Does Ruby Valley Medical Center have an emergency room?

Yes. Medicare (CMS) data lists emergency services at Ruby Valley Medical Center. In a medical emergency, call 911.

Where is Ruby Valley Medical Center?

321 Madison St, Sheridan, MT 59749, in Madison County, Montana.

What is the phone number of Ruby Valley Medical Center?

(406) 842-5453, as listed by Medicare (CMS).

What is the Medicare star rating of Ruby Valley Medical Center?

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.

Ruby Valley Medical Center — Phone, Address & ER

Quick answers

Does Ruby Valley Medical Center have an emergency room?: Yes. Medicare (CMS) data lists emergency services at Ruby Valley Medical Center. In a medical emergency, call 911.
Where is Ruby Valley Medical Center?: 321 Madison St, Sheridan, MT 59749, in Madison County, Montana.
What is the phone number of Ruby Valley Medical Center?: (406) 842-5453, as listed by Medicare (CMS).
What is the Medicare star rating of Ruby Valley Medical Center?: 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^[5]

Primary Care
Endoscopy and Colonoscopy
Inpatient Care
Rehabilitation (Physical, Occupational and Speech Therapy)
Mental Health
Emergency Care
Laboratory
Diagnostic Imaging

Conditions treated^[5]

Depression
Anxiety
Mood and thought disorders

Treatments^[5]

Transitional Care
Non-Surgical Pain Management
Chiropractic Care
Osteopathic Manipulative Therapy
Physical therapy
Occupational therapy
Speech therapy
Couples therapy
Medication management

Procedures^[5]

Endoscopy
Colonoscopy
CT scan
X-ray
Ultrasound
Echocardiogram
MRI (mobile service, Monday mornings)
Nerve testing
Epidural corticosteroid injections
Radiofrequency ablation

Programs and centers^[5]

Transitional care
Inpatient care
Laboratory
Diagnostic imaging
Mental health services
Emergency medical services (EMS)

Doctors and clinicians (45)

45 doctors and other clinicians list Ruby Valley Medical Center 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 (45)

Aaron Florence, DOOrthopedic Surgery
Albert P. Meier, MDDiagnostic Radiology
Alec Kerins, MDFamily Practice
Amy S. Braaksma, NPNurse Practitioner
Anna S. Loge, MDInternal Medicine
Brian G. Rose, MDEndocrinology
Carlos A. Albrecht, MDCardiovascular Disease (Cardiology)
Catey Harwell, MDInternal Medicine
Catherine M. Hawkins, MDInternal Medicine
Chris W. Hartsfield, NPNurse Practitioner
Christopher C. Brown, MDInternal Medicine
Daniel Hyman, MDHospitalist
Daniel T. Richards, DOOrthopedic Surgery
Elizabeth A. Church, NPNurse Practitioner
Emily A. Compton, MDOrthopedic Surgery
Emily J. Yelenich, NPNurse Practitioner
Eugene A. Slocum, MDPhysical Medicine and Rehabilitation
Jacob M. Breeding, MDGeneral Surgery
Jade K. Bartoletti, NPNurse Practitioner
Jessica A. Simmons, CNACertified Registered Nurse Anesthetist (CRNA)
Jessica L. Svingen, DOFamily Practice
John S. Madany, MDFamily Practice
Jonathan A. Newman, MDInternal Medicine
Jonathan H. McKinnon, MDNeurology

And 21 more: the button below opens the full list.

Other emergency rooms nearby

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

Madison Valley Medical Center23 mi · Ennis, MT · Critical Access Hospital
Barrett Hospital & Healthcare28 mi · Dillon, MT · Critical Access Hospital
Bozeman Health Big Sky Medical Center41 mi · Big Sky, MT · Critical Access Hospital
St James Hospital42 mi · Butte, MT · Acute Care Hospital
Bozeman Health Deaconess Hospital59 mi · Bozeman, MT · Acute Care Hospital

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

Other hospitals near Sheridan

Community Hospital of Anaconda59 mi · Anaconda, MT · Critical Access Hospital

Hospitals in Madison County · Hospitals near me

Nursing homes, hospice, home health and dialysis nearby

Medicare-certified providers within 25 miles, by straight-line distance. Hospice and home health care is given at home: their address is the office.

Nursing homes

Tobacco Root Mountains Care Center0.1 mi · Sheridan, MT · 1 of 5 stars
Madison Valley Manor24 mi · Ennis, MT · 4 of 5 stars

All nursing homes in the state →

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

Ruby Valley Medical Clinic5.8 mi · Sheridan, MT · Rural health clinic
Twin Bridges Medical Clinic9.2 mi · Twin Bridges, MT · Rural health clinic

Pharmacies

Butte Silver Bow Primary Health Care Clinic Inc5.8 mi · Sheridan, MT · Community/retail pharmacy
Ruby Valley Hospital5.8 mi · Sheridan, MT · Community/retail pharmacy

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 Ruby Valley Medical Center 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.

Average (median) time patients spent in the emergency room before leaving (OP-18b)	154 minutesNational average: 162 minutes
Not reported to Medicare	Patients who left the emergency room before being seen (OP-22); Sepsis patients who got all the recommended early care (SEP-1)

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

Not reported to Medicare: 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.

ER wait times in Montana

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 56 common services exactly as Ruby Valley Medical Center 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 56 common services

Office and emergency visits

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient (hospital stay) · Hospital (facility) fee In the file: OV INTERMEDIATE NEW PATIENT (99203)	$249	$224.10	$174.30 – $249
New patient office visit (about 30–44 minutes): 10 of 16 insurance plan rates Aetna — Commercial: $236.55 Aetna — Medicare: $224.10 BCBS MT — CHIP: $224.10 BCBS MT — Closed Plan Network: $236.55 BCBS MT — HealthLink: $224.10 BCBS MT — Medicare: $224.10 BCBS MT — POS: $236.55 BCBS MT — Traditional: $249 Cigna — Commercial: $236.55 Cigna — Medicare: $224.10
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OV INTERMEDIATE NEW PATIENT (99203)	$249	$224.10	$174.30 – $249
New patient office visit (about 30–44 minutes): 10 of 16 insurance plan rates Aetna — Commercial: $236.55 Aetna — Medicare: $224.10 BCBS MT — CHIP: $224.10 BCBS MT — Closed Plan Network: $236.55 BCBS MT — HealthLink: $224.10 BCBS MT — Medicare: $224.10 BCBS MT — POS: $236.55 BCBS MT — Traditional: $249 Cigna — Commercial: $236.55 Cigna — Medicare: $224.10
New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient (hospital stay) · Hospital (facility) fee In the file: OV EXTENDED NEW PATIENT (99204)	$355	$319.50	$248.50 – $355
New patient office visit (about 45–59 minutes): 10 of 16 insurance plan rates Aetna — Commercial: $337.25 Aetna — Medicare: $319.50 BCBS MT — CHIP: $319.50 BCBS MT — Closed Plan Network: $337.25 BCBS MT — HealthLink: $319.50 BCBS MT — Medicare: $319.50 BCBS MT — POS: $337.25 BCBS MT — Traditional: $355 Cigna — Commercial: $337.25 Cigna — Medicare: $319.50
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OV EXTENDED NEW PATIENT (99204)	$355	$319.50	$248.50 – $355
New patient office visit (about 45–59 minutes): 10 of 16 insurance plan rates Aetna — Commercial: $337.25 Aetna — Medicare: $319.50 BCBS MT — CHIP: $319.50 BCBS MT — Closed Plan Network: $337.25 BCBS MT — HealthLink: $319.50 BCBS MT — Medicare: $319.50 BCBS MT — POS: $337.25 BCBS MT — Traditional: $355 Cigna — Commercial: $337.25 Cigna — Medicare: $319.50
New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient (hospital stay) · Hospital (facility) fee In the file: OV COMPREHENSIVE NEW PATIENT (99205)	$447	$402.30	$312.90 – $447
New patient office visit (about 60–74 minutes): 10 of 16 insurance plan rates Aetna — Commercial: $424.65 Aetna — Medicare: $402.30 BCBS MT — CHIP: $402.30 BCBS MT — Closed Plan Network: $424.65 BCBS MT — HealthLink: $402.30 BCBS MT — Medicare: $402.30 BCBS MT — POS: $424.65 BCBS MT — Traditional: $447 Cigna — Commercial: $424.65 Cigna — Medicare: $402.30
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OV COMPREHENSIVE NEW PATIENT (99205)	$447	$402.30	$312.90 – $447
New patient office visit (about 60–74 minutes): 10 of 16 insurance plan rates Aetna — Commercial: $424.65 Aetna — Medicare: $402.30 BCBS MT — CHIP: $402.30 BCBS MT — Closed Plan Network: $424.65 BCBS MT — HealthLink: $402.30 BCBS MT — Medicare: $402.30 BCBS MT — POS: $424.65 BCBS MT — Traditional: $447 Cigna — Commercial: $424.65 Cigna — Medicare: $402.30
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient (hospital stay) · Hospital (facility) fee In the file: OV LIMITED ESTAB PATIENT (99213)	$169	$152.10	$118.30 – $169
Established patient office visit (about 20–29 minutes): 10 of 16 insurance plan rates Aetna — Commercial: $160.55 Aetna — Medicare: $152.10 BCBS MT — CHIP: $152.10 BCBS MT — Closed Plan Network: $160.55 BCBS MT — HealthLink: $152.10 BCBS MT — Medicare: $152.10 BCBS MT — POS: $160.55 BCBS MT — Traditional: $169 Cigna — Commercial: $160.55 Cigna — Medicare: $152.10
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OV LIMITED ESTAB PATIENT (99213)	$169	$152.10	$118.30 – $169
Established patient office visit (about 20–29 minutes): 10 of 16 insurance plan rates Aetna — Commercial: $160.55 Aetna — Medicare: $152.10 BCBS MT — CHIP: $152.10 BCBS MT — Closed Plan Network: $160.55 BCBS MT — HealthLink: $152.10 BCBS MT — Medicare: $152.10 BCBS MT — POS: $160.55 BCBS MT — Traditional: $169 Cigna — Commercial: $160.55 Cigna — Medicare: $152.10
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient (hospital stay) · Hospital (facility) fee In the file: O/P EST PT LOW 20 MIN 99213	$261	$234.90	$182.70 – $261
Established patient office visit (about 20–29 minutes): 10 of 16 insurance plan rates Aetna — Commercial: $247.95 Aetna — Medicare: $234.90 BCBS MT — CHIP: $234.90 BCBS MT — Closed Plan Network: $247.95 BCBS MT — HealthLink: $234.90 BCBS MT — Medicare: $234.90 BCBS MT — POS: $247.95 BCBS MT — Traditional: $261 Cigna — Commercial: $247.95 Cigna — Medicare: $234.90
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient (hospital stay) · Hospital (facility) fee In the file: OV INTERMEDIATE ESTAB PATIENT (99214)	$249	$224.10	$174.30 – $249
Established patient office visit (about 30–39 minutes): 10 of 16 insurance plan rates Aetna — Commercial: $236.55 Aetna — Medicare: $224.10 BCBS MT — CHIP: $224.10 BCBS MT — Closed Plan Network: $236.55 BCBS MT — HealthLink: $224.10 BCBS MT — Medicare: $224.10 BCBS MT — POS: $236.55 BCBS MT — Traditional: $249 Cigna — Commercial: $236.55 Cigna — Medicare: $224.10
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OV INTERMEDIATE ESTAB PATIENT (99214)	$249	$224.10	$174.30 – $249
Established patient office visit (about 30–39 minutes): 10 of 16 insurance plan rates Aetna — Commercial: $236.55 Aetna — Medicare: $224.10 BCBS MT — CHIP: $224.10 BCBS MT — Closed Plan Network: $236.55 BCBS MT — HealthLink: $224.10 BCBS MT — Medicare: $224.10 BCBS MT — POS: $236.55 BCBS MT — Traditional: $249 Cigna — Commercial: $236.55 Cigna — Medicare: $224.10
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient (hospital stay) · Hospital (facility) fee In the file: O/P EST PT MOD 30 MIN 99214	$261	$234.90	$182.70 – $261
Established patient office visit (about 30–39 minutes): 10 of 16 insurance plan rates Aetna — Commercial: $247.95 Aetna — Medicare: $234.90 BCBS MT — CHIP: $234.90 BCBS MT — Closed Plan Network: $247.95 BCBS MT — HealthLink: $234.90 BCBS MT — Medicare: $234.90 BCBS MT — POS: $247.95 BCBS MT — Traditional: $261 Cigna — Commercial: $247.95 Cigna — Medicare: $234.90
Office consultation with a specialist (moderate) CPT 99243 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CONSULTATION L3/NEW-ESTABLISHED PATIENT	$284	$255.60	$198.80 – $284
Office consultation with a specialist (moderate): 10 of 16 insurance plan rates Aetna — Commercial: $269.80 Aetna — Medicare: $255.60 BCBS MT — CHIP: $255.60 BCBS MT — Closed Plan Network: $269.80 BCBS MT — HealthLink: $255.60 BCBS MT — Medicare: $255.60 BCBS MT — POS: $269.80 BCBS MT — Traditional: $284 Cigna — Commercial: $269.80 Cigna — Medicare: $255.60
Office consultation with a specialist (moderate) CPT 99243 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CONSULTATION L3/NEW-ESTABLISHED PATIENT	$284	$255.60	$198.80 – $284
Office consultation with a specialist (moderate): 10 of 16 insurance plan rates Aetna — Commercial: $269.80 Aetna — Medicare: $255.60 BCBS MT — CHIP: $255.60 BCBS MT — Closed Plan Network: $269.80 BCBS MT — HealthLink: $255.60 BCBS MT — Medicare: $255.60 BCBS MT — POS: $269.80 BCBS MT — Traditional: $284 Cigna — Commercial: $269.80 Cigna — Medicare: $255.60
Office consultation with a specialist (moderate to high) CPT 99244 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CONSULTATION L4 NEW/ESTAB.PATIENT	$417	$375.30	$291.90 – $417
Office consultation with a specialist (moderate to high): 10 of 16 insurance plan rates Aetna — Commercial: $396.15 Aetna — Medicare: $375.30 BCBS MT — CHIP: $375.30 BCBS MT — Closed Plan Network: $396.15 BCBS MT — HealthLink: $375.30 BCBS MT — Medicare: $375.30 BCBS MT — POS: $396.15 BCBS MT — Traditional: $417 Cigna — Commercial: $396.15 Cigna — Medicare: $375.30
Office consultation with a specialist (moderate to high) CPT 99244 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CONSULTATION L4 NEW/ESTAB.PATIENT	$417	$375.30	$291.90 – $417
Office consultation with a specialist (moderate to high): 10 of 16 insurance plan rates Aetna — Commercial: $396.15 Aetna — Medicare: $375.30 BCBS MT — CHIP: $375.30 BCBS MT — Closed Plan Network: $396.15 BCBS MT — HealthLink: $375.30 BCBS MT — Medicare: $375.30 BCBS MT — POS: $396.15 BCBS MT — Traditional: $417 Cigna — Commercial: $396.15 Cigna — Medicare: $375.30
Preventive checkup, new patient, age 18–39 CPT 99385 · Inpatient (hospital stay) · Hospital (facility) fee In the file: WV ADULT NEW PATIENT 18-39 YEARS OLD	$301	$270.90	$210.70 – $301
Preventive checkup, new patient, age 18–39: 10 of 16 insurance plan rates Aetna — Commercial: $285.95 Aetna — Medicare: $270.90 BCBS MT — CHIP: $270.90 BCBS MT — Closed Plan Network: $285.95 BCBS MT — HealthLink: $270.90 BCBS MT — Medicare: $270.90 BCBS MT — POS: $285.95 BCBS MT — Traditional: $301 Cigna — Commercial: $285.95 Cigna — Medicare: $270.90
Preventive checkup, new patient, age 18–39 CPT 99385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: WV ADULT NEW PATIENT 18-39 YEARS OLD	$301	$270.90	$210.70 – $301
Preventive checkup, new patient, age 18–39: 10 of 16 insurance plan rates Aetna — Commercial: $285.95 Aetna — Medicare: $270.90 BCBS MT — CHIP: $270.90 BCBS MT — Closed Plan Network: $285.95 BCBS MT — HealthLink: $270.90 BCBS MT — Medicare: $270.90 BCBS MT — POS: $285.95 BCBS MT — Traditional: $301 Cigna — Commercial: $285.95 Cigna — Medicare: $270.90
Preventive checkup, new patient, age 40–64 CPT 99386 · Inpatient (hospital stay) · Hospital (facility) fee In the file: WV ADULT NEW PATIENT 40-64YEARS OLD	$348	$313.20	$243.60 – $348
Preventive checkup, new patient, age 40–64: 10 of 16 insurance plan rates Aetna — Commercial: $330.60 Aetna — Medicare: $313.20 BCBS MT — CHIP: $313.20 BCBS MT — Closed Plan Network: $330.60 BCBS MT — HealthLink: $313.20 BCBS MT — Medicare: $313.20 BCBS MT — POS: $330.60 BCBS MT — Traditional: $348 Cigna — Commercial: $330.60 Cigna — Medicare: $313.20
Preventive checkup, new patient, age 40–64 CPT 99386 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: WV ADULT NEW PATIENT 40-64YEARS OLD	$348	$313.20	$243.60 – $348
Preventive checkup, new patient, age 40–64: 10 of 16 insurance plan rates Aetna — Commercial: $330.60 Aetna — Medicare: $313.20 BCBS MT — CHIP: $313.20 BCBS MT — Closed Plan Network: $330.60 BCBS MT — HealthLink: $313.20 BCBS MT — Medicare: $313.20 BCBS MT — POS: $330.60 BCBS MT — Traditional: $348 Cigna — Commercial: $330.60 Cigna — Medicare: $313.20
Emergency room visit (moderate) CPT 99283 · Inpatient (hospital stay) · Hospital (facility) fee In the file: ER ROOM/OP ROOM INTERMEDIATE 99283	$758	$682.20	$530.60 – $758
Emergency room visit (moderate): 10 of 16 insurance plan rates Aetna — Commercial: $720.10 Aetna — Medicare: $682.20 BCBS MT — CHIP: $682.20 BCBS MT — Closed Plan Network: $720.10 BCBS MT — HealthLink: $682.20 BCBS MT — Medicare: $682.20 BCBS MT — POS: $720.10 BCBS MT — Traditional: $758 Cigna — Commercial: $720.10 Cigna — Medicare: $682.20
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ER ROOM/OP ROOM INTERMEDIATE 99283	$758	$682.20	$530.60 – $758
Emergency room visit (moderate): 10 of 16 insurance plan rates Aetna — Commercial: $720.10 Aetna — Medicare: $682.20 BCBS MT — CHIP: $682.20 BCBS MT — Closed Plan Network: $720.10 BCBS MT — HealthLink: $682.20 BCBS MT — Medicare: $682.20 BCBS MT — POS: $720.10 BCBS MT — Traditional: $758 Cigna — Commercial: $720.10 Cigna — Medicare: $682.20
Emergency room visit (moderate) CPT 99283 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CLINIC - PRO FEE ED INTERMEDIATE	$147	$132.30	$102.90 – $147
Emergency room visit (moderate): 10 of 16 insurance plan rates Aetna — Commercial: $139.65 Aetna — Medicare: $132.30 BCBS MT — CHIP: $132.30 BCBS MT — Closed Plan Network: $139.65 BCBS MT — HealthLink: $132.30 BCBS MT — Medicare: $132.30 BCBS MT — POS: $139.65 BCBS MT — Traditional: $147 Cigna — Commercial: $139.65 Cigna — Medicare: $132.30
Emergency room visit (moderately high) CPT 99284 · Inpatient (hospital stay) · Hospital (facility) fee In the file: ER ROOM/OP ROOM EXTENDED 99284	$1,221	$1,098.90	$854.70 – $1,221
Emergency room visit (moderately high): 10 of 16 insurance plan rates Aetna — Commercial: $1,159.95 Aetna — Medicare: $1,098.90 BCBS MT — CHIP: $1,098.90 BCBS MT — Closed Plan Network: $1,159.95 BCBS MT — HealthLink: $1,098.90 BCBS MT — Medicare: $1,098.90 BCBS MT — POS: $1,159.95 BCBS MT — Traditional: $1,221 Cigna — Commercial: $1,159.95 Cigna — Medicare: $1,098.90
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ER ROOM/OP ROOM EXTENDED 99284	$1,221	$1,098.90	$854.70 – $1,221
Emergency room visit (moderately high): 10 of 16 insurance plan rates Aetna — Commercial: $1,159.95 Aetna — Medicare: $1,098.90 BCBS MT — CHIP: $1,098.90 BCBS MT — Closed Plan Network: $1,159.95 BCBS MT — HealthLink: $1,098.90 BCBS MT — Medicare: $1,098.90 BCBS MT — POS: $1,159.95 BCBS MT — Traditional: $1,221 Cigna — Commercial: $1,159.95 Cigna — Medicare: $1,098.90
Emergency room visit (moderately high) CPT 99284 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CLINIC - PRO FEE ED EXTENDED	$277	$249.30	$193.90 – $277
Emergency room visit (moderately high): 10 of 16 insurance plan rates Aetna — Commercial: $263.15 Aetna — Medicare: $249.30 BCBS MT — CHIP: $249.30 BCBS MT — Closed Plan Network: $263.15 BCBS MT — HealthLink: $249.30 BCBS MT — Medicare: $249.30 BCBS MT — POS: $263.15 BCBS MT — Traditional: $277 Cigna — Commercial: $263.15 Cigna — Medicare: $249.30
Emergency room visit (high) CPT 99285 · Inpatient (hospital stay) · Hospital (facility) fee In the file: ER ROOM/OP ROOM COMPREHENSIVE 99285	$1,823	$1,640.70	$1,276.10 – $1,823
Emergency room visit (high): 10 of 16 insurance plan rates Aetna — Commercial: $1,731.85 Aetna — Medicare: $1,640.70 BCBS MT — CHIP: $1,640.70 BCBS MT — Closed Plan Network: $1,731.85 BCBS MT — HealthLink: $1,640.70 BCBS MT — Medicare: $1,640.70 BCBS MT — POS: $1,731.85 BCBS MT — Traditional: $1,823 Cigna — Commercial: $1,731.85 Cigna — Medicare: $1,640.70
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ER ROOM/OP ROOM COMPREHENSIVE 99285	$1,823	$1,640.70	$1,276.10 – $1,823
Emergency room visit (high): 10 of 16 insurance plan rates Aetna — Commercial: $1,731.85 Aetna — Medicare: $1,640.70 BCBS MT — CHIP: $1,640.70 BCBS MT — Closed Plan Network: $1,731.85 BCBS MT — HealthLink: $1,640.70 BCBS MT — Medicare: $1,640.70 BCBS MT — POS: $1,731.85 BCBS MT — Traditional: $1,823 Cigna — Commercial: $1,731.85 Cigna — Medicare: $1,640.70
Emergency room visit (high) CPT 99285 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CLINIC - PRO FEE ED COMPREHENSIVE	$408	$367.20	$285.60 – $408
Emergency room visit (high): 10 of 16 insurance plan rates Aetna — Commercial: $387.60 Aetna — Medicare: $367.20 BCBS MT — CHIP: $367.20 BCBS MT — Closed Plan Network: $387.60 BCBS MT — HealthLink: $367.20 BCBS MT — Medicare: $367.20 BCBS MT — POS: $387.60 BCBS MT — Traditional: $408 Cigna — Commercial: $387.60 Cigna — Medicare: $367.20

Lab tests

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Inpatient (hospital stay) · Hospital (facility) fee In the file: BASIC METABOLIC PANEL	$158	$142.20	$110.60 – $158
Basic metabolic panel (blood test): 10 of 16 insurance plan rates Aetna — Commercial: $150.10 Aetna — Medicare: $142.20 BCBS MT — CHIP: $142.20 BCBS MT — Closed Plan Network: $150.10 BCBS MT — HealthLink: $142.20 BCBS MT — Medicare: $142.20 BCBS MT — POS: $150.10 BCBS MT — Traditional: $158 Cigna — Commercial: $150.10 Cigna — Medicare: $142.20
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BASIC METABOLIC PANEL	$158	$142.20	$110.60 – $158
Basic metabolic panel (blood test): 10 of 16 insurance plan rates Aetna — Commercial: $150.10 Aetna — Medicare: $142.20 BCBS MT — CHIP: $142.20 BCBS MT — Closed Plan Network: $150.10 BCBS MT — HealthLink: $142.20 BCBS MT — Medicare: $142.20 BCBS MT — POS: $150.10 BCBS MT — Traditional: $158 Cigna — Commercial: $150.10 Cigna — Medicare: $142.20
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient (hospital stay) · Hospital (facility) fee In the file: COMPREHENSIVE METABOLIC PANEL	$215	$193.50	$150.50 – $215
Comprehensive metabolic panel (blood test): 10 of 16 insurance plan rates Aetna — Commercial: $204.25 Aetna — Medicare: $193.50 BCBS MT — CHIP: $193.50 BCBS MT — Closed Plan Network: $204.25 BCBS MT — HealthLink: $193.50 BCBS MT — Medicare: $193.50 BCBS MT — POS: $204.25 BCBS MT — Traditional: $215 Cigna — Commercial: $204.25 Cigna — Medicare: $193.50
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPREHENSIVE METABOLIC PANEL	$215	$193.50	$150.50 – $215
Comprehensive metabolic panel (blood test): 10 of 16 insurance plan rates Aetna — Commercial: $204.25 Aetna — Medicare: $193.50 BCBS MT — CHIP: $193.50 BCBS MT — Closed Plan Network: $204.25 BCBS MT — HealthLink: $193.50 BCBS MT — Medicare: $193.50 BCBS MT — POS: $204.25 BCBS MT — Traditional: $215 Cigna — Commercial: $204.25 Cigna — Medicare: $193.50
Obstetric blood test panel CPT 80055 · Inpatient (hospital stay) · Hospital (facility) fee In the file: LAB PRENATAL PROFILE	$182	$163.80	$127.40 – $182
Obstetric blood test panel: 10 of 16 insurance plan rates Aetna — Commercial: $172.90 Aetna — Medicare: $163.80 BCBS MT — CHIP: $163.80 BCBS MT — Closed Plan Network: $172.90 BCBS MT — HealthLink: $163.80 BCBS MT — Medicare: $163.80 BCBS MT — POS: $172.90 BCBS MT — Traditional: $182 Cigna — Commercial: $172.90 Cigna — Medicare: $163.80
Obstetric blood test panel CPT 80055 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LAB PRENATAL PROFILE	$182	$163.80	$127.40 – $182
Obstetric blood test panel: 10 of 16 insurance plan rates Aetna — Commercial: $172.90 Aetna — Medicare: $163.80 BCBS MT — CHIP: $163.80 BCBS MT — Closed Plan Network: $172.90 BCBS MT — HealthLink: $163.80 BCBS MT — Medicare: $163.80 BCBS MT — POS: $172.90 BCBS MT — Traditional: $182 Cigna — Commercial: $172.90 Cigna — Medicare: $163.80
Cholesterol panel (lipid panel) CPT 80061 · Inpatient (hospital stay) · Hospital (facility) fee In the file: LIPID PANEL W/ DIRECT LDL REFLEX	$155	$139.50	$108.50 – $155
Cholesterol panel (lipid panel): 10 of 16 insurance plan rates Aetna — Commercial: $147.25 Aetna — Medicare: $139.50 BCBS MT — CHIP: $139.50 BCBS MT — Closed Plan Network: $147.25 BCBS MT — HealthLink: $139.50 BCBS MT — Medicare: $139.50 BCBS MT — POS: $147.25 BCBS MT — Traditional: $155 Cigna — Commercial: $147.25 Cigna — Medicare: $139.50
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LIPID PANEL W/ DIRECT LDL REFLEX	$155	$139.50	$108.50 – $155
Cholesterol panel (lipid panel): 10 of 16 insurance plan rates Aetna — Commercial: $147.25 Aetna — Medicare: $139.50 BCBS MT — CHIP: $139.50 BCBS MT — Closed Plan Network: $147.25 BCBS MT — HealthLink: $139.50 BCBS MT — Medicare: $139.50 BCBS MT — POS: $147.25 BCBS MT — Traditional: $155 Cigna — Commercial: $147.25 Cigna — Medicare: $139.50
Cholesterol panel (lipid panel) CPT 80061 · Inpatient (hospital stay) · Hospital (facility) fee In the file: LIPID PANEL	$155	$139.50	$108.50 – $155
Cholesterol panel (lipid panel): 10 of 16 insurance plan rates Aetna — Commercial: $147.25 Aetna — Medicare: $139.50 BCBS MT — CHIP: $139.50 BCBS MT — Closed Plan Network: $147.25 BCBS MT — HealthLink: $139.50 BCBS MT — Medicare: $139.50 BCBS MT — POS: $147.25 BCBS MT — Traditional: $155 Cigna — Commercial: $147.25 Cigna — Medicare: $139.50
Kidney function panel CPT 80069 · Inpatient (hospital stay) · Hospital (facility) fee In the file: RENAL FUNCTION PANEL	$159	$143.10	$111.30 – $159
Kidney function panel: 10 of 16 insurance plan rates Aetna — Commercial: $151.05 Aetna — Medicare: $143.10 BCBS MT — CHIP: $143.10 BCBS MT — Closed Plan Network: $151.05 BCBS MT — HealthLink: $143.10 BCBS MT — Medicare: $143.10 BCBS MT — POS: $151.05 BCBS MT — Traditional: $159 Cigna — Commercial: $151.05 Cigna — Medicare: $143.10
Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: RENAL FUNCTION PANEL	$159	$143.10	$111.30 – $159
Kidney function panel: 10 of 16 insurance plan rates Aetna — Commercial: $151.05 Aetna — Medicare: $143.10 BCBS MT — CHIP: $143.10 BCBS MT — Closed Plan Network: $151.05 BCBS MT — HealthLink: $143.10 BCBS MT — Medicare: $143.10 BCBS MT — POS: $151.05 BCBS MT — Traditional: $159 Cigna — Commercial: $151.05 Cigna — Medicare: $143.10
Liver function panel CPT 80076 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HEPATIC FUNCTION PANEL	$164	$147.60	$114.80 – $164
Liver function panel: 10 of 16 insurance plan rates Aetna — Commercial: $155.80 Aetna — Medicare: $147.60 BCBS MT — CHIP: $147.60 BCBS MT — Closed Plan Network: $155.80 BCBS MT — HealthLink: $147.60 BCBS MT — Medicare: $147.60 BCBS MT — POS: $155.80 BCBS MT — Traditional: $164 Cigna — Commercial: $155.80 Cigna — Medicare: $147.60
Liver function panel CPT 80076 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HEPATIC FUNCTION PANEL	$164	$147.60	$114.80 – $164
Liver function panel: 10 of 16 insurance plan rates Aetna — Commercial: $155.80 Aetna — Medicare: $147.60 BCBS MT — CHIP: $147.60 BCBS MT — Closed Plan Network: $155.80 BCBS MT — HealthLink: $147.60 BCBS MT — Medicare: $147.60 BCBS MT — POS: $155.80 BCBS MT — Traditional: $164 Cigna — Commercial: $155.80 Cigna — Medicare: $147.60
Urine test (automated, with microscope) CPT 81001 · Inpatient (hospital stay) · Hospital (facility) fee In the file: .URINALYSIS, DIPSTICK AND MICROSCOPIC	$69	$62.10	$48.30 – $69
Urine test (automated, with microscope): 10 of 16 insurance plan rates Aetna — Commercial: $65.55 Aetna — Medicare: $62.10 BCBS MT — CHIP: $62.10 BCBS MT — Closed Plan Network: $65.55 BCBS MT — HealthLink: $62.10 BCBS MT — Medicare: $62.10 BCBS MT — POS: $65.55 BCBS MT — Traditional: $69 Cigna — Commercial: $65.55 Cigna — Medicare: $62.10
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: .URINALYSIS, DIPSTICK AND MICROSCOPIC	$69	$62.10	$48.30 – $69
Urine test (automated, with microscope): 10 of 16 insurance plan rates Aetna — Commercial: $65.55 Aetna — Medicare: $62.10 BCBS MT — CHIP: $62.10 BCBS MT — Closed Plan Network: $65.55 BCBS MT — HealthLink: $62.10 BCBS MT — Medicare: $62.10 BCBS MT — POS: $65.55 BCBS MT — Traditional: $69 Cigna — Commercial: $65.55 Cigna — Medicare: $62.10
Urine test (manual, without microscope) CPT 81002 · Inpatient (hospital stay) · Hospital (facility) fee In the file: LAB MANUAL UA WITH MICRO	$54	$48.60	$37.80 – $54
Urine test (manual, without microscope): 10 of 16 insurance plan rates Aetna — Commercial: $51.30 Aetna — Medicare: $48.60 BCBS MT — CHIP: $48.60 BCBS MT — Closed Plan Network: $51.30 BCBS MT — HealthLink: $48.60 BCBS MT — Medicare: $48.60 BCBS MT — POS: $51.30 BCBS MT — Traditional: $54 Cigna — Commercial: $51.30 Cigna — Medicare: $48.60
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LAB MANUAL UA WITH MICRO	$54	$48.60	$37.80 – $54
Urine test (manual, without microscope): 10 of 16 insurance plan rates Aetna — Commercial: $51.30 Aetna — Medicare: $48.60 BCBS MT — CHIP: $48.60 BCBS MT — Closed Plan Network: $51.30 BCBS MT — HealthLink: $48.60 BCBS MT — Medicare: $48.60 BCBS MT — POS: $51.30 BCBS MT — Traditional: $54 Cigna — Commercial: $51.30 Cigna — Medicare: $48.60
Urine test (automated, without microscope) CPT 81003 · Inpatient (hospital stay) · Hospital (facility) fee In the file: .URINALYSIS, DIPSTICK	$38	$34.20	$26.60 – $38
Urine test (automated, without microscope): 10 of 16 insurance plan rates Aetna — Commercial: $36.10 Aetna — Medicare: $34.20 BCBS MT — CHIP: $34.20 BCBS MT — Closed Plan Network: $36.10 BCBS MT — HealthLink: $34.20 BCBS MT — Medicare: $34.20 BCBS MT — POS: $36.10 BCBS MT — Traditional: $38 Cigna — Commercial: $36.10 Cigna — Medicare: $34.20
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: .URINALYSIS, DIPSTICK	$38	$34.20	$26.60 – $38
Urine test (automated, without microscope): 10 of 16 insurance plan rates Aetna — Commercial: $36.10 Aetna — Medicare: $34.20 BCBS MT — CHIP: $34.20 BCBS MT — Closed Plan Network: $36.10 BCBS MT — HealthLink: $34.20 BCBS MT — Medicare: $34.20 BCBS MT — POS: $36.10 BCBS MT — Traditional: $38 Cigna — Commercial: $36.10 Cigna — Medicare: $34.20
Urine test (automated, without microscope) CPT 81003 · Inpatient (hospital stay) · Hospital (facility) fee In the file: URINALYSIS, DIPSTICK - RVMC	$38	$34.20	$26.60 – $38
Urine test (automated, without microscope): 10 of 16 insurance plan rates Aetna — Commercial: $36.10 Aetna — Medicare: $34.20 BCBS MT — CHIP: $34.20 BCBS MT — Closed Plan Network: $36.10 BCBS MT — HealthLink: $34.20 BCBS MT — Medicare: $34.20 BCBS MT — POS: $36.10 BCBS MT — Traditional: $38 Cigna — Commercial: $36.10 Cigna — Medicare: $34.20
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PSA TOTAL W/ REFLEX TO PSA FREE (480772)	$77	$69.30	$53.90 – $77
PSA (prostate specific antigen) blood test: 10 of 16 insurance plan rates Aetna — Commercial: $73.15 Aetna — Medicare: $69.30 BCBS MT — CHIP: $69.30 BCBS MT — Closed Plan Network: $73.15 BCBS MT — HealthLink: $69.30 BCBS MT — Medicare: $69.30 BCBS MT — POS: $73.15 BCBS MT — Traditional: $77 Cigna — Commercial: $73.15 Cigna — Medicare: $69.30
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSA TOTAL W/ REFLEX TO PSA FREE (480772)	$77	$69.30	$53.90 – $77
PSA (prostate specific antigen) blood test: 10 of 16 insurance plan rates Aetna — Commercial: $73.15 Aetna — Medicare: $69.30 BCBS MT — CHIP: $69.30 BCBS MT — Closed Plan Network: $73.15 BCBS MT — HealthLink: $69.30 BCBS MT — Medicare: $69.30 BCBS MT — POS: $73.15 BCBS MT — Traditional: $77 Cigna — Commercial: $73.15 Cigna — Medicare: $69.30
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PROSTATE-SPECIFIC ANTIGEN, DIAGNOSTIC	$159	$143.10	$111.30 – $159
PSA (prostate specific antigen) blood test: 10 of 16 insurance plan rates Aetna — Commercial: $151.05 Aetna — Medicare: $143.10 BCBS MT — CHIP: $143.10 BCBS MT — Closed Plan Network: $151.05 BCBS MT — HealthLink: $143.10 BCBS MT — Medicare: $143.10 BCBS MT — POS: $151.05 BCBS MT — Traditional: $159 Cigna — Commercial: $151.05 Cigna — Medicare: $143.10
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient (hospital stay) · Hospital (facility) fee In the file: TSH W/ REFLEX	$167	$150.30	$116.90 – $167
Thyroid stimulating hormone (TSH) test: 10 of 16 insurance plan rates Aetna — Commercial: $158.65 Aetna — Medicare: $150.30 BCBS MT — CHIP: $150.30 BCBS MT — Closed Plan Network: $158.65 BCBS MT — HealthLink: $150.30 BCBS MT — Medicare: $150.30 BCBS MT — POS: $158.65 BCBS MT — Traditional: $167 Cigna — Commercial: $158.65 Cigna — Medicare: $150.30
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: TSH W/ REFLEX	$167	$150.30	$116.90 – $167
Thyroid stimulating hormone (TSH) test: 10 of 16 insurance plan rates Aetna — Commercial: $158.65 Aetna — Medicare: $150.30 BCBS MT — CHIP: $150.30 BCBS MT — Closed Plan Network: $158.65 BCBS MT — HealthLink: $150.30 BCBS MT — Medicare: $150.30 BCBS MT — POS: $158.65 BCBS MT — Traditional: $167 Cigna — Commercial: $158.65 Cigna — Medicare: $150.30
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient (hospital stay) · Hospital (facility) fee In the file: TSH	$167	$150.30	$116.90 – $167
Thyroid stimulating hormone (TSH) test: 10 of 16 insurance plan rates Aetna — Commercial: $158.65 Aetna — Medicare: $150.30 BCBS MT — CHIP: $150.30 BCBS MT — Closed Plan Network: $158.65 BCBS MT — HealthLink: $150.30 BCBS MT — Medicare: $150.30 BCBS MT — POS: $158.65 BCBS MT — Traditional: $167 Cigna — Commercial: $158.65 Cigna — Medicare: $150.30
Complete blood count (CBC) with differential CPT 85025 · Inpatient (hospital stay) · Hospital (facility) fee In the file: .COMPLETE BLOOD COUNT, WITH AUTO DIFF	$107	$96.30	$74.90 – $107
Complete blood count (CBC) with differential: 10 of 16 insurance plan rates Aetna — Commercial: $101.65 Aetna — Medicare: $96.30 BCBS MT — CHIP: $96.30 BCBS MT — Closed Plan Network: $101.65 BCBS MT — HealthLink: $96.30 BCBS MT — Medicare: $96.30 BCBS MT — POS: $101.65 BCBS MT — Traditional: $107 Cigna — Commercial: $101.65 Cigna — Medicare: $96.30
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: .COMPLETE BLOOD COUNT, WITH AUTO DIFF	$107	$96.30	$74.90 – $107
Complete blood count (CBC) with differential: 10 of 16 insurance plan rates Aetna — Commercial: $101.65 Aetna — Medicare: $96.30 BCBS MT — CHIP: $96.30 BCBS MT — Closed Plan Network: $101.65 BCBS MT — HealthLink: $96.30 BCBS MT — Medicare: $96.30 BCBS MT — POS: $101.65 BCBS MT — Traditional: $107 Cigna — Commercial: $101.65 Cigna — Medicare: $96.30
Complete blood count (CBC), automated CPT 85027 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CBC W/O DIFF	$88	$79.20	$61.60 – $88
Complete blood count (CBC), automated: 10 of 16 insurance plan rates Aetna — Commercial: $83.60 Aetna — Medicare: $79.20 BCBS MT — CHIP: $79.20 BCBS MT — Closed Plan Network: $83.60 BCBS MT — HealthLink: $79.20 BCBS MT — Medicare: $79.20 BCBS MT — POS: $83.60 BCBS MT — Traditional: $88 Cigna — Commercial: $83.60 Cigna — Medicare: $79.20
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CBC W/O DIFF	$88	$79.20	$61.60 – $88
Complete blood count (CBC), automated: 10 of 16 insurance plan rates Aetna — Commercial: $83.60 Aetna — Medicare: $79.20 BCBS MT — CHIP: $79.20 BCBS MT — Closed Plan Network: $83.60 BCBS MT — HealthLink: $79.20 BCBS MT — Medicare: $79.20 BCBS MT — POS: $83.60 BCBS MT — Traditional: $88 Cigna — Commercial: $83.60 Cigna — Medicare: $79.20
Complete blood count (CBC), automated CPT 85027 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CBC W/ MANUAL DIFF	$88	$79.20	$61.60 – $88
Complete blood count (CBC), automated: 10 of 16 insurance plan rates Aetna — Commercial: $83.60 Aetna — Medicare: $79.20 BCBS MT — CHIP: $79.20 BCBS MT — Closed Plan Network: $83.60 BCBS MT — HealthLink: $79.20 BCBS MT — Medicare: $79.20 BCBS MT — POS: $83.60 BCBS MT — Traditional: $88 Cigna — Commercial: $83.60 Cigna — Medicare: $79.20
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PROTHROMBIN TIME (005199)	$7	$6.30	$4.90 – $7
Blood clotting time test (prothrombin time, PT): 10 of 16 insurance plan rates Aetna — Commercial: $6.65 Aetna — Medicare: $6.30 BCBS MT — CHIP: $6.30 BCBS MT — Closed Plan Network: $6.65 BCBS MT — HealthLink: $6.30 BCBS MT — Medicare: $6.30 BCBS MT — POS: $6.65 BCBS MT — Traditional: $7 Cigna — Commercial: $6.65 Cigna — Medicare: $6.30
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PROTHROMBIN TIME (005199)	$7	$6.30	$4.90 – $7
Blood clotting time test (prothrombin time, PT): 10 of 16 insurance plan rates Aetna — Commercial: $6.65 Aetna — Medicare: $6.30 BCBS MT — CHIP: $6.30 BCBS MT — Closed Plan Network: $6.65 BCBS MT — HealthLink: $6.30 BCBS MT — Medicare: $6.30 BCBS MT — POS: $6.65 BCBS MT — Traditional: $7 Cigna — Commercial: $6.65 Cigna — Medicare: $6.30
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PROTIME/INR	$67	$60.30	$46.90 – $67
Blood clotting time test (prothrombin time, PT): 10 of 16 insurance plan rates Aetna — Commercial: $63.65 Aetna — Medicare: $60.30 BCBS MT — CHIP: $60.30 BCBS MT — Closed Plan Network: $63.65 BCBS MT — HealthLink: $60.30 BCBS MT — Medicare: $60.30 BCBS MT — POS: $63.65 BCBS MT — Traditional: $67 Cigna — Commercial: $63.65 Cigna — Medicare: $60.30
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient (hospital stay) · Hospital (facility) fee In the file: APTT (005207)	$63	$56.70	$44.10 – $63
Blood clotting test (partial thromboplastin time, PTT): 10 of 16 insurance plan rates Aetna — Commercial: $59.85 Aetna — Medicare: $56.70 BCBS MT — CHIP: $56.70 BCBS MT — Closed Plan Network: $59.85 BCBS MT — HealthLink: $56.70 BCBS MT — Medicare: $56.70 BCBS MT — POS: $59.85 BCBS MT — Traditional: $63 Cigna — Commercial: $59.85 Cigna — Medicare: $56.70
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: APTT (005207)	$63	$56.70	$44.10 – $63
Blood clotting test (partial thromboplastin time, PTT): 10 of 16 insurance plan rates Aetna — Commercial: $59.85 Aetna — Medicare: $56.70 BCBS MT — CHIP: $56.70 BCBS MT — Closed Plan Network: $59.85 BCBS MT — HealthLink: $56.70 BCBS MT — Medicare: $56.70 BCBS MT — POS: $59.85 BCBS MT — Traditional: $63 Cigna — Commercial: $59.85 Cigna — Medicare: $56.70

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

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
CT scan of the head or brain, without contrast CPT 70450 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CT HEAD WO CONTRAST	$1,518	$1,366.20	$1,062.60 – $1,518
CT scan of the head or brain, without contrast: 10 of 16 insurance plan rates Aetna — Commercial: $1,442.10 Aetna — Medicare: $1,366.20 BCBS MT — CHIP: $1,366.20 BCBS MT — Closed Plan Network: $1,442.10 BCBS MT — HealthLink: $1,366.20 BCBS MT — Medicare: $1,366.20 BCBS MT — POS: $1,442.10 BCBS MT — Traditional: $1,518 Cigna — Commercial: $1,442.10 Cigna — Medicare: $1,366.20
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT HEAD WO CONTRAST	$1,518	$1,366.20	$1,062.60 – $1,518
CT scan of the head or brain, without contrast: 10 of 16 insurance plan rates Aetna — Commercial: $1,442.10 Aetna — Medicare: $1,366.20 BCBS MT — CHIP: $1,366.20 BCBS MT — Closed Plan Network: $1,442.10 BCBS MT — HealthLink: $1,366.20 BCBS MT — Medicare: $1,366.20 BCBS MT — POS: $1,442.10 BCBS MT — Traditional: $1,518 Cigna — Commercial: $1,442.10 Cigna — Medicare: $1,366.20
CT scan of the head or brain, without contrast CPT 70450 · Inpatient or outpatient · Doctor (professional) fee In the file: PROFEE CT HEAD WO CONTRAST	$124	$111.60	$86.80 – $120.28
CT scan of the head or brain, without contrast: rates for 8 insurance plans Aetna — Commercial: $117.80 Aetna — Medicare: $111.60 Medicaid — All Medicaid: $114.08 Medicare — All Medicare: $86.80 Monida — Allegiance: $117.80 Monida — First Choice Health: $120.28 Monida — Montana Health Co-op: $117.80 Monida — PacificSource: $117.80
MRI of the brain, before and after contrast CPT 70553 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MR BRAIN W WO CONTRAST	$3,657	$3,291.30	$2,559.90 – $3,657
MRI of the brain, before and after contrast: 10 of 16 insurance plan rates Aetna — Commercial: $3,474.15 Aetna — Medicare: $3,291.30 BCBS MT — CHIP: $3,291.30 BCBS MT — Closed Plan Network: $3,474.15 BCBS MT — HealthLink: $3,291.30 BCBS MT — Medicare: $3,291.30 BCBS MT — POS: $3,474.15 BCBS MT — Traditional: $3,657 Cigna — Commercial: $3,474.15 Cigna — Medicare: $3,291.30
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MR BRAIN W WO CONTRAST	$3,657	$3,291.30	$2,559.90 – $3,657
MRI of the brain, before and after contrast: 10 of 16 insurance plan rates Aetna — Commercial: $3,474.15 Aetna — Medicare: $3,291.30 BCBS MT — CHIP: $3,291.30 BCBS MT — Closed Plan Network: $3,474.15 BCBS MT — HealthLink: $3,291.30 BCBS MT — Medicare: $3,291.30 BCBS MT — POS: $3,474.15 BCBS MT — Traditional: $3,657 Cigna — Commercial: $3,474.15 Cigna — Medicare: $3,291.30
MRI of the brain, before and after contrast CPT 70553 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MR BRAIN AND PITUITARY W WO CONTRAST	$2,854	$2,568.60	$1,997.80 – $2,854
MRI of the brain, before and after contrast: 10 of 16 insurance plan rates Aetna — Commercial: $2,711.30 Aetna — Medicare: $2,568.60 BCBS MT — CHIP: $2,568.60 BCBS MT — Closed Plan Network: $2,711.30 BCBS MT — HealthLink: $2,568.60 BCBS MT — Medicare: $2,568.60 BCBS MT — POS: $2,711.30 BCBS MT — Traditional: $2,854 Cigna — Commercial: $2,711.30 Cigna — Medicare: $2,568.60
Chest X-ray, 2 views CPT 71046 · Inpatient (hospital stay) · Hospital (facility) fee In the file: XR CHEST 2 VIEWS	$318	$286.20	$222.60 – $318
Chest X-ray, 2 views: 10 of 16 insurance plan rates Aetna — Commercial: $302.10 Aetna — Medicare: $286.20 BCBS MT — CHIP: $286.20 BCBS MT — Closed Plan Network: $302.10 BCBS MT — HealthLink: $286.20 BCBS MT — Medicare: $286.20 BCBS MT — POS: $302.10 BCBS MT — Traditional: $318 Cigna — Commercial: $302.10 Cigna — Medicare: $286.20
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: XR CHEST 2 VIEWS	$318	$286.20	$222.60 – $318
Chest X-ray, 2 views: 10 of 16 insurance plan rates Aetna — Commercial: $302.10 Aetna — Medicare: $286.20 BCBS MT — CHIP: $286.20 BCBS MT — Closed Plan Network: $302.10 BCBS MT — HealthLink: $286.20 BCBS MT — Medicare: $286.20 BCBS MT — POS: $302.10 BCBS MT — Traditional: $318 Cigna — Commercial: $302.10 Cigna — Medicare: $286.20
Chest X-ray, 2 views CPT 71046 · Inpatient or outpatient · Doctor (professional) fee In the file: PROFEE XR CHEST 2 VIEWS	$30	$27	$21 – $29.10
Chest X-ray, 2 views: rates for 8 insurance plans Aetna — Commercial: $28.50 Aetna — Medicare: $27 Medicaid — All Medicaid: $27.60 Medicare — All Medicare: $21 Monida — Allegiance: $28.50 Monida — First Choice Health: $29.10 Monida — Montana Health Co-op: $28.50 Monida — PacificSource: $28.50
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient (hospital stay) · Hospital (facility) fee In the file: XR LUMBAR SPINE COMP 4 VIEWS	$481	$432.90	$336.70 – $481
X-ray of the lower spine, at least 4 views: 10 of 16 insurance plan rates Aetna — Commercial: $456.95 Aetna — Medicare: $432.90 BCBS MT — CHIP: $432.90 BCBS MT — Closed Plan Network: $456.95 BCBS MT — HealthLink: $432.90 BCBS MT — Medicare: $432.90 BCBS MT — POS: $456.95 BCBS MT — Traditional: $481 Cigna — Commercial: $456.95 Cigna — Medicare: $432.90
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: XR LUMBAR SPINE COMP 4 VIEWS	$481	$432.90	$336.70 – $481
X-ray of the lower spine, at least 4 views: 10 of 16 insurance plan rates Aetna — Commercial: $456.95 Aetna — Medicare: $432.90 BCBS MT — CHIP: $432.90 BCBS MT — Closed Plan Network: $456.95 BCBS MT — HealthLink: $432.90 BCBS MT — Medicare: $432.90 BCBS MT — POS: $456.95 BCBS MT — Traditional: $481 Cigna — Commercial: $456.95 Cigna — Medicare: $432.90
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient or outpatient · Doctor (professional) fee In the file: PROFEE XR LUMBAR SPINE COMPLETE 4 VIEWS	$37	$33.30	$25.90 – $35.89
X-ray of the lower spine, at least 4 views: rates for 8 insurance plans Aetna — Commercial: $35.15 Aetna — Medicare: $33.30 Medicaid — All Medicaid: $34.04 Medicare — All Medicare: $25.90 Monida — Allegiance: $35.15 Monida — First Choice Health: $35.89 Monida — Montana Health Co-op: $35.15 Monida — PacificSource: $35.15
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MR LUMBAR SPINE WO CONTRAST	$2,375	$2,137.50	$1,662.50 – $2,375
MRI of the lower back (lumbar spine), without contrast: 10 of 16 insurance plan rates Aetna — Commercial: $2,256.25 Aetna — Medicare: $2,137.50 BCBS MT — CHIP: $2,137.50 BCBS MT — Closed Plan Network: $2,256.25 BCBS MT — HealthLink: $2,137.50 BCBS MT — Medicare: $2,137.50 BCBS MT — POS: $2,256.25 BCBS MT — Traditional: $2,375 Cigna — Commercial: $2,256.25 Cigna — Medicare: $2,137.50
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MR LUMBAR SPINE WO CONTRAST	$2,375	$2,137.50	$1,662.50 – $2,375
MRI of the lower back (lumbar spine), without contrast: 10 of 16 insurance plan rates Aetna — Commercial: $2,256.25 Aetna — Medicare: $2,137.50 BCBS MT — CHIP: $2,137.50 BCBS MT — Closed Plan Network: $2,256.25 BCBS MT — HealthLink: $2,137.50 BCBS MT — Medicare: $2,137.50 BCBS MT — POS: $2,256.25 BCBS MT — Traditional: $2,375 Cigna — Commercial: $2,256.25 Cigna — Medicare: $2,137.50
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient or outpatient · Doctor (professional) fee In the file: PROFEE MR LUMBAR SPINE WO CONTRAST	$209	$188.10	$146.30 – $202.73
MRI of the lower back (lumbar spine), without contrast: rates for 8 insurance plans Aetna — Commercial: $198.55 Aetna — Medicare: $188.10 Medicaid — All Medicaid: $192.28 Medicare — All Medicare: $146.30 Monida — Allegiance: $198.55 Monida — First Choice Health: $202.73 Monida — Montana Health Co-op: $198.55 Monida — PacificSource: $198.55
CT scan of the pelvis, with contrast CPT 72193 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CT PELVIS W CONTRAST	$1,966	$1,769.40	$1,376.20 – $1,966
CT scan of the pelvis, with contrast: 10 of 16 insurance plan rates Aetna — Commercial: $1,867.70 Aetna — Medicare: $1,769.40 BCBS MT — CHIP: $1,769.40 BCBS MT — Closed Plan Network: $1,867.70 BCBS MT — HealthLink: $1,769.40 BCBS MT — Medicare: $1,769.40 BCBS MT — POS: $1,867.70 BCBS MT — Traditional: $1,966 Cigna — Commercial: $1,867.70 Cigna — Medicare: $1,769.40
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT PELVIS W CONTRAST	$1,966	$1,769.40	$1,376.20 – $1,966
CT scan of the pelvis, with contrast: 10 of 16 insurance plan rates Aetna — Commercial: $1,867.70 Aetna — Medicare: $1,769.40 BCBS MT — CHIP: $1,769.40 BCBS MT — Closed Plan Network: $1,867.70 BCBS MT — HealthLink: $1,769.40 BCBS MT — Medicare: $1,769.40 BCBS MT — POS: $1,867.70 BCBS MT — Traditional: $1,966 Cigna — Commercial: $1,867.70 Cigna — Medicare: $1,769.40
CT scan of the pelvis, with contrast CPT 72193 · Inpatient or outpatient · Doctor (professional) fee In the file: PROFEE CT PELVIS W CONTRAST	$168	$151.20	$117.60 – $162.96
CT scan of the pelvis, with contrast: rates for 8 insurance plans Aetna — Commercial: $159.60 Aetna — Medicare: $151.20 Medicaid — All Medicaid: $154.56 Medicare — All Medicare: $117.60 Monida — Allegiance: $159.60 Monida — First Choice Health: $162.96 Monida — Montana Health Co-op: $159.60 Monida — PacificSource: $159.60
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MR JNT LWR EXT W/O CON LT	$2,413	$2,171.70	$1,689.10 – $2,413
MRI of a leg joint (such as the knee), without contrast: 10 of 16 insurance plan rates Aetna — Commercial: $2,292.35 Aetna — Medicare: $2,171.70 BCBS MT — CHIP: $2,171.70 BCBS MT — Closed Plan Network: $2,292.35 BCBS MT — HealthLink: $2,171.70 BCBS MT — Medicare: $2,171.70 BCBS MT — POS: $2,292.35 BCBS MT — Traditional: $2,413 Cigna — Commercial: $2,292.35 Cigna — Medicare: $2,171.70
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MR JNT LWR EXT W/O CON LT	$2,413	$2,171.70	$1,689.10 – $2,413
MRI of a leg joint (such as the knee), without contrast: 10 of 16 insurance plan rates Aetna — Commercial: $2,292.35 Aetna — Medicare: $2,171.70 BCBS MT — CHIP: $2,171.70 BCBS MT — Closed Plan Network: $2,292.35 BCBS MT — HealthLink: $2,171.70 BCBS MT — Medicare: $2,171.70 BCBS MT — POS: $2,292.35 BCBS MT — Traditional: $2,413 Cigna — Commercial: $2,292.35 Cigna — Medicare: $2,171.70
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MR JNT LWR XT WO CON RT	$2,413	$2,171.70	$1,689.10 – $2,413
MRI of a leg joint (such as the knee), without contrast: 10 of 16 insurance plan rates Aetna — Commercial: $2,292.35 Aetna — Medicare: $2,171.70 BCBS MT — CHIP: $2,171.70 BCBS MT — Closed Plan Network: $2,292.35 BCBS MT — HealthLink: $2,171.70 BCBS MT — Medicare: $2,171.70 BCBS MT — POS: $2,292.35 BCBS MT — Traditional: $2,413 Cigna — Commercial: $2,292.35 Cigna — Medicare: $2,171.70
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CT ABDOMEN PELVIS W CONTRAST	$3,207	$2,886.30	$2,244.90 – $3,207
CT scan of the abdomen and pelvis, with contrast: 10 of 16 insurance plan rates Aetna — Commercial: $3,046.65 Aetna — Medicare: $2,886.30 BCBS MT — CHIP: $2,886.30 BCBS MT — Closed Plan Network: $3,046.65 BCBS MT — HealthLink: $2,886.30 BCBS MT — Medicare: $2,886.30 BCBS MT — POS: $3,046.65 BCBS MT — Traditional: $3,207 Cigna — Commercial: $3,046.65 Cigna — Medicare: $2,886.30
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT ABDOMEN PELVIS W CONTRAST	$3,207	$2,886.30	$2,244.90 – $3,207
CT scan of the abdomen and pelvis, with contrast: 10 of 16 insurance plan rates Aetna — Commercial: $3,046.65 Aetna — Medicare: $2,886.30 BCBS MT — CHIP: $2,886.30 BCBS MT — Closed Plan Network: $3,046.65 BCBS MT — HealthLink: $2,886.30 BCBS MT — Medicare: $2,886.30 BCBS MT — POS: $3,046.65 BCBS MT — Traditional: $3,207 Cigna — Commercial: $3,046.65 Cigna — Medicare: $2,886.30
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient or outpatient · Doctor (professional) fee In the file: PROFEE CT ABDOMEN PELVIS W CONTRAST	$266	$239.40	$186.20 – $258.02
CT scan of the abdomen and pelvis, with contrast: rates for 8 insurance plans Aetna — Commercial: $252.70 Aetna — Medicare: $239.40 Medicaid — All Medicaid: $244.72 Medicare — All Medicare: $186.20 Monida — Allegiance: $252.70 Monida — First Choice Health: $258.02 Monida — Montana Health Co-op: $252.70 Monida — PacificSource: $252.70
Ultrasound of the abdomen, complete CPT 76700 · Inpatient (hospital stay) · Hospital (facility) fee In the file: US ABDOMEN COMPLETE	$597	$537.30	$417.90 – $597
Ultrasound of the abdomen, complete: 10 of 16 insurance plan rates Aetna — Commercial: $567.15 Aetna — Medicare: $537.30 BCBS MT — CHIP: $537.30 BCBS MT — Closed Plan Network: $567.15 BCBS MT — HealthLink: $537.30 BCBS MT — Medicare: $537.30 BCBS MT — POS: $567.15 BCBS MT — Traditional: $597 Cigna — Commercial: $567.15 Cigna — Medicare: $537.30
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: US ABDOMEN COMPLETE	$597	$537.30	$417.90 – $597
Ultrasound of the abdomen, complete: 10 of 16 insurance plan rates Aetna — Commercial: $567.15 Aetna — Medicare: $537.30 BCBS MT — CHIP: $537.30 BCBS MT — Closed Plan Network: $567.15 BCBS MT — HealthLink: $537.30 BCBS MT — Medicare: $537.30 BCBS MT — POS: $567.15 BCBS MT — Traditional: $597 Cigna — Commercial: $567.15 Cigna — Medicare: $537.30
Ultrasound of the abdomen, complete CPT 76700 · Inpatient or outpatient · Doctor (professional) fee In the file: PROFEE US ABDOMEN COMPLETE	$149	$134.10	$104.30 – $144.53
Ultrasound of the abdomen, complete: rates for 8 insurance plans Aetna — Commercial: $141.55 Aetna — Medicare: $134.10 Medicaid — All Medicaid: $137.08 Medicare — All Medicare: $104.30 Monida — Allegiance: $141.55 Monida — First Choice Health: $144.53 Monida — Montana Health Co-op: $141.55 Monida — PacificSource: $141.55
Transvaginal ultrasound CPT 76830 · Inpatient (hospital stay) · Hospital (facility) fee In the file: US TRANSVAGINAL US NON-OB	$431	$387.90	$301.70 – $431
Transvaginal ultrasound: 10 of 16 insurance plan rates Aetna — Commercial: $409.45 Aetna — Medicare: $387.90 BCBS MT — CHIP: $387.90 BCBS MT — Closed Plan Network: $409.45 BCBS MT — HealthLink: $387.90 BCBS MT — Medicare: $387.90 BCBS MT — POS: $409.45 BCBS MT — Traditional: $431 Cigna — Commercial: $409.45 Cigna — Medicare: $387.90
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: US TRANSVAGINAL US NON-OB	$431	$387.90	$301.70 – $431
Transvaginal ultrasound: 10 of 16 insurance plan rates Aetna — Commercial: $409.45 Aetna — Medicare: $387.90 BCBS MT — CHIP: $387.90 BCBS MT — Closed Plan Network: $409.45 BCBS MT — HealthLink: $387.90 BCBS MT — Medicare: $387.90 BCBS MT — POS: $409.45 BCBS MT — Traditional: $431 Cigna — Commercial: $409.45 Cigna — Medicare: $387.90
Transvaginal ultrasound CPT 76830 · Inpatient or outpatient · Doctor (professional) fee In the file: PROFEE US TRANSVAGINAL US NON-OB	$128	$115.20	$89.60 – $124.16
Transvaginal ultrasound: rates for 8 insurance plans Aetna — Commercial: $121.60 Aetna — Medicare: $115.20 Medicaid — All Medicaid: $117.76 Medicare — All Medicare: $89.60 Monida — Allegiance: $121.60 Monida — First Choice Health: $124.16 Monida — Montana Health Co-op: $121.60 Monida — PacificSource: $121.60

Heart tests and sleep study

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Electrocardiogram (ECG/EKG) with reading CPT 93000 · Inpatient (hospital stay) · Hospital (facility) fee In the file: EKG - CLINIC	$197	$177.30	$137.90 – $197
Electrocardiogram (ECG/EKG) with reading: 10 of 16 insurance plan rates Aetna — Commercial: $187.15 Aetna — Medicare: $177.30 BCBS MT — CHIP: $177.30 BCBS MT — Closed Plan Network: $187.15 BCBS MT — HealthLink: $177.30 BCBS MT — Medicare: $177.30 BCBS MT — POS: $187.15 BCBS MT — Traditional: $197 Cigna — Commercial: $187.15 Cigna — Medicare: $177.30
Electrocardiogram (ECG/EKG) with reading CPT 93000 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EKG - CLINIC	$197	$177.30	$137.90 – $197
Electrocardiogram (ECG/EKG) with reading: 10 of 16 insurance plan rates Aetna — Commercial: $187.15 Aetna — Medicare: $177.30 BCBS MT — CHIP: $177.30 BCBS MT — Closed Plan Network: $187.15 BCBS MT — HealthLink: $177.30 BCBS MT — Medicare: $177.30 BCBS MT — POS: $187.15 BCBS MT — Traditional: $197 Cigna — Commercial: $187.15 Cigna — Medicare: $177.30

Physical therapy and mental health

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PT THERAPEUTIC EXERCISES	$114	$102.60	$79.80 – $114
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 16 insurance plan rates Aetna — Commercial: $108.30 Aetna — Medicare: $102.60 BCBS MT — CHIP: $102.60 BCBS MT — Closed Plan Network: $108.30 BCBS MT — HealthLink: $102.60 BCBS MT — Medicare: $102.60 BCBS MT — POS: $108.30 BCBS MT — Traditional: $114 Cigna — Commercial: $108.30 Cigna — Medicare: $102.60
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT THERAPEUTIC EXERCISES	$114	$102.60	$79.80 – $114
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 16 insurance plan rates Aetna — Commercial: $108.30 Aetna — Medicare: $102.60 BCBS MT — CHIP: $102.60 BCBS MT — Closed Plan Network: $108.30 BCBS MT — HealthLink: $102.60 BCBS MT — Medicare: $102.60 BCBS MT — POS: $108.30 BCBS MT — Traditional: $114 Cigna — Commercial: $108.30 Cigna — Medicare: $102.60
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient (hospital stay) · Hospital (facility) fee In the file: OT THERAPEUTIC EXERCISE 15 MIN	$208	$187.20	$145.60 – $208
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 16 insurance plan rates Aetna — Commercial: $197.60 Aetna — Medicare: $187.20 BCBS MT — CHIP: $187.20 BCBS MT — Closed Plan Network: $197.60 BCBS MT — HealthLink: $187.20 BCBS MT — Medicare: $187.20 BCBS MT — POS: $197.60 BCBS MT — Traditional: $208 Cigna — Commercial: $197.60 Cigna — Medicare: $187.20
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PT EVAL LOW COMPLEX 20 MIN	$209	$188.10	$146.30 – $209
Physical therapy evaluation (low complexity): 10 of 16 insurance plan rates Aetna — Commercial: $198.55 Aetna — Medicare: $188.10 BCBS MT — CHIP: $188.10 BCBS MT — Closed Plan Network: $198.55 BCBS MT — HealthLink: $188.10 BCBS MT — Medicare: $188.10 BCBS MT — POS: $198.55 BCBS MT — Traditional: $209 Cigna — Commercial: $198.55 Cigna — Medicare: $188.10
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT EVAL LOW COMPLEX 20 MIN	$209	$188.10	$146.30 – $209
Physical therapy evaluation (low complexity): 10 of 16 insurance plan rates Aetna — Commercial: $198.55 Aetna — Medicare: $188.10 BCBS MT — CHIP: $188.10 BCBS MT — Closed Plan Network: $198.55 BCBS MT — HealthLink: $188.10 BCBS MT — Medicare: $188.10 BCBS MT — POS: $198.55 BCBS MT — Traditional: $209 Cigna — Commercial: $198.55 Cigna — Medicare: $188.10
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PT EVAL MOD COMPLEX 30 MIN	$236	$212.40	$165.20 – $236
Physical therapy evaluation (moderate complexity): 10 of 16 insurance plan rates Aetna — Commercial: $224.20 Aetna — Medicare: $212.40 BCBS MT — CHIP: $212.40 BCBS MT — Closed Plan Network: $224.20 BCBS MT — HealthLink: $212.40 BCBS MT — Medicare: $212.40 BCBS MT — POS: $224.20 BCBS MT — Traditional: $236 Cigna — Commercial: $224.20 Cigna — Medicare: $212.40
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT EVAL MOD COMPLEX 30 MIN	$236	$212.40	$165.20 – $236
Physical therapy evaluation (moderate complexity): 10 of 16 insurance plan rates Aetna — Commercial: $224.20 Aetna — Medicare: $212.40 BCBS MT — CHIP: $212.40 BCBS MT — Closed Plan Network: $224.20 BCBS MT — HealthLink: $212.40 BCBS MT — Medicare: $212.40 BCBS MT — POS: $224.20 BCBS MT — Traditional: $236 Cigna — Commercial: $224.20 Cigna — Medicare: $212.40
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PT EVAL HIGH COMPLEX 45 MIN	$269	$242.10	$188.30 – $269
Physical therapy evaluation (high complexity): 10 of 16 insurance plan rates Aetna — Commercial: $255.55 Aetna — Medicare: $242.10 BCBS MT — CHIP: $242.10 BCBS MT — Closed Plan Network: $255.55 BCBS MT — HealthLink: $242.10 BCBS MT — Medicare: $242.10 BCBS MT — POS: $255.55 BCBS MT — Traditional: $269 Cigna — Commercial: $255.55 Cigna — Medicare: $242.10
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT EVAL HIGH COMPLEX 45 MIN	$269	$242.10	$188.30 – $269
Physical therapy evaluation (high complexity): 10 of 16 insurance plan rates Aetna — Commercial: $255.55 Aetna — Medicare: $242.10 BCBS MT — CHIP: $242.10 BCBS MT — Closed Plan Network: $255.55 BCBS MT — HealthLink: $242.10 BCBS MT — Medicare: $242.10 BCBS MT — POS: $255.55 BCBS MT — Traditional: $269 Cigna — Commercial: $255.55 Cigna — Medicare: $242.10
Psychotherapy, 30 minutes CPT 90832 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PSYCHOTHERAPY W/ PT 30 MIN	$156	$140.40	$109.20 – $156
Psychotherapy, 30 minutes: 10 of 16 insurance plan rates Aetna — Commercial: $148.20 Aetna — Medicare: $140.40 BCBS MT — CHIP: $140.40 BCBS MT — Closed Plan Network: $148.20 BCBS MT — HealthLink: $140.40 BCBS MT — Medicare: $140.40 BCBS MT — POS: $148.20 BCBS MT — Traditional: $156 Cigna — Commercial: $148.20 Cigna — Medicare: $140.40
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSYCHOTHERAPY W/ PT 30 MIN	$156	$140.40	$109.20 – $156
Psychotherapy, 30 minutes: 10 of 16 insurance plan rates Aetna — Commercial: $148.20 Aetna — Medicare: $140.40 BCBS MT — CHIP: $140.40 BCBS MT — Closed Plan Network: $148.20 BCBS MT — HealthLink: $140.40 BCBS MT — Medicare: $140.40 BCBS MT — POS: $148.20 BCBS MT — Traditional: $156 Cigna — Commercial: $148.20 Cigna — Medicare: $140.40
Psychotherapy, 45 minutes CPT 90834 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PSYCHOTHERAPY W/ PT 45 MIN	$208	$187.20	$145.60 – $208
Psychotherapy, 45 minutes: 10 of 16 insurance plan rates Aetna — Commercial: $197.60 Aetna — Medicare: $187.20 BCBS MT — CHIP: $187.20 BCBS MT — Closed Plan Network: $197.60 BCBS MT — HealthLink: $187.20 BCBS MT — Medicare: $187.20 BCBS MT — POS: $197.60 BCBS MT — Traditional: $208 Cigna — Commercial: $197.60 Cigna — Medicare: $187.20
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSYCHOTHERAPY W/ PT 45 MIN	$208	$187.20	$145.60 – $208
Psychotherapy, 45 minutes: 10 of 16 insurance plan rates Aetna — Commercial: $197.60 Aetna — Medicare: $187.20 BCBS MT — CHIP: $187.20 BCBS MT — Closed Plan Network: $197.60 BCBS MT — HealthLink: $187.20 BCBS MT — Medicare: $187.20 BCBS MT — POS: $197.60 BCBS MT — Traditional: $208 Cigna — Commercial: $197.60 Cigna — Medicare: $187.20
Psychotherapy, 60 minutes CPT 90837 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PSYCHOTHERAPY W/ PT 60 MIN	$307	$276.30	$214.90 – $307
Psychotherapy, 60 minutes: 10 of 16 insurance plan rates Aetna — Commercial: $291.65 Aetna — Medicare: $276.30 BCBS MT — CHIP: $276.30 BCBS MT — Closed Plan Network: $291.65 BCBS MT — HealthLink: $276.30 BCBS MT — Medicare: $276.30 BCBS MT — POS: $291.65 BCBS MT — Traditional: $307 Cigna — Commercial: $291.65 Cigna — Medicare: $276.30
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSYCHOTHERAPY W/ PT 60 MIN	$307	$276.30	$214.90 – $307
Psychotherapy, 60 minutes: 10 of 16 insurance plan rates Aetna — Commercial: $291.65 Aetna — Medicare: $276.30 BCBS MT — CHIP: $276.30 BCBS MT — Closed Plan Network: $291.65 BCBS MT — HealthLink: $276.30 BCBS MT — Medicare: $276.30 BCBS MT — POS: $291.65 BCBS MT — Traditional: $307 Cigna — Commercial: $291.65 Cigna — Medicare: $276.30
Family psychotherapy, without the patient CPT 90846 · Inpatient (hospital stay) · Hospital (facility) fee In the file: FAMILY PSYCHOTHERAPY W/O PATIENT	$254	$228.60	$177.80 – $254
Family psychotherapy, without the patient: 10 of 16 insurance plan rates Aetna — Commercial: $241.30 Aetna — Medicare: $228.60 BCBS MT — CHIP: $228.60 BCBS MT — Closed Plan Network: $241.30 BCBS MT — HealthLink: $228.60 BCBS MT — Medicare: $228.60 BCBS MT — POS: $241.30 BCBS MT — Traditional: $254 Cigna — Commercial: $241.30 Cigna — Medicare: $228.60
Family psychotherapy, without the patient CPT 90846 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: FAMILY PSYCHOTHERAPY W/O PATIENT	$254	$228.60	$177.80 – $254
Family psychotherapy, without the patient: 10 of 16 insurance plan rates Aetna — Commercial: $241.30 Aetna — Medicare: $228.60 BCBS MT — CHIP: $228.60 BCBS MT — Closed Plan Network: $241.30 BCBS MT — HealthLink: $228.60 BCBS MT — Medicare: $228.60 BCBS MT — POS: $241.30 BCBS MT — Traditional: $254 Cigna — Commercial: $241.30 Cigna — Medicare: $228.60
Family psychotherapy, with the patient CPT 90847 · Inpatient (hospital stay) · Hospital (facility) fee In the file: FAMILY THERAPY W/ PATIENT PRESENT	$314	$282.60	$219.80 – $314
Family psychotherapy, with the patient: 10 of 16 insurance plan rates Aetna — Commercial: $298.30 Aetna — Medicare: $282.60 BCBS MT — CHIP: $282.60 BCBS MT — Closed Plan Network: $298.30 BCBS MT — HealthLink: $282.60 BCBS MT — Medicare: $282.60 BCBS MT — POS: $298.30 BCBS MT — Traditional: $314 Cigna — Commercial: $298.30 Cigna — Medicare: $282.60
Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: FAMILY THERAPY W/ PATIENT PRESENT	$314	$282.60	$219.80 – $314
Family psychotherapy, with the patient: 10 of 16 insurance plan rates Aetna — Commercial: $298.30 Aetna — Medicare: $282.60 BCBS MT — CHIP: $282.60 BCBS MT — Closed Plan Network: $298.30 BCBS MT — HealthLink: $282.60 BCBS MT — Medicare: $282.60 BCBS MT — POS: $298.30 BCBS MT — Traditional: $314 Cigna — Commercial: $298.30 Cigna — Medicare: $282.60
Group psychotherapy CPT 90853 · Inpatient (hospital stay) · Hospital (facility) fee In the file: GROUP THERAPY	$223	$200.70	$156.10 – $223
Group psychotherapy: 10 of 16 insurance plan rates Aetna — Commercial: $211.85 Aetna — Medicare: $200.70 BCBS MT — CHIP: $200.70 BCBS MT — Closed Plan Network: $211.85 BCBS MT — HealthLink: $200.70 BCBS MT — Medicare: $200.70 BCBS MT — POS: $211.85 BCBS MT — Traditional: $223 Cigna — Commercial: $211.85 Cigna — Medicare: $200.70
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: GROUP THERAPY	$223	$200.70	$156.10 – $223
Group psychotherapy: 10 of 16 insurance plan rates Aetna — Commercial: $211.85 Aetna — Medicare: $200.70 BCBS MT — CHIP: $200.70 BCBS MT — Closed Plan Network: $211.85 BCBS MT — HealthLink: $200.70 BCBS MT — Medicare: $200.70 BCBS MT — POS: $211.85 BCBS MT — Traditional: $223 Cigna — Commercial: $211.85 Cigna — Medicare: $200.70

Procedures and surgery

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Upper GI endoscopy (diagnostic) CPT 43235 · Inpatient (hospital stay) · Hospital (facility) fee In the file: EGD 43235	$2,843	$2,558.70	$1,990.10 – $2,843
Upper GI endoscopy (diagnostic): 10 of 16 insurance plan rates Aetna — Commercial: $2,700.85 Aetna — Medicare: $2,558.70 BCBS MT — CHIP: $2,558.70 BCBS MT — Closed Plan Network: $2,700.85 BCBS MT — HealthLink: $2,558.70 BCBS MT — Medicare: $2,558.70 BCBS MT — POS: $2,700.85 BCBS MT — Traditional: $2,843 Cigna — Commercial: $2,700.85 Cigna — Medicare: $2,558.70
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EGD 43235	$2,843	$2,558.70	$1,990.10 – $2,843
Upper GI endoscopy (diagnostic): 10 of 16 insurance plan rates Aetna — Commercial: $2,700.85 Aetna — Medicare: $2,558.70 BCBS MT — CHIP: $2,558.70 BCBS MT — Closed Plan Network: $2,700.85 BCBS MT — HealthLink: $2,558.70 BCBS MT — Medicare: $2,558.70 BCBS MT — POS: $2,700.85 BCBS MT — Traditional: $2,843 Cigna — Commercial: $2,700.85 Cigna — Medicare: $2,558.70
Upper GI endoscopy (diagnostic) CPT 43235 · Inpatient or outpatient · Doctor (professional) fee In the file: PROFEE EGD 43235	$404	$363.60	$282.80 – $391.88
Upper GI endoscopy (diagnostic): rates for 8 insurance plans Aetna — Commercial: $383.80 Aetna — Medicare: $363.60 Medicaid — All Medicaid: $371.68 Medicare — All Medicare: $282.80 Monida — Allegiance: $383.80 Monida — First Choice Health: $391.88 Monida — Montana Health Co-op: $383.80 Monida — PacificSource: $383.80
Upper GI endoscopy with biopsy CPT 43239 · Inpatient (hospital stay) · Hospital (facility) fee In the file: EGD W/ BIOPSY 43239	$2,921	$2,628.90	$2,044.70 – $2,921
Upper GI endoscopy with biopsy: 10 of 16 insurance plan rates Aetna — Commercial: $2,774.95 Aetna — Medicare: $2,628.90 BCBS MT — CHIP: $2,628.90 BCBS MT — Closed Plan Network: $2,774.95 BCBS MT — HealthLink: $2,628.90 BCBS MT — Medicare: $2,628.90 BCBS MT — POS: $2,774.95 BCBS MT — Traditional: $2,921 Cigna — Commercial: $2,774.95 Cigna — Medicare: $2,628.90
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EGD W/ BIOPSY 43239	$2,921	$2,628.90	$2,044.70 – $2,921
Upper GI endoscopy with biopsy: 10 of 16 insurance plan rates Aetna — Commercial: $2,774.95 Aetna — Medicare: $2,628.90 BCBS MT — CHIP: $2,628.90 BCBS MT — Closed Plan Network: $2,774.95 BCBS MT — HealthLink: $2,628.90 BCBS MT — Medicare: $2,628.90 BCBS MT — POS: $2,774.95 BCBS MT — Traditional: $2,921 Cigna — Commercial: $2,774.95 Cigna — Medicare: $2,628.90
Upper GI endoscopy with biopsy CPT 43239 · Inpatient or outpatient · Doctor (professional) fee In the file: PROFEE EGD W/ BIOPSY 43239	$454	$408.60	$317.80 – $440.38
Upper GI endoscopy with biopsy: rates for 8 insurance plans Aetna — Commercial: $431.30 Aetna — Medicare: $408.60 Medicaid — All Medicaid: $417.68 Medicare — All Medicare: $317.80 Monida — Allegiance: $431.30 Monida — First Choice Health: $440.38 Monida — Montana Health Co-op: $431.30 Monida — PacificSource: $431.30
Colonoscopy (diagnostic) CPT 45378 · Inpatient (hospital stay) · Hospital (facility) fee In the file: COLONOSCOPY	$2,963	$2,666.70	$2,074.10 – $2,963
Colonoscopy (diagnostic): 10 of 16 insurance plan rates Aetna — Commercial: $2,814.85 Aetna — Medicare: $2,666.70 BCBS MT — CHIP: $2,666.70 BCBS MT — Closed Plan Network: $2,814.85 BCBS MT — HealthLink: $2,666.70 BCBS MT — Medicare: $2,666.70 BCBS MT — POS: $2,814.85 BCBS MT — Traditional: $2,963 Cigna — Commercial: $2,814.85 Cigna — Medicare: $2,666.70
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLONOSCOPY	$2,963	$2,666.70	$2,074.10 – $2,963
Colonoscopy (diagnostic): 10 of 16 insurance plan rates Aetna — Commercial: $2,814.85 Aetna — Medicare: $2,666.70 BCBS MT — CHIP: $2,666.70 BCBS MT — Closed Plan Network: $2,814.85 BCBS MT — HealthLink: $2,666.70 BCBS MT — Medicare: $2,666.70 BCBS MT — POS: $2,814.85 BCBS MT — Traditional: $2,963 Cigna — Commercial: $2,814.85 Cigna — Medicare: $2,666.70
Colonoscopy (diagnostic) CPT 45378 · Inpatient or outpatient · Doctor (professional) fee In the file: PROFEE COLONOSCOPY 45378	$304	$273.60	$212.80 – $294.88
Colonoscopy (diagnostic): rates for 8 insurance plans Aetna — Commercial: $288.80 Aetna — Medicare: $273.60 Medicaid — All Medicaid: $279.68 Medicare — All Medicare: $212.80 Monida — Allegiance: $288.80 Monida — First Choice Health: $294.88 Monida — Montana Health Co-op: $288.80 Monida — PacificSource: $288.80
Colonoscopy with biopsy CPT 45380 · Inpatient (hospital stay) · Hospital (facility) fee In the file: COLONOSCOPY W/ BIOPSY 45380	$3,141	$2,826.90	$2,198.70 – $3,141
Colonoscopy with biopsy: 10 of 16 insurance plan rates Aetna — Commercial: $2,983.95 Aetna — Medicare: $2,826.90 BCBS MT — CHIP: $2,826.90 BCBS MT — Closed Plan Network: $2,983.95 BCBS MT — HealthLink: $2,826.90 BCBS MT — Medicare: $2,826.90 BCBS MT — POS: $2,983.95 BCBS MT — Traditional: $3,141 Cigna — Commercial: $2,983.95 Cigna — Medicare: $2,826.90
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLONOSCOPY W/ BIOPSY 45380	$3,141	$2,826.90	$2,198.70 – $3,141
Colonoscopy with biopsy: 10 of 16 insurance plan rates Aetna — Commercial: $2,983.95 Aetna — Medicare: $2,826.90 BCBS MT — CHIP: $2,826.90 BCBS MT — Closed Plan Network: $2,983.95 BCBS MT — HealthLink: $2,826.90 BCBS MT — Medicare: $2,826.90 BCBS MT — POS: $2,983.95 BCBS MT — Traditional: $3,141 Cigna — Commercial: $2,983.95 Cigna — Medicare: $2,826.90
Colonoscopy with biopsy CPT 45380 · Inpatient or outpatient · Doctor (professional) fee In the file: PROFEE COLONOSCOPY W/ BIOPSY 45380	$659	$593.10	$461.30 – $639.23
Colonoscopy with biopsy: rates for 8 insurance plans Aetna — Commercial: $626.05 Aetna — Medicare: $593.10 Medicaid — All Medicaid: $606.28 Medicare — All Medicare: $461.30 Monida — Allegiance: $626.05 Monida — First Choice Health: $639.23 Monida — Montana Health Co-op: $626.05 Monida — PacificSource: $626.05
Colonoscopy with removal of polyps (snare) CPT 45385 · Inpatient (hospital stay) · Hospital (facility) fee In the file: COLONOSCOPY W/RMVL-SNARE TECHNQ 45385	$2,882	$2,593.80	$2,017.40 – $2,882
Colonoscopy with removal of polyps (snare): 10 of 16 insurance plan rates Aetna — Commercial: $2,737.90 Aetna — Medicare: $2,593.80 BCBS MT — CHIP: $2,593.80 BCBS MT — Closed Plan Network: $2,737.90 BCBS MT — HealthLink: $2,593.80 BCBS MT — Medicare: $2,593.80 BCBS MT — POS: $2,737.90 BCBS MT — Traditional: $2,882 Cigna — Commercial: $2,737.90 Cigna — Medicare: $2,593.80
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLONOSCOPY W/RMVL-SNARE TECHNQ 45385	$2,882	$2,593.80	$2,017.40 – $2,882
Colonoscopy with removal of polyps (snare): 10 of 16 insurance plan rates Aetna — Commercial: $2,737.90 Aetna — Medicare: $2,593.80 BCBS MT — CHIP: $2,593.80 BCBS MT — Closed Plan Network: $2,737.90 BCBS MT — HealthLink: $2,593.80 BCBS MT — Medicare: $2,593.80 BCBS MT — POS: $2,737.90 BCBS MT — Traditional: $2,882 Cigna — Commercial: $2,737.90 Cigna — Medicare: $2,593.80
Colonoscopy with removal of polyps (snare) CPT 45385 · Inpatient or outpatient · Doctor (professional) fee In the file: PROFEE COLONOSCOPY-SNARE TECHNQ 45385	$830	$747	$581 – $805.10
Colonoscopy with removal of polyps (snare): rates for 8 insurance plans Aetna — Commercial: $788.50 Aetna — Medicare: $747 Medicaid — All Medicaid: $763.60 Medicare — All Medicare: $581 Monida — Allegiance: $788.50 Monida — First Choice Health: $805.10 Monida — Montana Health Co-op: $788.50 Monida — PacificSource: $788.50
Screening colonoscopy (not high risk) HCPCS G0121 · Inpatient (hospital stay) · Hospital (facility) fee In the file: COLONOSCOPY SCRN-NOT MTG HIGH RISK G0121	$2,795	$2,515.50	$1,956.50 – $2,795
Screening colonoscopy (not high risk): 10 of 16 insurance plan rates Aetna — Commercial: $2,655.25 Aetna — Medicare: $2,515.50 BCBS MT — CHIP: $2,515.50 BCBS MT — Closed Plan Network: $2,655.25 BCBS MT — HealthLink: $2,515.50 BCBS MT — Medicare: $2,515.50 BCBS MT — POS: $2,655.25 BCBS MT — Traditional: $2,795 Cigna — Commercial: $2,655.25 Cigna — Medicare: $2,515.50
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLONOSCOPY SCRN-NOT MTG HIGH RISK G0121	$2,795	$2,515.50	$1,956.50 – $2,795
Screening colonoscopy (not high risk): 10 of 16 insurance plan rates Aetna — Commercial: $2,655.25 Aetna — Medicare: $2,515.50 BCBS MT — CHIP: $2,515.50 BCBS MT — Closed Plan Network: $2,655.25 BCBS MT — HealthLink: $2,515.50 BCBS MT — Medicare: $2,515.50 BCBS MT — POS: $2,655.25 BCBS MT — Traditional: $2,795 Cigna — Commercial: $2,655.25 Cigna — Medicare: $2,515.50
Screening colonoscopy (not high risk) HCPCS G0121 · Inpatient or outpatient · Doctor (professional) fee In the file: PROFEE COLNOSCPY SCRN-NOT HGH RISK G0121	$304	$273.60	$212.80 – $294.88
Screening colonoscopy (not high risk): rates for 8 insurance plans Aetna — Commercial: $288.80 Aetna — Medicare: $273.60 Medicaid — All Medicaid: $279.68 Medicare — All Medicare: $212.80 Monida — Allegiance: $288.80 Monida — First Choice Health: $294.88 Monida — Montana Health Co-op: $288.80 Monida — PacificSource: $288.80
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Inpatient (hospital stay) · Hospital (facility) fee In the file: OP INJ INTRLAMIN LUMAB W/IMA 62323	$2,349	$2,114.10	$1,644.30 – $2,349
Spinal injection, lower back (epidural), with imaging guidance: 10 of 16 insurance plan rates Aetna — Commercial: $2,231.55 Aetna — Medicare: $2,114.10 BCBS MT — CHIP: $2,114.10 BCBS MT — Closed Plan Network: $2,231.55 BCBS MT — HealthLink: $2,114.10 BCBS MT — Medicare: $2,114.10 BCBS MT — POS: $2,231.55 BCBS MT — Traditional: $2,349 Cigna — Commercial: $2,231.55 Cigna — Medicare: $2,114.10
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OP INJ INTRLAMIN LUMAB W/IMA 62323	$2,349	$2,114.10	$1,644.30 – $2,349
Spinal injection, lower back (epidural), with imaging guidance: 10 of 16 insurance plan rates Aetna — Commercial: $2,231.55 Aetna — Medicare: $2,114.10 BCBS MT — CHIP: $2,114.10 BCBS MT — Closed Plan Network: $2,231.55 BCBS MT — HealthLink: $2,114.10 BCBS MT — Medicare: $2,114.10 BCBS MT — POS: $2,231.55 BCBS MT — Traditional: $2,349 Cigna — Commercial: $2,231.55 Cigna — Medicare: $2,114.10
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Inpatient or outpatient · Doctor (professional) fee In the file: PRO FEE OP INJ INTERLAM LUMB W/IMA 62323	$510	$459	$357 – $510
Spinal injection, lower back (epidural), with imaging guidance: 10 of 16 insurance plan rates Aetna — Commercial: $484.50 Aetna — Medicare: $459 BCBS MT — CHIP: $459 BCBS MT — Closed Plan Network: $484.50 BCBS MT — HealthLink: $459 BCBS MT — Medicare: $459 BCBS MT — POS: $484.50 BCBS MT — Traditional: $510 Cigna — Commercial: $484.50 Cigna — Medicare: $459
Nerve root injection, lower back, with imaging guidance CPT 64483 · Inpatient (hospital stay) · Hospital (facility) fee In the file: OP INJ OP INJ TRANSFORA L/S 1 64483	$2,485	$2,236.50	$1,739.50 – $2,485
Nerve root injection, lower back, with imaging guidance: 10 of 16 insurance plan rates Aetna — Commercial: $2,360.75 Aetna — Medicare: $2,236.50 BCBS MT — CHIP: $2,236.50 BCBS MT — Closed Plan Network: $2,360.75 BCBS MT — HealthLink: $2,236.50 BCBS MT — Medicare: $2,236.50 BCBS MT — POS: $2,360.75 BCBS MT — Traditional: $2,485 Cigna — Commercial: $2,360.75 Cigna — Medicare: $2,236.50
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OP INJ OP INJ TRANSFORA L/S 1 64483	$2,485	$2,236.50	$1,739.50 – $2,485
Nerve root injection, lower back, with imaging guidance: 10 of 16 insurance plan rates Aetna — Commercial: $2,360.75 Aetna — Medicare: $2,236.50 BCBS MT — CHIP: $2,236.50 BCBS MT — Closed Plan Network: $2,360.75 BCBS MT — HealthLink: $2,236.50 BCBS MT — Medicare: $2,236.50 BCBS MT — POS: $2,360.75 BCBS MT — Traditional: $2,485 Cigna — Commercial: $2,360.75 Cigna — Medicare: $2,236.50
Nerve root injection, lower back, with imaging guidance CPT 64483 · Inpatient or outpatient · Doctor (professional) fee In the file: PRO FEE OP INJ TRANSFORA L/S 1 64483	$573	$515.70	$401.10 – $573
Nerve root injection, lower back, with imaging guidance: 10 of 16 insurance plan rates Aetna — Commercial: $544.35 Aetna — Medicare: $515.70 BCBS MT — CHIP: $515.70 BCBS MT — Closed Plan Network: $544.35 BCBS MT — HealthLink: $515.70 BCBS MT — Medicare: $515.70 BCBS MT — POS: $544.35 BCBS MT — Traditional: $573 Cigna — Commercial: $544.35 Cigna — Medicare: $515.70

Source: Ruby Valley Medical Center’s standard charges file (pricetransparency.healthcare, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on August 14, 2026; retrieved November 1, 2026. The hospital’s price transparency page →

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

Hospital information

Hospital type	Critical Access Hospital
Address	321 Madison St, Sheridan, MT 59749
County	Madison County
State	Montana
Phone	(406) 842‑5453
Emergency services	Yes
Ownership	Government - Hospital District or Authority
Medicare overall rating	Not rated by CMS
CMS Certification Number	271319
Name in Medicare records	RUBY VALLEY MEDICAL CENTER
Profile level	Medicare data + hospital website
Official website	rvmc.org
Corrections	Report an error or suggest an update →

Sources

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

From the hospital’s website

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

Services — rvmc.org

Ruby Valley Medical Center

Summary

Profile from official sources

At a glance

Quick answers

Specialties and care areas^[5]

Conditions treated^[5]

Treatments^[5]

Procedures^[5]

Programs and centers^[5]

Doctors and clinicians (45)

Main specialties

Doctors with a page on this site (45)

Other emergency rooms nearby

Other hospitals near Sheridan

Nursing homes, hospice, home health and dialysis nearby

Nursing homes

Community care nearby

Clinics and urgent care

Pharmacies

About the Medicare star rating

Medicare quality data

Emergency room times and sepsis care

ER wait times and Medicare ratings nearby

Prices

Office and emergency visits

Lab tests

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

Heart tests and sleep study

Physical therapy and mental health

Procedures and surgery

Hospital information

Sources

From the hospital’s website

Ruby Valley Medical Center

Summary

Profile from official sources

At a glance

Quick answers

Specialties and care areas[5]

Conditions treated[5]

Treatments[5]

Procedures[5]

Programs and centers[5]

Doctors and clinicians (45)

Main specialties

Doctors with a page on this site (45)

Other emergency rooms nearby

Other hospitals near Sheridan

Nursing homes, hospice, home health and dialysis nearby

Nursing homes

Community care nearby

Clinics and urgent care

Pharmacies

About the Medicare star rating

Medicare quality data

Emergency room times and sepsis care

ER wait times and Medicare ratings nearby

Prices

Office and emergency visits

Lab tests

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

Heart tests and sleep study

Physical therapy and mental health

Procedures and surgery

Hospital information

Sources

From the hospital’s website

Specialties and care areas^[5]

Conditions treated^[5]

Treatments^[5]

Procedures^[5]

Programs and centers^[5]