Visits & medical services prices at Benefis Teton Medical Center
Choteau, MT · every code in this section with a posted price and a Medicare benchmark.
74 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Advncd Care Plan 30 Min (99497) | $110.40 | $184 | 1.1× |
| Airway Inhalation Treatment (94640) range across 2 matching MRF lines |
$30.60–$176.40 | $51–$294 | varies |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) | $28.20 | $47 | 2.0× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) | $310.80 | $518 | 0.8× |
| Canalith repositioning proc (95992) | $109.20 | $182 | 2.7× |
| Cardiopulmonary resuscitation (92950) range across 2 matching MRF lines |
$382.80–$521.40 | $638–$869 | varies |
| Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) | $46.20 | $77 | 1.8× |
| Chest Wall Manipulation (94668) | $41.40 | $69 | 0.3× |
| Community/Work Reintegration Trainj Ea 15 Min (97537) | $51 | $85 | 1.6× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) | $106.20 | $177 | 0.5× |
| Cpt initial (94667) | $42.60 | $71 | 0.3× |
| Critical care first hour (99291) range across 2 matching MRF lines |
$858–$1,879.20 | $1,430–$3,132 | varies |
| Debridement Open Wound 20 Sq Cm< (97597) range across 2 matching MRF lines |
$336.60–$369 | $561–$615 | varies |
| Duplex up extrem art bilat (93930) | $784.20 | $1,307 | 3.2× |
| Electrical Stimulation Ea 15 Min (97032) | $45 | $75 | 3.1× |
| Electrocardiogram Tracing (93005) range across 2 matching MRF lines |
$45.60–$178.20 | $76–$297 | varies |
| Emergency Dept Visit Level 2 (99282) range across 2 matching MRF lines |
$156–$273.60 | $260–$456 | varies |
| Emergency Dept Visit Level 3 (99283) range across 2 matching MRF lines |
$253.20–$453 | $422–$755 | varies |
| Emergency Dept Visit Level 4 (99284) range across 2 matching MRF lines |
$402–$750 | $670–$1,250 | varies |
| Er level 1 (99281) range across 2 matching MRF lines |
$126–$163.20 | $210–$272 | varies |
| Er level v (99285) range across 2 matching MRF lines |
$666.60–$1,152.60 | $1,111–$1,921 | varies |
| Evaluate Swallowing Function (92610) | $316.80 | $528 | 3.7× |
| Extracranial Bilat Study (93880) | $785.40 | $1,309 | 3.2× |
| Flexible endoscopic eval swallow c/v rec (92612) | $294 | $490 | 1.5× |
| Holter monitor recording (93225) range across 2 matching MRF lines |
$193.20–$225.60 | $322–$376 | varies |
| Immunization administration (90471) | $36 | $60 | 0.5× |
| Iontophoresis 15 min (97033) | $66 | $110 | 3.5× |
| IV infusion hydration each additional hour (96361) range across 2 matching MRF lines |
$16.80–$86.40 | $28–$144 | varies |
| IV infusion hydration initial 31 min-1 hour (96360) range across 2 matching MRF lines |
$60.60–$266.40 | $101–$444 | varies |
| IV infusion ther proph addl sequential to 1 hr (96367) | $111 | $185 | 1.5× |
| IV infusion therapy prophylaxis/dx ea hour (96366) range across 2 matching MRF lines |
$21.60–$105.60 | $36–$176 | varies |
| IV push initial (96374) range across 2 matching MRF lines |
$60–$180.60 | $100–$301 | varies |
| Lung Function Test (Mbc/Mvv) (94200) range across 2 matching MRF lines |
$33.60–$45 | $56–$75 | varies |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) | $490.80 | $818 | 1.2× |
| Neuromuscular Reeducation (97112) range across 3 matching MRF lines |
$67.20–$77.40 | $112–$129 | varies |
| Oral Function Therapy (92526) | $143.40 | $239 | 1.7× |
| Orthc/Prostc Mgmt Sbsq Enc (97763) | $93.60 | $156 | 1.9× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) | $89.40 | $149 | 1.9× |
| Ot eval high complexity (97167) | $226.80 | $378 | 2.3× |
| Ot Eval Low Complex (97165) | $172.20 | $287 | 1.7× |
| Ot Eval Moderate Complexity (97166) | $202.20 | $337 | 2.0× |
| Ot manual therapy 15 min (97140) range across 2 matching MRF lines |
$63–$70.20 | $105–$117 | varies |
| Ot paraffin bath (97018) | $19.80 | $33 | 3.3× |
| Ot Re-Eval Est Plan Care (97168) | $85.20 | $142 | 1.2× |
| Ot rom hand (95852) | $42.60 | $71 | 2.0× |
| Physical Performance Test (97750) | $31.20 | $52 | 0.9× |
| Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) range across 3 matching MRF lines |
$11.40–$19.20 | $19–$32 | varies |
| Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) range across 3 matching MRF lines |
$12.60–$24.60 | $21–$41 | varies |
| Pt Eval High Complex (97163) | $235.80 | $393 | 2.4× |
| Pt eval low complex 20 min (97161) | $150.60 | $251 | 1.5× |
| Pt Eval Mod Complex (97162) | $193.80 | $323 | 2.0× |
| Pt gait training 15 min (97116) | $69.60 | $116 | 2.4× |
| Pt group caregiver training (97552) | $42.60 | $71 | 1.9× |
| Pt mechanical traction (97012) | $45 | $75 | 3.1× |
| Pt Re-Eval Est Plan Care (97164) | $108 | $180 | 1.6× |
| Remote 30 Day Ecg Rev/Report (93270) | $153 | $255 | 4.0× |
| Rom Meas&Reprt Ea Xtr Ex Hand/Ea Trnk Sctj Spi (95851) | $44.40 | $74 | 1.7× |
| Self Care Mngment Training (97535) range across 2 matching MRF lines |
$58.20–$78 | $97–$130 | varies |
| Slp caregiver training 1st 30 min (97550) | $100.80 | $168 | 1.9× |
| Speech sound lang comprehen (92523) | $294.60 | $491 | 1.3× |
| Spirometry (94010) range across 3 matching MRF lines |
$66.60–$196.80 | $111–$328 | varies |
| Standardized Cognitive Performance Testing (96125) | $229.80 | $383 | 2.2× |
| Subcutaneous infusion initial 1 hr w/pump set-up (96369) | $139.20 | $232 | 0.6× |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) | $220.80 | $368 | 9.9× |
| Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) | $68.40 | $114 | 1.8× |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) | $45 | $75 | 1.5× |
| Ther/Proph/Diag Inj Sc/Im (96372) range across 3 matching MRF lines |
$39.60–$68.40 | $66–$114 | varies |
| Ther/Proph/Diag Iv Inf Init (96365) range across 2 matching MRF lines |
$72.60–$294 | $121–$490 | varies |
| Therapeutic Activities (97530) | $73.80 | $123 | 2.1× |
| Tte w/doppler, complete (93306) | $1,106.40 | $1,844 | 2.0× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) | $184.20 | $307 | 2.4× |
| Tx/Pro/Dx Inj New Drug Addon (96375) range across 2 matching MRF lines |
$93–$108 | $155–$180 | varies |
| Wheelchair Mgmt Ea 15 Min (97542) range across 2 matching MRF lines |
$51–$72 | $85–$120 | varies |
| Whirlpool Therapy (97022) | $48 | $80 | 3.1× |
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.