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Acute Care Hospital

St James Hospital

Butte, Montana · Silver Bow County · Emergency services listed

St James Hospital is an acute care hospital at 400 S Clark St, Butte, MT 59701. Phone: (406) 723-2500. It has an emergency department. Medicare overall rating: 2 of 5 stars (CMS, October 2026).

Data as of October 26, 2026. Source: CMS Hospital General Information and the hospital’s website (checked October 31, 2026).

Summary

St James Hospital is an acute care hospital in Butte, Montana. Medicare data lists emergency services. CMS overall star rating: 2 of 5 stars. Its official website lists 25 services, specialties and programs. Medicare lists 346 affiliated clinicians. Source: CMS Hospital General Information, data updated 2026-10-26.

What is an acute care hospital?

A general hospital for short-term care: emergencies, surgery, illness and injury. Most patients stay a few days. More about hospital types

Call(406) 723‑2500 Directions Website Medicare profile
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Profile from official sources

Built from official Medicare (CMS) data and the hospital’s own website (checked 2026-10-31). 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
2 of 5 stars2 of 5 stars · Medicare rating
YesBirthing-friendly (CMS)
67Beds (hospital website)
346Doctors and clinicians
25Services listed

Quick answers

Does St James Hospital have an emergency room?
Yes. Medicare (CMS) data lists emergency services at St James Hospital. In a medical emergency, call 911.
Where is St James Hospital?
400 S Clark St, Butte, MT 59701, in Silver Bow County, Montana.
What is the phone number of St James Hospital?
(406) 723-2500, as listed by Medicare (CMS).
What is the Medicare star rating of St James Hospital?
2 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-10-26).
Does Medicare reduce its payments to St James Hospital for hospital-acquired conditions?
Yes. For fiscal year 2026, CMS applies a 1-percent reduction to Medicare payments to St James Hospital under the Hospital-Acquired Condition Reduction Program (Total HAC Score: 0.7304; a lower score is better). It is an adjustment to what Medicare pays the hospital, not a charge to patients (CMS data released January 26, 2026).

Specialties and care areas[5][6]

Treatments[5][6]

  • Emergency care
  • Trauma care
  • Hyperbaric medicine

Programs and centers[4][5]

  • Lactation clinic
  • Outpatient nutrition services
  • Health and wellness classes

Emergency care (hospital website)[4][6]

Emergency roomYes
Open 24/7Yes

Visiting and practical information

VisitingVisiting hours are 7am to 9pm[4]

Doctors and clinicians (346)

346 doctors and other clinicians list St James Hospital 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 (346)

And 322 more: the button below opens the full list.

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 Butte

Hospitals in Silver Bow 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

All nursing homes in the state →

Hospice providers

All hospice providers in the state →

Home health agencies

All home health agencies in the state →

Dialysis facilities

All dialysis facilities in the state →

Outpatient surgery centers nearby

Medicare-certified ambulatory surgery centers within 25 miles, by straight-line distance.

All outpatient surgery centers 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.

Community health centers

Clinics and urgent care

Pharmacies

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

What patients said (patient survey)

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

Summary star rating (all survey topics) 4 of 5 stars
Overall rating of the hospital4 of 5 stars
Would recommend the hospital3 of 5 stars
Nurses communicated well4 of 5 stars
Doctors communicated well4 of 5 stars
Patients got help quickly from staff4 of 5 stars
Staff explained medicines3 of 5 stars
Information about recovery at home4 of 5 stars
Room and bathroom kept clean4 of 5 stars
Restfulness of Environment4 of 5 stars
Care Coordination4 of 5 stars
Symptoms After Stay4 of 5 stars
Rated the hospital 9 or 10 out of 1072%National average: 72%
Would definitely recommend the hospital65%National average: 71%
Nurses “always” communicated well81%National average: 80%
Doctors “always” communicated well83%National average: 80%
“Always” got help as soon as they wanted73%National average: 64%
Staff “always” explained medicines before giving them64%National average: 62%
Were given information about recovery at home88%National average: 86%
Room and bathroom “always” clean72%National average: 73%
Completed surveys429Response rate: 25%

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

Infections caught in the hospital

What this means: CMS compares the number of infections patients caught in this hospital with the number expected for a hospital like it. The number shown is that ratio: below 1 means fewer infections than expected, above 1 means more. “Better” or “worse” is shown only when the difference is clear in the data.

Clostridioides difficile (C. diff) intestinal infections2.879Worse than the national benchmark
Not reported to MedicareCentral line bloodstream infections (CLABSI); Catheter-associated urinary tract infections (CAUTI); Surgical site infections after colon surgery; Surgical site infections after abdominal hysterectomy; MRSA bloodstream infections

Source: Healthcare Associated Infections - Hospital — CMS, released October 19, 2026; data from January 2025 to December 2025.

Complications and deaths

What this means: Death rates are the share of patients who died within 30 days of going into the hospital for that condition, adjusted for how sick they were. PSI-90 combines several serious complications (a lower number is better). “No different from the national rate” is the most common result and means the hospital is in line with hospitals nationwide.

Deaths within 30 days: heart attack patients10.2%
Deaths within 30 days: heart failure patients11.7%
Deaths within 30 days: pneumonia patients16.3%
Deaths within 30 days: stroke patients8.2%
Serious complications (patient safety indicator PSI-90)0.93No different from the national rate
Not reported to MedicareDeaths within 30 days: coronary bypass surgery (CABG)
Too few cases to reportDeaths within 30 days: COPD patients; Complications after hip or knee replacement

Source: Complications and Deaths - Hospital — CMS, released October 20, 2026; data from July 2022 to June 2025.

Return visits to the hospital (readmissions)

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

Returned to any hospital within 30 days (all patients)14.6%
Readmitted within 30 days: heart attack14%
Readmitted within 30 days: heart failure19.4%
Readmitted within 30 days: pneumonia16.7%
Readmitted within 30 days: COPD20%
Not reported to MedicareReadmitted within 30 days: coronary bypass surgery
Too few cases to reportReadmitted within 30 days: hip or knee replacement

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

Emergency room times and sepsis care

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

Emergency room volume (patients per year)Low (under 20,000)
Average (median) time patients spent in the emergency room before leaving (OP-18b)148 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)2%National average: 2%
Sepsis patients who got all the recommended early care (SEP-1)69%National average: 66%

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

See every measure on Medicare Care Compare →

Medicare payment programs

Medicare (CMS) uses these federal programs to adjust what it pays hospitals, based on quality, safety and cost results. This is a payment to the hospital for Medicare patients, not a price you pay, and not a prediction for any one person. Results for St James Hospital, fiscal year 2026 (October 2025 to September 2026).

Show the Medicare payment program results

Hospital-Acquired Condition Reduction Program

What this means: Medicare gives each hospital a Total HAC Score built from patient-safety complications and from infections caught in the hospital. The quarter of hospitals with the highest (worst) scores gets a reduction in its Medicare payments. A lower score is better.

CMS says: Hospitals with a Total HAC Score above the 75th percentile of the Total HAC Score distribution will be subject to a 1-percent payment reduction.

Medicare payment reduction, fiscal year 2026YesCMS applies a 1-percent payment reduction to this hospital.
Total HAC Score0.7304Lower is better. Hospitals above the 75th percentile of all scores get the reduction.

Source: Hospital-Acquired Condition (HAC) Reduction Program — CMS, released January 26, 2026; patient-safety data from July 2022 to June 2024 and infection data from January 2023 to December 2024.

Hospital Readmissions Reduction Program

What this means: For six conditions, Medicare compares how often this hospital’s patients had to go back into a hospital within 30 days with how often that happens at an average hospital with similar patients. The ratio is that comparison: 1 means as many readmissions as expected, above 1 means more than expected (CMS calls these “excess readmissions”), below 1 means fewer.

CMS says: In October 2012, CMS began reducing Medicare payments for subsection(d) hospitals with excess readmissions under the Hospital Readmissions Reduction Program (HRRP).

Heart attack1.0112More readmissions than expected
Heart failure0.9972Fewer readmissions than expected
Pneumonia0.9952Fewer readmissions than expected
Hip or knee replacement1.1461More readmissions than expected
No result publishedCOPD (chronic lung disease); Coronary bypass surgery (CABG) (not reported, or too few cases)

Source: Hospital Readmissions Reduction Program — CMS, released January 26, 2026; patients discharged July 2021 to June 2024.

Hospital Value-Based Purchasing Program

What this means: Medicare scores hospitals in four areas, each from 0 to 100, and combines them into a Total Performance Score from 0 to 100. A higher score means better results on these measures. Medicare uses the score to adjust what it pays the hospital.

CMS says: This program adjusts payments to hospitals under the Inpatient Prospective Payment System (IPPS) based on the quality of care they deliver.

Total Performance Score40.25 out of 100Median of the 2,455 hospitals in the program: 29.50
Clinical outcomes (deaths and complications)15.00 out of 100
Person and community engagement (patient survey)56.00 out of 100
Safety (infections and sepsis care)20.00 out of 100
Efficiency and cost reduction (Medicare spending)70.00 out of 100

Source: Hospital Value-Based Purchasing (HVBP) - Total Performance Score — CMS, released January 26, 2026, fiscal year 2026. Program description: The Hospital Value-Based Purchasing (VBP) Program — CMS, page last modified September 10, 2024.

Medicare spending per patient (MSPB)

What this means: This compares what Medicare spent on a hospital stay, counting the 3 days before it and the 30 days after, with the national median hospital, after adjusting for the patient’s age and health and for local prices. A ratio of 1.00 is the national median hospital; below 1.00 means Medicare spent less, above 1.00 means more. It measures the cost to Medicare, not the quality of care.

CMS says: The Medicare Spending Per Beneficiary (MSPB) Measure shows whether Medicare spends more, less, or about the same for an episode of care (episode) at a specific hospital compared to all hospitals nationally.

Medicare spending per patient, ratio0.90Below the national median hospital (1.00): Medicare spent less

Source: Medicare Spending Per Beneficiary - Hospital — CMS, released October 19, 2026; data from January 2024 to December 2024.

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 71 common services exactly as St James Hospital 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 71 common services

Office and emergency visits

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
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 $284.17
Preventive checkup, new patient, age 18–39: rates for 5 insurance plans
  • BCBS/ANTHEM — BCBS MT - FEDERAL: $284.17
  • BCBS/ANTHEM — BCBS MT CLOSED PLAN: $284.17
  • BCBS/ANTHEM — BCBS MT POS: $284.17
  • BCBS/ANTHEM — BCBS MT POS EXCHANGE: $284.17
  • BCBS/ANTHEM — ST OF MT EMPLOYEES: $284.17
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 $345.71
Preventive checkup, new patient, age 40–64: rates for 5 insurance plans
  • BCBS/ANTHEM — BCBS MT - FEDERAL: $345.71
  • BCBS/ANTHEM — BCBS MT CLOSED PLAN: $345.71
  • BCBS/ANTHEM — BCBS MT POS: $345.71
  • BCBS/ANTHEM — BCBS MT POS EXCHANGE: $345.71
  • BCBS/ANTHEM — ST OF MT EMPLOYEES: $345.71
Emergency room visit (moderate) CPT 99283 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC EMERGENCY ROOM-LEVEL 3 $774.65 Not listed in the file $441.55 – $774.65
Emergency room visit (moderate): 10 of 47 insurance plan rates
  • AETNA — AETNA HMO/EPO: $735.92
  • AETNA — AETNA POS/QPOS: $735.92
  • AETNA — AETNA PPO: $735.92
  • AETNA — AETNA SRC: $735.92
  • ALLEGIANCE — ALLEGIANCE GROUP HEALTH: $735.92
  • ALLEGIANCE — CIGNA - COMMERCIAL: $735.92
  • ALLEGIANCE — CIGNA SCLHS EMPLOYEES: $606.24
  • BCBS/ANTHEM — BCBS MT - FEDERAL: $732.04
  • BCBS/ANTHEM — BCBS MT CLOSED PLAN: $732.04
  • BCBS/ANTHEM — BCBS MT POS: $732.04
Emergency room visit (moderate) CPT 99283 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC EMERGENCY ROOM - LEVEL 3 W/MOD $774.65 Not listed in the file $441.55 – $774.65
Emergency room visit (moderate): 10 of 47 insurance plan rates
  • AETNA — AETNA HMO/EPO: $735.92
  • AETNA — AETNA POS/QPOS: $735.92
  • AETNA — AETNA PPO: $735.92
  • AETNA — AETNA SRC: $735.92
  • ALLEGIANCE — ALLEGIANCE GROUP HEALTH: $735.92
  • ALLEGIANCE — CIGNA - COMMERCIAL: $735.92
  • ALLEGIANCE — CIGNA SCLHS EMPLOYEES: $606.24
  • BCBS/ANTHEM — BCBS MT - FEDERAL: $732.04
  • BCBS/ANTHEM — BCBS MT CLOSED PLAN: $732.04
  • BCBS/ANTHEM — BCBS MT POS: $732.04
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC EMERGENCY ROOM-LEVEL 3 $774.65 Not listed in the file $405.92 – $774.65
Emergency room visit (moderate): 10 of 47 insurance plan rates
  • AETNA — AETNA HMO/EPO: $735.92
  • AETNA — AETNA POS/QPOS: $735.92
  • AETNA — AETNA PPO: $735.92
  • AETNA — AETNA SRC: $735.92
  • ALLEGIANCE — ALLEGIANCE GROUP HEALTH: $735.92
  • ALLEGIANCE — CIGNA - COMMERCIAL: $735.92
  • ALLEGIANCE — CIGNA SCLHS EMPLOYEES: $405.92
  • BCBS/ANTHEM — BCBS MT - FEDERAL: $720.42
  • BCBS/ANTHEM — BCBS MT CLOSED PLAN: $720.42
  • BCBS/ANTHEM — BCBS MT POS: $720.42
Emergency room visit (moderately high) CPT 99284 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC EMERGENCY ROOM-LEVEL 4 $1,396.80 Not listed in the file $796.18 – $1,396.80
Emergency room visit (moderately high): 10 of 47 insurance plan rates
  • AETNA — AETNA HMO/EPO: $1,326.96
  • AETNA — AETNA POS/QPOS: $1,326.96
  • AETNA — AETNA PPO: $1,326.96
  • AETNA — AETNA SRC: $1,326.96
  • ALLEGIANCE — ALLEGIANCE GROUP HEALTH: $1,326.96
  • ALLEGIANCE — CIGNA - COMMERCIAL: $1,326.96
  • ALLEGIANCE — CIGNA SCLHS EMPLOYEES: $1,093.14
  • BCBS/ANTHEM — BCBS MT - FEDERAL: $1,319.98
  • BCBS/ANTHEM — BCBS MT CLOSED PLAN: $1,319.98
  • BCBS/ANTHEM — BCBS MT POS: $1,319.98
Emergency room visit (moderately high) CPT 99284 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC EMERGENCY ROOM - LEVEL 4 W/MOD $1,396.80 Not listed in the file $796.18 – $1,396.80
Emergency room visit (moderately high): 10 of 47 insurance plan rates
  • AETNA — AETNA HMO/EPO: $1,326.96
  • AETNA — AETNA POS/QPOS: $1,326.96
  • AETNA — AETNA PPO: $1,326.96
  • AETNA — AETNA SRC: $1,326.96
  • ALLEGIANCE — ALLEGIANCE GROUP HEALTH: $1,326.96
  • ALLEGIANCE — CIGNA - COMMERCIAL: $1,326.96
  • ALLEGIANCE — CIGNA SCLHS EMPLOYEES: $1,093.14
  • BCBS/ANTHEM — BCBS MT - FEDERAL: $1,319.98
  • BCBS/ANTHEM — BCBS MT CLOSED PLAN: $1,319.98
  • BCBS/ANTHEM — BCBS MT POS: $1,319.98
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC EMERGENCY ROOM-LEVEL 4 $1,396.80 Not listed in the file $731.92 – $1,396.80
Emergency room visit (moderately high): 10 of 47 insurance plan rates
  • AETNA — AETNA HMO/EPO: $1,326.96
  • AETNA — AETNA POS/QPOS: $1,326.96
  • AETNA — AETNA PPO: $1,326.96
  • AETNA — AETNA SRC: $1,326.96
  • ALLEGIANCE — ALLEGIANCE GROUP HEALTH: $1,326.96
  • ALLEGIANCE — CIGNA - COMMERCIAL: $1,326.96
  • ALLEGIANCE — CIGNA SCLHS EMPLOYEES: $731.92
  • BCBS/ANTHEM — BCBS MT - FEDERAL: $1,299.02
  • BCBS/ANTHEM — BCBS MT CLOSED PLAN: $1,299.02
  • BCBS/ANTHEM — BCBS MT POS: $1,299.02
Emergency room visit (high) CPT 99285 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC EMERGENCY ROOM - LEVEL 5 W/MOD $1,848 Not listed in the file $1,053.36 – $1,848
Emergency room visit (high): 10 of 47 insurance plan rates
  • AETNA — AETNA HMO/EPO: $1,755.60
  • AETNA — AETNA POS/QPOS: $1,755.60
  • AETNA — AETNA PPO: $1,755.60
  • AETNA — AETNA SRC: $1,755.60
  • ALLEGIANCE — ALLEGIANCE GROUP HEALTH: $1,755.60
  • ALLEGIANCE — CIGNA - COMMERCIAL: $1,755.60
  • ALLEGIANCE — CIGNA SCLHS EMPLOYEES: $1,446.24
  • BCBS/ANTHEM — BCBS MT - FEDERAL: $1,746.36
  • BCBS/ANTHEM — BCBS MT CLOSED PLAN: $1,746.36
  • BCBS/ANTHEM — BCBS MT POS: $1,746.36
Emergency room visit (high) CPT 99285 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC EMERGENCY ROOM-LEVEL 5 $1,848 Not listed in the file $1,053.36 – $1,848
Emergency room visit (high): 10 of 47 insurance plan rates
  • AETNA — AETNA HMO/EPO: $1,755.60
  • AETNA — AETNA POS/QPOS: $1,755.60
  • AETNA — AETNA PPO: $1,755.60
  • AETNA — AETNA SRC: $1,755.60
  • ALLEGIANCE — ALLEGIANCE GROUP HEALTH: $1,755.60
  • ALLEGIANCE — CIGNA - COMMERCIAL: $1,755.60
  • ALLEGIANCE — CIGNA SCLHS EMPLOYEES: $1,446.24
  • BCBS/ANTHEM — BCBS MT - FEDERAL: $1,746.36
  • BCBS/ANTHEM — BCBS MT CLOSED PLAN: $1,746.36
  • BCBS/ANTHEM — BCBS MT POS: $1,746.36
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC EMERGENCY ROOM - LEVEL 5 W/MOD $1,848 Not listed in the file $968.35 – $1,848
Emergency room visit (high): 10 of 47 insurance plan rates
  • AETNA — AETNA HMO/EPO: $1,755.60
  • AETNA — AETNA POS/QPOS: $1,755.60
  • AETNA — AETNA PPO: $1,755.60
  • AETNA — AETNA SRC: $1,755.60
  • ALLEGIANCE — ALLEGIANCE GROUP HEALTH: $1,755.60
  • ALLEGIANCE — CIGNA - COMMERCIAL: $1,755.60
  • ALLEGIANCE — CIGNA SCLHS EMPLOYEES: $968.35
  • BCBS/ANTHEM — BCBS MT - FEDERAL: $1,718.64
  • BCBS/ANTHEM — BCBS MT CLOSED PLAN: $1,718.64
  • BCBS/ANTHEM — BCBS MT POS: $1,718.64

Lab tests

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC BASIC METABOLIC PANEL $92.40 Not listed in the file $52.67 – $92.40
Basic metabolic panel (blood test): 10 of 47 insurance plan rates
  • AETNA — AETNA HMO/EPO: $87.78
  • AETNA — AETNA POS/QPOS: $87.78
  • AETNA — AETNA PPO: $87.78
  • AETNA — AETNA SRC: $87.78
  • ALLEGIANCE — ALLEGIANCE GROUP HEALTH: $87.78
  • ALLEGIANCE — CIGNA - COMMERCIAL: $87.78
  • ALLEGIANCE — CIGNA SCLHS EMPLOYEES: $72.31
  • BCBS/ANTHEM — BCBS MT - FEDERAL: $87.32
  • BCBS/ANTHEM — BCBS MT CLOSED PLAN: $87.32
  • BCBS/ANTHEM — BCBS MT POS: $87.32
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC BASIC METABOLIC PANEL $92.40 Not listed in the file $48.42 – $92.40
Basic metabolic panel (blood test): 10 of 47 insurance plan rates
  • AETNA — AETNA HMO/EPO: $87.78
  • AETNA — AETNA POS/QPOS: $87.78
  • AETNA — AETNA PPO: $87.78
  • AETNA — AETNA SRC: $87.78
  • ALLEGIANCE — ALLEGIANCE GROUP HEALTH: $87.78
  • ALLEGIANCE — CIGNA - COMMERCIAL: $87.78
  • ALLEGIANCE — CIGNA SCLHS EMPLOYEES: $48.42
  • BCBS/ANTHEM — BCBS MT - FEDERAL: $85.93
  • BCBS/ANTHEM — BCBS MT CLOSED PLAN: $85.93
  • BCBS/ANTHEM — BCBS MT POS: $85.93
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Basic metabolic pnl total ca Not listed in the file Not listed in the file $8.63 – $67.37
Basic metabolic panel (blood test): 10 of 27 insurance plan rates
  • ALLEGIANCE — ALLEGIANCE MMIA: $24.11
  • ALLEGIANCE — WASHCO AND MRL: $21.15
  • BCBS/ANTHEM — BCBS MT - FEDERAL: $67.37
  • BCBS/ANTHEM — BCBS MT CLOSED PLAN: $67.37
  • BCBS/ANTHEM — BCBS MT POS: $67.37
  • BCBS/ANTHEM — BCBS MT POS EXCHANGE: $67.37
  • BCBS/ANTHEM — ST OF MT EMPLOYEES: $67.37
  • CHOICECARE HUMANA MRP — CHOICECARE HUMANA MEDICARE HMO: $8.71
  • CHOICECARE HUMANA MRP — CHOICECARE HUMANA MEDICARE PPO: $8.71
  • COASTAL ADMINISTRATIVE SERVICES — TOWN PUMP 6 DEGREES HEALTH: $17.77
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC COMPREHENSIVE METABOLIC PANEL $134 Not listed in the file $76.38 – $134
Comprehensive metabolic panel (blood test): 10 of 47 insurance plan rates
  • AETNA — AETNA HMO/EPO: $127.30
  • AETNA — AETNA POS/QPOS: $127.30
  • AETNA — AETNA PPO: $127.30
  • AETNA — AETNA SRC: $127.30
  • ALLEGIANCE — ALLEGIANCE GROUP HEALTH: $127.30
  • ALLEGIANCE — CIGNA - COMMERCIAL: $127.30
  • ALLEGIANCE — CIGNA SCLHS EMPLOYEES: $104.87
  • BCBS/ANTHEM — BCBS MT - FEDERAL: $126.63
  • BCBS/ANTHEM — BCBS MT CLOSED PLAN: $126.63
  • BCBS/ANTHEM — BCBS MT POS: $126.63
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC COMPREHENSIVE METABOLIC PANEL $134 Not listed in the file $70.22 – $134
Comprehensive metabolic panel (blood test): 10 of 47 insurance plan rates
  • AETNA — AETNA HMO/EPO: $127.30
  • AETNA — AETNA POS/QPOS: $127.30
  • AETNA — AETNA PPO: $127.30
  • AETNA — AETNA SRC: $127.30
  • ALLEGIANCE — ALLEGIANCE GROUP HEALTH: $127.30
  • ALLEGIANCE — CIGNA - COMMERCIAL: $127.30
  • ALLEGIANCE — CIGNA SCLHS EMPLOYEES: $70.22
  • BCBS/ANTHEM — BCBS MT - FEDERAL: $124.62
  • BCBS/ANTHEM — BCBS MT CLOSED PLAN: $124.62
  • BCBS/ANTHEM — BCBS MT POS: $124.62
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Comprehen metabolic panel Not listed in the file Not listed in the file $10.77 – $84.15
Comprehensive metabolic panel (blood test): 10 of 27 insurance plan rates
  • ALLEGIANCE — ALLEGIANCE MMIA: $30.10
  • ALLEGIANCE — WASHCO AND MRL: $26.40
  • BCBS/ANTHEM — BCBS MT - FEDERAL: $84.15
  • BCBS/ANTHEM — BCBS MT CLOSED PLAN: $84.15
  • BCBS/ANTHEM — BCBS MT POS: $84.15
  • BCBS/ANTHEM — BCBS MT POS EXCHANGE: $84.15
  • BCBS/ANTHEM — ST OF MT EMPLOYEES: $84.15
  • CHOICECARE HUMANA MRP — CHOICECARE HUMANA MEDICARE HMO: $10.88
  • CHOICECARE HUMANA MRP — CHOICECARE HUMANA MEDICARE PPO: $10.88
  • COASTAL ADMINISTRATIVE SERVICES — TOWN PUMP 6 DEGREES HEALTH: $22.18
Obstetric blood test panel CPT 80055 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC OBSTETRIC PANEL $414.32 Not listed in the file $236.16 – $414.32
Obstetric blood test panel: 10 of 47 insurance plan rates
  • AETNA — AETNA HMO/EPO: $393.60
  • AETNA — AETNA POS/QPOS: $393.60
  • AETNA — AETNA PPO: $393.60
  • AETNA — AETNA SRC: $393.60
  • ALLEGIANCE — ALLEGIANCE GROUP HEALTH: $393.60
  • ALLEGIANCE — CIGNA - COMMERCIAL: $393.60
  • ALLEGIANCE — CIGNA SCLHS EMPLOYEES: $324.25
  • BCBS/ANTHEM — BCBS MT - FEDERAL: $391.53
  • BCBS/ANTHEM — BCBS MT CLOSED PLAN: $391.53
  • BCBS/ANTHEM — BCBS MT POS: $391.53
Obstetric blood test panel CPT 80055 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC OBSTETRIC PANEL $414.32 Not listed in the file $217.10 – $414.32
Obstetric blood test panel: 10 of 47 insurance plan rates
  • AETNA — AETNA HMO/EPO: $393.60
  • AETNA — AETNA POS/QPOS: $393.60
  • AETNA — AETNA PPO: $393.60
  • AETNA — AETNA SRC: $393.60
  • ALLEGIANCE — ALLEGIANCE GROUP HEALTH: $393.60
  • ALLEGIANCE — CIGNA - COMMERCIAL: $393.60
  • ALLEGIANCE — CIGNA SCLHS EMPLOYEES: $217.10
  • BCBS/ANTHEM — BCBS MT - FEDERAL: $385.32
  • BCBS/ANTHEM — BCBS MT CLOSED PLAN: $385.32
  • BCBS/ANTHEM — BCBS MT POS: $385.32
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 $48.77 – $380.83
Obstetric blood test panel: 10 of 27 insurance plan rates
  • ALLEGIANCE — ALLEGIANCE MMIA: $136.26
  • ALLEGIANCE — WASHCO AND MRL: $119.53
  • BCBS/ANTHEM — BCBS MT - FEDERAL: $380.83
  • BCBS/ANTHEM — BCBS MT CLOSED PLAN: $380.83
  • BCBS/ANTHEM — BCBS MT POS: $380.83
  • BCBS/ANTHEM — BCBS MT POS EXCHANGE: $380.83
  • BCBS/ANTHEM — ST OF MT EMPLOYEES: $380.83
  • CHOICECARE HUMANA MRP — CHOICECARE HUMANA MEDICARE HMO: $49.24
  • CHOICECARE HUMANA MRP — CHOICECARE HUMANA MEDICARE PPO: $49.24
  • COASTAL ADMINISTRATIVE SERVICES — TOWN PUMP 6 DEGREES HEALTH: $100.40
Cholesterol panel (lipid panel) CPT 80061 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC LIPID PANEL $136.13 Not listed in the file $77.59 – $136.13
Cholesterol panel (lipid panel): 10 of 47 insurance plan rates
  • AETNA — AETNA HMO/EPO: $129.32
  • AETNA — AETNA POS/QPOS: $129.32
  • AETNA — AETNA PPO: $129.32
  • AETNA — AETNA SRC: $129.32
  • ALLEGIANCE — ALLEGIANCE GROUP HEALTH: $129.32
  • ALLEGIANCE — CIGNA - COMMERCIAL: $129.32
  • ALLEGIANCE — CIGNA SCLHS EMPLOYEES: $106.54
  • BCBS/ANTHEM — BCBS MT - FEDERAL: $128.64
  • BCBS/ANTHEM — BCBS MT CLOSED PLAN: $128.64
  • BCBS/ANTHEM — BCBS MT POS: $128.64
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC LIPID PANEL $136.13 Not listed in the file $71.33 – $136.13
Cholesterol panel (lipid panel): 10 of 47 insurance plan rates
  • AETNA — AETNA HMO/EPO: $129.32
  • AETNA — AETNA POS/QPOS: $129.32
  • AETNA — AETNA PPO: $129.32
  • AETNA — AETNA SRC: $129.32
  • ALLEGIANCE — ALLEGIANCE GROUP HEALTH: $129.32
  • ALLEGIANCE — CIGNA - COMMERCIAL: $129.32
  • ALLEGIANCE — CIGNA SCLHS EMPLOYEES: $71.33
  • BCBS/ANTHEM — BCBS MT - FEDERAL: $126.60
  • BCBS/ANTHEM — BCBS MT CLOSED PLAN: $126.60
  • BCBS/ANTHEM — BCBS MT POS: $126.60
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Lipid panel Not listed in the file Not listed in the file $13.66 – $106.67
Cholesterol panel (lipid panel): 10 of 27 insurance plan rates
  • ALLEGIANCE — ALLEGIANCE MMIA: $38.16
  • ALLEGIANCE — WASHCO AND MRL: $33.48
  • BCBS/ANTHEM — BCBS MT - FEDERAL: $106.67
  • BCBS/ANTHEM — BCBS MT CLOSED PLAN: $106.67
  • BCBS/ANTHEM — BCBS MT POS: $106.67
  • BCBS/ANTHEM — BCBS MT POS EXCHANGE: $106.67
  • BCBS/ANTHEM — ST OF MT EMPLOYEES: $106.67
  • CHOICECARE HUMANA MRP — CHOICECARE HUMANA MEDICARE HMO: $13.79
  • CHOICECARE HUMANA MRP — CHOICECARE HUMANA MEDICARE PPO: $13.79
  • COASTAL ADMINISTRATIVE SERVICES — TOWN PUMP 6 DEGREES HEALTH: $28.12
Kidney function panel CPT 80069 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC RENAL FUNCTION PANEL $121.65 Not listed in the file $69.34 – $121.65
Kidney function panel: 10 of 47 insurance plan rates
  • AETNA — AETNA HMO/EPO: $115.57
  • AETNA — AETNA POS/QPOS: $115.57
  • AETNA — AETNA PPO: $115.57
  • AETNA — AETNA SRC: $115.57
  • ALLEGIANCE — ALLEGIANCE GROUP HEALTH: $115.57
  • ALLEGIANCE — CIGNA - COMMERCIAL: $115.57
  • ALLEGIANCE — CIGNA SCLHS EMPLOYEES: $95.20
  • BCBS/ANTHEM — BCBS MT - FEDERAL: $114.96
  • BCBS/ANTHEM — BCBS MT CLOSED PLAN: $114.96
  • BCBS/ANTHEM — BCBS MT POS: $114.96
Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC RENAL FUNCTION PANEL $121.65 Not listed in the file $63.74 – $121.65
Kidney function panel: 10 of 47 insurance plan rates
  • AETNA — AETNA HMO/EPO: $115.57
  • AETNA — AETNA POS/QPOS: $115.57
  • AETNA — AETNA PPO: $115.57
  • AETNA — AETNA SRC: $115.57
  • ALLEGIANCE — ALLEGIANCE GROUP HEALTH: $115.57
  • ALLEGIANCE — CIGNA - COMMERCIAL: $115.57
  • ALLEGIANCE — CIGNA SCLHS EMPLOYEES: $63.74
  • BCBS/ANTHEM — BCBS MT - FEDERAL: $113.13
  • BCBS/ANTHEM — BCBS MT CLOSED PLAN: $113.13
  • BCBS/ANTHEM — BCBS MT POS: $113.13
Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Renal function panel Not listed in the file Not listed in the file $8.85 – $69.15
Kidney function panel: 10 of 27 insurance plan rates
  • ALLEGIANCE — ALLEGIANCE MMIA: $24.74
  • ALLEGIANCE — WASHCO AND MRL: $21.70
  • BCBS/ANTHEM — BCBS MT - FEDERAL: $69.15
  • BCBS/ANTHEM — BCBS MT CLOSED PLAN: $69.15
  • BCBS/ANTHEM — BCBS MT POS: $69.15
  • BCBS/ANTHEM — BCBS MT POS EXCHANGE: $69.15
  • BCBS/ANTHEM — ST OF MT EMPLOYEES: $69.15
  • CHOICECARE HUMANA MRP — CHOICECARE HUMANA MEDICARE HMO: $8.94
  • CHOICECARE HUMANA MRP — CHOICECARE HUMANA MEDICARE PPO: $8.94
  • COASTAL ADMINISTRATIVE SERVICES — TOWN PUMP 6 DEGREES HEALTH: $18.23
Liver function panel CPT 80076 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC HEPATIC FUNCTION PANEL $67.85 Not listed in the file $38.67 – $67.85
Liver function panel: 10 of 47 insurance plan rates
  • AETNA — AETNA HMO/EPO: $64.46
  • AETNA — AETNA POS/QPOS: $64.46
  • AETNA — AETNA PPO: $64.46
  • AETNA — AETNA SRC: $64.46
  • ALLEGIANCE — ALLEGIANCE GROUP HEALTH: $64.46
  • ALLEGIANCE — CIGNA - COMMERCIAL: $64.46
  • ALLEGIANCE — CIGNA SCLHS EMPLOYEES: $53.10
  • BCBS/ANTHEM — BCBS MT - FEDERAL: $64.12
  • BCBS/ANTHEM — BCBS MT CLOSED PLAN: $64.12
  • BCBS/ANTHEM — BCBS MT POS: $64.12
Liver function panel CPT 80076 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC HEPATIC FUNCTION PANEL $67.85 Not listed in the file $35.55 – $67.85
Liver function panel: 10 of 47 insurance plan rates
  • AETNA — AETNA HMO/EPO: $64.46
  • AETNA — AETNA POS/QPOS: $64.46
  • AETNA — AETNA PPO: $64.46
  • AETNA — AETNA SRC: $64.46
  • ALLEGIANCE — ALLEGIANCE GROUP HEALTH: $64.46
  • ALLEGIANCE — CIGNA - COMMERCIAL: $64.46
  • ALLEGIANCE — CIGNA SCLHS EMPLOYEES: $35.55
  • BCBS/ANTHEM — BCBS MT - FEDERAL: $63.10
  • BCBS/ANTHEM — BCBS MT CLOSED PLAN: $63.10
  • BCBS/ANTHEM — BCBS MT POS: $63.10
Liver function panel CPT 80076 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Hepatic function panel Not listed in the file Not listed in the file $8.33 – $65.10
Liver function panel: 10 of 27 insurance plan rates
  • ALLEGIANCE — ALLEGIANCE MMIA: $23.28
  • ALLEGIANCE — WASHCO AND MRL: $20.43
  • BCBS/ANTHEM — BCBS MT - FEDERAL: $65.10
  • BCBS/ANTHEM — BCBS MT CLOSED PLAN: $65.10
  • BCBS/ANTHEM — BCBS MT POS: $65.10
  • BCBS/ANTHEM — BCBS MT POS EXCHANGE: $65.10
  • BCBS/ANTHEM — ST OF MT EMPLOYEES: $65.10
  • CHOICECARE HUMANA MRP — CHOICECARE HUMANA MEDICARE HMO: $8.42
  • CHOICECARE HUMANA MRP — CHOICECARE HUMANA MEDICARE PPO: $8.42
  • COASTAL ADMINISTRATIVE SERVICES — TOWN PUMP 6 DEGREES HEALTH: $17.16
Urine test (automated, with microscope) CPT 81001 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC URINALYSIS W/MICROSCOPY $67.75 Not listed in the file $38.62 – $67.75
Urine test (automated, with microscope): 10 of 47 insurance plan rates
  • AETNA — AETNA HMO/EPO: $64.36
  • AETNA — AETNA POS/QPOS: $64.36
  • AETNA — AETNA PPO: $64.36
  • AETNA — AETNA SRC: $64.36
  • ALLEGIANCE — ALLEGIANCE GROUP HEALTH: $64.36
  • ALLEGIANCE — CIGNA - COMMERCIAL: $64.36
  • ALLEGIANCE — CIGNA SCLHS EMPLOYEES: $53.02
  • BCBS/ANTHEM — BCBS MT - FEDERAL: $64.02
  • BCBS/ANTHEM — BCBS MT CLOSED PLAN: $64.02
  • BCBS/ANTHEM — BCBS MT POS: $64.02
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC URINALYSIS W/MICROSCOPY $67.75 Not listed in the file $35.50 – $67.75
Urine test (automated, with microscope): 10 of 47 insurance plan rates
  • AETNA — AETNA HMO/EPO: $64.36
  • AETNA — AETNA POS/QPOS: $64.36
  • AETNA — AETNA PPO: $64.36
  • AETNA — AETNA SRC: $64.36
  • ALLEGIANCE — ALLEGIANCE GROUP HEALTH: $64.36
  • ALLEGIANCE — CIGNA - COMMERCIAL: $64.36
  • ALLEGIANCE — CIGNA SCLHS EMPLOYEES: $35.50
  • BCBS/ANTHEM — BCBS MT - FEDERAL: $63.01
  • BCBS/ANTHEM — BCBS MT CLOSED PLAN: $63.01
  • BCBS/ANTHEM — BCBS MT POS: $63.01
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Urinalysis auto w/scope Not listed in the file Not listed in the file $3.23 – $25.28
Urine test (automated, with microscope): 10 of 27 insurance plan rates
  • ALLEGIANCE — ALLEGIANCE MMIA: $9.03
  • ALLEGIANCE — WASHCO AND MRL: $7.93
  • BCBS/ANTHEM — BCBS MT - FEDERAL: $25.28
  • BCBS/ANTHEM — BCBS MT CLOSED PLAN: $25.28
  • BCBS/ANTHEM — BCBS MT POS: $25.28
  • BCBS/ANTHEM — BCBS MT POS EXCHANGE: $25.28
  • BCBS/ANTHEM — ST OF MT EMPLOYEES: $25.28
  • CHOICECARE HUMANA MRP — CHOICECARE HUMANA MEDICARE HMO: $3.27
  • CHOICECARE HUMANA MRP — CHOICECARE HUMANA MEDICARE PPO: $3.27
  • COASTAL ADMINISTRATIVE SERVICES — TOWN PUMP 6 DEGREES HEALTH: $6.66
Urine test (manual, without microscope) CPT 81002 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC N-AUTOM URINALYS WO MICRO $17.55 Not listed in the file $10 – $17.55
Urine test (manual, without microscope): 10 of 47 insurance plan rates
  • AETNA — AETNA HMO/EPO: $16.67
  • AETNA — AETNA POS/QPOS: $16.67
  • AETNA — AETNA PPO: $16.67
  • AETNA — AETNA SRC: $16.67
  • ALLEGIANCE — ALLEGIANCE GROUP HEALTH: $16.67
  • ALLEGIANCE — CIGNA - COMMERCIAL: $16.67
  • ALLEGIANCE — CIGNA SCLHS EMPLOYEES: $13.73
  • BCBS/ANTHEM — BCBS MT - FEDERAL: $16.58
  • BCBS/ANTHEM — BCBS MT CLOSED PLAN: $16.58
  • BCBS/ANTHEM — BCBS MT POS: $16.58
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC N-AUTOM URINALYS WO MICRO $17.55 Not listed in the file $9.20 – $17.55
Urine test (manual, without microscope): 10 of 47 insurance plan rates
  • AETNA — AETNA HMO/EPO: $16.67
  • AETNA — AETNA POS/QPOS: $16.67
  • AETNA — AETNA PPO: $16.67
  • AETNA — AETNA SRC: $16.67
  • ALLEGIANCE — ALLEGIANCE GROUP HEALTH: $16.67
  • ALLEGIANCE — CIGNA - COMMERCIAL: $16.67
  • ALLEGIANCE — CIGNA SCLHS EMPLOYEES: $9.20
  • BCBS/ANTHEM — BCBS MT - FEDERAL: $16.32
  • BCBS/ANTHEM — BCBS MT CLOSED PLAN: $16.32
  • BCBS/ANTHEM — BCBS MT POS: $16.32
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 $3.55 – $22.47
Urine test (manual, without microscope): 10 of 27 insurance plan rates
  • ALLEGIANCE — ALLEGIANCE MMIA: $9.92
  • ALLEGIANCE — WASHCO AND MRL: $8.70
  • BCBS/ANTHEM — BCBS MT - FEDERAL: $22.47
  • BCBS/ANTHEM — BCBS MT CLOSED PLAN: $22.47
  • BCBS/ANTHEM — BCBS MT POS: $22.47
  • BCBS/ANTHEM — BCBS MT POS EXCHANGE: $22.47
  • BCBS/ANTHEM — ST OF MT EMPLOYEES: $22.47
  • CHOICECARE HUMANA MRP — CHOICECARE HUMANA MEDICARE HMO: $3.58
  • CHOICECARE HUMANA MRP — CHOICECARE HUMANA MEDICARE PPO: $3.58
  • COASTAL ADMINISTRATIVE SERVICES — TOWN PUMP 6 DEGREES HEALTH: $7.31
Urine test (automated, without microscope) CPT 81003 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC URINALYSIS W/O MICRO AUTOMATED $58.97 Not listed in the file $33.61 – $58.97
Urine test (automated, without microscope): 10 of 47 insurance plan rates
  • AETNA — AETNA HMO/EPO: $56.02
  • AETNA — AETNA POS/QPOS: $56.02
  • AETNA — AETNA PPO: $56.02
  • AETNA — AETNA SRC: $56.02
  • ALLEGIANCE — ALLEGIANCE GROUP HEALTH: $56.02
  • ALLEGIANCE — CIGNA - COMMERCIAL: $56.02
  • ALLEGIANCE — CIGNA SCLHS EMPLOYEES: $46.15
  • BCBS/ANTHEM — BCBS MT - FEDERAL: $55.73
  • BCBS/ANTHEM — BCBS MT CLOSED PLAN: $55.73
  • BCBS/ANTHEM — BCBS MT POS: $55.73
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC URINALYSIS W/O MICRO AUTOMATED $58.97 Not listed in the file $30.90 – $58.97
Urine test (automated, without microscope): 10 of 47 insurance plan rates
  • AETNA — AETNA HMO/EPO: $56.02
  • AETNA — AETNA POS/QPOS: $56.02
  • AETNA — AETNA PPO: $56.02
  • AETNA — AETNA SRC: $56.02
  • ALLEGIANCE — ALLEGIANCE GROUP HEALTH: $56.02
  • ALLEGIANCE — CIGNA - COMMERCIAL: $56.02
  • ALLEGIANCE — CIGNA SCLHS EMPLOYEES: $30.90
  • BCBS/ANTHEM — BCBS MT - FEDERAL: $54.84
  • BCBS/ANTHEM — BCBS MT CLOSED PLAN: $54.84
  • BCBS/ANTHEM — BCBS MT POS: $54.84
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Urinalysis auto w/o scope Not listed in the file Not listed in the file $2.30 – $17.89
Urine test (automated, without microscope): 10 of 27 insurance plan rates
  • ALLEGIANCE — ALLEGIANCE MMIA: $6.41
  • ALLEGIANCE — WASHCO AND MRL: $5.63
  • BCBS/ANTHEM — BCBS MT - FEDERAL: $17.89
  • BCBS/ANTHEM — BCBS MT CLOSED PLAN: $17.89
  • BCBS/ANTHEM — BCBS MT POS: $17.89
  • BCBS/ANTHEM — BCBS MT POS EXCHANGE: $17.89
  • BCBS/ANTHEM — ST OF MT EMPLOYEES: $17.89
  • CHOICECARE HUMANA MRP — CHOICECARE HUMANA MEDICARE HMO: $2.32
  • CHOICECARE HUMANA MRP — CHOICECARE HUMANA MEDICARE PPO: $2.32
  • COASTAL ADMINISTRATIVE SERVICES — TOWN PUMP 6 DEGREES HEALTH: $4.73
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC PROSTATE SPECIFIC ANTIGEN COMPLEX $146.82 Not listed in the file $83.69 – $146.82
PSA (prostate specific antigen) blood test: 10 of 47 insurance plan rates
  • AETNA — AETNA HMO/EPO: $139.48
  • AETNA — AETNA POS/QPOS: $139.48
  • AETNA — AETNA PPO: $139.48
  • AETNA — AETNA SRC: $139.48
  • ALLEGIANCE — ALLEGIANCE GROUP HEALTH: $139.48
  • ALLEGIANCE — CIGNA - COMMERCIAL: $139.48
  • ALLEGIANCE — CIGNA SCLHS EMPLOYEES: $114.90
  • BCBS/ANTHEM — BCBS MT - FEDERAL: $138.74
  • BCBS/ANTHEM — BCBS MT CLOSED PLAN: $138.74
  • BCBS/ANTHEM — BCBS MT POS: $138.74
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC PROSTATIC SPECIFIC ANTIGEN TOTAL $159.42 Not listed in the file $90.87 – $159.42
PSA (prostate specific antigen) blood test: 10 of 47 insurance plan rates
  • AETNA — AETNA HMO/EPO: $151.45
  • AETNA — AETNA POS/QPOS: $151.45
  • AETNA — AETNA PPO: $151.45
  • AETNA — AETNA SRC: $151.45
  • ALLEGIANCE — ALLEGIANCE GROUP HEALTH: $151.45
  • ALLEGIANCE — CIGNA - COMMERCIAL: $151.45
  • ALLEGIANCE — CIGNA SCLHS EMPLOYEES: $124.76
  • BCBS/ANTHEM — BCBS MT - FEDERAL: $150.65
  • BCBS/ANTHEM — BCBS MT CLOSED PLAN: $150.65
  • BCBS/ANTHEM — BCBS MT POS: $150.65
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PROSTATE SPECIFIC ANTIGEN COMPLEX $146.82 Not listed in the file $76.93 – $146.82
PSA (prostate specific antigen) blood test: 10 of 47 insurance plan rates
  • AETNA — AETNA HMO/EPO: $139.48
  • AETNA — AETNA POS/QPOS: $139.48
  • AETNA — AETNA PPO: $139.48
  • AETNA — AETNA SRC: $139.48
  • ALLEGIANCE — ALLEGIANCE GROUP HEALTH: $139.48
  • ALLEGIANCE — CIGNA - COMMERCIAL: $139.48
  • ALLEGIANCE — CIGNA SCLHS EMPLOYEES: $76.93
  • BCBS/ANTHEM — BCBS MT - FEDERAL: $136.54
  • BCBS/ANTHEM — BCBS MT CLOSED PLAN: $136.54
  • BCBS/ANTHEM — BCBS MT POS: $136.54
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC TSH FOR PKU -RL $132.98 Not listed in the file $75.80 – $132.98
Thyroid stimulating hormone (TSH) test: 10 of 47 insurance plan rates
  • AETNA — AETNA HMO/EPO: $126.33
  • AETNA — AETNA POS/QPOS: $126.33
  • AETNA — AETNA PPO: $126.33
  • AETNA — AETNA SRC: $126.33
  • ALLEGIANCE — ALLEGIANCE GROUP HEALTH: $126.33
  • ALLEGIANCE — CIGNA - COMMERCIAL: $126.33
  • ALLEGIANCE — CIGNA SCLHS EMPLOYEES: $104.07
  • BCBS/ANTHEM — BCBS MT - FEDERAL: $125.67
  • BCBS/ANTHEM — BCBS MT CLOSED PLAN: $125.67
  • BCBS/ANTHEM — BCBS MT POS: $125.67
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC THYROID STIMULATING HORMONE $135.75 Not listed in the file $77.38 – $135.75
Thyroid stimulating hormone (TSH) test: 10 of 47 insurance plan rates
  • AETNA — AETNA HMO/EPO: $128.96
  • AETNA — AETNA POS/QPOS: $128.96
  • AETNA — AETNA PPO: $128.96
  • AETNA — AETNA SRC: $128.96
  • ALLEGIANCE — ALLEGIANCE GROUP HEALTH: $128.96
  • ALLEGIANCE — CIGNA - COMMERCIAL: $128.96
  • ALLEGIANCE — CIGNA SCLHS EMPLOYEES: $106.24
  • BCBS/ANTHEM — BCBS MT - FEDERAL: $128.28
  • BCBS/ANTHEM — BCBS MT CLOSED PLAN: $128.28
  • BCBS/ANTHEM — BCBS MT POS: $128.28
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC TSH FOR PKU -RL $132.98 Not listed in the file $69.68 – $132.98
Thyroid stimulating hormone (TSH) test: 10 of 47 insurance plan rates
  • AETNA — AETNA HMO/EPO: $126.33
  • AETNA — AETNA POS/QPOS: $126.33
  • AETNA — AETNA PPO: $126.33
  • AETNA — AETNA SRC: $126.33
  • ALLEGIANCE — ALLEGIANCE GROUP HEALTH: $126.33
  • ALLEGIANCE — CIGNA - COMMERCIAL: $126.33
  • ALLEGIANCE — CIGNA SCLHS EMPLOYEES: $69.68
  • BCBS/ANTHEM — BCBS MT - FEDERAL: $123.67
  • BCBS/ANTHEM — BCBS MT CLOSED PLAN: $123.67
  • BCBS/ANTHEM — BCBS MT POS: $123.67
Complete blood count (CBC) with differential CPT 85025 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC CBC/PLT AUTO DIFFERENTIAL $75.30 Not listed in the file $42.92 – $75.30
Complete blood count (CBC) with differential: 10 of 47 insurance plan rates
  • AETNA — AETNA HMO/EPO: $71.54
  • AETNA — AETNA POS/QPOS: $71.54
  • AETNA — AETNA PPO: $71.54
  • AETNA — AETNA SRC: $71.54
  • ALLEGIANCE — ALLEGIANCE GROUP HEALTH: $71.54
  • ALLEGIANCE — CIGNA - COMMERCIAL: $71.54
  • ALLEGIANCE — CIGNA SCLHS EMPLOYEES: $58.93
  • BCBS/ANTHEM — BCBS MT - FEDERAL: $71.16
  • BCBS/ANTHEM — BCBS MT CLOSED PLAN: $71.16
  • BCBS/ANTHEM — BCBS MT POS: $71.16
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC CBC/PLT AUTO DIFFERENTIAL $75.30 Not listed in the file $39.46 – $75.30
Complete blood count (CBC) with differential: 10 of 47 insurance plan rates
  • AETNA — AETNA HMO/EPO: $71.54
  • AETNA — AETNA POS/QPOS: $71.54
  • AETNA — AETNA PPO: $71.54
  • AETNA — AETNA SRC: $71.54
  • ALLEGIANCE — ALLEGIANCE GROUP HEALTH: $71.54
  • ALLEGIANCE — CIGNA - COMMERCIAL: $71.54
  • ALLEGIANCE — CIGNA SCLHS EMPLOYEES: $39.46
  • BCBS/ANTHEM — BCBS MT - FEDERAL: $70.03
  • BCBS/ANTHEM — BCBS MT CLOSED PLAN: $70.03
  • BCBS/ANTHEM — BCBS MT POS: $70.03
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Complete cbc w/auto diff wbc Not listed in the file Not listed in the file $7.93 – $61.90
Complete blood count (CBC) with differential: 10 of 27 insurance plan rates
  • ALLEGIANCE — ALLEGIANCE MMIA: $22.14
  • ALLEGIANCE — WASHCO AND MRL: $19.43
  • BCBS/ANTHEM — BCBS MT - FEDERAL: $61.90
  • BCBS/ANTHEM — BCBS MT CLOSED PLAN: $61.90
  • BCBS/ANTHEM — BCBS MT POS: $61.90
  • BCBS/ANTHEM — BCBS MT POS EXCHANGE: $61.90
  • BCBS/ANTHEM — ST OF MT EMPLOYEES: $61.90
  • CHOICECARE HUMANA MRP — CHOICECARE HUMANA MEDICARE HMO: $8
  • CHOICECARE HUMANA MRP — CHOICECARE HUMANA MEDICARE PPO: $8
  • COASTAL ADMINISTRATIVE SERVICES — TOWN PUMP 6 DEGREES HEALTH: $16.32
Complete blood count (CBC), automated CPT 85027 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC CBC W/O DIFFERENTIAL $64.50 Not listed in the file $36.76 – $64.50
Complete blood count (CBC), automated: 10 of 47 insurance plan rates
  • AETNA — AETNA HMO/EPO: $61.28
  • AETNA — AETNA POS/QPOS: $61.28
  • AETNA — AETNA PPO: $61.28
  • AETNA — AETNA SRC: $61.28
  • ALLEGIANCE — ALLEGIANCE GROUP HEALTH: $61.28
  • ALLEGIANCE — CIGNA - COMMERCIAL: $61.28
  • ALLEGIANCE — CIGNA SCLHS EMPLOYEES: $50.48
  • BCBS/ANTHEM — BCBS MT - FEDERAL: $60.95
  • BCBS/ANTHEM — BCBS MT CLOSED PLAN: $60.95
  • BCBS/ANTHEM — BCBS MT POS: $60.95
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC CBC W/O DIFFERENTIAL $64.50 Not listed in the file $33.80 – $64.50
Complete blood count (CBC), automated: 10 of 47 insurance plan rates
  • AETNA — AETNA HMO/EPO: $61.28
  • AETNA — AETNA POS/QPOS: $61.28
  • AETNA — AETNA PPO: $61.28
  • AETNA — AETNA SRC: $61.28
  • ALLEGIANCE — ALLEGIANCE GROUP HEALTH: $61.28
  • ALLEGIANCE — CIGNA - COMMERCIAL: $61.28
  • ALLEGIANCE — CIGNA SCLHS EMPLOYEES: $33.80
  • BCBS/ANTHEM — BCBS MT - FEDERAL: $59.99
  • BCBS/ANTHEM — BCBS MT CLOSED PLAN: $59.99
  • BCBS/ANTHEM — BCBS MT POS: $59.99
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Complete cbc automated Not listed in the file Not listed in the file $6.60 – $51.49
Complete blood count (CBC), automated: 10 of 27 insurance plan rates
  • ALLEGIANCE — ALLEGIANCE MMIA: $18.44
  • ALLEGIANCE — WASHCO AND MRL: $16.18
  • BCBS/ANTHEM — BCBS MT - FEDERAL: $51.49
  • BCBS/ANTHEM — BCBS MT CLOSED PLAN: $51.49
  • BCBS/ANTHEM — BCBS MT POS: $51.49
  • BCBS/ANTHEM — BCBS MT POS EXCHANGE: $51.49
  • BCBS/ANTHEM — ST OF MT EMPLOYEES: $51.49
  • CHOICECARE HUMANA MRP — CHOICECARE HUMANA MEDICARE HMO: $6.66
  • CHOICECARE HUMANA MRP — CHOICECARE HUMANA MEDICARE PPO: $6.66
  • COASTAL ADMINISTRATIVE SERVICES — TOWN PUMP 6 DEGREES HEALTH: $13.59
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC PROTHROMBIN TIME $51.29 Not listed in the file $29.24 – $51.29
Blood clotting time test (prothrombin time, PT): 10 of 47 insurance plan rates
  • AETNA — AETNA HMO/EPO: $48.73
  • AETNA — AETNA POS/QPOS: $48.73
  • AETNA — AETNA PPO: $48.73
  • AETNA — AETNA SRC: $48.73
  • ALLEGIANCE — ALLEGIANCE GROUP HEALTH: $48.73
  • ALLEGIANCE — CIGNA - COMMERCIAL: $48.73
  • ALLEGIANCE — CIGNA SCLHS EMPLOYEES: $40.14
  • BCBS/ANTHEM — BCBS MT - FEDERAL: $48.47
  • BCBS/ANTHEM — BCBS MT CLOSED PLAN: $48.47
  • BCBS/ANTHEM — BCBS MT POS: $48.47
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC PROTHROMBIN TIME POCL/POCBS $46.20 Not listed in the file $26.33 – $46.20
Blood clotting time test (prothrombin time, PT): 10 of 47 insurance plan rates
  • AETNA — AETNA HMO/EPO: $43.89
  • AETNA — AETNA POS/QPOS: $43.89
  • AETNA — AETNA PPO: $43.89
  • AETNA — AETNA SRC: $43.89
  • ALLEGIANCE — ALLEGIANCE GROUP HEALTH: $43.89
  • ALLEGIANCE — CIGNA - COMMERCIAL: $43.89
  • ALLEGIANCE — CIGNA SCLHS EMPLOYEES: $36.16
  • BCBS/ANTHEM — BCBS MT - FEDERAL: $43.66
  • BCBS/ANTHEM — BCBS MT CLOSED PLAN: $43.66
  • BCBS/ANTHEM — BCBS MT POS: $43.66
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PROTHROMBIN TIME $51.29 Not listed in the file $26.88 – $51.29
Blood clotting time test (prothrombin time, PT): 10 of 47 insurance plan rates
  • AETNA — AETNA HMO/EPO: $48.73
  • AETNA — AETNA POS/QPOS: $48.73
  • AETNA — AETNA PPO: $48.73
  • AETNA — AETNA SRC: $48.73
  • ALLEGIANCE — ALLEGIANCE GROUP HEALTH: $48.73
  • ALLEGIANCE — CIGNA - COMMERCIAL: $48.73
  • ALLEGIANCE — CIGNA SCLHS EMPLOYEES: $26.88
  • BCBS/ANTHEM — BCBS MT - FEDERAL: $47.70
  • BCBS/ANTHEM — BCBS MT CLOSED PLAN: $47.70
  • BCBS/ANTHEM — BCBS MT POS: $47.70
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC PARTIAL THROMBOPLASTIN TIME $97.26 Not listed in the file $55.44 – $97.26
Blood clotting test (partial thromboplastin time, PTT): 10 of 47 insurance plan rates
  • AETNA — AETNA HMO/EPO: $92.40
  • AETNA — AETNA POS/QPOS: $92.40
  • AETNA — AETNA PPO: $92.40
  • AETNA — AETNA SRC: $92.40
  • ALLEGIANCE — ALLEGIANCE GROUP HEALTH: $92.40
  • ALLEGIANCE — CIGNA - COMMERCIAL: $92.40
  • ALLEGIANCE — CIGNA SCLHS EMPLOYEES: $76.12
  • BCBS/ANTHEM — BCBS MT - FEDERAL: $91.91
  • BCBS/ANTHEM — BCBS MT CLOSED PLAN: $91.91
  • BCBS/ANTHEM — BCBS MT POS: $91.91
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PARTIAL THROMBOPLASTIN TIME $97.26 Not listed in the file $50.96 – $97.26
Blood clotting test (partial thromboplastin time, PTT): 10 of 47 insurance plan rates
  • AETNA — AETNA HMO/EPO: $92.40
  • AETNA — AETNA POS/QPOS: $92.40
  • AETNA — AETNA PPO: $92.40
  • AETNA — AETNA SRC: $92.40
  • ALLEGIANCE — ALLEGIANCE GROUP HEALTH: $92.40
  • ALLEGIANCE — CIGNA - COMMERCIAL: $92.40
  • ALLEGIANCE — CIGNA SCLHS EMPLOYEES: $50.96
  • BCBS/ANTHEM — BCBS MT - FEDERAL: $90.45
  • BCBS/ANTHEM — BCBS MT CLOSED PLAN: $90.45
  • BCBS/ANTHEM — BCBS MT POS: $90.45
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Thromboplastin time partial Not listed in the file Not listed in the file $6.13 – $47.88
Blood clotting test (partial thromboplastin time, PTT): 10 of 27 insurance plan rates
  • ALLEGIANCE — ALLEGIANCE MMIA: $17.13
  • ALLEGIANCE — WASHCO AND MRL: $15.03
  • BCBS/ANTHEM — BCBS MT - FEDERAL: $47.88
  • BCBS/ANTHEM — BCBS MT CLOSED PLAN: $47.88
  • BCBS/ANTHEM — BCBS MT POS: $47.88
  • BCBS/ANTHEM — BCBS MT POS EXCHANGE: $47.88
  • BCBS/ANTHEM — ST OF MT EMPLOYEES: $47.88
  • CHOICECARE HUMANA MRP — CHOICECARE HUMANA MEDICARE HMO: $6.19
  • CHOICECARE HUMANA MRP — CHOICECARE HUMANA MEDICARE PPO: $6.19
  • COASTAL ADMINISTRATIVE SERVICES — TOWN PUMP 6 DEGREES HEALTH: $12.62

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

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
CT scan of the head or brain, without contrast CPT 70450 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC CT HEAD/BRAIN W/O CONTRAST $1,824.90 Not listed in the file $1,040.19 – $1,824.90
CT scan of the head or brain, without contrast: 10 of 47 insurance plan rates
  • AETNA — AETNA HMO/EPO: $1,733.66
  • AETNA — AETNA POS/QPOS: $1,733.66
  • AETNA — AETNA PPO: $1,733.66
  • AETNA — AETNA SRC: $1,733.66
  • ALLEGIANCE — ALLEGIANCE GROUP HEALTH: $1,733.66
  • ALLEGIANCE — CIGNA - COMMERCIAL: $1,733.66
  • ALLEGIANCE — CIGNA SCLHS EMPLOYEES: $1,428.17
  • BCBS/ANTHEM — BCBS MT - FEDERAL: $1,724.53
  • BCBS/ANTHEM — BCBS MT CLOSED PLAN: $1,724.53
  • BCBS/ANTHEM — BCBS MT POS: $1,724.53
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC CT HEAD/BRAIN W/O CONTRAST $1,824.90 Not listed in the file $956.25 – $1,824.90
CT scan of the head or brain, without contrast: 10 of 47 insurance plan rates
  • AETNA — AETNA HMO/EPO: $1,733.66
  • AETNA — AETNA POS/QPOS: $1,733.66
  • AETNA — AETNA PPO: $1,733.66
  • AETNA — AETNA SRC: $1,733.66
  • ALLEGIANCE — ALLEGIANCE GROUP HEALTH: $1,733.66
  • ALLEGIANCE — CIGNA - COMMERCIAL: $1,733.66
  • ALLEGIANCE — CIGNA SCLHS EMPLOYEES: $956.25
  • BCBS/ANTHEM — BCBS MT - FEDERAL: $1,697.16
  • BCBS/ANTHEM — BCBS MT CLOSED PLAN: $1,697.16
  • BCBS/ANTHEM — BCBS MT POS: $1,697.16
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 $108.47 – $1,630.83
CT scan of the head or brain, without contrast: 10 of 27 insurance plan rates
  • ALLEGIANCE — ALLEGIANCE MMIA: $303.08
  • ALLEGIANCE — WASHCO AND MRL: $265.86
  • BCBS/ANTHEM — BCBS MT - FEDERAL: $1,630.83
  • BCBS/ANTHEM — BCBS MT CLOSED PLAN: $1,630.83
  • BCBS/ANTHEM — BCBS MT POS: $1,630.83
  • BCBS/ANTHEM — BCBS MT POS EXCHANGE: $1,630.83
  • BCBS/ANTHEM — ST OF MT EMPLOYEES: $1,630.83
  • CHOICECARE HUMANA MRP — CHOICECARE HUMANA MEDICARE HMO: $109.53
  • CHOICECARE HUMANA MRP — CHOICECARE HUMANA MEDICARE PPO: $109.53
  • COASTAL ADMINISTRATIVE SERVICES — TOWN PUMP 6 DEGREES HEALTH: $223.32
MRI of the brain, before and after contrast CPT 70553 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC MRI BRAIN W/WO CONTRAST $4,004.05 Not listed in the file $2,282.31 – $4,004.05
MRI of the brain, before and after contrast: 10 of 47 insurance plan rates
  • AETNA — AETNA HMO/EPO: $3,803.85
  • AETNA — AETNA POS/QPOS: $3,803.85
  • AETNA — AETNA PPO: $3,803.85
  • AETNA — AETNA SRC: $3,803.85
  • ALLEGIANCE — ALLEGIANCE GROUP HEALTH: $3,803.85
  • ALLEGIANCE — CIGNA - COMMERCIAL: $3,803.85
  • ALLEGIANCE — CIGNA SCLHS EMPLOYEES: $3,133.57
  • BCBS/ANTHEM — BCBS MT - FEDERAL: $3,783.83
  • BCBS/ANTHEM — BCBS MT CLOSED PLAN: $3,783.83
  • BCBS/ANTHEM — BCBS MT POS: $3,783.83
MRI of the brain, before and after contrast CPT 70553 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC MRI IAC'S W AND W/O CONTRAST LIMITED $3,837.90 Not listed in the file $2,187.60 – $3,837.90
MRI of the brain, before and after contrast: 10 of 47 insurance plan rates
  • AETNA — AETNA HMO/EPO: $3,646
  • AETNA — AETNA POS/QPOS: $3,646
  • AETNA — AETNA PPO: $3,646
  • AETNA — AETNA SRC: $3,646
  • ALLEGIANCE — ALLEGIANCE GROUP HEALTH: $3,646
  • ALLEGIANCE — CIGNA - COMMERCIAL: $3,646
  • ALLEGIANCE — CIGNA SCLHS EMPLOYEES: $3,003.54
  • BCBS/ANTHEM — BCBS MT - FEDERAL: $3,626.82
  • BCBS/ANTHEM — BCBS MT CLOSED PLAN: $3,626.82
  • BCBS/ANTHEM — BCBS MT POS: $3,626.82
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC MRI BRAIN W/WO CONTRAST $4,004.05 Not listed in the file $2,098.12 – $4,004.05
MRI of the brain, before and after contrast: 10 of 47 insurance plan rates
  • AETNA — AETNA HMO/EPO: $3,803.85
  • AETNA — AETNA POS/QPOS: $3,803.85
  • AETNA — AETNA PPO: $3,803.85
  • AETNA — AETNA SRC: $3,803.85
  • ALLEGIANCE — ALLEGIANCE GROUP HEALTH: $3,803.85
  • ALLEGIANCE — CIGNA - COMMERCIAL: $3,803.85
  • ALLEGIANCE — CIGNA SCLHS EMPLOYEES: $2,098.12
  • BCBS/ANTHEM — BCBS MT - FEDERAL: $3,723.77
  • BCBS/ANTHEM — BCBS MT CLOSED PLAN: $3,723.77
  • BCBS/ANTHEM — BCBS MT POS: $3,723.77
Chest X-ray, 2 views CPT 71046 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC DI CHEST 2 VIEWS $308 Not listed in the file $175.56 – $308
Chest X-ray, 2 views: 10 of 47 insurance plan rates
  • AETNA — AETNA HMO/EPO: $292.60
  • AETNA — AETNA POS/QPOS: $292.60
  • AETNA — AETNA PPO: $292.60
  • AETNA — AETNA SRC: $292.60
  • ALLEGIANCE — ALLEGIANCE GROUP HEALTH: $292.60
  • ALLEGIANCE — CIGNA - COMMERCIAL: $292.60
  • ALLEGIANCE — CIGNA SCLHS EMPLOYEES: $241.04
  • BCBS/ANTHEM — BCBS MT - FEDERAL: $291.06
  • BCBS/ANTHEM — BCBS MT CLOSED PLAN: $291.06
  • BCBS/ANTHEM — BCBS MT POS: $291.06
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC DI CHEST 2 VIEWS $308 Not listed in the file $161.39 – $308
Chest X-ray, 2 views: 10 of 47 insurance plan rates
  • AETNA — AETNA HMO/EPO: $292.60
  • AETNA — AETNA POS/QPOS: $292.60
  • AETNA — AETNA PPO: $292.60
  • AETNA — AETNA SRC: $292.60
  • ALLEGIANCE — ALLEGIANCE GROUP HEALTH: $292.60
  • ALLEGIANCE — CIGNA - COMMERCIAL: $292.60
  • ALLEGIANCE — CIGNA SCLHS EMPLOYEES: $161.39
  • BCBS/ANTHEM — BCBS MT - FEDERAL: $286.44
  • BCBS/ANTHEM — BCBS MT CLOSED PLAN: $286.44
  • BCBS/ANTHEM — BCBS MT POS: $286.44
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 $89.81 – $250.93
Chest X-ray, 2 views: 10 of 15 insurance plan rates
  • ALLEGIANCE — ALLEGIANCE MMIA: $250.93
  • ALLEGIANCE — WASHCO AND MRL: $220.11
  • BCBS/ANTHEM — BCBS MT - FEDERAL: $150.16
  • BCBS/ANTHEM — BCBS MT CLOSED PLAN: $150.16
  • BCBS/ANTHEM — BCBS MT POS: $150.16
  • BCBS/ANTHEM — BCBS MT POS EXCHANGE: $150.16
  • BCBS/ANTHEM — ST OF MT EMPLOYEES: $150.16
  • CHOICECARE HUMANA MRP — CHOICECARE HUMANA MEDICARE HMO: $90.69
  • CHOICECARE HUMANA MRP — CHOICECARE HUMANA MEDICARE PPO: $90.69
  • COASTAL ADMINISTRATIVE SERVICES — TOWN PUMP 6 DEGREES HEALTH: $184.90
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC DI L SPINE AP/LAT/OBL/OR FLEX/EXT $440.35 Not listed in the file $251 – $440.35
X-ray of the lower spine, at least 4 views: 10 of 47 insurance plan rates
  • AETNA — AETNA HMO/EPO: $418.33
  • AETNA — AETNA POS/QPOS: $418.33
  • AETNA — AETNA PPO: $418.33
  • AETNA — AETNA SRC: $418.33
  • ALLEGIANCE — ALLEGIANCE GROUP HEALTH: $418.33
  • ALLEGIANCE — CIGNA - COMMERCIAL: $418.33
  • ALLEGIANCE — CIGNA SCLHS EMPLOYEES: $344.62
  • BCBS/ANTHEM — BCBS MT - FEDERAL: $416.13
  • BCBS/ANTHEM — BCBS MT CLOSED PLAN: $416.13
  • BCBS/ANTHEM — BCBS MT POS: $416.13
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC DI L SPINE AP/LAT/OBL/OR FLEX/EXT $440.35 Not listed in the file $230.74 – $440.35
X-ray of the lower spine, at least 4 views: 10 of 47 insurance plan rates
  • AETNA — AETNA HMO/EPO: $418.33
  • AETNA — AETNA POS/QPOS: $418.33
  • AETNA — AETNA PPO: $418.33
  • AETNA — AETNA SRC: $418.33
  • ALLEGIANCE — ALLEGIANCE GROUP HEALTH: $418.33
  • ALLEGIANCE — CIGNA - COMMERCIAL: $418.33
  • ALLEGIANCE — CIGNA SCLHS EMPLOYEES: $230.74
  • BCBS/ANTHEM — BCBS MT - FEDERAL: $409.53
  • BCBS/ANTHEM — BCBS MT CLOSED PLAN: $409.53
  • BCBS/ANTHEM — BCBS MT POS: $409.53
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 $108.47 – $303.08
X-ray of the lower spine, at least 4 views: 10 of 27 insurance plan rates
  • ALLEGIANCE — ALLEGIANCE MMIA: $303.08
  • ALLEGIANCE — WASHCO AND MRL: $265.86
  • BCBS/ANTHEM — BCBS MT - FEDERAL: $253.93
  • BCBS/ANTHEM — BCBS MT CLOSED PLAN: $253.93
  • BCBS/ANTHEM — BCBS MT POS: $253.93
  • BCBS/ANTHEM — BCBS MT POS EXCHANGE: $253.93
  • BCBS/ANTHEM — ST OF MT EMPLOYEES: $253.93
  • CHOICECARE HUMANA MRP — CHOICECARE HUMANA MEDICARE HMO: $109.53
  • CHOICECARE HUMANA MRP — CHOICECARE HUMANA MEDICARE PPO: $109.53
  • COASTAL ADMINISTRATIVE SERVICES — TOWN PUMP 6 DEGREES HEALTH: $223.32
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC MRI LUMBAR SPINE W/O CONTRAST $2,213.75 Not listed in the file $1,261.84 – $2,213.75
MRI of the lower back (lumbar spine), without contrast: 10 of 47 insurance plan rates
  • AETNA — AETNA HMO/EPO: $2,103.06
  • AETNA — AETNA POS/QPOS: $2,103.06
  • AETNA — AETNA PPO: $2,103.06
  • AETNA — AETNA SRC: $2,103.06
  • ALLEGIANCE — ALLEGIANCE GROUP HEALTH: $2,103.06
  • ALLEGIANCE — CIGNA - COMMERCIAL: $2,103.06
  • ALLEGIANCE — CIGNA SCLHS EMPLOYEES: $1,732.48
  • BCBS/ANTHEM — BCBS MT - FEDERAL: $2,091.99
  • BCBS/ANTHEM — BCBS MT CLOSED PLAN: $2,091.99
  • BCBS/ANTHEM — BCBS MT POS: $2,091.99
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC MRI LUMBAR SPINE W/O CONTRAST-LIMITED $2,213.75 Not listed in the file $1,261.84 – $2,213.75
MRI of the lower back (lumbar spine), without contrast: 10 of 47 insurance plan rates
  • AETNA — AETNA HMO/EPO: $2,103.06
  • AETNA — AETNA POS/QPOS: $2,103.06
  • AETNA — AETNA PPO: $2,103.06
  • AETNA — AETNA SRC: $2,103.06
  • ALLEGIANCE — ALLEGIANCE GROUP HEALTH: $2,103.06
  • ALLEGIANCE — CIGNA - COMMERCIAL: $2,103.06
  • ALLEGIANCE — CIGNA SCLHS EMPLOYEES: $1,732.48
  • BCBS/ANTHEM — BCBS MT - FEDERAL: $2,091.99
  • BCBS/ANTHEM — BCBS MT CLOSED PLAN: $2,091.99
  • BCBS/ANTHEM — BCBS MT POS: $2,091.99
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC MRI LUMBAR SPINE W/O CONTRAST $2,213.75 Not listed in the file $1,160.01 – $2,213.75
MRI of the lower back (lumbar spine), without contrast: 10 of 47 insurance plan rates
  • AETNA — AETNA HMO/EPO: $2,103.06
  • AETNA — AETNA POS/QPOS: $2,103.06
  • AETNA — AETNA PPO: $2,103.06
  • AETNA — AETNA SRC: $2,103.06
  • ALLEGIANCE — ALLEGIANCE GROUP HEALTH: $2,103.06
  • ALLEGIANCE — CIGNA - COMMERCIAL: $2,103.06
  • ALLEGIANCE — CIGNA SCLHS EMPLOYEES: $1,160.01
  • BCBS/ANTHEM — BCBS MT - FEDERAL: $2,058.79
  • BCBS/ANTHEM — BCBS MT CLOSED PLAN: $2,058.79
  • BCBS/ANTHEM — BCBS MT POS: $2,058.79
CT scan of the pelvis, with contrast CPT 72193 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC CT PELVIS W/CONTRAST $2,405.50 Not listed in the file $1,371.14 – $2,405.50
CT scan of the pelvis, with contrast: 10 of 47 insurance plan rates
  • AETNA — AETNA HMO/EPO: $2,285.22
  • AETNA — AETNA POS/QPOS: $2,285.22
  • AETNA — AETNA PPO: $2,285.22
  • AETNA — AETNA SRC: $2,285.22
  • ALLEGIANCE — ALLEGIANCE GROUP HEALTH: $2,285.22
  • ALLEGIANCE — CIGNA - COMMERCIAL: $2,285.22
  • ALLEGIANCE — CIGNA SCLHS EMPLOYEES: $1,882.54
  • BCBS/ANTHEM — BCBS MT - FEDERAL: $2,273.20
  • BCBS/ANTHEM — BCBS MT CLOSED PLAN: $2,273.20
  • BCBS/ANTHEM — BCBS MT POS: $2,273.20
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC CT PELVIS W/CONTRAST $2,405.50 Not listed in the file $1,260.48 – $2,405.50
CT scan of the pelvis, with contrast: 10 of 47 insurance plan rates
  • AETNA — AETNA HMO/EPO: $2,285.22
  • AETNA — AETNA POS/QPOS: $2,285.22
  • AETNA — AETNA PPO: $2,285.22
  • AETNA — AETNA SRC: $2,285.22
  • ALLEGIANCE — ALLEGIANCE GROUP HEALTH: $2,285.22
  • ALLEGIANCE — CIGNA - COMMERCIAL: $2,285.22
  • ALLEGIANCE — CIGNA SCLHS EMPLOYEES: $1,260.48
  • BCBS/ANTHEM — BCBS MT - FEDERAL: $2,237.12
  • BCBS/ANTHEM — BCBS MT CLOSED PLAN: $2,237.12
  • BCBS/ANTHEM — BCBS MT POS: $2,237.12
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 $181.58 – $3,726.52
CT scan of the pelvis, with contrast: 10 of 27 insurance plan rates
  • ALLEGIANCE — ALLEGIANCE MMIA: $507.35
  • ALLEGIANCE — WASHCO AND MRL: $445.04
  • BCBS/ANTHEM — BCBS MT - FEDERAL: $3,726.52
  • BCBS/ANTHEM — BCBS MT CLOSED PLAN: $3,726.52
  • BCBS/ANTHEM — BCBS MT POS: $3,726.52
  • BCBS/ANTHEM — BCBS MT POS EXCHANGE: $3,726.52
  • BCBS/ANTHEM — ST OF MT EMPLOYEES: $3,726.52
  • CHOICECARE HUMANA MRP — CHOICECARE HUMANA MEDICARE HMO: $183.36
  • CHOICECARE HUMANA MRP — CHOICECARE HUMANA MEDICARE PPO: $183.36
  • COASTAL ADMINISTRATIVE SERVICES — TOWN PUMP 6 DEGREES HEALTH: $373.84
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC MRI LOWER JOINT UNILATERAL W/O CONTRAST $2,296 Not listed in the file $1,308.72 – $2,296
MRI of a leg joint (such as the knee), without contrast: 10 of 47 insurance plan rates
  • AETNA — AETNA HMO/EPO: $2,181.20
  • AETNA — AETNA POS/QPOS: $2,181.20
  • AETNA — AETNA PPO: $2,181.20
  • AETNA — AETNA SRC: $2,181.20
  • ALLEGIANCE — ALLEGIANCE GROUP HEALTH: $2,181.20
  • ALLEGIANCE — CIGNA - COMMERCIAL: $2,181.20
  • ALLEGIANCE — CIGNA SCLHS EMPLOYEES: $1,796.85
  • BCBS/ANTHEM — BCBS MT - FEDERAL: $2,169.72
  • BCBS/ANTHEM — BCBS MT CLOSED PLAN: $2,169.72
  • BCBS/ANTHEM — BCBS MT POS: $2,169.72
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC MRI LOWER JOINT UNILATERAL W/O CONTRAST $2,296 Not listed in the file $1,203.10 – $2,296
MRI of a leg joint (such as the knee), without contrast: 10 of 47 insurance plan rates
  • AETNA — AETNA HMO/EPO: $2,181.20
  • AETNA — AETNA POS/QPOS: $2,181.20
  • AETNA — AETNA PPO: $2,181.20
  • AETNA — AETNA SRC: $2,181.20
  • ALLEGIANCE — ALLEGIANCE GROUP HEALTH: $2,181.20
  • ALLEGIANCE — CIGNA - COMMERCIAL: $2,181.20
  • ALLEGIANCE — CIGNA SCLHS EMPLOYEES: $1,203.10
  • BCBS/ANTHEM — BCBS MT - FEDERAL: $2,135.28
  • BCBS/ANTHEM — BCBS MT CLOSED PLAN: $2,135.28
  • BCBS/ANTHEM — BCBS MT POS: $2,135.28
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 $246.55 – $3,773.84
MRI of a leg joint (such as the knee), without contrast: 10 of 27 insurance plan rates
  • ALLEGIANCE — ALLEGIANCE MMIA: $688.90
  • ALLEGIANCE — WASHCO AND MRL: $604.30
  • BCBS/ANTHEM — BCBS MT - FEDERAL: $3,773.84
  • BCBS/ANTHEM — BCBS MT CLOSED PLAN: $3,773.84
  • BCBS/ANTHEM — BCBS MT POS: $3,773.84
  • BCBS/ANTHEM — BCBS MT POS EXCHANGE: $3,773.84
  • BCBS/ANTHEM — ST OF MT EMPLOYEES: $3,773.84
  • CHOICECARE HUMANA MRP — CHOICECARE HUMANA MEDICARE HMO: $248.97
  • CHOICECARE HUMANA MRP — CHOICECARE HUMANA MEDICARE PPO: $248.97
  • COASTAL ADMINISTRATIVE SERVICES — TOWN PUMP 6 DEGREES HEALTH: $507.61
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC CT ABDOMEN & PELVIS W/CONTRAST $3,208.95 Not listed in the file $1,829.10 – $3,208.95
CT scan of the abdomen and pelvis, with contrast: 10 of 47 insurance plan rates
  • AETNA — AETNA HMO/EPO: $3,048.50
  • AETNA — AETNA POS/QPOS: $3,048.50
  • AETNA — AETNA PPO: $3,048.50
  • AETNA — AETNA SRC: $3,048.50
  • ALLEGIANCE — ALLEGIANCE GROUP HEALTH: $3,048.50
  • ALLEGIANCE — CIGNA - COMMERCIAL: $3,048.50
  • ALLEGIANCE — CIGNA SCLHS EMPLOYEES: $2,511.32
  • BCBS/ANTHEM — BCBS MT - FEDERAL: $3,032.46
  • BCBS/ANTHEM — BCBS MT CLOSED PLAN: $3,032.46
  • BCBS/ANTHEM — BCBS MT POS: $3,032.46
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC CT ABDOMEN & PELVIS W/CONTRAST $3,208.95 Not listed in the file $1,681.49 – $3,208.95
CT scan of the abdomen and pelvis, with contrast: 10 of 47 insurance plan rates
  • AETNA — AETNA HMO/EPO: $3,048.50
  • AETNA — AETNA POS/QPOS: $3,048.50
  • AETNA — AETNA PPO: $3,048.50
  • AETNA — AETNA SRC: $3,048.50
  • ALLEGIANCE — ALLEGIANCE GROUP HEALTH: $3,048.50
  • ALLEGIANCE — CIGNA - COMMERCIAL: $3,048.50
  • ALLEGIANCE — CIGNA SCLHS EMPLOYEES: $1,681.49
  • BCBS/ANTHEM — BCBS MT - FEDERAL: $2,984.32
  • BCBS/ANTHEM — BCBS MT CLOSED PLAN: $2,984.32
  • BCBS/ANTHEM — BCBS MT POS: $2,984.32
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Ct abd & pelvis w/contrast Not listed in the file Not listed in the file $364.27 – $4,900.50
CT scan of the abdomen and pelvis, with contrast: 10 of 27 insurance plan rates
  • ALLEGIANCE — ALLEGIANCE MMIA: $1,017.82
  • ALLEGIANCE — WASHCO AND MRL: $892.83
  • BCBS/ANTHEM — BCBS MT - FEDERAL: $4,900.50
  • BCBS/ANTHEM — BCBS MT CLOSED PLAN: $4,900.50
  • BCBS/ANTHEM — BCBS MT POS: $4,900.50
  • BCBS/ANTHEM — BCBS MT POS EXCHANGE: $4,900.50
  • BCBS/ANTHEM — ST OF MT EMPLOYEES: $4,900.50
  • CHOICECARE HUMANA MRP — CHOICECARE HUMANA MEDICARE HMO: $367.84
  • CHOICECARE HUMANA MRP — CHOICECARE HUMANA MEDICARE PPO: $367.84
  • COASTAL ADMINISTRATIVE SERVICES — TOWN PUMP 6 DEGREES HEALTH: $749.97
Ultrasound of the abdomen, complete CPT 76700 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC ULTRASOUND ABDOMEN COMPLETE $645.05 Not listed in the file $367.68 – $645.05
Ultrasound of the abdomen, complete: 10 of 47 insurance plan rates
  • AETNA — AETNA HMO/EPO: $612.80
  • AETNA — AETNA POS/QPOS: $612.80
  • AETNA — AETNA PPO: $612.80
  • AETNA — AETNA SRC: $612.80
  • ALLEGIANCE — ALLEGIANCE GROUP HEALTH: $612.80
  • ALLEGIANCE — CIGNA - COMMERCIAL: $612.80
  • ALLEGIANCE — CIGNA SCLHS EMPLOYEES: $504.82
  • BCBS/ANTHEM — BCBS MT - FEDERAL: $609.57
  • BCBS/ANTHEM — BCBS MT CLOSED PLAN: $609.57
  • BCBS/ANTHEM — BCBS MT POS: $609.57
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC ULTRASOUND ABDOMEN COMPLETE $645.05 Not listed in the file $338.01 – $645.05
Ultrasound of the abdomen, complete: 10 of 47 insurance plan rates
  • AETNA — AETNA HMO/EPO: $612.80
  • AETNA — AETNA POS/QPOS: $612.80
  • AETNA — AETNA PPO: $612.80
  • AETNA — AETNA SRC: $612.80
  • ALLEGIANCE — ALLEGIANCE GROUP HEALTH: $612.80
  • ALLEGIANCE — CIGNA - COMMERCIAL: $612.80
  • ALLEGIANCE — CIGNA SCLHS EMPLOYEES: $338.01
  • BCBS/ANTHEM — BCBS MT - FEDERAL: $599.90
  • BCBS/ANTHEM — BCBS MT CLOSED PLAN: $599.90
  • BCBS/ANTHEM — BCBS MT POS: $599.90
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Us exam abdom complete Not listed in the file Not listed in the file $108.47 – $638.87
Ultrasound of the abdomen, complete: 10 of 27 insurance plan rates
  • ALLEGIANCE — ALLEGIANCE MMIA: $303.08
  • ALLEGIANCE — WASHCO AND MRL: $265.86
  • BCBS/ANTHEM — BCBS MT - FEDERAL: $638.87
  • BCBS/ANTHEM — BCBS MT CLOSED PLAN: $638.87
  • BCBS/ANTHEM — BCBS MT POS: $638.87
  • BCBS/ANTHEM — BCBS MT POS EXCHANGE: $638.87
  • BCBS/ANTHEM — ST OF MT EMPLOYEES: $638.87
  • CHOICECARE HUMANA MRP — CHOICECARE HUMANA MEDICARE HMO: $109.53
  • CHOICECARE HUMANA MRP — CHOICECARE HUMANA MEDICARE PPO: $109.53
  • COASTAL ADMINISTRATIVE SERVICES — TOWN PUMP 6 DEGREES HEALTH: $223.32
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC US PREG 2ND/3RD TRIMESTER $725.35 Not listed in the file $413.45 – $725.35
Pregnancy ultrasound (after the first trimester): 10 of 47 insurance plan rates
  • AETNA — AETNA HMO/EPO: $689.08
  • AETNA — AETNA POS/QPOS: $689.08
  • AETNA — AETNA PPO: $689.08
  • AETNA — AETNA SRC: $689.08
  • ALLEGIANCE — ALLEGIANCE GROUP HEALTH: $689.08
  • ALLEGIANCE — CIGNA - COMMERCIAL: $689.08
  • ALLEGIANCE — CIGNA SCLHS EMPLOYEES: $567.66
  • BCBS/ANTHEM — BCBS MT - FEDERAL: $685.46
  • BCBS/ANTHEM — BCBS MT CLOSED PLAN: $685.46
  • BCBS/ANTHEM — BCBS MT POS: $685.46
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC US PREG 2ND/3RD TRIMESTER $725.35 Not listed in the file $380.08 – $725.35
Pregnancy ultrasound (after the first trimester): 10 of 47 insurance plan rates
  • AETNA — AETNA HMO/EPO: $689.08
  • AETNA — AETNA POS/QPOS: $689.08
  • AETNA — AETNA PPO: $689.08
  • AETNA — AETNA SRC: $689.08
  • ALLEGIANCE — ALLEGIANCE GROUP HEALTH: $689.08
  • ALLEGIANCE — CIGNA - COMMERCIAL: $689.08
  • ALLEGIANCE — CIGNA SCLHS EMPLOYEES: $380.08
  • BCBS/ANTHEM — BCBS MT - FEDERAL: $674.58
  • BCBS/ANTHEM — BCBS MT CLOSED PLAN: $674.58
  • BCBS/ANTHEM — BCBS MT POS: $674.58
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 $108.47 – $715.30
Pregnancy ultrasound (after the first trimester): 10 of 27 insurance plan rates
  • ALLEGIANCE — ALLEGIANCE MMIA: $303.08
  • ALLEGIANCE — WASHCO AND MRL: $265.86
  • BCBS/ANTHEM — BCBS MT - FEDERAL: $715.30
  • BCBS/ANTHEM — BCBS MT CLOSED PLAN: $715.30
  • BCBS/ANTHEM — BCBS MT POS: $715.30
  • BCBS/ANTHEM — BCBS MT POS EXCHANGE: $715.30
  • BCBS/ANTHEM — ST OF MT EMPLOYEES: $715.30
  • CHOICECARE HUMANA MRP — CHOICECARE HUMANA MEDICARE HMO: $109.53
  • CHOICECARE HUMANA MRP — CHOICECARE HUMANA MEDICARE PPO: $109.53
  • COASTAL ADMINISTRATIVE SERVICES — TOWN PUMP 6 DEGREES HEALTH: $223.32
Transvaginal ultrasound CPT 76830 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC US TRANSVAGINAL NON-OB S&I $640.65 Not listed in the file $365.17 – $640.65
Transvaginal ultrasound: 10 of 47 insurance plan rates
  • AETNA — AETNA HMO/EPO: $608.62
  • AETNA — AETNA POS/QPOS: $608.62
  • AETNA — AETNA PPO: $608.62
  • AETNA — AETNA SRC: $608.62
  • ALLEGIANCE — ALLEGIANCE GROUP HEALTH: $608.62
  • ALLEGIANCE — CIGNA - COMMERCIAL: $608.62
  • ALLEGIANCE — CIGNA SCLHS EMPLOYEES: $501.37
  • BCBS/ANTHEM — BCBS MT - FEDERAL: $605.41
  • BCBS/ANTHEM — BCBS MT CLOSED PLAN: $605.41
  • BCBS/ANTHEM — BCBS MT POS: $605.41
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC US TRANSVAGINAL NON-OB S&I $640.65 Not listed in the file $335.70 – $640.65
Transvaginal ultrasound: 10 of 47 insurance plan rates
  • AETNA — AETNA HMO/EPO: $608.62
  • AETNA — AETNA POS/QPOS: $608.62
  • AETNA — AETNA PPO: $608.62
  • AETNA — AETNA SRC: $608.62
  • ALLEGIANCE — ALLEGIANCE GROUP HEALTH: $608.62
  • ALLEGIANCE — CIGNA - COMMERCIAL: $608.62
  • ALLEGIANCE — CIGNA SCLHS EMPLOYEES: $335.70
  • BCBS/ANTHEM — BCBS MT - FEDERAL: $595.80
  • BCBS/ANTHEM — BCBS MT CLOSED PLAN: $595.80
  • BCBS/ANTHEM — BCBS MT POS: $595.80
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 $108.47 – $679.81
Transvaginal ultrasound: 10 of 27 insurance plan rates
  • ALLEGIANCE — ALLEGIANCE MMIA: $303.08
  • ALLEGIANCE — WASHCO AND MRL: $265.86
  • BCBS/ANTHEM — BCBS MT - FEDERAL: $679.81
  • BCBS/ANTHEM — BCBS MT CLOSED PLAN: $679.81
  • BCBS/ANTHEM — BCBS MT POS: $679.81
  • BCBS/ANTHEM — BCBS MT POS EXCHANGE: $679.81
  • BCBS/ANTHEM — ST OF MT EMPLOYEES: $679.81
  • CHOICECARE HUMANA MRP — CHOICECARE HUMANA MEDICARE HMO: $109.53
  • CHOICECARE HUMANA MRP — CHOICECARE HUMANA MEDICARE PPO: $109.53
  • COASTAL ADMINISTRATIVE SERVICES — TOWN PUMP 6 DEGREES HEALTH: $223.32
Diagnostic mammogram, one breast CPT 77065 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC DIAG MAMMO, UNILATERAL INCL CAD WHEN PERFORMED $611.40 Not listed in the file $348.50 – $611.40
Diagnostic mammogram, one breast: 10 of 47 insurance plan rates
  • AETNA — AETNA HMO/EPO: $580.83
  • AETNA — AETNA POS/QPOS: $580.83
  • AETNA — AETNA PPO: $580.83
  • AETNA — AETNA SRC: $580.83
  • ALLEGIANCE — ALLEGIANCE GROUP HEALTH: $580.83
  • ALLEGIANCE — CIGNA - COMMERCIAL: $580.83
  • ALLEGIANCE — CIGNA SCLHS EMPLOYEES: $478.48
  • BCBS/ANTHEM — BCBS MT - FEDERAL: $577.77
  • BCBS/ANTHEM — BCBS MT CLOSED PLAN: $577.77
  • BCBS/ANTHEM — BCBS MT POS: $577.77
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC DIAG MAMMO, UNILATERAL INCL CAD WHEN PERFORMED $611.40 Not listed in the file $320.37 – $611.40
Diagnostic mammogram, one breast: 10 of 47 insurance plan rates
  • AETNA — AETNA HMO/EPO: $580.83
  • AETNA — AETNA POS/QPOS: $580.83
  • AETNA — AETNA PPO: $580.83
  • AETNA — AETNA SRC: $580.83
  • ALLEGIANCE — ALLEGIANCE GROUP HEALTH: $580.83
  • ALLEGIANCE — CIGNA - COMMERCIAL: $580.83
  • ALLEGIANCE — CIGNA SCLHS EMPLOYEES: $320.37
  • BCBS/ANTHEM — BCBS MT - FEDERAL: $568.60
  • BCBS/ANTHEM — BCBS MT CLOSED PLAN: $568.60
  • BCBS/ANTHEM — BCBS MT POS: $568.60
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 $124.34 – $728.99
Diagnostic mammogram, one breast: 10 of 27 insurance plan rates
  • ALLEGIANCE — ALLEGIANCE MMIA: $347.42
  • ALLEGIANCE — WASHCO AND MRL: $304.75
  • BCBS/ANTHEM — BCBS MT - FEDERAL: $728.99
  • BCBS/ANTHEM — BCBS MT CLOSED PLAN: $728.99
  • BCBS/ANTHEM — BCBS MT POS: $728.99
  • BCBS/ANTHEM — BCBS MT POS EXCHANGE: $728.99
  • BCBS/ANTHEM — ST OF MT EMPLOYEES: $728.99
  • CHOICECARE HUMANA MRP — CHOICECARE HUMANA MEDICARE HMO: $125.56
  • CHOICECARE HUMANA MRP — CHOICECARE HUMANA MEDICARE PPO: $125.56
  • COASTAL ADMINISTRATIVE SERVICES — TOWN PUMP 6 DEGREES HEALTH: $255.99
Diagnostic mammogram, both breasts CPT 77066 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC DIAG MAMMO, BILATERAL INCL CAD WHEN PERFORMED $782.10 Not listed in the file $445.80 – $782.10
Diagnostic mammogram, both breasts: 10 of 47 insurance plan rates
  • AETNA — AETNA HMO/EPO: $743
  • AETNA — AETNA POS/QPOS: $743
  • AETNA — AETNA PPO: $743
  • AETNA — AETNA SRC: $743
  • ALLEGIANCE — ALLEGIANCE GROUP HEALTH: $743
  • ALLEGIANCE — CIGNA - COMMERCIAL: $743
  • ALLEGIANCE — CIGNA SCLHS EMPLOYEES: $612.07
  • BCBS/ANTHEM — BCBS MT - FEDERAL: $739.08
  • BCBS/ANTHEM — BCBS MT CLOSED PLAN: $739.08
  • BCBS/ANTHEM — BCBS MT POS: $739.08
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC DIAG MAMMO, BILATERAL INCL CAD WHEN PERFORMED $782.10 Not listed in the file $409.82 – $782.10
Diagnostic mammogram, both breasts: 10 of 47 insurance plan rates
  • AETNA — AETNA HMO/EPO: $743
  • AETNA — AETNA POS/QPOS: $743
  • AETNA — AETNA PPO: $743
  • AETNA — AETNA SRC: $743
  • ALLEGIANCE — ALLEGIANCE GROUP HEALTH: $743
  • ALLEGIANCE — CIGNA - COMMERCIAL: $743
  • ALLEGIANCE — CIGNA SCLHS EMPLOYEES: $409.82
  • BCBS/ANTHEM — BCBS MT - FEDERAL: $727.35
  • BCBS/ANTHEM — BCBS MT CLOSED PLAN: $727.35
  • BCBS/ANTHEM — BCBS MT POS: $727.35
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 $156.67 – $930.99
Diagnostic mammogram, both breasts: 10 of 27 insurance plan rates
  • ALLEGIANCE — ALLEGIANCE MMIA: $437.76
  • ALLEGIANCE — WASHCO AND MRL: $384
  • BCBS/ANTHEM — BCBS MT - FEDERAL: $930.99
  • BCBS/ANTHEM — BCBS MT CLOSED PLAN: $930.99
  • BCBS/ANTHEM — BCBS MT POS: $930.99
  • BCBS/ANTHEM — BCBS MT POS EXCHANGE: $930.99
  • BCBS/ANTHEM — ST OF MT EMPLOYEES: $930.99
  • CHOICECARE HUMANA MRP — CHOICECARE HUMANA MEDICARE HMO: $158.21
  • CHOICECARE HUMANA MRP — CHOICECARE HUMANA MEDICARE PPO: $158.21
  • COASTAL ADMINISTRATIVE SERVICES — TOWN PUMP 6 DEGREES HEALTH: $322.56
Screening mammogram, both breasts CPT 77067 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC SCREEN MAMMO, UNILATERAL INCL CAD WHEN PERFORMED $652.95 Not listed in the file $372.18 – $652.95
Screening mammogram, both breasts: 10 of 47 insurance plan rates
  • AETNA — AETNA HMO/EPO: $620.30
  • AETNA — AETNA POS/QPOS: $620.30
  • AETNA — AETNA PPO: $620.30
  • AETNA — AETNA SRC: $620.30
  • ALLEGIANCE — ALLEGIANCE GROUP HEALTH: $620.30
  • ALLEGIANCE — CIGNA - COMMERCIAL: $620.30
  • ALLEGIANCE — CIGNA SCLHS EMPLOYEES: $511
  • BCBS/ANTHEM — BCBS MT - FEDERAL: $617.04
  • BCBS/ANTHEM — BCBS MT CLOSED PLAN: $617.04
  • BCBS/ANTHEM — BCBS MT POS: $617.04
Screening mammogram, both breasts CPT 77067 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC SCREEN MAMMO, BILATERAL INCL CAD WHEN PERFORMED $652.95 Not listed in the file $372.18 – $652.95
Screening mammogram, both breasts: 10 of 47 insurance plan rates
  • AETNA — AETNA HMO/EPO: $620.30
  • AETNA — AETNA POS/QPOS: $620.30
  • AETNA — AETNA PPO: $620.30
  • AETNA — AETNA SRC: $620.30
  • ALLEGIANCE — ALLEGIANCE GROUP HEALTH: $620.30
  • ALLEGIANCE — CIGNA - COMMERCIAL: $620.30
  • ALLEGIANCE — CIGNA SCLHS EMPLOYEES: $511
  • BCBS/ANTHEM — BCBS MT - FEDERAL: $617.04
  • BCBS/ANTHEM — BCBS MT CLOSED PLAN: $617.04
  • BCBS/ANTHEM — BCBS MT POS: $617.04
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC SCREEN MAMMO, UNILATERAL INCL CAD WHEN PERFORMED $652.95 Not listed in the file $342.15 – $652.95
Screening mammogram, both breasts: 10 of 47 insurance plan rates
  • AETNA — AETNA HMO/EPO: $620.30
  • AETNA — AETNA POS/QPOS: $620.30
  • AETNA — AETNA PPO: $620.30
  • AETNA — AETNA SRC: $620.30
  • ALLEGIANCE — ALLEGIANCE GROUP HEALTH: $620.30
  • ALLEGIANCE — CIGNA - COMMERCIAL: $620.30
  • ALLEGIANCE — CIGNA SCLHS EMPLOYEES: $342.15
  • BCBS/ANTHEM — BCBS MT - FEDERAL: $607.24
  • BCBS/ANTHEM — BCBS MT CLOSED PLAN: $607.24
  • BCBS/ANTHEM — BCBS MT POS: $607.24

Heart tests and sleep study

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Electrocardiogram (ECG/EKG) with reading CPT 93000 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Electrocardiogram complete Not listed in the file Not listed in the file $73.08 – $125.22
Electrocardiogram (ECG/EKG) with reading: 10 of 17 insurance plan rates
  • BCBS/ANTHEM — BCBS MT - FEDERAL: $125.22
  • BCBS/ANTHEM — BCBS MT CLOSED PLAN: $125.22
  • BCBS/ANTHEM — BCBS MT POS: $125.22
  • BCBS/ANTHEM — BCBS MT POS EXCHANGE: $125.22
  • BCBS/ANTHEM — ST OF MT EMPLOYEES: $125.22
  • EBMS-EMPLOYEE BENEFIT MNG — EBMS - EMPLOYEE BENEFIT: $109.20
  • EBMS-EMPLOYEE BENEFIT MNG — EBMS - EMPLOYEE BENEFIT NEW PPO: $83.44
  • FIRST CHOICE HEALTH — BOON-CHAPMAN: $109.20
  • FIRST CHOICE HEALTH — BOON-CHAPMAN NEW PPO: $83.44
  • FIRST CHOICE HEALTH — FIRST CHOICE HEALTH: $109.20
Left heart catheterization (diagnostic) CPT 93452 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC LT HEART CATH W/VGRAM $8,680.60 Not listed in the file $4,947.94 – $8,680.60
Left heart catheterization (diagnostic): 10 of 47 insurance plan rates
  • AETNA — AETNA HMO/EPO: $8,246.57
  • AETNA — AETNA POS/QPOS: $8,246.57
  • AETNA — AETNA PPO: $8,246.57
  • AETNA — AETNA SRC: $8,246.57
  • ALLEGIANCE — ALLEGIANCE GROUP HEALTH: $8,246.57
  • ALLEGIANCE — CIGNA - COMMERCIAL: $8,246.57
  • ALLEGIANCE — CIGNA SCLHS EMPLOYEES: $6,793.44
  • BCBS/ANTHEM — BCBS MT - FEDERAL: $8,203.17
  • BCBS/ANTHEM — BCBS MT CLOSED PLAN: $8,203.17
  • BCBS/ANTHEM — BCBS MT POS: $8,203.17
Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC LT HEART CATH W/VGRAM $8,680.60 Not listed in the file $4,548.63 – $8,680.60
Left heart catheterization (diagnostic): 10 of 47 insurance plan rates
  • AETNA — AETNA HMO/EPO: $8,246.57
  • AETNA — AETNA POS/QPOS: $8,246.57
  • AETNA — AETNA PPO: $8,246.57
  • AETNA — AETNA SRC: $8,246.57
  • ALLEGIANCE — ALLEGIANCE GROUP HEALTH: $8,246.57
  • ALLEGIANCE — CIGNA - COMMERCIAL: $8,246.57
  • ALLEGIANCE — CIGNA SCLHS EMPLOYEES: $4,548.63
  • BCBS/ANTHEM — BCBS MT - FEDERAL: $8,072.96
  • BCBS/ANTHEM — BCBS MT CLOSED PLAN: $8,072.96
  • BCBS/ANTHEM — BCBS MT POS: $8,072.96
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 $3,280.74 – $9,166.78
Left heart catheterization (diagnostic): rates for 8 insurance plans
  • ALLEGIANCE — ALLEGIANCE MMIA: $9,166.78
  • ALLEGIANCE — WASHCO AND MRL: $8,041.04
  • CHOICECARE HUMANA MRP — CHOICECARE HUMANA MEDICARE HMO: $3,312.91
  • CHOICECARE HUMANA MRP — CHOICECARE HUMANA MEDICARE PPO: $3,312.91
  • COASTAL ADMINISTRATIVE SERVICES — TOWN PUMP 6 DEGREES HEALTH: $6,754.47
  • UNITED HEALTHCARE MRP — UHC MRP PHP PRIME: $3,280.74
  • UNITED HEALTHCARE MRP — UHC RMHP MRP DUALCARE: $3,280.74
  • UNITED HEALTHCARE MRP — UNITED HEALTHCARE MRP: $3,280.74
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Comprehensive ep evaluation Not listed in the file Not listed in the file $1,304.92 – $21,626.10
Heart rhythm study (electrophysiology evaluation): 10 of 25 insurance plan rates
  • ALLEGIANCE — ALLEGIANCE MMIA: $21,626.10
  • ALLEGIANCE — WASHCO AND MRL: $18,970.26
  • BCBS/ANTHEM — BCBS MT - FEDERAL: $2,136.45
  • BCBS/ANTHEM — BCBS MT CLOSED PLAN: $2,136.45
  • BCBS/ANTHEM — BCBS MT POS: $2,136.45
  • BCBS/ANTHEM — BCBS MT POS EXCHANGE: $2,136.45
  • BCBS/ANTHEM — ST OF MT EMPLOYEES: $2,136.45
  • CHOICECARE HUMANA MRP — CHOICECARE HUMANA MEDICARE HMO: $7,815.75
  • CHOICECARE HUMANA MRP — CHOICECARE HUMANA MEDICARE PPO: $7,815.75
  • COASTAL ADMINISTRATIVE SERVICES — TOWN PUMP 6 DEGREES HEALTH: $15,935.02
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 $25,022.95 – $69,917.06
Heart rhythm study with ablation for atrial fibrillation: rates for 8 insurance plans
  • ALLEGIANCE — ALLEGIANCE MMIA: $69,917.06
  • ALLEGIANCE — WASHCO AND MRL: $61,330.75
  • CHOICECARE HUMANA MRP — CHOICECARE HUMANA MEDICARE HMO: $25,268.27
  • CHOICECARE HUMANA MRP — CHOICECARE HUMANA MEDICARE PPO: $25,268.27
  • COASTAL ADMINISTRATIVE SERVICES — TOWN PUMP 6 DEGREES HEALTH: $51,517.83
  • UNITED HEALTHCARE MRP — UHC MRP PHP PRIME: $25,022.95
  • UNITED HEALTHCARE MRP — UHC RMHP MRP DUALCARE: $25,022.95
  • UNITED HEALTHCARE MRP — UNITED HEALTHCARE MRP: $25,022.95
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 $1,037.74 – $3,727.68
Sleep study (overnight, in a sleep lab): 10 of 25 insurance plan rates
  • ALLEGIANCE — ALLEGIANCE MMIA: $2,899.57
  • ALLEGIANCE — WASHCO AND MRL: $2,543.48
  • BCBS/ANTHEM — BCBS MT - FEDERAL: $3,727.68
  • BCBS/ANTHEM — BCBS MT CLOSED PLAN: $3,727.68
  • BCBS/ANTHEM — BCBS MT POS: $3,727.68
  • BCBS/ANTHEM — BCBS MT POS EXCHANGE: $3,727.68
  • BCBS/ANTHEM — ST OF MT EMPLOYEES: $3,727.68
  • CHOICECARE HUMANA MRP — CHOICECARE HUMANA MEDICARE HMO: $1,047.91
  • CHOICECARE HUMANA MRP — CHOICECARE HUMANA MEDICARE PPO: $1,047.91
  • COASTAL ADMINISTRATIVE SERVICES — TOWN PUMP 6 DEGREES HEALTH: $2,136.52

Physical therapy and mental health

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC OT THERAPEUTIC EX PER 15 MIN $125.75 Not listed in the file $71.68 – $125.75
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 47 insurance plan rates
  • AETNA — AETNA HMO/EPO: $119.46
  • AETNA — AETNA POS/QPOS: $119.46
  • AETNA — AETNA PPO: $119.46
  • AETNA — AETNA SRC: $119.46
  • ALLEGIANCE — ALLEGIANCE GROUP HEALTH: $119.46
  • ALLEGIANCE — CIGNA - COMMERCIAL: $119.46
  • ALLEGIANCE — CIGNA SCLHS EMPLOYEES: $98.41
  • BCBS/ANTHEM — BCBS MT - FEDERAL: $118.83
  • BCBS/ANTHEM — BCBS MT CLOSED PLAN: $118.83
  • BCBS/ANTHEM — BCBS MT POS: $118.83
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC PT THERAPEUTIC EX PER 15 MIN $125.75 Not listed in the file $71.68 – $125.75
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 47 insurance plan rates
  • AETNA — AETNA HMO/EPO: $119.46
  • AETNA — AETNA POS/QPOS: $119.46
  • AETNA — AETNA PPO: $119.46
  • AETNA — AETNA SRC: $119.46
  • ALLEGIANCE — ALLEGIANCE GROUP HEALTH: $119.46
  • ALLEGIANCE — CIGNA - COMMERCIAL: $119.46
  • ALLEGIANCE — CIGNA SCLHS EMPLOYEES: $98.41
  • BCBS/ANTHEM — BCBS MT - FEDERAL: $118.83
  • BCBS/ANTHEM — BCBS MT CLOSED PLAN: $118.83
  • BCBS/ANTHEM — BCBS MT POS: $118.83
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC OT THERAPEUTIC EX PER 15 MIN $125.75 Not listed in the file $65.89 – $125.75
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 47 insurance plan rates
  • AETNA — AETNA HMO/EPO: $119.46
  • AETNA — AETNA POS/QPOS: $119.46
  • AETNA — AETNA PPO: $119.46
  • AETNA — AETNA SRC: $119.46
  • ALLEGIANCE — ALLEGIANCE GROUP HEALTH: $119.46
  • ALLEGIANCE — CIGNA - COMMERCIAL: $119.46
  • ALLEGIANCE — CIGNA SCLHS EMPLOYEES: $65.89
  • BCBS/ANTHEM — BCBS MT - FEDERAL: $116.95
  • BCBS/ANTHEM — BCBS MT CLOSED PLAN: $116.95
  • BCBS/ANTHEM — BCBS MT POS: $116.95
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC PT EVAL LOW COMPLEXITY $292.15 Not listed in the file $166.53 – $292.15
Physical therapy evaluation (low complexity): 10 of 47 insurance plan rates
  • AETNA — AETNA HMO/EPO: $277.54
  • AETNA — AETNA POS/QPOS: $277.54
  • AETNA — AETNA PPO: $277.54
  • AETNA — AETNA SRC: $277.54
  • ALLEGIANCE — ALLEGIANCE GROUP HEALTH: $277.54
  • ALLEGIANCE — CIGNA - COMMERCIAL: $277.54
  • ALLEGIANCE — CIGNA SCLHS EMPLOYEES: $228.64
  • BCBS/ANTHEM — BCBS MT - FEDERAL: $276.08
  • BCBS/ANTHEM — BCBS MT CLOSED PLAN: $276.08
  • BCBS/ANTHEM — BCBS MT POS: $276.08
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PT EVAL LOW COMPLEXITY $292.15 Not listed in the file $153.09 – $292.15
Physical therapy evaluation (low complexity): 10 of 47 insurance plan rates
  • AETNA — AETNA HMO/EPO: $277.54
  • AETNA — AETNA POS/QPOS: $277.54
  • AETNA — AETNA PPO: $277.54
  • AETNA — AETNA SRC: $277.54
  • ALLEGIANCE — ALLEGIANCE GROUP HEALTH: $277.54
  • ALLEGIANCE — CIGNA - COMMERCIAL: $277.54
  • ALLEGIANCE — CIGNA SCLHS EMPLOYEES: $153.09
  • BCBS/ANTHEM — BCBS MT - FEDERAL: $271.70
  • BCBS/ANTHEM — BCBS MT CLOSED PLAN: $271.70
  • BCBS/ANTHEM — BCBS MT POS: $271.70
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 $112.08 – $313.16
Physical therapy evaluation (low complexity): 10 of 13 insurance plan rates
  • ALLEGIANCE — ALLEGIANCE MMIA: $313.16
  • ALLEGIANCE — WASHCO AND MRL: $274.70
  • BCBS/ANTHEM — BCBS MT - FEDERAL: $244.16
  • BCBS/ANTHEM — BCBS MT CLOSED PLAN: $244.16
  • BCBS/ANTHEM — BCBS MT POS: $244.16
  • BCBS/ANTHEM — BCBS MT POS EXCHANGE: $244.16
  • BCBS/ANTHEM — ST OF MT EMPLOYEES: $244.16
  • CHOICECARE HUMANA MRP — CHOICECARE HUMANA MEDICARE HMO: $113.18
  • CHOICECARE HUMANA MRP — CHOICECARE HUMANA MEDICARE PPO: $113.18
  • COASTAL ADMINISTRATIVE SERVICES — TOWN PUMP 6 DEGREES HEALTH: $230.75
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC PT EVAL MODERATE COMPLEXITY $297.10 Not listed in the file $169.35 – $297.10
Physical therapy evaluation (moderate complexity): 10 of 47 insurance plan rates
  • AETNA — AETNA HMO/EPO: $282.24
  • AETNA — AETNA POS/QPOS: $282.24
  • AETNA — AETNA PPO: $282.24
  • AETNA — AETNA SRC: $282.24
  • ALLEGIANCE — ALLEGIANCE GROUP HEALTH: $282.24
  • ALLEGIANCE — CIGNA - COMMERCIAL: $282.24
  • ALLEGIANCE — CIGNA SCLHS EMPLOYEES: $232.51
  • BCBS/ANTHEM — BCBS MT - FEDERAL: $280.76
  • BCBS/ANTHEM — BCBS MT CLOSED PLAN: $280.76
  • BCBS/ANTHEM — BCBS MT POS: $280.76
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PT EVAL MODERATE COMPLEXITY $297.10 Not listed in the file $155.68 – $297.10
Physical therapy evaluation (moderate complexity): 10 of 47 insurance plan rates
  • AETNA — AETNA HMO/EPO: $282.24
  • AETNA — AETNA POS/QPOS: $282.24
  • AETNA — AETNA PPO: $282.24
  • AETNA — AETNA SRC: $282.24
  • ALLEGIANCE — ALLEGIANCE GROUP HEALTH: $282.24
  • ALLEGIANCE — CIGNA - COMMERCIAL: $282.24
  • ALLEGIANCE — CIGNA SCLHS EMPLOYEES: $155.68
  • BCBS/ANTHEM — BCBS MT - FEDERAL: $276.30
  • BCBS/ANTHEM — BCBS MT CLOSED PLAN: $276.30
  • BCBS/ANTHEM — BCBS MT POS: $276.30
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 $112.08 – $313.16
Physical therapy evaluation (moderate complexity): 10 of 13 insurance plan rates
  • ALLEGIANCE — ALLEGIANCE MMIA: $313.16
  • ALLEGIANCE — WASHCO AND MRL: $274.70
  • BCBS/ANTHEM — BCBS MT - FEDERAL: $244.16
  • BCBS/ANTHEM — BCBS MT CLOSED PLAN: $244.16
  • BCBS/ANTHEM — BCBS MT POS: $244.16
  • BCBS/ANTHEM — BCBS MT POS EXCHANGE: $244.16
  • BCBS/ANTHEM — ST OF MT EMPLOYEES: $244.16
  • CHOICECARE HUMANA MRP — CHOICECARE HUMANA MEDICARE HMO: $113.18
  • CHOICECARE HUMANA MRP — CHOICECARE HUMANA MEDICARE PPO: $113.18
  • COASTAL ADMINISTRATIVE SERVICES — TOWN PUMP 6 DEGREES HEALTH: $230.75
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC PT EVAL HIGH COMPLEXITY $310.35 Not listed in the file $176.90 – $310.35
Physical therapy evaluation (high complexity): 10 of 47 insurance plan rates
  • AETNA — AETNA HMO/EPO: $294.83
  • AETNA — AETNA POS/QPOS: $294.83
  • AETNA — AETNA PPO: $294.83
  • AETNA — AETNA SRC: $294.83
  • ALLEGIANCE — ALLEGIANCE GROUP HEALTH: $294.83
  • ALLEGIANCE — CIGNA - COMMERCIAL: $294.83
  • ALLEGIANCE — CIGNA SCLHS EMPLOYEES: $242.88
  • BCBS/ANTHEM — BCBS MT - FEDERAL: $293.28
  • BCBS/ANTHEM — BCBS MT CLOSED PLAN: $293.28
  • BCBS/ANTHEM — BCBS MT POS: $293.28
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PT EVAL HIGH COMPLEXITY $310.35 Not listed in the file $162.62 – $310.35
Physical therapy evaluation (high complexity): 10 of 47 insurance plan rates
  • AETNA — AETNA HMO/EPO: $294.83
  • AETNA — AETNA POS/QPOS: $294.83
  • AETNA — AETNA PPO: $294.83
  • AETNA — AETNA SRC: $294.83
  • ALLEGIANCE — ALLEGIANCE GROUP HEALTH: $294.83
  • ALLEGIANCE — CIGNA - COMMERCIAL: $294.83
  • ALLEGIANCE — CIGNA SCLHS EMPLOYEES: $162.62
  • BCBS/ANTHEM — BCBS MT - FEDERAL: $288.63
  • BCBS/ANTHEM — BCBS MT CLOSED PLAN: $288.63
  • BCBS/ANTHEM — BCBS MT POS: $288.63
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 $112.08 – $313.16
Physical therapy evaluation (high complexity): 10 of 13 insurance plan rates
  • ALLEGIANCE — ALLEGIANCE MMIA: $313.16
  • ALLEGIANCE — WASHCO AND MRL: $274.70
  • BCBS/ANTHEM — BCBS MT - FEDERAL: $244.16
  • BCBS/ANTHEM — BCBS MT CLOSED PLAN: $244.16
  • BCBS/ANTHEM — BCBS MT POS: $244.16
  • BCBS/ANTHEM — BCBS MT POS EXCHANGE: $244.16
  • BCBS/ANTHEM — ST OF MT EMPLOYEES: $244.16
  • CHOICECARE HUMANA MRP — CHOICECARE HUMANA MEDICARE HMO: $113.18
  • CHOICECARE HUMANA MRP — CHOICECARE HUMANA MEDICARE PPO: $113.18
  • COASTAL ADMINISTRATIVE SERVICES — TOWN PUMP 6 DEGREES HEALTH: $230.75
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 $163.89 – $457.92
Psychotherapy, 30 minutes: 10 of 13 insurance plan rates
  • ALLEGIANCE — ALLEGIANCE MMIA: $457.92
  • ALLEGIANCE — WASHCO AND MRL: $401.68
  • BCBS/ANTHEM — BCBS MT - FEDERAL: $181.58
  • BCBS/ANTHEM — BCBS MT CLOSED PLAN: $181.58
  • BCBS/ANTHEM — BCBS MT POS: $181.58
  • BCBS/ANTHEM — BCBS MT POS EXCHANGE: $181.58
  • BCBS/ANTHEM — ST OF MT EMPLOYEES: $181.58
  • CHOICECARE HUMANA MRP — CHOICECARE HUMANA MEDICARE HMO: $165.49
  • CHOICECARE HUMANA MRP — CHOICECARE HUMANA MEDICARE PPO: $165.49
  • COASTAL ADMINISTRATIVE SERVICES — TOWN PUMP 6 DEGREES HEALTH: $337.41
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 $163.89 – $457.92
Psychotherapy, 45 minutes: 10 of 13 insurance plan rates
  • ALLEGIANCE — ALLEGIANCE MMIA: $457.92
  • ALLEGIANCE — WASHCO AND MRL: $401.68
  • BCBS/ANTHEM — BCBS MT - FEDERAL: $242.10
  • BCBS/ANTHEM — BCBS MT CLOSED PLAN: $242.10
  • BCBS/ANTHEM — BCBS MT POS: $242.10
  • BCBS/ANTHEM — BCBS MT POS EXCHANGE: $242.10
  • BCBS/ANTHEM — ST OF MT EMPLOYEES: $242.10
  • CHOICECARE HUMANA MRP — CHOICECARE HUMANA MEDICARE HMO: $165.49
  • CHOICECARE HUMANA MRP — CHOICECARE HUMANA MEDICARE PPO: $165.49
  • COASTAL ADMINISTRATIVE SERVICES — TOWN PUMP 6 DEGREES HEALTH: $337.41
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 $163.89 – $457.92
Psychotherapy, 60 minutes: 10 of 13 insurance plan rates
  • ALLEGIANCE — ALLEGIANCE MMIA: $457.92
  • ALLEGIANCE — WASHCO AND MRL: $401.68
  • BCBS/ANTHEM — BCBS MT - FEDERAL: $364.18
  • BCBS/ANTHEM — BCBS MT CLOSED PLAN: $364.18
  • BCBS/ANTHEM — BCBS MT POS: $364.18
  • BCBS/ANTHEM — BCBS MT POS EXCHANGE: $364.18
  • BCBS/ANTHEM — ST OF MT EMPLOYEES: $364.18
  • CHOICECARE HUMANA MRP — CHOICECARE HUMANA MEDICARE HMO: $165.49
  • CHOICECARE HUMANA MRP — CHOICECARE HUMANA MEDICARE PPO: $165.49
  • COASTAL ADMINISTRATIVE SERVICES — TOWN PUMP 6 DEGREES HEALTH: $337.41
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 $163.89 – $457.92
Family psychotherapy, without the patient: 10 of 13 insurance plan rates
  • ALLEGIANCE — ALLEGIANCE MMIA: $457.92
  • ALLEGIANCE — WASHCO AND MRL: $401.68
  • BCBS/ANTHEM — BCBS MT - FEDERAL: $293.39
  • BCBS/ANTHEM — BCBS MT CLOSED PLAN: $293.39
  • BCBS/ANTHEM — BCBS MT POS: $293.39
  • BCBS/ANTHEM — BCBS MT POS EXCHANGE: $293.39
  • BCBS/ANTHEM — ST OF MT EMPLOYEES: $293.39
  • CHOICECARE HUMANA MRP — CHOICECARE HUMANA MEDICARE HMO: $165.49
  • CHOICECARE HUMANA MRP — CHOICECARE HUMANA MEDICARE PPO: $165.49
  • COASTAL ADMINISTRATIVE SERVICES — TOWN PUMP 6 DEGREES HEALTH: $337.41
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 $163.89 – $457.92
Family psychotherapy, with the patient: 10 of 13 insurance plan rates
  • ALLEGIANCE — ALLEGIANCE MMIA: $457.92
  • ALLEGIANCE — WASHCO AND MRL: $401.68
  • BCBS/ANTHEM — BCBS MT - FEDERAL: $305.71
  • BCBS/ANTHEM — BCBS MT CLOSED PLAN: $305.71
  • BCBS/ANTHEM — BCBS MT POS: $305.71
  • BCBS/ANTHEM — BCBS MT POS EXCHANGE: $305.71
  • BCBS/ANTHEM — ST OF MT EMPLOYEES: $305.71
  • CHOICECARE HUMANA MRP — CHOICECARE HUMANA MEDICARE HMO: $165.49
  • CHOICECARE HUMANA MRP — CHOICECARE HUMANA MEDICARE PPO: $165.49
  • COASTAL ADMINISTRATIVE SERVICES — TOWN PUMP 6 DEGREES HEALTH: $337.41
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 $71.80 – $263.64
Group psychotherapy: 10 of 13 insurance plan rates
  • ALLEGIANCE — ALLEGIANCE MMIA: $263.64
  • ALLEGIANCE — WASHCO AND MRL: $231.26
  • BCBS/ANTHEM — BCBS MT - FEDERAL: $71.80
  • BCBS/ANTHEM — BCBS MT CLOSED PLAN: $71.80
  • BCBS/ANTHEM — BCBS MT POS: $71.80
  • BCBS/ANTHEM — BCBS MT POS EXCHANGE: $71.80
  • BCBS/ANTHEM — ST OF MT EMPLOYEES: $71.80
  • CHOICECARE HUMANA MRP — CHOICECARE HUMANA MEDICARE HMO: $95.28
  • CHOICECARE HUMANA MRP — CHOICECARE HUMANA MEDICARE PPO: $95.28
  • COASTAL ADMINISTRATIVE SERVICES — TOWN PUMP 6 DEGREES HEALTH: $194.26

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 $3,905.87 – $10,913.46
Removal of breast growth (open surgery): rates for 8 insurance plans
  • ALLEGIANCE — ALLEGIANCE MMIA: $10,913.46
  • ALLEGIANCE — WASHCO AND MRL: $9,573.21
  • CHOICECARE HUMANA MRP — CHOICECARE HUMANA MEDICARE HMO: $3,944.16
  • CHOICECARE HUMANA MRP — CHOICECARE HUMANA MEDICARE PPO: $3,944.16
  • COASTAL ADMINISTRATIVE SERVICES — TOWN PUMP 6 DEGREES HEALTH: $8,041.49
  • UNITED HEALTHCARE MRP — UHC MRP PHP PRIME: $3,905.87
  • UNITED HEALTHCARE MRP — UHC RMHP MRP DUALCARE: $3,905.87
  • UNITED HEALTHCARE MRP — UNITED HEALTHCARE MRP: $3,905.87
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 $13,124.16 – $36,670.43
Total hip replacement: rates for 8 insurance plans
  • ALLEGIANCE — ALLEGIANCE MMIA: $36,670.43
  • ALLEGIANCE — WASHCO AND MRL: $32,167.05
  • CHOICECARE HUMANA MRP — CHOICECARE HUMANA MEDICARE HMO: $13,252.82
  • CHOICECARE HUMANA MRP — CHOICECARE HUMANA MEDICARE PPO: $13,252.82
  • COASTAL ADMINISTRATIVE SERVICES — TOWN PUMP 6 DEGREES HEALTH: $27,020.32
  • UNITED HEALTHCARE MRP — UHC MRP PHP PRIME: $13,124.16
  • UNITED HEALTHCARE MRP — UHC RMHP MRP DUALCARE: $13,124.16
  • UNITED HEALTHCARE MRP — UNITED HEALTHCARE MRP: $13,124.16
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 $13,124.16 – $36,670.43
Total knee replacement: rates for 8 insurance plans
  • ALLEGIANCE — ALLEGIANCE MMIA: $36,670.43
  • ALLEGIANCE — WASHCO AND MRL: $32,167.05
  • CHOICECARE HUMANA MRP — CHOICECARE HUMANA MEDICARE HMO: $13,252.82
  • CHOICECARE HUMANA MRP — CHOICECARE HUMANA MEDICARE PPO: $13,252.82
  • COASTAL ADMINISTRATIVE SERVICES — TOWN PUMP 6 DEGREES HEALTH: $27,020.32
  • UNITED HEALTHCARE MRP — UHC MRP PHP PRIME: $13,124.16
  • UNITED HEALTHCARE MRP — UHC RMHP MRP DUALCARE: $13,124.16
  • UNITED HEALTHCARE MRP — UNITED HEALTHCARE MRP: $13,124.16
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Arthrs kne srg mnisectmy m/l Not listed in the file Not listed in the file $3,309.50 – $9,247.14
Knee arthroscopy: removal of torn cartilage (meniscus): rates for 8 insurance plans
  • ALLEGIANCE — ALLEGIANCE MMIA: $9,247.14
  • ALLEGIANCE — WASHCO AND MRL: $8,111.53
  • CHOICECARE HUMANA MRP — CHOICECARE HUMANA MEDICARE HMO: $3,341.95
  • CHOICECARE HUMANA MRP — CHOICECARE HUMANA MEDICARE PPO: $3,341.95
  • COASTAL ADMINISTRATIVE SERVICES — TOWN PUMP 6 DEGREES HEALTH: $6,813.68
  • UNITED HEALTHCARE MRP — UHC MRP PHP PRIME: $3,309.50
  • UNITED HEALTHCARE MRP — UHC RMHP MRP DUALCARE: $3,309.50
  • UNITED HEALTHCARE MRP — UNITED HEALTHCARE MRP: $3,309.50
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 $6,033.97 – $16,859.63
Removal of tonsils and adenoids (under age 12): rates for 8 insurance plans
  • ALLEGIANCE — ALLEGIANCE MMIA: $16,859.63
  • ALLEGIANCE — WASHCO AND MRL: $14,789.15
  • CHOICECARE HUMANA MRP — CHOICECARE HUMANA MEDICARE HMO: $6,093.13
  • CHOICECARE HUMANA MRP — CHOICECARE HUMANA MEDICARE PPO: $6,093.13
  • COASTAL ADMINISTRATIVE SERVICES — TOWN PUMP 6 DEGREES HEALTH: $12,422.88
  • UNITED HEALTHCARE MRP — UHC MRP PHP PRIME: $6,033.97
  • UNITED HEALTHCARE MRP — UHC RMHP MRP DUALCARE: $6,033.97
  • UNITED HEALTHCARE MRP — UNITED HEALTHCARE MRP: $6,033.97
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 $956.31 – $2,672.04
Upper GI endoscopy (diagnostic): rates for 8 insurance plans
  • ALLEGIANCE — ALLEGIANCE MMIA: $2,672.04
  • ALLEGIANCE — WASHCO AND MRL: $2,343.90
  • CHOICECARE HUMANA MRP — CHOICECARE HUMANA MEDICARE HMO: $965.69
  • CHOICECARE HUMANA MRP — CHOICECARE HUMANA MEDICARE PPO: $965.69
  • COASTAL ADMINISTRATIVE SERVICES — TOWN PUMP 6 DEGREES HEALTH: $1,968.87
  • UNITED HEALTHCARE MRP — UHC MRP PHP PRIME: $956.31
  • UNITED HEALTHCARE MRP — UHC RMHP MRP DUALCARE: $956.31
  • UNITED HEALTHCARE MRP — UNITED HEALTHCARE MRP: $956.31
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 $956.31 – $2,672.04
Upper GI endoscopy with biopsy: rates for 8 insurance plans
  • ALLEGIANCE — ALLEGIANCE MMIA: $2,672.04
  • ALLEGIANCE — WASHCO AND MRL: $2,343.90
  • CHOICECARE HUMANA MRP — CHOICECARE HUMANA MEDICARE HMO: $965.69
  • CHOICECARE HUMANA MRP — CHOICECARE HUMANA MEDICARE PPO: $965.69
  • COASTAL ADMINISTRATIVE SERVICES — TOWN PUMP 6 DEGREES HEALTH: $1,968.87
  • UNITED HEALTHCARE MRP — UHC MRP PHP PRIME: $956.31
  • UNITED HEALTHCARE MRP — UHC RMHP MRP DUALCARE: $956.31
  • UNITED HEALTHCARE MRP — UNITED HEALTHCARE MRP: $956.31
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 $929.94 – $2,598.37
Colonoscopy (diagnostic): rates for 8 insurance plans
  • ALLEGIANCE — ALLEGIANCE MMIA: $2,598.37
  • ALLEGIANCE — WASHCO AND MRL: $2,279.27
  • CHOICECARE HUMANA MRP — CHOICECARE HUMANA MEDICARE HMO: $939.06
  • CHOICECARE HUMANA MRP — CHOICECARE HUMANA MEDICARE PPO: $939.06
  • COASTAL ADMINISTRATIVE SERVICES — TOWN PUMP 6 DEGREES HEALTH: $1,914.59
  • UNITED HEALTHCARE MRP — UHC MRP PHP PRIME: $929.94
  • UNITED HEALTHCARE MRP — UHC RMHP MRP DUALCARE: $929.94
  • UNITED HEALTHCARE MRP — UNITED HEALTHCARE MRP: $929.94
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 $1,202.66 – $3,360.38
Colonoscopy with biopsy: rates for 8 insurance plans
  • ALLEGIANCE — ALLEGIANCE MMIA: $3,360.38
  • ALLEGIANCE — WASHCO AND MRL: $2,947.70
  • CHOICECARE HUMANA MRP — CHOICECARE HUMANA MEDICARE HMO: $1,214.45
  • CHOICECARE HUMANA MRP — CHOICECARE HUMANA MEDICARE PPO: $1,214.45
  • COASTAL ADMINISTRATIVE SERVICES — TOWN PUMP 6 DEGREES HEALTH: $2,476.07
  • UNITED HEALTHCARE MRP — UHC MRP PHP PRIME: $1,202.66
  • UNITED HEALTHCARE MRP — UHC RMHP MRP DUALCARE: $1,202.66
  • UNITED HEALTHCARE MRP — UNITED HEALTHCARE MRP: $1,202.66
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 $1,202.66 – $3,360.38
Colonoscopy with removal of polyps (snare): rates for 8 insurance plans
  • ALLEGIANCE — ALLEGIANCE MMIA: $3,360.38
  • ALLEGIANCE — WASHCO AND MRL: $2,947.70
  • CHOICECARE HUMANA MRP — CHOICECARE HUMANA MEDICARE HMO: $1,214.45
  • CHOICECARE HUMANA MRP — CHOICECARE HUMANA MEDICARE PPO: $1,214.45
  • COASTAL ADMINISTRATIVE SERVICES — TOWN PUMP 6 DEGREES HEALTH: $2,476.07
  • UNITED HEALTHCARE MRP — UHC MRP PHP PRIME: $1,202.66
  • UNITED HEALTHCARE MRP — UHC RMHP MRP DUALCARE: $1,202.66
  • UNITED HEALTHCARE MRP — UNITED HEALTHCARE MRP: $1,202.66
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 $1,202.66 – $3,360.38
Ultrasound of the lower bowel by endoscope: rates for 8 insurance plans
  • ALLEGIANCE — ALLEGIANCE MMIA: $3,360.38
  • ALLEGIANCE — WASHCO AND MRL: $2,947.70
  • CHOICECARE HUMANA MRP — CHOICECARE HUMANA MEDICARE HMO: $1,214.45
  • CHOICECARE HUMANA MRP — CHOICECARE HUMANA MEDICARE PPO: $1,214.45
  • COASTAL ADMINISTRATIVE SERVICES — TOWN PUMP 6 DEGREES HEALTH: $2,476.07
  • UNITED HEALTHCARE MRP — UHC MRP PHP PRIME: $1,202.66
  • UNITED HEALTHCARE MRP — UHC RMHP MRP DUALCARE: $1,202.66
  • UNITED HEALTHCARE MRP — UNITED HEALTHCARE MRP: $1,202.66
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 $929.94 – $2,598.37
Screening colonoscopy (not high risk): rates for 8 insurance plans
  • ALLEGIANCE — ALLEGIANCE MMIA: $2,598.37
  • ALLEGIANCE — WASHCO AND MRL: $2,279.27
  • CHOICECARE HUMANA MRP — CHOICECARE HUMANA MEDICARE HMO: $939.06
  • CHOICECARE HUMANA MRP — CHOICECARE HUMANA MEDICARE PPO: $939.06
  • COASTAL ADMINISTRATIVE SERVICES — TOWN PUMP 6 DEGREES HEALTH: $1,914.59
  • UNITED HEALTHCARE MRP — UHC MRP PHP PRIME: $929.94
  • UNITED HEALTHCARE MRP — UHC RMHP MRP DUALCARE: $929.94
  • UNITED HEALTHCARE MRP — UNITED HEALTHCARE MRP: $929.94
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 $5,951.05 – $16,627.94
Gallbladder removal by laparoscope: rates for 8 insurance plans
  • ALLEGIANCE — ALLEGIANCE MMIA: $16,627.94
  • ALLEGIANCE — WASHCO AND MRL: $14,585.91
  • CHOICECARE HUMANA MRP — CHOICECARE HUMANA MEDICARE HMO: $6,009.39
  • CHOICECARE HUMANA MRP — CHOICECARE HUMANA MEDICARE PPO: $6,009.39
  • COASTAL ADMINISTRATIVE SERVICES — TOWN PUMP 6 DEGREES HEALTH: $12,252.16
  • UNITED HEALTHCARE MRP — UHC MRP PHP PRIME: $5,951.05
  • UNITED HEALTHCARE MRP — UHC RMHP MRP DUALCARE: $5,951.05
  • UNITED HEALTHCARE MRP — UNITED HEALTHCARE MRP: $5,951.05
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 $3,599.64 – $10,057.82
Groin (inguinal) hernia repair, age 5 or older: rates for 8 insurance plans
  • ALLEGIANCE — ALLEGIANCE MMIA: $10,057.82
  • ALLEGIANCE — WASHCO AND MRL: $8,822.65
  • CHOICECARE HUMANA MRP — CHOICECARE HUMANA MEDICARE HMO: $3,634.93
  • CHOICECARE HUMANA MRP — CHOICECARE HUMANA MEDICARE PPO: $3,634.93
  • COASTAL ADMINISTRATIVE SERVICES — TOWN PUMP 6 DEGREES HEALTH: $7,411.02
  • UNITED HEALTHCARE MRP — UHC MRP PHP PRIME: $3,599.64
  • UNITED HEALTHCARE MRP — UHC RMHP MRP DUALCARE: $3,599.64
  • UNITED HEALTHCARE MRP — UNITED HEALTHCARE MRP: $3,599.64
Prostate biopsy CPT 55700 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HCD PROSTATE BIOPSY NEEDLE $2,282.30 Not listed in the file $1,300.91 – $2,282.30
Prostate biopsy: 10 of 47 insurance plan rates
  • AETNA — AETNA HMO/EPO: $2,168.18
  • AETNA — AETNA POS/QPOS: $2,168.18
  • AETNA — AETNA PPO: $2,168.18
  • AETNA — AETNA SRC: $2,168.18
  • ALLEGIANCE — ALLEGIANCE GROUP HEALTH: $2,168.18
  • ALLEGIANCE — CIGNA - COMMERCIAL: $2,168.18
  • ALLEGIANCE — CIGNA SCLHS EMPLOYEES: $1,786.13
  • BCBS/ANTHEM — BCBS MT - FEDERAL: $2,156.77
  • BCBS/ANTHEM — BCBS MT CLOSED PLAN: $2,156.77
  • BCBS/ANTHEM — BCBS MT POS: $2,156.77
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCD PROSTATE BIOPSY NEEDLE $2,282.30 Not listed in the file $1,195.93 – $2,282.30
Prostate biopsy: 10 of 47 insurance plan rates
  • AETNA — AETNA HMO/EPO: $2,168.18
  • AETNA — AETNA POS/QPOS: $2,168.18
  • AETNA — AETNA PPO: $2,168.18
  • AETNA — AETNA SRC: $2,168.18
  • ALLEGIANCE — ALLEGIANCE GROUP HEALTH: $2,168.18
  • ALLEGIANCE — CIGNA - COMMERCIAL: $2,168.18
  • ALLEGIANCE — CIGNA SCLHS EMPLOYEES: $1,195.93
  • BCBS/ANTHEM — BCBS MT - FEDERAL: $2,122.54
  • BCBS/ANTHEM — BCBS MT CLOSED PLAN: $2,122.54
  • BCBS/ANTHEM — BCBS MT POS: $2,122.54
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 $2,089.48 – $5,838.24
Prostate biopsy: rates for 8 insurance plans
  • ALLEGIANCE — ALLEGIANCE MMIA: $5,838.24
  • ALLEGIANCE — WASHCO AND MRL: $5,121.27
  • CHOICECARE HUMANA MRP — CHOICECARE HUMANA MEDICARE HMO: $2,109.96
  • CHOICECARE HUMANA MRP — CHOICECARE HUMANA MEDICARE PPO: $2,109.96
  • COASTAL ADMINISTRATIVE SERVICES — TOWN PUMP 6 DEGREES HEALTH: $4,301.86
  • UNITED HEALTHCARE MRP — UHC MRP PHP PRIME: $2,089.48
  • UNITED HEALTHCARE MRP — UHC RMHP MRP DUALCARE: $2,089.48
  • UNITED HEALTHCARE MRP — UNITED HEALTHCARE MRP: $2,089.48
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 $10,619.45 – $29,671.98
Prostate removal by laparoscope (radical prostatectomy): rates for 8 insurance plans
  • ALLEGIANCE — ALLEGIANCE MMIA: $29,671.98
  • ALLEGIANCE — WASHCO AND MRL: $26,028.05
  • CHOICECARE HUMANA MRP — CHOICECARE HUMANA MEDICARE HMO: $10,723.56
  • CHOICECARE HUMANA MRP — CHOICECARE HUMANA MEDICARE PPO: $10,723.56
  • COASTAL ADMINISTRATIVE SERVICES — TOWN PUMP 6 DEGREES HEALTH: $21,863.56
  • UNITED HEALTHCARE MRP — UHC MRP PHP PRIME: $10,619.45
  • UNITED HEALTHCARE MRP — UHC RMHP MRP DUALCARE: $10,619.45
  • UNITED HEALTHCARE MRP — UNITED HEALTHCARE MRP: $10,619.45
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 $3,243.12 – $9,061.65
Hysteroscopy with biopsy of the uterus lining: rates for 8 insurance plans
  • ALLEGIANCE — ALLEGIANCE MMIA: $9,061.65
  • ALLEGIANCE — WASHCO AND MRL: $7,948.81
  • CHOICECARE HUMANA MRP — CHOICECARE HUMANA MEDICARE HMO: $3,274.91
  • CHOICECARE HUMANA MRP — CHOICECARE HUMANA MEDICARE PPO: $3,274.91
  • COASTAL ADMINISTRATIVE SERVICES — TOWN PUMP 6 DEGREES HEALTH: $6,677
  • UNITED HEALTHCARE MRP — UHC MRP PHP PRIME: $3,243.12
  • UNITED HEALTHCARE MRP — UHC RMHP MRP DUALCARE: $3,243.12
  • UNITED HEALTHCARE MRP — UNITED HEALTHCARE MRP: $3,243.12
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC INJ DX/THER INTRALAMINAR LUMBAR/SACRAL W/IMAGING $1,995.85 Not listed in the file $1,137.63 – $1,995.85
Spinal injection, lower back (epidural), with imaging guidance: 10 of 47 insurance plan rates
  • AETNA — AETNA HMO/EPO: $1,896.06
  • AETNA — AETNA POS/QPOS: $1,896.06
  • AETNA — AETNA PPO: $1,896.06
  • AETNA — AETNA SRC: $1,896.06
  • ALLEGIANCE — ALLEGIANCE GROUP HEALTH: $1,896.06
  • ALLEGIANCE — CIGNA - COMMERCIAL: $1,896.06
  • ALLEGIANCE — CIGNA SCLHS EMPLOYEES: $1,561.95
  • BCBS/ANTHEM — BCBS MT - FEDERAL: $1,886.08
  • BCBS/ANTHEM — BCBS MT CLOSED PLAN: $1,886.08
  • BCBS/ANTHEM — BCBS MT POS: $1,886.08
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC INJ DX/THER INTRALAMINAR LUMBAR/SACRAL W/IMAGING $1,995.85 Not listed in the file $1,045.83 – $1,995.85
Spinal injection, lower back (epidural), with imaging guidance: 10 of 47 insurance plan rates
  • AETNA — AETNA HMO/EPO: $1,896.06
  • AETNA — AETNA POS/QPOS: $1,896.06
  • AETNA — AETNA PPO: $1,896.06
  • AETNA — AETNA SRC: $1,896.06
  • ALLEGIANCE — ALLEGIANCE GROUP HEALTH: $1,896.06
  • ALLEGIANCE — CIGNA - COMMERCIAL: $1,896.06
  • ALLEGIANCE — CIGNA SCLHS EMPLOYEES: $1,045.83
  • BCBS/ANTHEM — BCBS MT - FEDERAL: $1,856.14
  • BCBS/ANTHEM — BCBS MT CLOSED PLAN: $1,856.14
  • BCBS/ANTHEM — BCBS MT POS: $1,856.14
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 $706.37 – $1,973.69
Spinal injection, lower back (epidural), with imaging guidance: rates for 8 insurance plans
  • ALLEGIANCE — ALLEGIANCE MMIA: $1,973.69
  • ALLEGIANCE — WASHCO AND MRL: $1,731.31
  • CHOICECARE HUMANA MRP — CHOICECARE HUMANA MEDICARE HMO: $713.30
  • CHOICECARE HUMANA MRP — CHOICECARE HUMANA MEDICARE PPO: $713.30
  • COASTAL ADMINISTRATIVE SERVICES — TOWN PUMP 6 DEGREES HEALTH: $1,454.30
  • UNITED HEALTHCARE MRP — UHC MRP PHP PRIME: $706.37
  • UNITED HEALTHCARE MRP — UHC RMHP MRP DUALCARE: $706.37
  • UNITED HEALTHCARE MRP — UNITED HEALTHCARE MRP: $706.37
Nerve root injection, lower back, with imaging guidance CPT 64483 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC INJ ANES/STRD W/IMG TFRML EDRL LMBR/SAC 1 LVL $2,641.80 Not listed in the file $1,505.83 – $2,641.80
Nerve root injection, lower back, with imaging guidance: 10 of 47 insurance plan rates
  • AETNA — AETNA HMO/EPO: $2,509.71
  • AETNA — AETNA POS/QPOS: $2,509.71
  • AETNA — AETNA PPO: $2,509.71
  • AETNA — AETNA SRC: $2,509.71
  • ALLEGIANCE — ALLEGIANCE GROUP HEALTH: $2,509.71
  • ALLEGIANCE — CIGNA - COMMERCIAL: $2,509.71
  • ALLEGIANCE — CIGNA SCLHS EMPLOYEES: $2,067.47
  • BCBS/ANTHEM — BCBS MT - FEDERAL: $2,496.50
  • BCBS/ANTHEM — BCBS MT CLOSED PLAN: $2,496.50
  • BCBS/ANTHEM — BCBS MT POS: $2,496.50
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC INJ ANES/STRD W/IMG TFRML EDRL LMBR/SAC 1 LVL $2,641.80 Not listed in the file $1,384.30 – $2,641.80
Nerve root injection, lower back, with imaging guidance: 10 of 47 insurance plan rates
  • AETNA — AETNA HMO/EPO: $2,509.71
  • AETNA — AETNA POS/QPOS: $2,509.71
  • AETNA — AETNA PPO: $2,509.71
  • AETNA — AETNA SRC: $2,509.71
  • ALLEGIANCE — ALLEGIANCE GROUP HEALTH: $2,509.71
  • ALLEGIANCE — CIGNA - COMMERCIAL: $2,509.71
  • ALLEGIANCE — CIGNA SCLHS EMPLOYEES: $1,384.30
  • BCBS/ANTHEM — BCBS MT - FEDERAL: $2,456.87
  • BCBS/ANTHEM — BCBS MT CLOSED PLAN: $2,456.87
  • BCBS/ANTHEM — BCBS MT POS: $2,456.87
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 $908.10 – $2,537.33
Nerve root injection, lower back, with imaging guidance: rates for 8 insurance plans
  • ALLEGIANCE — ALLEGIANCE MMIA: $2,537.33
  • ALLEGIANCE — WASHCO AND MRL: $2,225.73
  • CHOICECARE HUMANA MRP — CHOICECARE HUMANA MEDICARE HMO: $917
  • CHOICECARE HUMANA MRP — CHOICECARE HUMANA MEDICARE PPO: $917
  • COASTAL ADMINISTRATIVE SERVICES — TOWN PUMP 6 DEGREES HEALTH: $1,869.61
  • UNITED HEALTHCARE MRP — UHC MRP PHP PRIME: $908.10
  • UNITED HEALTHCARE MRP — UHC RMHP MRP DUALCARE: $908.10
  • UNITED HEALTHCARE MRP — UNITED HEALTHCARE MRP: $908.10
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 $1,991.83 – $5,565.41
Carpal tunnel release: rates for 8 insurance plans
  • ALLEGIANCE — ALLEGIANCE MMIA: $5,565.41
  • ALLEGIANCE — WASHCO AND MRL: $4,881.94
  • CHOICECARE HUMANA MRP — CHOICECARE HUMANA MEDICARE HMO: $2,011.36
  • CHOICECARE HUMANA MRP — CHOICECARE HUMANA MEDICARE PPO: $2,011.36
  • COASTAL ADMINISTRATIVE SERVICES — TOWN PUMP 6 DEGREES HEALTH: $4,100.83
  • UNITED HEALTHCARE MRP — UHC MRP PHP PRIME: $1,991.83
  • UNITED HEALTHCARE MRP — UHC RMHP MRP DUALCARE: $1,991.83
  • UNITED HEALTHCARE MRP — UNITED HEALTHCARE MRP: $1,991.83
Laser treatment of clouding after cataract surgery CPT 66821 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC AFTER CATARACT LASER SURGERY $1,645.80 Not listed in the file $938.11 – $1,645.80
Laser treatment of clouding after cataract surgery: 10 of 47 insurance plan rates
  • AETNA — AETNA HMO/EPO: $1,563.51
  • AETNA — AETNA POS/QPOS: $1,563.51
  • AETNA — AETNA PPO: $1,563.51
  • AETNA — AETNA SRC: $1,563.51
  • ALLEGIANCE — ALLEGIANCE GROUP HEALTH: $1,563.51
  • ALLEGIANCE — CIGNA - COMMERCIAL: $1,563.51
  • ALLEGIANCE — CIGNA SCLHS EMPLOYEES: $1,288
  • BCBS/ANTHEM — BCBS MT - FEDERAL: $1,555.28
  • BCBS/ANTHEM — BCBS MT CLOSED PLAN: $1,555.28
  • BCBS/ANTHEM — BCBS MT POS: $1,555.28
Laser treatment of clouding after cataract surgery CPT 66821 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC AFTER CATARACT LASER SURGERY $1,645.80 Not listed in the file $862.40 – $1,645.80
Laser treatment of clouding after cataract surgery: 10 of 47 insurance plan rates
  • AETNA — AETNA HMO/EPO: $1,563.51
  • AETNA — AETNA POS/QPOS: $1,563.51
  • AETNA — AETNA PPO: $1,563.51
  • AETNA — AETNA SRC: $1,563.51
  • ALLEGIANCE — ALLEGIANCE GROUP HEALTH: $1,563.51
  • ALLEGIANCE — CIGNA - COMMERCIAL: $1,563.51
  • ALLEGIANCE — CIGNA SCLHS EMPLOYEES: $862.40
  • BCBS/ANTHEM — BCBS MT - FEDERAL: $1,530.59
  • BCBS/ANTHEM — BCBS MT CLOSED PLAN: $1,530.59
  • BCBS/ANTHEM — BCBS MT POS: $1,530.59
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 $559.58 – $1,563.52
Laser treatment of clouding after cataract surgery: rates for 8 insurance plans
  • ALLEGIANCE — ALLEGIANCE MMIA: $1,563.52
  • ALLEGIANCE — WASHCO AND MRL: $1,371.51
  • CHOICECARE HUMANA MRP — CHOICECARE HUMANA MEDICARE HMO: $565.06
  • CHOICECARE HUMANA MRP — CHOICECARE HUMANA MEDICARE PPO: $565.06
  • COASTAL ADMINISTRATIVE SERVICES — TOWN PUMP 6 DEGREES HEALTH: $1,152.07
  • UNITED HEALTHCARE MRP — UHC MRP PHP PRIME: $559.58
  • UNITED HEALTHCARE MRP — UHC RMHP MRP DUALCARE: $559.58
  • UNITED HEALTHCARE MRP — UNITED HEALTHCARE MRP: $559.58
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 $2,326.34 – $6,500.08
Cataract removal with lens implant: rates for 8 insurance plans
  • ALLEGIANCE — ALLEGIANCE MMIA: $6,500.08
  • ALLEGIANCE — WASHCO AND MRL: $5,701.82
  • CHOICECARE HUMANA MRP — CHOICECARE HUMANA MEDICARE HMO: $2,349.15
  • CHOICECARE HUMANA MRP — CHOICECARE HUMANA MEDICARE PPO: $2,349.15
  • COASTAL ADMINISTRATIVE SERVICES — TOWN PUMP 6 DEGREES HEALTH: $4,789.53
  • UNITED HEALTHCARE MRP — UHC MRP PHP PRIME: $2,326.34
  • UNITED HEALTHCARE MRP — UHC RMHP MRP DUALCARE: $2,326.34
  • UNITED HEALTHCARE MRP — UNITED HEALTHCARE MRP: $2,326.34

Source: St James Hospital’s standard charges file (intermountainhealthcare.org, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on March 22, 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 typeAcute Care Hospital
Address400 S Clark St, Butte, MT 59701
CountySilver Bow County
StateMontana
Phone(406) 723‑2500
Emergency servicesYes
OwnershipVoluntary non-profit - Private
Medicare overall rating2 of 5 stars
Birthing-friendly designationYes (meets CMS criteria)
CMS Certification Number270017
Name in Medicare recordsST JAMES HOSPITAL
Profile levelMedicare data + hospital website
Name on the hospital’s websiteSt. James Hospital
Official websiteintermountainhealth.org
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 2026-10-31.

  1. St. James Hospital — intermountainhealth.org
  2. St. James Hospital Medical Services — intermountainhealth.org
  3. St. James Hospital Emergency — intermountainhealth.org
  4. About St. James Hospital — intermountainhealth.org