Procedures & surgery prices at Roosevelt Medical Center
Culbertson, MT · every code in this section with a posted price and a Medicare benchmark.
125 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Abd paracentesis w/imaging (49083) range across 2 matching MRF lines |
$602–$1,692 | $602–$1,692 | varies |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) range across 2 matching MRF lines |
$385–$409 | $385–$409 | varies |
| Acne surgery (10040) range across 2 matching MRF lines |
$219–$898 | $219–$898 | varies |
| Application cast elbow finger short arm (29075) | $171 | $171 | 0.6× |
| Application Finger Splint Dynamic (29131) | $104 | $104 | 1.7× |
| Application finger splint static (29130) range across 2 matching MRF lines |
$55–$83 | $55–$83 | varies |
| Application Hip Spica Cast 1 Leg (29305) | $318 | $318 | 1.1× |
| Application long arm splint shoulder hand (29105) range across 2 matching MRF lines |
$162–$169 | $162–$169 | varies |
| Application Long Leg Splint (29505) range across 2 matching MRF lines |
$111–$170 | $111–$170 | varies |
| Application of long leg cast (29345) | $271 | $271 | 0.9× |
| Application short arm splint forearm-hand static (29125) range across 4 matching MRF lines |
$128–$694 | $128–$694 | varies |
| Application short leg splint calf foot (29515) | $265 | $265 | 1.6× |
| Apply hand/wrist cast (29085) | $189 | $189 | 1.1× |
| Apply long arm cast (29065) | $190 | $190 | 0.7× |
| Apply Short Leg Cast (29405) | $160 | $160 | 0.6× |
| Arterial puncture (36600) | $61 | $61 | 0.4× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) range across 2 matching MRF lines |
$119–$248 | $119–$248 | varies |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) range across 3 matching MRF lines |
$254–$624 | $254–$624 | varies |
| Aspirate pleura w/ imaging (32555) | $622 | $622 | 1.0× |
| Aspirate Pleura W/O Imaging (32554) range across 2 matching MRF lines |
$415–$446 | $415–$446 | varies |
| Avulsion nail plate partial/complete simple 1 (11730) range across 3 matching MRF lines |
$221–$342 | $221–$342 | varies |
| Bladder Irrigation (51700) | $276 | $276 | 1.1× |
| Bladder Scan (51798) | $86 | $86 | 1.4× |
| Blood Transfusion Service (36430) | $1,126 | $1,126 | 2.5× |
| Chest tube placement (32551) range across 2 matching MRF lines |
$378–$1,229 | $378–$1,229 | varies |
| Clear outer ear canal (69200) range across 2 matching MRF lines |
$165–$210 | $165–$210 | varies |
| Closed Treatment Pst Malleolus Fracture W/O Manj (27767) range across 2 matching MRF lines |
$579–$586 | $579–$586 | varies |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) | $673 | $673 | 2.7× |
| Closed tx metatarsal fracture w/o manipulation (28470) range across 2 matching MRF lines |
$426–$440 | $426–$440 | varies |
| Closed tx patellar dislocation w/anesthesia (27562) range across 2 matching MRF lines |
$714–$860 | $714–$860 | varies |
| Closed tx patellar dislocation w/o anesthesia (27560) | $755 | $755 | 3.0× |
| Closed Tx Patellar Fracture W/O Manipulation (27520) | $651 | $651 | 2.6× |
| Closed tx radial head/neck fx w/o manipulation (24650) | $528 | $528 | 2.1× |
| Closed Tx Radial Shaft Fracture W/O Manipulation (25500) | $561 | $561 | 2.2× |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) range across 3 matching MRF lines |
$978–$1,336 | $978–$1,336 | varies |
| Closed tx radial&ulnar shaft fractures w/o man (25560) | $573 | $573 | 2.3× |
| Closed Tx Scapular Fracture W/O Manipulation (23570) | $485 | $485 | 1.9× |
| Closed tx talus fracture w/o manipulation (28430) | $482 | $482 | 1.9× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) | $273 | $273 | 1.1× |
| Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) | $588 | $588 | 2.3× |
| Closed tx ulnar shaft fracture w/o manipulation (25530) | $529 | $529 | 2.1× |
| Clsd tx clavicular fracture w/o manipulation (23500) range across 3 matching MRF lines |
$445–$652 | $445–$652 | varies |
| Clsd tx fx orbit except blowout w/o manipulation (21400) | $316 | $316 | 0.6× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) range across 3 matching MRF lines |
$766–$1,400 | $766–$1,400 | varies |
| Cltx dstl fibular fx lat malls w/manj (27788) range across 2 matching MRF lines |
$740–$785 | $740–$785 | varies |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) range across 2 matching MRF lines |
$374–$426 | $374–$426 | varies |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) range across 3 matching MRF lines |
$324–$669 | $324–$669 | varies |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) range across 3 matching MRF lines |
$1,023–$1,381 | $1,023–$1,381 | varies |
| Cltx fx grt toe phlx/phlg w/o manj (28490) range across 2 matching MRF lines |
$251–$286 | $251–$286 | varies |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) | $244 | $244 | 1.0× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) | $375 | $375 | 1.5× |
| Cltx Iphal Jt Dislc W/Manj Req Anes (26775) | $777 | $777 | 2.7× |
| Cltx iphal jt dislc w/manj w/o anes (26770) range across 2 matching MRF lines |
$527–$568 | $527–$568 | varies |
| Cltx Medial Ankle Fx (27760) | $672 | $672 | 2.7× |
| Cltx metacarpal fx w/manipulation each bone (26605) range across 2 matching MRF lines |
$582–$656 | $582–$656 | varies |
| Cltx metacarpal fx w/o manipulation each bone (26600) range across 2 matching MRF lines |
$550–$598 | $550–$598 | varies |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) range across 2 matching MRF lines |
$686–$972 | $686–$972 | varies |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) | $398 | $398 | 1.6× |
| Cltx post hip arthrp dislc w/o anes (27265) range across 2 matching MRF lines |
$848–$1,256 | $848–$1,256 | varies |
| Cltx prox fibula/shft fx w/o manj (27780) | $619 | $619 | 2.5× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) range across 4 matching MRF lines |
$196–$554 | $196–$554 | varies |
| Cltx tibial fx proximal w/o manipulation (27530) | $612 | $612 | 2.4× |
| Cltx tibial shaft fx w/o manipulation (27750) | $697 | $697 | 2.8× |
| Collection of venous blood by venipuncture (36415) | $26 | $26 | 2.8× |
| Control Nasal Hemorrhage Anterior Simple (30901) range across 3 matching MRF lines |
$288–$586 | $288–$586 | varies |
| Debridement subcutaneous tissue 20 sq cm/< (11042) range across 2 matching MRF lines |
$251–$690 | $251–$690 | varies |
| Delivery of placenta (59414) range across 2 matching MRF lines |
$215–$2,840 | $215–$2,840 | varies |
| Destruct B9 Lesion 1-14 (17110) | $223 | $223 | 1.1× |
| Destruction premalignant lesion 1st (17000) | $160 | $160 | 0.8× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) range across 3 matching MRF lines |
$113–$165 | $113–$165 | varies |
| Evacuation of subungual hematoma (11740) range across 4 matching MRF lines |
$65–$107 | $65–$107 | varies |
| Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642) | $956 | $956 | 1.3× |
| Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) | $235 | $235 | 0.1× |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) | $397.44 | $397.44 | 0.3× |
| Fine needle aspiration without imaging guidance (10021) | $197 | $197 | 0.5× |
| I&d abscess simple (10060) range across 6 matching MRF lines |
$214–$408 | $214–$408 | varies |
| I&d pilonidal cyst simple (10080) range across 3 matching MRF lines |
$396–$853 | $396–$853 | varies |
| Incise external hemorrhoid (46083) | $388 | $388 | 1.5× |
| Incision & drainage abscess complicated/multiple (10061) range across 2 matching MRF lines |
$365–$602 | $365–$602 | varies |
| Incision & removal foreign body subq tiss simple (10120) range across 4 matching MRF lines |
$303–$660 | $303–$660 | varies |
| Initial Tx 1st Degree Burn Local Tx (16000) | $147 | $147 | 0.7× |
| Injection single/mlt trigger point 1/2 muscles (20552) range across 2 matching MRF lines |
$330–$533 | $330–$533 | varies |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) range across 2 matching MRF lines |
$159–$481 | $159–$481 | varies |
| Insert Bladder Cath Complex (51703) | $322 | $322 | 2.4× |
| Insert Temp Bladder Cath (51702) | $167 | $167 | 1.2× |
| Insert,Non-Indwelling Bladder Catheter (51701) range across 3 matching MRF lines |
$90–$115 | $90–$115 | varies |
| Intubation endotracheal emergency procedure (31500) | $1,002 | $1,002 | 4.1× |
| N block inj intercost sng (64420) | $221 | $221 | 0.3× |
| N Block Inj Plantar Digit (64455) | $97 | $97 | 0.3× |
| Nasal/Orogastric W/Tube Plmt (43752) range across 2 matching MRF lines |
$83–$370 | $83–$370 | varies |
| Placement of needle for intraosseous infusion (36680) range across 2 matching MRF lines |
$250–$312 | $250–$312 | varies |
| Punch biopsy skin single lesion (11104) | $270 | $270 | 0.7× |
| Puncture aspiration abscess hematoma bulla/cyst (10160) range across 2 matching MRF lines |
$190–$343 | $190–$343 | varies |
| Removal foreign body foot deep (28192) | $950 | $950 | 0.6× |
| Removal Foreign Body Foot Subcutaneous (28190) range across 2 matching MRF lines |
$280–$511 | $280–$511 | varies |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) | $424 | $424 | 0.3× |
| Removal impacted cerumen irrigation/lvg unilat (69209) range across 5 matching MRF lines |
$28–$426 | $28–$426 | varies |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) | $102 | $102 | 1.7× |
| Remove foreign body from eye (65205) | $100 | $100 | 0.7× |
| Remove Nasal Foreign Body (30300) range across 3 matching MRF lines |
$264–$458 | $264–$458 | varies |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) range across 3 matching MRF lines |
$589–$1,010 | $589–$1,010 | varies |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) | $544 | $544 | 1.3× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) range across 2 matching MRF lines |
$392–$795 | $392–$795 | varies |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) range across 2 matching MRF lines |
$504–$701 | $504–$701 | varies |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) range across 2 matching MRF lines |
$604–$790 | $604–$790 | varies |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) range across 2 matching MRF lines |
$404–$849 | $404–$849 | varies |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) range across 3 matching MRF lines |
$84–$426 | $84–$426 | varies |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) | $335 | $335 | 0.5× |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) range across 2 matching MRF lines |
$383–$1,055 | $383–$1,055 | varies |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) range across 4 matching MRF lines |
$224–$886 | $224–$886 | varies |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) range across 3 matching MRF lines |
$254–$739 | $254–$739 | varies |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) range across 2 matching MRF lines |
$281–$844 | $281–$844 | varies |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) range across 5 matching MRF lines |
$218–$867 | $218–$867 | varies |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) range across 3 matching MRF lines |
$282–$1,029 | $282–$1,029 | varies |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) range across 4 matching MRF lines |
$320–$948 | $320–$948 | varies |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) | $350 | $350 | 0.8× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) range across 2 matching MRF lines |
$227–$847 | $227–$847 | varies |
| Spinal puncture lumbar diagnostic (62270) | $690 | $690 | 1.0× |
| Strapping Unna Boot (29580) | $127 | $127 | 0.8× |
| Treat humerus fracture (24500) | $723 | $723 | 2.9× |
| Treat humerus fracture (23600) range across 2 matching MRF lines |
$610–$665 | $610–$665 | varies |
| Treatment Closed Elbow Dislocation Req Anes (24605) | $959 | $959 | 0.6× |
| Treatment closed elbow dislocation w/o anes (24600) range across 2 matching MRF lines |
$725–$750 | $725–$750 | varies |
| Tx Spon Hip Dislc Abdct Splnt/Trcj W/Manj Anes (27257) range across 2 matching MRF lines |
$717–$734 | $717–$734 | varies |
| Vaginal delivery only (59409) range across 2 matching MRF lines |
$1,919–$2,841 | $1,919–$2,841 | 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.