Visits & medical services prices at Logan Health - Shelby
Shelby, MT · every code in this section with a posted price and a Medicare benchmark.
123 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Admn Sarscov2 Vacc 1 Dose (90480) range across 2 matching MRF lines |
$26–$43.06 | $40–$66.25 | varies |
| Advncd Care Plan 30 Min (99497) | $75.24 | $115.75 | 0.7× |
| Airway Inhalation Treatment (94640) range across 7 matching MRF lines |
$36.72–$166.89 | $56.50–$256.75 | varies |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) | $51.68 | $79.50 | 3.6× |
| Brief Emotional/Behav Assmt (96127) range across 4 matching MRF lines |
$7.80–$8.78 | $12–$13.50 | varies |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) | $531.86 | $818.25 | 1.4× |
| Canalith repositioning proc (95992) | $128.86 | $198.25 | 3.2× |
| Cardiac Stress Tst,Tracing Only (93017) | $411.94 | $633.75 | 1.9× |
| Cardiopulmonary resuscitation (92950) range across 3 matching MRF lines |
$620.10–$822.74 | $954–$1,265.75 | varies |
| Cardioversion (92960) | $616.36 | $948.25 | 0.9× |
| Chemo Anti-Neopl Sq/Im (96401) | $178.75 | $275 | 2.4× |
| Chemo IV infusion addl hr (96415) | $94.41 | $145.25 | 1.3× |
| Chemotherapy Into Cns (96450) | $256.75 | $395 | 0.8× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) | $338.65 | $521 | 1.0× |
| Chest Wall Manipulation (94668) | $69.88 | $107.50 | 0.5× |
| Color/duplex Doppler, complete (93975) range across 3 matching MRF lines |
$85.15–$601.25 | $131–$925 | varies |
| Color/duplex Doppler, limited (93976) range across 3 matching MRF lines |
$58.50–$441.02 | $90–$678.50 | varies |
| Community/Work Reintegration Trainj Ea 15 Min (97537) | $60.12 | $92.50 | 1.9× |
| Continuous Pulse Ox (94762) | $137.96 | $212.25 | 1.0× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) | $349.38 | $537.50 | 1.6× |
| Cpt initial (94667) | $69.88 | $107.50 | 0.5× |
| Critical care first hour (99291) range across 2 matching MRF lines |
$448.82–$1,505.56 | $690.50–$2,316.25 | varies |
| Debridement Open Wound 20 Sq Cm< (97597) range across 7 matching MRF lines |
$97.82–$339.62 | $150.50–$522.50 | varies |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) range across 2 matching MRF lines |
$59.15–$562.74 | $91–$865.75 | 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) | $57.20 | $88 | 0.2× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) | $35.75 | $55 | 0.3× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) range across 8 matching MRF lines |
$50.70–$620.10 | $78–$954 | varies |
| Dup-scan xtr veins unilateral/limited study (93971) range across 15 matching MRF lines |
$33.15–$483.44 | $51–$743.75 | varies |
| Duplex Scan Hemodialysis Access (93990) | $36.40 | $56 | 0.3× |
| Duplex up extrem art bilat (93930) | $59.80 | $92 | 0.2× |
| Duplex up extrem art unilat/ltd (93931) | $36.40 | $56 | 0.3× |
| Echo Heart Xthoracic,Limited (93308) range across 3 matching MRF lines |
$38.35–$622.05 | $59–$957 | varies |
| 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) range across 6 matching MRF lines |
$51.02–$51.68 | $78.50–$79.50 | varies |
| Electrocardiogram Tracing (93005) | $96.69 | $148.75 | 1.6× |
| Emergency Dept Visit Level 2 (99282) range across 2 matching MRF lines |
$67.44–$188.34 | $103.75–$289.75 | varies |
| Emergency Dept Visit Level 3 (99283) range across 2 matching MRF lines |
$100.42–$407.55 | $154.50–$627 | varies |
| Emergency Dept Visit Level 4 (99284) range across 3 matching MRF lines |
$190.78–$728 | $293.50–$1,120 | varies |
| Er level 1 (99281) range across 2 matching MRF lines |
$18.20–$127.24 | $28–$195.75 | varies |
| Er level v (99285) range across 2 matching MRF lines |
$281.12–$1,134.41 | $432.50–$1,745.25 | varies |
| Evaluate Speech Production (92522) | $53.30 | $82 | 0.5× |
| Evaluate Swallowing Function (92610) | $223.28 | $343.50 | 2.6× |
| External ECG rec>48hr<7d recording (93242) | $268.29 | $412.75 | 7.0× |
| External ECG rec>7d<15d recording (93246) | $376.68 | $579.50 | 9.9× |
| Extracranial Bilat Study (93880) range across 3 matching MRF lines |
$58.50–$652.60 | $90–$1,004 | varies |
| Extracranial Uni/Ltd Study (93882) range across 3 matching MRF lines |
$37.05–$305.82 | $57–$470.50 | varies |
| Flexible endoscopic eval swallow c/v rec (92612) | $172.74 | $265.75 | 0.9× |
| Holter monitor recording (93225) | $268.29 | $412.75 | 2.0× |
| Im Adm Intransl/Oral 1 Vaccine (90473) range across 3 matching MRF lines |
$13.86–$46.64 | $21.32–$71.75 | varies |
| Immunization administration (90471) range across 7 matching MRF lines |
$13.86–$49.08 | $21.32–$75.50 | varies |
| Intracranial Complete Study (93886) | $70.20 | $108 | 0.3× |
| Iontophoresis 15 min (97033) | $68.25 | $105 | 3.6× |
| Irrig Drug Delivery Device (96523) range across 2 matching MRF lines |
$69.88–$99.45 | $107.50–$153 | varies |
| IV infusion hydration each additional hour (96361) | $74.91 | $115.25 | 1.6× |
| IV infusion hydration initial 31 min-1 hour (96360) | $194.35 | $299 | 0.9× |
| IV infusion ther proph addl sequential to 1 hr (96367) | $70.04 | $107.75 | 1.0× |
| IV infusion therapy prophylaxis/dx ea hour (96366) | $78.32 | $120.50 | 1.6× |
| IV push initial (96374) | $85.64 | $131.75 | 0.4× |
| Lwr Xtr Vasc Stdy Bilat (93924) range across 3 matching MRF lines |
$36.40–$397.15 | $56–$611 | varies |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) | $48.10 | $74 | 1.5× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) | $45.34 | $69.75 | 1.2× |
| Medical nutrition therapy grp2/ indiv ea 30 mi (97804) | $35.59 | $54.75 | 2.1× |
| Motion Fluoroscopy/Swallow (92611) | $291.20 | $448 | 3.2× |
| Nasopharyngoscopy (92511) | $234.49 | $360.75 | 1.1× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) | $339.46 | $522.25 | 1.7× |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) | $682.50 | $1,050 | 1.6× |
| Neuromuscular Reeducation (97112) | $74.26 | $114.25 | 2.3× |
| Oral Function Therapy (92526) | $171.76 | $264.25 | 2.0× |
| Orthc/Prostc Mgmt Sbsq Enc (97763) | $63.70 | $98 | 1.3× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) range across 6 matching MRF lines |
$68.25–$75.08 | $105–$115.50 | varies |
| Osteopathic Manipulative Tx 1-2 Body Regions (98925) range across 2 matching MRF lines |
$53.79–$71.50 | $82.75–$110 | varies |
| Ot eval high complexity (97167) | $163.80 | $252 | 1.6× |
| Ot Eval Low Complex (97165) | $163.80 | $252 | 1.6× |
| Ot Eval Moderate Complexity (97166) | $163.80 | $252 | 1.6× |
| Ot manual therapy 15 min (97140) | $62.24 | $95.75 | 2.2× |
| Ot paraffin bath (97018) | $32.34 | $49.75 | 5.4× |
| Ot Prosthetic Training, Each 15 Min (97761) | $75.08 | $115.50 | 1.9× |
| Ot Re-Eval Est Plan Care (97168) | $99.45 | $153 | 1.5× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) | $281.78 | $433.50 | 2.1× |
| Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) | $202.31 | $311.25 | 1.5× |
| Peripheral arterial disease rehab per session (93668) | $104.98 | $161.50 | 1.7× |
| Phlebotomy therapeutic (99195) range across 2 matching MRF lines |
$105.62–$141.38 | $162.50–$217.50 | varies |
| Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) | $265.36 | $408.25 | 4.4× |
| Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) | $265.36 | $408.25 | 4.4× |
| Physical Performance Test (97750) | $83.85 | $129 | 2.5× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) | $1,641.41 | $2,525.25 | 1.9× |
| Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) range across 2 matching MRF lines |
$19.50–$20.64 | $30–$31.75 | varies |
| Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) range across 2 matching MRF lines |
$28.76–$30.39 | $44.25–$46.75 | varies |
| Pt Eval High Complex (97163) | $150.64 | $231.75 | 1.5× |
| Pt eval low complex 20 min (97161) | $150.64 | $231.75 | 1.5× |
| Pt Eval Mod Complex (97162) | $150.64 | $231.75 | 1.5× |
| Pt gait training 15 min (97116) | $73.45 | $113 | 2.5× |
| Pt mechanical traction (97012) | $51.02 | $78.50 | 3.6× |
| Pt Re-Eval Est Plan Care (97164) | $96.69 | $148.75 | 1.4× |
| Pulm function test by gas (94727) | $226.20 | $348 | 1.0× |
| Pulmonary service/procedure (94799) | $490.42 | $754.50 | 3.7× |
| Pulmonary Stress Testing (94618) | $593.61 | $913.25 | 4.4× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) | $102.21 | $157.25 | 0.5× |
| Self Care Mngment Training (97535) | $62.89 | $96.75 | 1.9× |
| Sleep study unattended (95806) | $340.76 | $524.25 | 1.5× |
| Speech sound lang comprehen (92523) | $53.30 | $82 | 0.2× |
| Spirometry (94010) | $160.55 | $247 | 0.7× |
| Stress Tte Only (93350) range across 3 matching MRF lines |
$105.95–$1,202.18 | $163–$1,849.50 | varies |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) | $35.10 | $54 | 1.6× |
| Ther Ivntj Ea Addl 15 Min (97130) | $34.45 | $53 | 1.6× |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) | $51.68 | $79.50 | 1.7× |
| Ther/Prop/Diag Inj/Inf Proc (96379) | $65.98 | $101.50 | 1.4× |
| Ther/Proph/Diag Inj Sc/Im (96372) range across 7 matching MRF lines |
$13.86–$61.91 | $21.32–$95.25 | varies |
| Ther/Proph/Diag Iv Inf Init (96365) | $246.68 | $379.50 | 1.1× |
| Therapeutic Activities (97530) range across 6 matching MRF lines |
$74.26–$75.08 | $114.25–$115.50 | varies |
| Tobacco Use Cessation Intensive >10 Minutes (99407) range across 3 matching MRF lines |
$18.20–$43.55 | $28–$67 | varies |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) range across 3 matching MRF lines |
$13–$22.10 | $20–$34 | varies |
| Transcranial Doppler Stdy Intracranial Art Lmtd (93888) | $39 | $60 | 0.4× |
| Tte w/doppler, complete (93306) range across 3 matching MRF lines |
$108.55–$1,651.81 | $167–$2,541.25 | varies |
| Tte W/O Doppler Complete (93307) | $67.60 | $104 | 0.3× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) | $130.81 | $201.25 | 1.7× |
| Tx/Pro/Dx Inj New Drug Addon (96375) | $74.26 | $114.25 | 1.6× |
| Upr/L Xtremity Art 2 Levels (93922) range across 5 matching MRF lines |
$19.50–$344.01 | $30–$529.25 | varies |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) range across 3 matching MRF lines |
$33.15–$397.15 | $51–$611 | varies |
| Vasopneumatic device (97016) | $41.28 | $63.50 | 3.4× |
| Wheelchair Mgmt Ea 15 Min (97542) | $51.68 | $79.50 | 1.7× |
| Whirlpool Therapy (97022) | $51.02 | $78.50 | 3.2× |
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.