Visits & medical services prices at Dahl Memorial Healthcare Association Inc
Ekalaka, MT · every code in this section with a posted price and a Medicare benchmark.
42 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Airway Inhalation Treatment (94640) | $147.40 | $147.40 | 0.7× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) | $61.60 | $61.60 | 4.3× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) | $417.85 | $417.85 | 1.1× |
| Canalith repositioning proc (95992) | $177.50 | $177.50 | 4.4× |
| Care mgmt services behavioral hlth cond 20 mins (99484) | $74.42 | $74.42 | 1.9× |
| Cbt 1st hour (94644) | $50.72 | $50.72 | 0.4× |
| Chron Care Mgmt Srvc 20 Min (99490) | $94.60 | $94.60 | 0.9× |
| Critical care first hour (99291) | $705.10 | $705.10 | 0.8× |
| Electrical Stimulation Ea 15 Min (97032) range across 2 matching MRF lines |
$88.20–$90.30 | $88.20–$90.30 | varies |
| Electrocardiogram Tracing (93005) | $184.80 | $184.80 | 3.1× |
| Emergency Dept Visit Level 2 (99282) range across 2 matching MRF lines |
$138.60–$348.70 | $138.60–$348.70 | varies |
| Emergency Dept Visit Level 3 (99283) range across 2 matching MRF lines |
$237.60–$545.60 | $237.60–$545.60 | varies |
| Emergency Dept Visit Level 4 (99284) range across 2 matching MRF lines |
$399.30–$998.80 | $399.30–$998.80 | varies |
| Er level 1 (99281) range across 2 matching MRF lines |
$38.50–$218.90 | $38.50–$218.90 | varies |
| Er level v (99285) range across 2 matching MRF lines |
$581.90–$1,320 | $581.90–$1,320 | varies |
| Immunization administration (90471) | $19.68 | $19.68 | 0.3× |
| Iontophoresis 15 min (97033) | $124.58 | $124.58 | 6.5× |
| Irrig Drug Delivery Device (96523) | $128.70 | $128.70 | 2.1× |
| Meas Spiro Frcd Exp Flo Pre&Post Bronch Inf/2yrs (94012) | $154.35 | $154.35 | 0.7× |
| Measurement of spirometric forced expiratory flows in an infant or child through 2 years of age Facility (94011) | $98.12 | $98.12 | 0.7× |
| Neuromuscular Reeducation (97112) | $142.22 | $142.22 | 4.3× |
| Orthc/Prostc Mgmt Sbsq Enc (97763) | $94.60 | $94.60 | 1.9× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) | $155.45 | $155.45 | 3.4× |
| Ot manual therapy 15 min (97140) | $93.71 | $93.71 | 3.4× |
| Phlebotomy therapeutic (99195) | $216.70 | $216.70 | 1.6× |
| Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) | $29.70 | $29.70 | 0.6× |
| Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) | $34.10 | $34.10 | 0.7× |
| Pt Asstv Technol Assmt Dir Cntct W/Reprt Ea 15 Min (97755) | $155.45 | $155.45 | 4.1× |
| Pt Eval High Complex (97163) | $278.30 | $278.30 | 2.8× |
| Pt eval low complex 20 min (97161) | $201.30 | $201.30 | 2.1× |
| Pt Eval Mod Complex (97162) | $236.50 | $236.50 | 2.4× |
| Pt gait training 15 min (97116) | $120.17 | $120.17 | 4.1× |
| Pt mechanical traction (97012) | $97.02 | $97.02 | 6.8× |
| Pt Re-Eval Est Plan Care (97164) | $123.20 | $123.20 | 1.8× |
| Self Care Mngment Training (97535) | $96.80 | $96.80 | 3.0× |
| Spirometry (94010) | $156.20 | $156.20 | 0.7× |
| Ther/Proph/Diag Inj Sc/Im (96372) | $94.60 | $94.60 | 1.3× |
| Ther/Proph/Diag Iv Inf Init (96365) | $360.80 | $360.80 | 1.7× |
| Therapeutic Activities (97530) | $95.70 | $95.70 | 2.7× |
| Trans Care Mgmt 14 Day Disch (99495) | $538.65 | $538.65 | 4.0× |
| Trans Care Mgmt 7 Day Disch (99496) | $729.75 | $729.75 | 5.4× |
| Wheelchair Mgmt Ea 15 Min (97542) | $122.38 | $122.38 | 3.9× |
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.