Supplies, drugs & other prices at Logan Health - Shelby
Shelby, MT · every code in this section with a posted price and a Medicare benchmark.
33 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Admin influenza virus vac (G0008) range across 2 matching MRF lines |
$25.02–$49.08 | $38.50–$75.50 | varies |
| Admin pneumococcal vaccine (G0009) range across 2 matching MRF lines |
$25.02–$49.08 | $38.50–$75.50 | varies |
| Ca screen;pelvic/breast exam (G0101) | $41.92 | $64.50 | 0.4× |
| Colon ca scrn not hi rsk ind (G0121) range across 2 matching MRF lines |
$552.34–$1,953.74 | $849.75–$3,005.75 | varies |
| Colorectal scrn; hi risk ind (G0105) range across 2 matching MRF lines |
$532.35–$2,275.32 | $819–$3,500.50 | varies |
| Covid-19 lab test non-cdc (U0002) | $102.38 | $157.50 | 2.0× |
| Direct refer hospital observ (G0379) | $239.20 | $368 | 0.4× |
| Drug test def 1-7 classes (G0480) range across 3 matching MRF lines |
$89.21–$142.68 | $137.25–$219.50 | varies |
| Ekg tracing for initial prev (G0404) | $96.69 | $148.75 | 3.3× |
| Elec stim other than wound (G0283) | $51.68 | $79.50 | 4.1× |
| Group mnt 2 or more 30 mins (G0271) | $22.59 | $34.75 | 1.3× |
| Hospital outpt clinic visit (G0463) range across 10 matching MRF lines |
$57.85–$192.08 | $89–$295.50 | varies |
| Ig paraprotein qual imprcip&ms bld/ur w/isotype (0077U) range across 2 matching MRF lines |
$59.15–$72.64 | $91–$111.75 | varies |
| Initial preventive exam (G0402) | $174.69 | $268.75 | 1.3× |
| Inj for sacroiliac jt anesth (G0260) range across 4 matching MRF lines |
$254.15–$1,092 | $391–$1,680 | varies |
| Mnt subs tx for change dx (G0270) | $37.86 | $58.25 | 1.2× |
| Mra w/cont, lwr ext (C8912) | $131.95 | $203 | 0.4× |
| Mra w/cont, pelvis (C8918) | $130.65 | $201 | 0.4× |
| Mra w/o cont, lwr ext (C8913) | $131.95 | $203 | 0.5× |
| Mra w/o cont, pelvis (C8919) | $130.65 | $201 | 0.5× |
| Mra w/o fol w/cont, lwr ext (C8914) | $131.95 | $203 | 0.4× |
| Mri w/o fol w/cont, breast, (C8908) | $2,005.74 | $3,085.75 | 5.6× |
| Obtaining screen pap smear (Q0091) range across 2 matching MRF lines |
$47.78–$61.42 | $73.50–$94.50 | varies |
| Oth resp proc, group (G0239) | $71.18 | $109.50 | 1.9× |
| Oth resp proc, indiv (G0238) | $93.60 | $144 | 3.2× |
| Ppps, initial visit (G0438) | $260.65 | $401 | 1.5× |
| Ppps, subseq visit (G0439) | $172.09 | $264.75 | 1.3× |
| Psa screening (G0103) | $104.65 | $161 | 5.4× |
| Therapeutic procd strg endur (G0237) | $167.70 | $258 | 5.7× |
| Tomosynthesis, mammo (G0279) range across 2 matching MRF lines |
$86.45–$98.15 | $133–$151 | varies |
| Trauma respons w/hosp criti (G0390) range across 2 matching MRF lines |
$1,344.85–$2,790.78 | $2,069–$4,293.50 | varies |
| Tte w or w/o fol w/con,stres (C8928) | $1,202.18 | $1,849.50 | 1.5× |
| Tte w or wo fol wcon,doppler (C8929) | $1,651.81 | $2,541.25 | 2.1× |
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.