Procedures & surgery prices at Benefis Teton Medical Center
Choteau, MT · every code in this section with a posted price and a Medicare benchmark.
125 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Acne surgery (10040) | $188.40 | $314 | 0.9× |
| Application cast elbow finger short arm (29075) range across 2 matching MRF lines |
$90–$159 | $150–$265 | varies |
| Application finger splint static (29130) range across 2 matching MRF lines |
$40.80–$73.20 | $68–$122 | varies |
| Application long arm splint shoulder hand (29105) range across 3 matching MRF lines |
$92.40–$180.60 | $154–$301 | varies |
| Application Long Leg Splint (29505) range across 2 matching MRF lines |
$139.20–$180.60 | $232–$301 | varies |
| Application of long leg cast (29345) range across 2 matching MRF lines |
$271.20–$280.80 | $452–$468 | varies |
| Application Short Arm Splint Dynamic (29126) | $72.60 | $121 | 0.5× |
| Application short arm splint forearm-hand static (29125) range across 4 matching MRF lines |
$139.80–$245.70 | $233–$409.50 | varies |
| Application short leg splint calf foot (29515) range across 3 matching MRF lines |
$179.40–$188.40 | $299–$314 | varies |
| Apply hand/wrist cast (29085) range across 2 matching MRF lines |
$96–$168 | $160–$280 | varies |
| Apply long arm cast (29065) range across 2 matching MRF lines |
$177–$307.20 | $295–$512 | varies |
| Apply Short Leg Cast (29405) range across 3 matching MRF lines |
$127.20–$213 | $212–$355 | varies |
| Arterial puncture (36600) | $147 | $245 | 1.1× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) range across 2 matching MRF lines |
$76.80–$677.40 | $128–$1,129 | varies |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) range across 2 matching MRF lines |
$143.40–$592.20 | $239–$987 | varies |
| Aspirate Pleura W/O Imaging (32554) | $793.20 | $1,322 | 1.2× |
| Aspirate/Inj Ganglion Cyst (20612) | $106.80 | $178 | 0.3× |
| Aspiration bladder insert suprapubic catheter (51102) | $181.80 | $303 | 0.1× |
| Avulsion nail plate partial/complete simple 1 (11730) range across 2 matching MRF lines |
$175.20–$241.20 | $292–$402 | varies |
| Bladder Scan (51798) | $47.40 | $79 | 0.8× |
| Blood Transfusion Service (36430) range across 2 matching MRF lines |
$600.60–$1,086.60 | $1,001–$1,811 | varies |
| Chest tube placement (32551) | $1,478.40 | $2,464 | 0.9× |
| Clear outer ear canal (69200) range across 2 matching MRF lines |
$177.60–$189 | $296–$315 | varies |
| Closed tx ankle dislocation w/o anesthesia (27840) | $558.60 | $931 | 2.2× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) range across 2 matching MRF lines |
$678–$745.20 | $1,130–$1,242 | varies |
| Closed tx knee dislocation w/o anesthesia (27550) range across 2 matching MRF lines |
$542.40–$583.20 | $904–$972 | varies |
| Closed tx patellar dislocation w/o anesthesia (27560) range across 2 matching MRF lines |
$426.60–$460.80 | $711–$768 | varies |
| Closed tx radial shaft fracture w/manipulation (25505) | $2,017.20 | $3,362 | 1.2× |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) | $500.40 | $834 | 0.3× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) range across 2 matching MRF lines |
$49.80–$139.80 | $83–$233 | varies |
| Clsd tx shoulder dislc w/manipulation req anes (23655) range across 3 matching MRF lines |
$514.20–$756 | $857–$1,260 | varies |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) range across 2 matching MRF lines |
$270–$534 | $450–$890 | varies |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) range across 2 matching MRF lines |
$1,117.80–$1,902.60 | $1,863–$3,171 | varies |
| Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) range across 2 matching MRF lines |
$793.20–$1,920 | $1,322–$3,200 | varies |
| Cltx hip dislocation traumatic w/o anesthesia (27250) range across 2 matching MRF lines |
$268.80–$269.40 | $448–$449 | varies |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) range across 2 matching MRF lines |
$153.60–$199.20 | $256–$332 | varies |
| Cltx iphal jt dislc w/manj w/o anes (26770) range across 2 matching MRF lines |
$302.40–$477.60 | $504–$796 | varies |
| Cltx metacarpal fx w/manipulation each bone (26605) range across 2 matching MRF lines |
$336–$369 | $560–$615 | varies |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) range across 2 matching MRF lines |
$340.80–$378.60 | $568–$631 | varies |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) range across 3 matching MRF lines |
$132.60–$270 | $221–$450 | varies |
| Cltx trimalleolar ankle fx w/manipulation (27818) range across 2 matching MRF lines |
$570.60–$871.80 | $951–$1,453 | varies |
| Collect Blood From Catheter Venous Nos (36592) range across 2 matching MRF lines |
$99.60–$103.80 | $166–$173 | varies |
| Collection of venous blood by venipuncture (36415) range across 4 matching MRF lines |
$15.60–$33.60 | $26–$56 | varies |
| Control Nasal Hemorrhage Anterior Complex (30903) range across 2 matching MRF lines |
$269.40–$325.20 | $449–$542 | varies |
| Control Nasal Hemorrhage Anterior Simple (30901) range across 4 matching MRF lines |
$202.80–$333.90 | $338–$556.50 | varies |
| Debridement subcutaneous tissue 20 sq cm/< (11042) range across 2 matching MRF lines |
$161.40–$700.80 | $269–$1,168 | varies |
| Destruction premalignant lesion 1st (17000) | $84 | $140 | 0.4× |
| Drainage External Ear Abscess/Hematoma Simple (69000) range across 2 matching MRF lines |
$159.60–$831 | $266–$1,385 | varies |
| Drainage of finger abscess simple (26010) range across 2 matching MRF lines |
$149.40–$374.40 | $249–$624 | varies |
| Drainage of hematoma/fluid (10140) range across 2 matching MRF lines |
$286.20–$1,987.20 | $477–$3,312 | varies |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) | $223.20 | $372 | 1.1× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) range across 2 matching MRF lines |
$119.40–$223.20 | $199–$372 | varies |
| Evacuation of subungual hematoma (11740) range across 2 matching MRF lines |
$61.80–$102.60 | $103–$171 | varies |
| Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) range across 2 matching MRF lines |
$109.20–$217.20 | $182–$362 | varies |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) | $340.20 | $567 | 0.5× |
| I&d abscess simple (10060) range across 2 matching MRF lines |
$202.20–$262.20 | $337–$437 | varies |
| I&d deep absc bursa/hematoma thigh/knee region (27301) | $679.80 | $1,133 | 0.2× |
| I&d pilonidal cyst complicated (10081) range across 2 matching MRF lines |
$477–$1,657.20 | $795–$2,762 | varies |
| I&d pilonidal cyst simple (10080) range across 2 matching MRF lines |
$309–$781.80 | $515–$1,303 | varies |
| Incise finger tendon sheath (26055) | $692.40 | $1,154 | 0.4× |
| Incision & drainage abscess complicated/multiple (10061) range across 2 matching MRF lines |
$336.60–$459 | $561–$765 | varies |
| Incision & removal foreign body subq tiss compl (10121) range across 2 matching MRF lines |
$256.80–$484.80 | $428–$808 | varies |
| Incision & removal foreign body subq tiss simple (10120) range across 2 matching MRF lines |
$259.20–$485.40 | $432–$809 | varies |
| Injection 1 tendon sheath/ligament aponeurosis (20550) range across 2 matching MRF lines |
$48–$67.20 | $80–$112 | varies |
| Injection single/mlt trigger point 1/2 muscles (20552) range across 2 matching MRF lines |
$97.20–$370.20 | $162–$617 | varies |
| Injection single/mlt trigger point 3/> muscles (20553) range across 2 matching MRF lines |
$111–$637.80 | $185–$1,063 | varies |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) range across 2 matching MRF lines |
$78.60–$818.40 | $131–$1,364 | varies |
| Insert Bladder Cath Complex (51703) | $348 | $580 | 2.6× |
| Insert cath pleura w/o image (32556) range across 2 matching MRF lines |
$127.20–$2,276.40 | $212–$3,794 | varies |
| Insert Temp Bladder Cath (51702) range across 2 matching MRF lines |
$141–$195.60 | $235–$326 | varies |
| Insert,Non-Indwelling Bladder Catheter (51701) range across 2 matching MRF lines |
$58.20–$115.20 | $97–$192 | varies |
| Intmd Rpr Face/Mm 12.6-20 Cm (12055) range across 2 matching MRF lines |
$414.60–$789.60 | $691–$1,316 | varies |
| Intmd Rpr Face/Mm 20.1-30.0 (12056) range across 2 matching MRF lines |
$503.40–$941.40 | $839–$1,569 | varies |
| Intubation endotracheal emergency procedure (31500) range across 2 matching MRF lines |
$204–$457.80 | $340–$763 | varies |
| Needle insertion w/o injection 1 or 2 muscles (20560) | $45 | $75 | 1.5× |
| Needle insertion w/o injection 3 or more muscles (20561) | $66 | $110 | 2.2× |
| Occipital Nerve Block (64405) | $55.20 | $92 | 0.2× |
| Puncture aspiration abscess hematoma bulla/cyst (10160) range across 2 matching MRF lines |
$231.60–$468 | $386–$780 | varies |
| Removal Foreign Body Foot Subcutaneous (28190) range across 2 matching MRF lines |
$450–$781.80 | $750–$1,303 | varies |
| Removal impacted cerumen irrigation/lvg unilat (69209) range across 2 matching MRF lines |
$66.60–$85.20 | $111–$142 | varies |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) range across 2 matching MRF lines |
$93–$122.40 | $155–$204 | varies |
| Removal of foreign body from pharynx (42809) range across 2 matching MRF lines |
$152.40–$199.20 | $254–$332 | varies |
| Removal of nail bed (11750) range across 2 matching MRF lines |
$316.80–$459 | $528–$765 | varies |
| Removal of sesamoid bone (28315) | $454.80 | $758 | 0.1× |
| Remove foreign body from eye (65205) range across 2 matching MRF lines |
$147.60–$166.80 | $246–$278 | varies |
| Remove Nasal Foreign Body (30300) range across 2 matching MRF lines |
$131.40–$535.80 | $219–$893 | varies |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) range across 2 matching MRF lines |
$735.60–$1,069.80 | $1,226–$1,783 | varies |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) range across 2 matching MRF lines |
$468–$492.60 | $780–$821 | varies |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) range across 2 matching MRF lines |
$468–$561 | $780–$935 | varies |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) range across 2 matching MRF lines |
$468–$619.80 | $780–$1,033 | varies |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) range across 2 matching MRF lines |
$468–$657.60 | $780–$1,096 | varies |
| Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) range across 2 matching MRF lines |
$568.20–$1,074 | $947–$1,790 | varies |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) range across 2 matching MRF lines |
$675.60–$748.80 | $1,126–$1,248 | varies |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) range across 2 matching MRF lines |
$465–$468 | $775–$780 | varies |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) range across 2 matching MRF lines |
$468–$532.80 | $780–$888 | varies |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) range across 2 matching MRF lines |
$631.20–$699 | $1,052–$1,165 | varies |
| Repair Intermediate N/H/F/Xtrnl Gent >30.0 Cm (12047) range across 2 matching MRF lines |
$474–$801.60 | $790–$1,336 | varies |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) range across 2 matching MRF lines |
$468–$678 | $780–$1,130 | varies |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) range across 2 matching MRF lines |
$445.80–$468 | $743–$780 | varies |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) range across 2 matching MRF lines |
$468–$561 | $780–$935 | varies |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) range across 2 matching MRF lines |
$468–$741 | $780–$1,235 | varies |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) range across 2 matching MRF lines |
$468–$559.80 | $780–$933 | varies |
| Repair intermediate s/a/t/e >30.0 cm (12037) range across 2 matching MRF lines |
$561.60–$831.60 | $936–$1,386 | varies |
| Repair of nail bed (11760) range across 2 matching MRF lines |
$114.60–$735.60 | $191–$1,226 | varies |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) range across 2 matching MRF lines |
$43.20–$633.60 | $72–$1,056 | varies |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) range across 2 matching MRF lines |
$255–$331.80 | $425–$553 | varies |
| Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046) range across 2 matching MRF lines |
$432.60–$769.80 | $721–$1,283 | varies |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) | $83.40 | $139 | 0.4× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) range across 2 matching MRF lines |
$415.20–$439.20 | $692–$732 | varies |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) range across 2 matching MRF lines |
$270–$333.60 | $450–$556 | varies |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) range across 3 matching MRF lines |
$255–$362.40 | $425–$604 | varies |
| Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) range across 2 matching MRF lines |
$319.80–$354 | $533–$590 | varies |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) range across 2 matching MRF lines |
$271.20–$300 | $452–$500 | varies |
| Simple Repair F/E/E/N/L/M >30.0 Cm (12018) range across 2 matching MRF lines |
$379.80–$414 | $633–$690 | varies |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) range across 2 matching MRF lines |
$265.80–$310.20 | $443–$517 | varies |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) range across 2 matching MRF lines |
$439.20–$448.20 | $732–$747 | varies |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) range across 3 matching MRF lines |
$346.80–$406.80 | $578–$678 | varies |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) range across 3 matching MRF lines |
$307.80–$337.80 | $513–$563 | varies |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) range across 2 matching MRF lines |
$334.20–$429.60 | $557–$716 | varies |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) range across 2 matching MRF lines |
$385.20–$468 | $642–$780 | varies |
| Strapping elbow or wrist (29260) | $130.20 | $217 | 2.2× |
| Tangential biopsy skin single lesion (11102) | $202.20 | $337 | 0.5× |
| Treat Thumb Dislocation (26641) range across 2 matching MRF lines |
$293.40–$323.40 | $489–$539 | varies |
| Treatment closed elbow dislocation w/o anes (24600) range across 2 matching MRF lines |
$433.20–$643.20 | $722–$1,072 | varies |
| Vaginal delivery only (59409) range across 2 matching MRF lines |
$935.40–$3,469.20 | $1,559–$5,782 | varies |
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.