Visits & medical services prices at Bozeman Health Deaconess Regional Medical Center

Bozeman, MT · every code in this section with a posted price and a Medicare benchmark.

263 codes. Prices are the hospital's own posted facility charges.

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ProcedurePosted cashPosted gross× Medicare
Acoustic Immit Test Tympanometry/Acoust Reflex/Decay (92570) $59.20 $74 0.5×
Actigraphy Testing Recording Analysis I&R (95803) $308.80 $386 5.1×
Admn Sarscov2 Vacc 1 Dose (90480) $37.60 $47 0.9×
Advncd Care Plan 30 Min (99497)
range across 2 matching MRF lines
$180–$256.80 $225–$321 varies
Airway Inhalation Treatment (94640)
range across 8 matching MRF lines
$64.80–$92 $81–$115 varies
Analyze neurostim complex (95972) $59.20 $74 0.6×
Analyze neurostim no prog (95970) $12 $15 0.1×
Analyze Neurostim Simple (95971) $52 $65 0.5×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $32 $40 2.2×
Application on-body injector (96377) $168.80 $211 3.5×
Assessment of aphasia per hr (96105) $177.60 $222 1.8×
Assmt & care planning pt w/cognitive impairment (99483) $104.80 $131 1.0×
Audiometry Air & Bone (92553) $104.80 $131 0.8×
Auditory Function, 60 Min (92620) $190.40 $238 1.4×
Behavral qualit analys voice (92524) $140.80 $176 1.3×
Bfb traing w/EMG &/manometry 1st 15 min cntct (90912) $78.40 $98 1.0×
Bfb training ea addl 15 min (90913) $44 $55 1.3×
Biofeedback training any modality (90901) $93.60 $117 2.3×
Breath hydrogen/methane test (91065) $181.60 $227 0.8×
Brief Emotional/Behav Assmt (96127) $20.80 $26 0.5×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060)
range across 2 matching MRF lines
$161.60–$391.20 $202–$489 varies
Canalith repositioning proc (95992) $70.40 $88 1.7×
Car seat/bed test 60 min (94780) $46.40 $58 1.2×
Cardiac Stress Tst,Tracing Only (93017) $280 $350 1.3×
Cardiopulmonary resuscitation (92950)
range across 3 matching MRF lines
$557.60–$621.60 $697–$777 varies
Cardioversion (92960)
range across 8 matching MRF lines
$420–$688 $525–$860 varies
Care mgmt services behavioral hlth cond 20 mins (99484) $48 $60 1.3×
Caregiver hlth risk assmt score doc stnd instrm (96161) $12.80 $16 0.3×
Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) $6,285.60 $7,857 1.9×
Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) $6,285.60 $7,857 1.9×
Cbt 1st hour (94644) $108 $135 0.8×
Chemo Anti-Neopl Sq/Im (96401) $205.60 $257 2.8×
Chemo Hormon Antineopl Sq/Im (96402) $87.20 $109 1.2×
Chemo Ia Push (96420) $261.60 $327 0.8×
Chemo Intralesional Over 7 (96406) $299.20 $374 1.4×
Chemo intralesional up to 7 (96405) $245.60 $307 3.3×
Chemo IV infusion addl hr (96415) $108 $135 1.5×
Chemo IV push addl drug (96411)
range across 2 matching MRF lines
$307.20–$334.40 $384–$418 varies
Chemother Prolong Infuse W/Pump (96416) $560 $700 1.7×
Chemotherapy Into Cns (96450) $458.40 $573 1.4×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $233.60 $292 3.2×
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413)
range across 2 matching MRF lines
$404.80–$467.20 $506–$584 varies
Chemotx admn IV push tq 1/1st sbst/drug (96409)
range across 2 matching MRF lines
$359.20–$385.60 $449–$482 varies
Chest Wall Manipulation (94668) $62.40 $78 0.5×
Color/duplex Doppler, complete (93975) $1,651.20 $2,064 6.8×
Color/duplex Doppler, limited (93976) $936.80 $1,171 8.8×
Community/Work Reintegration Trainj Ea 15 Min (97537) $68.80 $86 2.1×
Comprehensive Hearing Test (92557) $97.60 $122 0.7×
Conditioning Play Audiometry (92582) $110.40 $138 0.8×
Cont gluc mntr physician/qhp provided equiptment (95250)
range across 2 matching MRF lines
$124–$500.80 $155–$626 varies
Continuous Pulse Ox (94762) $96 $120 0.7×
Coronary Art/Grft Angio S&I (93455) $6,285.60 $7,857 1.9×
Coronary Artery Angio S&I (93454) $6,285.60 $7,857 1.9×
Cpap Ventilation Cpap Initiation&Mgmt (94660) $172 $215 0.8×
Cpt initial (94667) $74.40 $93 0.5×
Critical care first hour (99291)
range across 2 matching MRF lines
$580–$1,744 $725–$2,180 varies
Debridement Open Wound 20 Sq Cm< (97597)
range across 5 matching MRF lines
$24–$147.20 $30–$184 varies
Developmental tst admin phys/qhp 1st hour (96112)
range across 2 matching MRF lines
$167.20–$212.80 $209–$266 varies
Dialysis One Evaluation (90945) $224.80 $281 0.5×
Distrt prod evokd otoacoustic emsns comp/dx eval (92588) $16 $20 0.0×
Dup-scan aorta ivc iliac vascl/bpgs complete (93978) $1,032 $1,290 4.2×
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $732.80 $916 6.9×
Dup-Scan Artl Infl&Ven O/F Pen Vsl Compl (93980) $217.60 $272 2.0×
Dup-scan lxtr art/artl bpgs compl bi study (93925) $1,530.40 $1,913 6.3×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $917.60 $1,147 8.6×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $1,200 $1,500 4.9×
Dup-scan xtr veins unilateral/limited study (93971) $824 $1,030 7.7×
Duplex Scan Hemodialysis Access (93990) $373.60 $467 3.5×
Duplex up extrem art bilat (93930) $989.60 $1,237 4.1×
Duplex up extrem art unilat/ltd (93931) $656.80 $821 6.1×
Echo Congenital Complete (93303) $605.60 $757 1.1×
Echo Heart Xthoracic,Limited (93308)
range across 3 matching MRF lines
$213.60–$352 $267–$440 varies
Echo transesophag montr cardiac pump functj (93318) $235.20 $294 0.4×
Echo transesophageal (93312)
range across 2 matching MRF lines
$693.60–$804 $867–$1,005 varies
Echo Transesophageal - Congenital Tee Complete (93315)
range across 2 matching MRF lines
$456.80–$936.80 $571–$1,171 varies
Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) $743.20 $929 1.3×
Eeg 41-60 Minutes (95812)
range across 2 matching MRF lines
$1,223.20–$1,269.60 $1,529–$1,587 varies
EEG awake and asleep (95819)
range across 2 matching MRF lines
$1,544.80–$1,604 $1,931–$2,005 varies
EEG awake drowsy (95816)
range across 2 matching MRF lines
$1,314.40–$1,364 $1,643–$1,705 varies
EEG extended monitoring 61-119 minutes (95813)
range across 2 matching MRF lines
$1,579.20–$1,638.40 $1,974–$2,048 varies
Eeg W/O Vid 2-12 Hr Unmntr (95705) $1,703.20 $2,129 7.7×
EEG wo vid ea 12-26hr unmntr (95708) $2,417.60 $3,022 6.3×
Elec alys implt brn npgt prgrmg 1st 15 min (95983) $186.40 $233 1.9×
Elec Alys Implt Cplx Cn Npgt Prgrmg (95977) $55.20 $69 0.6×
Elec Alys Implt Smpl Cn Npgt Prgrmg (95976) $40 $50 1.0×
Electrical Stimulation Ea 15 Min (97032) $46.40 $58 3.2×
Electrocardiogram Tracing (93005) $131.20 $164 2.2×
Emergency Dept Visit Level 2 (99282)
range across 3 matching MRF lines
$122.40–$335.20 $153–$419 varies
Emergency Dept Visit Level 3 (99283)
range across 3 matching MRF lines
$191.20–$584 $239–$730 varies
Emergency Dept Visit Level 4 (99284)
range across 5 matching MRF lines
$292–$920 $365–$1,150 varies
Er level 1 (99281)
range across 3 matching MRF lines
$76.80–$182.40 $96–$228 varies
Er level v (99285)
range across 3 matching MRF lines
$287.20–$1,318.40 $359–$1,648 varies
Esophgl funcj g-esop rflx impd eltrd prolng (91038) $1,318.40 $1,648 3.5×
Eval aud funcj cand/po surg implt dev 1st hr (92626)
range across 2 matching MRF lines
$100.80–$149.60 $126–$187 varies
Evaluate pt use of inhaler (94664)
range across 6 matching MRF lines
$95.20–$185.60 $119–$232 varies
Evaluate Speech Production (92522) $120 $150 1.1×
Evaluate Swallowing Function (92610) $232.80 $291 2.7×
Evaluation of speech fluency (92521) $147.20 $184 1.1×
Evoked Auditory Test,Limited (92587) $20 $25 0.1×
External ECG rec>48hr<7d recording (93242) $49.60 $62 1.3×
External ECG rec>48hr<7d scanning alys w/report (93243) $217.60 $272 1.6×
External ECG rec>7d<15d recording (93246) $49.60 $62 1.3×
External ECG rec>7d<15d scanning alys w/report (93247) $217.60 $272 1.6×
External Ecg Scanning Analysis Report (93226) $222.40 $278 3.7×
Extracranial Bilat Study (93880) $1,002.40 $1,253 4.1×
Extracranial Uni/Ltd Study (93882) $448.80 $561 4.2×
F-up/limited tthrc echo congenital car anomaly (93304) $416 $520 0.7×
Flexible endoscopic eval swallow c/v rec (92612) $523.20 $654 2.6×
Fundus photography (92250) $85.60 $107 0.6×
Gastroesophag Reflx Test W/Cath Ph Eltrd Plcmt (91034)
range across 2 matching MRF lines
$404–$685.60 $505–$857 varies
Gastroesophag Reflx Test W/Intrluml Imped Eltrd (91037) $400 $500 1.8×
Gi tract capsule endoscopy (91110) $2,184 — 2.4×
Heart catheterization, both sides, with coronary and bypass graft angiography (93461) $5,826.40 $7,283 1.8×
Holter monitor recording (93225) $148.80 $186 1.1×
Icd Device Interrogate (93289) $62.40 $78 1.6×
Icd device progr eval dual (93283) $112 $140 2.9×
Icd Device Progr Eval Mult (93284) $124 $155 3.3×
Icm Device Eval (93290) $57.60 $72 1.5×
Ilr Device Eval Progr (93285) $76.80 $96 2.0×
Ilr Device Interrogate (93291) $45.60 $57 1.5×
Im Adm Intransl/Oral 1 Vaccine (90473) $45.60 $57 0.6×
Immunization administration (90471) $73.60 $92 1.0×
Interrogate Subq Defib (93261) $56.80 $71 1.5×
Interrogation eval in person wr defibrillator (93292) $55.20 $69 1.4×
Iontophoresis 15 min (97033) $68 $85 3.6×
Irrig Drug Delivery Device (96523) $77.60 $97 1.3×
IV infusion hydration each additional hour (96361)
range across 2 matching MRF lines
$112–$112.80 $140–$141 varies
IV infusion hydration initial 31 min-1 hour (96360)
range across 2 matching MRF lines
$291.20–$316 $364–$395 varies
IV infusion ther proph addl sequential to 1 hr (96367)
range across 2 matching MRF lines
$98.40–$148 $123–$185 varies
IV infusion therapy prophylaxis/dx ea hour (96366)
range across 2 matching MRF lines
$61.60–$94.40 $77–$118 varies
IV push initial (96374) $168.80 $211 0.8×
L Hrt Art/Grft Angio (93459) $6,285.60 $7,857 1.9×
Laryngeal Function Studies (92520) $100.80 $126 0.7×
Lwr Xtr Vasc Stdy Bilat (93924) $613.60 $767 2.8×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $27.20 $34 0.9×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $30.40 $38 0.8×
Medical nutrition therapy grp2/ indiv ea 30 mi (97804) $52 $65 3.1×
Methacholine challenge (94070)
range across 2 matching MRF lines
$279.20–$288.80 $349–$361 varies
Motility study esophagus (91010) $338.40 $423 0.9×
Motion Fluoroscopy/Swallow (92611) $240 $300 2.6×
Multiple Sleep Latency Test (95805) $1,800.80 $2,251 2.1×
Muscle Test 2 Limbs (95861) $191.20 — 1.4×
Muscle Test One Limb (95860) $156 $195 1.1×
Needle Electromyography Cranial Nrv Muscle Bi (95868) $296.80 $371 1.3×
Needle Emg Thrc Paraspi Musc Excluding T1/T12 (95869) $170.40 $213 0.8×
Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) $500 $625 1.2×
Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608)
range across 2 matching MRF lines
$561.60–$600.80 $702–$751 varies
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605)
range across 2 matching MRF lines
$143.20–$180 $179–$225 varies
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $229.60 $287 0.6×
Nerve Conduction Studies 1-2 Studies (95907) $127.20 $159 0.6×
Nerve Conduction Studies 11-12 Studies (95912) $312 $390 0.8×
Nerve conduction studies 13 or more studies (95913) $348.80 $436 0.9×
Nerve Conduction Studies 3-4 Studies (95908) $183.20 $229 0.8×
Nerve conduction studies 5-6 studies (95909) $183.20 $229 0.8×
Nerve conduction studies 7-8 studies (95910) $236.80 $296 0.6×
Nerve Conduction Studies 9-10 Studies (95911) $274.40 $343 0.7×
Neurobehavioral Status Exam (96116) $257.60 $322 1.2×
Neuromuscular Junct Tstg Ea Nrv Any 1 Meth (95937) $82.40 $103 0.6×
Neuromuscular Reeducation (97112) $74.40 $93 2.3×
Newborn resuscitation (99465)
range across 2 matching MRF lines
$170.40–$736.80 $213–$921 varies
Nitric oxide expired gas determination (95012) $42.40 $53 1.1×
Nrpsyc tst eval phys/qhp 1st (96132) $112 $140 0.3×
Oral Function Therapy (92526) $152 $190 1.8×
Oral Speech Device Eval (92597) $140 $175 2.0×
Orthc/Prostc Mgmt Sbsq Enc (97763) $71.20 $89 1.4×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $83.20 $104 1.8×
Osteopathic Manipulative Tx 1-2 Body Regions (98925) $61.60 $77 2.8×
Osteopathic manipulative tx 3-4 body regions (98926) $109.60 $137 5.0×
Osteopathic manipulative tx 5-6 body regions (98927) $140.80 $176 6.4×
Osteopathic manipulative tx 7-8 body regions (98928) $164 $205 7.4×
Ot eval high complexity (97167) $161.60 $202 1.6×
Ot Eval Low Complex (97165) $161.60 $202 1.6×
Ot Eval Moderate Complexity (97166) $161.60 $202 1.6×
Ot manual therapy 15 min (97140) $68.80 $86 2.5×
Ot Prosthetic Training, Each 15 Min (97761) $55.20 $69 1.4×
Ot Re-Eval Est Plan Care (97168) $106.40 $133 1.6×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $148 $185 1.1×
Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) $148 $185 1.1×
Penile Vascular Study,Ltd or F/U (93981) $189.60 $237 1.8×
Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) $184.80 $231 0.8×
Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920)
likely a partial charge, not the full procedure
$1,413.60 $1,767 0.2×
Phlebotomy therapeutic (99195) $268 $335 2.0×
Physical Performance Test (97750)
range across 4 matching MRF lines
$44–$676.80 $55–$846 varies
Plethysmography (94726) $127.20 $159 0.3×
Pm device eval in person (93288) $52 $65 1.4×
Pm device progr eval dual (93280) $92 $115 2.4×
Pm device progr eval multi (93281) $107.20 $134 2.8×
Pm Device Progr Eval Sngl (93279) $112 $140 2.9×
Pm/Icd Remote Tech Serv (93296) $86.40 $108 2.3×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $2,210.40 $2,763 2.5×
Polysom <6 yrs 4/> paramtrs (95782) $2,481.60 $3,102 2.8×
Polysom <6 Yrs Sleep W/Cpap/Bilvl Vent 4/> Param (95783) $3,443.20 $4,304 3.9×
Prepj& allergen immunotherapy 1/mlt antigen (95165) $39.20 $49 0.8×
Prgrmng Dev Eval Implantable in Persn 1 Ld Dfb (93282) $94.40 $118 2.5×
Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) $45.60 $57 1.0×
Prq Card Stent W/Angio 1 Vsl (92928)
likely a partial charge, not the full procedure
$1,884 $2,355 0.2×
Psych diag eval w/med srvcs (90792)
range across 3 matching MRF lines
$148–$304 $185–$380 varies
Psychiatric diagnostic evaluation (90791) $248 $310 1.4×
Psychological tst eval svc phys/qhp first hour (96130) $98.40 $123 0.4×
Psycl/nrpsycl tst tech 2+ tst 1st 30 min (96138) $21.60 $27 0.0×
Psyl/nrpsycl tst phys/qhp 2+ tst 1st 30 min (96136) $28.80 $36 0.2×
Psytx Crisis Initial 60 Min (90839) $283.20 $354 1.6×
Pt Eval High Complex (97163) $166.40 $208 1.7×
Pt eval low complex 20 min (97161) $166.40 $208 1.7×
Pt Eval Mod Complex (97162) $166.40 $208 1.7×
Pt gait training 15 min (97116) $65.60 $82 2.3×
Pt mechanical traction (97012) $37.60 $47 2.6×
Pt Re-Eval Est Plan Care (97164) $114.40 $143 1.7×
Pt-focused hlth risk assmt score doc stnd instrm (96160) $13.60 $17 0.4×
Pulm function test by gas (94727) $154.40 $193 0.7×
Pulmonary service/procedure (94799) $134.40 $168 1.0×
Pulmonary Stress Testing (94618) $127.20 $159 0.9×
Pure Tone Audiometry Air (92552) $86.40 $108 0.6×
R Hrt Art/Grft Angio (93457) $6,285.60 $7,857 1.9×
R hrt coronary artery angio (93456) $9,428.80 $11,786 2.8×
Refill/Maint Pump/Resvr Syst (96522) $128 $160 0.6×
Rem Interrog Scrms <30 D Phys/Qhp (93298) $67.20 — 1.8×
Remote 30 Day Ecg Rev/Report (93270) $240 $300 6.3×
Right Heart Cath (93451) $6,285.60 $7,857 1.9×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $192 $240 0.9×
Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) $397.60 $497 3.3×
Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) $80.80 $101 1.7×
Self Care Mngment Training (97535) $76.80 $96 2.4×
Sleep study unattended (95806) $387.20 $484 1.8×
Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) $430.40 $538 2.0×
Speech Audiometry Complete (92556) $118.40 $148 2.0×
Speech audiometry threshold (92555) $43.20 $54 0.7×
Speech sound lang comprehen (92523) $279.20 $349 1.2×
Spirometry (94010)
range across 2 matching MRF lines
$88.80–$134.40 $111–$168 varies
Standardized Cognitive Performance Testing (96125) $199.20 $249 1.9×
Surfactant Admin Thru Tube (94610) $94.40 $118 0.4×
Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) $44.80 $56 2.0×
Ther Ivntj Ea Addl 15 Min (97130) $44 $55 2.1×
Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) $91.20 $114 2.5×
Ther Px 1/> Areas Each 15 Minutes Massage (97124) $61.60 $77 2.1×
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $208 $260 2.0×
Ther/Prop/Diag Inj/Inf Proc (96379) $78.40 $98 1.6×
Ther/Proph/Diag Inj Sc/Im (96372)
range across 3 matching MRF lines
$98.40–$152 $123–$190 varies
Ther/Proph/Diag Iv Inf Init (96365)
range across 2 matching MRF lines
$297.60–$314.40 $372–$393 varies
Therapeutic Activities (97530) $76 $95 2.2×
Tobacco Use Cessation Intensive >10 Minutes (99407) $37.60 $47 1.0×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406)
range across 2 matching MRF lines
$20.80–$23.20 $26–$29 varies
Trans Care Mgmt 14 Day Disch (99495) $128 $160 0.9×
Trans Care Mgmt 7 Day Disch (99496) $170.40 $213 1.3×
Transcath Closure of Asd (93580)
likely a partial charge, not the full procedure
$2,804.80 $3,506 0.1×
Tte w/doppler, complete (93306)
range across 2 matching MRF lines
$361.60–$1,296.80 $452–$1,621 varies
Tte W/O Doppler Complete (93307) $200.80 $251 0.8×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $157.60 $197 2.1×
Tx/Pro/Dx Inj New Drug Addon (96375)
range across 2 matching MRF lines
$61.60–$168.80 $77–$211 varies
Tympanometry (92567) $44.80 $56 1.2×
Tympanometry and reflex threshold measurements (92550) $110.40 $138 0.5×
Upr/L Xtremity Art 2 Levels (93922) $326.40 $408 2.4×
Upr/Lxtr Art Stdy 3+ Lvls (93923) $493.60 $617 2.2×
Vasopneumatic device (97016) $64.80 $81 5.4×
Veeg 2-12 Hr Cont Mntr (95713) $3,140.80 $3,926 8.2×
Veeg 2-12 hr intmt mntr (95712) $1,704.80 $2,131 4.5×
Veeg 2-12 hr unmonitored (95711) $1,703.20 $2,129 7.7×
Veeg Ea 12-26 Hr Unmntr (95714) $1,672 $2,090 4.4×
Vent Mgmt Inpat Init Day (94002) $1,466.40 $1,833 2.3×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $1,324 $1,655 2.1×
Visual reinforcement audiometry (vra) (92579) $66.40 $83 0.3×
Vital capacity, total (94150) $71.20 $89 0.5×
Wheelchair Mgmt Ea 15 Min (97542) $70.40 $88 2.3×

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.