Lab & pathology prices at Benefis Teton Medical Center
Choteau, MT · every code in this section with a posted price and a Medicare benchmark.
144 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Adenovirus antibody (86603) | $86.40 | $144 | 6.7× |
| Albumin serum (82040) | $38.40 | $64 | 7.8× |
| Allergen specific ige (86003) range across 10 matching MRF lines |
$6.60–$16.20 | $11–$27 | varies |
| Alpha-Fetoprotein Serum (82105) range across 2 matching MRF lines |
$80.40–$84.60 | $134–$141 | varies |
| Alt (sgpt) (84460) | $39 | $65 | 7.4× |
| Amylase urine (82150) | $72.60 | $121 | 11.2× |
| Ana Titer (86039) | $72 | $120 | 6.5× |
| Antibody identification leukocyte antibodies (86021) | $35.40 | $59 | 2.4× |
| Antibody Treponema Pallidum (86780) | $39 | $65 | 2.9× |
| Antigen typing (86905) | $98.40 | $164 | 25.7× |
| Antistreptolysin o titer (86060) | $49.80 | $83 | 6.8× |
| Assay Blood Carbon Dioxide (82374) | $44.40 | $74 | 9.1× |
| Assay of blood/uric acid (84550) | $46.20 | $77 | 10.2× |
| Assay of lactic acid (83605) range across 2 matching MRF lines |
$15–$84 | $25–$140 | varies |
| Assay of metanephrines (83835) | $34.80 | $58 | 2.1× |
| Assay of serum potassium (84132) | $40.80 | $68 | 8.6× |
| Assay of urea nitrogen (84520) | $43.80 | $73 | 11.1× |
| Assay spec xcp ur&breath ia (82077) | $136.80 | $228 | 7.9× |
| Bilirubin direct (82248) | $47.40 | $79 | 9.4× |
| Bilirubin total (82247) range across 2 matching MRF lines |
$27–$42 | $45–$70 | varies |
| Blood Count Manual Cell Count Each (85032) | $22.20 | $37 | 5.2× |
| Blood gas (82803) | $31.80 | $53 | 1.2× |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) | $36.60 | $61 | 8.4× |
| Blood typing serologic abo (86900) | $105 | $175 | 35.1× |
| C-reactive protein (86140) | $82.20 | $137 | 15.9× |
| Ca 19-9 (86301) | $96.60 | $161 | 4.6× |
| Calcium total (82310) | $55.80 | $93 | 10.8× |
| Calprotectin Fecal (83993) | $24 | $40 | 1.2× |
| Cancer Antigen 27.29 (86300) | $66.60 | $111 | 3.2× |
| Catecholamines fractionated (82384) | $170.40 | $284 | 6.7× |
| Cftr gene com variants (81220) | $189 | $315 | 0.3× |
| Chemiluminescent assay (82397) | $61.20 | $102 | 4.3× |
| Chloride Serum (82435) | $30 | $50 | 6.5× |
| Cholesterol total (82465) | $45.60 | $76 | 10.5× |
| Chromogranin a (86316) | $61.80 | $103 | 3.0× |
| Column Chromotography Quant (82542) | $270 | $450 | 11.2× |
| Compatibility test antiglob (86922) | $124.80 | $208 | 0.7× |
| Complement/Function Activity (86161) | $109.20 | $182 | 9.1× |
| Consltj&Reprt Slides Prepared Elsewhere (88321) | $214.80 | $358 | 5.6× |
| Cortisol free (82530) | $46.20 | $77 | 2.8× |
| Creatine kinase total (82550) | $54 | $90 | 8.3× |
| Creatinine blood (82565) | $43.80 | $73 | 8.6× |
| Crossmatch immediate spin (86920) | $121.80 | $203 | 0.7× |
| Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) | $112.80 | $188 | 14.0× |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) | $44.40 | $74 | 5.5× |
| Culture afb (87116) | $52.20 | $87 | 4.8× |
| Culture Anaerobic (87075) | $82.20 | $137 | 8.7× |
| Culture blood (87040) | $99.60 | $166 | 9.7× |
| Culture csf (87070) range across 15 matching MRF lines |
$11.40–$44.40 | $19–$74 | varies |
| Culture fungus (87102) | $60.60 | $101 | 7.2× |
| Culture screen only (87081) range across 4 matching MRF lines |
$31.80–$43.80 | $53–$73 | varies |
| Culture stool (87045) | $46.80 | $78 | 5.0× |
| Culture urine (87086) | $71.40 | $119 | 8.8× |
| Detect Agent Nos Dna Amp (87798) | $165.60 | $276 | 4.7× |
| Drug assay adalimumab (80145) | $325.80 | $543 | 8.4× |
| Drug Screen Quantitative Lamotrigine (80175) | $16.80 | $28 | 1.3× |
| Drug Screen Quantitative Levetiracetam (80177) | $42 | $70 | 3.2× |
| Drug Test Prsmv Chem Anlyzr (80307) range across 2 matching MRF lines |
$59.40–$234 | $99–$390 | varies |
| El-1 Fecal Quantitative (82653) | $72.60 | $121 | 3.2× |
| Electrolyte panel (80051) | $63 | $105 | 9.0× |
| Ferritin (82728) | $87 | $145 | 6.4× |
| Fibrin Degradation Quant (85379) | $76.80 | $128 | 7.5× |
| Flow cytometry first marker (88184) | $43.80 | $73 | 0.1× |
| Follicle Stimulating Hormone (83001) | $87 | $145 | 4.7× |
| Fresh Frozen Plasma Thawing Each Unit (86927) | $159.60 | $266 | 0.9× |
| Fungi Identification Mold (87107) | $52.80 | $88 | 5.1× |
| Fungi Identification Yeast (87106) | $52.20 | $87 | 5.1× |
| Galactose-1-Phosphate Uridyl Transferase Quan (82775) | $23.40 | $39 | 1.1× |
| Gastric Analy W/Ph Ea Spec (82930) | $9 | $15 | 1.3× |
| Glucose 2 hr pp (82950) | $50.40 | $84 | 10.6× |
| Glucose Blood Test (82962) | $9.60 | $16 | 2.9× |
| Glucose Serum (82947) | $32.40 | $54 | 8.2× |
| Glucose tolerance test (gtt) (82951) | $94.80 | $158 | 7.4× |
| Gonadotropin Chorionic Qualitative (84703) | $57 | $95 | 7.6× |
| Gtt-added samples (82952) | $40.20 | $67 | 10.3× |
| Hdl Cholesterol (83718) | $57.60 | $96 | 7.0× |
| Hematocrit (85014) | $33 | $55 | 13.9× |
| Hemoglobin (85018) | $29.40 | $49 | 12.4× |
| Hemoglobin a1c (83036) | $67.20 | $112 | 6.9× |
| Hemoglobin electrophoresis (83020) | $14.40 | $24 | 1.1× |
| Hepatitis C Genotype (87902) | $519 | $865 | 2.0× |
| Heterophile Antibody Screen (86308) | $49.20 | $82 | 9.5× |
| Hydroxyprogesterone 17-d (83498) | $28.80 | $48 | 1.1× |
| Iadna Dna/Rna Rsv Amplified Probe Technique (87634) | $99.60 | $166 | 1.4× |
| Immunoassay nonantibody (83516) range across 2 matching MRF lines |
$59.40–$96 | $99–$160 | varies |
| Influenza DNA amp probe (87502) range across 3 matching MRF lines |
$113.40–$172.20 | $189–$287 | varies |
| Inhibin b (83520) range across 2 matching MRF lines |
$46.80–$123 | $78–$205 | varies |
| Iron Binding Capacity (83550) | $51.60 | $86 | 5.9× |
| Irradiation Blood Product Each Unit (86945) | $201 | $335 | 5.3× |
| Islet cell antibody (86341) range across 2 matching MRF lines |
$46.20–$436.80 | $77–$728 | varies |
| LDL direct (83721) | $13.80 | $23 | 1.3× |
| Lipase (83690) | $61.80 | $103 | 9.0× |
| Lipoprotein A (83695) | $21.60 | $36 | 1.5× |
| Magnesium Urine (83735) | $49.20 | $82 | 7.3× |
| Mycophenolic Acid (80180) | $81 | $135 | 4.5× |
| Natriuretic peptide (83880) | $191.40 | $319 | 4.9× |
| Nfct ds chrnc hcv 6 assays (81596) | $232.80 | $388 | 3.2× |
| Occult Blood Other Sources (82271) | $19.80 | $33 | 3.7× |
| Ph urine (81003) range across 3 matching MRF lines |
$3–$24 | $5–$40 | varies |
| Phenobarbital Level (80184) | $74.40 | $124 | 4.9× |
| Phenylalanine (84030) | $6.60 | $11 | 1.2× |
| Phosphatase alkaline (84075) | $44.40 | $74 | 8.6× |
| Phosphorus Serum (84100) | $66.60 | $111 | 14.1× |
| Platelet Antibodies (86022) | $143.40 | $239 | 7.8× |
| Platelet count automated (85049) | $28.80 | $48 | 6.4× |
| Pooling blood platelets (86965) | $96.60 | $161 | 0.6× |
| Pretreatment of serum for use in rbc antibody identification; incubation with inhibitors, each (86977) | $196.80 | $328 | 1.1× |
| Protein Electrophoresis Urine (84166) | $60.60 | $101 | 3.4× |
| Protein total serum (84155) | $35.40 | $59 | 9.6× |
| PSA free (84154) | $77.40 | $129 | 4.2× |
| Quantiferon tb gold plus (86480) | $146.40 | $244 | 2.4× |
| Rbc antibody identification (86870) | $175.80 | $293 | 0.5× |
| Rbc antibody screen (86850) | $101.40 | $169 | 10.4× |
| Rbc serum pretx incubj drugs (86975) | $471.60 | $786 | 1.0× |
| Reagent Strip/Blood Glucose (82948) | $17.40 | $29 | 3.5× |
| Rh (86901) | $48 | $80 | 16.1× |
| Rubella Antibody (86762) | $52.80 | $88 | 3.7× |
| Russell Viper Venom Time Diluted (85613) | $64.20 | $107 | 6.7× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) range across 3 matching MRF lines |
$92.40–$94.20 | $154–$157 | varies |
| Sars-Cov-2 Covid19 W/Optic (87811) | $27.60 | $46 | 0.7× |
| Sarscov2&inf a&b&rsv amp prb (87637) | $171.60 | $286 | 1.2× |
| Sedimentation rate (85651) | $40.80 | $68 | 9.6× |
| Sensitivity mic (87186) | $196.80 | $328 | 22.8× |
| Smear complex stain (87209) | $59.40 | $99 | 3.3× |
| Smear gram stain (87205) | $48.60 | $81 | 11.4× |
| Smr Prim Src Wet Mount Nfct Agt (87210) | $73.80 | $123 | 12.7× |
| Sodium Serum (84295) | $43.20 | $72 | 9.0× |
| Splitting Blood/Blood Products Each Unit (86985) | $196.80 | $328 | 1.1× |
| Staph a DNA amp probe (87640) | $44.40 | $74 | 1.3× |
| Stool cultr aerobic bact ea (87046) | $42.60 | $71 | 4.5× |
| Strep a assay w/optic (87880) | $60 | $100 | 3.6× |
| Strep a DNA amp probe (87651) range across 2 matching MRF lines |
$42.60–$50.40 | $71–$84 | varies |
| T4 Free (84439) | $67.80 | $113 | 7.5× |
| Tobramycin peak (80200) | $46.20 | $77 | 2.9× |
| Topiramate (80201) | $50.40 | $84 | 4.2× |
| Toxoplasma antibody (86777) | $73.20 | $122 | 5.1× |
| Transferase Aspartate Amino Ast Sgot (84450) | $49.20 | $82 | 9.5× |
| Triglycerides (84478) | $48 | $80 | 8.4× |
| Troponin Quant (84484) | $109.20 | $182 | 8.8× |
| Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) | $39 | $65 | 12.3× |
| Vancomycin (80202) | $93.60 | $156 | 6.9× |
| Virus antibody nos (86790) range across 2 matching MRF lines |
$28.80–$114.60 | $48–$191 | varies |
| Vitamin b-12 (82607) | $85.80 | $143 | 5.7× |
| Vitamin D 25-Hydroxy (82306) | $120.60 | $201 | 4.1× |
A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.