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Critical Access Hospital

Prairie Community CAH

Also listed as: Prairie Community Hospital

Terry, Montana · Prairie County · Emergency services listed

Prairie Community CAH is a critical access hospital at 312 S Adams, Terry, MT 59349. Phone: (406) 635-5511. It has an emergency department.

Data as of October 26, 2026. Source: CMS Hospital General Information and the hospital’s website (checked October 30, 2026).

Summary

Prairie Community CAH is a critical access hospital in Terry, Montana. Medicare data lists emergency services. Its official website lists 10 services, specialties and programs. Medicare lists 5 affiliated clinicians. Source: CMS Hospital General Information, data updated 2026-10-26.

What is a critical access hospital?

A small rural hospital with 24-hour emergency care, designated by Medicare to keep care available far from big cities. More about hospital types

Compare

Profile from official sources

Built from official Medicare (CMS) data and the hospital’s own website (checked 2026-10-30). Every service links to the page that lists it. Services change: call the hospital to confirm before you go.

In a medical emergency, call 911.

At a glance

YesEmergency services
Not ratedNot rated by CMSMedicare rating
10Services listed

Quick answers

Does Prairie Community CAH have an emergency room?
Yes. Medicare (CMS) data lists emergency services at Prairie Community CAH. In a medical emergency, call 911.
Where is Prairie Community CAH?
312 S Adams, Terry, MT 59349, in Prairie County, Montana.
What is the phone number of Prairie Community CAH?
(406) 635-5511, as listed by Medicare (CMS).
What is the Medicare star rating of Prairie Community 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]

Treatments[4]

  • Inpatient care
  • Skilled swing bed care
  • Long term care
  • Preventative care

Procedures[4]

Emergency care (hospital website)[4]

Emergency roomYes
Open 24/7Yes

Doctors and clinicians (5)

5 doctors and other clinicians list Prairie Community 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

Doctors with a page on this site (5)

Other emergency rooms nearby

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

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

Other hospitals near Terry

Hospitals in Prairie 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

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 Prairie Community 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.

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.

Emergency room volume (patients per year)Low (under 20,000)
Average (median) time patients spent in the emergency room before leaving (OP-18b)92 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)1%National average: 2%
Not reported to MedicareSepsis patients who got all the recommended early care (SEP-1)

Source: Timely and Effective Care - Hospital — CMS, released October 19, 2026; data from January 2024 to December 2024.

Not reported to Medicare: the patient survey, infections caught in the hospital, complications and deaths, readmissions. 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.

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 86 common services exactly as Prairie Community 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 86 common services

Office and emergency visits

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFFICE O/P NEW LOW 30 MIN Not listed in the file Not listed in the file Not listed in the file
New patient office visit (about 30–44 minutes): 10 of 39 insurance plan rates
  • AARP — OPTIONS: 100% (a percentage in the contract, not a dollar amount)
  • Aetna — INDEMNITY: 100% (a percentage in the contract, not a dollar amount)
  • Allegiance Benefit Plan Management Inc. — CIGNA PPO: 100% (a percentage in the contract, not a dollar amount)
  • Allegiance Benefit Plan Management Inc. — COMMERCIAL: 100% (a percentage in the contract, not a dollar amount)
  • Allegiance Benefit Plan Management Inc. — FIRST INTERSTATE CLAIMS PPO: 100% (a percentage in the contract, not a dollar amount)
  • BCBS-IL — PPO: 100% (a percentage in the contract, not a dollar amount)
  • BCBS-TX — PPO: 100% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield - Montana — COMMERCIAL: 100% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield - Montana — FEP BASIC PLAN: 100% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield - Montana — FEP PPO: 100% (a percentage in the contract, not a dollar amount)
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFFICE O/P NEW MOD 45 MIN Not listed in the file Not listed in the file Not listed in the file
New patient office visit (about 45–59 minutes): 10 of 39 insurance plan rates
  • AARP — OPTIONS: 100% (a percentage in the contract, not a dollar amount)
  • Aetna — INDEMNITY: 100% (a percentage in the contract, not a dollar amount)
  • Allegiance Benefit Plan Management Inc. — CIGNA PPO: 100% (a percentage in the contract, not a dollar amount)
  • Allegiance Benefit Plan Management Inc. — COMMERCIAL: 100% (a percentage in the contract, not a dollar amount)
  • Allegiance Benefit Plan Management Inc. — FIRST INTERSTATE CLAIMS PPO: 100% (a percentage in the contract, not a dollar amount)
  • BCBS-IL — PPO: 100% (a percentage in the contract, not a dollar amount)
  • BCBS-TX — PPO: 100% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield - Montana — COMMERCIAL: 100% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield - Montana — FEP BASIC PLAN: 100% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield - Montana — FEP PPO: 100% (a percentage in the contract, not a dollar amount)
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFFICE O/P NEW HI 60 MIN Not listed in the file Not listed in the file Not listed in the file
New patient office visit (about 60–74 minutes): 10 of 39 insurance plan rates
  • AARP — OPTIONS: 100% (a percentage in the contract, not a dollar amount)
  • Aetna — INDEMNITY: 100% (a percentage in the contract, not a dollar amount)
  • Allegiance Benefit Plan Management Inc. — CIGNA PPO: 100% (a percentage in the contract, not a dollar amount)
  • Allegiance Benefit Plan Management Inc. — COMMERCIAL: 100% (a percentage in the contract, not a dollar amount)
  • Allegiance Benefit Plan Management Inc. — FIRST INTERSTATE CLAIMS PPO: 100% (a percentage in the contract, not a dollar amount)
  • BCBS-IL — PPO: 100% (a percentage in the contract, not a dollar amount)
  • BCBS-TX — PPO: 100% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield - Montana — COMMERCIAL: 100% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield - Montana — FEP BASIC PLAN: 100% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield - Montana — FEP PPO: 100% (a percentage in the contract, not a dollar amount)
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFFICE O/P EST LOW 20 MIN Not listed in the file Not listed in the file Not listed in the file
Established patient office visit (about 20–29 minutes): 10 of 39 insurance plan rates
  • AARP — OPTIONS: 100% (a percentage in the contract, not a dollar amount)
  • Aetna — INDEMNITY: 100% (a percentage in the contract, not a dollar amount)
  • Allegiance Benefit Plan Management Inc. — CIGNA PPO: 100% (a percentage in the contract, not a dollar amount)
  • Allegiance Benefit Plan Management Inc. — COMMERCIAL: 100% (a percentage in the contract, not a dollar amount)
  • Allegiance Benefit Plan Management Inc. — FIRST INTERSTATE CLAIMS PPO: 100% (a percentage in the contract, not a dollar amount)
  • BCBS-IL — PPO: 100% (a percentage in the contract, not a dollar amount)
  • BCBS-TX — PPO: 100% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield - Montana — COMMERCIAL: 100% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield - Montana — FEP BASIC PLAN: 100% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield - Montana — FEP PPO: 100% (a percentage in the contract, not a dollar amount)
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFFICE O/P EST MOD 30 MIN Not listed in the file Not listed in the file Not listed in the file
Established patient office visit (about 30–39 minutes): 10 of 39 insurance plan rates
  • AARP — OPTIONS: 100% (a percentage in the contract, not a dollar amount)
  • Aetna — INDEMNITY: 100% (a percentage in the contract, not a dollar amount)
  • Allegiance Benefit Plan Management Inc. — CIGNA PPO: 100% (a percentage in the contract, not a dollar amount)
  • Allegiance Benefit Plan Management Inc. — COMMERCIAL: 100% (a percentage in the contract, not a dollar amount)
  • Allegiance Benefit Plan Management Inc. — FIRST INTERSTATE CLAIMS PPO: 100% (a percentage in the contract, not a dollar amount)
  • BCBS-IL — PPO: 100% (a percentage in the contract, not a dollar amount)
  • BCBS-TX — PPO: 100% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield - Montana — COMMERCIAL: 100% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield - Montana — FEP BASIC PLAN: 100% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield - Montana — FEP PPO: 100% (a percentage in the contract, not a dollar amount)
Office consultation with a specialist (moderate) CPT 99243 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFF/OP CNSLTJ NEW/EST LOW 30 Not listed in the file Not listed in the file Not listed in the file
Office consultation with a specialist (moderate): 10 of 39 insurance plan rates
  • AARP — OPTIONS: 100% (a percentage in the contract, not a dollar amount)
  • Aetna — INDEMNITY: 100% (a percentage in the contract, not a dollar amount)
  • Allegiance Benefit Plan Management Inc. — CIGNA PPO: 100% (a percentage in the contract, not a dollar amount)
  • Allegiance Benefit Plan Management Inc. — COMMERCIAL: 100% (a percentage in the contract, not a dollar amount)
  • Allegiance Benefit Plan Management Inc. — FIRST INTERSTATE CLAIMS PPO: 100% (a percentage in the contract, not a dollar amount)
  • BCBS-IL — PPO: 100% (a percentage in the contract, not a dollar amount)
  • BCBS-TX — PPO: 100% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield - Montana — COMMERCIAL: 100% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield - Montana — FEP BASIC PLAN: 100% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield - Montana — FEP PPO: 100% (a percentage in the contract, not a dollar amount)
Office consultation with a specialist (moderate to high) CPT 99244 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFF/OP CNSLTJ NEW/EST MOD 40 Not listed in the file Not listed in the file Not listed in the file
Office consultation with a specialist (moderate to high): 10 of 39 insurance plan rates
  • AARP — OPTIONS: 100% (a percentage in the contract, not a dollar amount)
  • Aetna — INDEMNITY: 100% (a percentage in the contract, not a dollar amount)
  • Allegiance Benefit Plan Management Inc. — CIGNA PPO: 100% (a percentage in the contract, not a dollar amount)
  • Allegiance Benefit Plan Management Inc. — COMMERCIAL: 100% (a percentage in the contract, not a dollar amount)
  • Allegiance Benefit Plan Management Inc. — FIRST INTERSTATE CLAIMS PPO: 100% (a percentage in the contract, not a dollar amount)
  • BCBS-IL — PPO: 100% (a percentage in the contract, not a dollar amount)
  • BCBS-TX — PPO: 100% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield - Montana — COMMERCIAL: 100% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield - Montana — FEP BASIC PLAN: 100% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield - Montana — FEP PPO: 100% (a percentage in the contract, not a dollar amount)
Preventive checkup, new patient, age 18–39 CPT 99385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PREV VISIT NEW AGE 18-39 Not listed in the file Not listed in the file Not listed in the file
Preventive checkup, new patient, age 18–39: 10 of 39 insurance plan rates
  • AARP — OPTIONS: 100% (a percentage in the contract, not a dollar amount)
  • Aetna — INDEMNITY: 100% (a percentage in the contract, not a dollar amount)
  • Allegiance Benefit Plan Management Inc. — CIGNA PPO: 100% (a percentage in the contract, not a dollar amount)
  • Allegiance Benefit Plan Management Inc. — COMMERCIAL: 100% (a percentage in the contract, not a dollar amount)
  • Allegiance Benefit Plan Management Inc. — FIRST INTERSTATE CLAIMS PPO: 100% (a percentage in the contract, not a dollar amount)
  • BCBS-IL — PPO: 100% (a percentage in the contract, not a dollar amount)
  • BCBS-TX — PPO: 100% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield - Montana — COMMERCIAL: 100% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield - Montana — FEP BASIC PLAN: 100% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield - Montana — FEP PPO: 100% (a percentage in the contract, not a dollar amount)
Preventive checkup, new patient, age 40–64 CPT 99386 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PREV VISIT NEW AGE 40-64 Not listed in the file Not listed in the file Not listed in the file
Preventive checkup, new patient, age 40–64: 10 of 39 insurance plan rates
  • AARP — OPTIONS: 100% (a percentage in the contract, not a dollar amount)
  • Aetna — INDEMNITY: 100% (a percentage in the contract, not a dollar amount)
  • Allegiance Benefit Plan Management Inc. — CIGNA PPO: 100% (a percentage in the contract, not a dollar amount)
  • Allegiance Benefit Plan Management Inc. — COMMERCIAL: 100% (a percentage in the contract, not a dollar amount)
  • Allegiance Benefit Plan Management Inc. — FIRST INTERSTATE CLAIMS PPO: 100% (a percentage in the contract, not a dollar amount)
  • BCBS-IL — PPO: 100% (a percentage in the contract, not a dollar amount)
  • BCBS-TX — PPO: 100% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield - Montana — COMMERCIAL: 100% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield - Montana — FEP BASIC PLAN: 100% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield - Montana — FEP PPO: 100% (a percentage in the contract, not a dollar amount)
Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient · Hospital (facility) fee In the file: EMERGENCY ROOM LEVEL #3 $657.22 $657.22 $552.06 – $788.66
Emergency room visit (moderate): 10 of 39 insurance plan rates
  • AARP — OPTIONS: $657.22
  • Aetna — INDEMNITY: $657.22
  • Allegiance Benefit Plan Management Inc. — CIGNA PPO: $657.22
  • Allegiance Benefit Plan Management Inc. — COMMERCIAL: $657.22
  • Allegiance Benefit Plan Management Inc. — FIRST INTERSTATE CLAIMS PPO: $657.22
  • BCBS-IL — PPO: $657.22
  • BCBS-TX — PPO: $657.22
  • Blue Cross Blue Shield - Montana — COMMERCIAL: $657.22
  • Blue Cross Blue Shield - Montana — FEP BASIC PLAN: $657.22
  • Blue Cross Blue Shield - Montana — FEP PPO: $657.22
Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient · Hospital (facility) fee In the file: ER LEVEL 3 PROFESSIONAL FEE $657.22 $657.22 $552.06 – $788.66
Emergency room visit (moderate): 10 of 39 insurance plan rates
  • AARP — OPTIONS: $657.22
  • Aetna — INDEMNITY: $657.22
  • Allegiance Benefit Plan Management Inc. — CIGNA PPO: $657.22
  • Allegiance Benefit Plan Management Inc. — COMMERCIAL: $657.22
  • Allegiance Benefit Plan Management Inc. — FIRST INTERSTATE CLAIMS PPO: $657.22
  • BCBS-IL — PPO: $657.22
  • BCBS-TX — PPO: $657.22
  • Blue Cross Blue Shield - Montana — COMMERCIAL: $657.22
  • Blue Cross Blue Shield - Montana — FEP BASIC PLAN: $657.22
  • Blue Cross Blue Shield - Montana — FEP PPO: $657.22
Emergency room visit (moderately high) CPT 99284 · Inpatient or outpatient · Hospital (facility) fee In the file: EMERGENCY ROOM LEVEL 4 $1,127.57 $1,127.57 $947.15 – $1,353.08
Emergency room visit (moderately high): 10 of 39 insurance plan rates
  • AARP — OPTIONS: $1,127.57
  • Aetna — INDEMNITY: $1,127.57
  • Allegiance Benefit Plan Management Inc. — CIGNA PPO: $1,127.57
  • Allegiance Benefit Plan Management Inc. — COMMERCIAL: $1,127.57
  • Allegiance Benefit Plan Management Inc. — FIRST INTERSTATE CLAIMS PPO: $1,127.57
  • BCBS-IL — PPO: $1,127.57
  • BCBS-TX — PPO: $1,127.57
  • Blue Cross Blue Shield - Montana — COMMERCIAL: $1,127.57
  • Blue Cross Blue Shield - Montana — FEP BASIC PLAN: $1,127.57
  • Blue Cross Blue Shield - Montana — FEP PPO: $1,127.57
Emergency room visit (moderately high) CPT 99284 · Inpatient or outpatient · Hospital (facility) fee In the file: ER LEVEL 4 PROFESSIONAL FEE $1,127.57 $1,127.57 $947.15 – $1,353.08
Emergency room visit (moderately high): 10 of 39 insurance plan rates
  • AARP — OPTIONS: $1,127.57
  • Aetna — INDEMNITY: $1,127.57
  • Allegiance Benefit Plan Management Inc. — CIGNA PPO: $1,127.57
  • Allegiance Benefit Plan Management Inc. — COMMERCIAL: $1,127.57
  • Allegiance Benefit Plan Management Inc. — FIRST INTERSTATE CLAIMS PPO: $1,127.57
  • BCBS-IL — PPO: $1,127.57
  • BCBS-TX — PPO: $1,127.57
  • Blue Cross Blue Shield - Montana — COMMERCIAL: $1,127.57
  • Blue Cross Blue Shield - Montana — FEP BASIC PLAN: $1,127.57
  • Blue Cross Blue Shield - Montana — FEP PPO: $1,127.57
Emergency room visit (high) CPT 99285 · Inpatient or outpatient · Hospital (facility) fee In the file: EMERGENCY ROOM LEVEL #5 $1,239.09 $1,239.09 $1,040.83 – $1,486.90
Emergency room visit (high): 10 of 39 insurance plan rates
  • AARP — OPTIONS: $1,239.09
  • Aetna — INDEMNITY: $1,239.09
  • Allegiance Benefit Plan Management Inc. — CIGNA PPO: $1,239.09
  • Allegiance Benefit Plan Management Inc. — COMMERCIAL: $1,239.09
  • Allegiance Benefit Plan Management Inc. — FIRST INTERSTATE CLAIMS PPO: $1,239.09
  • BCBS-IL — PPO: $1,239.09
  • BCBS-TX — PPO: $1,239.09
  • Blue Cross Blue Shield - Montana — COMMERCIAL: $1,239.09
  • Blue Cross Blue Shield - Montana — FEP BASIC PLAN: $1,239.09
  • Blue Cross Blue Shield - Montana — FEP PPO: $1,239.09
Emergency room visit (high) CPT 99285 · Inpatient or outpatient · Hospital (facility) fee In the file: ER LEVEL 5 PROFESSIONAL FEE $1,239.09 $1,239.09 $1,040.83 – $1,486.90
Emergency room visit (high): 10 of 39 insurance plan rates
  • AARP — OPTIONS: $1,239.09
  • Aetna — INDEMNITY: $1,239.09
  • Allegiance Benefit Plan Management Inc. — CIGNA PPO: $1,239.09
  • Allegiance Benefit Plan Management Inc. — COMMERCIAL: $1,239.09
  • Allegiance Benefit Plan Management Inc. — FIRST INTERSTATE CLAIMS PPO: $1,239.09
  • BCBS-IL — PPO: $1,239.09
  • BCBS-TX — PPO: $1,239.09
  • Blue Cross Blue Shield - Montana — COMMERCIAL: $1,239.09
  • Blue Cross Blue Shield - Montana — FEP BASIC PLAN: $1,239.09
  • Blue Cross Blue Shield - Montana — FEP PPO: $1,239.09

Lab tests

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Inpatient or outpatient · Hospital (facility) fee In the file: BASIC METABOLIC PANEL / BMP / CHM8 $186.87 $186.87 $156.97 – $224.24
Basic metabolic panel (blood test): 10 of 39 insurance plan rates
  • AARP — OPTIONS: $186.87
  • Aetna — INDEMNITY: $186.87
  • Allegiance Benefit Plan Management Inc. — CIGNA PPO: $186.87
  • Allegiance Benefit Plan Management Inc. — COMMERCIAL: $186.87
  • Allegiance Benefit Plan Management Inc. — FIRST INTERSTATE CLAIMS PPO: $186.87
  • BCBS-IL — PPO: $186.87
  • BCBS-TX — PPO: $186.87
  • Blue Cross Blue Shield - Montana — COMMERCIAL: $186.87
  • Blue Cross Blue Shield - Montana — FEP BASIC PLAN: $186.87
  • Blue Cross Blue Shield - Montana — FEP PPO: $186.87
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient or outpatient · Hospital (facility) fee In the file: CMP - COMPREHENSIVE METABOLIC PANEL $296.38 $296.38 $248.95 – $355.65
Comprehensive metabolic panel (blood test): 10 of 39 insurance plan rates
  • AARP — OPTIONS: $296.38
  • Aetna — INDEMNITY: $296.38
  • Allegiance Benefit Plan Management Inc. — CIGNA PPO: $296.38
  • Allegiance Benefit Plan Management Inc. — COMMERCIAL: $296.38
  • Allegiance Benefit Plan Management Inc. — FIRST INTERSTATE CLAIMS PPO: $296.38
  • BCBS-IL — PPO: $296.38
  • BCBS-TX — PPO: $296.38
  • Blue Cross Blue Shield - Montana — COMMERCIAL: $296.38
  • Blue Cross Blue Shield - Montana — FEP BASIC PLAN: $296.38
  • Blue Cross Blue Shield - Montana — FEP PPO: $296.38
Obstetric blood test panel CPT 80055 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OBSTETRIC PANEL Not listed in the file Not listed in the file Not listed in the file
Obstetric blood test panel: 10 of 39 insurance plan rates
  • AARP — OPTIONS: 100% (a percentage in the contract, not a dollar amount)
  • Aetna — INDEMNITY: 100% (a percentage in the contract, not a dollar amount)
  • Allegiance Benefit Plan Management Inc. — CIGNA PPO: 100% (a percentage in the contract, not a dollar amount)
  • Allegiance Benefit Plan Management Inc. — COMMERCIAL: 100% (a percentage in the contract, not a dollar amount)
  • Allegiance Benefit Plan Management Inc. — FIRST INTERSTATE CLAIMS PPO: 100% (a percentage in the contract, not a dollar amount)
  • BCBS-IL — PPO: 100% (a percentage in the contract, not a dollar amount)
  • BCBS-TX — PPO: 100% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield - Montana — COMMERCIAL: 100% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield - Montana — FEP BASIC PLAN: 100% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield - Montana — FEP PPO: 100% (a percentage in the contract, not a dollar amount)
Cholesterol panel (lipid panel) CPT 80061 · Inpatient or outpatient · Hospital (facility) fee In the file: LIPID PANEL $186.87 $186.87 $156.97 – $224.24
Cholesterol panel (lipid panel): 10 of 39 insurance plan rates
  • AARP — OPTIONS: $186.87
  • Aetna — INDEMNITY: $186.87
  • Allegiance Benefit Plan Management Inc. — CIGNA PPO: $186.87
  • Allegiance Benefit Plan Management Inc. — COMMERCIAL: $186.87
  • Allegiance Benefit Plan Management Inc. — FIRST INTERSTATE CLAIMS PPO: $186.87
  • BCBS-IL — PPO: $186.87
  • BCBS-TX — PPO: $186.87
  • Blue Cross Blue Shield - Montana — COMMERCIAL: $186.87
  • Blue Cross Blue Shield - Montana — FEP BASIC PLAN: $186.87
  • Blue Cross Blue Shield - Montana — FEP PPO: $186.87
Kidney function panel CPT 80069 · Inpatient or outpatient · Hospital (facility) fee In the file: RENAL PANEL $214.24 $214.24 $179.96 – $257.08
Kidney function panel: 10 of 39 insurance plan rates
  • AARP — OPTIONS: $214.24
  • Aetna — INDEMNITY: $214.24
  • Allegiance Benefit Plan Management Inc. — CIGNA PPO: $214.24
  • Allegiance Benefit Plan Management Inc. — COMMERCIAL: $214.24
  • Allegiance Benefit Plan Management Inc. — FIRST INTERSTATE CLAIMS PPO: $214.24
  • BCBS-IL — PPO: $214.24
  • BCBS-TX — PPO: $214.24
  • Blue Cross Blue Shield - Montana — COMMERCIAL: $214.24
  • Blue Cross Blue Shield - Montana — FEP BASIC PLAN: $214.24
  • Blue Cross Blue Shield - Montana — FEP PPO: $214.24
Liver function panel CPT 80076 · Inpatient or outpatient · Hospital (facility) fee In the file: LIVER PANEL $225.50 $225.50 $189.42 – $270.60
Liver function panel: 10 of 39 insurance plan rates
  • AARP — OPTIONS: $225.50
  • Aetna — INDEMNITY: $225.50
  • Allegiance Benefit Plan Management Inc. — CIGNA PPO: $225.50
  • Allegiance Benefit Plan Management Inc. — COMMERCIAL: $225.50
  • Allegiance Benefit Plan Management Inc. — FIRST INTERSTATE CLAIMS PPO: $225.50
  • BCBS-IL — PPO: $225.50
  • BCBS-TX — PPO: $225.50
  • Blue Cross Blue Shield - Montana — COMMERCIAL: $225.50
  • Blue Cross Blue Shield - Montana — FEP BASIC PLAN: $225.50
  • Blue Cross Blue Shield - Montana — FEP PPO: $225.50
Urine test (automated, with microscope) CPT 81001 · Inpatient or outpatient · Hospital (facility) fee In the file: COMPLETE URINALYSIS $66.51 $66.51 $55.86 – $79.81
Urine test (automated, with microscope): 10 of 39 insurance plan rates
  • AARP — OPTIONS: $66.51
  • Aetna — INDEMNITY: $66.51
  • Allegiance Benefit Plan Management Inc. — CIGNA PPO: $66.51
  • Allegiance Benefit Plan Management Inc. — COMMERCIAL: $66.51
  • Allegiance Benefit Plan Management Inc. — FIRST INTERSTATE CLAIMS PPO: $66.51
  • BCBS-IL — PPO: $66.51
  • BCBS-TX — PPO: $66.51
  • Blue Cross Blue Shield - Montana — COMMERCIAL: $66.51
  • Blue Cross Blue Shield - Montana — FEP BASIC PLAN: $66.51
  • Blue Cross Blue Shield - Montana — FEP PPO: $66.51
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: URINALYSIS NONAUTO W/O SCOPE Not listed in the file Not listed in the file Not listed in the file
Urine test (manual, without microscope): 10 of 39 insurance plan rates
  • AARP — OPTIONS: 100% (a percentage in the contract, not a dollar amount)
  • Aetna — INDEMNITY: 100% (a percentage in the contract, not a dollar amount)
  • Allegiance Benefit Plan Management Inc. — CIGNA PPO: 100% (a percentage in the contract, not a dollar amount)
  • Allegiance Benefit Plan Management Inc. — COMMERCIAL: 100% (a percentage in the contract, not a dollar amount)
  • Allegiance Benefit Plan Management Inc. — FIRST INTERSTATE CLAIMS PPO: 100% (a percentage in the contract, not a dollar amount)
  • BCBS-IL — PPO: 100% (a percentage in the contract, not a dollar amount)
  • BCBS-TX — PPO: 100% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield - Montana — COMMERCIAL: 100% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield - Montana — FEP BASIC PLAN: 100% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield - Montana — FEP PPO: 100% (a percentage in the contract, not a dollar amount)
Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient · Hospital (facility) fee In the file: UA DIPSTICK ONLY $48.33 $48.33 $40.59 – $57.99
Urine test (automated, without microscope): 10 of 39 insurance plan rates
  • AARP — OPTIONS: $48.33
  • Aetna — INDEMNITY: $48.33
  • Allegiance Benefit Plan Management Inc. — CIGNA PPO: $48.33
  • Allegiance Benefit Plan Management Inc. — COMMERCIAL: $48.33
  • Allegiance Benefit Plan Management Inc. — FIRST INTERSTATE CLAIMS PPO: $48.33
  • BCBS-IL — PPO: $48.33
  • BCBS-TX — PPO: $48.33
  • Blue Cross Blue Shield - Montana — COMMERCIAL: $48.33
  • Blue Cross Blue Shield - Montana — FEP BASIC PLAN: $48.33
  • Blue Cross Blue Shield - Montana — FEP PPO: $48.33
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient · Hospital (facility) fee In the file: PSA $155.13 $155.13 $130.30 – $186.15
PSA (prostate specific antigen) blood test: 10 of 39 insurance plan rates
  • AARP — OPTIONS: $155.13
  • Aetna — INDEMNITY: $155.13
  • Allegiance Benefit Plan Management Inc. — CIGNA PPO: $155.13
  • Allegiance Benefit Plan Management Inc. — COMMERCIAL: $155.13
  • Allegiance Benefit Plan Management Inc. — FIRST INTERSTATE CLAIMS PPO: $155.13
  • BCBS-IL — PPO: $155.13
  • BCBS-TX — PPO: $155.13
  • Blue Cross Blue Shield - Montana — COMMERCIAL: $155.13
  • Blue Cross Blue Shield - Montana — FEP BASIC PLAN: $155.13
  • Blue Cross Blue Shield - Montana — FEP PPO: $155.13
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient or outpatient · Hospital (facility) fee In the file: TSH $127.26 $127.26 $106.89 – $152.71
Thyroid stimulating hormone (TSH) test: 10 of 39 insurance plan rates
  • AARP — OPTIONS: $127.26
  • Aetna — INDEMNITY: $127.26
  • Allegiance Benefit Plan Management Inc. — CIGNA PPO: $127.26
  • Allegiance Benefit Plan Management Inc. — COMMERCIAL: $127.26
  • Allegiance Benefit Plan Management Inc. — FIRST INTERSTATE CLAIMS PPO: $127.26
  • BCBS-IL — PPO: $127.26
  • BCBS-TX — PPO: $127.26
  • Blue Cross Blue Shield - Montana — COMMERCIAL: $127.26
  • Blue Cross Blue Shield - Montana — FEP BASIC PLAN: $127.26
  • Blue Cross Blue Shield - Montana — FEP PPO: $127.26
Complete blood count (CBC) with differential CPT 85025 · Inpatient or outpatient · Hospital (facility) fee In the file: CBC/ AUTO DIFF. $130.46 $130.46 $109.58 – $156.55
Complete blood count (CBC) with differential: 10 of 39 insurance plan rates
  • AARP — OPTIONS: $130.46
  • Aetna — INDEMNITY: $130.46
  • Allegiance Benefit Plan Management Inc. — CIGNA PPO: $130.46
  • Allegiance Benefit Plan Management Inc. — COMMERCIAL: $130.46
  • Allegiance Benefit Plan Management Inc. — FIRST INTERSTATE CLAIMS PPO: $130.46
  • BCBS-IL — PPO: $130.46
  • BCBS-TX — PPO: $130.46
  • Blue Cross Blue Shield - Montana — COMMERCIAL: $130.46
  • Blue Cross Blue Shield - Montana — FEP BASIC PLAN: $130.46
  • Blue Cross Blue Shield - Montana — FEP PPO: $130.46
Complete blood count (CBC) with differential CPT 85025 · Inpatient or outpatient · Hospital (facility) fee In the file: COMPLETE BLOOD COUNT/AUTO DIFF $130.46 $130.46 $109.58 – $156.55
Complete blood count (CBC) with differential: 10 of 39 insurance plan rates
  • AARP — OPTIONS: $130.46
  • Aetna — INDEMNITY: $130.46
  • Allegiance Benefit Plan Management Inc. — CIGNA PPO: $130.46
  • Allegiance Benefit Plan Management Inc. — COMMERCIAL: $130.46
  • Allegiance Benefit Plan Management Inc. — FIRST INTERSTATE CLAIMS PPO: $130.46
  • BCBS-IL — PPO: $130.46
  • BCBS-TX — PPO: $130.46
  • Blue Cross Blue Shield - Montana — COMMERCIAL: $130.46
  • Blue Cross Blue Shield - Montana — FEP BASIC PLAN: $130.46
  • Blue Cross Blue Shield - Montana — FEP PPO: $130.46
Complete blood count (CBC), automated CPT 85027 · Inpatient or outpatient · Hospital (facility) fee In the file: COMPLETE BLOOD COUNT/ NO DIFF $77.26 $77.26 $64.89 – $92.71
Complete blood count (CBC), automated: 10 of 39 insurance plan rates
  • AARP — OPTIONS: $77.26
  • Aetna — INDEMNITY: $77.26
  • Allegiance Benefit Plan Management Inc. — CIGNA PPO: $77.26
  • Allegiance Benefit Plan Management Inc. — COMMERCIAL: $77.26
  • Allegiance Benefit Plan Management Inc. — FIRST INTERSTATE CLAIMS PPO: $77.26
  • BCBS-IL — PPO: $77.26
  • BCBS-TX — PPO: $77.26
  • Blue Cross Blue Shield - Montana — COMMERCIAL: $77.26
  • Blue Cross Blue Shield - Montana — FEP BASIC PLAN: $77.26
  • Blue Cross Blue Shield - Montana — FEP PPO: $77.26
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient · Hospital (facility) fee In the file: INR $63.55 $63.55 $53.38 – $76.26
Blood clotting time test (prothrombin time, PT): 10 of 39 insurance plan rates
  • AARP — OPTIONS: $63.55
  • Aetna — INDEMNITY: $63.55
  • Allegiance Benefit Plan Management Inc. — CIGNA PPO: $63.55
  • Allegiance Benefit Plan Management Inc. — COMMERCIAL: $63.55
  • Allegiance Benefit Plan Management Inc. — FIRST INTERSTATE CLAIMS PPO: $63.55
  • BCBS-IL — PPO: $63.55
  • BCBS-TX — PPO: $63.55
  • Blue Cross Blue Shield - Montana — COMMERCIAL: $63.55
  • Blue Cross Blue Shield - Montana — FEP BASIC PLAN: $63.55
  • Blue Cross Blue Shield - Montana — FEP PPO: $63.55
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient · Hospital (facility) fee In the file: PT/INR (PROTIME) $63.55 $63.55 $53.38 – $76.26
Blood clotting time test (prothrombin time, PT): 10 of 39 insurance plan rates
  • AARP — OPTIONS: $63.55
  • Aetna — INDEMNITY: $63.55
  • Allegiance Benefit Plan Management Inc. — CIGNA PPO: $63.55
  • Allegiance Benefit Plan Management Inc. — COMMERCIAL: $63.55
  • Allegiance Benefit Plan Management Inc. — FIRST INTERSTATE CLAIMS PPO: $63.55
  • BCBS-IL — PPO: $63.55
  • BCBS-TX — PPO: $63.55
  • Blue Cross Blue Shield - Montana — COMMERCIAL: $63.55
  • Blue Cross Blue Shield - Montana — FEP BASIC PLAN: $63.55
  • Blue Cross Blue Shield - Montana — FEP PPO: $63.55
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient · Hospital (facility) fee In the file: PARTIAL THROMBOPLASTIN TIME $138.53 $138.53 $116.36 – $166.23
Blood clotting test (partial thromboplastin time, PTT): 10 of 39 insurance plan rates
  • AARP — OPTIONS: $138.53
  • Aetna — INDEMNITY: $138.53
  • Allegiance Benefit Plan Management Inc. — CIGNA PPO: $138.53
  • Allegiance Benefit Plan Management Inc. — COMMERCIAL: $138.53
  • Allegiance Benefit Plan Management Inc. — FIRST INTERSTATE CLAIMS PPO: $138.53
  • BCBS-IL — PPO: $138.53
  • BCBS-TX — PPO: $138.53
  • Blue Cross Blue Shield - Montana — COMMERCIAL: $138.53
  • Blue Cross Blue Shield - Montana — FEP BASIC PLAN: $138.53
  • Blue Cross Blue Shield - Montana — FEP PPO: $138.53

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

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT HEAD/BRAIN W/O DYE Not listed in the file Not listed in the file Not listed in the file
CT scan of the head or brain, without contrast: 10 of 39 insurance plan rates
  • AARP — OPTIONS: 100% (a percentage in the contract, not a dollar amount)
  • Aetna — INDEMNITY: 100% (a percentage in the contract, not a dollar amount)
  • Allegiance Benefit Plan Management Inc. — CIGNA PPO: 100% (a percentage in the contract, not a dollar amount)
  • Allegiance Benefit Plan Management Inc. — COMMERCIAL: 100% (a percentage in the contract, not a dollar amount)
  • Allegiance Benefit Plan Management Inc. — FIRST INTERSTATE CLAIMS PPO: 100% (a percentage in the contract, not a dollar amount)
  • BCBS-IL — PPO: 100% (a percentage in the contract, not a dollar amount)
  • BCBS-TX — PPO: 100% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield - Montana — COMMERCIAL: 100% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield - Montana — FEP BASIC PLAN: 100% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield - Montana — FEP PPO: 100% (a percentage in the contract, not a dollar amount)
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI BRAIN STEM W/O & W/DYE Not listed in the file Not listed in the file Not listed in the file
MRI of the brain, before and after contrast: 10 of 39 insurance plan rates
  • AARP — OPTIONS: 100% (a percentage in the contract, not a dollar amount)
  • Aetna — INDEMNITY: 100% (a percentage in the contract, not a dollar amount)
  • Allegiance Benefit Plan Management Inc. — CIGNA PPO: 100% (a percentage in the contract, not a dollar amount)
  • Allegiance Benefit Plan Management Inc. — COMMERCIAL: 100% (a percentage in the contract, not a dollar amount)
  • Allegiance Benefit Plan Management Inc. — FIRST INTERSTATE CLAIMS PPO: 100% (a percentage in the contract, not a dollar amount)
  • BCBS-IL — PPO: 100% (a percentage in the contract, not a dollar amount)
  • BCBS-TX — PPO: 100% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield - Montana — COMMERCIAL: 100% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield - Montana — FEP BASIC PLAN: 100% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield - Montana — FEP PPO: 100% (a percentage in the contract, not a dollar amount)
Chest X-ray, 2 views CPT 71046 · Inpatient or outpatient · Hospital (facility) fee In the file: CHEST - 2 VIEWS* $255.80 $255.80 Not listed in the file
Chest X-ray, 2 views CPT 71046 · Inpatient or outpatient · Hospital (facility) fee In the file: CHEST - 2 VIEWS* PROFEE $113.24 $113.24 Not listed in the file
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: X-RAY EXAM CHEST 2 VIEWS Not listed in the file Not listed in the file Not listed in the file
Chest X-ray, 2 views: 10 of 39 insurance plan rates
  • AARP — OPTIONS: 100% (a percentage in the contract, not a dollar amount)
  • Aetna — INDEMNITY: 100% (a percentage in the contract, not a dollar amount)
  • Allegiance Benefit Plan Management Inc. — CIGNA PPO: 100% (a percentage in the contract, not a dollar amount)
  • Allegiance Benefit Plan Management Inc. — COMMERCIAL: 100% (a percentage in the contract, not a dollar amount)
  • Allegiance Benefit Plan Management Inc. — FIRST INTERSTATE CLAIMS PPO: 100% (a percentage in the contract, not a dollar amount)
  • BCBS-IL — PPO: 100% (a percentage in the contract, not a dollar amount)
  • BCBS-TX — PPO: 100% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield - Montana — COMMERCIAL: 100% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield - Montana — FEP BASIC PLAN: 100% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield - Montana — FEP PPO: 100% (a percentage in the contract, not a dollar amount)
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient or outpatient · Hospital (facility) fee In the file: L-SPINE COMPLETE 4+ VIEWS $431.19 $431.19 Not listed in the file
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient or outpatient · Hospital (facility) fee In the file: L-SPINE COMPLETE 4+ VIEWS PROFEE $138.78 $138.78 Not listed in the file
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: X-RAY EXAM L-2 SPINE 4/>VWS Not listed in the file Not listed in the file Not listed in the file
X-ray of the lower spine, at least 4 views: 10 of 39 insurance plan rates
  • AARP — OPTIONS: 100% (a percentage in the contract, not a dollar amount)
  • Aetna — INDEMNITY: 100% (a percentage in the contract, not a dollar amount)
  • Allegiance Benefit Plan Management Inc. — CIGNA PPO: 100% (a percentage in the contract, not a dollar amount)
  • Allegiance Benefit Plan Management Inc. — COMMERCIAL: 100% (a percentage in the contract, not a dollar amount)
  • Allegiance Benefit Plan Management Inc. — FIRST INTERSTATE CLAIMS PPO: 100% (a percentage in the contract, not a dollar amount)
  • BCBS-IL — PPO: 100% (a percentage in the contract, not a dollar amount)
  • BCBS-TX — PPO: 100% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield - Montana — COMMERCIAL: 100% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield - Montana — FEP BASIC PLAN: 100% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield - Montana — FEP PPO: 100% (a percentage in the contract, not a dollar amount)
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI LUMBAR SPINE W/O DYE Not listed in the file Not listed in the file Not listed in the file
MRI of the lower back (lumbar spine), without contrast: 10 of 39 insurance plan rates
  • AARP — OPTIONS: 100% (a percentage in the contract, not a dollar amount)
  • Aetna — INDEMNITY: 100% (a percentage in the contract, not a dollar amount)
  • Allegiance Benefit Plan Management Inc. — CIGNA PPO: 100% (a percentage in the contract, not a dollar amount)
  • Allegiance Benefit Plan Management Inc. — COMMERCIAL: 100% (a percentage in the contract, not a dollar amount)
  • Allegiance Benefit Plan Management Inc. — FIRST INTERSTATE CLAIMS PPO: 100% (a percentage in the contract, not a dollar amount)
  • BCBS-IL — PPO: 100% (a percentage in the contract, not a dollar amount)
  • BCBS-TX — PPO: 100% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield - Montana — COMMERCIAL: 100% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield - Montana — FEP BASIC PLAN: 100% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield - Montana — FEP PPO: 100% (a percentage in the contract, not a dollar amount)
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT PELVIS W/DYE Not listed in the file Not listed in the file Not listed in the file
CT scan of the pelvis, with contrast: 10 of 39 insurance plan rates
  • AARP — OPTIONS: 100% (a percentage in the contract, not a dollar amount)
  • Aetna — INDEMNITY: 100% (a percentage in the contract, not a dollar amount)
  • Allegiance Benefit Plan Management Inc. — CIGNA PPO: 100% (a percentage in the contract, not a dollar amount)
  • Allegiance Benefit Plan Management Inc. — COMMERCIAL: 100% (a percentage in the contract, not a dollar amount)
  • Allegiance Benefit Plan Management Inc. — FIRST INTERSTATE CLAIMS PPO: 100% (a percentage in the contract, not a dollar amount)
  • BCBS-IL — PPO: 100% (a percentage in the contract, not a dollar amount)
  • BCBS-TX — PPO: 100% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield - Montana — COMMERCIAL: 100% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield - Montana — FEP BASIC PLAN: 100% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield - Montana — FEP PPO: 100% (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) · Hospital (facility) fee In the file: MRI JNT OF LWR EXTRE W/O DYE Not listed in the file Not listed in the file Not listed in the file
MRI of a leg joint (such as the knee), without contrast: 10 of 39 insurance plan rates
  • AARP — OPTIONS: 100% (a percentage in the contract, not a dollar amount)
  • Aetna — INDEMNITY: 100% (a percentage in the contract, not a dollar amount)
  • Allegiance Benefit Plan Management Inc. — CIGNA PPO: 100% (a percentage in the contract, not a dollar amount)
  • Allegiance Benefit Plan Management Inc. — COMMERCIAL: 100% (a percentage in the contract, not a dollar amount)
  • Allegiance Benefit Plan Management Inc. — FIRST INTERSTATE CLAIMS PPO: 100% (a percentage in the contract, not a dollar amount)
  • BCBS-IL — PPO: 100% (a percentage in the contract, not a dollar amount)
  • BCBS-TX — PPO: 100% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield - Montana — COMMERCIAL: 100% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield - Montana — FEP BASIC PLAN: 100% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield - Montana — FEP PPO: 100% (a percentage in the contract, not a dollar amount)
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT ABD & PELV W/CONTRAST Not listed in the file Not listed in the file Not listed in the file
CT scan of the abdomen and pelvis, with contrast: 10 of 39 insurance plan rates
  • AARP — OPTIONS: 100% (a percentage in the contract, not a dollar amount)
  • Aetna — INDEMNITY: 100% (a percentage in the contract, not a dollar amount)
  • Allegiance Benefit Plan Management Inc. — CIGNA PPO: 100% (a percentage in the contract, not a dollar amount)
  • Allegiance Benefit Plan Management Inc. — COMMERCIAL: 100% (a percentage in the contract, not a dollar amount)
  • Allegiance Benefit Plan Management Inc. — FIRST INTERSTATE CLAIMS PPO: 100% (a percentage in the contract, not a dollar amount)
  • BCBS-IL — PPO: 100% (a percentage in the contract, not a dollar amount)
  • BCBS-TX — PPO: 100% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield - Montana — COMMERCIAL: 100% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield - Montana — FEP BASIC PLAN: 100% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield - Montana — FEP PPO: 100% (a percentage in the contract, not a dollar amount)
Ultrasound of the abdomen, complete CPT 76700 · Inpatient or outpatient · Hospital (facility) fee In the file: ULTRA SOUND EXAM ABDOMEN COMPLETE $125.42 $125.42 $105.35 – $150.50
Ultrasound of the abdomen, complete: 10 of 39 insurance plan rates
  • AARP — OPTIONS: $125.42
  • Aetna — INDEMNITY: $125.42
  • Allegiance Benefit Plan Management Inc. — CIGNA PPO: $125.42
  • Allegiance Benefit Plan Management Inc. — COMMERCIAL: $125.42
  • Allegiance Benefit Plan Management Inc. — FIRST INTERSTATE CLAIMS PPO: $125.42
  • BCBS-IL — PPO: $125.42
  • BCBS-TX — PPO: $125.42
  • Blue Cross Blue Shield - Montana — COMMERCIAL: $125.42
  • Blue Cross Blue Shield - Montana — FEP BASIC PLAN: $125.42
  • Blue Cross Blue Shield - Montana — FEP PPO: $125.42
Ultrasound of the abdomen, complete CPT 76700 · Inpatient or outpatient · Hospital (facility) fee In the file: ULTRA SOUND ABDOMEN COMPLETE (TECHNICAL COMPONENT) $40.60 $40.60 Not listed in the file
Ultrasound of the abdomen, complete CPT 76700 · Inpatient or outpatient · Hospital (facility) fee In the file: ULTRA SOUND EXAM ABDOMEN COMPLETE (PROFESSIONAL SERVICE) $84.82 $84.82 Not listed in the file
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OB US >= 14 WKS SNGL FETUS Not listed in the file Not listed in the file Not listed in the file
Pregnancy ultrasound (after the first trimester): 10 of 39 insurance plan rates
  • AARP — OPTIONS: 100% (a percentage in the contract, not a dollar amount)
  • Aetna — INDEMNITY: 100% (a percentage in the contract, not a dollar amount)
  • Allegiance Benefit Plan Management Inc. — CIGNA PPO: 100% (a percentage in the contract, not a dollar amount)
  • Allegiance Benefit Plan Management Inc. — COMMERCIAL: 100% (a percentage in the contract, not a dollar amount)
  • Allegiance Benefit Plan Management Inc. — FIRST INTERSTATE CLAIMS PPO: 100% (a percentage in the contract, not a dollar amount)
  • BCBS-IL — PPO: 100% (a percentage in the contract, not a dollar amount)
  • BCBS-TX — PPO: 100% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield - Montana — COMMERCIAL: 100% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield - Montana — FEP BASIC PLAN: 100% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield - Montana — FEP PPO: 100% (a percentage in the contract, not a dollar amount)
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: TRANSVAGINAL US NON-OB Not listed in the file Not listed in the file Not listed in the file
Transvaginal ultrasound: 10 of 39 insurance plan rates
  • AARP — OPTIONS: 100% (a percentage in the contract, not a dollar amount)
  • Aetna — INDEMNITY: 100% (a percentage in the contract, not a dollar amount)
  • Allegiance Benefit Plan Management Inc. — CIGNA PPO: 100% (a percentage in the contract, not a dollar amount)
  • Allegiance Benefit Plan Management Inc. — COMMERCIAL: 100% (a percentage in the contract, not a dollar amount)
  • Allegiance Benefit Plan Management Inc. — FIRST INTERSTATE CLAIMS PPO: 100% (a percentage in the contract, not a dollar amount)
  • BCBS-IL — PPO: 100% (a percentage in the contract, not a dollar amount)
  • BCBS-TX — PPO: 100% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield - Montana — COMMERCIAL: 100% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield - Montana — FEP BASIC PLAN: 100% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield - Montana — FEP PPO: 100% (a percentage in the contract, not a dollar amount)
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: DX MAMMO INCL CAD UNI Not listed in the file Not listed in the file Not listed in the file
Diagnostic mammogram, one breast: 10 of 39 insurance plan rates
  • AARP — OPTIONS: 100% (a percentage in the contract, not a dollar amount)
  • Aetna — INDEMNITY: 100% (a percentage in the contract, not a dollar amount)
  • Allegiance Benefit Plan Management Inc. — CIGNA PPO: 100% (a percentage in the contract, not a dollar amount)
  • Allegiance Benefit Plan Management Inc. — COMMERCIAL: 100% (a percentage in the contract, not a dollar amount)
  • Allegiance Benefit Plan Management Inc. — FIRST INTERSTATE CLAIMS PPO: 100% (a percentage in the contract, not a dollar amount)
  • BCBS-IL — PPO: 100% (a percentage in the contract, not a dollar amount)
  • BCBS-TX — PPO: 100% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield - Montana — COMMERCIAL: 100% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield - Montana — FEP BASIC PLAN: 100% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield - Montana — FEP PPO: 100% (a percentage in the contract, not a dollar amount)
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: DX MAMMO INCL CAD BI Not listed in the file Not listed in the file Not listed in the file
Diagnostic mammogram, both breasts: 10 of 39 insurance plan rates
  • AARP — OPTIONS: 100% (a percentage in the contract, not a dollar amount)
  • Aetna — INDEMNITY: 100% (a percentage in the contract, not a dollar amount)
  • Allegiance Benefit Plan Management Inc. — CIGNA PPO: 100% (a percentage in the contract, not a dollar amount)
  • Allegiance Benefit Plan Management Inc. — COMMERCIAL: 100% (a percentage in the contract, not a dollar amount)
  • Allegiance Benefit Plan Management Inc. — FIRST INTERSTATE CLAIMS PPO: 100% (a percentage in the contract, not a dollar amount)
  • BCBS-IL — PPO: 100% (a percentage in the contract, not a dollar amount)
  • BCBS-TX — PPO: 100% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield - Montana — COMMERCIAL: 100% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield - Montana — FEP BASIC PLAN: 100% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield - Montana — FEP PPO: 100% (a percentage in the contract, not a dollar amount)
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: SCR MAMMO BI INCL CAD Not listed in the file Not listed in the file $126.25
Screening mammogram, both breasts: 10 of 39 insurance plan rates
  • United Healthcare — MEDICARE HMO: $126.25
  • United Healthcare — MEDICARE PFFS: $126.25
  • AARP — OPTIONS: 100% (a percentage in the contract, not a dollar amount)
  • Aetna — INDEMNITY: 100% (a percentage in the contract, not a dollar amount)
  • Allegiance Benefit Plan Management Inc. — CIGNA PPO: 100% (a percentage in the contract, not a dollar amount)
  • Allegiance Benefit Plan Management Inc. — COMMERCIAL: 100% (a percentage in the contract, not a dollar amount)
  • Allegiance Benefit Plan Management Inc. — FIRST INTERSTATE CLAIMS PPO: 100% (a percentage in the contract, not a dollar amount)
  • BCBS-IL — PPO: 100% (a percentage in the contract, not a dollar amount)
  • BCBS-TX — PPO: 100% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield - Montana — COMMERCIAL: 100% (a percentage in the contract, not a dollar amount)

Heart tests and sleep study

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Electrocardiogram (ECG/EKG) with reading CPT 93000 · Inpatient or outpatient · Hospital (facility) fee In the file: EKG TRACING WITH INTERPRETATION & REPORT DOCUMENTED $257.73 $257.73 $216.49 – $309.27
Electrocardiogram (ECG/EKG) with reading: 10 of 39 insurance plan rates
  • AARP — OPTIONS: $257.73
  • Aetna — INDEMNITY: $257.73
  • Allegiance Benefit Plan Management Inc. — CIGNA PPO: $257.73
  • Allegiance Benefit Plan Management Inc. — COMMERCIAL: $257.73
  • Allegiance Benefit Plan Management Inc. — FIRST INTERSTATE CLAIMS PPO: $257.73
  • BCBS-IL — PPO: $257.73
  • BCBS-TX — PPO: $257.73
  • Blue Cross Blue Shield - Montana — COMMERCIAL: $257.73
  • Blue Cross Blue Shield - Montana — FEP BASIC PLAN: $257.73
  • Blue Cross Blue Shield - Montana — FEP PPO: $257.73
Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LEFT HRT CATH W/VENTRCLGRPHY Not listed in the file Not listed in the file Not listed in the file
Left heart catheterization (diagnostic): 10 of 39 insurance plan rates
  • AARP — OPTIONS: 100% (a percentage in the contract, not a dollar amount)
  • Aetna — INDEMNITY: 100% (a percentage in the contract, not a dollar amount)
  • Allegiance Benefit Plan Management Inc. — CIGNA PPO: 100% (a percentage in the contract, not a dollar amount)
  • Allegiance Benefit Plan Management Inc. — COMMERCIAL: 100% (a percentage in the contract, not a dollar amount)
  • Allegiance Benefit Plan Management Inc. — FIRST INTERSTATE CLAIMS PPO: 100% (a percentage in the contract, not a dollar amount)
  • BCBS-IL — PPO: 100% (a percentage in the contract, not a dollar amount)
  • BCBS-TX — PPO: 100% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield - Montana — COMMERCIAL: 100% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield - Montana — FEP BASIC PLAN: 100% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield - Montana — FEP PPO: 100% (a percentage in the contract, not a dollar amount)
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ELECTROPHYSIOLOGY EVALUATION Not listed in the file Not listed in the file Not listed in the file
Heart rhythm study (electrophysiology evaluation): 10 of 39 insurance plan rates
  • AARP — OPTIONS: 100% (a percentage in the contract, not a dollar amount)
  • Aetna — INDEMNITY: 100% (a percentage in the contract, not a dollar amount)
  • Allegiance Benefit Plan Management Inc. — CIGNA PPO: 100% (a percentage in the contract, not a dollar amount)
  • Allegiance Benefit Plan Management Inc. — COMMERCIAL: 100% (a percentage in the contract, not a dollar amount)
  • Allegiance Benefit Plan Management Inc. — FIRST INTERSTATE CLAIMS PPO: 100% (a percentage in the contract, not a dollar amount)
  • BCBS-IL — PPO: 100% (a percentage in the contract, not a dollar amount)
  • BCBS-TX — PPO: 100% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield - Montana — COMMERCIAL: 100% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield - Montana — FEP BASIC PLAN: 100% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield - Montana — FEP PPO: 100% (a percentage in the contract, not a dollar amount)
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPRE EP EVAL ABLTJ ATR FIB Not listed in the file Not listed in the file Not listed in the file
Heart rhythm study with ablation for atrial fibrillation: 10 of 39 insurance plan rates
  • AARP — OPTIONS: 100% (a percentage in the contract, not a dollar amount)
  • Aetna — INDEMNITY: 100% (a percentage in the contract, not a dollar amount)
  • Allegiance Benefit Plan Management Inc. — CIGNA PPO: 100% (a percentage in the contract, not a dollar amount)
  • Allegiance Benefit Plan Management Inc. — COMMERCIAL: 100% (a percentage in the contract, not a dollar amount)
  • Allegiance Benefit Plan Management Inc. — FIRST INTERSTATE CLAIMS PPO: 100% (a percentage in the contract, not a dollar amount)
  • BCBS-IL — PPO: 100% (a percentage in the contract, not a dollar amount)
  • BCBS-TX — PPO: 100% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield - Montana — COMMERCIAL: 100% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield - Montana — FEP BASIC PLAN: 100% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield - Montana — FEP PPO: 100% (a percentage in the contract, not a dollar amount)
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: POLYSOM 6/> YRS 4/> PARAM Not listed in the file Not listed in the file Not listed in the file
Sleep study (overnight, in a sleep lab): 10 of 39 insurance plan rates
  • AARP — OPTIONS: 100% (a percentage in the contract, not a dollar amount)
  • Aetna — INDEMNITY: 100% (a percentage in the contract, not a dollar amount)
  • Allegiance Benefit Plan Management Inc. — CIGNA PPO: 100% (a percentage in the contract, not a dollar amount)
  • Allegiance Benefit Plan Management Inc. — COMMERCIAL: 100% (a percentage in the contract, not a dollar amount)
  • Allegiance Benefit Plan Management Inc. — FIRST INTERSTATE CLAIMS PPO: 100% (a percentage in the contract, not a dollar amount)
  • BCBS-IL — PPO: 100% (a percentage in the contract, not a dollar amount)
  • BCBS-TX — PPO: 100% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield - Montana — COMMERCIAL: 100% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield - Montana — FEP BASIC PLAN: 100% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield - Montana — FEP PPO: 100% (a percentage in the contract, not a dollar amount)

Physical therapy and mental health

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient · Hospital (facility) fee In the file: OCCUPATIONAL THERAPY 15 MIN [#] $98.96 $98.96 Not listed in the file
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient · Hospital (facility) fee In the file: PT 15 MIN. THERAPEUTIC EXERCISE [##] $98.96 $98.96 Not listed in the file
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: THERAPEUTIC EXERCISES Not listed in the file Not listed in the file Not listed in the file
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 39 insurance plan rates
  • AARP — OPTIONS: 100% (a percentage in the contract, not a dollar amount)
  • Aetna — INDEMNITY: 100% (a percentage in the contract, not a dollar amount)
  • Allegiance Benefit Plan Management Inc. — CIGNA PPO: 100% (a percentage in the contract, not a dollar amount)
  • Allegiance Benefit Plan Management Inc. — COMMERCIAL: 100% (a percentage in the contract, not a dollar amount)
  • Allegiance Benefit Plan Management Inc. — FIRST INTERSTATE CLAIMS PPO: 100% (a percentage in the contract, not a dollar amount)
  • BCBS-IL — PPO: 100% (a percentage in the contract, not a dollar amount)
  • BCBS-TX — PPO: 100% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield - Montana — COMMERCIAL: 100% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield - Montana — FEP BASIC PLAN: 100% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield - Montana — FEP PPO: 100% (a percentage in the contract, not a dollar amount)
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient or outpatient · Hospital (facility) fee In the file: PT EVALUATION, LOW COMPLEXITY $293.98 $293.98 Not listed in the file
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT EVAL LOW COMPLEX 20 MIN Not listed in the file Not listed in the file Not listed in the file
Physical therapy evaluation (low complexity): 10 of 39 insurance plan rates
  • AARP — OPTIONS: 100% (a percentage in the contract, not a dollar amount)
  • Aetna — INDEMNITY: 100% (a percentage in the contract, not a dollar amount)
  • Allegiance Benefit Plan Management Inc. — CIGNA PPO: 100% (a percentage in the contract, not a dollar amount)
  • Allegiance Benefit Plan Management Inc. — COMMERCIAL: 100% (a percentage in the contract, not a dollar amount)
  • Allegiance Benefit Plan Management Inc. — FIRST INTERSTATE CLAIMS PPO: 100% (a percentage in the contract, not a dollar amount)
  • BCBS-IL — PPO: 100% (a percentage in the contract, not a dollar amount)
  • BCBS-TX — PPO: 100% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield - Montana — COMMERCIAL: 100% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield - Montana — FEP BASIC PLAN: 100% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield - Montana — FEP PPO: 100% (a percentage in the contract, not a dollar amount)
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient or outpatient · Hospital (facility) fee In the file: PT EVALUATION, MODERATE COMPLEXITY $334.10 $334.10 Not listed in the file
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT EVAL MOD COMPLEX 30 MIN Not listed in the file Not listed in the file Not listed in the file
Physical therapy evaluation (moderate complexity): 10 of 39 insurance plan rates
  • AARP — OPTIONS: 100% (a percentage in the contract, not a dollar amount)
  • Aetna — INDEMNITY: 100% (a percentage in the contract, not a dollar amount)
  • Allegiance Benefit Plan Management Inc. — CIGNA PPO: 100% (a percentage in the contract, not a dollar amount)
  • Allegiance Benefit Plan Management Inc. — COMMERCIAL: 100% (a percentage in the contract, not a dollar amount)
  • Allegiance Benefit Plan Management Inc. — FIRST INTERSTATE CLAIMS PPO: 100% (a percentage in the contract, not a dollar amount)
  • BCBS-IL — PPO: 100% (a percentage in the contract, not a dollar amount)
  • BCBS-TX — PPO: 100% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield - Montana — COMMERCIAL: 100% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield - Montana — FEP BASIC PLAN: 100% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield - Montana — FEP PPO: 100% (a percentage in the contract, not a dollar amount)
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient or outpatient · Hospital (facility) fee In the file: PT EVALUATION - HIGH COMPLEXITY $387.60 $387.60 Not listed in the file
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT EVAL HIGH COMPLEX 45 MIN Not listed in the file Not listed in the file Not listed in the file
Physical therapy evaluation (high complexity): 10 of 39 insurance plan rates
  • AARP — OPTIONS: 100% (a percentage in the contract, not a dollar amount)
  • Aetna — INDEMNITY: 100% (a percentage in the contract, not a dollar amount)
  • Allegiance Benefit Plan Management Inc. — CIGNA PPO: 100% (a percentage in the contract, not a dollar amount)
  • Allegiance Benefit Plan Management Inc. — COMMERCIAL: 100% (a percentage in the contract, not a dollar amount)
  • Allegiance Benefit Plan Management Inc. — FIRST INTERSTATE CLAIMS PPO: 100% (a percentage in the contract, not a dollar amount)
  • BCBS-IL — PPO: 100% (a percentage in the contract, not a dollar amount)
  • BCBS-TX — PPO: 100% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield - Montana — COMMERCIAL: 100% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield - Montana — FEP BASIC PLAN: 100% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield - Montana — FEP PPO: 100% (a percentage in the contract, not a dollar amount)
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSYTX W PT 30 MINUTES Not listed in the file Not listed in the file Not listed in the file
Psychotherapy, 30 minutes: 10 of 39 insurance plan rates
  • AARP — OPTIONS: 100% (a percentage in the contract, not a dollar amount)
  • Aetna — INDEMNITY: 100% (a percentage in the contract, not a dollar amount)
  • Allegiance Benefit Plan Management Inc. — CIGNA PPO: 100% (a percentage in the contract, not a dollar amount)
  • Allegiance Benefit Plan Management Inc. — COMMERCIAL: 100% (a percentage in the contract, not a dollar amount)
  • Allegiance Benefit Plan Management Inc. — FIRST INTERSTATE CLAIMS PPO: 100% (a percentage in the contract, not a dollar amount)
  • BCBS-IL — PPO: 100% (a percentage in the contract, not a dollar amount)
  • BCBS-TX — PPO: 100% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield - Montana — COMMERCIAL: 100% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield - Montana — FEP BASIC PLAN: 100% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield - Montana — FEP PPO: 100% (a percentage in the contract, not a dollar amount)
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSYTX W PT 45 MINUTES Not listed in the file Not listed in the file Not listed in the file
Psychotherapy, 45 minutes: 10 of 39 insurance plan rates
  • AARP — OPTIONS: 100% (a percentage in the contract, not a dollar amount)
  • Aetna — INDEMNITY: 100% (a percentage in the contract, not a dollar amount)
  • Allegiance Benefit Plan Management Inc. — CIGNA PPO: 100% (a percentage in the contract, not a dollar amount)
  • Allegiance Benefit Plan Management Inc. — COMMERCIAL: 100% (a percentage in the contract, not a dollar amount)
  • Allegiance Benefit Plan Management Inc. — FIRST INTERSTATE CLAIMS PPO: 100% (a percentage in the contract, not a dollar amount)
  • BCBS-IL — PPO: 100% (a percentage in the contract, not a dollar amount)
  • BCBS-TX — PPO: 100% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield - Montana — COMMERCIAL: 100% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield - Montana — FEP BASIC PLAN: 100% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield - Montana — FEP PPO: 100% (a percentage in the contract, not a dollar amount)
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSYTX W PT 60 MINUTES Not listed in the file Not listed in the file Not listed in the file
Psychotherapy, 60 minutes: 10 of 39 insurance plan rates
  • AARP — OPTIONS: 100% (a percentage in the contract, not a dollar amount)
  • Aetna — INDEMNITY: 100% (a percentage in the contract, not a dollar amount)
  • Allegiance Benefit Plan Management Inc. — CIGNA PPO: 100% (a percentage in the contract, not a dollar amount)
  • Allegiance Benefit Plan Management Inc. — COMMERCIAL: 100% (a percentage in the contract, not a dollar amount)
  • Allegiance Benefit Plan Management Inc. — FIRST INTERSTATE CLAIMS PPO: 100% (a percentage in the contract, not a dollar amount)
  • BCBS-IL — PPO: 100% (a percentage in the contract, not a dollar amount)
  • BCBS-TX — PPO: 100% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield - Montana — COMMERCIAL: 100% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield - Montana — FEP BASIC PLAN: 100% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield - Montana — FEP PPO: 100% (a percentage in the contract, not a dollar amount)
Family psychotherapy, without the patient CPT 90846 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: FAMILY PSYTX W/O PT 50 MIN Not listed in the file Not listed in the file Not listed in the file
Family psychotherapy, without the patient: 10 of 39 insurance plan rates
  • AARP — OPTIONS: 100% (a percentage in the contract, not a dollar amount)
  • Aetna — INDEMNITY: 100% (a percentage in the contract, not a dollar amount)
  • Allegiance Benefit Plan Management Inc. — CIGNA PPO: 100% (a percentage in the contract, not a dollar amount)
  • Allegiance Benefit Plan Management Inc. — COMMERCIAL: 100% (a percentage in the contract, not a dollar amount)
  • Allegiance Benefit Plan Management Inc. — FIRST INTERSTATE CLAIMS PPO: 100% (a percentage in the contract, not a dollar amount)
  • BCBS-IL — PPO: 100% (a percentage in the contract, not a dollar amount)
  • BCBS-TX — PPO: 100% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield - Montana — COMMERCIAL: 100% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield - Montana — FEP BASIC PLAN: 100% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield - Montana — FEP PPO: 100% (a percentage in the contract, not a dollar amount)
Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: FAMILY PSYTX W/PT 50 MIN Not listed in the file Not listed in the file Not listed in the file
Family psychotherapy, with the patient: 10 of 39 insurance plan rates
  • AARP — OPTIONS: 100% (a percentage in the contract, not a dollar amount)
  • Aetna — INDEMNITY: 100% (a percentage in the contract, not a dollar amount)
  • Allegiance Benefit Plan Management Inc. — CIGNA PPO: 100% (a percentage in the contract, not a dollar amount)
  • Allegiance Benefit Plan Management Inc. — COMMERCIAL: 100% (a percentage in the contract, not a dollar amount)
  • Allegiance Benefit Plan Management Inc. — FIRST INTERSTATE CLAIMS PPO: 100% (a percentage in the contract, not a dollar amount)
  • BCBS-IL — PPO: 100% (a percentage in the contract, not a dollar amount)
  • BCBS-TX — PPO: 100% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield - Montana — COMMERCIAL: 100% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield - Montana — FEP BASIC PLAN: 100% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield - Montana — FEP PPO: 100% (a percentage in the contract, not a dollar amount)
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: GROUP PSYCHOTHERAPY Not listed in the file Not listed in the file Not listed in the file
Group psychotherapy: 10 of 39 insurance plan rates
  • AARP — OPTIONS: 100% (a percentage in the contract, not a dollar amount)
  • Aetna — INDEMNITY: 100% (a percentage in the contract, not a dollar amount)
  • Allegiance Benefit Plan Management Inc. — CIGNA PPO: 100% (a percentage in the contract, not a dollar amount)
  • Allegiance Benefit Plan Management Inc. — COMMERCIAL: 100% (a percentage in the contract, not a dollar amount)
  • Allegiance Benefit Plan Management Inc. — FIRST INTERSTATE CLAIMS PPO: 100% (a percentage in the contract, not a dollar amount)
  • BCBS-IL — PPO: 100% (a percentage in the contract, not a dollar amount)
  • BCBS-TX — PPO: 100% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield - Montana — COMMERCIAL: 100% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield - Montana — FEP BASIC PLAN: 100% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield - Montana — FEP PPO: 100% (a percentage in the contract, not a dollar amount)

Procedures and surgery

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: REMOVAL OF BREAST LESION Not listed in the file Not listed in the file Not listed in the file
Removal of breast growth (open surgery): 10 of 39 insurance plan rates
  • AARP — OPTIONS: 100% (a percentage in the contract, not a dollar amount)
  • Aetna — INDEMNITY: 100% (a percentage in the contract, not a dollar amount)
  • Allegiance Benefit Plan Management Inc. — CIGNA PPO: 100% (a percentage in the contract, not a dollar amount)
  • Allegiance Benefit Plan Management Inc. — COMMERCIAL: 100% (a percentage in the contract, not a dollar amount)
  • Allegiance Benefit Plan Management Inc. — FIRST INTERSTATE CLAIMS PPO: 100% (a percentage in the contract, not a dollar amount)
  • BCBS-IL — PPO: 100% (a percentage in the contract, not a dollar amount)
  • BCBS-TX — PPO: 100% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield - Montana — COMMERCIAL: 100% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield - Montana — FEP BASIC PLAN: 100% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield - Montana — FEP PPO: 100% (a percentage in the contract, not a dollar amount)
Total hip replacement CPT 27130 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: TOTAL HIP ARTHROPLASTY Not listed in the file Not listed in the file Not listed in the file
Total hip replacement: 10 of 39 insurance plan rates
  • AARP — OPTIONS: 100% (a percentage in the contract, not a dollar amount)
  • Aetna — INDEMNITY: 100% (a percentage in the contract, not a dollar amount)
  • Allegiance Benefit Plan Management Inc. — CIGNA PPO: 100% (a percentage in the contract, not a dollar amount)
  • Allegiance Benefit Plan Management Inc. — COMMERCIAL: 100% (a percentage in the contract, not a dollar amount)
  • Allegiance Benefit Plan Management Inc. — FIRST INTERSTATE CLAIMS PPO: 100% (a percentage in the contract, not a dollar amount)
  • BCBS-IL — PPO: 100% (a percentage in the contract, not a dollar amount)
  • BCBS-TX — PPO: 100% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield - Montana — COMMERCIAL: 100% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield - Montana — FEP BASIC PLAN: 100% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield - Montana — FEP PPO: 100% (a percentage in the contract, not a dollar amount)
Total knee replacement CPT 27447 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: TOTAL KNEE ARTHROPLASTY Not listed in the file Not listed in the file Not listed in the file
Total knee replacement: 10 of 39 insurance plan rates
  • AARP — OPTIONS: 100% (a percentage in the contract, not a dollar amount)
  • Aetna — INDEMNITY: 100% (a percentage in the contract, not a dollar amount)
  • Allegiance Benefit Plan Management Inc. — CIGNA PPO: 100% (a percentage in the contract, not a dollar amount)
  • Allegiance Benefit Plan Management Inc. — COMMERCIAL: 100% (a percentage in the contract, not a dollar amount)
  • Allegiance Benefit Plan Management Inc. — FIRST INTERSTATE CLAIMS PPO: 100% (a percentage in the contract, not a dollar amount)
  • BCBS-IL — PPO: 100% (a percentage in the contract, not a dollar amount)
  • BCBS-TX — PPO: 100% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield - Montana — COMMERCIAL: 100% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield - Montana — FEP BASIC PLAN: 100% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield - Montana — FEP PPO: 100% (a percentage in the contract, not a dollar amount)
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: SHO ARTHRS SRG DECOMPRESSION Not listed in the file Not listed in the file Not listed in the file
Shoulder arthroscopy: shaving of shoulder bone: 10 of 39 insurance plan rates
  • AARP — OPTIONS: 100% (a percentage in the contract, not a dollar amount)
  • Aetna — INDEMNITY: 100% (a percentage in the contract, not a dollar amount)
  • Allegiance Benefit Plan Management Inc. — CIGNA PPO: 100% (a percentage in the contract, not a dollar amount)
  • Allegiance Benefit Plan Management Inc. — COMMERCIAL: 100% (a percentage in the contract, not a dollar amount)
  • Allegiance Benefit Plan Management Inc. — FIRST INTERSTATE CLAIMS PPO: 100% (a percentage in the contract, not a dollar amount)
  • BCBS-IL — PPO: 100% (a percentage in the contract, not a dollar amount)
  • BCBS-TX — PPO: 100% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield - Montana — COMMERCIAL: 100% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield - Montana — FEP BASIC PLAN: 100% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield - Montana — FEP PPO: 100% (a percentage in the contract, not a dollar amount)
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: KNEE ARTHROSCOPY/SURGERY Not listed in the file Not listed in the file Not listed in the file
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 39 insurance plan rates
  • AARP — OPTIONS: 100% (a percentage in the contract, not a dollar amount)
  • Aetna — INDEMNITY: 100% (a percentage in the contract, not a dollar amount)
  • Allegiance Benefit Plan Management Inc. — CIGNA PPO: 100% (a percentage in the contract, not a dollar amount)
  • Allegiance Benefit Plan Management Inc. — COMMERCIAL: 100% (a percentage in the contract, not a dollar amount)
  • Allegiance Benefit Plan Management Inc. — FIRST INTERSTATE CLAIMS PPO: 100% (a percentage in the contract, not a dollar amount)
  • BCBS-IL — PPO: 100% (a percentage in the contract, not a dollar amount)
  • BCBS-TX — PPO: 100% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield - Montana — COMMERCIAL: 100% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield - Montana — FEP BASIC PLAN: 100% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield - Montana — FEP PPO: 100% (a percentage in the contract, not a dollar amount)
Removal of tonsils and adenoids (under age 12) CPT 42820 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: REMOVE TONSILS AND ADENOIDS Not listed in the file Not listed in the file Not listed in the file
Removal of tonsils and adenoids (under age 12): 10 of 39 insurance plan rates
  • AARP — OPTIONS: 100% (a percentage in the contract, not a dollar amount)
  • Aetna — INDEMNITY: 100% (a percentage in the contract, not a dollar amount)
  • Allegiance Benefit Plan Management Inc. — CIGNA PPO: 100% (a percentage in the contract, not a dollar amount)
  • Allegiance Benefit Plan Management Inc. — COMMERCIAL: 100% (a percentage in the contract, not a dollar amount)
  • Allegiance Benefit Plan Management Inc. — FIRST INTERSTATE CLAIMS PPO: 100% (a percentage in the contract, not a dollar amount)
  • BCBS-IL — PPO: 100% (a percentage in the contract, not a dollar amount)
  • BCBS-TX — PPO: 100% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield - Montana — COMMERCIAL: 100% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield - Montana — FEP BASIC PLAN: 100% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield - Montana — FEP PPO: 100% (a percentage in the contract, not a dollar amount)
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EGD DIAGNOSTIC BRUSH WASH Not listed in the file Not listed in the file Not listed in the file
Upper GI endoscopy (diagnostic): 10 of 39 insurance plan rates
  • AARP — OPTIONS: 100% (a percentage in the contract, not a dollar amount)
  • Aetna — INDEMNITY: 100% (a percentage in the contract, not a dollar amount)
  • Allegiance Benefit Plan Management Inc. — CIGNA PPO: 100% (a percentage in the contract, not a dollar amount)
  • Allegiance Benefit Plan Management Inc. — COMMERCIAL: 100% (a percentage in the contract, not a dollar amount)
  • Allegiance Benefit Plan Management Inc. — FIRST INTERSTATE CLAIMS PPO: 100% (a percentage in the contract, not a dollar amount)
  • BCBS-IL — PPO: 100% (a percentage in the contract, not a dollar amount)
  • BCBS-TX — PPO: 100% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield - Montana — COMMERCIAL: 100% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield - Montana — FEP BASIC PLAN: 100% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield - Montana — FEP PPO: 100% (a percentage in the contract, not a dollar amount)
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EGD BIOPSY SINGLE/MULTIPLE Not listed in the file Not listed in the file Not listed in the file
Upper GI endoscopy with biopsy: 10 of 39 insurance plan rates
  • AARP — OPTIONS: 100% (a percentage in the contract, not a dollar amount)
  • Aetna — INDEMNITY: 100% (a percentage in the contract, not a dollar amount)
  • Allegiance Benefit Plan Management Inc. — CIGNA PPO: 100% (a percentage in the contract, not a dollar amount)
  • Allegiance Benefit Plan Management Inc. — COMMERCIAL: 100% (a percentage in the contract, not a dollar amount)
  • Allegiance Benefit Plan Management Inc. — FIRST INTERSTATE CLAIMS PPO: 100% (a percentage in the contract, not a dollar amount)
  • BCBS-IL — PPO: 100% (a percentage in the contract, not a dollar amount)
  • BCBS-TX — PPO: 100% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield - Montana — COMMERCIAL: 100% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield - Montana — FEP BASIC PLAN: 100% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield - Montana — FEP PPO: 100% (a percentage in the contract, not a dollar amount)
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: DIAGNOSTIC COLONOSCOPY Not listed in the file Not listed in the file Not listed in the file
Colonoscopy (diagnostic): 10 of 39 insurance plan rates
  • AARP — OPTIONS: 100% (a percentage in the contract, not a dollar amount)
  • Aetna — INDEMNITY: 100% (a percentage in the contract, not a dollar amount)
  • Allegiance Benefit Plan Management Inc. — CIGNA PPO: 100% (a percentage in the contract, not a dollar amount)
  • Allegiance Benefit Plan Management Inc. — COMMERCIAL: 100% (a percentage in the contract, not a dollar amount)
  • Allegiance Benefit Plan Management Inc. — FIRST INTERSTATE CLAIMS PPO: 100% (a percentage in the contract, not a dollar amount)
  • BCBS-IL — PPO: 100% (a percentage in the contract, not a dollar amount)
  • BCBS-TX — PPO: 100% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield - Montana — COMMERCIAL: 100% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield - Montana — FEP BASIC PLAN: 100% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield - Montana — FEP PPO: 100% (a percentage in the contract, not a dollar amount)
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLONOSCOPY AND BIOPSY Not listed in the file Not listed in the file Not listed in the file
Colonoscopy with biopsy: 10 of 39 insurance plan rates
  • AARP — OPTIONS: 100% (a percentage in the contract, not a dollar amount)
  • Aetna — INDEMNITY: 100% (a percentage in the contract, not a dollar amount)
  • Allegiance Benefit Plan Management Inc. — CIGNA PPO: 100% (a percentage in the contract, not a dollar amount)
  • Allegiance Benefit Plan Management Inc. — COMMERCIAL: 100% (a percentage in the contract, not a dollar amount)
  • Allegiance Benefit Plan Management Inc. — FIRST INTERSTATE CLAIMS PPO: 100% (a percentage in the contract, not a dollar amount)
  • BCBS-IL — PPO: 100% (a percentage in the contract, not a dollar amount)
  • BCBS-TX — PPO: 100% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield - Montana — COMMERCIAL: 100% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield - Montana — FEP BASIC PLAN: 100% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield - Montana — FEP PPO: 100% (a percentage in the contract, not a dollar amount)
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLONOSCOPY W/LESION REMOVAL Not listed in the file Not listed in the file Not listed in the file
Colonoscopy with removal of polyps (snare): 10 of 39 insurance plan rates
  • AARP — OPTIONS: 100% (a percentage in the contract, not a dollar amount)
  • Aetna — INDEMNITY: 100% (a percentage in the contract, not a dollar amount)
  • Allegiance Benefit Plan Management Inc. — CIGNA PPO: 100% (a percentage in the contract, not a dollar amount)
  • Allegiance Benefit Plan Management Inc. — COMMERCIAL: 100% (a percentage in the contract, not a dollar amount)
  • Allegiance Benefit Plan Management Inc. — FIRST INTERSTATE CLAIMS PPO: 100% (a percentage in the contract, not a dollar amount)
  • BCBS-IL — PPO: 100% (a percentage in the contract, not a dollar amount)
  • BCBS-TX — PPO: 100% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield - Montana — COMMERCIAL: 100% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield - Montana — FEP BASIC PLAN: 100% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield - Montana — FEP PPO: 100% (a percentage in the contract, not a dollar amount)
Ultrasound of the lower bowel by endoscope CPT 45391 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLONOSCOPY W/ENDOSCOPE US Not listed in the file Not listed in the file Not listed in the file
Ultrasound of the lower bowel by endoscope: 10 of 39 insurance plan rates
  • AARP — OPTIONS: 100% (a percentage in the contract, not a dollar amount)
  • Aetna — INDEMNITY: 100% (a percentage in the contract, not a dollar amount)
  • Allegiance Benefit Plan Management Inc. — CIGNA PPO: 100% (a percentage in the contract, not a dollar amount)
  • Allegiance Benefit Plan Management Inc. — COMMERCIAL: 100% (a percentage in the contract, not a dollar amount)
  • Allegiance Benefit Plan Management Inc. — FIRST INTERSTATE CLAIMS PPO: 100% (a percentage in the contract, not a dollar amount)
  • BCBS-IL — PPO: 100% (a percentage in the contract, not a dollar amount)
  • BCBS-TX — PPO: 100% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield - Montana — COMMERCIAL: 100% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield - Montana — FEP BASIC PLAN: 100% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield - Montana — FEP PPO: 100% (a percentage in the contract, not a dollar amount)
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLON CA SCRN NOT HI RSK IND Not listed in the file Not listed in the file Not listed in the file
Screening colonoscopy (not high risk): 10 of 39 insurance plan rates
  • AARP — OPTIONS: 100% (a percentage in the contract, not a dollar amount)
  • Aetna — INDEMNITY: 100% (a percentage in the contract, not a dollar amount)
  • Allegiance Benefit Plan Management Inc. — CIGNA PPO: 100% (a percentage in the contract, not a dollar amount)
  • Allegiance Benefit Plan Management Inc. — COMMERCIAL: 100% (a percentage in the contract, not a dollar amount)
  • Allegiance Benefit Plan Management Inc. — FIRST INTERSTATE CLAIMS PPO: 100% (a percentage in the contract, not a dollar amount)
  • BCBS-IL — PPO: 100% (a percentage in the contract, not a dollar amount)
  • BCBS-TX — PPO: 100% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield - Montana — COMMERCIAL: 100% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield - Montana — FEP BASIC PLAN: 100% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield - Montana — FEP PPO: 100% (a percentage in the contract, not a dollar amount)
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LAPAROSCOPIC CHOLECYSTECTOMY Not listed in the file Not listed in the file Not listed in the file
Gallbladder removal by laparoscope: 10 of 39 insurance plan rates
  • AARP — OPTIONS: 100% (a percentage in the contract, not a dollar amount)
  • Aetna — INDEMNITY: 100% (a percentage in the contract, not a dollar amount)
  • Allegiance Benefit Plan Management Inc. — CIGNA PPO: 100% (a percentage in the contract, not a dollar amount)
  • Allegiance Benefit Plan Management Inc. — COMMERCIAL: 100% (a percentage in the contract, not a dollar amount)
  • Allegiance Benefit Plan Management Inc. — FIRST INTERSTATE CLAIMS PPO: 100% (a percentage in the contract, not a dollar amount)
  • BCBS-IL — PPO: 100% (a percentage in the contract, not a dollar amount)
  • BCBS-TX — PPO: 100% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield - Montana — COMMERCIAL: 100% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield - Montana — FEP BASIC PLAN: 100% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield - Montana — FEP PPO: 100% (a percentage in the contract, not a dollar amount)
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PRP I/HERN INIT REDUC >5 YR Not listed in the file Not listed in the file Not listed in the file
Groin (inguinal) hernia repair, age 5 or older: 10 of 39 insurance plan rates
  • AARP — OPTIONS: 100% (a percentage in the contract, not a dollar amount)
  • Aetna — INDEMNITY: 100% (a percentage in the contract, not a dollar amount)
  • Allegiance Benefit Plan Management Inc. — CIGNA PPO: 100% (a percentage in the contract, not a dollar amount)
  • Allegiance Benefit Plan Management Inc. — COMMERCIAL: 100% (a percentage in the contract, not a dollar amount)
  • Allegiance Benefit Plan Management Inc. — FIRST INTERSTATE CLAIMS PPO: 100% (a percentage in the contract, not a dollar amount)
  • BCBS-IL — PPO: 100% (a percentage in the contract, not a dollar amount)
  • BCBS-TX — PPO: 100% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield - Montana — COMMERCIAL: 100% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield - Montana — FEP BASIC PLAN: 100% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield - Montana — FEP PPO: 100% (a percentage in the contract, not a dollar amount)
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BIOPSY OF PROSTATE Not listed in the file Not listed in the file Not listed in the file
Prostate biopsy: 10 of 39 insurance plan rates
  • AARP — OPTIONS: 100% (a percentage in the contract, not a dollar amount)
  • Aetna — INDEMNITY: 100% (a percentage in the contract, not a dollar amount)
  • Allegiance Benefit Plan Management Inc. — CIGNA PPO: 100% (a percentage in the contract, not a dollar amount)
  • Allegiance Benefit Plan Management Inc. — COMMERCIAL: 100% (a percentage in the contract, not a dollar amount)
  • Allegiance Benefit Plan Management Inc. — FIRST INTERSTATE CLAIMS PPO: 100% (a percentage in the contract, not a dollar amount)
  • BCBS-IL — PPO: 100% (a percentage in the contract, not a dollar amount)
  • BCBS-TX — PPO: 100% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield - Montana — COMMERCIAL: 100% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield - Montana — FEP BASIC PLAN: 100% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield - Montana — FEP PPO: 100% (a percentage in the contract, not a dollar amount)
Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LAPS SURG PRST8ECT RPBIC RAD Not listed in the file Not listed in the file Not listed in the file
Prostate removal by laparoscope (radical prostatectomy): 10 of 39 insurance plan rates
  • AARP — OPTIONS: 100% (a percentage in the contract, not a dollar amount)
  • Aetna — INDEMNITY: 100% (a percentage in the contract, not a dollar amount)
  • Allegiance Benefit Plan Management Inc. — CIGNA PPO: 100% (a percentage in the contract, not a dollar amount)
  • Allegiance Benefit Plan Management Inc. — COMMERCIAL: 100% (a percentage in the contract, not a dollar amount)
  • Allegiance Benefit Plan Management Inc. — FIRST INTERSTATE CLAIMS PPO: 100% (a percentage in the contract, not a dollar amount)
  • BCBS-IL — PPO: 100% (a percentage in the contract, not a dollar amount)
  • BCBS-TX — PPO: 100% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield - Montana — COMMERCIAL: 100% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield - Montana — FEP BASIC PLAN: 100% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield - Montana — FEP PPO: 100% (a percentage in the contract, not a dollar amount)
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HYSTEROSCOPY BIOPSY Not listed in the file Not listed in the file Not listed in the file
Hysteroscopy with biopsy of the uterus lining: 10 of 39 insurance plan rates
  • AARP — OPTIONS: 100% (a percentage in the contract, not a dollar amount)
  • Aetna — INDEMNITY: 100% (a percentage in the contract, not a dollar amount)
  • Allegiance Benefit Plan Management Inc. — CIGNA PPO: 100% (a percentage in the contract, not a dollar amount)
  • Allegiance Benefit Plan Management Inc. — COMMERCIAL: 100% (a percentage in the contract, not a dollar amount)
  • Allegiance Benefit Plan Management Inc. — FIRST INTERSTATE CLAIMS PPO: 100% (a percentage in the contract, not a dollar amount)
  • BCBS-IL — PPO: 100% (a percentage in the contract, not a dollar amount)
  • BCBS-TX — PPO: 100% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield - Montana — COMMERCIAL: 100% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield - Montana — FEP BASIC PLAN: 100% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield - Montana — FEP PPO: 100% (a percentage in the contract, not a dollar amount)
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: NJX INTERLAMINAR LMBR/SAC Not listed in the file Not listed in the file Not listed in the file
Spinal injection, lower back (epidural), with imaging guidance: 10 of 39 insurance plan rates
  • AARP — OPTIONS: 100% (a percentage in the contract, not a dollar amount)
  • Aetna — INDEMNITY: 100% (a percentage in the contract, not a dollar amount)
  • Allegiance Benefit Plan Management Inc. — CIGNA PPO: 100% (a percentage in the contract, not a dollar amount)
  • Allegiance Benefit Plan Management Inc. — COMMERCIAL: 100% (a percentage in the contract, not a dollar amount)
  • Allegiance Benefit Plan Management Inc. — FIRST INTERSTATE CLAIMS PPO: 100% (a percentage in the contract, not a dollar amount)
  • BCBS-IL — PPO: 100% (a percentage in the contract, not a dollar amount)
  • BCBS-TX — PPO: 100% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield - Montana — COMMERCIAL: 100% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield - Montana — FEP BASIC PLAN: 100% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield - Montana — FEP PPO: 100% (a percentage in the contract, not a dollar amount)
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: NJX AA&/STRD TFRM EPI L/S 1 Not listed in the file Not listed in the file Not listed in the file
Nerve root injection, lower back, with imaging guidance: 10 of 39 insurance plan rates
  • AARP — OPTIONS: 100% (a percentage in the contract, not a dollar amount)
  • Aetna — INDEMNITY: 100% (a percentage in the contract, not a dollar amount)
  • Allegiance Benefit Plan Management Inc. — CIGNA PPO: 100% (a percentage in the contract, not a dollar amount)
  • Allegiance Benefit Plan Management Inc. — COMMERCIAL: 100% (a percentage in the contract, not a dollar amount)
  • Allegiance Benefit Plan Management Inc. — FIRST INTERSTATE CLAIMS PPO: 100% (a percentage in the contract, not a dollar amount)
  • BCBS-IL — PPO: 100% (a percentage in the contract, not a dollar amount)
  • BCBS-TX — PPO: 100% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield - Montana — COMMERCIAL: 100% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield - Montana — FEP BASIC PLAN: 100% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield - Montana — FEP PPO: 100% (a percentage in the contract, not a dollar amount)
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CARPAL TUNNEL SURGERY Not listed in the file Not listed in the file Not listed in the file
Carpal tunnel release: 10 of 39 insurance plan rates
  • AARP — OPTIONS: 100% (a percentage in the contract, not a dollar amount)
  • Aetna — INDEMNITY: 100% (a percentage in the contract, not a dollar amount)
  • Allegiance Benefit Plan Management Inc. — CIGNA PPO: 100% (a percentage in the contract, not a dollar amount)
  • Allegiance Benefit Plan Management Inc. — COMMERCIAL: 100% (a percentage in the contract, not a dollar amount)
  • Allegiance Benefit Plan Management Inc. — FIRST INTERSTATE CLAIMS PPO: 100% (a percentage in the contract, not a dollar amount)
  • BCBS-IL — PPO: 100% (a percentage in the contract, not a dollar amount)
  • BCBS-TX — PPO: 100% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield - Montana — COMMERCIAL: 100% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield - Montana — FEP BASIC PLAN: 100% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield - Montana — FEP PPO: 100% (a percentage in the contract, not a dollar amount)
Laser treatment of clouding after cataract surgery CPT 66821 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: AFTER CATARACT LASER SURGERY Not listed in the file Not listed in the file Not listed in the file
Laser treatment of clouding after cataract surgery: 10 of 39 insurance plan rates
  • AARP — OPTIONS: 100% (a percentage in the contract, not a dollar amount)
  • Aetna — INDEMNITY: 100% (a percentage in the contract, not a dollar amount)
  • Allegiance Benefit Plan Management Inc. — CIGNA PPO: 100% (a percentage in the contract, not a dollar amount)
  • Allegiance Benefit Plan Management Inc. — COMMERCIAL: 100% (a percentage in the contract, not a dollar amount)
  • Allegiance Benefit Plan Management Inc. — FIRST INTERSTATE CLAIMS PPO: 100% (a percentage in the contract, not a dollar amount)
  • BCBS-IL — PPO: 100% (a percentage in the contract, not a dollar amount)
  • BCBS-TX — PPO: 100% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield - Montana — COMMERCIAL: 100% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield - Montana — FEP BASIC PLAN: 100% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield - Montana — FEP PPO: 100% (a percentage in the contract, not a dollar amount)
Cataract removal with lens implant CPT 66984 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: XCAPSL CTRC RMVL W/O ECP Not listed in the file Not listed in the file Not listed in the file
Cataract removal with lens implant: 10 of 39 insurance plan rates
  • AARP — OPTIONS: 100% (a percentage in the contract, not a dollar amount)
  • Aetna — INDEMNITY: 100% (a percentage in the contract, not a dollar amount)
  • Allegiance Benefit Plan Management Inc. — CIGNA PPO: 100% (a percentage in the contract, not a dollar amount)
  • Allegiance Benefit Plan Management Inc. — COMMERCIAL: 100% (a percentage in the contract, not a dollar amount)
  • Allegiance Benefit Plan Management Inc. — FIRST INTERSTATE CLAIMS PPO: 100% (a percentage in the contract, not a dollar amount)
  • BCBS-IL — PPO: 100% (a percentage in the contract, not a dollar amount)
  • BCBS-TX — PPO: 100% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield - Montana — COMMERCIAL: 100% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield - Montana — FEP BASIC PLAN: 100% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield - Montana — FEP PPO: 100% (a percentage in the contract, not a dollar amount)

Pregnancy and childbirth

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Vaginal delivery, with care before and after CPT 59400 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OBSTETRICAL CARE Not listed in the file Not listed in the file Not listed in the file
Vaginal delivery, with care before and after: 10 of 39 insurance plan rates
  • AARP — OPTIONS: 100% (a percentage in the contract, not a dollar amount)
  • Aetna — INDEMNITY: 100% (a percentage in the contract, not a dollar amount)
  • Allegiance Benefit Plan Management Inc. — CIGNA PPO: 100% (a percentage in the contract, not a dollar amount)
  • Allegiance Benefit Plan Management Inc. — COMMERCIAL: 100% (a percentage in the contract, not a dollar amount)
  • Allegiance Benefit Plan Management Inc. — FIRST INTERSTATE CLAIMS PPO: 100% (a percentage in the contract, not a dollar amount)
  • BCBS-IL — PPO: 100% (a percentage in the contract, not a dollar amount)
  • BCBS-TX — PPO: 100% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield - Montana — COMMERCIAL: 100% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield - Montana — FEP BASIC PLAN: 100% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield - Montana — FEP PPO: 100% (a percentage in the contract, not a dollar amount)
Cesarean delivery (C-section), with care before and after CPT 59510 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CESAREAN DELIVERY Not listed in the file Not listed in the file Not listed in the file
Cesarean delivery (C-section), with care before and after: 10 of 39 insurance plan rates
  • AARP — OPTIONS: 100% (a percentage in the contract, not a dollar amount)
  • Aetna — INDEMNITY: 100% (a percentage in the contract, not a dollar amount)
  • Allegiance Benefit Plan Management Inc. — CIGNA PPO: 100% (a percentage in the contract, not a dollar amount)
  • Allegiance Benefit Plan Management Inc. — COMMERCIAL: 100% (a percentage in the contract, not a dollar amount)
  • Allegiance Benefit Plan Management Inc. — FIRST INTERSTATE CLAIMS PPO: 100% (a percentage in the contract, not a dollar amount)
  • BCBS-IL — PPO: 100% (a percentage in the contract, not a dollar amount)
  • BCBS-TX — PPO: 100% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield - Montana — COMMERCIAL: 100% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield - Montana — FEP BASIC PLAN: 100% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield - Montana — FEP PPO: 100% (a percentage in the contract, not a dollar amount)
Vaginal delivery after a previous C-section, with care before and after CPT 59610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: VBAC DELIVERY Not listed in the file Not listed in the file Not listed in the file
Vaginal delivery after a previous C-section, with care before and after: 10 of 39 insurance plan rates
  • AARP — OPTIONS: 100% (a percentage in the contract, not a dollar amount)
  • Aetna — INDEMNITY: 100% (a percentage in the contract, not a dollar amount)
  • Allegiance Benefit Plan Management Inc. — CIGNA PPO: 100% (a percentage in the contract, not a dollar amount)
  • Allegiance Benefit Plan Management Inc. — COMMERCIAL: 100% (a percentage in the contract, not a dollar amount)
  • Allegiance Benefit Plan Management Inc. — FIRST INTERSTATE CLAIMS PPO: 100% (a percentage in the contract, not a dollar amount)
  • BCBS-IL — PPO: 100% (a percentage in the contract, not a dollar amount)
  • BCBS-TX — PPO: 100% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield - Montana — COMMERCIAL: 100% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield - Montana — FEP BASIC PLAN: 100% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield - Montana — FEP PPO: 100% (a percentage in the contract, not a dollar amount)

Hospital stays (whole stay, MS-DRG)

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Heart valve or major heart-chest surgery with heart catheterization, with major complications MS-DRG 216 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC Not listed in the file Not listed in the file $9,999
Heart valve or major heart-chest surgery with heart catheterization, with major complications: 10 of 39 insurance plan rates
  • Blue Cross Blue Shield of Texas — MEDICARE HMO: $9,999
  • Christian Care Ministry — MEDI-SHARE: $9,999
  • Humana — MEDICARE HMO: $9,999
  • Thrivent Financial Lutherans — ALL PLANS: $9,999
  • Tricare — WEST - HEALTH NET FEDERAL SERVICES: $9,999
  • Triwest — VA CCN: $9,999
  • United Healthcare — COMMERCIAL: $9,999
  • United Healthcare — MEDICARE HMO: $9,999
  • United Healthcare — MEDICARE PFFS: $9,999
  • United Healthcare — MEDICARE PPO: $9,999
Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC Not listed in the file Not listed in the file $9,999
Hip or knee replacement (major joint of the leg), without major complications: 10 of 39 insurance plan rates
  • Blue Cross Blue Shield of Texas — MEDICARE HMO: $9,999
  • Christian Care Ministry — MEDI-SHARE: $9,999
  • Humana — MEDICARE HMO: $9,999
  • Thrivent Financial Lutherans — ALL PLANS: $9,999
  • Tricare — WEST - HEALTH NET FEDERAL SERVICES: $9,999
  • Triwest — VA CCN: $9,999
  • United Healthcare — COMMERCIAL: $9,999
  • United Healthcare — MEDICARE HMO: $9,999
  • United Healthcare — MEDICARE PFFS: $9,999
  • United Healthcare — MEDICARE PPO: $9,999
Neck (cervical) spinal fusion, without complications MS-DRG 473 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CERVICAL SPINAL FUSION WITHOUT CC/MCC Not listed in the file Not listed in the file $9,999
Neck (cervical) spinal fusion, without complications: 10 of 39 insurance plan rates
  • Blue Cross Blue Shield of Texas — MEDICARE HMO: $9,999
  • Christian Care Ministry — MEDI-SHARE: $9,999
  • Humana — MEDICARE HMO: $9,999
  • Thrivent Financial Lutherans — ALL PLANS: $9,999
  • Tricare — WEST - HEALTH NET FEDERAL SERVICES: $9,999
  • Triwest — VA CCN: $9,999
  • United Healthcare — COMMERCIAL: $9,999
  • United Healthcare — MEDICARE HMO: $9,999
  • United Healthcare — MEDICARE PFFS: $9,999
  • United Healthcare — MEDICARE PPO: $9,999
Uterus and ovary surgery (not for cancer), without complications MS-DRG 743 · Inpatient (hospital stay) · Hospital (facility) fee In the file: UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC Not listed in the file Not listed in the file $9,999
Uterus and ovary surgery (not for cancer), without complications: 10 of 39 insurance plan rates
  • Blue Cross Blue Shield of Texas — MEDICARE HMO: $9,999
  • Christian Care Ministry — MEDI-SHARE: $9,999
  • Humana — MEDICARE HMO: $9,999
  • Thrivent Financial Lutherans — ALL PLANS: $9,999
  • Tricare — WEST - HEALTH NET FEDERAL SERVICES: $9,999
  • Triwest — VA CCN: $9,999
  • United Healthcare — COMMERCIAL: $9,999
  • United Healthcare — MEDICARE HMO: $9,999
  • United Healthcare — MEDICARE PFFS: $9,999
  • United Healthcare — MEDICARE PPO: $9,999

Source: Prairie Community CAH’s standard charges file (mrfs.hyvehealthcare.com, JSON, CMS template 3.0.0; it can be a very large file), last updated by the hospital on August 7, 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 typeCritical Access Hospital
Address312 S Adams, Terry, MT 59349
CountyPrairie County
StateMontana
Phone(406) 635‑5511
Emergency servicesYes
OwnershipGovernment - Hospital District or Authority
Medicare overall ratingNot rated by CMS
CMS Certification Number271309
Name in Medicare recordsPRAIRIE COMMUNITY CAH
Profile levelMedicare data + hospital website
Name on the hospital’s websitePrairie Community Hospital
Official websiteprairiecommunityhospital.com
CorrectionsReport an error or suggest an update →

Sources

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

From the hospital’s website

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

  1. Prairie County Hospital District - Home — prairiecommunityhospital.com