Visits & medical services prices at Trinity Hospital

Wolf Point, MT · every code in this section with a posted price and a Medicare benchmark.

78 codes. Prices are the hospital's own posted facility charges.

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ProcedurePosted cashPosted gross× Medicare
Airway Inhalation Treatment (94640)
range across 2 matching MRF lines
$98.25–$164.63 $131–$219.50 varies
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $84.38 $112.50 5.9×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $453 $604 1.2×
Canalith repositioning proc (95992) $289.50 $386 7.1×
Cardiopulmonary resuscitation (92950) $520.88 $694.50 2.4×
Cardioversion (92960) $939 $1,252 1.4×
Chemo IV infusion addl hr (96415) $65.25 $87 0.9×
Chemo IV push addl drug (96411) $128.25 $171 1.7×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $150.38 $200.50 2.0×
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) $579 $772 1.7×
Chemotx admn IV push tq 1/1st sbst/drug (96409) $627 $836 1.9×
Color/duplex Doppler, complete (93975) $450.45 $600.60 1.8×
Color/duplex Doppler, limited (93976) $430.88 $574.50 4.0×
Community/Work Reintegration Trainj Ea 15 Min (97537) $42 $56 1.3×
Cpap Ventilation Cpap Initiation&Mgmt (94660)
range across 3 matching MRF lines
$86.25–$164.63 $115–$219.50 varies
Critical care first hour (99291) $2,622 $3,496 3.1×
Debridement Open Wound 20 Sq Cm< (97597) $177.38 $236.50 0.9×
Dup-scan lxtr art/artl bpgs compl bi study (93925) $1,557.38 $2,076.50 6.4×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $942.38 $1,256.50 8.8×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $1,372.88 $1,830.50 5.6×
Dup-scan xtr veins unilateral/limited study (93971) $942.38 $1,256.50 8.8×
Duplex up extrem art bilat (93930) $1,369.88 $1,826.50 5.6×
Duplex up extrem art unilat/ltd (93931) $826.50 $1,102 7.7×
Echo Congenital Complete (93303) $877.50 $1,170 1.6×
Echo Heart Xthoracic,Limited (93308) $621.38 $828.50 2.5×
Electrical Stimulation Ea 15 Min (97032) $123 $164 8.4×
Electrocardiogram Tracing (93005)
range across 2 matching MRF lines
$127.50–$193.13 $170–$257.50 varies
Emergency Dept Visit Level 2 (99282) $419.25 $559 2.7×
Emergency Dept Visit Level 3 (99283) $519.75 $693 1.9×
Emergency Dept Visit Level 4 (99284) $775.88 $1,034.50 1.8×
Er level 1 (99281)
range across 2 matching MRF lines
$201–$1,858.13 $268–$2,477.50 varies
Er level v (99285) $1,219.88 $1,626.50 2.0×
Evaluate pt use of inhaler (94664) $316.50 $422 1.4×
Extracranial Bilat Study (93880) $946.88 $1,262.50 3.9×
Extracranial Uni/Ltd Study (93882) $621.75 $829 5.8×
F-up/limited tthrc echo congenital car anomaly (93304) $877.50 $1,170 1.6×
Group Therapeutic Procedures (97150) $53.63 $71.50 3.0×
Immunization administration (90471) $54.38 $72.50 0.7×
Iontophoresis 15 min (97033)
range across 2 matching MRF lines
$115.13–$118.50 $153.50–$158 varies
Irrig Drug Delivery Device (96523) $133.13 $177.50 2.2×
IV infusion hydration each additional hour (96361) $127.13 $169.50 2.7×
IV infusion hydration initial 31 min-1 hour (96360) $352.13 $469.50 1.6×
IV infusion ther proph addl sequential to 1 hr (96367) $227.25 $303 3.1×
IV infusion therapy prophylaxis/dx ea hour (96366) $278.25 $371 5.8×
IV push initial (96374) $350.63 $467.50 1.6×
Neuromuscular Reeducation (97112) $100.13 $133.50 3.1×
Orthc/Prostc Mgmt Sbsq Enc (97763) $118.13 $157.50 2.4×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $103.88 $138.50 2.3×
Ot eval high complexity (97167) $260.63 $347.50 2.6×
Ot Eval Low Complex (97165) $171 $228 1.7×
Ot Eval Moderate Complexity (97166) $219.75 $293 2.2×
Ot manual therapy 15 min (97140) $96 $128 3.5×
Ot Prosthetic Training, Each 15 Min (97761)
range across 2 matching MRF lines
$102.38–$109.50 $136.50–$146 varies
Ot Re-Eval Est Plan Care (97168) $102.38 $136.50 1.5×
Phlebotomy therapeutic (99195) $120.38 $160.50 0.9×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $3,025.50 $4,034 3.4×
Pt Eval High Complex (97163) $244.13 $325.50 2.5×
Pt eval low complex 20 min (97161) $174 $232 1.8×
Pt Eval Mod Complex (97162) $209.63 $279.50 2.1×
Pt gait training 15 min (97116) $94.50 $126 3.3×
Pt mechanical traction (97012)
range across 2 matching MRF lines
$65.63–$67.88 $87.50–$90.50 varies
Pt Re-Eval Est Plan Care (97164) $126.75 $169 1.9×
Pulmonary service/procedure (94799) $12 $16 0.1×
Pure Tone Audiometry Air (92552) $106.50 $142 0.8×
Self Care Mngment Training (97535) $99.38 $132.50 3.1×
Spirometry (94010)
range across 2 matching MRF lines
$141.38–$247.88 $188.50–$330.50 varies
Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) $93.75 $125 4.2×
Ther Ivntj Ea Addl 15 Min (97130) $89.63 $119.50 4.3×
Ther Px 1/> Areas Each 15 Minutes Massage (97124) $48.75 $65 1.6×
Ther/Proph/Diag Inj Sc/Im (96372)
range across 3 matching MRF lines
$78–$127.50 $104–$170 varies
Ther/Proph/Diag Iv Inf Init (96365) $379.50 $506 1.7×
Therapeutic Activities (97530) $103.13 $137.50 2.9×
Tte w/doppler, complete (93306) $1,569.38 $2,092.50 2.8×
Tte W/O Doppler Complete (93307) $1,053 $1,404 4.3×
Tx/Pro/Dx Inj New Drug Addon (96375) $146.25 $195 3.1×
Vent Mgmt Inpat Init Day (94002) $78 $104 0.1×
Wheelchair Mgmt Ea 15 Min (97542)
range across 2 matching MRF lines
$44.25–$60 $59–$80 varies
Whirlpool Therapy (97022)
range across 2 matching MRF lines
$31.88–$55.88 $42.50–$74.50 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.