Visits & medical services prices at Wheatland Memorial Hospital
Harlowton, MT · every code in this section with a posted price and a Medicare benchmark.
68 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) | $74 | $74 | 1.8× |
| Advncd Care Plan 30 Min (99497) range across 2 matching MRF lines |
$201–$208 | $201–$208 | varies |
| Airway Inhalation Treatment (94640) | $76 | $76 | 0.3× |
| Assessment of aphasia per hr (96105) | $232 | $232 | 2.4× |
| Brief Emotional/Behav Assmt (96127) | $73 | $73 | 1.9× |
| Cardiopulmonary resuscitation (92950) | $300 | $300 | 1.4× |
| Cardioversion (92960) | $625 | $625 | 0.9× |
| Cardioversion elective internal (92961) | $659 | $659 | 1.0× |
| Color/duplex Doppler, complete (93975) | $132 | $132 | 0.5× |
| Color/duplex Doppler, limited (93976) range across 2 matching MRF lines |
$84–$530 | $84–$530 | varies |
| Critical care first hour (99291) range across 2 matching MRF lines |
$680–$847 | $680–$847 | varies |
| Debridement Open Wound 20 Sq Cm< (97597) | $242 | $242 | 1.2× |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) | $461 | $461 | 1.9× |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) | $298 | $298 | 2.8× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) | $478 | $478 | 2.0× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) | $164 | $164 | 1.5× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) range across 4 matching MRF lines |
$94–$2,615.50 | $94–$2,615.50 | varies |
| Dup-scan xtr veins unilateral/limited study (93971) range across 5 matching MRF lines |
$303–$2,040.50 | $303–$2,040.50 | varies |
| Duplex up extrem art bilat (93930) | $209 | $209 | 0.9× |
| Duplex up extrem art unilat/ltd (93931) | $162 | $162 | 1.5× |
| Echo Heart Xthoracic,Limited (93308) range across 2 matching MRF lines |
$114–$249 | $114–$249 | varies |
| Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) | $324 | $324 | 0.6× |
| Electrocardiogram Tracing (93005) | $626.34 | $626.34 | 10.4× |
| Emergency Dept Visit Level 2 (99282) | $259 | $259 | 1.7× |
| Emergency Dept Visit Level 3 (99283) | $432 | $432 | 1.5× |
| Emergency Dept Visit Level 4 (99284) | $691 | $691 | 1.6× |
| Er level 1 (99281) | $217 | $217 | 2.5× |
| Er level v (99285) | $1,342 | $1,342 | 2.2× |
| Evaluate Swallowing Function (92610) | $615 | $615 | 7.2× |
| External ECG rec>48hr<7d recording (93242) | $41 | $41 | 1.1× |
| External ECG rec>7d<15d recording (93246) | $41.67 | $41.67 | 1.1× |
| Extracranial Bilat Study (93880) range across 2 matching MRF lines |
$487–$1,443.33 | $487–$1,443.33 | varies |
| Extracranial Uni/Ltd Study (93882) | $319 | $319 | 3.0× |
| Im Adm Intransl/Oral 1 Vaccine (90473) | $47 | $47 | 0.6× |
| Immunization administration (90471) range across 3 matching MRF lines |
$12–$46 | $12–$46 | varies |
| Inital newborn e/m (99460) | $349 | $349 | 2.6× |
| Irrig Drug Delivery Device (96523) | $152.17 | $152.17 | 2.5× |
| IV infusion hydration each additional hour (96361) range across 2 matching MRF lines |
$11–$17.95 | $11–$17.95 | varies |
| IV infusion hydration initial 31 min-1 hour (96360) range across 2 matching MRF lines |
$777.71–$787.29 | $777.71–$787.29 | varies |
| IV infusion ther proph addl sequential to 1 hr (96367) | $147.23 | $147.23 | 2.0× |
| IV infusion therapy prophylaxis/dx ea hour (96366) range across 3 matching MRF lines |
$37.74–$66.47 | $37.74–$66.47 | varies |
| IV push initial (96374) range across 3 matching MRF lines |
$248–$363 | $248–$363 | varies |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) | $70 | $70 | 2.2× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) | $77 | $77 | 2.1× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) | $590.69 | $590.69 | 2.9× |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) range across 2 matching MRF lines |
$317–$1,272 | $317–$1,272 | varies |
| Ophth medical xm&eval intermediate estab pt (92012) | $352 | $352 | 2.6× |
| Oral Function Therapy (92526) | $459 | $459 | 5.5× |
| Phlebotomy therapeutic (99195) | $234.67 | $234.67 | 1.7× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) | $12,563.38 | $12,563.38 | 14.3× |
| Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) | $49 | $49 | 1.0× |
| Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) | $50 | $50 | 1.0× |
| Pure Tone Audiometry Air (92552) | $129 | $129 | 0.9× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) | $129 | $129 | 0.6× |
| Self Care Mngment Training (97535) | $147 | $147 | 4.5× |
| Standardized Cognitive Performance Testing (96125) | $349 | $349 | 3.4× |
| Stress Tte Only (93350) range across 2 matching MRF lines |
$305–$474 | $305–$474 | varies |
| Ther/Proph/Diag Inj Sc/Im (96372) range across 2 matching MRF lines |
$94.60–$108 | $94.60–$108 | varies |
| Ther/Proph/Diag Iv Inf Init (96365) range across 2 matching MRF lines |
$647.54–$1,497 | $647.54–$1,497 | varies |
| Tobacco Use Cessation Intensive >10 Minutes (99407) | $115 | $115 | 3.0× |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) | $61 | $61 | 1.6× |
| Trans Care Mgmt 14 Day Disch (99495) | $665 | $665 | 4.9× |
| Trans Care Mgmt 7 Day Disch (99496) | $943 | $943 | 6.9× |
| Tte w/doppler, complete (93306) range across 4 matching MRF lines |
$263–$2,582.50 | $263–$2,582.50 | varies |
| Tx/Pro/Dx Inj New Drug Addon (96375) | $91.56 | $91.56 | 1.9× |
| Tympanometry (92567) | $61 | $61 | 1.6× |
| Upr/L Xtremity Art 2 Levels (93922) range across 2 matching MRF lines |
$52–$208 | $52–$208 | varies |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) range across 2 matching MRF lines |
$52–$325 | $52–$325 | 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.