Visits & medical services prices at Roosevelt Medical Center
Culbertson, MT · every code in this section with a posted price and a Medicare benchmark.
62 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) | $183 | $183 | 0.8× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) range across 2 matching MRF lines |
$69–$95 | $69–$95 | varies |
| Canalith repositioning proc (95992) range across 2 matching MRF lines |
$107–$127 | $107–$127 | varies |
| Cardiopulmonary resuscitation (92950) range across 2 matching MRF lines |
$644–$866 | $644–$866 | varies |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) | $469 | $469 | 2.1× |
| Critical care first hour (99291) range across 2 matching MRF lines |
$555–$2,389 | $555–$2,389 | varies |
| Debridement Open Wound 20 Sq Cm< (97597) | $183 | $183 | 0.9× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) | $1,757 | $1,757 | 7.2× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) | $908 | $908 | 8.5× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) | $1,311 | $1,311 | 5.4× |
| Dup-scan xtr veins unilateral/limited study (93971) | $1,105 | $1,105 | 10.3× |
| Duplex up extrem art bilat (93930) | $1,367 | $1,367 | 5.6× |
| Duplex up extrem art unilat/ltd (93931) | $996 | $996 | 9.3× |
| Echo Heart Xthoracic,Limited (93308) | $1,021 | $1,021 | 4.2× |
| Electrical Stimulation Ea 15 Min (97032) | $187 | $187 | 12.7× |
| Electrocardiogram Tracing (93005) | $230 | $230 | 3.8× |
| Emergency Dept Visit Level 2 (99282) range across 2 matching MRF lines |
$89–$361 | $89–$361 | varies |
| Emergency Dept Visit Level 3 (99283) range across 2 matching MRF lines |
$134–$750 | $134–$750 | varies |
| Emergency Dept Visit Level 4 (99284) range across 2 matching MRF lines |
$253–$1,164 | $253–$1,164 | varies |
| Er level 1 (99281) range across 2 matching MRF lines |
$45–$266 | $45–$266 | varies |
| Er level v (99285) range across 2 matching MRF lines |
$372–$1,571 | $372–$1,571 | varies |
| Extracranial Bilat Study (93880) | $1,242 | $1,242 | 5.1× |
| Extracranial Uni/Ltd Study (93882) | $630 | $630 | 5.9× |
| Immunization administration (90471) | $74 | $74 | 1.0× |
| Iontophoresis 15 min (97033) | $77 | $77 | 4.0× |
| Irrig Drug Delivery Device (96523) | $176 | $176 | 2.9× |
| IV infusion hydration each additional hour (96361) | $117 | $117 | 2.4× |
| IV infusion hydration initial 31 min-1 hour (96360) range across 2 matching MRF lines |
$157–$457 | $157–$457 | varies |
| IV infusion ther proph addl sequential to 1 hr (96367) range across 2 matching MRF lines |
$183–$280 | $183–$280 | varies |
| IV infusion therapy prophylaxis/dx ea hour (96366) | $200 | $200 | 4.2× |
| IV push initial (96374) | $280 | $280 | 1.3× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) | $313 | $313 | 1.5× |
| Neuromuscular Reeducation (97112) range across 2 matching MRF lines |
$82–$99 | $82–$99 | varies |
| Orthc/Prostc Mgmt Sbsq Enc (97763) | $87 | $87 | 1.7× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) | $93 | $93 | 2.0× |
| Ot eval high complexity (97167) | $247 | $247 | 2.5× |
| Ot Eval Low Complex (97165) | $202 | $202 | 2.0× |
| Ot Eval Moderate Complexity (97166) | $206 | $206 | 2.0× |
| Ot manual therapy 15 min (97140) range across 2 matching MRF lines |
$77–$95 | $77–$95 | varies |
| Ot Prosthetic Training, Each 15 Min (97761) | $95 | $95 | 2.4× |
| Ot Re-Eval Est Plan Care (97168) | $169 | $169 | 2.5× |
| Pt Eval High Complex (97163) | $230 | $230 | 2.4× |
| Pt eval low complex 20 min (97161) | $163 | $163 | 1.7× |
| Pt Eval Mod Complex (97162) | $203 | $203 | 2.1× |
| Pt gait training 15 min (97116) | $73 | $73 | 2.5× |
| Pt mechanical traction (97012) range across 2 matching MRF lines |
$55–$58 | $55–$58 | varies |
| Pt Re-Eval Est Plan Care (97164) | $155 | $155 | 2.3× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) | $121 | $121 | 0.6× |
| Self Care Mngment Training (97535) range across 3 matching MRF lines |
$83–$106 | $83–$106 | varies |
| Sensory Integration Ea 15 Min (97533) | $62 | $62 | 1.0× |
| Spirometry (94010) | $308 | $308 | 1.4× |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) | $89 | $89 | 4.0× |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) | $59 | $59 | 2.0× |
| Ther/Proph/Diag Inj Ia (96373) | $49 | $49 | 0.2× |
| Ther/Proph/Diag Inj Sc/Im (96372) | $160 | $160 | 2.2× |
| Ther/Proph/Diag Iv Inf Init (96365) range across 2 matching MRF lines |
$394–$449 | $394–$449 | varies |
| Therapeutic Activities (97530) range across 2 matching MRF lines |
$92–$116 | $92–$116 | varies |
| Tte w/doppler, complete (93306) | $2,065 | $2,065 | 3.7× |
| Tx/Pro/Dx Inj New Drug Addon (96375) | $240 | $240 | 5.0× |
| Upr/L Xtremity Art 2 Levels (93922) | $956 | $956 | 7.0× |
| Wheelchair Mgmt Ea 15 Min (97542) range across 2 matching MRF lines |
$86–$93 | $86–$93 | varies |
| Whirlpool Therapy (97022) | $48 | $48 | 3.1× |
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.