Supplies, drugs & other prices at Northern Rockies Medical Center

Cut Bank, MT · every code in this section with a posted price and a Medicare benchmark.

36 codes. Prices are the hospital's own posted facility charges.

Compare against other hospitals interactively →

ProcedurePosted cashPosted gross× Medicare
Admin hepatitis b vaccine (G0010)
range across 2 matching MRF lines
$20.64–$22.10 $31.75–$34 varies
Admin influenza virus vac (G0008)
range across 2 matching MRF lines
$20.64–$22.10 $31.75–$34 varies
Admin pneumococcal vaccine (G0009)
range across 2 matching MRF lines
$20.64–$22.10 $31.75–$34 varies
Ca screen;pelvic/breast exam (G0101) $61.42 $94.50 0.6×
Colon ca scrn not hi rsk ind (G0121)
range across 2 matching MRF lines
$658.61–$2,878.52 $1,013.25–$4,428.50 varies
Colorectal scrn; hi risk ind (G0105)
range across 2 matching MRF lines
$532.35–$2,391.19 $819–$3,678.75 varies
Covid-19 lab test non-cdc (U0002) $102.38 $157.50 2.0×
Direct refer hospital observ (G0379) $265.52 $408.50 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) $139.91 $215.25 4.7×
Elec stim other than wound (G0283) $43.06 $66.25 3.4×
Hospital outpt clinic visit (G0463)
range across 11 matching MRF lines
$81.90–$293.48 $126–$451.50 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) $188.50 $290 1.4×
Inj for sacroiliac jt anesth (G0260) $254.15 $391 0.4×
Mra w/cont, abd (C8900) $2,583.75 $3,975 7.2×
Mra w/cont, chest (C8909) $1,982.50 $3,050 5.6×
Mra w/cont, lwr ext (C8912) $1,258.89 $1,936.75 3.5×
Mra w/cont, pelvis (C8918) $1,505.56 $2,316.25 4.2×
Mra w/o cont, abd (C8901) $2,583.75 $3,975 10.6×
Mra w/o cont, chest (C8910) $1,982.50 $3,050 8.1×
Mra w/o cont, lwr ext (C8913) $1,258.89 $1,936.75 5.2×
Mra w/o cont, pelvis (C8919) $1,505.56 $2,316.25 6.2×
Mra w/o fol w/cont, abd (C8902) $2,583.75 $3,975 7.2×
Mra w/o fol w/cont, chest (C8911) $1,982.50 $3,050 5.6×
Mra w/o fol w/cont, lwr ext (C8914) $1,258.89 $1,936.75 3.5×
Mra w/o fol w/cont, pelvis (C8920) $1,505.56 $2,316.25 4.2×
Mra, w/dye, upper extremity (C8934) $1,318.36 $2,028.25 3.7×
Mra, w/o dye, upper extr (C8935) $1,318.36 $2,028.25 5.4×
Mra, w/o&w/dye, upper extr (C8936) $1,318.36 $2,028.25 3.7×
Obtaining screen pap smear (Q0091) $70.52 $108.50 2.4×
Ppps, initial visit (G0438)
range across 2 matching MRF lines
$164.61–$260.65 $253.25–$401 varies
Ppps, subseq visit (G0439) $172.09 $264.75 1.3×
Psa screening (G0103) $104.65 $161 5.4×
Tomosynthesis, mammo (G0279)
range across 2 matching MRF lines
$92.14–$98.15 $141.75–$151 varies
Trauma respons w/hosp criti (G0390) $1,627.60 $2,504 1.2×

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.