Visits & medical services prices at Frances Mahon Deaconess Hospital
Glasgow, MT · every code in this section with a posted price and a Medicare benchmark.
147 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Acoustic Immit Test Tympanometry/Acoust Reflex/Decay (92570) | $139.50 | $155 | 1.1× |
| Acoustic Reflex Testing (92568) | $47.70 | $53 | 1.3× |
| Airway Inhalation Treatment (94640) range across 2 matching MRF lines |
$36–$120.60 | $40–$134 | varies |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) | $117 | $130 | 8.1× |
| Assessment of tinnitus (92625) | $139.50 | $155 | 1.1× |
| Audiometry Air & Bone (92553) | $138.60 | $154 | 1.1× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) | $519.30 | $577 | 1.4× |
| Canalith repositioning proc (95992) | $94.50 | $105 | 2.3× |
| Cardiac Stress Tst,Tracing Only (93017) | $683.10 | $759 | 3.1× |
| Cardiopulmonary resuscitation (92950) range across 2 matching MRF lines |
$558.90–$586.80 | $621–$652 | varies |
| Cardioversion (92960) range across 2 matching MRF lines |
$332.10–$1,001.70 | $369–$1,113 | varies |
| Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) | $113.40 | $126 | 4.4× |
| Chemo Anti-Neopl Sq/Im (96401) | $177.30 | $197 | 2.4× |
| Chemo Hormon Antineopl Sq/Im (96402) | $163.80 | $182 | 2.2× |
| Chemo Ia Push (96420) | $629.10 | $699 | 1.9× |
| Chemo IV infusion addl hr (96415) | $256.50 | $285 | 3.5× |
| Chemo IV push addl drug (96411) | $256.50 | $285 | 3.5× |
| Chemother Prolong Infuse W/Pump (96416) | $696.60 | $774 | 2.1× |
| Chemotherapy Unspecified (96549) | $93.60 | $104 | 2.0× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) | $280.80 | $312 | 3.8× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) | $709.20 | $788 | 2.1× |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) | $368.10 | $409 | 1.1× |
| Chron Care Mgmt Srvc 20 Min (99490) | $180.90 | $201 | 1.7× |
| Color/duplex Doppler, complete (93975) range across 2 matching MRF lines |
$170.10–$1,215.90 | $189–$1,351 | varies |
| Community/Work Reintegration Trainj Ea 15 Min (97537) | $113.40 | $126 | 3.5× |
| Complex chronic care mgmt svc 1st 60 min cal mo (99487) | $314.10 | $349 | 1.7× |
| Comprehensive Hearing Test (92557) | $140.40 | $156 | 1.1× |
| Conditioning Play Audiometry (92582) | $140.40 | $156 | 1.1× |
| Continuous Pulse Ox (94762) | $268.20 | $298 | 2.0× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) range across 2 matching MRF lines |
$40.50–$532.80 | $45–$592 | varies |
| Critical care first hour (99291) | $763.20 | $848 | 0.9× |
| Debridement Open Wound 20 Sq Cm< (97597) range across 2 matching MRF lines |
$110.70–$149.40 | $123–$166 | varies |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) range across 2 matching MRF lines |
$117.90–$1,224.90 | $131–$1,361 | varies |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) range across 2 matching MRF lines |
$71.10–$845.10 | $79–$939 | varies |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) range across 2 matching MRF lines |
$103.50–$975.60 | $115–$1,084 | varies |
| Dup-scan xtr veins unilateral/limited study (93971) range across 2 matching MRF lines |
$66.60–$794.70 | $74–$883 | varies |
| Duplex up extrem art bilat (93930) range across 2 matching MRF lines |
$432–$609.30 | $480–$677 | varies |
| Duplex up extrem art unilat/ltd (93931) range across 2 matching MRF lines |
$117–$598.50 | $130–$665 | varies |
| Echo Heart Xthoracic,Limited (93308) | $802.80 | $892 | 3.3× |
| Electrical Stimulation Ea 15 Min (97032) | $63.90 | $71 | 4.3× |
| Electrocardiogram Tracing (93005) range across 2 matching MRF lines |
$359.10–$361.80 | $399–$402 | varies |
| Emergency Dept Visit Level 2 (99282) | $151.20 | $168 | 1.0× |
| Emergency Dept Visit Level 3 (99283) | $255.60 | $284 | 0.9× |
| Emergency Dept Visit Level 4 (99284) | $431.10 | $479 | 1.0× |
| Er level 1 (99281) | $77.40 | $86 | 0.9× |
| Er level v (99285) | $624.60 | $694 | 1.0× |
| Evaluate pt use of inhaler (94664) range across 2 matching MRF lines |
$53.10–$183.60 | $59–$204 | varies |
| Evaluate Swallowing Function (92610) | $225.90 | $251 | 2.7× |
| Evaluation of speech fluency (92521) | $428.40 | $476 | 3.2× |
| Extracranial Bilat Study (93880) range across 2 matching MRF lines |
$119.70–$990.90 | $133–$1,101 | varies |
| Extracranial Uni/Ltd Study (93882) range across 2 matching MRF lines |
$114.30–$663.30 | $127–$737 | varies |
| Group Therapeutic Procedures (97150) | $86.40 | $96 | 4.8× |
| Holter monitor recording (93225) | $61.20 | $68 | 0.5× |
| Immunization administration (90471) range across 3 matching MRF lines |
$51.30–$125.10 | $57–$139 | varies |
| Inital newborn e/m (99460) | $333.90 | $371 | 2.5× |
| Irrig Drug Delivery Device (96523) | $99 | $110 | 1.6× |
| IV infusion hydration each additional hour (96361) range across 2 matching MRF lines |
$40.50–$111.60 | $45–$124 | varies |
| IV infusion hydration initial 31 min-1 hour (96360) range across 2 matching MRF lines |
$105.30–$330.30 | $117–$367 | varies |
| IV infusion ther proph addl sequential to 1 hr (96367) | $144 | $160 | 2.0× |
| IV infusion therapy prophylaxis/dx ea hour (96366) | $113.40 | $126 | 2.4× |
| IV push initial (96374) range across 2 matching MRF lines |
$117–$223.20 | $130–$248 | varies |
| Methacholine challenge (94070) | $538.20 | $598 | 1.4× |
| Multiple Family Group Psychotherapy (90849) | $82.80 | $92 | 0.5× |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) range across 2 matching MRF lines |
$69.30–$520.20 | $77–$578 | varies |
| Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) range across 2 matching MRF lines |
$77.40–$767.70 | $86–$853 | varies |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) range across 2 matching MRF lines |
$76.50–$330.30 | $85–$367 | varies |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) range across 2 matching MRF lines |
$82.80–$320.40 | $92–$356 | varies |
| Neuromuscular Reeducation (97112) | $226.80 | $252 | 6.9× |
| Newborn resuscitation (99465) | $506.70 | $563 | 0.8× |
| Nrpsyc tst eval phys/qhp 1st (96132) | $322.20 | $358 | 0.8× |
| Oral Function Therapy (92526) | $271.80 | $302 | 3.2× |
| Orthc/Prostc Mgmt Sbsq Enc (97763) | $113.40 | $126 | 2.3× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) range across 2 matching MRF lines |
$113.40–$117 | $126–$130 | varies |
| Ot eval high complexity (97167) | $241.20 | $268 | 2.4× |
| Ot Eval Low Complex (97165) | $211.50 | $235 | 2.1× |
| Ot Eval Moderate Complexity (97166) | $271.80 | $302 | 2.7× |
| Ot manual therapy 15 min (97140) | $234 | $260 | 8.4× |
| Ot Prosthetic Training, Each 15 Min (97761) | $99.90 | $111 | 2.5× |
| Ot Re-Eval Est Plan Care (97168) | $186.30 | $207 | 2.7× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) | $223.20 | $248 | 1.7× |
| Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) | $353.70 | $393 | 2.7× |
| Peripheral arterial disease rehab per session (93668) | $202.50 | $225 | 3.4× |
| Phlebotomy therapeutic (99195) | $215.10 | $239 | 1.6× |
| Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) | $171.90 | $191 | 2.9× |
| Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) | $171 | $190 | 2.8× |
| Physical Performance Test (97750) | $113.40 | $126 | 3.4× |
| Plethysmography (94726) | $520.20 | $578 | 1.4× |
| Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) range across 2 matching MRF lines |
$31.50–$79.20 | $35–$88 | varies |
| Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) range across 2 matching MRF lines |
$36.90–$40.50 | $41–$45 | varies |
| Psych diag eval w/med srvcs (90792) | $491.40 | $546 | 2.7× |
| Psychiatric diagnostic evaluation (90791) | $431.10 | $479 | 2.4× |
| Psychological tst eval svc phys/qhp first hour (96130) | $310.50 | $345 | 1.4× |
| Psycl/nrpsycl tst tech 2+ tst 1st 30 min (96138) | $98.10 | $109 | 0.2× |
| Psyl/nrpsycl tst phys/qhp 2+ tst 1st 30 min (96136) | $67.50 | $75 | 0.5× |
| Psytx Crisis Initial 60 Min (90839) | $357.30 | $397 | 2.0× |
| Pt Eval High Complex (97163) | $288 | $320 | 2.9× |
| Pt eval low complex 20 min (97161) | $218.70 | $243 | 2.2× |
| Pt Eval Mod Complex (97162) | $252 | $280 | 2.6× |
| Pt gait training 15 min (97116) | $226.80 | $252 | 7.8× |
| Pt group caregiver training (97552) | $113.40 | $126 | 5.1× |
| Pt mechanical traction (97012) | $83.70 | $93 | 5.8× |
| Pt Re-Eval Est Plan Care (97164) | $150.30 | $167 | 2.2× |
| Pulm function test by gas (94727) | $271.80 | $302 | 1.2× |
| Pulmonary service/procedure (94799) | $45 | $50 | 0.3× |
| Pulmonary Stress Testing (94618) | $129.60 | $144 | 1.0× |
| Pure Tone Audiometry Air (92552) | $59.40 | $66 | 0.4× |
| Refill/Maint Portable Pump (96521) | $545.40 | $606 | 2.5× |
| Remote 30 Day Ecg Rev/Report (93270) | $26.10 | $29 | 0.7× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) range across 2 matching MRF lines |
$97.20–$171.90 | $108–$191 | varies |
| Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) | $397.80 | $442 | 3.3× |
| Same day nb discharge (99463) | $384.30 | $427 | 2.8× |
| Select picture audiometry (92583) | $64.80 | $72 | 1.1× |
| Self Care Mngment Training (97535) range across 2 matching MRF lines |
$117–$234 | $130–$260 | varies |
| Sensory Integration Ea 15 Min (97533) range across 2 matching MRF lines |
$113.40–$226.80 | $126–$252 | varies |
| Slp caregiver training 1st 30 min (97550) range across 2 matching MRF lines |
$113.40–$117 | $126–$130 | varies |
| Speech Audiometry Complete (92556) | $63.90 | $71 | 1.1× |
| Speech audiometry threshold (92555) | $53.10 | $59 | 0.9× |
| Speech sound lang comprehen (92523) | $730.80 | $812 | 3.2× |
| Spin/Brain Pump Refil & Main (95991) | $123.30 | $137 | 0.4× |
| Spirometry (94010) | $273.60 | $304 | 1.2× |
| Stenger Test Speech (92577) | $174.60 | $194 | 0.5× |
| Stenger Test, Pure Tone (92565) | $43.20 | $48 | 0.7× |
| Stress Tte Only (93350) | $1,705.50 | $1,895 | 3.1× |
| Subcutaneous Infusion Each Additional Hour (96370) | $115.20 | $128 | 2.4× |
| Subcutaneous infusion initial 1 hr w/pump set-up (96369) | $382.50 | $425 | 1.8× |
| Temp transcutaneous pacing (92953) range across 2 matching MRF lines |
$1,058.40 | $36–$1,176 | 1.6× |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) | $113.40 | $126 | 5.1× |
| Ther Ivntj Ea Addl 15 Min (97130) | $113.40 | $126 | 5.4× |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) | $113.40 | $126 | 3.8× |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) | $330.30 | $367 | 3.2× |
| Ther/Proph/Diag Inj Ia (96373) | $404.10 | $449 | 1.9× |
| Ther/Proph/Diag Inj Sc/Im (96372) range across 2 matching MRF lines |
$45–$99.90 | $50–$111 | varies |
| Ther/Proph/Diag Iv Inf Init (96365) range across 2 matching MRF lines |
$208.80–$405 | $232–$450 | varies |
| Therapeutic Activities (97530) | $226.80 | $252 | 6.5× |
| Tobacco Use Cessation Intensive >10 Minutes (99407) | $88.20 | $98 | 2.3× |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) | $41.40 | $46 | 1.1× |
| Trans Care Mgmt 14 Day Disch (99495) | $506.70 | $563 | 3.7× |
| Tte w/doppler, complete (93306) | $1,674 | $1,860 | 3.0× |
| Tte W/O Doppler Complete (93307) | $1,125.90 | $1,251 | 4.6× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) | $245.70 | $273 | 3.2× |
| Tx/Pro/Dx Inj New Drug Addon (96375) | $134.10 | $149 | 2.8× |
| Tympanometry (92567) range across 2 matching MRF lines |
$34.20–$35.10 | $38–$39 | varies |
| Tympanometry and reflex threshold measurements (92550) | $139.50 | $155 | 0.6× |
| Upr/L Xtremity Art 2 Levels (93922) | $38.70 | $43 | 0.3× |
| Vent Mgmt Inpat Init Day (94002) | $1,440.90 | $1,601 | 2.3× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) range across 2 matching MRF lines |
$197.10–$1,080 | $219–$1,200 | varies |
| Visual reinforcement audiometry (vra) (92579) | $145.80 | $162 | 0.7× |
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.