Supplies, drugs & other prices at Central Montana Medical Center
Lewistown, MT · every code in this section with a posted price and a Medicare benchmark.
50 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Admin hepatitis b vaccine (G0010) range across 2 matching MRF lines |
$31.03–$49.94 | $36.50–$58.75 | varies |
| Admin influenza virus vac (G0008) range across 2 matching MRF lines |
$49.94–$96.05 | $58.75–$113 | varies |
| Admin pneumococcal vaccine (G0009) range across 2 matching MRF lines |
$49.94–$96.05 | $58.75–$113 | varies |
| Annual alcohol screen 15 min (G0442) range across 2 matching MRF lines |
$17–$18.70 | $20–$22 | varies |
| Arthro/shoul surg; w/spacer (C9781) likely a partial charge, not the full procedure |
$3,738.30 | $4,398 | 0.3× |
| Behavior counsel obesity 15m (G0447) range across 4 matching MRF lines |
$45.05–$220.36 | $6–$259.25 | varies |
| Brief alcohol misuse counsel (G0443) range across 2 matching MRF lines |
$5.10–$45.05 | $6–$53 | varies |
| Ca screen;flexi sigmoidscope (G0104) | $127.50 | $150 | 0.1× |
| Ca screen;pelvic/breast exam (G0101) range across 2 matching MRF lines |
$20.40–$52.70 | $24–$62 | varies |
| Colon ca scrn not hi rsk ind (G0121) | $355.30 | $418 | 0.4× |
| Colorectal scrn; hi risk ind (G0105) | $355.30 | $418 | 0.4× |
| Covid-19 lab test non-cdc (U0002) | $140.89 | $165.75 | 2.7× |
| Depression screen annual (G0444) range across 2 matching MRF lines |
$16.15–$18.70 | $19–$22 | varies |
| Diab manage trn per indiv (G0108) range across 3 matching MRF lines |
$93.08–$99.66 | $109.50–$117.25 | varies |
| Diab manage trn ind/group (G0109) range across 2 matching MRF lines |
$45.69–$47.60 | $53.75–$56 | varies |
| Direct refer hospital observ (G0379) | $201.45 | $237 | 0.3× |
| Drug test def 1-7 classes (G0480) range across 10 matching MRF lines |
$41.01–$170.21 | $48.25–$200.25 | varies |
| Ekg tracing for initial prev (G0404) range across 2 matching MRF lines |
$17–$251.39 | $20–$295.75 | varies |
| Elec stim other than wound (G0283) range across 2 matching MRF lines |
$38.25–$107.95 | $45–$127 | varies |
| Group behave couns 2-10 (G0473) | $44.20 | $52 | 1.2× |
| Hep c screen high risk/other (G0472) | $68.21 | $80.25 | 1.5× |
| Hepb screen high risk indiv (G0499) | $46.75 | $55 | 1.7× |
| High inten beh couns std 30m (G0445) range across 2 matching MRF lines |
$6.80–$45.05 | $8–$53 | varies |
| Ig paraprotein qual imprcip&ms bld/ur w/isotype (0077U) range across 3 matching MRF lines |
$100.30–$181.90 | $118–$214 | varies |
| Initial preventive exam (G0402) range across 2 matching MRF lines |
$111.35–$259.25 | $131–$305 | varies |
| Inj for sacroiliac jt anesth (G0260) range across 2 matching MRF lines |
$661.94–$2,313.91 | $778.75–$2,722.25 | varies |
| Intens behave ther cardio dx (G0446) range across 2 matching MRF lines |
$5.10–$45.05 | $6–$53 | varies |
| Jak2 Gene Analysis Trgt Seq Alys Exons 12-15 (0027U) range across 2 matching MRF lines |
$333.20–$442.64 | $392–$520.75 | varies |
| Mra w/cont, abd (C8900) | $2,229.13 | $2,622.50 | 6.3× |
| Mra w/cont, lwr ext (C8912) | $2,233.59 | $2,627.75 | 6.3× |
| Mra w/o cont, abd (C8901) | $2,117.99 | $2,491.75 | 8.7× |
| Mra w/o cont, lwr ext (C8913) | $2,233.59 | $2,627.75 | 9.2× |
| Mra w/o fol w/cont, abd (C8902) | $2,442.05 | $2,873 | 6.9× |
| Mra w/o fol w/cont, lwr ext (C8914) | $2,233.59 | $2,627.75 | 6.3× |
| Mra, w/dye, spinal canal (C8931) | $2,091.21 | $2,460.25 | 5.9× |
| Mra, w/o dye, spinal canal (C8932) | $2,091.21 | $2,460.25 | 8.6× |
| Mra, w/o&w/dye, spinal canal (C8933) | $2,091.21 | $2,460.25 | 5.9× |
| Obtaining screen pap smear (Q0091) range across 2 matching MRF lines |
$37.40–$49.30 | $44–$58 | varies |
| Oth resp proc, group (G0239) | $204 | $240 | 5.3× |
| Oth resp proc, indiv (G0238) | $106.25 | $125 | 3.6× |
| Ppps, initial visit (G0438) range across 2 matching MRF lines |
$111.35–$258.40 | $131–$304 | varies |
| Ppps, subseq visit (G0439) range across 2 matching MRF lines |
$87.55–$204 | $103–$240 | varies |
| Psa screening (G0103) | $109.23 | $128.50 | 5.7× |
| Therapeutic procd strg endur (G0237) | $106.25 | $125 | 3.6× |
| Tomosynthesis, mammo (G0279) range across 3 matching MRF lines |
$56.31–$71.83 | $66.25–$84.50 | varies |
| Trauma respons w/hosp criti (G0390) | $2,373.20 | $2,792 | 1.7× |
| Trim nail(s) (G0127) range across 2 matching MRF lines |
$15.30–$33.15 | $18–$39 | varies |
| Tte w or w/o contr, cont ecg (C8930) | $1,738.25 | $2,045 | 2.2× |
| Tte w or w/o fol w/con,stres (C8928) | $1,738.25 | $2,045 | 2.2× |
| Tte w or wo fol wcon,doppler (C8929) | $1,787.13 | $2,102.50 | 2.2× |
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.