Logan Health - Chester

Chester, MT · Critical Access Hospital

Posts prices for 33 of the 66 common shoppable procedures we track. Price file retrieved 2026-09-04.

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ProcedurePosted cashPosted gross× Medicare
Transforaminal epidural injection, lumbar/sacral (64483) $381.55 $587 0.4×
CT head/brain without contrast (70450)
range across 3 matching MRF lines
$62.40–$958.26 $96–$1,474.25 varies
MRI brain without contrast (70551)
range across 10 matching MRF lines
$107.90–$2,489.18 $166–$3,829.50 varies
MRI brain with contrast (70552)
range across 7 matching MRF lines
$130.65–$1,964.95 $201–$3,023 varies
MRI brain without and with contrast (70553)
range across 8 matching MRF lines
$168.35–$2,123.06 $259–$3,266.25 varies
X-ray lower spine, 4+ views (72110)
range across 3 matching MRF lines
$19.50–$409.99 $30–$630.75 varies
MRI lumbar spine without contrast (72148)
range across 4 matching MRF lines
$108.55–$1,805.54 $167–$2,777.75 varies
CT pelvis with contrast (72193)
range across 3 matching MRF lines
$85.15–$1,437.15 $131–$2,211 varies
MRI lower-extremity joint without contrast (73721)
range across 11 matching MRF lines
$99.45–$1,805.54 $153–$2,777.75 varies
CT abdomen and pelvis with contrast (74177)
range across 4 matching MRF lines
$133.90–$2,763.96 $206–$4,252.25 varies
Ultrasound, abdomen complete (76700)
range across 2 matching MRF lines
$59.80–$518.38 $92–$797.50 varies
Ultrasound, pregnant uterus (≥14 weeks) (76805)
range across 2 matching MRF lines
$72.80–$423.64 $112–$651.75 varies
Ultrasound, transvaginal (76830)
range across 4 matching MRF lines
$51.35–$303.71 $79–$467.25 varies
Mammography, one breast (diagnostic) (77065)
range across 9 matching MRF lines
$59.80–$138.78 $92–$213.50 varies
Mammography, both breasts (diagnostic) (77066)
range across 3 matching MRF lines
$73.45–$178.75 $113–$275 varies
Mammography, screening (bilateral) (77067)
range across 5 matching MRF lines
$56.55–$169.65 $87–$261 varies
Basic metabolic panel (80048) $94.25 $145 11.1×
Comprehensive metabolic panel (80053) $130.32 $200.50 12.3×
Lipid panel (80061)
range across 2 matching MRF lines
$65.81–$145.92 $101.25–$224.50 varies
Renal function panel (80069) $111.48 $171.50 12.8×
Hepatic function panel (80076) $59.15 $91 7.2×
PSA, total (84153)
range across 2 matching MRF lines
$104.65–$223.92 $161–$344.50 varies
Thyroid stimulating hormone (TSH) (84443) $78 $120 4.6×
CBC with automated differential (85025) $78.98 $121.50 10.2×
CBC, automated (85027) $43.06 $66.25 6.7×
Prothrombin time (PT) (85610)
range across 3 matching MRF lines
$6.18–$48.10 $9.50–$74 varies
Partial thromboplastin time (PTT) (85730)
range across 3 matching MRF lines
$8.61–$85.96 $13.25–$132.25 varies
Physical therapy, therapeutic exercise (per 15 min) (97110) $83.04 $127.75 2.9×
Office visit, new patient (low complexity, ~30 min) (99203) $167.86 $258.25 1.2×
Office visit, new patient (moderate complexity, ~45 min) (99204) $253.18 $389.50 1.9×
Office visit, new patient (high complexity, ~60 min) (99205) $359.94 $553.75 2.6×
Preventive visit, new patient (age 18–39) (99385) $198.74 $305.75 —
Preventive visit, new patient (age 40–64) (99386) $230.26 $354.25 —

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.

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Download the machine-readable file (UNKNOWN, 4.6 MB) ↓ — captured 2026-09-04

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