Fallon Medical Complex Hospital
Baker, MT · Critical Access Hospital
Posts prices for 35 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) range across 2 matching MRF lines |
$163–$1,433 | $163–$1,433 | varies |
| MRI brain without contrast (70551) range across 2 matching MRF lines |
$218–$2,053 | $218–$2,053 | varies |
| MRI brain with contrast (70552) | $2,687 | $2,687 | 7.5× |
| MRI brain without and with contrast (70553) range across 2 matching MRF lines |
$357–$3,127 | $357–$3,127 | varies |
| X-ray lower spine, 4+ views (72110) range across 2 matching MRF lines |
$66–$391 | $66–$391 | varies |
| MRI lumbar spine without contrast (72148) range across 2 matching MRF lines |
$214–$2,503 | $214–$2,503 | varies |
| CT pelvis with contrast (72193) range across 2 matching MRF lines |
$363–$1,321 | $363–$1,321 | varies |
| MRI lower-extremity joint without contrast (73721) range across 3 matching MRF lines |
$226–$2,009 | $226–$2,009 | varies |
| CT abdomen and pelvis with contrast (74177) range across 2 matching MRF lines |
$480–$2,475 | $480–$2,475 | varies |
| Ultrasound, abdomen complete (76700) range across 2 matching MRF lines |
$218–$883 | $218–$883 | varies |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) range across 2 matching MRF lines |
$249–$591 | $249–$591 | varies |
| Ultrasound, transvaginal (76830) range across 2 matching MRF lines |
$218–$392 | $218–$392 | varies |
| Mammography, one breast (diagnostic) (77065) range across 3 matching MRF lines |
$160–$372 | $160–$372 | varies |
| Mammography, both breasts (diagnostic) (77066) range across 2 matching MRF lines |
$202–$408 | $202–$408 | varies |
| Mammography, screening (bilateral) (77067) range across 4 matching MRF lines |
$163–$328 | $163–$328 | varies |
| Basic metabolic panel (80048) | $82 | $82 | 9.7× |
| Comprehensive metabolic panel (80053) | $166 | $166 | 15.7× |
| Obstetric panel (80055) | $540 | $540 | 11.3× |
| Lipid panel (80061) | $122 | $122 | 9.1× |
| Renal function panel (80069) | $122 | $122 | 14.1× |
| Hepatic function panel (80076) | $110 | $110 | 13.5× |
| Urinalysis, non-automated, with microscopy (81000) | $85 | $85 | 21.1× |
| Urinalysis, non-automated, without microscopy (81002) range across 2 matching MRF lines |
$33–$38 | $33–$38 | varies |
| PSA, total (84153) range across 2 matching MRF lines |
$78–$79 | $78–$79 | varies |
| Thyroid stimulating hormone (TSH) (84443) | $109 | $109 | 6.5× |
| CBC with automated differential (85025) | $87 | $87 | 11.2× |
| CBC, automated (85027) | $55 | $55 | 8.5× |
| Prothrombin time (PT) (85610) range across 4 matching MRF lines |
$42–$44 | $42–$44 | varies |
| Partial thromboplastin time (PTT) (85730) | $113 | $113 | 18.8× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) | $124 | $124 | 4.3× |
| Office visit, new patient (low complexity, ~30 min) (99203) | $240 | $240 | 1.8× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) | $328 | $328 | 2.4× |
| Office visit, new patient (high complexity, ~60 min) (99205) | $466 | $466 | 3.4× |
| Preventive visit, new patient (age 18–39) (99385) range across 11 matching MRF lines |
$56–$249 | $56–$249 | varies |
| Preventive visit, new patient (age 40–64) (99386) range across 9 matching MRF lines |
$56–$249 | $56–$249 | varies |
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: 146 codes with posted prices and Medicare benchmarks
- Lab & pathology: 379 codes with posted prices and Medicare benchmarks
- Visits & medical services: 80 codes with posted prices and Medicare benchmarks
- Procedures & surgery: 249 codes with posted prices and Medicare benchmarks
- Supplies, drugs & other: 6 codes with posted prices and Medicare benchmarks
Get the raw price file
Download the machine-readable file (CSV, 58.8 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.