Visits & medical services prices at Phillips County Medical Center
Malta, MT · every code in this section with a posted price and a Medicare benchmark.
85 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Airway Inhalation Treatment (94640) | $60 | $60 | 0.3× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) | $67 | $67 | 4.7× |
| Brief Emotional/Behav Assmt (96127) | $14 | $14 | 0.4× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) | $194 | $194 | 0.5× |
| Canalith repositioning proc (95992) range across 2 matching MRF lines |
$87–$197 | $87–$197 | varies |
| Cardiopulmonary resuscitation (92950) | $737 | $737 | 3.3× |
| Cardioversion (92960) | $104 | $104 | 0.2× |
| Care mgmt services behavioral hlth cond 20 mins (99484) | $49 | $49 | 1.3× |
| Chron Care Mgmt Srvc 20 Min (99490) | $65 | $65 | 0.6× |
| Community/Work Reintegration Trainj Ea 15 Min (97537) | $75 | $75 | 2.3× |
| Complex chronic care mgmt svc 1st 60 min cal mo (99487) | $150 | $150 | 0.8× |
| Continuous Pulse Ox (94762) | $119 | $119 | 0.9× |
| Critical care first hour (99291) range across 2 matching MRF lines |
$1,012–$1,227 | $1,012–$1,227 | varies |
| Debridement Open Wound 20 Sq Cm< (97597) | $224 | $224 | 1.1× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) | $2,042 | $2,042 | 8.4× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) | $1,234 | $1,234 | 11.6× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) | $2,127 | $2,127 | 8.7× |
| Dup-scan xtr veins unilateral/limited study (93971) | $1,451 | $1,451 | 13.6× |
| Duplex up extrem art bilat (93930) | $1,542.60 | $1,714 | 6.3× |
| Duplex up extrem art unilat/ltd (93931) | $931.50 | $1,035 | 8.7× |
| Echo Heart Xthoracic,Limited (93308) | $530 | $530 | 2.2× |
| Electrical Stimulation Ea 15 Min (97032) | $67 | $67 | 4.6× |
| Electrocardiogram Tracing (93005) | $229 | $229 | 3.8× |
| Emergency Dept Visit Level 2 (99282) range across 2 matching MRF lines |
$350–$403 | $350–$403 | varies |
| Emergency Dept Visit Level 3 (99283) range across 2 matching MRF lines |
$652–$717 | $652–$717 | varies |
| Emergency Dept Visit Level 4 (99284) range across 2 matching MRF lines |
$823–$898 | $823–$898 | varies |
| Er level 1 (99281) range across 2 matching MRF lines |
$224–$254 | $224–$254 | varies |
| Er level v (99285) range across 3 matching MRF lines |
$127–$1,341 | $127–$1,341 | varies |
| Extracranial Bilat Study (93880) | $1,328 | $1,328 | 5.4× |
| Extracranial Uni/Ltd Study (93882) | $871 | $871 | 8.2× |
| Group Therapeutic Procedures (97150) | $63 | $63 | 3.5× |
| Holter monitor recording (93225) | $405 | $405 | 3.0× |
| Immunization administration (90471) | $55 | $55 | 0.7× |
| Iontophoresis 15 min (97033) | $102 | $102 | 5.4× |
| Irrig Drug Delivery Device (96523) | $101 | $101 | 1.7× |
| IV infusion hydration each additional hour (96361) | $84 | $84 | 1.8× |
| IV infusion hydration initial 31 min-1 hour (96360) | $254 | $254 | 1.2× |
| IV infusion ther proph addl sequential to 1 hr (96367) | $110 | $110 | 1.5× |
| IV infusion therapy prophylaxis/dx ea hour (96366) | $136 | $136 | 2.8× |
| IV push initial (96374) | $192 | $192 | 0.9× |
| Low frequency non-thermal us (97610) | $354 | $354 | 1.7× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) range across 2 matching MRF lines |
$190–$200 | $190–$200 | varies |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) range across 3 matching MRF lines |
$44–$375 | $44–$375 | varies |
| Neuromuscular Reeducation (97112) range across 2 matching MRF lines |
$104–$114 | $104–$114 | varies |
| Nonphysician Telephone Assessment 21-30 Min (98968) | $172 | $172 | 5.0× |
| Orthc/Prostc Mgmt Sbsq Enc (97763) | $172 | $172 | 3.4× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) range across 3 matching MRF lines |
$96–$153 | $96–$153 | varies |
| Ot eval high complexity (97167) | $208 | $208 | 2.1× |
| Ot Eval Low Complex (97165) | $276 | $276 | 2.7× |
| Ot Eval Moderate Complexity (97166) | $339 | $339 | 3.4× |
| Ot manual therapy 15 min (97140) range across 2 matching MRF lines |
$99–$109 | $99–$109 | varies |
| Ot Prosthetic Training, Each 15 Min (97761) | $107 | $107 | 2.6× |
| Ot Re-Eval Est Plan Care (97168) | $188 | $188 | 2.7× |
| Ot rom hand (95852) | $194 | $194 | 9.1× |
| Phlebotomy therapeutic (99195) | $114 | $114 | 0.8× |
| Physical Performance Test (97750) | $110 | $110 | 3.3× |
| Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) | $34 | $34 | 0.7× |
| Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) | $49 | $49 | 1.0× |
| Psych diag eval w/med srvcs (90792) | $493 | $493 | 2.7× |
| Psychiatric diagnostic evaluation (90791) | $241 | $241 | 1.3× |
| Psytx Crisis Initial 60 Min (90839) | $234 | $234 | 1.3× |
| Pt Asstv Technol Assmt Dir Cntct W/Reprt Ea 15 Min (97755) | $110 | $110 | 2.9× |
| Pt Eval High Complex (97163) | $206 | $206 | 2.1× |
| Pt eval low complex 20 min (97161) range across 2 matching MRF lines |
$85–$170 | $85–$170 | varies |
| Pt Eval Mod Complex (97162) | $231 | $231 | 2.4× |
| Pt gait training 15 min (97116) range across 2 matching MRF lines |
$94–$104 | $94–$104 | varies |
| Pt mechanical traction (97012) | $52 | $52 | 3.6× |
| Pt Re-Eval Est Plan Care (97164) | $130 | $130 | 1.9× |
| Remote 30 Day Ecg Rev/Report (93270) | $198 | $198 | 5.2× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) | $161 | $161 | 0.8× |
| Rom Meas&Reprt Ea Xtr Ex Hand/Ea Trnk Sctj Spi (95851) | $162 | $162 | 6.2× |
| Self Care Mngment Training (97535) range across 3 matching MRF lines |
$103–$222 | $103–$222 | varies |
| Spirometry (94010) | $153 | $153 | 0.7× |
| Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) | $99 | $99 | 2.7× |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) | $63 | $63 | 2.1× |
| Ther/Proph/Diag Inj Sc/Im (96372) range across 4 matching MRF lines |
$17–$54 | $17–$54 | varies |
| Ther/Proph/Diag Iv Inf Init (96365) | $442 | $442 | 2.0× |
| Therapeutic Activities (97530) range across 3 matching MRF lines |
$94–$109 | $94–$109 | varies |
| Tobacco Use Cessation Intensive >10 Minutes (99407) | $100 | $100 | 2.6× |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) | $64 | $64 | 1.7× |
| Tx/Pro/Dx Inj New Drug Addon (96375) | $115 | $115 | 2.4× |
| Vasopneumatic device (97016) | $73 | $73 | 6.1× |
| Vent Mgmt Inpat Init Day (94002) | $204 | $204 | 0.3× |
| Visual field xm uni/bi w/interpretj limited exam (92081) | $192 | $192 | 3.2× |
| Wheelchair Mgmt Ea 15 Min (97542) range across 3 matching MRF lines |
$54–$100 | $54–$100 | 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.