Supplies, drugs & other prices at Intermountain Health St. James Hospital
Butte, MT · every code in this section with a posted price and a Medicare benchmark.
46 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Adm tocilizu covid-19 1st (M0249) | — | $1,370.40 | — |
| Admin hepatitis b vaccine (G0010) | — | $21.32 | — |
| Catheterize for urine spec (P9612) | — | $32.85 | — |
| Covid-19 lab test non-cdc (U0002) range across 2 matching MRF lines |
— | $231.55–$244.98 | — |
| Diab manage trn per indiv (G0108) | — | $226.20 | — |
| Diab manage trn ind/group (G0109) | — | $51.15 | — |
| Direct refer hospital observ (G0379) | — | $821 | — |
| Drug test def 1-7 classes (G0480) range across 2 matching MRF lines |
— | $348.10–$738.34 | — |
| Drug test def 15-21 classes (G0482) | — | $1,282.36 | — |
| Drug test def 22+ classes (G0483) | — | $1,593.23 | — |
| Drug test def 8-14 classes (G0481) range across 2 matching MRF lines |
— | $343.30–$1,010.42 | — |
| Eia hiv-1/hiv-2 screen (G0432) range across 2 matching MRF lines |
— | $184.40–$330.08 | — |
| Ekg tracing for initial prev (G0404) | — | $58.05 | — |
| Elisa hiv-1/hiv-2 screen (G0433) | — | $189.30 | — |
| Hbot, full body chamber, 30m (G0277) | — | $591.20 | — |
| Heart Symp Image Plnr (0331T) | — | $3,971.30 | — |
| Hep c screen high risk/other (G0472) range across 2 matching MRF lines |
— | $430.68–$436.70 | — |
| Hepb screen high risk indiv (G0499) range across 2 matching MRF lines |
— | $135.67–$328.85 | — |
| Hospital outpt clinic visit (G0463) | — | $197.65 | — |
| Neuro csf prion prtn qual (0035U) | — | $780 | — |
| Oth resp proc, group (G0239) | — | $58 | — |
| Oth resp proc, indiv (G0238) | — | $58 | — |
| Pathogen test for platelets (P9100) range across 2 matching MRF lines |
— | $88.55–$89.05 | — |
| Perc d-e cor revasc chro sin (C9607) | — | $31,084.56 | — |
| Perq Sacral Augmt Bilat Inj (0201T) | — | $16,176.05 | — |
| Perq Sacral Augmt Unilat Inj (0200T) | — | $14,403.10 | — |
| Place device/marker, non pro (C9728) | — | $2,449.05 | — |
| Prostate biopsy, any mthd (G0416) range across 2 matching MRF lines |
— | $1,722.94–$2,620.60 | — |
| Psa screening (G0103) | — | $213.95 | — |
| Revasc intra lithotrip-ather (C9766) | — | $26,457.35 | — |
| Revasc intra lithotrip-stent (C9765) range across 2 matching MRF lines |
— | $26,457.35–$39,916.70 | — |
| Revasc intravasc lithotripsy (C9764) | — | $16,349.95 | — |
| Revasc lith-sten-ath tib/per (C9775) | — | $36,578.35 | — |
| Revasc lithotr-ather tib/per (C9774) | — | $36,487.15 | — |
| Revasc lithotr-stent tib/per (C9773) | — | $36,487.15 | — |
| Revasc lithotrip tibi/perone (C9772) | — | $22,811.15 | — |
| Revasc lithotrip-stent-ather (C9767) | — | $36,487.15 | — |
| Scr c/v cyto,thinlayer,rescr (G0145) | — | $117.22 | — |
| Screen cerv/vag thin layer (G0123) | — | $89.65 | — |
| Therapeutic procd strg endur (G0237) | — | $58 | — |
| Therapeutic ultrafiltration (0692T) | — | $1,371.45 | — |
| Trauma respons w/hosp criti (G0390) range across 2 matching MRF lines |
— | $6,350.80–$8,696.30 | — |
| Trluml perip athrc abd aorta (0236T) | — | $30,212.35 | — |
| Trluml Perip Athrc Brchiocph (0237T) | — | $45,794 | — |
| Trluml Perip Athrc Iliac Art (0238T) | — | $45,794 | — |
| Trluml Peripheral Atherectomy Renal Artery Ea (0234T) | — | $30,212.35 | — |
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.