Supplies, drugs & other prices at Bitterroot Health - Daly Hospital
Hamilton, MT · every code in this section with a posted price and a Medicare benchmark.
31 codes. Prices are the hospital's own posted facility charges.
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| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Admin hepatitis b vaccine (G0010) | $178 | $178 | 3.7× |
| Admin influenza virus vac (G0008) | $138 | $138 | 2.9× |
| Admin pneumococcal vaccine (G0009) | $138 | $138 | 2.9× |
| Annual alcohol screen 15 min (G0442) | $262 | $262 | 6.8× |
| Brief alcohol misuse counsel (G0443) | $89 | $89 | 0.9× |
| Brief chkin by md/qhp, 11-20 (G2252) | $71 | $71 | 2.5× |
| Ca screen;flexi sigmoidscope (G0104) | $557 | $557 | 0.6× |
| Ca screen;pelvic/breast exam (G0101) | $117 | $117 | 1.1× |
| Catheterize for urine spec (P9612) range across 2 matching MRF lines |
$23–$66 | $23–$66 | varies |
| Colon ca scrn not hi rsk ind (G0121) | $1,016 | $1,016 | 1.1× |
| Colorectal scrn; hi risk ind (G0105) | $1,015 | $1,015 | 1.1× |
| Depression screen annual (G0444) | $48 | $48 | 1.3× |
| Diab manage trn per indiv (G0108) | $199 | $199 | 3.6× |
| Diab manage trn ind/group (G0109) | $57 | $57 | 3.6× |
| Drug test def 1-7 classes (G0480) range across 2 matching MRF lines |
$56–$830 | $56–$830 | varies |
| Ekg tracing for initial prev (G0404) | $94 | $94 | 3.2× |
| Fecal blood scrn immunoassay (G0328) | $115 | $115 | 6.4× |
| Group mnt 2 or more 30 mins (G0271) | $62 | $62 | 3.6× |
| Hospital outpt clinic visit (G0463) range across 3 matching MRF lines |
$58–$258 | $58–$258 | varies |
| Init/sub psych care m 1st 30 (G2214) | $152 | $152 | 1.5× |
| Initial preventive exam (G0402) | $450 | $450 | 3.3× |
| Mnt subs tx for change dx (G0270) | $116 | $116 | 3.7× |
| Obtaining screen pap smear (Q0091) range across 3 matching MRF lines |
$134–$145 | $134–$145 | varies |
| Pelvic ring fx treat int fix (G0414) unusually low: confirm this is the full procedure |
$3,125 | $3,125 | 0.4× |
| Potassium hydroxide preps (Q0112) | $42 | $42 | 7.2× |
| Ppps, initial visit (G0438) | $449 | $449 | 2.6× |
| Ppps, subseq visit (G0439) | $354 | $354 | 2.6× |
| Psa screening (G0103) | $140 | $140 | 7.3× |
| Tomosynthesis, mammo (G0279) | $68 | $68 | 5.4× |
| Trauma respons w/hosp criti (G0390) range across 2 matching MRF lines |
$1,138–$2,063 | $1,138–$2,063 | varies |
| Wet mounts/ w preparations (Q0111) | $133 | $133 | 7.2× |
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.