Visits & medical services prices at Sheridan Memorial Hospital
Plentywood, MT · every code in this section with a posted price and a Medicare benchmark.
80 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) | $49.50 | $55 | 1.2× |
| Airway Inhalation Treatment (94640) | $72 | $80 | 0.3× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) range across 2 matching MRF lines |
$136.80–$144 | $152–$160 | varies |
| Behavral qualit analys voice (92524) | $341.10 | $379 | 3.1× |
| Bfb traing w/EMG &/manometry 1st 15 min cntct (90912) | $81 | $90 | 1.0× |
| Bfb training ea addl 15 min (90913) | $58.50 | $65 | 1.8× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) | $147.60 | $164 | 0.4× |
| Canalith repositioning proc (95992) | $263.70 | $293 | 6.5× |
| Cardiac Stress Tst,Tracing Only (93017) | $1,031.40 | $1,146 | 4.7× |
| Cardiopulmonary resuscitation (92950) | $1,376.10 | $1,529 | 6.2× |
| Cardioversion (92960) | $1,601.10 | $1,779 | 2.4× |
| Chemo Hormon Antineopl Sq/Im (96402) | $174.60 | $194 | 2.4× |
| Color/duplex Doppler, complete (93975) | $1,831.50 | $2,035 | 7.5× |
| Color/duplex Doppler, limited (93976) | $1,234.80 | $1,372 | 11.6× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) range across 4 matching MRF lines |
$259.20–$408.60 | $288–$454 | varies |
| Critical care first hour (99291) | $3,204 | $3,560 | 3.8× |
| Developmental tst admin phys/qhp 1st hour (96112) | $693.90 | $771 | 5.3× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) | $2,655 | $2,950 | 10.9× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) | $839.70 | $933 | 7.9× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) | $1,519.20 | $1,688 | 6.2× |
| Dup-scan xtr veins unilateral/limited study (93971) | $1,472.40 | $1,636 | 13.8× |
| Echo Congenital Complete (93303) | $3,170.70 | $3,523 | 5.7× |
| Echo Heart Xthoracic,Limited (93308) | $1,077.30 | $1,197 | 4.4× |
| Electrical Stimulation Ea 15 Min (97032) | $132.30 | $147 | 9.0× |
| Electrocardiogram Tracing (93005) | $220.50 | $245 | 3.7× |
| Emergency Dept Visit Level 2 (99282) | $440.10 | $489 | 2.8× |
| Emergency Dept Visit Level 3 (99283) | $723.60 | $804 | 2.6× |
| Emergency Dept Visit Level 4 (99284) | $1,243.80 | $1,382 | 2.9× |
| Er level 1 (99281) | $286.20 | $318 | 3.3× |
| Er level v (99285) | $1,950.30 | $2,167 | 3.2× |
| Evaluate pt use of inhaler (94664) range across 2 matching MRF lines |
$47.70–$320.40 | $53–$356 | varies |
| Evaluate Swallowing Function (92610) | $401.40 | $446 | 4.7× |
| Evaluation of speech fluency (92521) | $490.50 | $545 | 3.7× |
| External ECG rec>48hr<7d recording (93242) | $43.20 | $48 | 1.1× |
| External ECG rec>7d<15d recording (93246) | $54 | $60 | 1.4× |
| Extracranial Bilat Study (93880) | $1,673.10 | $1,859 | 6.9× |
| Immunization administration (90471) | $81 | $90 | 1.1× |
| Iontophoresis 15 min (97033) | $81.90 | $91 | 4.3× |
| Irrig Drug Delivery Device (96523) | $176.40 | $196 | 2.9× |
| IV infusion hydration each additional hour (96361) | $191.70 | $213 | 4.0× |
| IV infusion hydration initial 31 min-1 hour (96360) | $551.70 | $613 | 2.5× |
| IV infusion ther proph addl sequential to 1 hr (96367) | $372.60 | $414 | 5.1× |
| IV infusion therapy prophylaxis/dx ea hour (96366) | $238.50 | $265 | 5.0× |
| IV push initial (96374) | $357.30 | $397 | 1.6× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) | $62.10 | $69 | 2.0× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) | $99 | $110 | 2.7× |
| Medical nutrition therapy grp2/ indiv ea 30 mi (97804) | $45 | $50 | 2.6× |
| Neuromuscular Reeducation (97112) range across 2 matching MRF lines |
$140.40–$148.50 | $156–$165 | varies |
| Oral Function Therapy (92526) | $235.80 | $262 | 2.8× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) range across 2 matching MRF lines |
$151.20–$159.30 | $168–$177 | varies |
| Ot eval high complexity (97167) | $368.10 | $409 | 3.7× |
| Ot Eval Low Complex (97165) | $309.60 | $344 | 3.1× |
| Ot Eval Moderate Complexity (97166) | $340.20 | $378 | 3.4× |
| Ot manual therapy 15 min (97140) | $140.40 | $156 | 5.1× |
| Ot Re-Eval Est Plan Care (97168) | $213.30 | $237 | 3.1× |
| Phlebotomy therapeutic (99195) | $175.50 | $195 | 1.3× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) | $4,838.40 | $5,376 | 5.5× |
| Pt Eval High Complex (97163) | $386.10 | $429 | 3.9× |
| Pt eval low complex 20 min (97161) | $324.90 | $361 | 3.3× |
| Pt Eval Mod Complex (97162) | $364.50 | $405 | 3.7× |
| Pt gait training 15 min (97116) | $135.90 | $151 | 4.7× |
| Pt mechanical traction (97012) range across 2 matching MRF lines |
$81.90–$135.90 | $91–$151 | varies |
| Pt Re-Eval Est Plan Care (97164) | $175.50 | $195 | 2.6× |
| Pulmonary service/procedure (94799) | $19.80 | $22 | 0.2× |
| Remote 30 Day Ecg Rev/Report (93270) | $44.10 | $49 | 1.2× |
| Self Care Mngment Training (97535) range across 2 matching MRF lines |
$143.10–$150.30 | $159–$167 | varies |
| Speech sound lang comprehen (92523) | $477 | $530 | 2.1× |
| Spirometry (94010) | $106.20 | $118 | 0.5× |
| Standardized Cognitive Performance Testing (96125) | $456.30 | $507 | 4.4× |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) | $85.50 | $95 | 3.8× |
| Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) range across 2 matching MRF lines |
$142.20–$156.60 | $158–$174 | varies |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) | $216.90 | $241 | 2.1× |
| Ther/Proph/Diag Inj Sc/Im (96372) | $144.90 | $161 | 2.0× |
| Ther/Proph/Diag Iv Inf Init (96365) | $880.20 | $978 | 4.1× |
| Therapeutic Activities (97530) range across 2 matching MRF lines |
$147.60–$159.30 | $164–$177 | varies |
| Tte w/doppler, complete (93306) range across 2 matching MRF lines |
$162–$2,752.20 | $180–$3,058 | varies |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) | $202.50 | $225 | 2.7× |
| Tx/Pro/Dx Inj New Drug Addon (96375) | $223.20 | $248 | 4.7× |
| Vital capacity, total (94150) | $26.10 | $29 | 0.2× |
| Wheelchair Mgmt Ea 15 Min (97542) | $61.20 | $68 | 2.0× |
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.