Visits & medical services prices at Ruby Valley Medical Center
Sheridan, MT · every code in this section with a posted price and a Medicare benchmark.
137 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Admn Sarscov2 Vacc 1 Dose (90480) range across 2 matching MRF lines |
$62.10–$65.70 | $69–$73 | varies |
| Airway Inhalation Treatment (94640) | $84.60 | $94 | 0.4× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) range across 2 matching MRF lines |
$72–$76.50 | $80–$85 | varies |
| Application Modality 1/> Areas Infrared (97026) | $32.40 | $36 | 4.9× |
| Assessment of aphasia per hr (96105) | $279.90 | $311 | 2.9× |
| Behavral qualit analys voice (92524) | $253.80 | $282 | 2.3× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) range across 3 matching MRF lines |
$108.90–$401.40 | $121–$446 | varies |
| Canalith repositioning proc (95992) | $123.30 | $137 | 3.0× |
| Cardiac Stress Tst,Tracing Only (93017) | $1,234.80 | $1,372 | 5.6× |
| Cardiopulmonary resuscitation (92950) | $787.50 | $875 | 3.6× |
| Cardioversion (92960) | $1,383.30 | $1,537 | 2.0× |
| Cbt 1st hour (94644) | $188.10 | $209 | 1.4× |
| Chemo Anti-Neopl Sq/Im (96401) | $297 | $330 | 4.0× |
| Chemo Hormon Antineopl Sq/Im (96402) | $241.20 | $268 | 3.3× |
| Chemo Intralesional Over 7 (96406) | $409.50 | $455 | 1.9× |
| Chemo intralesional up to 7 (96405) | $250.20 | $278 | 3.4× |
| Chemo IV infusion addl hr (96415) | $276.30 | $307 | 3.8× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) | $801 | $890 | 2.4× |
| Chiropract manj 3-4 regions (98941) | $52.20 | $58 | 2.4× |
| Chiropractic manipulative treatment (CMT); spinal, 1-2 regions Facility (98940) | $46.80 | $52 | 2.1× |
| Chiropractic manipulative treatment (CMT); spinal, 5 regions Facility (98942) | $72 | $80 | 3.3× |
| Color/duplex Doppler, complete (93975) | $637.20 | $708 | 2.6× |
| Color/duplex Doppler, limited (93976) | $449.10 | $499 | 4.2× |
| Community/Work Reintegration Trainj Ea 15 Min (97537) range across 2 matching MRF lines |
$72.90–$82.80 | $81–$92 | varies |
| Continuous Pulse Ox (94762) | $401.40 | $446 | 3.1× |
| Critical care first hour (99291) range across 2 matching MRF lines |
$545.40–$2,375.10 | $606–$2,639 | varies |
| Debridement Open Wound 20 Sq Cm< (97597) range across 4 matching MRF lines |
$308.70–$471.60 | $343–$524 | varies |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) | $336.60 | $374 | 1.4× |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) | $336.60 | $374 | 3.2× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) | $601.20 | $668 | 2.5× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) | $432 | $480 | 4.0× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) | $661.50 | $735 | 2.7× |
| Dup-scan xtr veins unilateral/limited study (93971) | $441 | $490 | 4.1× |
| Duplex up extrem art bilat (93930) | $850.50 | $945 | 3.5× |
| Duplex up extrem art unilat/ltd (93931) | $432 | $480 | 4.0× |
| Echo Congenital Complete (93303) | $567.90 | $631 | 1.0× |
| Echo Heart Xthoracic,Limited (93308) | $704.70 | $783 | 2.9× |
| Electrical Stimulation Ea 15 Min (97032) range across 3 matching MRF lines |
$81.90–$98.10 | $91–$109 | varies |
| Electrocardiogram Tracing (93005) range across 2 matching MRF lines |
$161.10–$167.40 | $179–$186 | varies |
| Emergency Dept Visit Level 2 (99282) range across 2 matching MRF lines |
$90.90–$416.70 | $101–$463 | varies |
| Emergency Dept Visit Level 3 (99283) range across 2 matching MRF lines |
$132.30–$682.20 | $147–$758 | varies |
| Emergency Dept Visit Level 4 (99284) range across 2 matching MRF lines |
$249.30–$1,098.90 | $277–$1,221 | varies |
| Er level 1 (99281) range across 2 matching MRF lines |
$81–$251.10 | $90–$279 | varies |
| Er level v (99285) range across 2 matching MRF lines |
$367.20–$1,640.70 | $408–$1,823 | varies |
| Evaluate Speech Production (92522) | $316.80 | $352 | 2.8× |
| Evaluate Swallowing Function (92610) | $609.30 | $677 | 7.2× |
| Evaluation of speech fluency (92521) | $316.80 | $352 | 2.4× |
| External ECG rec>48hr<7d recording (93242) | $225.90 | $251 | 5.9× |
| External ECG rec>48hr<7d scanning alys w/report (93243) | $225.90 | $251 | 1.7× |
| External ECG rec>7d<15d recording (93246) | $225.90 | $251 | 5.9× |
| External ECG rec>7d<15d scanning alys w/report (93247) | $225.90 | $251 | 1.7× |
| External Ecg Scanning Analysis Report (93226) | $364.50 | $405 | 6.0× |
| Extracranial Bilat Study (93880) | $624.60 | $694 | 2.6× |
| Extracranial Uni/Ltd Study (93882) | $369 | $410 | 3.5× |
| Group Therapeutic Procedures (97150) range across 2 matching MRF lines |
$85.50–$94.50 | $95–$105 | varies |
| Holter monitor recording (93225) | $304.20 | $338 | 2.2× |
| Im Adm Intransl/Oral 1 Vaccine (90473) | $34.20 | $38 | 0.5× |
| Immunization administration (90471) | $65.70 | $73 | 0.9× |
| Intracranial Complete Study (93886) | $1,172.70 | $1,303 | 4.8× |
| Iontophoresis 15 min (97033) | $99.90 | $111 | 5.2× |
| Irrig Drug Delivery Device (96523) | $128.70 | $143 | 2.1× |
| IV infusion hydration each additional hour (96361) | $102.60 | $114 | 2.1× |
| IV infusion hydration initial 31 min-1 hour (96360) range across 2 matching MRF lines |
$319.50–$338.40 | $355–$376 | varies |
| IV infusion ther proph addl sequential to 1 hr (96367) | $137.70 | $153 | 1.9× |
| IV infusion therapy prophylaxis/dx ea hour (96366) | $113.40 | $126 | 2.4× |
| IV push initial (96374) | $175.50 | $195 | 0.8× |
| Motion Fluoroscopy/Swallow (92611) | $716.40 | $796 | 7.8× |
| Muscle Test 2 Limbs (95861) | $354.60 | $394 | 2.6× |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) | $528.30 | $587 | 1.3× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) | $397.80 | $442 | 1.9× |
| Neuromuscular Reeducation (97112) range across 4 matching MRF lines |
$98.10–$185.40 | $109–$206 | varies |
| Nonphysician Telephone Assessment 11-20 Min (98967) | $52.20 | $58 | 2.1× |
| Nonphysician Telephone Assessment 21-30 Min (98968) | $57.60 | $64 | 1.7× |
| Nonphysician Telephone Assessment 5-10 Min (98966) | $44.10 | $49 | 3.2× |
| Oral Function Therapy (92526) | $257.40 | $286 | 3.1× |
| Oral Speech Device Eval (92597) | $346.50 | $385 | 4.9× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) | $111.60 | $124 | 2.4× |
| Osteopathic Manipulative Tx 1-2 Body Regions (98925) | $65.70 | $73 | 3.0× |
| Osteopathic manipulative tx 3-4 body regions (98926) | $94.50 | $105 | 4.3× |
| Osteopathic manipulative tx 5-6 body regions (98927) | $125.10 | $139 | 5.7× |
| Osteopathic manipulative tx 7-8 body regions (98928) | $152.10 | $169 | 6.9× |
| Osteopathic manipulative tx 9-10 body regions (98929) | $177.30 | $197 | 8.0× |
| Ot Contrast Bath Ea 15 Min (97034) range across 2 matching MRF lines |
$62.10–$72 | $69–$80 | varies |
| Ot eval high complexity (97167) | $548.10 | $609 | 5.5× |
| Ot Eval Low Complex (97165) | $400.50 | $445 | 4.0× |
| Ot Eval Moderate Complexity (97166) | $473.40 | $526 | 4.7× |
| Ot manual therapy 15 min (97140) | $101.70 | $113 | 3.7× |
| Ot paraffin bath (97018) range across 2 matching MRF lines |
$57.60–$63.90 | $64–$71 | varies |
| Ot Re-Eval Est Plan Care (97168) | $299.70 | $333 | 4.4× |
| Ot rom hand (95852) | $49.50 | $55 | 2.3× |
| Patient-initiated spirometric phys/qhp r&i only (94016) | $84.60 | $94 | 3.4× |
| Phlebotomy therapeutic (99195) range across 2 matching MRF lines |
$125.10–$292.50 | $139–$325 | varies |
| Physical Performance Test (97750) | $113.40 | $126 | 3.4× |
| Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) | $36 | $40 | 0.8× |
| Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) | $67.50 | $75 | 1.4× |
| Psych diag eval w/med srvcs (90792) | $317.70 | $353 | 1.8× |
| Psychiatric diagnostic evaluation (90791) | $286.20 | $318 | 1.6× |
| Psytx Crisis Initial 60 Min (90839) | $198 | $220 | 1.1× |
| Pt Eval High Complex (97163) | $242.10 | $269 | 2.5× |
| Pt eval low complex 20 min (97161) | $188.10 | $209 | 1.9× |
| Pt Eval Mod Complex (97162) | $212.40 | $236 | 2.2× |
| Pt gait training 15 min (97116) range across 2 matching MRF lines |
$89.10–$95.40 | $99–$106 | varies |
| Pt mechanical traction (97012) | $82.80 | $92 | 5.8× |
| Pt Re-Eval Est Plan Care (97164) | $127.80 | $142 | 1.9× |
| Pure Tone Audiometry Air (92552) range across 2 matching MRF lines |
$55.80–$99.90 | $62–$111 | varies |
| Remote 30 Day Ecg Rev/Report (93270) | $324 | $360 | 8.5× |
| Respiratory flow volume loop (94375) | $89.10 | $99 | 0.4× |
| Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) | $73.80 | $82 | 1.2× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) range across 6 matching MRF lines |
$203.40–$327.60 | $226–$364 | varies |
| Rom Meas&Reprt Ea Xtr Ex Hand/Ea Trnk Sctj Spi (95851) | $49.50 | $55 | 1.9× |
| Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) | $423.90 | $471 | 3.5× |
| Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) | $184.50 | $205 | 3.9× |
| Self Care Mngment Training (97535) range across 3 matching MRF lines |
$94.50–$178.20 | $105–$198 | varies |
| Speech sound lang comprehen (92523) | $316.80 | $352 | 1.4× |
| Spirometry (94010) range across 2 matching MRF lines |
$104.40–$218.70 | $116–$243 | varies |
| Standardized Cognitive Performance Testing (96125) | $253.80 | $282 | 2.5× |
| Stress Tte Only (93350) range across 4 matching MRF lines |
$1,946.70–$2,375.10 | $2,163–$2,639 | varies |
| Subq Infusion Additional Pump Infusion Site (96371) | $84.60 | $94 | 1.2× |
| Tcd std icr art ven-artl shnt detcj IV mbubb njx (93893) | $638.10 | $709 | 6.0× |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) | $67.50 | $75 | 3.0× |
| Ther Ivntj Ea Addl 15 Min (97130) | $62.10 | $69 | 3.0× |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) range across 3 matching MRF lines |
$76.50–$89.10 | $85–$99 | varies |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) | $171.90 | $191 | 1.7× |
| Ther/Proph/Diag Inj Sc/Im (96372) | $88.20 | $98 | 1.2× |
| Ther/Proph/Diag Iv Inf Init (96365) | $369 | $410 | 1.7× |
| Therapeutic Activities (97530) | $184.50 | $205 | 5.3× |
| Transcranial Doppler Intracran Art Emboli Detect (93892) | $702.90 | $781 | 6.6× |
| Transcranial Doppler Stdy Intracranial Art Lmtd (93888) | $681.30 | $757 | 6.4× |
| Tte w/doppler, complete (93306) | $1,715.40 | $1,906 | 3.1× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) | $256.50 | $285 | 3.4× |
| Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) | $153.90 | $171 | 6.4× |
| Tx/Pro/Dx Inj New Drug Addon (96375) | $132.30 | $147 | 2.8× |
| Unlisted Psychiatric Service/Procedure (90899) | $216 | $240 | 5.6× |
| Upr/L Xtremity Art 2 Levels (93922) range across 2 matching MRF lines |
$260.10–$379.80 | $289–$422 | varies |
| Vasopneumatic device (97016) | $77.40 | $86 | 6.4× |
| Wheelchair Mgmt Ea 15 Min (97542) range across 2 matching MRF lines |
$81.90–$97.20 | $91–$108 | varies |
| Whirlpool Therapy (97022) | $104.40 | $116 | 6.6× |
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.