Visits & medical services prices at Logan Health - Chester

Chester, MT · every code in this section with a posted price and a Medicare benchmark.

105 codes. Prices are the hospital's own posted facility charges.

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ProcedurePosted cashPosted gross× Medicare
1St psychiatric collab care mgmt 1st 70 mins (99492) $201.66 $310.25 1.9×
Actinotherapy Ultraviolet Light (96900) $39.65 $61 1.0×
Admn Sarscov2 Vacc 1 Dose (90480) $43.06 $66.25 1.0×
Advncd Care Plan 30 Min (99497) $129.19 $198.75 1.2×
Airway Inhalation Treatment (94640) $166.72 $256.50 0.7×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $59.64 $91.75 4.2×
Application Modality 1/> Areas Infrared (97026) $47.78 $73.50 7.2×
Brief Emotional/Behav Assmt (96127) $8.78 $13.50 0.2×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $506.02 $778.50 1.3×
Cardiopulmonary resuscitation (92950)
range across 4 matching MRF lines
$435.82–$461.18 $670.50–$709.50 varies
Cardioversion (92960)
range across 2 matching MRF lines
$511.88–$860.28 $787.50–$1,323.50 varies
Care mgmt services behavioral hlth cond 20 mins (99484) $63.21 $97.25 1.7×
Chemotherapy Into Cns (96450) $256.75 $395 0.8×
Chron Care Mgmt Srvc 20 Min (99490) $85.31 $131.25 0.8×
Color/duplex Doppler, complete (93975)
range across 3 matching MRF lines
$85.15–$403.16 $131–$620.25 varies
Color/duplex Doppler, limited (93976)
range across 3 matching MRF lines
$58.50–$378.30 $90–$582 varies
Complex chronic care mgmt svc 1st 60 min cal mo (99487) $141.38 $217.50 0.8×
Critical care first hour (99291)
range across 4 matching MRF lines
$410.80–$1,383.69 $632–$2,128.75 varies
Debridement Open Wound 20 Sq Cm< (97597)
range across 3 matching MRF lines
$134.22–$339.62 $206.50–$522.50 varies
Dup-scan aorta ivc iliac vascl/bpgs complete (93978)
range across 2 matching MRF lines
$59.15–$525.69 $91–$808.75 varies
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $36.40 $56 0.3×
Dup-scan lxtr art/artl bpgs compl bi study (93925)
range across 2 matching MRF lines
$57.20–$632.78 $88–$973.50 varies
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926)
range across 4 matching MRF lines
$35.75–$378.30 $55–$582 varies
Dup-Scan Xtr Veins Complete Bilateral Study (93970)
range across 8 matching MRF lines
$50.70–$772.20 $78–$1,188 varies
Dup-scan xtr veins unilateral/limited study (93971)
range across 15 matching MRF lines
$33.15–$518.38 $51–$797.50 varies
Duplex Scan Hemodialysis Access (93990) $36.40 $56 0.3×
Duplex up extrem art bilat (93930)
range across 3 matching MRF lines
$59.80–$632.78 $92–$973.50 varies
Duplex up extrem art unilat/ltd (93931)
range across 4 matching MRF lines
$36.40–$350.35 $56–$539 varies
Echo Heart Xthoracic,Limited (93308) $38.35 $59 0.2×
Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) $126.10 $194 0.2×
Electrical Stimulation Ea 15 Min (97032) $59.64 $91.75 4.1×
Electrocardiogram Tracing (93005) $67.28 $103.50 1.1×
Emergency Dept Visit Level 2 (99282)
range across 2 matching MRF lines
$68.09–$269.91 $104.75–$415.25 varies
Emergency Dept Visit Level 3 (99283)
range across 2 matching MRF lines
$144.95–$376.02 $223–$578.50 varies
Emergency Dept Visit Level 4 (99284)
range across 2 matching MRF lines
$223.11–$621.56 $343.25–$956.25 varies
Er level 1 (99281)
range across 2 matching MRF lines
$18.20–$191.59 $28–$294.75 varies
Er level v (99285)
range across 2 matching MRF lines
$345.64–$921.21 $531.75–$1,417.25 varies
Evaluate Speech Production (92522) $233.35 $359 2.1×
Evaluate Swallowing Function (92610) $350.68 $539.50 4.1×
Extracranial Bilat Study (93880)
range across 3 matching MRF lines
$58.50–$739.86 $90–$1,138.25 varies
Extracranial Uni/Ltd Study (93882) $37.05 $57 0.3×
Gastroesophag reflx test w/telemtry ph eltrd (91035) $126.10 $194 0.1×
Group Therapeutic Procedures (97150) $72.64 $111.75 4.0×
Holter monitor recording (93225) $270.56 $416.25 2.0×
Im Adm Intransl/Oral 1 Vaccine (90473) $13.86 $21.32 0.2×
Immunization administration (90471)
range across 7 matching MRF lines
$13.86–$76.38 $21.32–$117.50 varies
Intracranial Complete Study (93886) $70.20 $108 0.3×
Iontophoresis 15 min (97033) $59.64 $91.75 3.1×
Irrig Drug Delivery Device (96523) $99.45 $153 1.7×
IV infusion hydration each additional hour (96361) $65.81 $101.25 1.4×
IV infusion hydration initial 31 min-1 hour (96360) $224.58 $345.50 1.0×
IV infusion ther proph addl sequential to 1 hr (96367) $150.64 $231.75 2.0×
IV infusion therapy prophylaxis/dx ea hour (96366) $65.81 $101.25 1.4×
IV push initial (96374) $224.58 $345.50 1.0×
Lwr Xtr Vasc Stdy Bilat (93924) $36.40 $56 0.2×
Neuromuscular Reeducation (97112) $88.40 $136 2.7×
Nonphysician Telephone Assessment 11-20 Min (98967) $73.29 $112.75 2.9×
Nonphysician Telephone Assessment 21-30 Min (98968) $114.08 $175.50 3.3×
Nonphysician Telephone Assessment 5-10 Min (98966) $47.45 $73 3.5×
Oral Function Therapy (92526) $165.10 $254 2.0×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $169 $260 3.7×
Ot Contrast Bath Ea 15 Min (97034) $53.62 $82.50 3.8×
Ot eval high complexity (97167) $199.71 $307.25 2.0×
Ot Eval Low Complex (97165) $176.48 $271.50 1.8×
Ot Eval Moderate Complexity (97166) $189.96 $292.25 1.9×
Ot manual therapy 15 min (97140) $78.49 $120.75 2.8×
Ot Prosthetic Training, Each 15 Min (97761) $106.44 $163.75 2.6×
Ot Re-Eval Est Plan Care (97168) $95.88 $147.50 1.4×
Pdt dstr prmlg les phys/qhp (96573) $345.96 $532.25 1.7×
Phlebotomy therapeutic (99195)
range across 2 matching MRF lines
$105.62–$187.69 $162.50–$288.75 varies
Physical Performance Test (97750) $89.70 $138 2.7×
Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) $39.32 $60.50 0.8×
Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) $46.15 $71 1.0×
Pt Eval High Complex (97163) $188.50 $290 1.9×
Pt eval low complex 20 min (97161) $165.10 $254 1.7×
Pt Eval Mod Complex (97162) $176.48 $271.50 1.8×
Pt gait training 15 min (97116) $77.02 $118.50 2.7×
Pt Re-Eval Est Plan Care (97164) $95.88 $147.50 1.4×
Remote 30 Day Ecg Rev/Report (93270) $270.56 $416.25 7.1×
Sbsq Psyc Collab Care Mgmt (99493) $162.82 $250.50 1.6×
Self Care Mngment Training (97535) $87.75 $135 2.7×
Sensory Integration Ea 15 Min (97533) $89.70 $138 1.5×
Slp caregiver training 1st 30 min (97550) $89.70 $138 1.7×
Speech sound lang comprehen (92523) $518.05 $797 2.3×
Spirometry (94010) $152.75 $235 0.7×
Stress Tte Only (93350) $105.95 $163 0.2×
Temp transcutaneous pacing (92953) $383.34 $589.75 0.6×
Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129)
range across 4 matching MRF lines
$75.40–$79.14 $116–$121.75 varies
Ther Ivntj Ea Addl 15 Min (97130) $75.40 $116 3.6×
Ther Px 1/> Areas Each 15 Minutes Massage (97124) $58.99 $90.75 2.0×
Ther/Proph/Diag Inj Sc/Im (96372) $78.49 $120.75 1.1×
Ther/Proph/Diag Iv Inf Init (96365) $259.35 $399 1.2×
Therapeutic Activities (97530) $87.75 $135 2.5×
Tobacco Use Cessation Intensive >10 Minutes (99407) $45.99 $70.75 1.2×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $21.61 $33.25 0.6×
Trans Care Mgmt 14 Day Disch (99495) $210.76 $324.25 1.5×
Trans Care Mgmt 7 Day Disch (99496) $254.48 $391.50 1.9×
Transcranial Doppler Stdy Intracranial Art Lmtd (93888) $39 $60 0.4×
Tte w/doppler, complete (93306)
range across 3 matching MRF lines
$108.55–$1,487.52 $167–$2,288.50 varies
Tte W/O Doppler Complete (93307) $67.60 $104 0.3×
Tx/Pro/Dx Inj New Drug Addon (96375) $65.81 $101.25 1.4×
Upr/L Xtremity Art 2 Levels (93922) $19.50 $30 0.1×
Upr/Lxtr Art Stdy 3+ Lvls (93923)
range across 3 matching MRF lines
$33.15–$249.60 $51–$384 varies
Vasopneumatic device (97016) $43.06 $66.25 3.6×
Wheelchair Mgmt Ea 15 Min (97542) $78.49 $120.75 2.5×

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.