Visits & medical services prices at Clark Fork Valley Hospital
Plains, MT · every code in this section with a posted price and a Medicare benchmark.
166 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Acupunct W/Stimul 15 Min (97813) | $106.08 | $106.08 | 3.6× |
| Acupuncture 1/> ndles w/o elec stimj init 15 min (97810) | $90.74 | $90.74 | 3.1× |
| Admn Sarscov2 Vacc 1 Dose (90480) | $42.59 | $42.59 | 1.0× |
| Advncd Care Plan 30 Min (99497) | $121.78 | $121.78 | 1.2× |
| Airway Inhalation Treatment (94640) range across 9 matching MRF lines |
$50.39–$122.56 | $50.39–$122.56 | varies |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) | $55.33 | $55.33 | 3.9× |
| Assessment of aphasia per hr (96105) | $382.25 | $382.25 | 3.9× |
| Behavral qualit analys voice (92524) | $382.20 | $382.20 | 3.5× |
| Breathing response to hypoxia (94450) | $217.10 | $217.10 | 1.7× |
| Brief Emotional/Behav Assmt (96127) | $62.82 | $62.82 | 1.6× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) range across 5 matching MRF lines |
$159.43–$501.80 | $159.43–$501.80 | varies |
| Canalith repositioning proc (95992) | $183.20 | $183.20 | 4.5× |
| Cardiac Stress Tst,Tracing Only (93017) range across 3 matching MRF lines |
$273–$304.20 | $273–$304.20 | varies |
| Cardiopulmonary resuscitation (92950) range across 3 matching MRF lines |
$461.19–$1,048.79 | $461.19–$1,048.79 | varies |
| Cardioversion (92960) range across 2 matching MRF lines |
$520.73–$814.22 | $520.73–$814.22 | varies |
| Cbt 1st hour (94644) | $176.44 | $176.44 | 1.3× |
| Chemo IV infusion addl hr (96415) | $219.13 | $219.13 | 3.0× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) | $286.31 | $286.31 | 0.8× |
| Chest Wall Manipulation (94668) range across 2 matching MRF lines |
$66.25–$83.56 | $66.25–$83.56 | varies |
| Chron Care Mgmt Srvc 20 Min (99490) | $56.47 | $56.47 | 0.5× |
| Color/duplex Doppler, limited (93976) | $786.08 | $786.08 | 7.4× |
| Community/Work Reintegration Trainj Ea 15 Min (97537) | $96.62 | $96.62 | 3.0× |
| Cont gluc mntr physician/qhp provided equiptment (95250) | $312.88 | $312.88 | 2.3× |
| Continuous Pulse Ox (94762) range across 2 matching MRF lines |
$227.97–$254.02 | $227.97–$254.02 | varies |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) range across 3 matching MRF lines |
$316–$352.09 | $316–$352.09 | varies |
| Cpt initial (94667) | $106.24 | $106.24 | 0.8× |
| Critical care first hour (99291) range across 2 matching MRF lines |
$659.10–$946.35 | $659.10–$946.35 | varies |
| Debridement Open Wound 20 Sq Cm< (97597) range across 2 matching MRF lines |
$155.17–$309.97 | $155.17–$309.97 | varies |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) | $749.84 | $749.84 | 3.1× |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) | $364.83 | $364.83 | 3.4× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) | $938.91 | $938.91 | 3.9× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) | $626.13 | $626.13 | 5.9× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) range across 2 matching MRF lines |
$238.37–$1,036.26 | $238.37–$1,036.26 | varies |
| Dup-scan xtr veins unilateral/limited study (93971) range across 2 matching MRF lines |
$150.59–$691.03 | $150.59–$691.03 | varies |
| Duplex up extrem art bilat (93930) | $996.74 | $996.74 | 4.1× |
| Duplex up extrem art unilat/ltd (93931) | $660.87 | $660.87 | 6.2× |
| Echo Heart Xthoracic,Limited (93308) range across 3 matching MRF lines |
$308.72–$624 | $308.72–$624 | varies |
| Echo transesophageal (93312) range across 2 matching MRF lines |
$765.18–$1,412.94 | $765.18–$1,412.94 | varies |
| Electrical Stimulation Ea 15 Min (97032) | $66.04 | $66.04 | 4.5× |
| Electrocardiogram Tracing (93005) range across 6 matching MRF lines |
$36.40–$219.60 | $36.40–$219.60 | varies |
| Emergency Dept Visit Level 2 (99282) range across 2 matching MRF lines |
$168.17–$187.30 | $168.17–$187.30 | varies |
| Emergency Dept Visit Level 3 (99283) range across 2 matching MRF lines |
$252.10–$330.93 | $252.10–$330.93 | varies |
| Emergency Dept Visit Level 4 (99284) range across 2 matching MRF lines |
$363.58–$624.31 | $363.58–$624.31 | varies |
| Er level 1 (99281) range across 2 matching MRF lines |
$80.24–$138.58 | $80.24–$138.58 | varies |
| Er level v (99285) range across 2 matching MRF lines |
$530.61–$1,115.30 | $530.61–$1,115.30 | varies |
| Esophgl funcj g-esop rflx impd eltrd prolng (91038) | $551.77 | $551.77 | 1.4× |
| Evaluate pt use of inhaler (94664) | $65.26 | $65.26 | 0.3× |
| Evaluate Speech Production (92522) | $382.20 | $382.20 | 3.4× |
| Evaluate Swallowing Function (92610) range across 2 matching MRF lines |
$299.83–$386.26 | $299.83–$386.26 | varies |
| Evaluation of speech fluency (92521) | $382.20 | $382.20 | 2.9× |
| Evoked Auditory Test,Limited (92587) | $95.16 | $95.16 | 0.4× |
| External ECG rec>48hr<7d recording (93242) | $89.49 | $89.49 | 2.3× |
| External Ecg Scanning Analysis Report (93226) | $237.64 | $237.64 | 3.9× |
| Extracranial Bilat Study (93880) range across 2 matching MRF lines |
$838.45–$934.13 | $838.45–$934.13 | varies |
| Facial nerve function studies (92516) | $142.95 | $142.95 | 0.6× |
| Flexible endoscopic eval swallow c/v rec (92612) | $826.96 | $826.96 | 4.1× |
| Gastroesophag Reflx Test W/Cath Ph Eltrd Plcmt (91034) | $614.43 | $614.43 | 1.6× |
| Gastroesophag reflx test w/telemtry ph eltrd (91035) range across 2 matching MRF lines |
$1,253.82–$1,316.54 | $1,253.82–$1,316.54 | varies |
| Group Therapeutic Procedures (97150) range across 2 matching MRF lines |
$77.12–$86.11 | $77.12–$86.11 | varies |
| Holter monitor recording (93225) range across 2 matching MRF lines |
$198.17–$391.10 | $198.17–$391.10 | varies |
| Ilr Device Interrogate (93291) | $166.71 | $166.71 | 5.6× |
| Im Adm Intransl/Oral 1 Vaccine (90473) | $58.92 | $58.92 | 0.8× |
| Immunization administration (90471) range across 4 matching MRF lines |
$24.24–$42.59 | $24.24–$42.59 | varies |
| Inital newborn e/m (99460) | $362.91 | $362.91 | 2.7× |
| Iontophoresis 15 min (97033) range across 2 matching MRF lines |
$66.04–$67.96 | $66.04–$67.96 | varies |
| Irrig Drug Delivery Device (96523) range across 3 matching MRF lines |
$101.87–$155.43 | $101.87–$155.43 | varies |
| IV infusion hydration each additional hour (96361) range across 4 matching MRF lines |
$57.46–$142.95 | $57.46–$142.95 | varies |
| IV infusion hydration initial 31 min-1 hour (96360) range across 4 matching MRF lines |
$189.38–$510.22 | $189.38–$510.22 | varies |
| IV infusion ther proph addl sequential to 1 hr (96367) | $107.28 | $107.28 | 1.5× |
| IV infusion therapy prophylaxis/dx ea hour (96366) range across 4 matching MRF lines |
$73.48–$133.02 | $73.48–$133.02 | varies |
| IV push initial (96374) range across 4 matching MRF lines |
$191.15–$250.02 | $191.15–$250.02 | varies |
| Laryngeal Function Studies (92520) | $262.34 | $262.34 | 1.9× |
| Lung Function Test (Mbc/Mvv) (94200) | $107.28 | $107.28 | 1.8× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) range across 2 matching MRF lines |
$63.13–$16,473.60 | $63.13–$16,473.60 | varies |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) range across 3 matching MRF lines |
$72.18–$258.96 | $72.18–$258.96 | varies |
| Medical nutrition therapy grp2/ indiv ea 30 mi (97804) | $32.24 | $32.24 | 1.9× |
| Motility study esophagus (91010) | $601.95 | $601.95 | 1.6× |
| Motion Fluoroscopy/Swallow (92611) | $430.87 | $430.87 | 4.7× |
| Multiple Family Group Psychotherapy (90849) range across 3 matching MRF lines |
$76.86–$81.12 | $76.86–$81.12 | varies |
| Nasopharyngoscopy (92511) | $299.73 | $299.73 | 1.5× |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) | $113.41 | $113.41 | 0.3× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) range across 2 matching MRF lines |
$211.64–$267.80 | $211.64–$267.80 | varies |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) | $211.64 | $211.64 | 0.5× |
| Neurobehavioral Status Exam (96116) range across 3 matching MRF lines |
$81.12–$301.34 | $81.12–$301.34 | varies |
| Neuromuscular Reeducation (97112) range across 3 matching MRF lines |
$100.10–$105.40 | $100.10–$105.40 | varies |
| Newborn resuscitation (99465) | $1,095.90 | $1,095.90 | 1.6× |
| Nrpsyc tst eval phys/qhp 1st (96132) | $396.24 | $396.24 | 1.0× |
| Oral Function Therapy (92526) | $335.82 | $335.82 | 4.0× |
| Orthc/Prostc Mgmt Sbsq Enc (97763) | $146.80 | $146.80 | 2.9× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) range across 2 matching MRF lines |
$108.21–$111.54 | $108.21–$111.54 | varies |
| Osteopathic Manipulative Tx 1-2 Body Regions (98925) | $91.52 | $91.52 | 4.1× |
| Osteopathic manipulative tx 3-4 body regions (98926) | $134.11 | $134.11 | 6.1× |
| Osteopathic manipulative tx 5-6 body regions (98927) | $162.40 | $162.40 | 7.4× |
| Osteopathic manipulative tx 7-8 body regions (98928) | $188.81 | $188.81 | 8.6× |
| Osteopathic manipulative tx 9-10 body regions (98929) | $200.93 | $200.93 | 9.1× |
| Ot Contrast Bath Ea 15 Min (97034) range across 2 matching MRF lines |
$53.46–$86.11 | $53.46–$86.11 | varies |
| Ot eval high complexity (97167) | $302.69 | $302.69 | 3.0× |
| Ot Eval Low Complex (97165) | $210.60 | $210.60 | 2.1× |
| Ot Eval Moderate Complexity (97166) | $263.17 | $263.17 | 2.6× |
| Ot manual therapy 15 min (97140) range across 3 matching MRF lines |
$86.11–$100.10 | $86.11–$100.10 | varies |
| Ot paraffin bath (97018) range across 2 matching MRF lines |
$62.19–$86.11 | $62.19–$86.11 | varies |
| Ot Prosthetic Training, Each 15 Min (97761) range across 2 matching MRF lines |
$103.79–$106.34 | $103.79–$106.34 | varies |
| Ot Re-Eval Est Plan Care (97168) | $239.93 | $239.93 | 3.5× |
| Phlebotomy therapeutic (99195) range across 2 matching MRF lines |
$252.36–$252.62 | $252.36–$252.62 | varies |
| Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) | $169.68 | $169.68 | 2.8× |
| Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) | $169.68 | $169.68 | 2.8× |
| Physical Performance Test (97750) | $115.49 | $115.49 | 3.4× |
| Plethysmography (94726) | $203.48 | $203.48 | 0.5× |
| Pm device eval in person (93288) | $147.89 | $147.89 | 3.9× |
| Pm device progr eval dual (93280) | $265.15 | $265.15 | 7.0× |
| Pm device progr eval multi (93281) | $171.86 | $171.86 | 4.5× |
| Pm Device Progr Eval Sngl (93279) | $217.62 | $217.62 | 5.7× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) range across 3 matching MRF lines |
$940.37–$3,244.59 | $940.37–$3,244.59 | varies |
| Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) | $39.47 | $39.47 | 0.8× |
| Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) | $49.87 | $49.87 | 1.0× |
| Psychiatric diagnostic evaluation (90791) range across 3 matching MRF lines |
$81.12–$298.58 | $81.12–$298.58 | varies |
| Psychological tst eval svc phys/qhp first hour (96130) | $404.04 | $404.04 | 1.8× |
| Psycl/Nrpsyc Tst Auto Result (96146) | $10.19 | $10.19 | 0.3× |
| Psyl/nrpsycl tst phys/qhp 2+ tst 1st 30 min (96136) | $118.82 | $118.82 | 0.9× |
| Psytx Crisis Initial 60 Min (90839) range across 3 matching MRF lines |
$81.12–$299.42 | $81.12–$299.42 | varies |
| Pt Asstv Technol Assmt Dir Cntct W/Reprt Ea 15 Min (97755) | $106.34 | $106.34 | 2.8× |
| Pt Eval High Complex (97163) | $344.81 | $344.81 | 3.5× |
| Pt eval low complex 20 min (97161) | $239.93 | $239.93 | 2.5× |
| Pt Eval Mod Complex (97162) | $299.83 | $299.83 | 3.1× |
| Pt gait training 15 min (97116) | $91.68 | $91.68 | 3.2× |
| Pt mechanical traction (97012) | $71.66 | $71.66 | 5.0× |
| Pt Re-Eval Est Plan Care (97164) | $239.93 | $239.93 | 3.6× |
| Pulm function test by gas (94727) range across 2 matching MRF lines |
$333.06–$356.82 | $333.06–$356.82 | varies |
| Pulmonary Stress Testing (94618) | $331.92 | $331.92 | 2.4× |
| Respiratory flow volume loop (94375) | $142.53 | $142.53 | 0.6× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) | $164.89 | $164.89 | 0.8× |
| Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) | $495.46 | $495.46 | 4.1× |
| Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) | $117.57 | $117.57 | 2.5× |
| Same day nb discharge (99463) | $500.97 | $500.97 | 3.7× |
| Self Care Mngment Training (97535) range across 3 matching MRF lines |
$74.10–$108.21 | $74.10–$108.21 | varies |
| Sensory Integration Ea 15 Min (97533) | $100.10 | $100.10 | 1.6× |
| Speech sound lang comprehen (92523) | $382.20 | $382.20 | 1.7× |
| Spirometry (94010) range across 5 matching MRF lines |
$21.63–$339.98 | $21.63–$339.98 | varies |
| Standardized Cognitive Performance Testing (96125) | $301.44 | $301.44 | 2.9× |
| Stress Tte Only (93350) range across 3 matching MRF lines |
$734.81–$2,724.90 | $734.81–$2,724.90 | varies |
| Temp transcutaneous pacing (92953) range across 2 matching MRF lines |
$214.86–$598.21 | $214.86–$598.21 | varies |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) | $81.95 | $81.95 | 3.7× |
| Ther Ivntj Ea Addl 15 Min (97130) | $68.64 | $68.64 | 3.3× |
| Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) | $110.03 | $110.03 | 3.0× |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) | $86.11 | $86.11 | 2.9× |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) | $279.24 | $279.24 | 2.7× |
| Ther/Proph/Diag Inj Sc/Im (96372) range across 4 matching MRF lines |
$42.07–$112.58 | $42.07–$112.58 | varies |
| Ther/Proph/Diag Iv Inf Init (96365) range across 3 matching MRF lines |
$251.58–$256.98 | $251.58–$256.98 | varies |
| Therapeutic Activities (97530) range across 3 matching MRF lines |
$101.35–$106.34 | $101.35–$106.34 | varies |
| Tobacco Use Cessation Intensive >10 Minutes (99407) | $85.28 | $85.28 | 2.2× |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) range across 2 matching MRF lines |
$13.68–$42.59 | $13.68–$42.59 | varies |
| Trans Care Mgmt 14 Day Disch (99495) | $200.72 | $200.72 | 1.5× |
| Trans Care Mgmt 7 Day Disch (99496) | $288.44 | $288.44 | 2.1× |
| Transtelephonic Rhythm Strip Pacemaker Eval (93293) | $90.22 | $90.22 | 2.4× |
| Tte w/doppler, complete (93306) range across 4 matching MRF lines |
$537.16–$2,762.60 | $537.16–$2,762.60 | varies |
| Tte W/O Doppler Complete (93307) range across 2 matching MRF lines |
$389.17–$1,121.80 | $389.17–$1,121.80 | varies |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) | $212.58 | $212.58 | 2.8× |
| Tx/Pro/Dx Inj New Drug Addon (96375) range across 3 matching MRF lines |
$80.65–$97.92 | $80.65–$97.92 | varies |
| Upr/L Xtremity Art 2 Levels (93922) | $199.94 | $199.94 | 1.5× |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) range across 3 matching MRF lines |
$89.54–$524.47 | $89.54–$524.47 | varies |
| Vasopneumatic device (97016) | $66.04 | $66.04 | 5.5× |
| Vent Mgmt Inpat Init Day (94002) | $1,944.44 | $1,944.44 | 3.1× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) | $1,509.92 | $1,509.92 | 2.4× |
| Vital capacity, total (94150) range across 3 matching MRF lines |
$43.58–$119.55 | $43.58–$119.55 | varies |
| Wheelchair Mgmt Ea 15 Min (97542) range across 2 matching MRF lines |
$67.96–$92.98 | $67.96–$92.98 | varies |
| Whirlpool Therapy (97022) | $55.33 | $55.33 | 3.5× |
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.