Roosevelt Medical Center
Culbertson, MT · Critical Access Hospital
Posts prices for 26 of the 66 common shoppable procedures we track. Price file retrieved 2026-09-04.
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| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| CT head/brain without contrast (70450) | $1,486 | $1,486 | 13.9× |
| MRI brain without contrast (70551) | $1,510 | $1,510 | 6.2× |
| MRI brain without and with contrast (70553) | $2,782 | $2,782 | 7.8× |
| X-ray lower spine, 4+ views (72110) | $407 | $407 | 3.8× |
| MRI lumbar spine without contrast (72148) | $1,500 | $1,500 | 6.2× |
| CT pelvis with contrast (72193) | $2,391 | $2,391 | 13.3× |
| MRI lower-extremity joint without contrast (73721) | $1,641 | $1,641 | 6.7× |
| CT abdomen and pelvis with contrast (74177) | $2,483 | $2,483 | 7.0× |
| Ultrasound, abdomen complete (76700) | $922 | $922 | 8.6× |
| Basic metabolic panel (80048) | $108 | $108 | 12.8× |
| Comprehensive metabolic panel (80053) | $140 | $140 | 13.3× |
| Lipid panel (80061) range across 2 matching MRF lines |
$53–$194 | $53–$194 | varies |
| Renal function panel (80069) | $126 | $126 | 14.5× |
| Hepatic function panel (80076) | $119 | $119 | 14.6× |
| Urinalysis, non-automated, without microscopy (81002) | $29 | $29 | 8.3× |
| PSA, total (84153) range across 3 matching MRF lines |
$25–$62 | $25–$62 | varies |
| Thyroid stimulating hormone (TSH) (84443) | $25 | $25 | 1.5× |
| CBC with automated differential (85025) range across 2 matching MRF lines |
$25–$105 | $25–$105 | varies |
| CBC, automated (85027) | $88 | $88 | 13.6× |
| Prothrombin time (PT) (85610) | $63 | $63 | 14.7× |
| Partial thromboplastin time (PTT) (85730) range across 2 matching MRF lines |
$37–$91 | $37–$91 | varies |
| Electrocardiogram (ECG), complete (93000) | $225 | $225 | 3.7× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) range across 2 matching MRF lines |
$86–$130 | $86–$130 | varies |
| Office visit, new patient (low complexity, ~30 min) (99203) range across 3 matching MRF lines |
$107–$213 | $107–$213 | varies |
| Office visit, new patient (moderate complexity, ~45 min) (99204) range across 3 matching MRF lines |
$162–$325 | $162–$325 | varies |
| Office visit, new patient (high complexity, ~60 min) (99205) | $206 | $206 | 1.5× |
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: 154 codes with posted prices and Medicare benchmarks
- Lab & pathology: 367 codes with posted prices and Medicare benchmarks
- Visits & medical services: 62 codes with posted prices and Medicare benchmarks
- Procedures & surgery: 125 codes with posted prices and Medicare benchmarks
- Supplies, drugs & other: 3 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.