Visits & medical services prices at Northern Montana Hospital
Havre, MT · every code in this section with a posted price and a Medicare benchmark.
146 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 1St psychiatric collab care mgmt 1st 70 mins (99492) | $184.80 | $264 | 1.8× |
| Admn Sarscov2 Vacc 1 Dose (90480) range across 2 matching MRF lines |
$29.40–$30.80 | $42–$44 | varies |
| Advncd Care Plan 30 Min (99497) | $93.80 | $134 | 0.9× |
| Airway Inhalation Treatment (94640) range across 7 matching MRF lines |
$80.50–$294.35 | $115–$420.50 | varies |
| Analyze neurostim complex (95972) range across 3 matching MRF lines |
$44.80–$69.30 | $64–$99 | varies |
| Analyze neurostim no prog (95970) | $21.70 | $31 | 0.2× |
| Analyze Neurostim Simple (95971) range across 2 matching MRF lines |
$44.10–$54.60 | $63–$78 | varies |
| Application Modality 1/> Areas Infrared (97026) | $13.48 | $19.25 | 2.0× |
| Application on-body injector (96377) | $54.08 | $77.25 | 1.1× |
| Assessment of aphasia per hr (96105) | $143.64 | $205.20 | 1.5× |
| Assmt & care planning pt w/cognitive impairment (99483) | $214.20 | $306 | 2.1× |
| Behavral qualit analys voice (92524) | $161.84 | $231.20 | 1.5× |
| Biofeedback training any modality (90901) | $122.50 | $175 | 3.0× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) | $11.90 | $17 | 0.0× |
| Canalith repositioning proc (95992) | $121.98 | $174.25 | 3.0× |
| Cardiac Stress Tst,Tracing Only (93017) | $1,031.63 | $1,473.75 | 4.7× |
| Cardiopulmonary resuscitation (92950) range across 3 matching MRF lines |
$203–$513.98 | $290–$734.25 | varies |
| Cardioversion (92960) range across 5 matching MRF lines |
$119–$1,382.68 | $170–$1,975.25 | varies |
| Care mgmt services behavioral hlth cond 20 mins (99484) | $49 | $70 | 1.3× |
| Cbt 1st hour (94644) | $196.88 | $281.25 | 1.4× |
| Chemo Admin Peritoneal Cavity (96446) | $218.58 | $312.25 | 0.6× |
| Chemo Anti-Neopl Sq/Im (96401) range across 2 matching MRF lines |
$129.15–$134.40 | $184.50–$192 | varies |
| Chemo Hormon Antineopl Sq/Im (96402) | $51.80 | $74 | 0.7× |
| Chemo IV infusion addl hr (96415) range across 2 matching MRF lines |
$227.15–$298.55 | $324.50–$426.50 | varies |
| Chemo IV push addl drug (96411) | $56.35 | $80.50 | 0.8× |
| Chemother Prolong Infuse W/Pump (96416) | $274.05 | $391.50 | 0.8× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) | $56.35 | $80.50 | 0.8× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) range across 3 matching MRF lines |
$452.55–$631.05 | $646.50–$901.50 | varies |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) | $217.18 | $310.25 | 0.6× |
| Cmptr ophth dx img ant segmt (92132) | $35.70 | $51 | 0.6× |
| Color Vision Xm Extended Anomaloscope/Equiv (92283) | $60.20 | $86 | 1.0× |
| Color/duplex Doppler, complete (93975) range across 2 matching MRF lines |
$61.60–$1,070.83 | $88–$1,529.75 | varies |
| Color/duplex Doppler, limited (93976) range across 3 matching MRF lines |
$42.70–$1,070.83 | $61–$1,529.75 | varies |
| Community/Work Reintegration Trainj Ea 15 Min (97537) | $97.65 | $139.50 | 3.0× |
| Computerized Ophthalmic Imaging Retina (92134) | $37.10 | $53 | 0.6× |
| Cont gluc mntr physician/qhp provided equiptment (95250) | $165.90 | $237 | 1.2× |
| Cont Gluc Mntr Pt Prov Eqp (95249) | $65.80 | $94 | 1.1× |
| Corneal Topography (92025) range across 2 matching MRF lines |
$21.70–$32.20 | $31–$46 | varies |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) | $705.95 | $1,008.50 | 3.2× |
| Critical care first hour (99291) range across 5 matching MRF lines |
$238–$1,765.58 | $340–$2,522.25 | varies |
| Debridement Open Wound 20 Sq Cm< (97597) range across 6 matching MRF lines |
$39.90–$163.28 | $57–$233.25 | varies |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) range across 2 matching MRF lines |
$42.70–$706.65 | $61–$1,009.50 | varies |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) range across 2 matching MRF lines |
$42.70–$1,070.83 | $61–$1,529.75 | varies |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) | $25.90 | $37 | 0.2× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) | $37.80 | $54 | 0.2× |
| Dup-scan xtr veins unilateral/limited study (93971) range across 3 matching MRF lines |
$23.80–$706.65 | $34–$1,009.50 | varies |
| Duplex Scan Hemodialysis Access (93990) range across 2 matching MRF lines |
$26.60–$636.65 | $38–$909.50 | varies |
| Duplex up extrem art bilat (93930) range across 2 matching MRF lines |
$42.70–$1,070.83 | $61–$1,529.75 | varies |
| Duplex up extrem art unilat/ltd (93931) range across 2 matching MRF lines |
$26.60–$595.18 | $38–$850.25 | varies |
| Echo Heart Xthoracic,Limited (93308) | $1,554.18 | $2,220.25 | 6.4× |
| Electrical Stimulation Ea 15 Min (97032) range across 2 matching MRF lines |
$40.95–$57.93 | $58.50–$82.75 | varies |
| Electrocardiogram Tracing (93005) range across 2 matching MRF lines |
$133.88–$142.80 | $191.25–$204 | varies |
| Emergency Dept Visit Level 2 (99282) range across 6 matching MRF lines |
$46.90–$342.65 | $67–$489.50 | varies |
| Emergency Dept Visit Level 3 (99283) range across 5 matching MRF lines |
$75.60–$569.45 | $108–$813.50 | varies |
| Emergency Dept Visit Level 4 (99284) range across 5 matching MRF lines |
$133.70–$884.45 | $191–$1,263.50 | varies |
| Er level 1 (99281) range across 5 matching MRF lines |
$24.50–$203 | $35–$290 | varies |
| Er level v (99285) range across 3 matching MRF lines |
$195.30–$1,261.93 | $279–$1,802.75 | varies |
| Evaluate pt use of inhaler (94664) | $100.10 | $143 | 0.4× |
| Evaluation of speech fluency (92521) | $196.91 | $281.30 | 1.5× |
| External ECG rec>48hr<7d recording (93242) | $20.30 | $29 | 0.5× |
| External ECG rec>7d<15d recording (93246) | $20.30 | $29 | 0.5× |
| Extracranial Bilat Study (93880) | $43.40 | $62 | 0.2× |
| Eye exam w anesth; complete (92018) | $140.70 | $201 | 0.1× |
| Eye exam w anesth; limited (92019) | $72.80 | $104 | 0.0× |
| F-up/limited tthrc echo congenital car anomaly (93304) | $673.23 | $961.75 | 1.2× |
| Fluorescein angiography (92235) range across 4 matching MRF lines |
$46.20–$139.30 | $66–$199 | varies |
| Fundus photography (92250) range across 6 matching MRF lines |
$18.20–$41.30 | $26–$59 | varies |
| Group Therapeutic Procedures (97150) range across 3 matching MRF lines |
$40.08–$65.63 | $57.25–$93.75 | varies |
| Holter monitor recording (93225) | $121.98 | $174.25 | 0.9× |
| Im Adm Intransl/Oral 1 Vaccine (90473) | $18.90 | $27 | 0.3× |
| Immunization administration (90471) range across 18 matching MRF lines |
$16.38–$89.54 | $23.40–$127.92 | varies |
| Inital newborn e/m (99460) range across 2 matching MRF lines |
$103.60–$111.30 | $148–$159 | varies |
| Iontophoresis 15 min (97033) | $73.50 | $105 | 3.9× |
| Irrig Drug Delivery Device (96523) range across 6 matching MRF lines |
$100.98–$125.83 | $144.25–$179.75 | varies |
| IV infusion hydration each additional hour (96361) range across 4 matching MRF lines |
$152.95–$201.43 | $218.50–$287.75 | varies |
| IV infusion hydration initial 31 min-1 hour (96360) range across 5 matching MRF lines |
$305.03–$404.08 | $435.75–$577.25 | varies |
| IV infusion ther proph addl sequential to 1 hr (96367) range across 3 matching MRF lines |
$78.23–$91.88 | $111.75–$131.25 | varies |
| IV infusion therapy prophylaxis/dx ea hour (96366) range across 6 matching MRF lines |
$136.68–$201.43 | $195.25–$287.75 | varies |
| IV push initial (96374) range across 5 matching MRF lines |
$133.53–$160.13 | $190.75–$228.75 | varies |
| Lwr Xtr Vasc Stdy Bilat (93924) range across 2 matching MRF lines |
$27.30–$712.95 | $39–$1,018.50 | varies |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) range across 2 matching MRF lines |
$30.80–$34.30 | $44–$49 | varies |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) range across 2 matching MRF lines |
$34.30–$36.40 | $49–$52 | varies |
| Motion Fluoroscopy/Swallow (92611) | $135.24 | $193.20 | 1.5× |
| Multiple Sleep Latency Test (95805) | $2,557.28 | $3,653.25 | 2.9× |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) | $1,925.84 | $2,751.20 | 4.6× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) range across 3 matching MRF lines |
$28–$30.80 | $40–$44 | varies |
| Neuromuscular Reeducation (97112) range across 2 matching MRF lines |
$79.10–$104.65 | $113–$149.50 | varies |
| Newborn resuscitation (99465) range across 2 matching MRF lines |
$158.20–$170.10 | $226–$243 | varies |
| Nrpsyc tst eval phys/qhp 1st (96132) | $133 | $190 | 0.3× |
| Ophth medical xm&eval comprhnsv estab pt 1/> (92014) | $69.30 | $99 | 0.5× |
| Ophth Medical Xm&Eval Intermediate New Pt (92002) | $62.30 | $89 | 0.5× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) | $93.10 | $133 | 2.0× |
| Ot eval high complexity (97167) | $245.18 | $350.25 | 2.4× |
| Ot manual therapy 15 min (97140) range across 2 matching MRF lines |
$66.50–$93.80 | $95–$134 | varies |
| Ot paraffin bath (97018) | $18.03 | $25.75 | 3.0× |
| Ot Re-Eval Est Plan Care (97168) | $169.58 | $242.25 | 2.5× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) | $193.90 | $277 | 1.5× |
| Pdt dstr prmlg les skn illum/activj per day (96567) range across 2 matching MRF lines |
$144.20–$162.40 | $206–$232 | varies |
| Peripheral arterial disease rehab per session (93668) | $70 | $100 | 1.2× |
| Phlebotomy therapeutic (99195) range across 2 matching MRF lines |
$162.23–$172.55 | $231.75–$246.50 | varies |
| Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) | $56 | $80 | 0.9× |
| Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) | $56 | $80 | 0.9× |
| Physical Performance Test (97750) | $90.30 | $129 | 2.7× |
| Plethysmography (94726) range across 2 matching MRF lines |
$13.30–$149.98 | $19–$214.25 | varies |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) | $2,555.18 | $3,650.25 | 2.9× |
| Principal care management services, for a single high-risk disease, with the following required elements: one complex… (99426) | $69.30 | $99 | 0.7× |
| Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) | $10.50 | $15 | 0.2× |
| Psych diag eval w/med srvcs (90792) | $148.40 | $212 | 0.8× |
| Psychiatric diagnostic evaluation (90791) range across 5 matching MRF lines |
$123.90–$167.30 | $177–$239 | varies |
| Psychological tst eval svc phys/qhp first hour (96130) range across 2 matching MRF lines |
$112–$112.70 | $160–$161 | varies |
| Psyl/nrpsycl tst phys/qhp 2+ tst 1st 30 min (96136) | $42 | $60 | 0.3× |
| Pt Eval High Complex (97163) | $263.90 | $377 | 2.7× |
| Pt Eval Mod Complex (97162) | $263.90 | $377 | 2.7× |
| Pt gait training 15 min (97116) range across 2 matching MRF lines |
$82.95–$88.55 | $118.50–$126.50 | varies |
| Pt mechanical traction (97012) | $53.38 | $76.25 | 3.7× |
| Pt Re-Eval Est Plan Care (97164) | $134.40 | $192 | 2.0× |
| Pulm function test by gas (94727) | $13.30 | $19 | 0.1× |
| Refill/Maint Portable Pump (96521) | $215.60 | $308 | 1.0× |
| Remote 30 Day Ecg Rev/Report (93270) | $91.53 | $130.75 | 2.4× |
| Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) | $180.60 | $258 | 1.5× |
| Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) | $70.70 | $101 | 1.5× |
| Same day nb discharge (99463) range across 2 matching MRF lines |
$119–$128.10 | $170–$183 | varies |
| Sensory Integration Ea 15 Min (97533) range across 2 matching MRF lines |
$89.81–$140.70 | $128.30–$201 | varies |
| Speech sound lang comprehen (92523) | $334.60 | $478 | 1.5× |
| Spirometry (94010) range across 2 matching MRF lines |
$260.58 | $13–$372.25 | 1.2× |
| Stress Tte Only (93350) | $2,626.93 | $3,752.75 | 4.7× |
| Temp transcutaneous pacing (92953) | $513.98 | $734.25 | 0.8× |
| Ther Ivntj Ea Addl 15 Min (97130) | $63.67 | $90.95 | 3.0× |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) | $67.90 | $97 | 2.3× |
| Ther/Proph/Diag Inj Sc/Im (96372) range across 5 matching MRF lines |
$54.08–$72.10 | $77.25–$103 | varies |
| Ther/Proph/Diag Iv Inf Init (96365) range across 6 matching MRF lines |
$273.18–$404.08 | $390.25–$577.25 | varies |
| Trans Care Mgmt 14 Day Disch (99495) | $128.10 | $183 | 0.9× |
| Trans Care Mgmt 7 Day Disch (99496) | $185.50 | $265 | 1.4× |
| Tte w/doppler, complete (93306) range across 2 matching MRF lines |
$76.30–$2,626.93 | $109–$3,752.75 | varies |
| Tte W/O Doppler Complete (93307) | $1,555.75 | $2,222.50 | 6.4× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) | $112.56 | $160.80 | 1.5× |
| Tx/Pro/Dx Inj New Drug Addon (96375) range across 5 matching MRF lines |
$75.78–$112.53 | $108.25–$160.75 | varies |
| Upr/L Xtremity Art 2 Levels (93922) range across 2 matching MRF lines |
$14–$648.90 | $20–$927 | varies |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) range across 2 matching MRF lines |
$25.20–$712.95 | $36–$1,018.50 | varies |
| Vasopneumatic device (97016) range across 3 matching MRF lines |
$33.95–$50.93 | $48.50–$72.75 | varies |
| Visual Field Exam Extended (92083) | $62.83 | $89.75 | 0.5× |
| Visual field xm uni/bi w/interp intermed exam (92082) | $23.10 | $33 | 0.4× |
| Visual field xm uni/bi w/interpretj limited exam (92081) range across 3 matching MRF lines |
$17.50–$37.10 | $25–$53 | varies |
| Vital capacity, total (94150) | $126 | $180 | 1.0× |
| Wheelchair Mgmt Ea 15 Min (97542) range across 2 matching MRF lines |
$75.78–$100.98 | $108.25–$144.25 | varies |
| Xtrnl Ocular Photog W/I&R Docmt Medical Progre (92285) | $25.90 | $37 | 0.7× |
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.