Life — Default: $6.22 TriWest — Default: $6.22 United Healthcare — Default: $6.22
Complete blood count (CBC), automated CPT 85027 · Inpatient or outpatient In the file: .HEMOGRAM CHARGE ONLY	$48	$48	$5.18 – $6.47
Complete blood count (CBC), automated: rates for 10 insurance plans Aetna — Default: $5.18 Allegiance Benefit Plan Management — Default: $5.18 Blue Cross Blue Shield of MT — Default: $5.18 Cigna — Default: $5.18 Employee Benefit Management Services EBMS — Default: $5.18 Medicaid Montana — Default: $5.18 Medicare A MT JF — Default: $6.47 Tricare For Life — Default: $5.18 TriWest — Default: $5.18 United Healthcare — Default: $5.18
Complete blood count (CBC), automated CPT 85027 · Inpatient or outpatient In the file: CBC ONLY	$48	$48	$5.18 – $6.47
Complete blood count (CBC), automated: rates for 10 insurance plans Aetna — Default: $5.18 Allegiance Benefit Plan Management — Default: $5.18 Blue Cross Blue Shield of MT — Default: $5.18 Cigna — Default: $5.18 Employee Benefit Management Services EBMS — Default: $5.18 Medicaid Montana — Default: $5.18 Medicare A MT JF — Default: $6.47 Tricare For Life — Default: $5.18 TriWest — Default: $5.18 United Healthcare — Default: $5.18
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient In the file: PT/INR	$63	$63	$3.43 – $4.29
Blood clotting time test (prothrombin time, PT): rates for 10 insurance plans Aetna — Default: $3.43 Allegiance Benefit Plan Management — Default: $3.43 Blue Cross Blue Shield of MT — Default: $3.43 Cigna — Default: $3.43 Employee Benefit Management Services EBMS — Default: $3.43 Medicaid Montana — Default: $3.43 Medicare A MT JF — Default: $4.29 Tricare For Life — Default: $3.43 TriWest — Default: $3.43 United Healthcare — Default: $3.43
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient In the file: PT/INR REFERENCE LABORATORYso	$51	$51	$3.43 – $4.29
Blood clotting time test (prothrombin time, PT): rates for 10 insurance plans Aetna — Default: $3.43 Allegiance Benefit Plan Management — Default: $3.43 Blue Cross Blue Shield of MT — Default: $3.43 Cigna — Default: $3.43 Employee Benefit Management Services EBMS — Default: $3.43 Medicaid Montana — Default: $3.43 Medicare A MT JF — Default: $4.29 Tricare For Life — Default: $3.43 TriWest — Default: $3.43 United Healthcare — Default: $3.43
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient In the file: LUPUS ANTICOAGULANT PROFILE PLASMA	$1,248	$1,248	$3.43 – $4.29
Blood clotting time test (prothrombin time, PT): rates for 10 insurance plans Aetna — Default: $3.43 Allegiance Benefit Plan Management — Default: $3.43 Blue Cross Blue Shield of MT — Default: $3.43 Cigna — Default: $3.43 Employee Benefit Management Services EBMS — Default: $3.43 Medicaid Montana — Default: $3.43 Medicare A MT JF — Default: $4.29 Tricare For Life — Default: $3.43 TriWest — Default: $3.43 United Healthcare — Default: $3.43
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient In the file: PTT	$99	$99	$4.81 – $6.01
Blood clotting test (partial thromboplastin time, PTT): rates for 10 insurance plans Aetna — Default: $4.81 Allegiance Benefit Plan Management — Default: $4.81 Blue Cross Blue Shield of MT — Default: $4.81 Cigna — Default: $4.81 Employee Benefit Management Services EBMS — Default: $4.81 Medicaid Montana — Default: $4.81 Medicare A MT JF — Default: $6.01 Tricare For Life — Default: $4.81 TriWest — Default: $4.81 United Healthcare — Default: $4.81
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient In the file: PTT REFERENCE LABso	$87	$87	$4.81 – $6.01
Blood clotting test (partial thromboplastin time, PTT): rates for 10 insurance plans Aetna — Default: $4.81 Allegiance Benefit Plan Management — Default: $4.81 Blue Cross Blue Shield of MT — Default: $4.81 Cigna — Default: $4.81 Employee Benefit Management Services EBMS — Default: $4.81 Medicaid Montana — Default: $4.81 Medicare A MT JF — Default: $6.01 Tricare For Life — Default: $4.81 TriWest — Default: $4.81 United Healthcare — Default: $4.81

Imaging (X-ray, CT, MRI, ultrasound, mammogram)

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
CT scan of the head or brain, without contrast CPT 70450 · Inpatient or outpatient In the file: CT HEAD-BRAIN W/O CONTRAS	$1,715	$1,715	Not listed in the file
CT scan of the head or brain, without contrast: rates for 10 insurance plans Aetna — Default: 80% (a percentage in the contract, not a dollar amount) Allegiance Benefit Plan Management — Default: 95% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of MT — Default: 80% (a percentage in the contract, not a dollar amount) Cigna — Default: 80% (a percentage in the contract, not a dollar amount) Employee Benefit Management Services EBMS — Default: 80% (a percentage in the contract, not a dollar amount) Medicaid Montana — Default: 80% (a percentage in the contract, not a dollar amount) Medicare A MT JF — Default: 80% (a percentage in the contract, not a dollar amount) Tricare For Life — Default: 80% (a percentage in the contract, not a dollar amount) TriWest — Default: 80% (a percentage in the contract, not a dollar amount) United Healthcare — Default: 80% (a percentage in the contract, not a dollar amount)
MRI of the brain, before and after contrast CPT 70553 · Inpatient or outpatient In the file: MRI BRAIN W/O CON FOLLOWED BY CON	$3,556	$3,556	Not listed in the file
MRI of the brain, before and after contrast: rates for 10 insurance plans Aetna — Default: 80% (a percentage in the contract, not a dollar amount) Allegiance Benefit Plan Management — Default: 95% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of MT — Default: 80% (a percentage in the contract, not a dollar amount) Cigna — Default: 80% (a percentage in the contract, not a dollar amount) Employee Benefit Management Services EBMS — Default: 80% (a percentage in the contract, not a dollar amount) Medicaid Montana — Default: 80% (a percentage in the contract, not a dollar amount) Medicare A MT JF — Default: 80% (a percentage in the contract, not a dollar amount) Tricare For Life — Default: 80% (a percentage in the contract, not a dollar amount) TriWest — Default: 80% (a percentage in the contract, not a dollar amount) United Healthcare — Default: 80% (a percentage in the contract, not a dollar amount)
Chest X-ray, 2 views CPT 71046 · Inpatient or outpatient In the file: CHEST 2V	$260	$260	Not listed in the file
Chest X-ray, 2 views: rates for 10 insurance plans Aetna — Default: 80% (a percentage in the contract, not a dollar amount) Allegiance Benefit Plan Management — Default: 95% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of MT — Default: 80% (a percentage in the contract, not a dollar amount) Cigna — Default: 80% (a percentage in the contract, not a dollar amount) Employee Benefit Management Services EBMS — Default: 80% (a percentage in the contract, not a dollar amount) Medicaid Montana — Default: 80% (a percentage in the contract, not a dollar amount) Medicare A MT JF — Default: 80% (a percentage in the contract, not a dollar amount) Tricare For Life — Default: 80% (a percentage in the contract, not a dollar amount) TriWest — Default: 80% (a percentage in the contract, not a dollar amount) United Healthcare — Default: 80% (a percentage in the contract, not a dollar amount)
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient or outpatient In the file: L SPINE 4 VIEW	$315	$315	Not listed in the file
X-ray of the lower spine, at least 4 views: rates for 10 insurance plans Aetna — Default: 80% (a percentage in the contract, not a dollar amount) Allegiance Benefit Plan Management — Default: 95% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of MT — Default: 80% (a percentage in the contract, not a dollar amount) Cigna — Default: 80% (a percentage in the contract, not a dollar amount) Employee Benefit Management Services EBMS — Default: 80% (a percentage in the contract, not a dollar amount) Medicaid Montana — Default: 80% (a percentage in the contract, not a dollar amount) Medicare A MT JF — Default: 80% (a percentage in the contract, not a dollar amount) Tricare For Life — Default: 80% (a percentage in the contract, not a dollar amount) TriWest — Default: 80% (a percentage in the contract, not a dollar amount) United Healthcare — Default: 80% (a percentage in the contract, not a dollar amount)
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient or outpatient In the file: MRI LUMBAR SPINE W/O CONTRAST	$2,809	$2,809	Not listed in the file
MRI of the lower back (lumbar spine), without contrast: rates for 10 insurance plans Aetna — Default: 80% (a percentage in the contract, not a dollar amount) Allegiance Benefit Plan Management — Default: 95% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of MT — Default: 80% (a percentage in the contract, not a dollar amount) Cigna — Default: 80% (a percentage in the contract, not a dollar amount) Employee Benefit Management Services EBMS — Default: 80% (a percentage in the contract, not a dollar amount) Medicaid Montana — Default: 80% (a percentage in the contract, not a dollar amount) Medicare A MT JF — Default: 80% (a percentage in the contract, not a dollar amount) Tricare For Life — Default: 80% (a percentage in the contract, not a dollar amount) TriWest — Default: 80% (a percentage in the contract, not a dollar amount) United Healthcare — Default: 80% (a percentage in the contract, not a dollar amount)
CT scan of the pelvis, with contrast CPT 72193 · Inpatient or outpatient In the file: CT PELVIS W CONTRAST	$1,088	$1,088	Not listed in the file
CT scan of the pelvis, with contrast: rates for 10 insurance plans Aetna — Default: 80% (a percentage in the contract, not a dollar amount) Allegiance Benefit Plan Management — Default: 95% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of MT — Default: 80% (a percentage in the contract, not a dollar amount) Cigna — Default: 80% (a percentage in the contract, not a dollar amount) Employee Benefit Management Services EBMS — Default: 80% (a percentage in the contract, not a dollar amount) Medicaid Montana — Default: 80% (a percentage in the contract, not a dollar amount) Medicare A MT JF — Default: 80% (a percentage in the contract, not a dollar amount) Tricare For Life — Default: 80% (a percentage in the contract, not a dollar amount) TriWest — Default: 80% (a percentage in the contract, not a dollar amount) United Healthcare — Default: 80% (a percentage in the contract, not a dollar amount)
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) In the file: MRI LOWER EXTREMITY ANY JOINT W/O CON	$1,999	$1,799.10	Not listed in the file
MRI of a leg joint (such as the knee), without contrast: rates for 10 insurance plans Aetna — Default: 80% (a percentage in the contract, not a dollar amount) Allegiance Benefit Plan Management — Default: 95% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of MT — Default: 80% (a percentage in the contract, not a dollar amount) Cigna — Default: 80% (a percentage in the contract, not a dollar amount) Employee Benefit Management Services EBMS — Default: 80% (a percentage in the contract, not a dollar amount) Medicaid Montana — Default: 80% (a percentage in the contract, not a dollar amount) Medicare A MT JF — Default: 80% (a percentage in the contract, not a dollar amount) Tricare For Life — Default: 80% (a percentage in the contract, not a dollar amount) TriWest — Default: 80% (a percentage in the contract, not a dollar amount) United Healthcare — Default: 80% (a percentage in the contract, not a dollar amount)
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient In the file: MRI HIP RIGHT WO	$1,363	$1,363	Not listed in the file
MRI of a leg joint (such as the knee), without contrast: rates for 10 insurance plans Aetna — Default: 80% (a percentage in the contract, not a dollar amount) Allegiance Benefit Plan Management — Default: 95% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of MT — Default: 80% (a percentage in the contract, not a dollar amount) Cigna — Default: 80% (a percentage in the contract, not a dollar amount) Employee Benefit Management Services EBMS — Default: 80% (a percentage in the contract, not a dollar amount) Medicaid Montana — Default: 80% (a percentage in the contract, not a dollar amount) Medicare A MT JF — Default: 80% (a percentage in the contract, not a dollar amount) Tricare For Life — Default: 80% (a percentage in the contract, not a dollar amount) TriWest — Default: 80% (a percentage in the contract, not a dollar amount) United Healthcare — Default: 80% (a percentage in the contract, not a dollar amount)
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient In the file: MRI KNEE LEFT WO	$1,363	$1,363	Not listed in the file
MRI of a leg joint (such as the knee), without contrast: rates for 10 insurance plans Aetna — Default: 80% (a percentage in the contract, not a dollar amount) Allegiance Benefit Plan Management — Default: 95% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of MT — Default: 80% (a percentage in the contract, not a dollar amount) Cigna — Default: 80% (a percentage in the contract, not a dollar amount) Employee Benefit Management Services EBMS — Default: 80% (a percentage in the contract, not a dollar amount) Medicaid Montana — Default: 80% (a percentage in the contract, not a dollar amount) Medicare A MT JF — Default: 80% (a percentage in the contract, not a dollar amount) Tricare For Life — Default: 80% (a percentage in the contract, not a dollar amount) TriWest — Default: 80% (a percentage in the contract, not a dollar amount) United Healthcare — Default: 80% (a percentage in the contract, not a dollar amount)
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient or outpatient In the file: CT IVP KIDNEYS-URETERS-BLADDER	$3,364	$3,364	Not listed in the file
CT scan of the abdomen and pelvis, with contrast: rates for 10 insurance plans Aetna — Default: 80% (a percentage in the contract, not a dollar amount) Allegiance Benefit Plan Management — Default: 95% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of MT — Default: 80% (a percentage in the contract, not a dollar amount) Cigna — Default: 80% (a percentage in the contract, not a dollar amount) Employee Benefit Management Services EBMS — Default: 80% (a percentage in the contract, not a dollar amount) Medicaid Montana — Default: 80% (a percentage in the contract, not a dollar amount) Medicare A MT JF — Default: 80% (a percentage in the contract, not a dollar amount) Tricare For Life — Default: 80% (a percentage in the contract, not a dollar amount) TriWest — Default: 80% (a percentage in the contract, not a dollar amount) United Healthcare — Default: 80% (a percentage in the contract, not a dollar amount)
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient or outpatient In the file: CT ABD/PEL W/ CONTRAST	$3,348	$3,348	Not listed in the file
CT scan of the abdomen and pelvis, with contrast: rates for 10 insurance plans Aetna — Default: 80% (a percentage in the contract, not a dollar amount) Allegiance Benefit Plan Management — Default: 95% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of MT — Default: 80% (a percentage in the contract, not a dollar amount) Cigna — Default: 80% (a percentage in the contract, not a dollar amount) Employee Benefit Management Services EBMS — Default: 80% (a percentage in the contract, not a dollar amount) Medicaid Montana — Default: 80% (a percentage in the contract, not a dollar amount) Medicare A MT JF — Default: 80% (a percentage in the contract, not a dollar amount) Tricare For Life — Default: 80% (a percentage in the contract, not a dollar amount) TriWest — Default: 80% (a percentage in the contract, not a dollar amount) United Healthcare — Default: 80% (a percentage in the contract, not a dollar amount)
Ultrasound of the abdomen, complete CPT 76700 · Inpatient or outpatient In the file: US ABDOMEN COMPLETE	$980	$980	Not listed in the file
Ultrasound of the abdomen, complete: rates for 10 insurance plans Aetna — Default: 80% (a percentage in the contract, not a dollar amount) Allegiance Benefit Plan Management — Default: 95% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of MT — Default: 80% (a percentage in the contract, not a dollar amount) Cigna — Default: 80% (a percentage in the contract, not a dollar amount) Employee Benefit Management Services EBMS — Default: 80% (a percentage in the contract, not a dollar amount) Medicaid Montana — Default: 80% (a percentage in the contract, not a dollar amount) Medicare A MT JF — Default: 80% (a percentage in the contract, not a dollar amount) Tricare For Life — Default: 80% (a percentage in the contract, not a dollar amount) TriWest — Default: 80% (a percentage in the contract, not a dollar amount) United Healthcare — Default: 80% (a percentage in the contract, not a dollar amount)
Transvaginal ultrasound CPT 76830 · Inpatient or outpatient In the file: US PELVIC TRANSVAGINAL	$399	$399	Not listed in the file
Transvaginal ultrasound: rates for 10 insurance plans Aetna — Default: 80% (a percentage in the contract, not a dollar amount) Allegiance Benefit Plan Management — Default: 95% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of MT — Default: 80% (a percentage in the contract, not a dollar amount) Cigna — Default: 80% (a percentage in the contract, not a dollar amount) Employee Benefit Management Services EBMS — Default: 80% (a percentage in the contract, not a dollar amount) Medicaid Montana — Default: 80% (a percentage in the contract, not a dollar amount) Medicare A MT JF — Default: 80% (a percentage in the contract, not a dollar amount) Tricare For Life — Default: 80% (a percentage in the contract, not a dollar amount) TriWest — Default: 80% (a percentage in the contract, not a dollar amount) United Healthcare — Default: 80% (a percentage in the contract, not a dollar amount)
Diagnostic mammogram, one breast CPT 77065 · Inpatient or outpatient · modifier LT In the file: MAMMOGRAM UNILAT BREAST DIAG LEFT,LEFT	$257	$257	Not listed in the file
Diagnostic mammogram, one breast: rates for 10 insurance plans Aetna — Default: 80% (a percentage in the contract, not a dollar amount) Allegiance Benefit Plan Management — Default: 95% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of MT — Default: 80% (a percentage in the contract, not a dollar amount) Cigna — Default: 80% (a percentage in the contract, not a dollar amount) Employee Benefit Management Services EBMS — Default: 80% (a percentage in the contract, not a dollar amount) Medicaid Montana — Default: 80% (a percentage in the contract, not a dollar amount) Medicare A MT JF — Default: 80% (a percentage in the contract, not a dollar amount) Tricare For Life — Default: 80% (a percentage in the contract, not a dollar amount) TriWest — Default: 80% (a percentage in the contract, not a dollar amount) United Healthcare — Default: 80% (a percentage in the contract, not a dollar amount)
Diagnostic mammogram, one breast CPT 77065 · Inpatient or outpatient · modifier 50 In the file: MAMMOGRAM UNILAT BREAST DIAG LEFT,BILATERAL	$257	$257	Not listed in the file
Diagnostic mammogram, one breast: rates for 10 insurance plans Aetna — Default: 80% (a percentage in the contract, not a dollar amount) Allegiance Benefit Plan Management — Default: 95% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of MT — Default: 80% (a percentage in the contract, not a dollar amount) Cigna — Default: 80% (a percentage in the contract, not a dollar amount) Employee Benefit Management Services EBMS — Default: 80% (a percentage in the contract, not a dollar amount) Medicaid Montana — Default: 80% (a percentage in the contract, not a dollar amount) Medicare A MT JF — Default: 80% (a percentage in the contract, not a dollar amount) Tricare For Life — Default: 80% (a percentage in the contract, not a dollar amount) TriWest — Default: 80% (a percentage in the contract, not a dollar amount) United Healthcare — Default: 80% (a percentage in the contract, not a dollar amount)
Diagnostic mammogram, one breast CPT 77065 · Inpatient or outpatient · modifier RT In the file: MAMMOGRAM UNILAT BREAST DIAG RIGHT,RIGHT	$257	$257	Not listed in the file
Diagnostic mammogram, one breast: rates for 10 insurance plans Aetna — Default: 80% (a percentage in the contract, not a dollar amount) Allegiance Benefit Plan Management — Default: 95% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of MT — Default: 80% (a percentage in the contract, not a dollar amount) Cigna — Default: 80% (a percentage in the contract, not a dollar amount) Employee Benefit Management Services EBMS — Default: 80% (a percentage in the contract, not a dollar amount) Medicaid Montana — Default: 80% (a percentage in the contract, not a dollar amount) Medicare A MT JF — Default: 80% (a percentage in the contract, not a dollar amount) Tricare For Life — Default: 80% (a percentage in the contract, not a dollar amount) TriWest — Default: 80% (a percentage in the contract, not a dollar amount) United Healthcare — Default: 80% (a percentage in the contract, not a dollar amount)
Diagnostic mammogram, both breasts CPT 77066 · Inpatient or outpatient In the file: MAMMOGRAM BILAT BREAST DIAG	$203	$203	Not listed in the file
Diagnostic mammogram, both breasts: rates for 10 insurance plans Aetna — Default: 80% (a percentage in the contract, not a dollar amount) Allegiance Benefit Plan Management — Default: 95% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of MT — Default: 80% (a percentage in the contract, not a dollar amount) Cigna — Default: 80% (a percentage in the contract, not a dollar amount) Employee Benefit Management Services EBMS — Default: 80% (a percentage in the contract, not a dollar amount) Medicaid Montana — Default: 80% (a percentage in the contract, not a dollar amount) Medicare A MT JF — Default: 80% (a percentage in the contract, not a dollar amount) Tricare For Life — Default: 80% (a percentage in the contract, not a dollar amount) TriWest — Default: 80% (a percentage in the contract, not a dollar amount) United Healthcare — Default: 80% (a percentage in the contract, not a dollar amount)
Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient In the file: MAMMOGRAM SCREENING	$306	$306	Not listed in the file
Screening mammogram, both breasts: rates for 10 insurance plans Aetna — Default: 80% (a percentage in the contract, not a dollar amount) Allegiance Benefit Plan Management — Default: 95% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of MT — Default: 80% (a percentage in the contract, not a dollar amount) Cigna — Default: 80% (a percentage in the contract, not a dollar amount) Employee Benefit Management Services EBMS — Default: 80% (a percentage in the contract, not a dollar amount) Medicaid Montana — Default: 80% (a percentage in the contract, not a dollar amount) Medicare A MT JF — Default: 80% (a percentage in the contract, not a dollar amount) Tricare For Life — Default: 80% (a percentage in the contract, not a dollar amount) TriWest — Default: 80% (a percentage in the contract, not a dollar amount) United Healthcare — Default: 80% (a percentage in the contract, not a dollar amount)
Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient · modifier LT In the file: MAMMOGRAM UNILATERAL SCREENING LEFT,LEFT	$185	$185	Not listed in the file
Screening mammogram, both breasts: rates for 10 insurance plans Aetna — Default: 80% (a percentage in the contract, not a dollar amount) Allegiance Benefit Plan Management — Default: 95% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of MT — Default: 80% (a percentage in the contract, not a dollar amount) Cigna — Default: 80% (a percentage in the contract, not a dollar amount) Employee Benefit Management Services EBMS — Default: 80% (a percentage in the contract, not a dollar amount) Medicaid Montana — Default: 80% (a percentage in the contract, not a dollar amount) Medicare A MT JF — Default: 80% (a percentage in the contract, not a dollar amount) Tricare For Life — Default: 80% (a percentage in the contract, not a dollar amount) TriWest — Default: 80% (a percentage in the contract, not a dollar amount) United Healthcare — Default: 80% (a percentage in the contract, not a dollar amount)
Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient · modifier 50 In the file: MAMMOGRAM UNILATERAL SCREENING LEFT,BILATERAL	$185	$185	Not listed in the file
Screening mammogram, both breasts: rates for 10 insurance plans Aetna — Default: 80% (a percentage in the contract, not a dollar amount) Allegiance Benefit Plan Management — Default: 95% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of MT — Default: 80% (a percentage in the contract, not a dollar amount) Cigna — Default: 80% (a percentage in the contract, not a dollar amount) Employee Benefit Management Services EBMS — Default: 80% (a percentage in the contract, not a dollar amount) Medicaid Montana — Default: 80% (a percentage in the contract, not a dollar amount) Medicare A MT JF — Default: 80% (a percentage in the contract, not a dollar amount) Tricare For Life — Default: 80% (a percentage in the contract, not a dollar amount) TriWest — Default: 80% (a percentage in the contract, not a dollar amount) United Healthcare — Default: 80% (a percentage in the contract, not a dollar amount)

Heart tests and sleep study

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Electrocardiogram (ECG/EKG) with reading CPT 93000 · Outpatient (no overnight stay) In the file: EKG INTERPRETATION	$35	$35	$194.17 – $286.05
Electrocardiogram (ECG/EKG) with reading: rates for 10 insurance plans Medicaid Montana — Default: $286.05 Medicare A MT JF — Default: $194.17 Aetna — Default: 80% (a percentage in the contract, not a dollar amount) Allegiance Benefit Plan Management — Default: 95% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of MT — Default: 80% (a percentage in the contract, not a dollar amount) Cigna — Default: 80% (a percentage in the contract, not a dollar amount) Employee Benefit Management Services EBMS — Default: 80% (a percentage in the contract, not a dollar amount) Tricare For Life — Default: 80% (a percentage in the contract, not a dollar amount) TriWest — Default: 80% (a percentage in the contract, not a dollar amount) United Healthcare — Default: 80% (a percentage in the contract, not a dollar amount)

Physical therapy and mental health

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient · modifier GP In the file: THERAPEUTIC EXERCISE,PT	$116	$116	Not listed in the file
Physical therapy: therapeutic exercise (each 15 minutes): rates for 10 insurance plans Aetna — Default: 80% (a percentage in the contract, not a dollar amount) Allegiance Benefit Plan Management — Default: 95% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of MT — Default: 80% (a percentage in the contract, not a dollar amount) Cigna — Default: 80% (a percentage in the contract, not a dollar amount) Employee Benefit Management Services EBMS — Default: 80% (a percentage in the contract, not a dollar amount) Medicaid Montana — Default: 80% (a percentage in the contract, not a dollar amount) Medicare A MT JF — Default: 80% (a percentage in the contract, not a dollar amount) Tricare For Life — Default: 80% (a percentage in the contract, not a dollar amount) TriWest — Default: 80% (a percentage in the contract, not a dollar amount) United Healthcare — Default: 80% (a percentage in the contract, not a dollar amount)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient · modifier GO In the file: OT THERAPEUTIC EXERCISE,OT	$109	$109	Not listed in the file
Physical therapy: therapeutic exercise (each 15 minutes): rates for 10 insurance plans Aetna — Default: 80% (a percentage in the contract, not a dollar amount) Allegiance Benefit Plan Management — Default: 95% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of MT — Default: 80% (a percentage in the contract, not a dollar amount) Cigna — Default: 80% (a percentage in the contract, not a dollar amount) Employee Benefit Management Services EBMS — Default: 80% (a percentage in the contract, not a dollar amount) Medicaid Montana — Default: 80% (a percentage in the contract, not a dollar amount) Medicare A MT JF — Default: 80% (a percentage in the contract, not a dollar amount) Tricare For Life — Default: 80% (a percentage in the contract, not a dollar amount) TriWest — Default: 80% (a percentage in the contract, not a dollar amount) United Healthcare — Default: 80% (a percentage in the contract, not a dollar amount)
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient or outpatient · modifier GP In the file: EVALUATION - LOW COMPLEXITY,PT	$170	$170	Not listed in the file
Physical therapy evaluation (low complexity): rates for 10 insurance plans Aetna — Default: 80% (a percentage in the contract, not a dollar amount) Allegiance Benefit Plan Management — Default: 95% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of MT — Default: 80% (a percentage in the contract, not a dollar amount) Cigna — Default: 80% (a percentage in the contract, not a dollar amount) Employee Benefit Management Services EBMS — Default: 80% (a percentage in the contract, not a dollar amount) Medicaid Montana — Default: 80% (a percentage in the contract, not a dollar amount) Medicare A MT JF — Default: 80% (a percentage in the contract, not a dollar amount) Tricare For Life — Default: 80% (a percentage in the contract, not a dollar amount) TriWest — Default: 80% (a percentage in the contract, not a dollar amount) United Healthcare — Default: 80% (a percentage in the contract, not a dollar amount)
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient or outpatient · modifier GP In the file: PT-DRY NEEDLING 2 OR MORE AREAS,PT	$85	$85	Not listed in the file
Physical therapy evaluation (low complexity): rates for 10 insurance plans Aetna — Default: 80% (a percentage in the contract, not a dollar amount) Allegiance Benefit Plan Management — Default: 95% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of MT — Default: 80% (a percentage in the contract, not a dollar amount) Cigna — Default: 80% (a percentage in the contract, not a dollar amount) Employee Benefit Management Services EBMS — Default: 80% (a percentage in the contract, not a dollar amount) Medicaid Montana — Default: 80% (a percentage in the contract, not a dollar amount) Medicare A MT JF — Default: 80% (a percentage in the contract, not a dollar amount) Tricare For Life — Default: 80% (a percentage in the contract, not a dollar amount) TriWest — Default: 80% (a percentage in the contract, not a dollar amount) United Healthcare — Default: 80% (a percentage in the contract, not a dollar amount)
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient or outpatient · modifier GP In the file: EVALUATION MODERATE COMPLEXITY,PT	$231	$231	Not listed in the file
Physical therapy evaluation (moderate complexity): rates for 10 insurance plans Aetna — Default: 80% (a percentage in the contract, not a dollar amount) Allegiance Benefit Plan Management — Default: 95% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of MT — Default: 80% (a percentage in the contract, not a dollar amount) Cigna — Default: 80% (a percentage in the contract, not a dollar amount) Employee Benefit Management Services EBMS — Default: 80% (a percentage in the contract, not a dollar amount) Medicaid Montana — Default: 80% (a percentage in the contract, not a dollar amount) Medicare A MT JF — Default: 80% (a percentage in the contract, not a dollar amount) Tricare For Life — Default: 80% (a percentage in the contract, not a dollar amount) TriWest — Default: 80% (a percentage in the contract, not a dollar amount) United Healthcare — Default: 80% (a percentage in the contract, not a dollar amount)
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient or outpatient · modifier GP In the file: EVALUATION-HIGH COMPLEXITY,PT	$206	$206	Not listed in the file
Physical therapy evaluation (high complexity): rates for 10 insurance plans Aetna — Default: 80% (a percentage in the contract, not a dollar amount) Allegiance Benefit Plan Management — Default: 95% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of MT — Default: 80% (a percentage in the contract, not a dollar amount) Cigna — Default: 80% (a percentage in the contract, not a dollar amount) Employee Benefit Management Services EBMS — Default: 80% (a percentage in the contract, not a dollar amount) Medicaid Montana — Default: 80% (a percentage in the contract, not a dollar amount) Medicare A MT JF — Default: 80% (a percentage in the contract, not a dollar amount) Tricare For Life — Default: 80% (a percentage in the contract, not a dollar amount) TriWest — Default: 80% (a percentage in the contract, not a dollar amount) United Healthcare — Default: 80% (a percentage in the contract, not a dollar amount)
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) In the file: PSYCHOTHERAPY 30 MINUTES (SF)	$198	$198	$194.17 – $286.05
Psychotherapy, 30 minutes: rates for 10 insurance plans Medicaid Montana — Default: $286.05 Medicare A MT JF — Default: $194.17 Aetna — Default: 80% (a percentage in the contract, not a dollar amount) Allegiance Benefit Plan Management — Default: 95% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of MT — Default: 80% (a percentage in the contract, not a dollar amount) Cigna — Default: 80% (a percentage in the contract, not a dollar amount) Employee Benefit Management Services EBMS — Default: 80% (a percentage in the contract, not a dollar amount) Tricare For Life — Default: 80% (a percentage in the contract, not a dollar amount) TriWest — Default: 80% (a percentage in the contract, not a dollar amount) United Healthcare — Default: 80% (a percentage in the contract, not a dollar amount)
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) In the file: PSYTX WITH PATIENT 30 MINUTES	$136	$136	$194.17 – $286.05
Psychotherapy, 30 minutes: rates for 10 insurance plans Medicaid Montana — Default: $286.05 Medicare A MT JF — Default: $194.17 Aetna — Default: 80% (a percentage in the contract, not a dollar amount) Allegiance Benefit Plan Management — Default: 95% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of MT — Default: 80% (a percentage in the contract, not a dollar amount) Cigna — Default: 80% (a percentage in the contract, not a dollar amount) Employee Benefit Management Services EBMS — Default: 80% (a percentage in the contract, not a dollar amount) Tricare For Life — Default: 80% (a percentage in the contract, not a dollar amount) TriWest — Default: 80% (a percentage in the contract, not a dollar amount) United Healthcare — Default: 80% (a percentage in the contract, not a dollar amount)
Psychotherapy, 45 minutes CPT 90834 · Inpatient or outpatient In the file: zPSYCHOTHERAPY 45 MINUTES(DON'T USE)	$220	$198	$194.17 – $286.05
Psychotherapy, 45 minutes: rates for 10 insurance plans Medicaid Montana — Default: $286.05 Medicare A MT JF — Default: $194.17 Aetna — Default: 80% (a percentage in the contract, not a dollar amount) Allegiance Benefit Plan Management — Default: 95% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of MT — Default: 80% (a percentage in the contract, not a dollar amount) Cigna — Default: 80% (a percentage in the contract, not a dollar amount) Employee Benefit Management Services EBMS — Default: 80% (a percentage in the contract, not a dollar amount) Tricare For Life — Default: 80% (a percentage in the contract, not a dollar amount) TriWest — Default: 80% (a percentage in the contract, not a dollar amount) United Healthcare — Default: 80% (a percentage in the contract, not a dollar amount)
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) In the file: PSYTX WITH PATIENT 45 MIN	$172	$172	$194.17 – $286.05
Psychotherapy, 45 minutes: rates for 10 insurance plans Medicaid Montana — Default: $286.05 Medicare A MT JF — Default: $194.17 Aetna — Default: 80% (a percentage in the contract, not a dollar amount) Allegiance Benefit Plan Management — Default: 95% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of MT — Default: 80% (a percentage in the contract, not a dollar amount) Cigna — Default: 80% (a percentage in the contract, not a dollar amount) Employee Benefit Management Services EBMS — Default: 80% (a percentage in the contract, not a dollar amount) Tricare For Life — Default: 80% (a percentage in the contract, not a dollar amount) TriWest — Default: 80% (a percentage in the contract, not a dollar amount) United Healthcare — Default: 80% (a percentage in the contract, not a dollar amount)
Psychotherapy, 60 minutes CPT 90837 · Inpatient or outpatient In the file: zPSYCHOTHERAPY 60 MINUTES(DON'T USE)	$225	$202.50	$194.17 – $286.05
Psychotherapy, 60 minutes: rates for 10 insurance plans Medicaid Montana — Default: $286.05 Medicare A MT JF — Default: $194.17 Aetna — Default: 80% (a percentage in the contract, not a dollar amount) Allegiance Benefit Plan Management — Default: 95% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of MT — Default: 80% (a percentage in the contract, not a dollar amount) Cigna — Default: 80% (a percentage in the contract, not a dollar amount) Employee Benefit Management Services EBMS — Default: 80% (a percentage in the contract, not a dollar amount) Tricare For Life — Default: 80% (a percentage in the contract, not a dollar amount) TriWest — Default: 80% (a percentage in the contract, not a dollar amount) United Healthcare — Default: 80% (a percentage in the contract, not a dollar amount)
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) In the file: PSYTX WITH PATIENT 60 MINUTES	$172	$172	$194.17 – $286.05
Psychotherapy, 60 minutes: rates for 10 insurance plans Medicaid Montana — Default: $286.05 Medicare A MT JF — Default: $194.17 Aetna — Default: 80% (a percentage in the contract, not a dollar amount) Allegiance Benefit Plan Management — Default: 95% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of MT — Default: 80% (a percentage in the contract, not a dollar amount) Cigna — Default: 80% (a percentage in the contract, not a dollar amount) Employee Benefit Management Services EBMS — Default: 80% (a percentage in the contract, not a dollar amount) Tricare For Life — Default: 80% (a percentage in the contract, not a dollar amount) TriWest — Default: 80% (a percentage in the contract, not a dollar amount) United Healthcare — Default: 80% (a percentage in the contract, not a dollar amount)
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) In the file: BH PSYTX WITH PATIENT 60 MINUTES	$172	$172	$194.17 – $286.05
Psychotherapy, 60 minutes: rates for 10 insurance plans Medicaid Montana — Default: $286.05 Medicare A MT JF — Default: $194.17 Aetna — Default: 80% (a percentage in the contract, not a dollar amount) Allegiance Benefit Plan Management — Default: 95% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of MT — Default: 80% (a percentage in the contract, not a dollar amount) Cigna — Default: 80% (a percentage in the contract, not a dollar amount) Employee Benefit Management Services EBMS — Default: 80% (a percentage in the contract, not a dollar amount) Tricare For Life — Default: 80% (a percentage in the contract, not a dollar amount) TriWest — Default: 80% (a percentage in the contract, not a dollar amount) United Healthcare — Default: 80% (a percentage in the contract, not a dollar amount)
Family psychotherapy, without the patient CPT 90846 · Inpatient or outpatient In the file: FAMILY PSYTX W/O PATIENT 50 MIN	$201	$201	Not listed in the file
Family psychotherapy, without the patient: rates for 10 insurance plans Aetna — Default: 80% (a percentage in the contract, not a dollar amount) Allegiance Benefit Plan Management — Default: 95% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of MT — Default: 80% (a percentage in the contract, not a dollar amount) Cigna — Default: 80% (a percentage in the contract, not a dollar amount) Employee Benefit Management Services EBMS — Default: 80% (a percentage in the contract, not a dollar amount) Medicaid Montana — Default: 80% (a percentage in the contract, not a dollar amount) Medicare A MT JF — Default: 80% (a percentage in the contract, not a dollar amount) Tricare For Life — Default: 80% (a percentage in the contract, not a dollar amount) TriWest — Default: 80% (a percentage in the contract, not a dollar amount) United Healthcare — Default: 80% (a percentage in the contract, not a dollar amount)
Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) In the file: FAMILY PSYTX WITH PATIENT 50 MIN	$182	$182	$194.17 – $286.05
Family psychotherapy, with the patient: rates for 10 insurance plans Medicaid Montana — Default: $286.05 Medicare A MT JF — Default: $194.17 Aetna — Default: 80% (a percentage in the contract, not a dollar amount) Allegiance Benefit Plan Management — Default: 95% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of MT — Default: 80% (a percentage in the contract, not a dollar amount) Cigna — Default: 80% (a percentage in the contract, not a dollar amount) Employee Benefit Management Services EBMS — Default: 80% (a percentage in the contract, not a dollar amount) Tricare For Life — Default: 80% (a percentage in the contract, not a dollar amount) TriWest — Default: 80% (a percentage in the contract, not a dollar amount) United Healthcare — Default: 80% (a percentage in the contract, not a dollar amount)
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) In the file: GROUP PSYCHOTHERAPY	$125	$125	$194.17 – $286.05
Group psychotherapy: rates for 10 insurance plans Medicaid Montana — Default: $286.05 Medicare A MT JF — Default: $194.17 Aetna — Default: 80% (a percentage in the contract, not a dollar amount) Allegiance Benefit Plan Management — Default: 95% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of MT — Default: 80% (a percentage in the contract, not a dollar amount) Cigna — Default: 80% (a percentage in the contract, not a dollar amount) Employee Benefit Management Services EBMS — Default: 80% (a percentage in the contract, not a dollar amount) Tricare For Life — Default: 80% (a percentage in the contract, not a dollar amount) TriWest — Default: 80% (a percentage in the contract, not a dollar amount) United Healthcare — Default: 80% (a percentage in the contract, not a dollar amount)

Source: Phillips County Hospital - CAH’s standard charges file (pchospital.us, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on June 16, 2026; retrieved November 1, 2026. The hospital’s price transparency page →

Found through the hospital’s cms-hpt.txt file, as required by the federal hospital price transparency rule (CMS). We show a selection of common services; the file has every item and service.

Hospital information

Hospital type	Critical Access Hospital
Address	311 S 8th Ave E, Malta, MT 59538
County	Phillips County
State	Montana
Phone	(406) 654‑1100
Emergency services	Yes
Ownership	Voluntary non-profit - Private
Medicare overall rating	Not rated by CMS
CMS Certification Number	271312
Name in Medicare records	PHILLIPS COUNTY HOSPITAL - CAH
Profile level	Medicare data + hospital website
Name on the hospital’s website	Phillips County Hospital and Family Health Clinic
Official website	pchospital.us
Corrections	Report an error or suggest an update →

Sources

Hospital General Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-10-26, retrieved 2026-11-13
Medicare Care Compare — official Medicare profile of this hospital
U.S. Census Bureau Geocoder — map position used for distances

From the hospital’s website

Numbers match the citations above. Checked 2026-10-30.

Phillips County Hospital and Family Health Clinic — pchospital.us
Patient & Visitor Information — pchospital.us
Radiology Services - Phillips County Hospital and Family Health Clinic — pchospital.us
Laboratory Services - Phillips County Hospital and Family Health Clinic — pchospital.us
About - Phillips County Hospital and Family Health Clinic — pchospital.us

Phillips County Hospital - CAH

Summary

Profile from official sources

At a glance

Quick answers

Specialties and care areas^[4][6][7]

Treatments^[4][8]

Procedures^[4][6]

Programs and centers^[4][8]

Emergency care (hospital website)^[5][8]

Visiting and practical information

Doctors and clinicians (26)

Main specialties

Doctors with a page on this site (26)

Other emergency rooms nearby

Other hospitals near Malta

Community care nearby

Clinics and urgent care

About the Medicare star rating

Medicare quality data

What patients said (patient survey)

Return visits to the hospital (readmissions)

Emergency room times and sepsis care

ER wait times and Medicare ratings nearby

Prices

Office and emergency visits

Lab tests

Imaging (X-ray, CT, MRI, ultrasound, mammogram)

Heart tests and sleep study

Physical therapy and mental health

Hospital information

Sources

From the hospital’s website

Phillips County Hospital - CAH

Summary

Profile from official sources

At a glance

Quick answers

Specialties and care areas[4][6][7]

Treatments[4][8]

Procedures[4][6]

Programs and centers[4][8]

Emergency care (hospital website)[5][8]

Visiting and practical information

Doctors and clinicians (26)

Main specialties

Doctors with a page on this site (26)

Other emergency rooms nearby

Other hospitals near Malta

Community care nearby

Clinics and urgent care

About the Medicare star rating

Medicare quality data

What patients said (patient survey)

Return visits to the hospital (readmissions)

Emergency room times and sepsis care

ER wait times and Medicare ratings nearby

Prices

Office and emergency visits

Lab tests

Imaging (X-ray, CT, MRI, ultrasound, mammogram)

Heart tests and sleep study

Physical therapy and mental health

Hospital information

Sources

From the hospital’s website

Specialties and care areas^[4][6][7]

Treatments^[4][8]

Procedures^[4][6]

Programs and centers^[4][8]

Emergency care (hospital website)^[5][8]