Supplies, drugs & other prices at Logan Health Medical Center
Kalispell, MT · every code in this section with a posted price and a Medicare benchmark.
66 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 2d tte w or w/o fol w/con,co (C8923) | $919.42 | $1,414.50 | 1.1× |
| 2d tte w or w/o fol w/con,fu (C8924) | $480.84 | $739.75 | 1.3× |
| Admin hepatitis b vaccine (G0010) | $64.68 | $99.50 | 1.4× |
| Admin influenza virus vac (G0008) range across 3 matching MRF lines |
$27.46–$66.62 | $42.25–$102.50 | varies |
| Admin pneumococcal vaccine (G0009) range across 3 matching MRF lines |
$55.74–$64.02 | $85.75–$98.50 | varies |
| Annual alcohol screen 15 min (G0442) | $21.29 | $32.75 | 0.6× |
| Behavior counsel obesity 15m (G0447) | $23.40 | $36 | 0.2× |
| Ca screen;flexi sigmoidscope (G0104) range across 2 matching MRF lines |
$951.92–$1,860.30 | $1,464.50–$2,862 | varies |
| Ca screen;pelvic/breast exam (G0101) | $41.92 | $64.50 | 0.4× |
| Care manage beh svs 20mins (G0323) | $66.30 | $102 | 1.7× |
| Catheterize for urine spec (P9612) range across 2 matching MRF lines |
$6.18–$42.58 | $9.50–$65.50 | varies |
| Chemo extend iv infus w/pump (G0498) range across 2 matching MRF lines |
$435.50–$518.21 | $670–$797.25 | varies |
| Colorectal scrn; hi risk ind (G0105) | $364.16 | $560.25 | 0.4× |
| Cysto impl 4 or more (C9740) range across 2 matching MRF lines |
$6,211.72–$6,842.06 | $9,556.50–$10,526.25 | varies |
| Cystoscopy prostatic imp 1-3 (C9739) range across 2 matching MRF lines |
$2,466.42–$5,474.30 | $3,794.50–$8,422 | varies |
| Demonstrate use home inr mon (G0248) | $156 | $240 | 1.1× |
| Depression screen annual (G0444) | $21.29 | $32.75 | 0.6× |
| Diab manage trn per indiv (G0108) | $81.25 | $125 | 1.5× |
| Diab manage trn ind/group (G0109) range across 5 matching MRF lines |
$22.75–$57.69 | $35–$88.75 | varies |
| Direct refer hospital observ (G0379) | $156.81 | $241.25 | 0.3× |
| Ed svc ckd ind per session (G0420) | $162.50 | $250 | 1.4× |
| Ev fempop artl revsc tcat plmt IV st grf & clsr (0505T) | $17,221.42 | $26,494.50 | 1.5× |
| Fecal blood scrn immunoassay (G0328) | $27.46 | $42.25 | 1.5× |
| Followup eval of foot pt lop (G0246) | $46.15 | $71 | 0.3× |
| Hbot, full body chamber, 30m (G0277) | $397.80 | $612 | 2.8× |
| Home sleep test/type 4 porta (G0400) | $252.52 | $388.50 | 1.1× |
| Hospital outpt clinic visit (G0463) | $87.92 | $135.26 | 0.6× |
| Ig paraprotein qual imprcip&ms bld/ur w/isotype (0077U) | $68.25 | $105 | 1.6× |
| Init/sub psych care m 1st 30 (G2214) | $79.30 | $122 | 0.8× |
| Initial foot exam pt lops (G0245) | $72.96 | $112.25 | 0.5× |
| Initial preventive exam (G0402) | $167.21 | $257.25 | 1.2× |
| Inj for sacroiliac jt anesth (G0260) | $229.94 | $353.75 | 0.3× |
| Insj/Rplc Car Modulj Sys Pls Gen Transvns Eltrd (0408T) | $41,821 | $64,340 | 1.3× |
| Intens behave ther cardio dx (G0446) | $24.05 | $37 | 0.6× |
| Mra w/o fol w/cont, lwr ext (C8914) | $1,921.08 | $2,955.50 | 5.4× |
| Mra, w/dye, upper extremity (C8934) | $1,274.81 | $1,961.25 | 3.6× |
| Mra, w/o&w/dye, spinal canal (C8933) | $1,329.25 | $2,045 | 3.7× |
| Obtaining screen pap smear (Q0091) | $53.62 | $82.50 | 1.8× |
| Open insj/rplcmt integrated nstimj sys ptn subq (0816T) | $22,275.82 | $34,270.50 | 1.1× |
| Oth resp proc, indiv (G0238) | $133.41 | $205.25 | 4.5× |
| Perc d-e cor revasc chro sin (C9607) | $17,890.44 | $27,523.75 | 1.0× |
| Perc d-e cor revasc t cabg s (C9604) | $17,890.44 | $27,523.75 | 1.5× |
| Perc d-e cor stent ather s (C9602) | $19,354.72 | $29,776.50 | 1.0× |
| Perc drug-el cor stent sing (C9600) | $17,890.44 | $27,523.75 | 1.5× |
| Potassium hydroxide preps (Q0112) | $8.29 | $12.75 | 1.4× |
| Ppps, subseq visit (G0439) | $181.02 | $278.50 | 1.3× |
| Psa screening (G0103) | $27.46 | $42.25 | 1.4× |
| Revasc intra lithotrip-ather (C9766) | $26,506.68 | $40,779.50 | 1.4× |
| Revasc intra lithotrip-stent (C9765) | $17,182.42 | $26,434.50 | 0.9× |
| Revasc intravasc lithotripsy (C9764) range across 2 matching MRF lines |
$8,634.28–$12,951.58 | $13,283.50–$19,925.50 | varies |
| Revasc lithotrip tibi/perone (C9772) | $12,554.26 | $19,314.25 | 1.1× |
| Revasc lithotrip-stent-ather (C9767) | $27,543.42 | $42,374.50 | 1.5× |
| Routine footcare pt w lops (G0247) | $103.19 | $158.75 | 0.5× |
| Therapeutic procd strg endur (G0237) | $217.59 | $334.75 | 7.4× |
| Tomosynthesis, mammo (G0279) | $44.85 | $69 | 3.5× |
| Trauma respons w/hosp criti (G0390) range across 2 matching MRF lines |
$3,399.01–$4,758 | $5,229.25–$7,320 | varies |
| Trim nail(s) (G0127) | $32.34 | $49.75 | 0.5× |
| Trluml perip athrc abd aorta (0236T) | $12,837.18 | $19,749.50 | 1.1× |
| Trluml Perip Athrc Brchiocph (0237T) | $17,348.50 | $26,690 | 1.5× |
| Tte w or w/o fol w/con,stres (C8928) | $918.12 | $1,412.50 | 1.1× |
| Tte w or wo fol wcon,doppler (C8929) | $554.12 | $852.50 | 0.7× |
| Unsched dialysis esrd pt hos (G0257) | $1,971.94 | $3,033.75 | 2.8× |
| Visit esketamine 56m or less (G2082) | $1,144 | $1,760 | 1.1× |
| Visit esketamine, > 56m (G2083) | $1,633.45 | $2,513 | 1.0× |
| Visit to determ ldct elig (G0296) | $26.16 | $40.25 | 0.3× |
| Wet mounts/ w preparations (Q0111) | $7.64 | $11.75 | 0.4× |
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.