Visits & medical services prices at Central Montana Medical Center

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

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

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ProcedurePosted cashPosted gross× Medicare
1St psychiatric collab care mgmt 1st 70 mins (99492)
range across 2 matching MRF lines
$129.20–$164.90 $152–$194 varies
Admn Sarscov2 Vacc 1 Dose (90480)
range across 2 matching MRF lines
$18.12–$34 $21.32–$40 varies
Advncd Care Plan 30 Min (99497)
range across 2 matching MRF lines
$10.20–$147.05 $12–$173 varies
Airway Inhalation Treatment (94640)
range across 5 matching MRF lines
$24.65–$129.20 $29–$152 varies
Ambulatory bp mntr w/sw 24 hr+ scanning a/r (93788) $390.36 $459.25 2.9×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $42.50 $50 3.0×
Application on-body injector (96377)
range across 3 matching MRF lines
$34.85–$61.41 $41–$72.25 varies
Assessment of aphasia per hr (96105) $278.80 $328 2.9×
Assmt & care planning pt w/cognitive impairment (99483)
range across 2 matching MRF lines
$123.25–$324.70 $145–$382 varies
Behavral qualit analys voice (92524) $317.90 $374 2.9×
Biofeedback training any modality (90901) $107.95 $127 2.6×
Brief Emotional/Behav Assmt (96127) $12.75 $15 0.3×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060)
range across 4 matching MRF lines
$23.59–$693.60 $27.75–$816 varies
Canalith repositioning proc (95992)
range across 3 matching MRF lines
$11.90–$106.68 $14–$125.50 varies
Cardiac Stress Tst,Tracing Only (93017) $717.19 $843.75 3.3×
Cardiopulmonary resuscitation (92950)
range across 3 matching MRF lines
$802.40–$1,393.58 $944–$1,639.50 varies
Cardioversion (92960)
range across 5 matching MRF lines
$97.75–$1,071.85 $115–$1,261 varies
Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) $68 $80 2.6×
Chemo Anti-Neopl Sq/Im (96401) $198.48 $233.50 2.7×
Chemo Hormon Antineopl Sq/Im (96402) $198.48 $233.50 2.7×
Chemo IV infusion addl hr (96415) $188.28 $221.50 2.6×
Chemo IV push addl drug (96411) $198.48 $233.50 2.7×
Chemother Prolong Infuse W/Pump (96416) $734.40 $864 2.2×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $244.16 $287.25 3.3×
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) $845.75 $995 2.5×
Chemotx admn IV push tq 1/1st sbst/drug (96409) $240.76 $283.25 0.7×
Chest Wall Manipulation (94668) $129.20 $152 1.0×
Chron Care Mgmt Srvc 20 Min (99490) $59.50 $70 0.6×
Color/duplex Doppler, complete (93975)
range across 2 matching MRF lines
$128.14–$854.68 $150.75–$1,005.50 varies
Color/duplex Doppler, limited (93976)
range across 2 matching MRF lines
$101.79–$674.69 $119.75–$793.75 varies
Community/Work Reintegration Trainj Ea 15 Min (97537) $106.68 $125.50 3.3×
Complex chronic care mgmt svc 1st 60 min cal mo (99487) $97.75 $115 0.5×
Cont gluc mntr physician/qhp provided equiptment (95250) $347.65 $409 2.6×
Cont Gluc Mntr Pt Prov Eqp (95249) $139.61 $164.25 2.3×
Continuous Pulse Ox (94762)
range across 3 matching MRF lines
$41.23–$280.50 $48.50–$330 varies
Cpap Ventilation Cpap Initiation&Mgmt (94660)
range across 2 matching MRF lines
$586.29–$586.50 $689.75–$690 varies
Cpt initial (94667) $129.20 $152 1.0×
Critical care first hour (99291)
range across 2 matching MRF lines
$1,176.40–$1,235.05 $1,384–$1,453 varies
Debridement Open Wound 20 Sq Cm< (97597)
range across 4 matching MRF lines
$103.70–$223.55 $122–$263 varies
Developmental tst admin phys/qhp 1st hour (96112) $34.85 $41 0.3×
Dup-scan aorta ivc iliac vascl/bpgs complete (93978)
range across 2 matching MRF lines
$58.23–$414.38 $68.50–$487.50 varies
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979)
range across 2 matching MRF lines
$58.23–$414.38 $68.50–$487.50 varies
Dup-scan lxtr art/artl bpgs compl bi study (93925) $735.04 $864.75 3.0×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926)
range across 2 matching MRF lines
$92.86–$613.49 $109.25–$721.75 varies
Dup-Scan Xtr Veins Complete Bilateral Study (93970)
range across 2 matching MRF lines
$108.80–$718.46 $128–$845.25 varies
Dup-scan xtr veins unilateral/limited study (93971)
range across 2 matching MRF lines
$87.76–$581.83 $103.25–$684.50 varies
Duplex up extrem art bilat (93930) $883.58 $1,039.50 3.6×
Duplex up extrem art unilat/ltd (93931)
range across 2 matching MRF lines
$99.88–$662.79 $117.50–$779.75 varies
ECG/monitoring and analysis (93271) $378.25 $445 3.9×
Echo Heart Xthoracic,Limited (93308)
range across 2 matching MRF lines
$113.48–$808.14 $133.50–$950.75 varies
Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351)
range across 2 matching MRF lines
$139.19–$1,738.25 $163.75–$2,045 varies
Electrical Stimulation Ea 15 Min (97032) $42.50 $50 2.9×
Electrocardiogram Tracing (93005)
range across 2 matching MRF lines
$251.39–$263.71 $295.75–$310.25 varies
Emergency Dept Visit Level 2 (99282) $286.45 $337 1.8×
Emergency Dept Visit Level 3 (99283) $474.30 $558 1.7×
Emergency Dept Visit Level 4 (99284) $710.60 $836 1.7×
Er level 1 (99281) $184.45 $217 2.1×
Er level v (99285) $1,028.50 $1,210 1.7×
Evaluate pt use of inhaler (94664) $129.20 $152 0.6×
Evaluate Speech Production (92522) $388.45 $457 3.5×
Evaluate Swallowing Function (92610) $408 $480 4.8×
Evaluation of speech fluency (92521) $388.45 $457 2.9×
External ECG rec>48hr<7d recording (93242) $25.50 $30 0.7×
External ECG rec>48hr<7d scanning alys w/report (93243) $591.60 $696 4.4×
External ECG rec>7d<15d recording (93246) $25.50 $30 0.7×
External ECG rec>7d<15d scanning alys w/report (93247) $621.35 $731 4.6×
Extracranial Bilat Study (93880)
range across 2 matching MRF lines
$122.19–$814.73 $143.75–$958.50 varies
Extracranial Uni/Ltd Study (93882) $369.96 $435.25 3.5×
Flexible endoscopic eval swallow c/v rec (92612) $382.50 $450 1.9×
Holter monitor recording (93225) $277.95 $327 2.0×
Im Adm Intransl/Oral 1 Vaccine (90473)
range across 3 matching MRF lines
$18.12–$49.94 $21.32–$58.75 varies
Immunization administration (90471)
range across 4 matching MRF lines
$18.12–$49.94 $21.32–$58.75 varies
Inital newborn e/m (99460) $177.65 $209 1.3×
Io ga n-stim subsq w/reprog (95982)
range across 2 matching MRF lines
$34–$68.85 $40–$81 varies
Iontophoresis 15 min (97033) $56.10 $66 2.9×
Irrig Drug Delivery Device (96523) $128.78 $151.50 2.1×
IV infusion hydration each additional hour (96361) $122.61 $144.25 2.6×
IV infusion hydration initial 31 min-1 hour (96360) $345.53 $406.50 1.6×
IV infusion ther proph addl sequential to 1 hr (96367) $147.26 $173.25 2.0×
IV infusion therapy prophylaxis/dx ea hour (96366) $147.26 $173.25 3.1×
IV push initial (96374) $147.26 $173.25 0.7×
Lwr Xtr Vasc Stdy Bilat (93924)
range across 3 matching MRF lines
$61.20–$874.01 $72–$1,028.25 varies
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803)
range across 2 matching MRF lines
$36.76–$38.25 $43.25–$45 varies
Medical nutrition assmt&ivntj indiv each 15 mi (97802)
range across 2 matching MRF lines
$36.76–$38.25 $43.25–$45 varies
Motion Fluoroscopy/Swallow (92611) $397.80 $468 4.3×
Multiple Family Group Psychotherapy (90849) $50.15 $59 0.3×
Multiple Sleep Latency Test (95805)
range across 2 matching MRF lines
$2,387.44–$3,447.81 $2,808.75–$4,056.25 varies
Nasopharyngoscopy (92511)
range across 2 matching MRF lines
$131.75–$153.85 $155–$181 varies
Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607)
range across 2 matching MRF lines
$232.90–$544.85 $274–$641 varies
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605)
range across 3 matching MRF lines
$36.55–$223.55 $43–$263 varies
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606)
range across 2 matching MRF lines
$53.55–$223.55 $63–$263 varies
Neuromuscular Reeducation (97112) $106.68 $125.50 3.3×
Newborn resuscitation (99465) $270.30 $318 0.4×
Nonphysician Telephone Assessment 11-20 Min (98967) $51 $60 2.0×
Nonphysician Telephone Assessment 21-30 Min (98968) $74.80 $88 2.2×
Nonphysician Telephone Assessment 5-10 Min (98966) $27.20 $32 2.0×
Oral Function Therapy (92526) $246.50 $290 2.9×
Orthc/Prostc Mgmt Sbsq Enc (97763)
range across 3 matching MRF lines
$90.10–$148.75 $106–$175 varies
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760)
range across 2 matching MRF lines
$86.70–$136 $102–$160 varies
Osteopathic Manipulative Tx 1-2 Body Regions (98925)
range across 2 matching MRF lines
$16.15–$45.05 $19–$53 varies
Osteopathic manipulative tx 3-4 body regions (98926)
range across 2 matching MRF lines
$19.55–$67.15 $23–$79 varies
Osteopathic manipulative tx 5-6 body regions (98927)
range across 2 matching MRF lines
$25.50–$89.25 $30–$105 varies
Ot Contrast Bath Ea 15 Min (97034) $34 $40 2.4×
Ot eval high complexity (97167) $299.20 $352 3.0×
Ot Eval Low Complex (97165) $212.71 $250.25 2.1×
Ot Eval Moderate Complexity (97166) $276.25 $325 2.7×
Ot manual therapy 15 min (97140) $82.45 $97 3.0×
Ot paraffin bath (97018) $17 $20 2.8×
Ot Prosthetic Training, Each 15 Min (97761) $119 $140 2.9×
Ot Re-Eval Est Plan Care (97168) $147.05 $173 2.1×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798)
range across 2 matching MRF lines
$37.50–$210.59 $44.12–$247.75 varies
Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) $210.59 $247.75 1.6×
Patient-initiated spirometric phys/qhp r&i only (94016) $48.45 $57 2.0×
Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) $211.65 $249 3.5×
Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) $211.65 $249 3.5×
Physical Performance Test (97750) $106.68 $125.50 3.2×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $3,736.81 $4,396.25 4.3×
Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115)
range across 2 matching MRF lines
$16.79–$18.70 $19.75–$22 varies
Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) $17.64 $20.75 0.4×
Psych diag eval w/med srvcs (90792)
range across 2 matching MRF lines
$309.40–$516.80 $364–$608 varies
Psychiatric diagnostic evaluation (90791)
range across 2 matching MRF lines
$273.70–$453.05 $322–$533 varies
Psytx Crisis Initial 60 Min (90839) $252.45 $297 1.4×
Pt Eval High Complex (97163) $291.55 $343 3.0×
Pt eval low complex 20 min (97161) $212.71 $250.25 2.2×
Pt Eval Mod Complex (97162) $250.75 $295 2.6×
Pt gait training 15 min (97116) $106.68 $125.50 3.7×
Pt mechanical traction (97012) $42.50 $50 3.0×
Pt Re-Eval Est Plan Care (97164) $147.05 $173 2.2×
Pulmonary service/procedure (94799) $223.55 $263 1.7×
Pulmonary Stress Testing (94618) $693.60 $816 5.1×
Rem mntr physiol param 1st dev supply ea 30 d (99454) $111.35 $131 2.9×
Rem mntr physiol param 1st set up pt educaj eqp (99453) $34 $40 0.2×
Remote 30 Day Ecg Rev/Report (93270)
range across 2 matching MRF lines
$25.50–$86.28 $30–$101.50 varies
Remote 30 Day Ecg Tech Supp (93229) $2,167.50 $2,550 5.7×
Respiratory flow volume loop (94375) $223.55 $263 1.0×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602)
range across 2 matching MRF lines
$188.70–$223.55 $222–$263 varies
Rx sp-genratj augmnt&comunicaj dev 1st hr (92607)
range across 2 matching MRF lines
$361.25–$397.80 $425–$468 varies
Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608)
range across 2 matching MRF lines
$141.10–$141.95 $166–$167 varies
Same day nb discharge (99463) $190.40 $224 1.4×
Sbsq Psyc Collab Care Mgmt (99493)
range across 2 matching MRF lines
$91.80–$148.75 $108–$175 varies
Self Care Mngment Training (97535) $106.68 $125.50 3.3×
Slp caregiver training 1st 30 min (97550) $132.60 $156 2.5×
Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) $904.61 $1,064.25 4.1×
Speech sound lang comprehen (92523) $425.43 $500.50 1.9×
Spin/Brain Pump Refil & Main (95991) $383.78 $451.50 1.2×
Spirometry (94010)
range across 2 matching MRF lines
$24.65–$184.24 $29–$216.75 varies
Standardized Cognitive Performance Testing (96125)
range across 2 matching MRF lines
$296.65–$297.50 $349–$350 varies
Stress Tte Only (93350)
range across 2 matching MRF lines
$139.19–$1,738.25 $163.75–$2,045 varies
Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) $68.85 $81 3.1×
Ther Ivntj Ea Addl 15 Min (97130) $62.05 $73 2.9×
Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) $106.68 $125.50 2.9×
Ther Px 1/> Areas Each 15 Minutes Massage (97124) $106.68 $125.50 3.6×
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $300.05 $353 2.9×
Ther/Proph/Diag Inj Sc/Im (96372)
range across 2 matching MRF lines
$46.75–$132.60 $55–$156 varies
Ther/Proph/Diag Iv Inf Init (96365) $514.68 $605.50 2.4×
Therapeutic Activities (97530) $106.68 $125.50 3.0×
Tobacco Use Cessation Intensive >10 Minutes (99407)
range across 2 matching MRF lines
$5.10–$48.45 $6–$57 varies
Tobacco Use Cessation Intermediate 3-10 Minutes (99406)
range across 2 matching MRF lines
$5.10–$23.80 $6–$28 varies
Trans Care Mgmt 14 Day Disch (99495)
range across 2 matching MRF lines
$99.45–$204 $117–$240 varies
Trans Care Mgmt 7 Day Disch (99496)
range across 2 matching MRF lines
$133.45–$296.65 $157–$349 varies
Tte w/doppler, complete (93306)
range across 2 matching MRF lines
$119.85–$1,787.13 $141–$2,102.50 varies
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $223.55 $263 2.9×
Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) $70.55 $83 2.9×
Tx/Pro/Dx Inj New Drug Addon (96375) $147.26 $173.25 3.1×
Upr/L Xtremity Art 2 Levels (93922)
range across 3 matching MRF lines
$32.30–$467.08 $38–$549.50 varies
Upr/Lxtr Art Stdy 3+ Lvls (93923)
range across 5 matching MRF lines
$39.10–$704.44 $46–$828.75 varies
Vent Mgmt Inpat Init Day (94002)
range across 2 matching MRF lines
$2,220.41–$2,221.05 $2,612.25–$2,613 varies
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $1,941.40 $2,284 3.1×
Wheelchair Mgmt Ea 15 Min (97542) $106.68 $125.50 3.4×
Whirlpool Therapy (97022) $45.90 $54 2.9×

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.