Does St Peters Health have an emergency room?

Yes. Medicare (CMS) data lists emergency services at St Peters Health. In a medical emergency, call 911.

Where is St Peters Health?

2475 Broadway, Helena, MT 59601, in Lewis and Clark County, Montana.

What is the phone number of St Peters Health?

(406) 442-2480, as listed by Medicare (CMS).

What is the Medicare star rating of St Peters Health?

3 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-07-22).

St Peters Health — Helena, MT

Quick answers

Does St Peters Health have an emergency room?: Yes. Medicare (CMS) data lists emergency services at St Peters Health. In a medical emergency, call 911.
Where is St Peters Health?: 2475 Broadway, Helena, MT 59601, in Lewis and Clark County, Montana.
What is the phone number of St Peters Health?: (406) 442-2480, as listed by Medicare (CMS).
What is the Medicare star rating of St Peters Health?: 3 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-07-22).

Specialties and care areas^[4][11]

Adult Behavioral Health
Diagnostic Imaging
Labor and Delivery
Sleep Center
Urgent Care
Laboratory
Pediatrics
Palliative care

Treatments^[5]

Diagnostic imaging
Laboratory

Procedures^[7]

Forensic medical exam with DNA evidence collection

Programs and centers^{[5][7][8][9][12]}

Urgent care
Sleep center
Forensic Nurse Program
Facility Dog Program
Case management

Emergency care (hospital website)^{[4][5][6][13]}

Emergency room	Yes
Open 24/7	Yes

Visiting and practical information

Visiting	ED visiting hours 5:30 a.m. to 9 p.m. daily; 2 visitors per patient; people who are sick may not visit^[5][6]
Interpreters and languages	Free video remote and phone interpreters 24/7 for limited English and sign language users^[10]

Doctors and clinicians (428)

428 doctors and other clinicians list St Peters Health as a hospital where they work, in Medicare's official clinician data (updated 2026-10-02). It is not a complete staff list.

Main specialties

And 404 more: the button below opens the full list.

Other emergency rooms nearby

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

VA Montana Healthcare System5.9 mi · Fort Harrison, MT · Federal/VA Acute Care Hospital
Billings Clinic Broadwater29 mi · Townsend, MT · Critical Access Hospital
Deer Lodge Medical Center39 mi · Deer Lodge, MT · Critical Access Hospital
St James Hospital48 mi · Butte, MT · Acute Care Hospital
Mountainview Medical Center52 mi · White Sulphur Spring, MT · Critical Access Hospital

Other hospitals nearby

Shodair Children's Hospital10 mi · Helena, MT · Psychiatric Hospital

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

Mount Ascension Transitional Care of Cascadia0.2 mi · Helena, MT · 1 of 5 stars
Cooney Healthcare and Rehabilitation0.4 mi · Helena, MT · 1 of 5 stars
Elkhorn Healthcare and Rehabilitation9.1 mi · Clancy, MT · 2 of 5 stars

All nursing homes in the state →

Hospice providers

Enhabit Hospice10 mi · Helena, MT · 4 of 5 stars
Headwaters Hospice and Palliative Care, LLC10 mi · Helena, MT
Hospice of St Peters Comm Hosp10 mi · Helena, MT · 4 of 5 stars

All hospice providers in the state →

Home health agencies

Enhabit Home Health10 mi · Helena, MT · 3 of 5 stars
St Peter's Health Home Health and Hospice10 mi · Helena, MT · 2 of 5 stars

All home health agencies in the state →

Dialysis facilities

St Peter's Health Dialysis Center10 mi · Helena, MT · 1 of 5 stars

All dialysis facilities in the state →

Outpatient surgery centers nearby

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

Benefis Hospitals Inc10 mi · Helena, MT
Helena Surgicenter LLC10 mi · Helena, MT
Montana Surgery Center10 mi · Helena, MT

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

PureView Health Center0.5 mi · Helena, MT · Community health center
PureView Health Center Mobile Clinic0.5 mi · Helena, MT · Community health center
PureView HMS1.5 mi · Helena, MT · Community health center

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 Peters Health 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 hospital	3 of 5 stars
Would recommend the hospital	3 of 5 stars
Nurses communicated well	4 of 5 stars
Doctors communicated well	4 of 5 stars
Staff explained medicines	3 of 5 stars
Information about recovery at home	4 of 5 stars
Room and bathroom kept clean	2 of 5 stars
Quiet at night	4 of 5 stars
Rated the hospital 9 or 10 out of 10	64%National average: 72%
Would definitely recommend the hospital	58%National average: 71%
Nurses “always” communicated well	79%National average: 80%
Doctors “always” communicated well	82%National average: 80%
Staff “always” explained medicines before giving them	62%National average: 62%
Were given information about recovery at home	88%National average: 86%
Room and bathroom “always” clean	62%National average: 74%
Area around the room “always” quiet at night	59%National average: 60%
Completed surveys	739Response rate: 23%

Source: Patient survey (HCAHPS) - Hospital — CMS, released July 22, 2026; patients discharged October 2024 to September 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.

Central line bloodstream infections (CLABSI)	1.695No different from the national benchmark
Catheter-associated urinary tract infections (CAUTI)	2.241No different from the national benchmark
Surgical site infections after colon surgery	2.23No different from the national benchmark
Surgical site infections after abdominal hysterectomy	Not reported to Medicare
MRSA bloodstream infections	0No different from the national benchmark
Clostridioides difficile (C. diff) intestinal infections	0.314Better than the national benchmark

Source: Healthcare Associated Infections - Hospital — CMS, released July 22, 2026; data from October 2024 to September 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 patients	12.6%
Deaths within 30 days: heart failure patients	12.7%
Deaths within 30 days: pneumonia patients	13.4%
Deaths within 30 days: COPD patients	10.7%
Deaths within 30 days: stroke patients	11.2%
Deaths within 30 days: coronary bypass surgery (CABG)	Not reported to Medicare
Serious complications (patient safety indicator PSI-90)	1.48Worse than the national rate
Complications after hip or knee replacement	5%

Source: Complications and Deaths - Hospital — CMS, released September 10, 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)	Not reported to Medicare
Readmitted within 30 days: heart attack	13.9%
Readmitted within 30 days: heart failure	20.3%
Readmitted within 30 days: pneumonia	16%
Readmitted within 30 days: COPD	18.9%
Readmitted within 30 days: coronary bypass surgery	Not reported to Medicare
Readmitted within 30 days: hip or knee replacement	6.6%

Source: Unplanned Hospital Visits - Hospital — CMS, released September 10, 2026; data from July 2023 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)	Medium (20,000–39,999)
Average (median) time patients spent in the emergency room before leaving (OP-18b)	179 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)	3%National average: 2%
Sepsis patients who got all the recommended early care (SEP-1)	64%National average: 65%

Source: Timely and Effective Care - Hospital — CMS, released July 22, 2026; data from January 2024 to December 2024.

See every measure on Medicare Care Compare →

ER wait times and Medicare ratings nearby

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

ER wait times in Montana

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 69 common services exactly as St Peters Health 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 →

Office and emergency visits

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) In the file: HC OFFICE/OUTPATIENT VISIT NEW LEVEL 3	$160	$136	$81.10
New patient office visit (about 30–44 minutes): 10 of 12 insurance plan rates Blue Cross Blue Shield of Montana — State of Montana Employees: $186.12 Blue Cross Medicare Advantage — Medicare Replacement: $81.10 Humana Medicare Advantage — Medicare Replacement: $82.72 Allegiance — Allegiance: 95% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of Montana — Closed Plan Network: 75.1% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of Montana — Healthlink: 75.1% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of Montana — POS: 75.1% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of Montana — Traditional: 82.3% (a percentage in the contract, not a dollar amount) First Choice Health Network — Commercial: 95% (a percentage in the contract, not a dollar amount) Mountain Health Co-op — Commercial: 93% (a percentage in the contract, not a dollar amount)
New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient (hospital stay) In the file: HC OFFICE/OUTPATIENT VISIT NEW LEVEL 3	$160	$136	$152
New patient office visit (about 30–44 minutes): rates for 9 insurance plans Allegiance — Allegiance: 95% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of Montana — Closed Plan Network: 96.4% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of Montana — Healthlink: 96.4% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of Montana — POS: 96.4% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of Montana — Traditional: 98.6% (a percentage in the contract, not a dollar amount) First Choice Health Network — Commercial: 95% (a percentage in the contract, not a dollar amount) Mountain Health Co-op — Commercial: 93% (a percentage in the contract, not a dollar amount) PacificSource — PacificSource: 90% (a percentage in the contract, not a dollar amount) United Healthcare — Commercial: 95% (a percentage in the contract, not a dollar amount)
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) In the file: HC OFFICE/OUTPATIENT VISIT NEW LEVEL 4	$228.32	$194.07	$131.98
New patient office visit (about 45–59 minutes): 10 of 12 insurance plan rates Blue Cross Blue Shield of Montana — State of Montana Employees: $302.89 Blue Cross Medicare Advantage — Medicare Replacement: $131.98 Humana Medicare Advantage — Medicare Replacement: $134.62 Allegiance — Allegiance: 95% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of Montana — Closed Plan Network: 75.1% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of Montana — Healthlink: 75.1% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of Montana — POS: 75.1% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of Montana — Traditional: 82.3% (a percentage in the contract, not a dollar amount) First Choice Health Network — Commercial: 95% (a percentage in the contract, not a dollar amount) Mountain Health Co-op — Commercial: 93% (a percentage in the contract, not a dollar amount)
New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient (hospital stay) In the file: HC OFFICE/OUTPATIENT VISIT NEW LEVEL 4	$228.32	$194.07	$216.90
New patient office visit (about 45–59 minutes): rates for 9 insurance plans Allegiance — Allegiance: 95% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of Montana — Closed Plan Network: 96.4% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of Montana — Healthlink: 96.4% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of Montana — POS: 96.4% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of Montana — Traditional: 98.6% (a percentage in the contract, not a dollar amount) First Choice Health Network — Commercial: 95% (a percentage in the contract, not a dollar amount) Mountain Health Co-op — Commercial: 93% (a percentage in the contract, not a dollar amount) PacificSource — PacificSource: 90% (a percentage in the contract, not a dollar amount) United Healthcare — Commercial: 95% (a percentage in the contract, not a dollar amount)
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) In the file: CLINIC - GENERAL CLASSIFICATION	$234.33	$199.18	$220.57
New patient office visit (about 45–59 minutes): rates for 1 insurance plan UNITED HEALTHCARE — Commercial: $220.57
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) In the file: HC OFFICE/OUTPATIENT VISIT NEW LEVEL 5	$160	$136	$179.51
New patient office visit (about 60–74 minutes): 10 of 12 insurance plan rates Blue Cross Blue Shield of Montana — State of Montana Employees: $411.98 Blue Cross Medicare Advantage — Medicare Replacement: $179.51 Humana Medicare Advantage — Medicare Replacement: $183.10 Allegiance — Allegiance: 95% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of Montana — Closed Plan Network: 75.1% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of Montana — Healthlink: 75.1% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of Montana — POS: 75.1% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of Montana — Traditional: 82.3% (a percentage in the contract, not a dollar amount) First Choice Health Network — Commercial: 95% (a percentage in the contract, not a dollar amount) Mountain Health Co-op — Commercial: 93% (a percentage in the contract, not a dollar amount)
New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient (hospital stay) In the file: HC OFFICE/OUTPATIENT VISIT NEW LEVEL 5	$160	$136	$152
New patient office visit (about 60–74 minutes): rates for 9 insurance plans Allegiance — Allegiance: 95% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of Montana — Closed Plan Network: 96.4% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of Montana — Healthlink: 96.4% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of Montana — POS: 96.4% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of Montana — Traditional: 98.6% (a percentage in the contract, not a dollar amount) First Choice Health Network — Commercial: 95% (a percentage in the contract, not a dollar amount) Mountain Health Co-op — Commercial: 93% (a percentage in the contract, not a dollar amount) PacificSource — PacificSource: 90% (a percentage in the contract, not a dollar amount) United Healthcare — Commercial: 95% (a percentage in the contract, not a dollar amount)
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) In the file: HC OFFICE/OUTPATIENT VISIT EST LEVEL 3	$160	$136	$55.25
Established patient office visit (about 20–29 minutes): 10 of 12 insurance plan rates Allegiance — Allegiance: $55.25 Blue Cross Blue Shield of Montana — State of Montana Employees: $149.57 Blue Cross Medicare Advantage — Medicare Replacement: $65.17 Humana Medicare Advantage — Medicare Replacement: $66.47 Blue Cross Blue Shield of Montana — Closed Plan Network: 75.1% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of Montana — Healthlink: 75.1% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of Montana — POS: 75.1% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of Montana — Traditional: 82.3% (a percentage in the contract, not a dollar amount) First Choice Health Network — Commercial: 95% (a percentage in the contract, not a dollar amount) Mountain Health Co-op — Commercial: 93% (a percentage in the contract, not a dollar amount)
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient (hospital stay) In the file: HC OFFICE/OUTPATIENT VISIT EST LEVEL 3	$160	$136	$152
Established patient office visit (about 20–29 minutes): rates for 9 insurance plans Allegiance — Allegiance: 95% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of Montana — Closed Plan Network: 96.4% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of Montana — Healthlink: 96.4% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of Montana — POS: 96.4% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of Montana — Traditional: 98.6% (a percentage in the contract, not a dollar amount) First Choice Health Network — Commercial: 95% (a percentage in the contract, not a dollar amount) Mountain Health Co-op — Commercial: 93% (a percentage in the contract, not a dollar amount) PacificSource — PacificSource: 90% (a percentage in the contract, not a dollar amount) United Healthcare — Commercial: 95% (a percentage in the contract, not a dollar amount)
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) In the file: CLINIC - GENERAL CLASSIFICATION	$135.34	$115.04	$128.57
Established patient office visit (about 20–29 minutes): rates for 1 insurance plan ZZGEHA — Commercial: $128.57
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) In the file: HC OFFICE/OUTPATIENT VISIT EST LEVEL 4	$160	$136	$128.87
Established patient office visit (about 30–39 minutes): 10 of 12 insurance plan rates Blue Cross Blue Shield of Montana — State of Montana Employees: $295.76 Blue Cross Medicare Advantage — Medicare Replacement: $128.87 Humana Medicare Advantage — Medicare Replacement: $131.45 Allegiance — Allegiance: 95% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of Montana — Closed Plan Network: 75.1% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of Montana — Healthlink: 75.1% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of Montana — POS: 75.1% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of Montana — Traditional: 82.3% (a percentage in the contract, not a dollar amount) First Choice Health Network — Commercial: 95% (a percentage in the contract, not a dollar amount) Mountain Health Co-op — Commercial: 93% (a percentage in the contract, not a dollar amount)
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient (hospital stay) In the file: HC OFFICE/OUTPATIENT VISIT EST LEVEL 4	$160	$136	$152
Established patient office visit (about 30–39 minutes): rates for 9 insurance plans Allegiance — Allegiance: 95% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of Montana — Closed Plan Network: 96.4% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of Montana — Healthlink: 96.4% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of Montana — POS: 96.4% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of Montana — Traditional: 98.6% (a percentage in the contract, not a dollar amount) First Choice Health Network — Commercial: 95% (a percentage in the contract, not a dollar amount) Mountain Health Co-op — Commercial: 93% (a percentage in the contract, not a dollar amount) PacificSource — PacificSource: 90% (a percentage in the contract, not a dollar amount) United Healthcare — Commercial: 95% (a percentage in the contract, not a dollar amount)
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) In the file: CLINIC - GENERAL CLASSIFICATION	$160	$136	$152
Established patient office visit (about 30–39 minutes): rates for 1 insurance plan AETNA — Commercial: $152
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) In the file: HC EMERGENCY ROOM-LEVEL 3	$802.26	$681.92	$70.11
Emergency room visit (moderate): 10 of 12 insurance plan rates Allegiance — Allegiance: $70.11 Blue Cross Blue Shield of Montana — State of Montana Employees: $635.46 Blue Cross Medicare Advantage — Medicare Replacement: $276.89 Humana Medicare Advantage — Medicare Replacement: $282.43 Blue Cross Blue Shield of Montana — Closed Plan Network: 75.1% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of Montana — Healthlink: 75.1% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of Montana — POS: 75.1% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of Montana — Traditional: 82.3% (a percentage in the contract, not a dollar amount) First Choice Health Network — Commercial: 95% (a percentage in the contract, not a dollar amount) Mountain Health Co-op — Commercial: 93% (a percentage in the contract, not a dollar amount)
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) In the file: HC EMERGENCY ROOM - LEVEL 3 W/MOD	$802.26	$681.92	$70.11
Emergency room visit (moderate): 10 of 12 insurance plan rates Allegiance — Allegiance: $70.11 Blue Cross Blue Shield of Montana — State of Montana Employees: $635.46 Blue Cross Medicare Advantage — Medicare Replacement: $276.89 Humana Medicare Advantage — Medicare Replacement: $282.43 Blue Cross Blue Shield of Montana — Closed Plan Network: 75.1% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of Montana — Healthlink: 75.1% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of Montana — POS: 75.1% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of Montana — Traditional: 82.3% (a percentage in the contract, not a dollar amount) First Choice Health Network — Commercial: 95% (a percentage in the contract, not a dollar amount) Mountain Health Co-op — Commercial: 93% (a percentage in the contract, not a dollar amount)
Emergency room visit (moderate) CPT 99283 · Inpatient (hospital stay) In the file: HC EMERGENCY ROOM-LEVEL 3	$802.26	$681.92	$762.15
Emergency room visit (moderate): rates for 9 insurance plans Allegiance — Allegiance: 95% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of Montana — Closed Plan Network: 96.4% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of Montana — Healthlink: 96.4% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of Montana — POS: 96.4% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of Montana — Traditional: 98.6% (a percentage in the contract, not a dollar amount) First Choice Health Network — Commercial: 95% (a percentage in the contract, not a dollar amount) Mountain Health Co-op — Commercial: 93% (a percentage in the contract, not a dollar amount) PacificSource — PacificSource: 90% (a percentage in the contract, not a dollar amount) United Healthcare — Commercial: 95% (a percentage in the contract, not a dollar amount)
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) In the file: HC EMERGENCY ROOM-LEVEL 4	$1,218.45	$1,035.68	$128.79
Emergency room visit (moderately high): 10 of 12 insurance plan rates Allegiance — Allegiance: $128.79 Blue Cross Blue Shield of Montana — State of Montana Employees: $977.26 Blue Cross Medicare Advantage — Medicare Replacement: $425.82 Humana Medicare Advantage — Medicare Replacement: $434.34 Blue Cross Blue Shield of Montana — Closed Plan Network: 75.1% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of Montana — Healthlink: 75.1% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of Montana — POS: 75.1% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of Montana — Traditional: 82.3% (a percentage in the contract, not a dollar amount) First Choice Health Network — Commercial: 95% (a percentage in the contract, not a dollar amount) Mountain Health Co-op — Commercial: 93% (a percentage in the contract, not a dollar amount)
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) In the file: HC EMERGENCY ROOM - LEVEL 4 W/MOD	$1,218.45	$1,035.68	$128.79
Emergency room visit (moderately high): 10 of 12 insurance plan rates Allegiance — Allegiance: $128.79 Blue Cross Blue Shield of Montana — State of Montana Employees: $977.26 Blue Cross Medicare Advantage — Medicare Replacement: $425.82 Humana Medicare Advantage — Medicare Replacement: $434.34 Blue Cross Blue Shield of Montana — Closed Plan Network: 75.1% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of Montana — Healthlink: 75.1% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of Montana — POS: 75.1% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of Montana — Traditional: 82.3% (a percentage in the contract, not a dollar amount) First Choice Health Network — Commercial: 95% (a percentage in the contract, not a dollar amount) Mountain Health Co-op — Commercial: 93% (a percentage in the contract, not a dollar amount)
Emergency room visit (moderately high) CPT 99284 · Inpatient (hospital stay) In the file: HC EMERGENCY ROOM-LEVEL 4	$1,218.45	$1,035.68	$1,157.53
Emergency room visit (moderately high): rates for 9 insurance plans Allegiance — Allegiance: 95% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of Montana — Closed Plan Network: 96.4% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of Montana — Healthlink: 96.4% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of Montana — POS: 96.4% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of Montana — Traditional: 98.6% (a percentage in the contract, not a dollar amount) First Choice Health Network — Commercial: 95% (a percentage in the contract, not a dollar amount) Mountain Health Co-op — Commercial: 93% (a percentage in the contract, not a dollar amount) PacificSource — PacificSource: 90% (a percentage in the contract, not a dollar amount) United Healthcare — Commercial: 95% (a percentage in the contract, not a dollar amount)
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) In the file: HC EMERGENCY ROOM-LEVEL 5	$1,700.27	$1,445.23	$187.08
Emergency room visit (high): 10 of 12 insurance plan rates Allegiance — Allegiance: $187.08 Blue Cross Blue Shield of Montana — State of Montana Employees: $1,407.06 Blue Cross Medicare Advantage — Medicare Replacement: $613.10 Humana Medicare Advantage — Medicare Replacement: $625.36 Blue Cross Blue Shield of Montana — Closed Plan Network: 75.1% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of Montana — Healthlink: 75.1% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of Montana — POS: 75.1% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of Montana — Traditional: 82.3% (a percentage in the contract, not a dollar amount) First Choice Health Network — Commercial: 95% (a percentage in the contract, not a dollar amount) Mountain Health Co-op — Commercial: 93% (a percentage in the contract, not a dollar amount)
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) In the file: HC EMERGENCY ROOM - LEVEL 5 W/MOD	$1,767.88	$1,502.70	$187.08
Emergency room visit (high): 10 of 12 insurance plan rates Allegiance — Allegiance: $187.08 Blue Cross Blue Shield of Montana — State of Montana Employees: $1,407.06 Blue Cross Medicare Advantage — Medicare Replacement: $613.10 Humana Medicare Advantage — Medicare Replacement: $625.36 Blue Cross Blue Shield of Montana — Closed Plan Network: 75.1% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of Montana — Healthlink: 75.1% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of Montana — POS: 75.1% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of Montana — Traditional: 82.3% (a percentage in the contract, not a dollar amount) First Choice Health Network — Commercial: 95% (a percentage in the contract, not a dollar amount) Mountain Health Co-op — Commercial: 93% (a percentage in the contract, not a dollar amount)
Emergency room visit (high) CPT 99285 · Inpatient (hospital stay) In the file: HC EMERGENCY ROOM-LEVEL 5	$1,700.27	$1,445.23	$1,615.26
Emergency room visit (high): rates for 9 insurance plans Allegiance — Allegiance: 95% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of Montana — Closed Plan Network: 96.4% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of Montana — Healthlink: 96.4% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of Montana — POS: 96.4% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of Montana — Traditional: 98.6% (a percentage in the contract, not a dollar amount) First Choice Health Network — Commercial: 95% (a percentage in the contract, not a dollar amount) Mountain Health Co-op — Commercial: 93% (a percentage in the contract, not a dollar amount) PacificSource — PacificSource: 90% (a percentage in the contract, not a dollar amount) United Healthcare — Commercial: 95% (a percentage in the contract, not a dollar amount)

Lab tests

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) In the file: HC BASIC METABOLIC PANEL	$59.60	$50.66	$8.46
Basic metabolic panel (blood test): 10 of 12 insurance plan rates Allegiance — Allegiance: $16.50 Blue Cross Blue Shield of Montana — State of Montana Employees: $19.42 Blue Cross Medicare Advantage — Medicare Replacement: $8.46 Humana Medicare Advantage — Medicare Replacement: $8.63 PacificSource — PacificSource: $24.11 Blue Cross Blue Shield of Montana — Closed Plan Network: 75.1% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of Montana — Healthlink: 75.1% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of Montana — POS: 75.1% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of Montana — Traditional: 82.3% (a percentage in the contract, not a dollar amount) First Choice Health Network — Commercial: 95% (a percentage in the contract, not a dollar amount)
Basic metabolic panel (blood test) CPT 80048 · Inpatient (hospital stay) In the file: HC BASIC METABOLIC PANEL	$59.60	$50.66	$56.62
Basic metabolic panel (blood test): rates for 9 insurance plans Allegiance — Allegiance: 95% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of Montana — Closed Plan Network: 96.4% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of Montana — Healthlink: 96.4% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of Montana — POS: 96.4% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of Montana — Traditional: 98.6% (a percentage in the contract, not a dollar amount) First Choice Health Network — Commercial: 95% (a percentage in the contract, not a dollar amount) Mountain Health Co-op — Commercial: 93% (a percentage in the contract, not a dollar amount) PacificSource — PacificSource: 90% (a percentage in the contract, not a dollar amount) United Healthcare — Commercial: 95% (a percentage in the contract, not a dollar amount)
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) In the file: LABORATORY - CHEMISTRY	$59.60	$50.66	$8.46
Basic metabolic panel (blood test): rates for 2 insurance plans AETNA — Commercial: $55.27 Blue Cross Blue Shield of Montana — Medicare Replacement: $8.46
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) In the file: HC COMPREHENSIVE METABOLIC PANEL	$90.50	$76.93	$10.56
Comprehensive metabolic panel (blood test): 10 of 12 insurance plan rates Allegiance — Allegiance: $20.59 Blue Cross Blue Shield of Montana — State of Montana Employees: $24.24 Blue Cross Medicare Advantage — Medicare Replacement: $10.56 Humana Medicare Advantage — Medicare Replacement: $10.77 PacificSource — PacificSource: $30.10 Blue Cross Blue Shield of Montana — Closed Plan Network: 75.1% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of Montana — Healthlink: 75.1% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of Montana — POS: 75.1% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of Montana — Traditional: 82.3% (a percentage in the contract, not a dollar amount) First Choice Health Network — Commercial: 95% (a percentage in the contract, not a dollar amount)
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient (hospital stay) In the file: HC COMPREHENSIVE METABOLIC PANEL	$90.50	$76.92	$85.97
Comprehensive metabolic panel (blood test): rates for 9 insurance plans Allegiance — Allegiance: 95% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of Montana — Closed Plan Network: 96.4% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of Montana — Healthlink: 96.4% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of Montana — POS: 96.4% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of Montana — Traditional: 98.6% (a percentage in the contract, not a dollar amount) First Choice Health Network — Commercial: 95% (a percentage in the contract, not a dollar amount) Mountain Health Co-op — Commercial: 93% (a percentage in the contract, not a dollar amount) PacificSource — PacificSource: 90% (a percentage in the contract, not a dollar amount) United Healthcare — Commercial: 95% (a percentage in the contract, not a dollar amount)
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) In the file: LABORATORY - CHEMISTRY	$56.76	$48.25	$56.76
Comprehensive metabolic panel (blood test): rates for 2 insurance plans UNITED HEALTHCARE — Commercial: $75.99 ZZCHOICECARE HUMANA MRP — Medicare Replacement: $56.76
Obstetric blood test panel CPT 80055 · Outpatient (no overnight stay) In the file: LABORATORY - CHEMISTRY	$449.27	$381.88	$122.94
Obstetric blood test panel: rates for 3 insurance plans CIGNA — Allegiance: $122.94 PACIFICSOURCE — PacificSource: $225.62 UNITED HEALTHCARE — Commercial: $423.78
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) In the file: HC LIPID PANEL	$92.57	$78.68	$13.39
Cholesterol panel (lipid panel): 10 of 12 insurance plan rates Allegiance — Allegiance: $26.11 Blue Cross Blue Shield of Montana — State of Montana Employees: $30.73 Blue Cross Medicare Advantage — Medicare Replacement: $13.39 Humana Medicare Advantage — Medicare Replacement: $13.66 PacificSource — PacificSource: $38.16 Blue Cross Blue Shield of Montana — Closed Plan Network: 75.1% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of Montana — Healthlink: 75.1% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of Montana — POS: 75.1% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of Montana — Traditional: 82.3% (a percentage in the contract, not a dollar amount) First Choice Health Network — Commercial: 95% (a percentage in the contract, not a dollar amount)
Cholesterol panel (lipid panel) CPT 80061 · Inpatient (hospital stay) In the file: HC LIPID PANEL	$92.57	$78.68	$87.94
Cholesterol panel (lipid panel): rates for 9 insurance plans Allegiance — Allegiance: 95% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of Montana — Closed Plan Network: 96.4% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of Montana — Healthlink: 96.4% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of Montana — POS: 96.4% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of Montana — Traditional: 98.6% (a percentage in the contract, not a dollar amount) First Choice Health Network — Commercial: 95% (a percentage in the contract, not a dollar amount) Mountain Health Co-op — Commercial: 93% (a percentage in the contract, not a dollar amount) PacificSource — PacificSource: 90% (a percentage in the contract, not a dollar amount) United Healthcare — Commercial: 95% (a percentage in the contract, not a dollar amount)
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) In the file: LABORATORY - CHEMISTRY	$56.76	$48.25	$8.46
Cholesterol panel (lipid panel): rates for 2 insurance plans UNITED HEALTHCARE — Commercial: $87.13 ZZCHOICECARE HUMANA MRP — Medicare Replacement: $8.46
Kidney function panel CPT 80069 · Outpatient (no overnight stay) In the file: HC RENAL FUNCTION PANEL	$56.43	$47.97	$8.68
Kidney function panel: 10 of 12 insurance plan rates Allegiance — Allegiance: $16.93 Blue Cross Blue Shield of Montana — State of Montana Employees: $19.92 Blue Cross Medicare Advantage — Medicare Replacement: $8.68 Humana Medicare Advantage — Medicare Replacement: $8.85 PacificSource — PacificSource: $24.74 Blue Cross Blue Shield of Montana — Closed Plan Network: 75.1% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of Montana — Healthlink: 75.1% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of Montana — POS: 75.1% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of Montana — Traditional: 82.3% (a percentage in the contract, not a dollar amount) First Choice Health Network — Commercial: 95% (a percentage in the contract, not a dollar amount)
Kidney function panel CPT 80069 · Inpatient (hospital stay) In the file: HC RENAL FUNCTION PANEL	$56.43	$47.97	$53.61
Kidney function panel: rates for 9 insurance plans Allegiance — Allegiance: 95% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of Montana — Closed Plan Network: 96.4% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of Montana — Healthlink: 96.4% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of Montana — POS: 96.4% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of Montana — Traditional: 98.6% (a percentage in the contract, not a dollar amount) First Choice Health Network — Commercial: 95% (a percentage in the contract, not a dollar amount) Mountain Health Co-op — Commercial: 93% (a percentage in the contract, not a dollar amount) PacificSource — PacificSource: 90% (a percentage in the contract, not a dollar amount) United Healthcare — Commercial: 95% (a percentage in the contract, not a dollar amount)
Kidney function panel CPT 80069 · Outpatient (no overnight stay) In the file: LABORATORY - CHEMISTRY	$18.26	$15.52	$18.26
Kidney function panel: rates for 2 insurance plans UNITED HEALTHCARE — Commercial: $50.94 ZZCHOICECARE HUMANA MRP — Medicare Replacement: $18.26
Liver function panel CPT 80076 · Outpatient (no overnight stay) In the file: HC HEPATIC FUNCTION PANEL	$22.67	$19.27	$8.17
Liver function panel: 10 of 12 insurance plan rates Allegiance — Allegiance: $15.93 Blue Cross Blue Shield of Montana — State of Montana Employees: $18.75 Blue Cross Medicare Advantage — Medicare Replacement: $8.17 Humana Medicare Advantage — Medicare Replacement: $8.33 PacificSource — PacificSource: $23.28 Blue Cross Blue Shield of Montana — Closed Plan Network: 75.1% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of Montana — Healthlink: 75.1% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of Montana — POS: 75.1% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of Montana — Traditional: 82.3% (a percentage in the contract, not a dollar amount) First Choice Health Network — Commercial: 95% (a percentage in the contract, not a dollar amount)
Liver function panel CPT 80076 · Inpatient (hospital stay) In the file: HC HEPATIC FUNCTION PANEL	$22.67	$19.27	$21.54
Liver function panel: rates for 9 insurance plans Allegiance — Allegiance: 95% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of Montana — Closed Plan Network: 96.4% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of Montana — Healthlink: 96.4% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of Montana — POS: 96.4% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of Montana — Traditional: 98.6% (a percentage in the contract, not a dollar amount) First Choice Health Network — Commercial: 95% (a percentage in the contract, not a dollar amount) Mountain Health Co-op — Commercial: 93% (a percentage in the contract, not a dollar amount) PacificSource — PacificSource: 90% (a percentage in the contract, not a dollar amount) United Healthcare — Commercial: 95% (a percentage in the contract, not a dollar amount)
Liver function panel CPT 80076 · Outpatient (no overnight stay) In the file: LABORATORY - CHEMISTRY	$21.93	$18.64	$8.17
Liver function panel: rates for 2 insurance plans Blue Cross Blue Shield of Montana — Medicare Replacement: $8.17 UNITED HEALTHCARE — Commercial: $20.40
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) In the file: HC URINALYSIS W/MICROSCOPY	$65.04	$55.28	$3.17
Urine test (automated, with microscope): 10 of 12 insurance plan rates Allegiance — Allegiance: $6.18 Blue Cross Blue Shield of Montana — State of Montana Employees: $7.28 Blue Cross Medicare Advantage — Medicare Replacement: $3.17 Humana Medicare Advantage — Medicare Replacement: $3.23 PacificSource — PacificSource: $9.03 Blue Cross Blue Shield of Montana — Closed Plan Network: 75.1% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of Montana — Healthlink: 75.1% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of Montana — POS: 75.1% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of Montana — Traditional: 82.3% (a percentage in the contract, not a dollar amount) First Choice Health Network — Commercial: 95% (a percentage in the contract, not a dollar amount)
Urine test (automated, with microscope) CPT 81001 · Inpatient (hospital stay) In the file: HC URINALYSIS W/MICROSCOPY	$65.04	$55.28	$61.79
Urine test (automated, with microscope): rates for 9 insurance plans Allegiance — Allegiance: 95% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of Montana — Closed Plan Network: 96.4% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of Montana — Healthlink: 96.4% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of Montana — POS: 96.4% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of Montana — Traditional: 98.6% (a percentage in the contract, not a dollar amount) First Choice Health Network — Commercial: 95% (a percentage in the contract, not a dollar amount) Mountain Health Co-op — Commercial: 93% (a percentage in the contract, not a dollar amount) PacificSource — PacificSource: 90% (a percentage in the contract, not a dollar amount) United Healthcare — Commercial: 95% (a percentage in the contract, not a dollar amount)
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) In the file: LABORATORY - UROLOGY	$65.47	$55.65	$3.17
Urine test (automated, with microscope): rates for 2 insurance plans Blue Cross Blue Shield of Montana — Medicare Replacement: $3.17 UNITED HEALTHCARE — Commercial: $61.87
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) In the file: HC URINALYSIS W/O MICRO AUTOMATED	$34.88	$29.65	$2.25
Urine test (automated, without microscope): 10 of 12 insurance plan rates Allegiance — Allegiance: $4.39 Blue Cross Blue Shield of Montana — State of Montana Employees: $5.16 Blue Cross Medicare Advantage — Medicare Replacement: $2.25 Humana Medicare Advantage — Medicare Replacement: $2.30 PacificSource — PacificSource: $6.41 Blue Cross Blue Shield of Montana — Closed Plan Network: 75.1% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of Montana — Healthlink: 75.1% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of Montana — POS: 75.1% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of Montana — Traditional: 82.3% (a percentage in the contract, not a dollar amount) First Choice Health Network — Commercial: 95% (a percentage in the contract, not a dollar amount)
Urine test (automated, without microscope) CPT 81003 · Inpatient (hospital stay) In the file: HC URINALYSIS W/O MICRO AUTOMATED	$34.88	$29.65	$33.14
Urine test (automated, without microscope): rates for 9 insurance plans Allegiance — Allegiance: 95% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of Montana — Closed Plan Network: 96.4% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of Montana — Healthlink: 96.4% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of Montana — POS: 96.4% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of Montana — Traditional: 98.6% (a percentage in the contract, not a dollar amount) First Choice Health Network — Commercial: 95% (a percentage in the contract, not a dollar amount) Mountain Health Co-op — Commercial: 93% (a percentage in the contract, not a dollar amount) PacificSource — PacificSource: 90% (a percentage in the contract, not a dollar amount) United Healthcare — Commercial: 95% (a percentage in the contract, not a dollar amount)
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) In the file: LABORATORY - UROLOGY	$34.77	$29.55	$2.25
Urine test (automated, without microscope): rates for 2 insurance plans UNITED HEALTHCARE — Commercial: $32.81 ZZCHOICECARE HUMANA MRP — Medicare Replacement: $2.25
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) In the file: HC PROSTATIC SPECIFIC ANTIGEN TOTAL	$104.61	$88.92	$18.39
PSA (prostate specific antigen) blood test: 10 of 12 insurance plan rates Allegiance — Allegiance: $35.86 Blue Cross Blue Shield of Montana — State of Montana Employees: $42.21 Blue Cross Medicare Advantage — Medicare Replacement: $18.39 Humana Medicare Advantage — Medicare Replacement: $18.76 PacificSource — PacificSource: $52.41 Blue Cross Blue Shield of Montana — Closed Plan Network: 75.1% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of Montana — Healthlink: 75.1% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of Montana — POS: 75.1% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of Montana — Traditional: 82.3% (a percentage in the contract, not a dollar amount) First Choice Health Network — Commercial: 95% (a percentage in the contract, not a dollar amount)
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) In the file: HC PROSTATE SPECIFIC ANTIGEN COMPLEX	$104.61	$88.92	$18.39
PSA (prostate specific antigen) blood test: 10 of 12 insurance plan rates Allegiance — Allegiance: $35.86 Blue Cross Blue Shield of Montana — State of Montana Employees: $42.21 Blue Cross Medicare Advantage — Medicare Replacement: $18.39 Humana Medicare Advantage — Medicare Replacement: $18.76 PacificSource — PacificSource: $52.41 Blue Cross Blue Shield of Montana — Closed Plan Network: 75.1% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of Montana — Healthlink: 75.1% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of Montana — POS: 75.1% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of Montana — Traditional: 82.3% (a percentage in the contract, not a dollar amount) First Choice Health Network — Commercial: 95% (a percentage in the contract, not a dollar amount)
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient (hospital stay) In the file: HC PROSTATIC SPECIFIC ANTIGEN TOTAL	$104.61	$88.92	$99.38
PSA (prostate specific antigen) blood test: rates for 9 insurance plans Allegiance — Allegiance: 95% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of Montana — Closed Plan Network: 96.4% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of Montana — Healthlink: 96.4% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of Montana — POS: 96.4% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of Montana — Traditional: 98.6% (a percentage in the contract, not a dollar amount) First Choice Health Network — Commercial: 95% (a percentage in the contract, not a dollar amount) Mountain Health Co-op — Commercial: 93% (a percentage in the contract, not a dollar amount) PacificSource — PacificSource: 90% (a percentage in the contract, not a dollar amount) United Healthcare — Commercial: 95% (a percentage in the contract, not a dollar amount)
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) In the file: HC THYROID STIMULATING HORMONE	$103.22	$87.74	$16.80
Thyroid stimulating hormone (TSH) test: 10 of 12 insurance plan rates Allegiance — Allegiance: $32.76 Blue Cross Blue Shield of Montana — State of Montana Employees: $38.56 Blue Cross Medicare Advantage — Medicare Replacement: $16.80 Humana Medicare Advantage — Medicare Replacement: $17.14 PacificSource — PacificSource: $47.88 Blue Cross Blue Shield of Montana — Closed Plan Network: 75.1% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of Montana — Healthlink: 75.1% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of Montana — POS: 75.1% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of Montana — Traditional: 82.3% (a percentage in the contract, not a dollar amount) First Choice Health Network — Commercial: 95% (a percentage in the contract, not a dollar amount)
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient (hospital stay) In the file: HC THYROID STIMULATING HORMONE	$98.51	$83.73	$93.58
Thyroid stimulating hormone (TSH) test: rates for 9 insurance plans Allegiance — Allegiance: 95% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of Montana — Closed Plan Network: 96.4% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of Montana — Healthlink: 96.4% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of Montana — POS: 96.4% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of Montana — Traditional: 98.6% (a percentage in the contract, not a dollar amount) First Choice Health Network — Commercial: 95% (a percentage in the contract, not a dollar amount) Mountain Health Co-op — Commercial: 93% (a percentage in the contract, not a dollar amount) PacificSource — PacificSource: 90% (a percentage in the contract, not a dollar amount) United Healthcare — Commercial: 95% (a percentage in the contract, not a dollar amount)
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) In the file: LABORATORY - CHEMISTRY	$34.76	$29.55	$34.76
Thyroid stimulating hormone (TSH) test: rates for 2 insurance plans AETNA — Commercial: $86.19 ZZCHOICECARE HUMANA MRP — Medicare Replacement: $34.76
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) In the file: HC CBC/PLT AUTO DIFFERENTIAL	$86.92	$73.88	$7.77
Complete blood count (CBC) with differential: 10 of 12 insurance plan rates Allegiance — Allegiance: $15.15 Blue Cross Blue Shield of Montana — State of Montana Employees: $17.83 Blue Cross Medicare Advantage — Medicare Replacement: $7.77 Humana Medicare Advantage — Medicare Replacement: $7.93 PacificSource — PacificSource: $22.14 Blue Cross Blue Shield of Montana — Closed Plan Network: 75.1% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of Montana — Healthlink: 75.1% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of Montana — POS: 75.1% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of Montana — Traditional: 82.3% (a percentage in the contract, not a dollar amount) First Choice Health Network — Commercial: 95% (a percentage in the contract, not a dollar amount)
Complete blood count (CBC) with differential CPT 85025 · Inpatient (hospital stay) In the file: HC CBC/PLT AUTO DIFFERENTIAL	$86.92	$73.88	$82.57
Complete blood count (CBC) with differential: rates for 9 insurance plans Allegiance — Allegiance: 95% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of Montana — Closed Plan Network: 96.4% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of Montana — Healthlink: 96.4% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of Montana — POS: 96.4% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of Montana — Traditional: 98.6% (a percentage in the contract, not a dollar amount) First Choice Health Network — Commercial: 95% (a percentage in the contract, not a dollar amount) Mountain Health Co-op — Commercial: 93% (a percentage in the contract, not a dollar amount) PacificSource — PacificSource: 90% (a percentage in the contract, not a dollar amount) United Healthcare — Commercial: 95% (a percentage in the contract, not a dollar amount)
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) In the file: LABORATORY - HEMATOLOGY	$84.85	$72.12	$7.77
Complete blood count (CBC) with differential: rates for 2 insurance plans AETNA — Commercial: $80.46 Blue Cross Blue Shield of Montana — Medicare Replacement: $7.77
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) In the file: HC CBC W/O DIFFERENTIAL	$25.04	$21.28	$6.47
Complete blood count (CBC), automated: 10 of 12 insurance plan rates Allegiance — Allegiance: $12.62 Blue Cross Blue Shield of Montana — State of Montana Employees: $14.85 Blue Cross Medicare Advantage — Medicare Replacement: $6.47 Humana Medicare Advantage — Medicare Replacement: $6.60 PacificSource — PacificSource: $18.44 Blue Cross Blue Shield of Montana — Closed Plan Network: 75.1% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of Montana — Healthlink: 75.1% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of Montana — POS: 75.1% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of Montana — Traditional: 82.3% (a percentage in the contract, not a dollar amount) First Choice Health Network — Commercial: 95% (a percentage in the contract, not a dollar amount)
Complete blood count (CBC), automated CPT 85027 · Inpatient (hospital stay) In the file: HC CBC W/O DIFFERENTIAL	$25.04	$21.28	$23.79
Complete blood count (CBC), automated: rates for 9 insurance plans Allegiance — Allegiance: 95% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of Montana — Closed Plan Network: 96.4% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of Montana — Healthlink: 96.4% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of Montana — POS: 96.4% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of Montana — Traditional: 98.6% (a percentage in the contract, not a dollar amount) First Choice Health Network — Commercial: 95% (a percentage in the contract, not a dollar amount) Mountain Health Co-op — Commercial: 93% (a percentage in the contract, not a dollar amount) PacificSource — PacificSource: 90% (a percentage in the contract, not a dollar amount) United Healthcare — Commercial: 95% (a percentage in the contract, not a dollar amount)
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) In the file: LABORATORY - HEMATOLOGY	$24.22	$20.59	$6.47
Complete blood count (CBC), automated: rates for 2 insurance plans Blue Cross Blue Shield of Montana — Medicare Replacement: $6.47 UNITED HEALTHCARE — Commercial: $22.96
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) In the file: HC PROTHROMBIN TIME	$26.84	$22.81	$4.29
Blood clotting time test (prothrombin time, PT): 10 of 12 insurance plan rates Allegiance — Allegiance: $8.37 Blue Cross Blue Shield of Montana — State of Montana Employees: $9.85 Blue Cross Medicare Advantage — Medicare Replacement: $4.29 Humana Medicare Advantage — Medicare Replacement: $4.38 PacificSource — PacificSource: $12.23 Blue Cross Blue Shield of Montana — Closed Plan Network: 75.1% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of Montana — Healthlink: 75.1% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of Montana — POS: 75.1% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of Montana — Traditional: 82.3% (a percentage in the contract, not a dollar amount) First Choice Health Network — Commercial: 95% (a percentage in the contract, not a dollar amount)
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) In the file: HC PROTHROMBIN TIME POCL/POCBS	$28.33	$24.08	$4.29
Blood clotting time test (prothrombin time, PT): 10 of 12 insurance plan rates Allegiance — Allegiance: $8.37 Blue Cross Blue Shield of Montana — State of Montana Employees: $9.85 Blue Cross Medicare Advantage — Medicare Replacement: $4.29 Humana Medicare Advantage — Medicare Replacement: $4.38 PacificSource — PacificSource: $12.23 Blue Cross Blue Shield of Montana — Closed Plan Network: 75.1% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of Montana — Healthlink: 75.1% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of Montana — POS: 75.1% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of Montana — Traditional: 82.3% (a percentage in the contract, not a dollar amount) First Choice Health Network — Commercial: 95% (a percentage in the contract, not a dollar amount)
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient (hospital stay) In the file: HC PROTHROMBIN TIME	$26.84	$22.81	$25.50
Blood clotting time test (prothrombin time, PT): rates for 9 insurance plans Allegiance — Allegiance: 95% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of Montana — Closed Plan Network: 96.4% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of Montana — Healthlink: 96.4% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of Montana — POS: 96.4% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of Montana — Traditional: 98.6% (a percentage in the contract, not a dollar amount) First Choice Health Network — Commercial: 95% (a percentage in the contract, not a dollar amount) Mountain Health Co-op — Commercial: 93% (a percentage in the contract, not a dollar amount) PacificSource — PacificSource: 90% (a percentage in the contract, not a dollar amount) United Healthcare — Commercial: 95% (a percentage in the contract, not a dollar amount)
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) In the file: HC PARTIAL THROMBOPLASTIN TIME	$71.30	$60.61	$6.01
Blood clotting test (partial thromboplastin time, PTT): 10 of 12 insurance plan rates Allegiance — Allegiance: $11.72 Blue Cross Blue Shield of Montana — State of Montana Employees: $13.79 Blue Cross Medicare Advantage — Medicare Replacement: $6.01 Humana Medicare Advantage — Medicare Replacement: $6.13 PacificSource — PacificSource: $17.13 Blue Cross Blue Shield of Montana — Closed Plan Network: 75.1% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of Montana — Healthlink: 75.1% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of Montana — POS: 75.1% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of Montana — Traditional: 82.3% (a percentage in the contract, not a dollar amount) First Choice Health Network — Commercial: 95% (a percentage in the contract, not a dollar amount)
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient (hospital stay) In the file: HC PARTIAL THROMBOPLASTIN TIME	$71.30	$60.60	$67.73
Blood clotting test (partial thromboplastin time, PTT): rates for 9 insurance plans Allegiance — Allegiance: 95% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of Montana — Closed Plan Network: 96.4% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of Montana — Healthlink: 96.4% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of Montana — POS: 96.4% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of Montana — Traditional: 98.6% (a percentage in the contract, not a dollar amount) First Choice Health Network — Commercial: 95% (a percentage in the contract, not a dollar amount) Mountain Health Co-op — Commercial: 93% (a percentage in the contract, not a dollar amount) PacificSource — PacificSource: 90% (a percentage in the contract, not a dollar amount) United Healthcare — Commercial: 95% (a percentage in the contract, not a dollar amount)
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) In the file: LABORATORY - HEMATOLOGY	$86.92	$73.88	$7.77
Blood clotting test (partial thromboplastin time, PTT): rates for 2 insurance plans UNITED HEALTHCARE — Commercial: $24.28 ZZCHOICECARE HUMANA MRP — Medicare Replacement: $7.77

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

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) In the file: HC CT HEAD/BRAIN W/O CONTRAST	$1,166.90	$991.87	$106.34
CT scan of the head or brain, without contrast: 10 of 12 insurance plan rates Allegiance — Allegiance: $149.30 Blue Cross Blue Shield of Montana — State of Montana Employees: $244.05 Blue Cross Medicare Advantage — Medicare Replacement: $106.34 Humana Medicare Advantage — Medicare Replacement: $108.47 Blue Cross Blue Shield of Montana — Closed Plan Network: 75.1% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of Montana — Healthlink: 75.1% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of Montana — POS: 75.1% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of Montana — Traditional: 82.3% (a percentage in the contract, not a dollar amount) First Choice Health Network — Commercial: 95% (a percentage in the contract, not a dollar amount) Mountain Health Co-op — Commercial: 93% (a percentage in the contract, not a dollar amount)
CT scan of the head or brain, without contrast CPT 70450 · Inpatient (hospital stay) In the file: HC CT HEAD/BRAIN W/O CONTRAST	$1,166.90	$991.87	$1,108.56
CT scan of the head or brain, without contrast: rates for 9 insurance plans Allegiance — Allegiance: 95% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of Montana — Closed Plan Network: 96.4% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of Montana — Healthlink: 96.4% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of Montana — POS: 96.4% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of Montana — Traditional: 98.6% (a percentage in the contract, not a dollar amount) First Choice Health Network — Commercial: 95% (a percentage in the contract, not a dollar amount) Mountain Health Co-op — Commercial: 93% (a percentage in the contract, not a dollar amount) PacificSource — PacificSource: 90% (a percentage in the contract, not a dollar amount) United Healthcare — Commercial: 95% (a percentage in the contract, not a dollar amount)
CT scan of the head or brain, without contrast CPT 70450 · Inpatient (hospital stay) In the file: CT SCAN - HEAD SCAN	$1,168.44	$993.17	$379.54
CT scan of the head or brain, without contrast: rates for 1 insurance plan ZZCHOICECARE HUMANA MRP — Medicare Replacement: $379.54
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) In the file: HC MRI BRAIN W/WO CONTRAST	$2,987.69	$2,539.54	$357.13
MRI of the brain, before and after contrast: 10 of 12 insurance plan rates Allegiance — Allegiance: $513.48 Blue Cross Blue Shield of Montana — State of Montana Employees: $819.61 Blue Cross Medicare Advantage — Medicare Replacement: $357.13 Humana Medicare Advantage — Medicare Replacement: $364.27 Blue Cross Blue Shield of Montana — Closed Plan Network: 75.1% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of Montana — Healthlink: 75.1% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of Montana — POS: 75.1% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of Montana — Traditional: 82.3% (a percentage in the contract, not a dollar amount) First Choice Health Network — Commercial: 95% (a percentage in the contract, not a dollar amount) Mountain Health Co-op — Commercial: 93% (a percentage in the contract, not a dollar amount)
MRI of the brain, before and after contrast CPT 70553 · Inpatient (hospital stay) In the file: HC MRI BRAIN W/WO CONTRAST	$2,987.69	$2,539.54	$2,838.31
MRI of the brain, before and after contrast: rates for 9 insurance plans Allegiance — Allegiance: 95% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of Montana — Closed Plan Network: 96.4% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of Montana — Healthlink: 96.4% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of Montana — POS: 96.4% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of Montana — Traditional: 98.6% (a percentage in the contract, not a dollar amount) First Choice Health Network — Commercial: 95% (a percentage in the contract, not a dollar amount) Mountain Health Co-op — Commercial: 93% (a percentage in the contract, not a dollar amount) PacificSource — PacificSource: 90% (a percentage in the contract, not a dollar amount) United Healthcare — Commercial: 95% (a percentage in the contract, not a dollar amount)
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) In the file: HC MRI IAC'S W AND W/O CONTRAST LIMITED	$3,332.25	$2,832.41	$357.13
MRI of the brain, before and after contrast: rates for 3 insurance plans Blue Cross Blue Shield of Montana — State of Montana Employees: $819.61 Blue Cross Medicare Advantage — Medicare Replacement: $357.13 Humana Medicare Advantage — Medicare Replacement: $364.27
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) In the file: HC DI CHEST 2 VIEWS	$177.50	$150.88	$44.79
Chest X-ray, 2 views: 10 of 12 insurance plan rates Allegiance — Allegiance: $44.79 Blue Cross Blue Shield of Montana — State of Montana Employees: $202.07 Blue Cross Medicare Advantage — Medicare Replacement: $88.05 Humana Medicare Advantage — Medicare Replacement: $89.81 Blue Cross Blue Shield of Montana — Closed Plan Network: 75.1% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of Montana — Healthlink: 75.1% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of Montana — POS: 75.1% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of Montana — Traditional: 82.3% (a percentage in the contract, not a dollar amount) First Choice Health Network — Commercial: 95% (a percentage in the contract, not a dollar amount) Mountain Health Co-op — Commercial: 93% (a percentage in the contract, not a dollar amount)
Chest X-ray, 2 views CPT 71046 · Inpatient (hospital stay) In the file: HC DI CHEST 2 VIEWS	$177.50	$150.88	$168.62
Chest X-ray, 2 views: rates for 9 insurance plans Allegiance — Allegiance: 95% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of Montana — Closed Plan Network: 96.4% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of Montana — Healthlink: 96.4% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of Montana — POS: 96.4% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of Montana — Traditional: 98.6% (a percentage in the contract, not a dollar amount) First Choice Health Network — Commercial: 95% (a percentage in the contract, not a dollar amount) Mountain Health Co-op — Commercial: 93% (a percentage in the contract, not a dollar amount) PacificSource — PacificSource: 90% (a percentage in the contract, not a dollar amount) United Healthcare — Commercial: 95% (a percentage in the contract, not a dollar amount)
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) In the file: RADIOLOGY - DIAGNOSTIC - CHEST X-RAY	$175.21	$148.93	$93.91
Chest X-ray, 2 views: rates for 2 insurance plans AETNA — Commercial: $167.93 Blue Cross Blue Shield of Montana — Medicare Replacement: $93.91
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) In the file: HC DI L SPINE AP/LAT/OBL/OR FLEX/EXT	$285.73	$242.87	$72.58
X-ray of the lower spine, at least 4 views: 10 of 12 insurance plan rates Allegiance — Allegiance: $72.58 Blue Cross Blue Shield of Montana — State of Montana Employees: $244.05 Blue Cross Medicare Advantage — Medicare Replacement: $106.34 Humana Medicare Advantage — Medicare Replacement: $108.47 Blue Cross Blue Shield of Montana — Closed Plan Network: 75.1% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of Montana — Healthlink: 75.1% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of Montana — POS: 75.1% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of Montana — Traditional: 82.3% (a percentage in the contract, not a dollar amount) First Choice Health Network — Commercial: 95% (a percentage in the contract, not a dollar amount) Mountain Health Co-op — Commercial: 93% (a percentage in the contract, not a dollar amount)
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient (hospital stay) In the file: HC DI L SPINE AP/LAT/OBL/OR FLEX/EXT	$285.73	$242.87	$271.44
X-ray of the lower spine, at least 4 views: rates for 9 insurance plans Allegiance — Allegiance: 95% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of Montana — Closed Plan Network: 96.4% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of Montana — Healthlink: 96.4% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of Montana — POS: 96.4% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of Montana — Traditional: 98.6% (a percentage in the contract, not a dollar amount) First Choice Health Network — Commercial: 95% (a percentage in the contract, not a dollar amount) Mountain Health Co-op — Commercial: 93% (a percentage in the contract, not a dollar amount) PacificSource — PacificSource: 90% (a percentage in the contract, not a dollar amount) United Healthcare — Commercial: 95% (a percentage in the contract, not a dollar amount)
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) In the file: RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION	$284.44	$241.77	$110.01
X-ray of the lower spine, at least 4 views: rates for 2 insurance plans Blue Cross Blue Shield of Montana — Medicare Replacement: $110.01 UNITED HEALTHCARE — Commercial: $270.22
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) In the file: HC MRI LUMBAR SPINE W/O CONTRAST	$2,327.75	$1,978.59	$241.72
MRI of the lower back (lumbar spine), without contrast: 10 of 12 insurance plan rates Allegiance — Allegiance: $293.28 Blue Cross Blue Shield of Montana — State of Montana Employees: $554.75 Blue Cross Medicare Advantage — Medicare Replacement: $241.72 Humana Medicare Advantage — Medicare Replacement: $246.55 Blue Cross Blue Shield of Montana — Closed Plan Network: 75.1% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of Montana — Healthlink: 75.1% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of Montana — POS: 75.1% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of Montana — Traditional: 82.3% (a percentage in the contract, not a dollar amount) First Choice Health Network — Commercial: 95% (a percentage in the contract, not a dollar amount) Mountain Health Co-op — Commercial: 93% (a percentage in the contract, not a dollar amount)
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) In the file: HC MRI LUMBAR SPINE W/O CONTRAST-LIMITED	$1,906.74	$1,620.73	$241.72
MRI of the lower back (lumbar spine), without contrast: 10 of 12 insurance plan rates Allegiance — Allegiance: $293.28 Blue Cross Blue Shield of Montana — State of Montana Employees: $554.75 Blue Cross Medicare Advantage — Medicare Replacement: $241.72 Humana Medicare Advantage — Medicare Replacement: $246.55 Blue Cross Blue Shield of Montana — Closed Plan Network: 75.1% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of Montana — Healthlink: 75.1% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of Montana — POS: 75.1% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of Montana — Traditional: 82.3% (a percentage in the contract, not a dollar amount) First Choice Health Network — Commercial: 95% (a percentage in the contract, not a dollar amount) Mountain Health Co-op — Commercial: 93% (a percentage in the contract, not a dollar amount)
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient (hospital stay) In the file: HC MRI LUMBAR SPINE W/O CONTRAST	$2,327.75	$1,978.59	$2,211.36
MRI of the lower back (lumbar spine), without contrast: rates for 9 insurance plans Allegiance — Allegiance: 95% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of Montana — Closed Plan Network: 96.4% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of Montana — Healthlink: 96.4% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of Montana — POS: 96.4% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of Montana — Traditional: 98.6% (a percentage in the contract, not a dollar amount) First Choice Health Network — Commercial: 95% (a percentage in the contract, not a dollar amount) Mountain Health Co-op — Commercial: 93% (a percentage in the contract, not a dollar amount) PacificSource — PacificSource: 90% (a percentage in the contract, not a dollar amount) United Healthcare — Commercial: 95% (a percentage in the contract, not a dollar amount)
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) In the file: HC CT PELVIS W/CONTRAST	$1,389.75	$1,181.29	$178.02
CT scan of the pelvis, with contrast: 10 of 12 insurance plan rates Allegiance — Allegiance: $378.05 Blue Cross Blue Shield of Montana — State of Montana Employees: $408.56 Blue Cross Medicare Advantage — Medicare Replacement: $178.02 Humana Medicare Advantage — Medicare Replacement: $181.58 Blue Cross Blue Shield of Montana — Closed Plan Network: 75.1% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of Montana — Healthlink: 75.1% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of Montana — POS: 75.1% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of Montana — Traditional: 82.3% (a percentage in the contract, not a dollar amount) First Choice Health Network — Commercial: 95% (a percentage in the contract, not a dollar amount) Mountain Health Co-op — Commercial: 93% (a percentage in the contract, not a dollar amount)
CT scan of the pelvis, with contrast CPT 72193 · Inpatient (hospital stay) In the file: HC CT PELVIS W/CONTRAST	$1,389.75	$1,181.29	$1,320.26
CT scan of the pelvis, with contrast: rates for 9 insurance plans Allegiance — Allegiance: 95% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of Montana — Closed Plan Network: 96.4% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of Montana — Healthlink: 96.4% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of Montana — POS: 96.4% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of Montana — Traditional: 98.6% (a percentage in the contract, not a dollar amount) First Choice Health Network — Commercial: 95% (a percentage in the contract, not a dollar amount) Mountain Health Co-op — Commercial: 93% (a percentage in the contract, not a dollar amount) PacificSource — PacificSource: 90% (a percentage in the contract, not a dollar amount) United Healthcare — Commercial: 95% (a percentage in the contract, not a dollar amount)
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) In the file: CT SCAN - BODY SCAN	$1,326.15	$1,127.23	$187.25
CT scan of the pelvis, with contrast: rates for 1 insurance plan ZZCHOICECARE HUMANA MRP — Medicare Replacement: $187.25
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) In the file: HC MRI LOWER JOINT UNILATERAL W/O CONTRAST	$2,248.70	$1,911.40	$241.72
MRI of a leg joint (such as the knee), without contrast: 10 of 12 insurance plan rates Allegiance — Allegiance: $330.76 Blue Cross Blue Shield of Montana — State of Montana Employees: $554.75 Blue Cross Medicare Advantage — Medicare Replacement: $241.72 Humana Medicare Advantage — Medicare Replacement: $246.55 Blue Cross Blue Shield of Montana — Closed Plan Network: 75.1% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of Montana — Healthlink: 75.1% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of Montana — POS: 75.1% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of Montana — Traditional: 82.3% (a percentage in the contract, not a dollar amount) First Choice Health Network — Commercial: 95% (a percentage in the contract, not a dollar amount) Mountain Health Co-op — Commercial: 93% (a percentage in the contract, not a dollar amount)
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient (hospital stay) In the file: HC MRI LOWER JOINT UNILATERAL W/O CONTRAST	$2,248.70	$1,911.39	$2,136.26
MRI of a leg joint (such as the knee), without contrast: rates for 9 insurance plans Allegiance — Allegiance: 95% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of Montana — Closed Plan Network: 96.4% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of Montana — Healthlink: 96.4% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of Montana — POS: 96.4% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of Montana — Traditional: 98.6% (a percentage in the contract, not a dollar amount) First Choice Health Network — Commercial: 95% (a percentage in the contract, not a dollar amount) Mountain Health Co-op — Commercial: 93% (a percentage in the contract, not a dollar amount) PacificSource — PacificSource: 90% (a percentage in the contract, not a dollar amount) United Healthcare — Commercial: 95% (a percentage in the contract, not a dollar amount)
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) In the file: MAGNETIC RESONANCE TECHNOLOGY (MRT) - GENERAL CLASSIFICATION	$2,220.49	$1,887.42	$258.88
MRI of a leg joint (such as the knee), without contrast: rates for 2 insurance plans Blue Cross Blue Shield of Montana — Medicare Replacement: $258.88 UNITED HEALTHCARE — Commercial: $2,081.30
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) In the file: HC CT ABDOMEN & PELVIS W/CONTRAST	$2,654.68	$2,256.48	$357.13
CT scan of the abdomen and pelvis, with contrast: 10 of 12 insurance plan rates Allegiance — Allegiance: $484.24 Blue Cross Blue Shield of Montana — State of Montana Employees: $819.61 Blue Cross Medicare Advantage — Medicare Replacement: $357.13 Humana Medicare Advantage — Medicare Replacement: $364.27 Blue Cross Blue Shield of Montana — Closed Plan Network: 75.1% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of Montana — Healthlink: 75.1% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of Montana — POS: 75.1% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of Montana — Traditional: 82.3% (a percentage in the contract, not a dollar amount) First Choice Health Network — Commercial: 95% (a percentage in the contract, not a dollar amount) Mountain Health Co-op — Commercial: 93% (a percentage in the contract, not a dollar amount)
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient (hospital stay) In the file: HC CT ABDOMEN & PELVIS W/CONTRAST	$2,654.68	$2,256.48	$2,521.95
CT scan of the abdomen and pelvis, with contrast: rates for 9 insurance plans Allegiance — Allegiance: 95% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of Montana — Closed Plan Network: 96.4% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of Montana — Healthlink: 96.4% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of Montana — POS: 96.4% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of Montana — Traditional: 98.6% (a percentage in the contract, not a dollar amount) First Choice Health Network — Commercial: 95% (a percentage in the contract, not a dollar amount) Mountain Health Co-op — Commercial: 93% (a percentage in the contract, not a dollar amount) PacificSource — PacificSource: 90% (a percentage in the contract, not a dollar amount) United Healthcare — Commercial: 95% (a percentage in the contract, not a dollar amount)
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) In the file: CT SCAN - BODY SCAN	$2,631.23	$2,236.54	$376.89
CT scan of the abdomen and pelvis, with contrast: rates for 2 insurance plans UNITED HEALTHCARE — Commercial: $2,488.52 ZZCHOICECARE HUMANA MRP — Medicare Replacement: $376.89
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) In the file: HC ULTRASOUND ABDOMEN COMPLETE	$446.45	$379.48	$106.34
Ultrasound of the abdomen, complete: 10 of 12 insurance plan rates Allegiance — Allegiance: $169.05 Blue Cross Blue Shield of Montana — State of Montana Employees: $244.05 Blue Cross Medicare Advantage — Medicare Replacement: $106.34 Humana Medicare Advantage — Medicare Replacement: $108.47 Blue Cross Blue Shield of Montana — Closed Plan Network: 75.1% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of Montana — Healthlink: 75.1% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of Montana — POS: 75.1% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of Montana — Traditional: 82.3% (a percentage in the contract, not a dollar amount) First Choice Health Network — Commercial: 95% (a percentage in the contract, not a dollar amount) Mountain Health Co-op — Commercial: 93% (a percentage in the contract, not a dollar amount)
Ultrasound of the abdomen, complete CPT 76700 · Inpatient (hospital stay) In the file: HC ULTRASOUND ABDOMEN COMPLETE	$446.45	$379.48	$424.13
Ultrasound of the abdomen, complete: rates for 9 insurance plans Allegiance — Allegiance: 95% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of Montana — Closed Plan Network: 96.4% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of Montana — Healthlink: 96.4% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of Montana — POS: 96.4% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of Montana — Traditional: 98.6% (a percentage in the contract, not a dollar amount) First Choice Health Network — Commercial: 95% (a percentage in the contract, not a dollar amount) Mountain Health Co-op — Commercial: 93% (a percentage in the contract, not a dollar amount) PacificSource — PacificSource: 90% (a percentage in the contract, not a dollar amount) United Healthcare — Commercial: 95% (a percentage in the contract, not a dollar amount)
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) In the file: OTHER IMAGING SERVICES - ULTRASOUND	$443.03	$376.57	$129.20
Ultrasound of the abdomen, complete: rates for 2 insurance plans Blue Cross Blue Shield of Montana — Medicare Replacement: $129.20 ZZGEHA — Commercial: $419.58
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) In the file: HC US PREG 2ND/3RD TRIMESTER	$340.87	$289.74	$106.34
Pregnancy ultrasound (after the first trimester): 10 of 12 insurance plan rates Allegiance — Allegiance: $185.85 Blue Cross Blue Shield of Montana — State of Montana Employees: $244.05 Blue Cross Medicare Advantage — Medicare Replacement: $106.34 Humana Medicare Advantage — Medicare Replacement: $108.47 Blue Cross Blue Shield of Montana — Closed Plan Network: 75.1% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of Montana — Healthlink: 75.1% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of Montana — POS: 75.1% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of Montana — Traditional: 82.3% (a percentage in the contract, not a dollar amount) First Choice Health Network — Commercial: 95% (a percentage in the contract, not a dollar amount) Mountain Health Co-op — Commercial: 93% (a percentage in the contract, not a dollar amount)
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient (hospital stay) In the file: HC US PREG 2ND/3RD TRIMESTER	$340.87	$289.74	$323.83
Pregnancy ultrasound (after the first trimester): rates for 9 insurance plans Allegiance — Allegiance: 95% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of Montana — Closed Plan Network: 96.4% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of Montana — Healthlink: 96.4% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of Montana — POS: 96.4% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of Montana — Traditional: 98.6% (a percentage in the contract, not a dollar amount) First Choice Health Network — Commercial: 95% (a percentage in the contract, not a dollar amount) Mountain Health Co-op — Commercial: 93% (a percentage in the contract, not a dollar amount) PacificSource — PacificSource: 90% (a percentage in the contract, not a dollar amount) United Healthcare — Commercial: 95% (a percentage in the contract, not a dollar amount)
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) In the file: HC US TRANSVAGINAL NON-OB S&I	$211.87	$180.09	$106.34
Transvaginal ultrasound: 10 of 12 insurance plan rates Allegiance — Allegiance: $182.19 Blue Cross Blue Shield of Montana — State of Montana Employees: $244.05 Blue Cross Medicare Advantage — Medicare Replacement: $106.34 Humana Medicare Advantage — Medicare Replacement: $108.47 Blue Cross Blue Shield of Montana — Closed Plan Network: 75.1% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of Montana — Healthlink: 75.1% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of Montana — POS: 75.1% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of Montana — Traditional: 82.3% (a percentage in the contract, not a dollar amount) First Choice Health Network — Commercial: 95% (a percentage in the contract, not a dollar amount) Mountain Health Co-op — Commercial: 93% (a percentage in the contract, not a dollar amount)
Transvaginal ultrasound CPT 76830 · Inpatient (hospital stay) In the file: HC US TRANSVAGINAL NON-OB S&I	$211.87	$180.09	$201.28
Transvaginal ultrasound: rates for 9 insurance plans Allegiance — Allegiance: 95% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of Montana — Closed Plan Network: 96.4% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of Montana — Healthlink: 96.4% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of Montana — POS: 96.4% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of Montana — Traditional: 98.6% (a percentage in the contract, not a dollar amount) First Choice Health Network — Commercial: 95% (a percentage in the contract, not a dollar amount) Mountain Health Co-op — Commercial: 93% (a percentage in the contract, not a dollar amount) PacificSource — PacificSource: 90% (a percentage in the contract, not a dollar amount) United Healthcare — Commercial: 95% (a percentage in the contract, not a dollar amount)
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) In the file: OTHER IMAGING SERVICES - ULTRASOUND	$206.23	$175.30	$113.89
Transvaginal ultrasound: rates for 2 insurance plans UNITED HEALTHCARE — Commercial: $199.43 ZZCHOICECARE HUMANA MRP — Medicare Replacement: $113.89
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) In the file: HC DIAG MAMMO, UNILATERAL INCL CAD WHEN PERFORMED	$161.61	$137.37	$125.12
Diagnostic mammogram, one breast: 10 of 12 insurance plan rates Allegiance — Allegiance: $191.69 Blue Cross Blue Shield of Montana — State of Montana Employees: $287.15 Blue Cross Medicare Advantage — Medicare Replacement: $125.12 Humana Medicare Advantage — Medicare Replacement: $127.62 Blue Cross Blue Shield of Montana — Closed Plan Network: 75.1% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of Montana — Healthlink: 75.1% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of Montana — POS: 75.1% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of Montana — Traditional: 82.3% (a percentage in the contract, not a dollar amount) First Choice Health Network — Commercial: 95% (a percentage in the contract, not a dollar amount) Mountain Health Co-op — Commercial: 93% (a percentage in the contract, not a dollar amount)
Diagnostic mammogram, one breast CPT 77065 · Inpatient (hospital stay) In the file: HC DIAG MAMMO, UNILATERAL INCL CAD WHEN PERFORMED	$161.61	$137.37	$153.53
Diagnostic mammogram, one breast: rates for 9 insurance plans Allegiance — Allegiance: 95% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of Montana — Closed Plan Network: 96.4% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of Montana — Healthlink: 96.4% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of Montana — POS: 96.4% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of Montana — Traditional: 98.6% (a percentage in the contract, not a dollar amount) First Choice Health Network — Commercial: 95% (a percentage in the contract, not a dollar amount) Mountain Health Co-op — Commercial: 93% (a percentage in the contract, not a dollar amount) PacificSource — PacificSource: 90% (a percentage in the contract, not a dollar amount) United Healthcare — Commercial: 95% (a percentage in the contract, not a dollar amount)
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) In the file: OTHER IMAGING SERVICES - DIAGNOSTIC MAMMOGRAPHY	$166.12	$141.21	$85.15
Diagnostic mammogram, one breast: rates for 2 insurance plans Blue Cross Blue Shield of Montana — Medicare Replacement: $85.15 UNITED HEALTHCARE — Commercial: $159.72
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) In the file: HC DIAG MAMMO, BILATERAL INCL CAD WHEN PERFORMED	$277.97	$236.27	$158.40
Diagnostic mammogram, both breasts: 10 of 12 insurance plan rates Allegiance — Allegiance: $244.32 Blue Cross Blue Shield of Montana — State of Montana Employees: $363.53 Blue Cross Medicare Advantage — Medicare Replacement: $158.40 Humana Medicare Advantage — Medicare Replacement: $161.57 Blue Cross Blue Shield of Montana — Closed Plan Network: 75.1% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of Montana — Healthlink: 75.1% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of Montana — POS: 75.1% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of Montana — Traditional: 82.3% (a percentage in the contract, not a dollar amount) First Choice Health Network — Commercial: 95% (a percentage in the contract, not a dollar amount) Mountain Health Co-op — Commercial: 93% (a percentage in the contract, not a dollar amount)
Diagnostic mammogram, both breasts CPT 77066 · Inpatient (hospital stay) In the file: HC DIAG MAMMO, BILATERAL INCL CAD WHEN PERFORMED	$277.97	$236.27	$264.07
Diagnostic mammogram, both breasts: rates for 9 insurance plans Allegiance — Allegiance: 95% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of Montana — Closed Plan Network: 96.4% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of Montana — Healthlink: 96.4% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of Montana — POS: 96.4% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of Montana — Traditional: 98.6% (a percentage in the contract, not a dollar amount) First Choice Health Network — Commercial: 95% (a percentage in the contract, not a dollar amount) Mountain Health Co-op — Commercial: 93% (a percentage in the contract, not a dollar amount) PacificSource — PacificSource: 90% (a percentage in the contract, not a dollar amount) United Healthcare — Commercial: 95% (a percentage in the contract, not a dollar amount)
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) In the file: OTHER IMAGING SERVICES - DIAGNOSTIC MAMMOGRAPHY	$270.30	$229.75	$108.67
Diagnostic mammogram, both breasts: rates for 2 insurance plans ZZCHOICECARE HUMANA MRP — Medicare Replacement: $108.67 ZZGEHA — Commercial: $256.06
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) In the file: HC SCREEN MAMMO, BILATERAL INCL CAD WHEN PERFORMED	$274.55	$233.37	$127.79
Screening mammogram, both breasts: 10 of 12 insurance plan rates Allegiance — Allegiance: $202.66 Blue Cross Blue Shield of Montana — State of Montana Employees: $293.28 Blue Cross Medicare Advantage — Medicare Replacement: $127.79 Humana Medicare Advantage — Medicare Replacement: $130.35 Blue Cross Blue Shield of Montana — Closed Plan Network: 75.1% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of Montana — Healthlink: 75.1% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of Montana — POS: 75.1% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of Montana — Traditional: 82.3% (a percentage in the contract, not a dollar amount) First Choice Health Network — Commercial: 95% (a percentage in the contract, not a dollar amount) Mountain Health Co-op — Commercial: 93% (a percentage in the contract, not a dollar amount)
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) In the file: HC SCREEN MAMMO, UNILATERAL INCL CAD WHEN PERFORMED	$172.04	$146.23	$127.79
Screening mammogram, both breasts: 10 of 12 insurance plan rates Allegiance — Allegiance: $202.66 Blue Cross Blue Shield of Montana — State of Montana Employees: $293.28 Blue Cross Medicare Advantage — Medicare Replacement: $127.79 Humana Medicare Advantage — Medicare Replacement: $130.35 Blue Cross Blue Shield of Montana — Closed Plan Network: 75.1% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of Montana — Healthlink: 75.1% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of Montana — POS: 75.1% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of Montana — Traditional: 82.3% (a percentage in the contract, not a dollar amount) First Choice Health Network — Commercial: 95% (a percentage in the contract, not a dollar amount) Mountain Health Co-op — Commercial: 93% (a percentage in the contract, not a dollar amount)
Screening mammogram, both breasts CPT 77067 · Inpatient (hospital stay) In the file: HC SCREEN MAMMO, BILATERAL INCL CAD WHEN PERFORMED	$274.55	$233.37	$260.82
Screening mammogram, both breasts: rates for 9 insurance plans Allegiance — Allegiance: 95% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of Montana — Closed Plan Network: 96.4% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of Montana — Healthlink: 96.4% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of Montana — POS: 96.4% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of Montana — Traditional: 98.6% (a percentage in the contract, not a dollar amount) First Choice Health Network — Commercial: 95% (a percentage in the contract, not a dollar amount) Mountain Health Co-op — Commercial: 93% (a percentage in the contract, not a dollar amount) PacificSource — PacificSource: 90% (a percentage in the contract, not a dollar amount) United Healthcare — Commercial: 95% (a percentage in the contract, not a dollar amount)

Heart tests and sleep study

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Electrocardiogram (ECG/EKG) with reading CPT 93000 · Outpatient (no overnight stay) In the file: HC COM CON EKG W/READ	$136.98	$116.43	$14.30
Electrocardiogram (ECG/EKG) with reading: rates for 3 insurance plans Blue Cross Blue Shield of Montana — State of Montana Employees: $32.82 Blue Cross Medicare Advantage — Medicare Replacement: $14.30 Humana Medicare Advantage — Medicare Replacement: $14.59
Electrocardiogram (ECG/EKG) with reading CPT 93000 · Outpatient (no overnight stay) In the file: EKG/ECG (ELECTROCARDIOGRAM) - GENERAL CLASSIFICATION	$119.11	$101.24	$52.36
Electrocardiogram (ECG/EKG) with reading: rates for 3 insurance plans AETNA — Commercial: $113.15 ALLEGIANCE — Allegiance: $52.36 PACIFICSOURCE — PacificSource: $107.20
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) In the file: HC BASELINE SLEEP STUDY	$3,385.30	$2,877.51	$1,017.39
Sleep study (overnight, in a sleep lab): 10 of 12 insurance plan rates Allegiance — Allegiance: $1,485.93 Blue Cross Blue Shield of Montana — State of Montana Employees: $2,334.91 Blue Cross Medicare Advantage — Medicare Replacement: $1,017.39 Humana Medicare Advantage — Medicare Replacement: $1,037.74 Blue Cross Blue Shield of Montana — Closed Plan Network: 75.1% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of Montana — Healthlink: 75.1% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of Montana — POS: 75.1% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of Montana — Traditional: 82.3% (a percentage in the contract, not a dollar amount) First Choice Health Network — Commercial: 95% (a percentage in the contract, not a dollar amount) Mountain Health Co-op — Commercial: 93% (a percentage in the contract, not a dollar amount)
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) In the file: EEG (ELECTROENCEPHALOGRAM) - GENERAL CLASSIFICATION	$2,943.74	$2,502.18	$1,053.06
Sleep study (overnight, in a sleep lab): rates for 2 insurance plans AETNA — Commercial: $3,076.21 ZZCHOICECARE HUMANA MRP — Medicare Replacement: $1,053.06

Physical therapy and mental health

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) In the file: HC PT THERAPEUTIC EX PER 15 MIN	$66.80	$56.78	$33.15
Physical therapy: therapeutic exercise (each 15 minutes): rates for 9 insurance plans Allegiance — Allegiance: $33.15 Blue Cross Blue Shield of Montana — Closed Plan Network: 75.1% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of Montana — Healthlink: 75.1% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of Montana — POS: 75.1% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of Montana — Traditional: 82.3% (a percentage in the contract, not a dollar amount) First Choice Health Network — Commercial: 95% (a percentage in the contract, not a dollar amount) Mountain Health Co-op — Commercial: 93% (a percentage in the contract, not a dollar amount) PacificSource — PacificSource: 90% (a percentage in the contract, not a dollar amount) United Healthcare — Commercial: 95% (a percentage in the contract, not a dollar amount)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) In the file: HC OT THERAPEUTIC EX PER 15 MIN	$69.14	$58.77	$33.15
Physical therapy: therapeutic exercise (each 15 minutes): rates for 9 insurance plans Allegiance — Allegiance: $33.15 Blue Cross Blue Shield of Montana — Closed Plan Network: 75.1% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of Montana — Healthlink: 75.1% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of Montana — POS: 75.1% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of Montana — Traditional: 82.3% (a percentage in the contract, not a dollar amount) First Choice Health Network — Commercial: 95% (a percentage in the contract, not a dollar amount) Mountain Health Co-op — Commercial: 93% (a percentage in the contract, not a dollar amount) PacificSource — PacificSource: 90% (a percentage in the contract, not a dollar amount) United Healthcare — Commercial: 95% (a percentage in the contract, not a dollar amount)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient (hospital stay) In the file: HC PT THERAPEUTIC EX PER 15 MIN	$66.80	$56.78	$63.46
Physical therapy: therapeutic exercise (each 15 minutes): rates for 9 insurance plans Allegiance — Allegiance: 95% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of Montana — Closed Plan Network: 96.4% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of Montana — Healthlink: 96.4% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of Montana — POS: 96.4% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of Montana — Traditional: 98.6% (a percentage in the contract, not a dollar amount) First Choice Health Network — Commercial: 95% (a percentage in the contract, not a dollar amount) Mountain Health Co-op — Commercial: 93% (a percentage in the contract, not a dollar amount) PacificSource — PacificSource: 90% (a percentage in the contract, not a dollar amount) United Healthcare — Commercial: 95% (a percentage in the contract, not a dollar amount)
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) In the file: HC PT EVAL LOW COMPLEXITY	$292.08	$248.27	$92.59
Physical therapy evaluation (low complexity): rates for 9 insurance plans Allegiance — Allegiance: $92.59 Blue Cross Blue Shield of Montana — Closed Plan Network: 75.1% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of Montana — Healthlink: 75.1% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of Montana — POS: 75.1% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of Montana — Traditional: 82.3% (a percentage in the contract, not a dollar amount) First Choice Health Network — Commercial: 95% (a percentage in the contract, not a dollar amount) Mountain Health Co-op — Commercial: 93% (a percentage in the contract, not a dollar amount) PacificSource — PacificSource: 90% (a percentage in the contract, not a dollar amount) United Healthcare — Commercial: 95% (a percentage in the contract, not a dollar amount)
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient (hospital stay) In the file: HC PT EVAL LOW COMPLEXITY	$292.08	$248.27	$277.48
Physical therapy evaluation (low complexity): rates for 9 insurance plans Allegiance — Allegiance: 95% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of Montana — Closed Plan Network: 96.4% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of Montana — Healthlink: 96.4% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of Montana — POS: 96.4% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of Montana — Traditional: 98.6% (a percentage in the contract, not a dollar amount) First Choice Health Network — Commercial: 95% (a percentage in the contract, not a dollar amount) Mountain Health Co-op — Commercial: 93% (a percentage in the contract, not a dollar amount) PacificSource — PacificSource: 90% (a percentage in the contract, not a dollar amount) United Healthcare — Commercial: 95% (a percentage in the contract, not a dollar amount)
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient (hospital stay) In the file: PHYSICAL THERAPY - EVALUATION OR RE-EVALUATION	$292.92	$248.98	$97.98
Physical therapy evaluation (low complexity): rates for 1 insurance plan Blue Cross Blue Shield of Montana — Medicare Replacement: $97.98
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) In the file: HC PT EVAL MODERATE COMPLEXITY	$266	$226.10	$92.59
Physical therapy evaluation (moderate complexity): rates for 9 insurance plans Allegiance — Allegiance: $92.59 Blue Cross Blue Shield of Montana — Closed Plan Network: 75.1% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of Montana — Healthlink: 75.1% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of Montana — POS: 75.1% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of Montana — Traditional: 82.3% (a percentage in the contract, not a dollar amount) First Choice Health Network — Commercial: 95% (a percentage in the contract, not a dollar amount) Mountain Health Co-op — Commercial: 93% (a percentage in the contract, not a dollar amount) PacificSource — PacificSource: 90% (a percentage in the contract, not a dollar amount) United Healthcare — Commercial: 95% (a percentage in the contract, not a dollar amount)
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient (hospital stay) In the file: HC PT EVAL MODERATE COMPLEXITY	$266	$226.10	$252.70
Physical therapy evaluation (moderate complexity): rates for 9 insurance plans Allegiance — Allegiance: 95% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of Montana — Closed Plan Network: 96.4% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of Montana — Healthlink: 96.4% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of Montana — POS: 96.4% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of Montana — Traditional: 98.6% (a percentage in the contract, not a dollar amount) First Choice Health Network — Commercial: 95% (a percentage in the contract, not a dollar amount) Mountain Health Co-op — Commercial: 93% (a percentage in the contract, not a dollar amount) PacificSource — PacificSource: 90% (a percentage in the contract, not a dollar amount) United Healthcare — Commercial: 95% (a percentage in the contract, not a dollar amount)
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient (hospital stay) In the file: PHYSICAL THERAPY - EVALUATION OR RE-EVALUATION	$270.71	$230.10	$157.02
Physical therapy evaluation (moderate complexity): rates for 1 insurance plan Blue Cross Blue Shield of Montana — Medicare Replacement: $157.02
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) In the file: HC PT EVAL HIGH COMPLEXITY	$268.51	$228.23	$92.59
Physical therapy evaluation (high complexity): rates for 9 insurance plans Allegiance — Allegiance: $92.59 Blue Cross Blue Shield of Montana — Closed Plan Network: 75.1% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of Montana — Healthlink: 75.1% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of Montana — POS: 75.1% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of Montana — Traditional: 82.3% (a percentage in the contract, not a dollar amount) First Choice Health Network — Commercial: 95% (a percentage in the contract, not a dollar amount) Mountain Health Co-op — Commercial: 93% (a percentage in the contract, not a dollar amount) PacificSource — PacificSource: 90% (a percentage in the contract, not a dollar amount) United Healthcare — Commercial: 95% (a percentage in the contract, not a dollar amount)
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient (hospital stay) In the file: HC PT EVAL HIGH COMPLEXITY	$268.51	$228.23	$255.08
Physical therapy evaluation (high complexity): rates for 9 insurance plans Allegiance — Allegiance: 95% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of Montana — Closed Plan Network: 96.4% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of Montana — Healthlink: 96.4% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of Montana — POS: 96.4% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of Montana — Traditional: 98.6% (a percentage in the contract, not a dollar amount) First Choice Health Network — Commercial: 95% (a percentage in the contract, not a dollar amount) Mountain Health Co-op — Commercial: 93% (a percentage in the contract, not a dollar amount) PacificSource — PacificSource: 90% (a percentage in the contract, not a dollar amount) United Healthcare — Commercial: 95% (a percentage in the contract, not a dollar amount)
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient (hospital stay) In the file: PHYSICAL THERAPY - EVALUATION OR RE-EVALUATION	$270.84	$230.21	$34.60
Physical therapy evaluation (high complexity): rates for 1 insurance plan ZZCHOICECARE HUMANA MRP — Medicare Replacement: $34.60
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) In the file: HC PSYTX PT&/FAMILY 30 MINUTES	$168.43	$143.17	$160.67
Psychotherapy, 30 minutes: rates for 3 insurance plans Blue Cross Blue Shield of Montana — State of Montana Employees: $368.74 Blue Cross Medicare Advantage — Medicare Replacement: $160.67 Humana Medicare Advantage — Medicare Replacement: $163.88
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) In the file: PBB PSYCHOTHERAPY W/PATIENT 30 MINUTES	$139.14	$118.27	$160.67
Psychotherapy, 30 minutes: rates for 3 insurance plans Blue Cross Blue Shield of Montana — State of Montana Employees: $368.74 Blue Cross Medicare Advantage — Medicare Replacement: $160.67 Humana Medicare Advantage — Medicare Replacement: $163.88
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) In the file: BEHAVIORAL HEALTH TREATMENTS/SERVICES - INDIVIDUAL THERAPY	$146.46	$124.49	$146.46
Psychotherapy, 30 minutes: rates for 1 insurance plan UNITED HEALTHCARE — Commercial: $146.46
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) In the file: HC PSYTX, 45 MIN WITH PATIENT	$140.48	$119.41	$160.67
Psychotherapy, 45 minutes: rates for 3 insurance plans Blue Cross Blue Shield of Montana — State of Montana Employees: $368.74 Blue Cross Medicare Advantage — Medicare Replacement: $160.67 Humana Medicare Advantage — Medicare Replacement: $163.88
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) In the file: PBB PSYCHOTHERAPY W/PATIENT 45 MINUTES	$121.32	$103.12	$160.67
Psychotherapy, 45 minutes: rates for 3 insurance plans Blue Cross Blue Shield of Montana — State of Montana Employees: $368.74 Blue Cross Medicare Advantage — Medicare Replacement: $160.67 Humana Medicare Advantage — Medicare Replacement: $163.88
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) In the file: BEHAVIORAL HEALTH TREATMENTS/SERVICES - INDIVIDUAL THERAPY	$140.48	$119.41	$130.65
Psychotherapy, 45 minutes: rates for 2 insurance plans CIGNA — Allegiance: $130.65 ZZCHOICECARE HUMANA MRP — Medicare Replacement: $172.08
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) In the file: HC PSYTX, 60 MIN WITH PATIENT	$143.92	$122.33	$160.67
Psychotherapy, 60 minutes: rates for 3 insurance plans Blue Cross Blue Shield of Montana — State of Montana Employees: $368.74 Blue Cross Medicare Advantage — Medicare Replacement: $160.67 Humana Medicare Advantage — Medicare Replacement: $163.88
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) In the file: PBB PSYCHOTHERAPY W/PATIENT 60 MINUTES	$118.89	$101.06	$160.67
Psychotherapy, 60 minutes: rates for 3 insurance plans Blue Cross Blue Shield of Montana — State of Montana Employees: $368.74 Blue Cross Medicare Advantage — Medicare Replacement: $160.67 Humana Medicare Advantage — Medicare Replacement: $163.88
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) In the file: BEHAVIORAL HEALTH TREATMENTS/SERVICES - INDIVIDUAL THERAPY	$143.92	$122.33	$133.85
Psychotherapy, 60 minutes: rates for 1 insurance plan CIGNA — Allegiance: $133.85
Family psychotherapy, without the patient CPT 90846 · Outpatient (no overnight stay) In the file: HC FAMILY PSYTX W/O PT 50 MIN	$175.64	$149.29	$108.60
Family psychotherapy, without the patient: 10 of 12 insurance plan rates Allegiance — Allegiance: $108.60 Blue Cross Blue Shield of Montana — State of Montana Employees: $368.74 Blue Cross Medicare Advantage — Medicare Replacement: $160.67 Humana Medicare Advantage — Medicare Replacement: $163.88 Blue Cross Blue Shield of Montana — Closed Plan Network: 75.1% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of Montana — Healthlink: 75.1% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of Montana — POS: 75.1% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of Montana — Traditional: 82.3% (a percentage in the contract, not a dollar amount) First Choice Health Network — Commercial: 95% (a percentage in the contract, not a dollar amount) Mountain Health Co-op — Commercial: 93% (a percentage in the contract, not a dollar amount)
Family psychotherapy, without the patient CPT 90846 · Inpatient (hospital stay) In the file: HC FAMILY PSYTX W/O PT 50 MIN	$175.64	$149.29	$166.86
Family psychotherapy, without the patient: rates for 9 insurance plans Allegiance — Allegiance: 95% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of Montana — Closed Plan Network: 96.4% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of Montana — Healthlink: 96.4% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of Montana — POS: 96.4% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of Montana — Traditional: 98.6% (a percentage in the contract, not a dollar amount) First Choice Health Network — Commercial: 95% (a percentage in the contract, not a dollar amount) Mountain Health Co-op — Commercial: 93% (a percentage in the contract, not a dollar amount) PacificSource — PacificSource: 90% (a percentage in the contract, not a dollar amount) United Healthcare — Commercial: 95% (a percentage in the contract, not a dollar amount)
Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) In the file: HC FAMILY PSYTX W/PT 50 MIN	$145.09	$123.33	$160.67
Family psychotherapy, with the patient: rates for 3 insurance plans Blue Cross Blue Shield of Montana — State of Montana Employees: $368.74 Blue Cross Medicare Advantage — Medicare Replacement: $160.67 Humana Medicare Advantage — Medicare Replacement: $163.88
Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) In the file: PBB FAMILY PSYCHOTHERAPY W/PATIENT PRESENT 50 MINS	$160.37	$136.31	$160.67
Family psychotherapy, with the patient: rates for 3 insurance plans Blue Cross Blue Shield of Montana — State of Montana Employees: $368.74 Blue Cross Medicare Advantage — Medicare Replacement: $160.67 Humana Medicare Advantage — Medicare Replacement: $163.88
Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) In the file: BEHAVIORAL HEALTH TREATMENTS/SERVICES - FAMILY THERAPY	$152.73	$129.82	$172.08
Family psychotherapy, with the patient: rates for 1 insurance plan ZZCHOICECARE HUMANA MRP — Medicare Replacement: $172.08
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) In the file: HC GROUP THERAPY	$79.84	$67.86	$92.50
Group psychotherapy: rates for 3 insurance plans Blue Cross Blue Shield of Montana — State of Montana Employees: $212.29 Blue Cross Medicare Advantage — Medicare Replacement: $92.50 Humana Medicare Advantage — Medicare Replacement: $94.35

Procedures and surgery

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) In the file: OPERATING ROOM SERVICES - GENERAL CLASSIFICATION	$4,343.71	$3,692.15	$3,909.34
Removal of breast growth (open surgery): rates for 1 insurance plan PACIFICSOURCE — PacificSource: $3,909.34
Total hip replacement CPT 27130 · Outpatient (no overnight stay) In the file: OPERATING ROOM SERVICES - GENERAL CLASSIFICATION	$11,621.93	$9,878.64	$10,459.74
Total hip replacement: rates for 4 insurance plans CIGNA — Allegiance: $11,688.48 PACIFICSOURCE — PacificSource: $10,459.74 UNITED HEALTHCARE — Commercial: $12,514.06 ZZCHOICECARE HUMANA MRP — Medicare Replacement: $13,963.08
Total knee replacement CPT 27447 · Outpatient (no overnight stay) In the file: OPERATING ROOM SERVICES - GENERAL CLASSIFICATION	$10,748.62	$9,136.33	$10,211.19
Total knee replacement: rates for 4 insurance plans Blue Cross Blue Shield of Montana — Medicare Replacement: $13,724.84 CIGNA SCL EMPLOYEES — Allegiance: $12,933.30 PACIFICSOURCE — PacificSource: $12,082.36 ZZGEHA — Commercial: $10,211.19
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) In the file: OPERATING ROOM SERVICES - GENERAL CLASSIFICATION	$90.21	$76.68	$81.19
Shoulder arthroscopy: shaving of shoulder bone: rates for 3 insurance plans CIGNA — Allegiance: $83.03 PACIFICSOURCE — PacificSource: $81.19 UNITED HEALTHCARE — Commercial: $85.71
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) In the file: OPERATING ROOM SERVICES - GENERAL CLASSIFICATION	$5,426.23	$4,612.30	$4,982.95
Knee arthroscopy: removal of torn cartilage (meniscus): rates for 1 insurance plan CIGNA — Allegiance: $4,982.95
Removal of tonsils and adenoids (under age 12) CPT 42820 · Outpatient (no overnight stay) In the file: OPERATING ROOM SERVICES - GENERAL CLASSIFICATION	$103.74	$88.18	$63.37
Removal of tonsils and adenoids (under age 12): rates for 1 insurance plan CIGNA — Allegiance: $63.37
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) In the file: GASTRO-INTESTINAL (GI) - GENERAL CLASSIFICATION	$2,289.24	$1,945.86	$903.72
Upper GI endoscopy (diagnostic): rates for 1 insurance plan Blue Cross Blue Shield of Montana — Medicare Replacement: $903.72
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) In the file: GASTRO-INTESTINAL (GI) - GENERAL CLASSIFICATION	$2,843.95	$2,417.35	$751.85
Upper GI endoscopy with biopsy: rates for 4 insurance plans AETNA — Commercial: $2,841.86 Blue Cross Blue Shield of Montana — Medicare Replacement: $751.85 CIGNA — Allegiance: $2,143.62 PACIFICSOURCE — PacificSource: $2,687.17
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) In the file: GASTRO-INTESTINAL (GI) - GENERAL CLASSIFICATION	$2,718.01	$2,310.31	$2,446.21
Colonoscopy (diagnostic): rates for 3 insurance plans CIGNA — Allegiance: $2,707.16 PACIFICSOURCE — PacificSource: $2,446.21 UNITED HEALTHCARE — Commercial: $2,877.06
Colonoscopy (diagnostic) CPT 45378 · Inpatient (hospital stay) In the file: GASTRO-INTESTINAL (GI) - GENERAL CLASSIFICATION	$2,910.93	$2,474.29	$701.38
Colonoscopy (diagnostic): rates for 1 insurance plan ZZCHOICECARE HUMANA MRP — Medicare Replacement: $701.38
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) In the file: GASTRO-INTESTINAL (GI) - GENERAL CLASSIFICATION	$3,702.87	$3,147.44	$631.40
Colonoscopy with biopsy: rates for 4 insurance plans CIGNA — Allegiance: $2,298.37 PACIFICSOURCE — PacificSource: $3,542.31 ZZCHOICECARE HUMANA MRP — Medicare Replacement: $631.40 ZZGEHA — Commercial: $2,542.09
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) In the file: GASTRO-INTESTINAL (GI) - GENERAL CLASSIFICATION	$3,518.35	$2,990.59	$1,254.82
Colonoscopy with removal of polyps (snare): rates for 4 insurance plans CIGNA — Allegiance: $3,443.67 PACIFICSOURCE — PacificSource: $2,472.01 ZZCHOICECARE HUMANA MRP — Medicare Replacement: $1,254.82 ZZGEHA — Commercial: $3,517.73
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) In the file: GASTRO-INTESTINAL (GI) - GENERAL CLASSIFICATION	$3,085.59	$2,622.75	$967.18
Screening colonoscopy (not high risk): rates for 4 insurance plans CIGNA — Allegiance: $2,710.15 PACIFICSOURCE — PacificSource: $3,012.81 UNITED HEALTHCARE — Commercial: $3,151.07 ZZCHOICECARE HUMANA MRP — Medicare Replacement: $967.18
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) In the file: OPERATING ROOM SERVICES - GENERAL CLASSIFICATION	$7,300.22	$6,205.19	$6,296.31
Gallbladder removal by laparoscope: rates for 3 insurance plans ALLEGIANCE — Allegiance: $6,779.38 PACIFICSOURCE — PacificSource: $7,548.16 ZZCHOICECARE HUMANA MRP — Medicare Replacement: $6,296.31
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) In the file: OPERATING ROOM SERVICES - GENERAL CLASSIFICATION	$9,530.78	$8,101.17	$3,620.11
Groin (inguinal) hernia repair, age 5 or older: rates for 3 insurance plans ALLEGIANCE — Allegiance: $10,499.58 PACIFICSOURCE — PacificSource: $6,832.14 ZZCHOICECARE HUMANA MRP — Medicare Replacement: $3,620.11
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) In the file: OPERATING ROOM SERVICES - GENERAL CLASSIFICATION	$3,335.40	$2,835.09	$2,193.95
Prostate biopsy: rates for 2 insurance plans Blue Cross Blue Shield of Montana — Medicare Replacement: $2,193.95 PACIFICSOURCE — PacificSource: $2,610.32
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) In the file: OPERATING ROOM SERVICES - GENERAL CLASSIFICATION	$3,957.84	$3,364.16	$3,405.28
Hysteroscopy with biopsy of the uterus lining: rates for 1 insurance plan ZZCHOICECARE HUMANA MRP — Medicare Replacement: $3,405.28
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) In the file: HC INJ DX/THER INTRALAMINAR LUMBAR/SACRAL W/IMAGING	$1,954.63	$1,661.44	$108.97
Spinal injection, lower back (epidural), with imaging guidance: 10 of 12 insurance plan rates Allegiance — Allegiance: $108.97 Blue Cross Blue Shield of Montana — State of Montana Employees: $1,589.33 Blue Cross Medicare Advantage — Medicare Replacement: $692.52 Humana Medicare Advantage — Medicare Replacement: $706.37 Blue Cross Blue Shield of Montana — Closed Plan Network: 75.1% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of Montana — Healthlink: 75.1% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of Montana — POS: 75.1% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of Montana — Traditional: 82.3% (a percentage in the contract, not a dollar amount) First Choice Health Network — Commercial: 95% (a percentage in the contract, not a dollar amount) Mountain Health Co-op — Commercial: 93% (a percentage in the contract, not a dollar amount)
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Inpatient (hospital stay) In the file: HC INJ DX/THER INTRALAMINAR LUMBAR/SACRAL W/IMAGING	$1,954.63	$1,661.44	$1,856.90
Spinal injection, lower back (epidural), with imaging guidance: rates for 9 insurance plans Allegiance — Allegiance: 95% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of Montana — Closed Plan Network: 96.4% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of Montana — Healthlink: 96.4% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of Montana — POS: 96.4% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of Montana — Traditional: 98.6% (a percentage in the contract, not a dollar amount) First Choice Health Network — Commercial: 95% (a percentage in the contract, not a dollar amount) Mountain Health Co-op — Commercial: 93% (a percentage in the contract, not a dollar amount) PacificSource — PacificSource: 90% (a percentage in the contract, not a dollar amount) United Healthcare — Commercial: 95% (a percentage in the contract, not a dollar amount)
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) In the file: OPERATING ROOM SERVICES - MINOR SURGERY	$2,017.46	$1,714.85	$741.69
Spinal injection, lower back (epidural), with imaging guidance: rates for 1 insurance plan Blue Cross Blue Shield of Montana — Medicare Replacement: $741.69
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) In the file: HC INJ ANES/STRD W/IMG TFRML EDRL LMBR/SAC 1 LVL	$1,311.20	$1,114.52	$122.31
Nerve root injection, lower back, with imaging guidance: 10 of 12 insurance plan rates Allegiance — Allegiance: $122.31 Blue Cross Blue Shield of Montana — State of Montana Employees: $2,043.22 Blue Cross Medicare Advantage — Medicare Replacement: $890.29 Humana Medicare Advantage — Medicare Replacement: $908.10 Blue Cross Blue Shield of Montana — Closed Plan Network: 75.1% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of Montana — Healthlink: 75.1% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of Montana — POS: 75.1% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of Montana — Traditional: 82.3% (a percentage in the contract, not a dollar amount) First Choice Health Network — Commercial: 95% (a percentage in the contract, not a dollar amount) Mountain Health Co-op — Commercial: 93% (a percentage in the contract, not a dollar amount)
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) In the file: PBB NJX AA&/STRD TFRML EPI LUMBAR/SACRAL 1 LEVEL	$1,293.60	$1,099.56	$890.29
Nerve root injection, lower back, with imaging guidance: 10 of 12 insurance plan rates Blue Cross Blue Shield of Montana — State of Montana Employees: $2,043.22 Blue Cross Medicare Advantage — Medicare Replacement: $890.29 Humana Medicare Advantage — Medicare Replacement: $908.10 Allegiance — Allegiance: 95% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of Montana — Closed Plan Network: 75.1% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of Montana — Healthlink: 75.1% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of Montana — POS: 75.1% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of Montana — Traditional: 82.3% (a percentage in the contract, not a dollar amount) First Choice Health Network — Commercial: 95% (a percentage in the contract, not a dollar amount) Mountain Health Co-op — Commercial: 93% (a percentage in the contract, not a dollar amount)
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) In the file: OPERATING ROOM SERVICES - MINOR SURGERY	$1,857.48	$1,578.86	$953.50
Nerve root injection, lower back, with imaging guidance: rates for 2 insurance plans Blue Cross Blue Shield of Montana — Medicare Replacement: $953.50 UNITED HEALTHCARE — Commercial: $2,980.02
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) In the file: PBB NEUROPLASTY &/TRANSPOS MEDIAN NRV CARPAL TUNNE	$1,553.58	$1,320.54	$1,952.77
Carpal tunnel release: 10 of 12 insurance plan rates Blue Cross Blue Shield of Montana — State of Montana Employees: $4,481.61 Blue Cross Medicare Advantage — Medicare Replacement: $1,952.77 Humana Medicare Advantage — Medicare Replacement: $1,991.83 Allegiance — Allegiance: 95% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of Montana — Closed Plan Network: 75.1% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of Montana — Healthlink: 75.1% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of Montana — POS: 75.1% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of Montana — Traditional: 82.3% (a percentage in the contract, not a dollar amount) First Choice Health Network — Commercial: 95% (a percentage in the contract, not a dollar amount) Mountain Health Co-op — Commercial: 93% (a percentage in the contract, not a dollar amount)
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) In the file: HC NEUROPLASTY &/TRANSPOS MEDIAN NRV CARPAL TUNNE	$1,553.58	$1,320.54	$1,952.77
Carpal tunnel release: 10 of 12 insurance plan rates Blue Cross Blue Shield of Montana — State of Montana Employees: $4,481.61 Blue Cross Medicare Advantage — Medicare Replacement: $1,952.77 Humana Medicare Advantage — Medicare Replacement: $1,991.83 Allegiance — Allegiance: 95% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of Montana — Closed Plan Network: 75.1% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of Montana — Healthlink: 75.1% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of Montana — POS: 75.1% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of Montana — Traditional: 82.3% (a percentage in the contract, not a dollar amount) First Choice Health Network — Commercial: 95% (a percentage in the contract, not a dollar amount) Mountain Health Co-op — Commercial: 93% (a percentage in the contract, not a dollar amount)
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) In the file: OPERATING ROOM SERVICES - GENERAL CLASSIFICATION	$3,335.40	$2,835.09	$2,091.42
Carpal tunnel release: rates for 1 insurance plan ZZCHOICECARE HUMANA MRP — Medicare Replacement: $2,091.42

Hospital stays (whole stay, MS-DRG)

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 · Inpatient (hospital stay) In the file: MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC	$38,984.52	$33,136.84	$14,917.80 – $15,318.24
Hip or knee replacement (major joint of the leg), without major complications: rates for 2 insurance plans Blue Cross Medicare Advantage — Medicare Replacement: $15,090.64 Humana Medicare Advantage — Medicare Replacement: $15,090.64
Uterus and ovary surgery (not for cancer), without complications MS-DRG 743 · Inpatient (hospital stay) In the file: UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC	$30,111.24	$25,594.55	$9,557.28 – $9,895.85
Uterus and ovary surgery (not for cancer), without complications: rates for 2 insurance plans Blue Cross Medicare Advantage — Medicare Replacement: $9,726.57 Humana Medicare Advantage — Medicare Replacement: $9,726.57

Source: St Peters Health’s standard charges file (sphealth.org, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on March 16, 2026; retrieved November 1, 2026. The hospital’s price transparency page →

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

Hospital information

Hospital type	Acute Care Hospital
Address	2475 Broadway, Helena, MT 59601
County	Lewis and Clark County
State	Montana
Phone	(406) 442‑2480
Emergency services	Yes
Ownership	Voluntary non-profit - Private
Medicare overall rating	3 of 5 stars
Birthing-friendly designation	Yes (meets CMS criteria)
CMS Certification Number	270003
Name in Medicare records	ST PETERS HEALTH
Profile level	Medicare data + hospital website
Name on the hospital’s website	St. Peter's Health Regional Medical Center
Official website	sphealth.org
Corrections	Report an error or suggest an update →

Sources

Hospital General Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-07-22, retrieved 2026-10-29
Medicare Care Compare — official Medicare profile of this hospital
U.S. Census Bureau Geocoder — map position used for distances

From the hospital’s website

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

St. Peter's Health Regional Medical Center — sphealth.org
St. Peter's Health Regional Medical Center | St. Peter's Health — sphealth.org
Emergency Department | St. Peter's Health — sphealth.org
Forensic Nurse Program | St. Peter's Health — sphealth.org
Support Services | Case managers, hearing, language, chaplain, Helena, MT | St. Peter's Health — sphealth.org
Facility Dog Program | St. Peter's Health — sphealth.org
Language Services | Case managers, hearing, language, chaplain, Helena, MT | St. Peter's Health — sphealth.org
Inpatient Services | St. Peter's Health — sphealth.org
Case Managers | hearing, language, chaplain, Helena, MT | St. Peter's Health — sphealth.org
St. Peter’s Health Emergency Department | St. Peter's Health — sphealth.org

St Peters Health

Summary

Profile from official sources

At a glance