Mountainview Medical Center
White Sulphur Spring, MT · Critical Access Hospital
Posts prices for 32 of the 66 common shoppable procedures we track. Price file retrieved 2026-09-04.
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| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Upper GI endoscopy (EGD), diagnostic (43235) | $1,525.44 | $1,906.80 | 1.6× |
| Upper GI endoscopy (EGD) with biopsy (43239) | $1,529.64 | $1,912.05 | 1.7× |
| Transforaminal epidural injection, lumbar/sacral (64483) | $419.89 | $524.86 | 0.5× |
| CT head/brain without contrast (70450) | $1,086.12 | $1,357.65 | 10.2× |
| X-ray lower spine, 4+ views (72110) | $351.96 | $439.95 | 3.3× |
| CT pelvis with contrast (72193) | $1,365.84 | $1,707.30 | 7.6× |
| CT abdomen and pelvis with contrast (74177) | $2,835.84 | $3,544.80 | 8.0× |
| Basic metabolic panel (80048) | $140.12 | $175.15 | 16.6× |
| Comprehensive metabolic panel (80053) | $183.22 | $229.03 | 17.4× |
| Obstetric panel (80055) | $287.42 | $359.27 | 6.0× |
| Lipid panel (80061) | $154.50 | $193.12 | 11.5× |
| Renal function panel (80069) | $195.79 | $244.74 | 22.6× |
| Hepatic function panel (80076) | $143.70 | $179.62 | 17.6× |
| Urinalysis, non-automated, with microscopy (81000) | $30.54 | $38.18 | 7.6× |
| Urinalysis, non-automated, without microscopy (81002) | $25.14 | $31.43 | 7.2× |
| PSA, total (84153) | $226.34 | $282.93 | 12.3× |
| Thyroid stimulating hormone (TSH) (84443) | $170.66 | $213.32 | 10.2× |
| CBC with automated differential (85025) | $107.78 | $134.73 | 13.9× |
| CBC, automated (85027) | $88.02 | $110.03 | 13.6× |
| Prothrombin time (PT) (85610) | $64.67 | $80.84 | 15.1× |
| Partial thromboplastin time (PTT) (85730) | $95.20 | $119 | 15.8× |
| Psychotherapy, 30 minutes (90832) | $105.84 | $132.30 | 0.6× |
| Psychotherapy, 45 minutes (90834) | $126 | $157.50 | 0.7× |
| Psychotherapy, 60 minutes (90837) | $138.60 | $173.25 | 0.8× |
| Family psychotherapy, without patient (50 min) (90846) | $154.56 | $193.20 | 0.9× |
| Family psychotherapy, with patient (50 min) (90847) | $159.60 | $199.50 | 0.9× |
| Group psychotherapy (90853) | $42 | $52.50 | 0.4× |
| Office visit, new patient (low complexity, ~30 min) (99203) | $218.30 | $272.87 | 1.6× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) | $247.41 | $309.26 | 1.8× |
| Office visit, new patient (high complexity, ~60 min) (99205) | $417.18 | $521.48 | 3.1× |
| Preventive visit, new patient (age 18–39) (99385) range across 4 matching MRF lines |
$40–$139.71 | $50–$174.64 | varies |
| Preventive visit, new patient (age 40–64) (99386) range across 4 matching MRF lines |
$40–$152.33 | $50–$190.41 | varies |
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.
More prices at this hospital
- Imaging: 131 codes with posted prices and Medicare benchmarks
- Lab & pathology: 429 codes with posted prices and Medicare benchmarks
- Visits & medical services: 79 codes with posted prices and Medicare benchmarks
- Procedures & surgery: 304 codes with posted prices and Medicare benchmarks
- Supplies, drugs & other: 21 codes with posted prices and Medicare benchmarks
Get the raw price file
Download the machine-readable file (CSV, 4.7 MB) ↓ — captured 2026-09-04
File links point at the hospital's own hosting and sometimes rotate — if the download fails, use the hospital's transparency page.