Dahl Memorial Healthcare Association Inc
Ekalaka, MT · Critical Access Hospital
Posts prices for 25 of the 66 common shoppable procedures we track. Price file retrieved 2026-09-04.
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| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| CT head/brain without contrast (70450) | $1,478.40 | $1,478.40 | 13.8× |
| X-ray lower spine, 4+ views (72110) | $513.77 | $513.77 | 4.8× |
| CT pelvis with contrast (72193) | $1,726.20 | $1,726.20 | 9.6× |
| CT abdomen and pelvis with contrast (74177) range across 2 matching MRF lines |
$3,218.25–$5,242.65 | $3,218.25–$5,242.65 | varies |
| Basic metabolic panel (80048) | $74.80 | $74.80 | 8.8× |
| Comprehensive metabolic panel (80053) range across 3 matching MRF lines |
$94.60–$98.12 | $94.60–$98.12 | varies |
| Obstetric panel (80055) | $301.35 | $301.35 | 6.3× |
| Lipid panel (80061) | $71.50 | $71.50 | 5.3× |
| Renal function panel (80069) | $86.90 | $86.90 | 10.0× |
| Hepatic function panel (80076) | $77 | $77 | 9.4× |
| Urinalysis, non-automated, without microscopy (81002) range across 3 matching MRF lines |
$22.05–$35.28 | $22.05–$35.28 | varies |
| PSA, total (84153) | $115.50 | $115.50 | 6.3× |
| Thyroid stimulating hormone (TSH) (84443) range across 5 matching MRF lines |
$90.20–$123.87 | $90.20–$123.87 | varies |
| CBC with automated differential (85025) | $77 | $77 | 9.9× |
| CBC, automated (85027) | $52.80 | $52.80 | 8.2× |
| Prothrombin time (PT) (85610) range across 2 matching MRF lines |
$38.59–$40.25 | $38.59–$40.25 | varies |
| Partial thromboplastin time (PTT) (85730) | $82.50 | $82.50 | 13.7× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) | $132.30 | $132.30 | 4.6× |
| Office visit, new patient (low complexity, ~30 min) (99203) | $236.25 | $236.25 | 1.7× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) | $350.70 | $350.70 | 2.6× |
| Office visit, new patient (high complexity, ~60 min) (99205) | $463.05 | $463.05 | 3.4× |
| Office consultation (low complexity, ~30 min) (99243) | $309.80 | $309.80 | 2.3× |
| Office consultation (moderate complexity, ~40 min) (99244) | $429.98 | $429.98 | 3.2× |
| Preventive visit, new patient (age 18–39) (99385) | $190.19 | $190.19 | — |
| Preventive visit, new patient (age 40–64) (99386) | $214.99 | $214.99 | — |
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.
As a Critical Access Hospital, Medicare pays this facility about 101% of its own costs. The × Medicare column compares the cash price against that cost-based benchmark, not a standard rate.
More prices at this hospital
- Imaging: 116 codes with posted prices and Medicare benchmarks
- Lab & pathology: 330 codes with posted prices and Medicare benchmarks
- Visits & medical services: 42 codes with posted prices and Medicare benchmarks
- Procedures & surgery: 103 codes with posted prices and Medicare benchmarks
- Supplies, drugs & other: 12 codes with posted prices and Medicare benchmarks
Get the raw price file
Download the machine-readable file (CSV, 12.8 MB) ↓ — captured 2026-09-04
File links point at the hospital's own hosting and sometimes rotate — if the download fails, use the hospital's transparency page.