Supplies, drugs & other prices at Benefis Teton Medical Center
Choteau, MT · every code in this section with a posted price and a Medicare benchmark.
12 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Admin influenza virus vac (G0008) | $36 | $60 | 0.8× |
| Admin pneumococcal vaccine (G0009) | $36 | $60 | 0.8× |
| Direct refer hospital observ (G0379) | $318.60 | $531 | 0.5× |
| Ekg tracing for initial prev (G0404) | $199.20 | $332 | 6.7× |
| Elec stim other than wound (G0283) | $49.20 | $82 | 3.9× |
| Facility svs dental rehab (G0330) | $3,681.60 | $6,136 | 1.1× |
| Hospital outpt clinic visit (G0463) range across 9 matching MRF lines |
$90–$101.40 | $150–$169 | varies |
| Obtaining screen pap smear (Q0091) | $37.20 | $62 | 1.3× |
| Pathogen test for platelets (P9100) | $72 | $120 | 1.2× |
| Psa screening (G0103) | $108 | $180 | 5.6× |
| Rbc DNA hea 35 ag 11 bld grp whl bld cmn allel (0001U) | $500.40 | $834 | 0.7× |
| Trauma respons w/hosp criti (G0390) | $2,204.40 | $3,674 | 1.6× |
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.