Visits & medical services prices at Community Hospital of Anaconda

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

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

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ProcedurePosted cashPosted gross× Medicare
Admn Sarscov2 Vacc 1 Dose (90480) $45.53 $60.70 1.1×
Advncd Care Plan 30 Min (99497) $99.15 $132.20 1.0×
Airway Inhalation Treatment (94640)
range across 4 matching MRF lines
$163.43–$163.65 $217.90–$218.20 varies
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $54.75 $73 3.8×
Application on-body injector (96377) $53.33 $71.10 1.1×
Assessment of aphasia per hr (96105) $363.75 $485 3.7×
Behavral qualit analys voice (92524) $261.75 $349 2.4×
Brief Emotional/Behav Assmt (96127) $30.38 $40.50 0.8×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $258.23 $344.30 0.7×
Canalith repositioning proc (95992)
range across 2 matching MRF lines
$123–$123.60 $164–$164.80 varies
Car seat/bed test 60 min (94780) $187.20 $249.60 4.9×
Cardiac Stress Tst,Tracing Only (93017) $305.70 $407.60 1.4×
Cardiopulmonary resuscitation (92950) $512.85 $683.80 2.3×
Cardioversion (92960)
range across 2 matching MRF lines
$236.63–$339.30 $315.50–$452.40 varies
Cardioversion elective internal (92961) $1,184.40 $1,579.20 1.8×
Caregiver hlth risk assmt score doc stnd instrm (96161) $25.95 $34.60 0.7×
Cbt 1st hour (94644) $74.78 $99.70 0.6×
Chemo Admin Peritoneal Cavity (96446) $57.45 $76.60 0.2×
Chemo Anti-Neopl Sq/Im (96401) $183.53 $244.70 2.5×
Chemo Hormon Antineopl Sq/Im (96402)
range across 3 matching MRF lines
$17.70–$88.20 $23.60–$117.60 varies
Chemo Intralesional Over 7 (96406) $117.83 $157.10 0.5×
Chemo intralesional up to 7 (96405) $80.33 $107.10 1.1×
Chemo IV infusion addl hr (96415) $275.33 $367.10 3.7×
Chemo IV push addl drug (96411) $161.85 $215.80 2.2×
Chemother Prolong Infuse W/Pump (96416) $345.15 $460.20 1.0×
Chemotherapy Into Cns (96450) $218.85 $291.80 0.6×
Chemotherapy Intracavitary (96440) $382.50 $510 1.1×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $184.43 $245.90 2.5×
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) $344.55 $459.40 1.0×
Chemotx admn IV push tq 1/1st sbst/drug (96409) $296.48 $395.30 0.9×
Chemotx Njx Subarachnd/Intraventr Rsvr 1/Mult (96542) $111.53 $148.70 0.3×
Chest Wall Manipulation (94668)
range across 2 matching MRF lines
$97.50–$97.58 $130–$130.10 varies
Chron Care Mgmt Srvc 20 Min (99490) $50.48 $67.30 0.5×
Color/duplex Doppler, complete (93975) $949.43 $1,265.90 3.9×
Color/duplex Doppler, limited (93976) $534.08 $712.10 5.0×
Community/Work Reintegration Trainj Ea 15 Min (97537) $95.25 $127 3.0×
Complex chronic care mgmt svc 1st 60 min cal mo (99487) $104.70 $139.60 0.6×
Cont gluc mntr physician/qhp provided equiptment (95250)
range across 2 matching MRF lines
$340.73–$354.30 $454.30–$472.40 varies
Cont Gluc Mntr Pt Prov Eqp (95249)
range across 2 matching MRF lines
$81.98–$146.93 $109.30–$195.90 varies
Continuous Pulse Ox (94762) $184.13 $245.50 1.4×
Cpap Ventilation Cpap Initiation&Mgmt (94660) $266.03 $354.70 1.2×
Cpt initial (94667)
range across 2 matching MRF lines
$114.23–$114.38 $152.30–$152.50 varies
Critical care first hour (99291)
range across 2 matching MRF lines
$120.83–$604.13 $161.10–$805.50 varies
Debridement Open Wound 20 Sq Cm< (97597)
range across 4 matching MRF lines
$13.43–$88.50 $17.90–$118 varies
Dup-scan aorta ivc iliac vascl/bpgs complete (93978) $589.80 $786.40 2.4×
Dup-scan lxtr art/artl bpgs compl bi study (93925) $799.20 $1,065.60 3.3×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $647.63 $863.50 6.1×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $717.23 $956.30 2.9×
Dup-scan xtr veins unilateral/limited study (93971) $440.03 $586.70 4.1×
Duplex up extrem art bilat (93930) $836.78 $1,115.70 3.4×
Duplex up extrem art unilat/ltd (93931) $546.23 $728.30 5.1×
ECG/monitoring and analysis (93271) $656.40 $875.20 6.8×
Echo Congenital Complete (93303) $1,073.18 $1,430.90 1.9×
Echo Heart Xthoracic,Limited (93308) $417.98 $557.30 1.7×
Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) $1,287.45 $1,716.60 2.3×
EEG cerebral death evaluation (95824) $95.10 $126.80 0.2×
Elec Alys Implt Cplx Cn Npgt Prgrmg (95977) $426.15 $568.20 4.4×
Elec Alys Implt Smpl Cn Npgt Prgrmg (95976) $426.15 $568.20 11.2×
Electrical Stimulation Ea 15 Min (97032) $58.50 $78 4.0×
Electrocardiogram Tracing (93005) $125.33 $167.10 2.1×
Emergency Dept Visit Level 2 (99282)
range across 2 matching MRF lines
$22.80–$112.95 $30.40–$150.60 varies
Emergency Dept Visit Level 3 (99283)
range across 2 matching MRF lines
$33.75–$168.60 $45–$224.80 varies
Emergency Dept Visit Level 4 (99284)
range across 3 matching MRF lines
$64.43–$472.28 $85.90–$629.70 varies
Er level 1 (99281)
range across 2 matching MRF lines
$11.40–$57.08 $15.20–$76.10 varies
Er level v (99285)
range across 3 matching MRF lines
$94.50–$485.10 $126–$646.80 varies
Evaluate Speech Production (92522) $261.75 $349 2.3×
Evaluate Swallowing Function (92610) $316.50 $422 3.7×
Evaluation of speech fluency (92521) $309 $412 2.3×
Evoked Auditory Test,Limited (92587) $50.48 $67.30 0.2×
External Ecg Scanning Analysis Report (93226) $310.20 $413.60 5.1×
Extracranial Bilat Study (93880) $782.03 $1,042.70 3.2×
F-up/limited tthrc echo congenital car anomaly (93304) $417.98 $557.30 0.7×
Health behavior ivntj group f2f 1st 30 min (96164) $138.45 $184.60 3.6×
Holter monitor recording (93225)
range across 2 matching MRF lines
$269.85–$384.45 $359.80–$512.60 varies
Im Adm Intransl/Oral 1 Vaccine (90473)
range across 2 matching MRF lines
$22.50–$45.53 $30–$60.70 varies
Immunization administration (90471) $45.53 $60.70 0.6×
Inhlj Brncl Challenge Tstg W/Histam/Methachol (95070) $85.65 $114.20 0.2×
Inital newborn e/m (99460)
range across 2 matching MRF lines
$56.03–$278.93 $74.70–$371.90 varies
Io anal gast n-stim subsq (95981) $77.85 $103.80 1.3×
Io ga n-stim subsq w/reprog (95982) $104.70 $139.60 2.7×
Iontophoresis 15 min (97033) $58.50 $78 3.1×
Irrig Drug Delivery Device (96523) $64.50 $86 1.1×
IV infusion hydration each additional hour (96361) $161.10 $214.80 3.4×
IV infusion hydration initial 31 min-1 hour (96360) $228.68 $304.90 1.1×
IV infusion ther proph addl sequential to 1 hr (96367) $102.15 $136.20 1.4×
IV infusion therapy prophylaxis/dx ea hour (96366) $66.83 $89.10 1.4×
IV push initial (96374) $77.48 $103.30 0.4×
Laryngeal Function Studies (92520) $113.25 $151 0.8×
Lung Function Test (Mbc/Mvv) (94200) $104.03 $138.70 1.7×
Mechanical chest wall oscillation per session (94669) $142.58 $190.10 0.6×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $23.70 $31.60 0.7×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $31.58 $42.10 0.9×
Medical nutrition therapy grp2/ indiv ea 30 mi (97804) $39.45 $52.60 2.3×
Methacholine challenge (94070) $156.75 $209 0.4×
Motion Fluoroscopy/Swallow (92611) $237 $316 2.6×
Motor &/sens nrv cndj preconf eltrd array limb (95905)
range across 2 matching MRF lines
$34.73–$172.88 $46.30–$230.50 varies
Muscle Test 2 Limbs (95861) $160.50 $214 1.2×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605)
range across 3 matching MRF lines
$15.30–$75.38 $20.40–$100.50 varies
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606)
range across 2 matching MRF lines
$88.95–$89.25 $118.60–$119 varies
Nerve Conduction Studies 1-2 Studies (95907) $312 $416 1.4×
Nerve Conduction Studies 11-12 Studies (95912) $936 $1,248 2.5×
Nerve conduction studies 13 or more studies (95913) $1,092 $1,456 2.9×
Nerve Conduction Studies 3-4 Studies (95908) $390 $520 1.8×
Nerve conduction studies 5-6 studies (95909) $546 $728 2.5×
Nerve conduction studies 7-8 studies (95910) $624 $832 1.6×
Nerve Conduction Studies 9-10 Studies (95911) $858 $1,144 2.3×
Neuromuscular Junct Tstg Ea Nrv Any 1 Meth (95937) $201.68 $268.90 1.5×
Neuromuscular Reeducation (97112) $101.25 $135 3.1×
Newborn resuscitation (99465)
range across 3 matching MRF lines
$105.30–$526.20 $140.40–$701.60 varies
Nonphysician Telephone Assessment 11-20 Min (98967) $114 $152 4.6×
Nonphysician Telephone Assessment 21-30 Min (98968) $189.98 $253.30 5.5×
Nonphysician Telephone Assessment 5-10 Min (98966) $52.88 $70.50 3.9×
Oral Function Therapy (92526) $232.50 $310 2.8×
Oral Speech Device Eval (92597) $349.50 $466 4.9×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $120 $160 2.6×
Osteopathic Manipulative Tx 1-2 Body Regions (98925) $64.58 $86.10 2.9×
Ot eval high complexity (97167) $210.75 $281 2.1×
Ot Eval Low Complex (97165) $170.25 $227 1.7×
Ot Eval Moderate Complexity (97166) $183.75 $245 1.8×
Ot manual therapy 15 min (97140) $71.25 $95 2.6×
Ot paraffin bath (97018) $51.75 $69 8.6×
Ot Prosthetic Training, Each 15 Min (97761) $95.25 $127 2.4×
Ot Re-Eval Est Plan Care (97168) $103.50 $138 1.5×
Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) $95.18 $126.90 0.4×
Percutaneous tests w/allergenic extracts (95004) $16.95 $22.60 0.0×
Phlebotomy therapeutic (99195) $113.93 $151.90 0.8×
Physical Performance Test (97750) $85.50 $114 2.5×
Plethysmography (94726) $409.43 $545.90 1.1×
Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) $25.20 $33.60 0.5×
Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) $28.20 $37.60 0.6×
Psych diag eval w/med srvcs (90792) $300.83 $401.10 1.7×
Psychiatric diagnostic evaluation (90791) $300.83 $401.10 1.7×
Psytx Crisis Initial 60 Min (90839) $291 $388 1.6×
Pt Eval High Complex (97163) $210.75 $281 2.2×
Pt eval low complex 20 min (97161) $170.25 $227 1.7×
Pt Eval Mod Complex (97162) $183.75 $245 1.9×
Pt gait training 15 min (97116) $81.75 $109 2.8×
Pt mechanical traction (97012) $59.25 $79 4.1×
Pt Re-Eval Est Plan Care (97164) $75.75 $101 1.1×
Pt-focused hlth risk assmt score doc stnd instrm (96160) $31.50 $42 0.8×
Pulmonary Stress Testing (94618) $154.28 $205.70 1.1×
Pure Tone Audiometry Air (92552) $52.20 $69.60 0.4×
Refill&Maintenance Pump Drug Dlvr Spinal/Brain (95990)
range across 2 matching MRF lines
$218.93–$300 $291.90–$400 varies
Refill/Maint Portable Pump (96521) $352.65 $470.20 1.6×
Refill/Maint Pump/Resvr Syst (96522) $300 $400 1.4×
Remote 30 Day Ecg Rev/Report (93270) $171.23 $228.30 4.5×
Respiratory flow volume loop (94375)
range across 3 matching MRF lines
$51.60–$258.23 $68.80–$344.30 varies
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $121.50 $162 0.6×
Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) $363.75 $485 3.0×
Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) $181.50 $242 3.8×
Same day nb discharge (99463) $285.15 $380.20 2.1×
Self Care Mngment Training (97535) $95.25 $127 2.9×
Sensory Integration Ea 15 Min (97533) $103.50 $138 1.7×
Speech sound lang comprehen (92523) $365.25 $487 1.6×
Spin/Brain Pump Refil & Main (95991)
range across 2 matching MRF lines
$21.60–$107.40 $28.80–$143.20 varies
Spirometry (94010)
range across 2 matching MRF lines
$31.05–$154.28 $41.40–$205.70 varies
Standardized Cognitive Performance Testing (96125) $230.25 $307 2.2×
Stress Tte Only (93350) $1,067.93 $1,423.90 1.9×
Subcutaneous Infusion Each Additional Hour (96370) $40.80 $54.40 0.9×
Subcutaneous infusion initial 1 hr w/pump set-up (96369) $465.23 $620.30 2.1×
Subq Infusion Additional Pump Infusion Site (96371) $213.08 $284.10 2.9×
Temp transcutaneous pacing (92953) $30.45 $40.60 0.0×
Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) $95.25 $127 4.3×
Ther Ivntj Ea Addl 15 Min (97130) $65.25 $87 3.1×
Ther Px 1/> Areas Each 15 Minutes Massage (97124) $84 $112 2.8×
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $297 $396 2.9×
Ther/Proph/Diag Inj Ia (96373) $50.93 $67.90 0.2×
Ther/Proph/Diag Inj Sc/Im (96372)
range across 2 matching MRF lines
$45.53–$64.50 $60.70–$86 varies
Ther/Proph/Diag Iv Inf Init (96365) $344.55 $459.40 1.6×
Therapeutic Activities (97530) $100.50 $134 2.9×
Tobacco Use Cessation Intensive >10 Minutes (99407)
range across 2 matching MRF lines
$13.80–$68.78 $18.40–$91.70 varies
Tobacco Use Cessation Intermediate 3-10 Minutes (99406)
range across 3 matching MRF lines
$6.60–$32.48 $8.80–$43.30 varies
Trans Care Mgmt 14 Day Disch (99495) $154.35 $205.80 1.1×
Trans Care Mgmt 7 Day Disch (99496) $196.05 $261.40 1.4×
Tte w/doppler, complete (93306)
range across 5 matching MRF lines
$36.38–$1,073.25 $48.50–$1,431 varies
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $170.25 $227 2.2×
Tx/Pro/Dx Inj New Drug Addon (96375) $108.45 $144.60 2.3×
Tympanometry (92567) $31.35 $41.80 0.8×
Upr/L Xtremity Art 2 Levels (93922) $225.45 $300.60 1.7×
Upr/Lxtr Art Stdy 3+ Lvls (93923) $517.95 $690.60 2.3×
Vasopneumatic device (97016) $58.50 $78 4.9×
Vent Mgmt Inpat Init Day (94002) $826.20 $1,101.60 1.3×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $826.20 $1,101.60 1.3×
Visual Evoked Potential Test (95930) $416.25 $555 1.9×
Wheelchair Mgmt Ea 15 Min (97542) $81.75 $109 2.6×
Whirlpool Therapy (97022) $96 $128 6.1×

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.