Visits & medical services prices at Fallon Medical Complex Hospital
Baker, MT · every code in this section with a posted price and a Medicare benchmark.
80 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Acupuncture 1/> ndles w/o elec stimj init 15 min (97810) | $87 | $87 | 2.9× |
| Airway Inhalation Treatment (94640) range across 2 matching MRF lines |
$76–$138 | $76–$138 | varies |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) | $67 | $67 | 4.7× |
| Canalith repositioning proc (95992) | $166 | $166 | 4.1× |
| Cardiac Stress Tst,Tracing Only (93017) | $289 | $289 | 1.3× |
| Cardiopulmonary resuscitation (92950) range across 2 matching MRF lines |
$833–$869 | $833–$869 | varies |
| Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) | $80 | $80 | 3.1× |
| Chron Care Mgmt Srvc 20 Min (99490) | $193 | $193 | 1.9× |
| Community/Work Reintegration Trainj Ea 15 Min (97537) range across 3 matching MRF lines |
$105–$123 | $105–$123 | varies |
| Critical care first hour (99291) range across 3 matching MRF lines |
$851–$1,941 | $851–$1,941 | varies |
| Debridement Open Wound 20 Sq Cm< (97597) | $319 | $319 | 1.6× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) range across 2 matching MRF lines |
$354–$1,664 | $354–$1,664 | varies |
| Dup-scan xtr veins unilateral/limited study (93971) range across 3 matching MRF lines |
$214–$1,314 | $214–$1,314 | varies |
| Echo Heart Xthoracic,Limited (93308) | $2,136 | $2,136 | 8.8× |
| Electrical Stimulation Ea 15 Min (97032) | $131 | $131 | 8.9× |
| Electrocardiogram Tracing (93005) | $197 | $197 | 3.3× |
| Emergency Dept Visit Level 2 (99282) range across 2 matching MRF lines |
$163–$405 | $163–$405 | varies |
| Emergency Dept Visit Level 3 (99283) range across 2 matching MRF lines |
$228–$554 | $228–$554 | varies |
| Emergency Dept Visit Level 4 (99284) range across 2 matching MRF lines |
$390–$912 | $390–$912 | varies |
| Er level 1 (99281) range across 2 matching MRF lines |
$102–$225 | $102–$225 | varies |
| Er level v (99285) range across 2 matching MRF lines |
$598–$1,477 | $598–$1,477 | varies |
| External ECG rec>48hr<7d recording (93242) | $373 | $373 | 9.8× |
| External ECG rec>7d<15d recording (93246) | $373 | $373 | 9.8× |
| Extracranial Bilat Study (93880) range across 2 matching MRF lines |
$354–$1,230 | $354–$1,230 | varies |
| Immunization administration (90471) | $41 | $41 | 0.6× |
| Iontophoresis 15 min (97033) range across 2 matching MRF lines |
$106–$123 | $106–$123 | varies |
| Irrig Drug Delivery Device (96523) range across 2 matching MRF lines |
$166–$180 | $166–$180 | varies |
| IV infusion hydration each additional hour (96361) range across 2 matching MRF lines |
$148–$175 | $148–$175 | varies |
| IV infusion hydration initial 31 min-1 hour (96360) range across 2 matching MRF lines |
$403–$437 | $403–$437 | varies |
| IV infusion ther proph addl sequential to 1 hr (96367) range across 2 matching MRF lines |
$191–$215 | $191–$215 | varies |
| IV infusion therapy prophylaxis/dx ea hour (96366) range across 4 matching MRF lines |
$175–$191 | $175–$191 | varies |
| IV push initial (96374) range across 2 matching MRF lines |
$126–$142 | $126–$142 | varies |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) | $57 | $57 | 1.8× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) | $59 | $59 | 1.6× |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) | $355 | $355 | 0.9× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) | $179 | $179 | 0.9× |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) | $203 | $203 | 0.5× |
| Neuromuscular Reeducation (97112) | $133 | $133 | 4.1× |
| Orthc/Prostc Mgmt Sbsq Enc (97763) | $79 | $79 | 1.6× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) | $145 | $145 | 3.1× |
| Osteopathic Manipulative Tx 1-2 Body Regions (98925) | $91 | $91 | 4.1× |
| Osteopathic manipulative tx 3-4 body regions (98926) | $136 | $136 | 6.2× |
| Ot Contrast Bath Ea 15 Min (97034) range across 2 matching MRF lines |
$68–$78 | $68–$78 | varies |
| Ot eval high complexity (97167) | $288 | $288 | 2.9× |
| Ot Eval Low Complex (97165) | $247 | $247 | 2.5× |
| Ot Eval Moderate Complexity (97166) | $268 | $268 | 2.7× |
| Ot manual therapy 15 min (97140) | $117 | $117 | 4.2× |
| Ot paraffin bath (97018) | $42 | $42 | 7.0× |
| Ot Re-Eval Est Plan Care (97168) | $180 | $180 | 2.6× |
| Phlebotomy therapeutic (99195) | $179 | $179 | 1.3× |
| Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) | $27 | $27 | 0.6× |
| Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) range across 2 matching MRF lines |
$33–$39 | $33–$39 | varies |
| Pt Asstv Technol Assmt Dir Cntct W/Reprt Ea 15 Min (97755) | $62 | $62 | 1.6× |
| Pt Eval High Complex (97163) | $288 | $288 | 2.9× |
| Pt eval low complex 20 min (97161) | $247 | $247 | 2.5× |
| Pt Eval Mod Complex (97162) | $268 | $268 | 2.7× |
| Pt gait training 15 min (97116) | $112 | $112 | 3.9× |
| Pt mechanical traction (97012) | $91 | $91 | 6.3× |
| Pt Re-Eval Est Plan Care (97164) | $180 | $180 | 2.7× |
| Pure Tone Audiometry Air (92552) | $74 | $74 | 0.5× |
| Rem mntr physiol param 1st dev supply ea 30 d (99454) | $63 | $63 | 1.7× |
| Rem mntr physiol param 1st set up pt educaj eqp (99453) | $73 | $73 | 0.5× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) | $153 | $153 | 0.7× |
| Rom Meas&Reprt Ea Xtr Ex Hand/Ea Trnk Sctj Spi (95851) | $75 | $75 | 2.9× |
| Self Care Mngment Training (97535) | $134 | $134 | 4.1× |
| Sensory Integration Ea 15 Min (97533) | $125 | $125 | 2.1× |
| Slp caregiver training 1st 30 min (97550) | $150 | $150 | 2.8× |
| Spirometry (94010) | $114 | $114 | 0.5× |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) | $101 | $101 | 4.5× |
| Ther Ivntj Ea Addl 15 Min (97130) | $67 | $67 | 3.2× |
| Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) | $165 | $165 | 4.5× |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) | $104 | $104 | 3.5× |
| Ther/Proph/Diag Inj Sc/Im (96372) range across 3 matching MRF lines |
$49–$90 | $49–$90 | varies |
| Ther/Proph/Diag Iv Inf Init (96365) range across 2 matching MRF lines |
$456–$492 | $456–$492 | varies |
| Therapeutic Activities (97530) | $124 | $124 | 3.5× |
| Tte w/doppler, complete (93306) | $2,362 | $2,362 | 4.2× |
| Tx/Pro/Dx Inj New Drug Addon (96375) range across 2 matching MRF lines |
$126–$142 | $126–$142 | varies |
| Vasopneumatic device (97016) | $75 | $75 | 6.2× |
| Wheelchair Mgmt Ea 15 Min (97542) | $156 | $156 | 5.0× |
| Whirlpool Therapy (97022) | $143 | $143 | 9.1× |
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.