Montana · 1,076 published self-pay prices, from $1.80 to $3,240.
These items are published without a standard CPT or HCPCS code, so they cannot be reliably matched against the same service at another hospital. They are shown exactly as this facility published them, and are excluded from every median, average and comparison elsewhere on this site.
Showing the 300 lowest-priced of 1,076 published items.
| Item | Cash price | Setting |
|---|---|---|
| 5% DEXTROSE/NORMAL SALINE (500 ML = 1 UNIT) | $9.00 | Outpatient |
| A/G RATIO | $58.50 | Outpatient |
| Acute hepatitis panel | $91.80 | Outpatient |
| ADH (antidiuretic hormone) level | $129 | Outpatient |
| ADHESIVE BANDAGE, FIRST-AID TYPE, ANY SIZE, EACH | $2.25 | Outpatient |
| ADHESIVE BASE ENDOTRACH STABILOCK | $15.30 | Outpatient |
| ADHESIVE, LIQUID OR EQUAL, ANY TYPE, PER OZ | $63.00 | Outpatient |
| ADMINISTRATION OF PNEUMOCOCCAL VACCINE | $21.60 | Outpatient |
| Administration of vaccine | $22.50 | Both |
| ADMINISTRATION SET, WITH SMALL VOLUME NONFILTERED PNEUMATIC NEBULIZER, DISPOSABLE | $3.60 | Outpatient |
| ADULT SIZED DISPOSABLE INCONTINENCE PRODUCT, BRIEF/DIAPER, EXTRA LARGE, EACH | $41.40 | Outpatient |
| ADULT SIZED DISPOSABLE INCONTINENCE PRODUCT, BRIEF/DIAPER, LARGE, EACH | $36.00 | Outpatient |
| ADULT SIZED DISPOSABLE INCONTINENCE PRODUCT, BRIEF/DIAPER, MEDIUM, EACH | $40.50 | Outpatient |
| ADULT SIZED DISPOSABLE INCONTINENCE PRODUCT, PROTECTIVE BRIEF/DIAPER, ABOVE EXTRA LARGE, EACH | $47.70 | Outpatient |
| AIRLIFE SALINE 15ML VIAL | $4.95 | Outpatient |
| AIRLIFE SALINE 3ML VIAL | $2.25 | Outpatient |
| Albumin (protein) level | $47.70 | Outpatient |
| ALCOHOL AND/OR DRUG SCREENING | $90.00 | Outpatient |
| Alcohols levels | $46.80 | Outpatient |
| Alkaloids levels | $88.20 | Outpatient |
| ALKP ISOENZYMES | $32.40 | Outpatient |
| Alpha-1-antitrypsin (protein) blood test, total | $23.40 | Outpatient |
| Alpha-fetoprotein (AFP) level, serum | $27.00 | Outpatient |
| ALS SPECIALIZED SERVICE DISPOSABLE SUPPLIES; ESOPHAGEAL INTUBATION | $5.40 | Outpatient |
| Amino acid analysis, quantitative, each specimen | $55.80 | Outpatient |
| Ammonia level | $40.50 | Outpatient |
| Amplifed DNA or RNA probe detection of severe acute respiratory syndrome coronavirus 2 (Covid-19) antigen | $122 | Outpatient |
| Amylase (enzyme) level | $57.60 | Outpatient |
| Analgesics levels, 1 or 2 | $68.85 | Outpatient |
| Analysis for antibody Borrelia burgdorferi (Lyme disease bacteria) | $104 | Outpatient |
| Analysis for antibody to Chlamydia (bacteria) | $75.60 | Outpatient |
| Analysis for antibody to Cytomegalovirus (CMV) | $35.10 | Outpatient |
| Analysis for antibody to Epstein-Barr virus (mononucleosis virus), early antigen | $37.80 | Outpatient |
| Analysis for antibody to Epstein-Barr virus (mononucleosis virus), nuclear antigen | $37.80 | Outpatient |
| Analysis for antibody to Epstein-Barr virus (mononucleosis virus), viral capsid | $58.50 | Outpatient |
| Analysis for antibody to helminth (intestinal worm) | $175 | Outpatient |
| Analysis for antibody to Herpes simplex virus, type 1 | $144 | Outpatient |
| Analysis for antibody to Herpes simplex virus, type 2 | $144 | Outpatient |
| Analysis for antibody to HIV -1 virus | $80.55 | Outpatient |
| Analysis for antibody to john cunningham virus | $113 | Outpatient |
| Analysis for antibody to mumps virus | $51.30 | Outpatient |
| Analysis for antibody to Rickettsia (bacteria) | $88.20 | Outpatient |
| Analysis for antibody to Rubella (German measles virus) | $16.20 | Outpatient |
| Analysis for antibody to varicella-zoster virus (chicken pox) | $28.80 | Outpatient |
| Analysis for antibody to virus | $85.50 | Outpatient |
| Analysis for antibody to West Nile virus | $130 | Outpatient |
| Analysis for antibody, Treponema pallidum | $23.40 | Outpatient |
| Analysis of substance using immunoassay technique, multiple step method | $21.60 | Outpatient |
| Analysis using chemiluminescent technique (light and chemical )reaction | $85.50 | Outpatient |
| ANION GAP | $47.70 | Outpatient |
| ANKLE FOOT ORTHOSIS, MULTILIGAMENTOUS ANKLE SUPPORT, PREFABRICATED, OFF-THE-SHELF | $16.20 | Outpatient |
| ANKLE SPLINT MED **DISC BY MFG-NO REPLACEMENT** | $77.63 | Outpatient |
| Antidepressants levels, 1 or 2 (tricyclic and other cyclicals) | $45.00 | Outpatient |
| Antithrombin III antigen (clotting inhibitor) activity | $42.30 | Outpatient |
| Apolipoprotein level | $26.10 | Outpatient |
| Application of blood vessel compression device | $33.30 | Outpatient |
| Application of elbow to finger cast | $171 | Outpatient |
| Application of electrical stimulation | $34.20 | Outpatient |
| Application of electrical stimulation with therapist present, each 15 minutes | $37.80 | Outpatient |
| Application of hand and lower forearm cast | $172 | Outpatient |
| Application of hot and cold baths, each 15 minutes | $31.50 | Outpatient |
| Application of hot or cold packs | $23.40 | Outpatient |
| Application of hot wax bath | $27.00 | Outpatient |
| Application of long leg splint from thigh to ankle or toe | $159 | Both |
| Application of lower and upper arm splint | $162 | Outpatient |
| Application of mechanical traction | $28.80 | Outpatient |
| Application of medication using electrical current, each 15 minutes | $55.80 | Outpatient |
| Application of nonmoveable finger splint | $72.00 | Outpatient |
| Application of nonmoveable forearm to hand splint | $111 | Outpatient |
| Application of short leg cast | $195 | Outpatient |
| Application of short leg splint from calf to foot | $132 | Outpatient |
| Application of shoulder to hand cast | $194 | Outpatient |
| Application of ultrasound, each 15 minutes | $27.90 | Outpatient |
| Application of walking cast covering below knee to toe | $214 | Outpatient |
| Application of whirlpool therapy | $40.50 | Outpatient |
| APPLICATOR SILVER NITRATE 6IN WOOD SHAFT GRAFCO | $13.73 | Outpatient |
| ARROW EZ-IO 15MM NEEDLE AND STABILIZER | $318 | Outpatient |
| ARROW EZ-IO 25MM NEEDLE AND STABILIZER | $318 | Outpatient |
| ARROW EZ-IO 45MM NEEDLE AND STABILIZER | $318 | Outpatient |
| Arsenic level | $76.50 | Outpatient |
| Aspiration of abscess, blood, or cyst | $222 | Outpatient |
| ATOMIZER, MUCOSAL ATMZR DEVICE, NO SYR | $15.75 | Outpatient |
| Automated urinalysis test | $199 | Outpatient |
| AZITHROMYCIN DIHYDRATE, ORAL, CAPSULES/POWDER, 1 GRAM | $13.50 | Outpatient |
| Bacterial blood culture | $112 | Outpatient |
| Bacterial colony count, urine | $63.00 | Outpatient |
| Bacterial culture for aerobic isolates | $37.80 | Outpatient |
| Bacterial culture for anaerobic isolates | $37.80 | Outpatient |
| Bacterial culture, any other source except urine, blood or stool, aerobic | $41.85 | Outpatient |
| Bacterial culture, any source, except blood, anaerobic | $40.50 | Outpatient |
| Bacterial urine culture | $34.20 | Outpatient |
| BAG DRAIN URINE 2000ML STERILECENTER ENTRY ANTI-REFLUX | $11.25 | Outpatient |
| BAG EMESIS BLUE NONSTERILE 40OZ 1000ML | $9.00 | Outpatient |
| BAG EMESIS W/ TWIST CLOSURE LATEX FREE SIC-SAK | $9.00 | Outpatient |
| BAG LEG URINARY 900ML LATEX FREE W/ TWIST VALVE | $9.00 | Outpatient |
| BAIR HUGGER BLANKET, ADULT | $256 | Outpatient |
| BANDAGE COHESIVE 3INX5YD PURPLE COFLEX NL NONSTERILE | $9.63 | Outpatient |
| BANDAGE ELASTIC 2IN | $2.70 | Outpatient |
| BANDAGE ELASTIC 3"X4.5YD 5/10 KNIT W/SELF CLOSURE | $11.25 | Outpatient |
| BANDAGE ELASTIC 4"X5YDS | $3.60 | Outpatient |
| BANDAGE ELASTIC 4INX3.2YD SUREPRESS HIGH COMPRESSION | $86.94 | Outpatient |
| BANDAGE ELASTIC FOAM 2INX5YD COLOR PACK NONSTERILE COFLEX | $9.63 | Outpatient |
| BANDAGE STRETCH CONFORM 4X75INSTERILE SOFT POUCH | $11.25 | Outpatient |
| BASIN EMESIS 500CC TURQUOISE | $5.85 | Outpatient |
| BASIN WASH RECTANGULAR 6QUART DUSTY ROSE | $7.92 | Outpatient |
| BASIN WASH RECTANGULAR 8QUART GRAPHITE 10X13 1/4X3 3/4IN | $7.92 | Outpatient |
| BED PAN, FRACTURE, METAL OR PLASTIC | $2.70 | Outpatient |
| BED PAN, STANDARD, METAL OR PLASTIC | $7.65 | Outpatient |
| BELT, STRAP, SLEEVE, GARMENT, OR COVERING, ANY TYPE | $7.20 | Outpatient |
| Bile acids level, total | $39.15 | Outpatient |
| Bilirubin level, direct | $19.80 | Outpatient |
| Bilirubin level, total | $48.60 | Outpatient |
| Biopsy of surface tissue of leg or ankle | $430 | Outpatient |
| BLANKET ADULT UNDERBODY | $117 | Outpatient |
| Blood chloride level | $45.00 | Outpatient |
| Blood count, hemoglobin | $20.70 | Outpatient |
| Blood creatinine level | $66.60 | Outpatient |
| Blood gases measurement | $67.28 | Outpatient |
| Blood glucose (sugar) level | $25.65 | Outpatient |
| Blood glucose (sugar) level after receiving dose of glucose | $37.08 | Outpatient |
| Blood glucose (sugar) test performed by hand-held instrument | $48.60 | Outpatient |
| Blood group typing (ABO) | $25.20 | Outpatient |
| Blood osmolality (concentration) measurement | $28.80 | Outpatient |
| Blood potassium level | $61.20 | Outpatient |
| Blood sodium level | $45.00 | Outpatient |
| Blood test panel for electrolytes (sodium potassium, chloride, carbon dioxide) | $59.40 | Outpatient |
| Blood test, basic group of blood chemicals (Calcium, total) | $113 | Outpatient |
| Blood test, clotting time | $49.50 | Outpatient |
| Blood test, comprehensive group of blood chemicals | $156 | Outpatient |
| Blood test, lipids (cholesterol and triglycerides) | $112 | Outpatient |
| Blood test, thyroid stimulating hormone (TSH) | $79.20 | Outpatient |
| Body fluid pH level | $21.60 | Outpatient |
| BOOT WALKER HIGHTIDE MEDIUM ROCKER BOTTOM CROSS STRAPPING | $141 | Outpatient |
| BRACE ANKLE ASO BLACK LARGE | $84.60 | Outpatient |
| BRACE ANKLE ASO BLACK XLARGE | $84.60 | Outpatient |
| BRACE ANKLE MEDIUM LACE-UP 8 1/2-10IN | $44.28 | Outpatient |
| BRACE ANKLE SMALL RIGHT AIRCAST AIR-STIRRUP | $84.60 | Outpatient |
| BRACE ANKLE WEB LARGE ACUTEBRACE/SPORTS SUPPORT | $77.63 | Outpatient |
| BRACE ANKLE WEB XLARGE ACUTEBRACE/SPORTS SUPPORT | $77.63 | Outpatient |
| BRACE ANKLE XLARGE LEFT AIRSPORT AIRCAST | $81.77 | Outpatient |
| BRACE WRIST ELASTIC LARGE LEFT | $27.00 | Outpatient |
| BRACE WRIST LARGE LEFT PREMIERW/ THUMB SPICA 8 1/4-9IN | $65.70 | Outpatient |
| BRACE WRIST MEDIUM LEFT PREMIER W/ THUMB SPICA | $65.70 | Outpatient |
| BRACE WRIST MEDIUM RIGHT PREMIER W/ THUMB SPICA | $65.70 | Outpatient |
| BRACE WRIST SMALL RIGHT PREMIER W/ THUMB SPICA | $65.70 | Outpatient |
| BRACE WRIST XLARGE RIGHT PREMIER W/ THUMB SPICA 9-10IN | $65.70 | Outpatient |
| BRACE WRIST XSMALL LEFT PREMIER W/ THUMB SPICA 6 1/2 | $65.70 | Outpatient |
| BREATHING CIRCUITS | $54.00 | Outpatient |
| BRIEF TRANQUILITY BARIATRIC 3XL | $76.50 | Outpatient |
| BRIEF, PULL ON, LARGE | $37.80 | Outpatient |
| BRIEF, PULL ON, XLARGE | $47.70 | Outpatient |
| BRIEF, PULL ON, XXL | $59.40 | Outpatient |
| BRIEFS, PULL ON, MEDIUM | $36.00 | Outpatient |
| Buprenorphine level | $242 | Outpatient |
| C-peptide (protein) level | $45.90 | Outpatient |
| Calcitonin (hormone) level | $56.61 | Outpatient |
| Calcium level, total | $47.70 | Outpatient |
| CALMOSEPTINE SINGLES 144/BX | $5.85 | Outpatient |
| CANISTER, DISPOSABLE, USED WITH SUCTION PUMP, EACH | $14.40 | Outpatient |
| CANNULA INFANT NASAL 7' | $14.40 | Outpatient |
| CANNULA, NASAL | $2.25 | Outpatient |
| Carbamazepine level, total | $107 | Outpatient |
| Carbon dioxide (bicarbonate) level | $81.00 | Outpatient |
| Carboxyhemoglobin (protein) level | $82.80 | Outpatient |
| Carcinoembryonic antigen (CEA) protein level | $27.90 | Outpatient |
| Cardiolipin antibody (tissue antibody) measurement | $58.50 | Outpatient |
| CARDS TEST STAT-SITE MHGB FOR HEMOGLOBIN TESTING | $22.50 | Outpatient |
| CARMEX | $4.50 | Outpatient |
| CAST SUPPLIES (E.G., PLASTER) | $28.35 | Outpatient |
| Catecholamines (organic nitrogen) level | $51.30 | Outpatient |
| CATHETER SUCTION 10FR | $7.20 | Outpatient |
| CATHETER URETHRAL 14FR NELATONROBINSON RED RUBBER STERILE | $31.50 | Outpatient |
| CBC W/ AUTO DIFF (BIRTH MONTH SCREENING ONLY) | $18.00 | Outpatient |
| CBC WITH MANUAL DIFFERENTIAL | $116 | Outpatient |
| CEFEPIME 2GM VIAL | $54.00 | Outpatient |
| CELIAC DISEASE COMPREHENSIVE PANEL, SERUM | $652 | Outpatient |
| CELIAC PANEL EXTENDED RFLX | $166 | Outpatient |
| Cell examination of specimen, selective cellular enhancement technique | $96.30 | Outpatient |
| Ceruloplasmin (protein) level | $27.00 | Outpatient |
| CERVICAL, COLLAR, MOLDED TO PATIENT MODEL | $80.73 | Outpatient |
| CERVICAL, COLLAR, SEMI-RIGID THERMOPLASTIC FOAM, TWO-PIECE, PREFABRICATED, OFF-THE-SHELF | $25.20 | Outpatient |
| CERVICAL, FLEXIBLE, NON-ADJUSTABLE, PREFABRICATED, OFF-THE-SHELF (FOAM COLLAR) | $19.80 | Outpatient |
| CERVICAL, SEMI-RIGID, ADJUSTABLE (PLASTIC COLLAR) | $64.80 | Outpatient |
| Chemistry procedures | $46.80 | Outpatient |
| CHLORHEXIDINE CONTAINING ANTISEPTIC, 1 ML | $2.25 | Outpatient |
| Cholesterol level | $22.50 | Outpatient |
| Citrate level | $37.35 | Outpatient |
| CLEANSER HIBICLENS 8OZ ANTIMICROBIAL SOLUTION | $10.80 | Outpatient |
| CLIP PLASTIC NOSE DISP | $3.60 | Outpatient |
| CLIPPER FINGER NAIL W/ FILE | $7.65 | Outpatient |
| CLIPPER TOE NAIL W/ FILE | $7.65 | Outpatient |
| Closed treatment of 3 broken lower leg bones at ankle with manipulation | $831 | Outpatient |
| Closed treatment of broken bone in forefoot or midfoot | $178 | Outpatient |
| Closed treatment of broken collar bone | $416 | Outpatient |
| Closed treatment of dislocated ankle under anesthesia | $860 | Outpatient |
| Closed treatment of dislocated finger joint with manipulation | $198 | Outpatient |
| Closed treatment of dislocated hand joint at base of finger with manipulation | $551 | Outpatient |
| Closed treatment of dislocated joint in toe under anesthesia | $268 | Outpatient |
| Closed treatment of dislocated shoulder with manipulation | $562 | Outpatient |
| Closed treatment of dislocated shoulder with manipulation under anesthesia | $729 | Outpatient |
| Clotting factor II prothrombin, measurement | $113 | Outpatient |
| Clotting factor VIII (AHG) measurement | $76.50 | Outpatient |
| Clotting factor VIII (VW factor) antigen | $169 | Outpatient |
| Clotting factor VIII (VW factor) measurement | $158 | Outpatient |
| Clotting factor X assessment test, diluted | $230 | Outpatient |
| Clotting factor XIII (fibrin stabilizing) screening test | $116 | Outpatient |
| CMP (BIRTH MONTH SCREENING ONLY | $27.00 | Outpatient |
| Coagulation assessment blood test, plasma or whole blood | $46.80 | Outpatient |
| Coagulation function analysis, agglutination slide, semiquantitative | $37.80 | Outpatient |
| Coagulation function measurement, D-dimer; quantitative | $79.20 | Outpatient |
| COLD OR HOT FLUID BOTTLE, ICE CAP OR COLLAR, HEAT AND/OR COLD WRAP, ANY TYPE | $5.40 | Outpatient |
| COLD PACK INSTANT 6X9IN MEDIUMNONINSULATED | $13.50 | Outpatient |
| COLLAR CERVICAL CALIFORNIA MEDIUM 2PIECE RIGID PLASTIC W/ | $80.73 | Outpatient |
| COLLAR CERVICAL CALIFORNIA SMALL 2PIECE RIGID PLASTIC W/ | $80.73 | Outpatient |
| COLLAR CERVICAL LARGE 15-20IN MEDIUM DENSITY FORM FIT | $80.73 | Outpatient |
| COLLAR CERVICAL LARGE 4 1/4IN PHILADELPHIA W/ TRACH OPENING | $80.73 | Outpatient |
| COLLAR CERVICAL PHILADELPHIA MEDIUM 4 1/4IN W/TRACH OPENING | $80.73 | Outpatient |
| COLLAR CERVICAL SMALL 4 1/4IN PHILADELPHIA W/ TRACH OPENING | $80.73 | Outpatient |
| COLLAR CERVICAL UNIVERSAL 3X22IN MEDIUM FOAM DENSITY | $80.73 | Outpatient |
| Collection of blood sample from central venous tube | $45.00 | Outpatient |
| COLOSCREEN ES TRIPLES 80/BX | $10.80 | Outpatient |
| COMPLEMENT C4, SERUM | $119 | Outpatient |
| Complete blood cell count (red cells, white blood cell, platelets), automated test | $16.20 | Outpatient |
| Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | $84.60 | Outpatient |
| Complete ultrasound scan behind abdominal cavity | $369 | Outpatient |
| Complete ultrasound scan of abdomen | $384 | Outpatient |
| Complete ultrasound scan of pelvis | $352 | Outpatient |
| Complete ultrasound study of arm and leg arteries | $468 | Outpatient |
| Complex control of nose bleed | $354 | Outpatient |
| Complicated insertion of bladder tube | $222 | Outpatient |
| Complicated repair of wound of eyelids, nose, ears, or lip, 1.1-2.5 cm | $719 | Outpatient |
| Complicated repair of wound of eyelids, nose, ears, or lip, 2.6-7.5 cm | $953 | Outpatient |
| Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 1.1-2.5 cm | $655 | Outpatient |
| Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm | $810 | Outpatient |
| Complicated repair of wound of scalp, arms, or legs, 1.1-2.5 cm | $595 | Outpatient |
| Complicated repair of wound of scalp, arms, or legs, 2.6-7.5 cm | $725 | Outpatient |
| Complicated repair of wound of trunk, 1.1-2.5 cm | $569 | Outpatient |
| Complicated repair of wound of trunk, 2.6-7.5 cm | $672 | Outpatient |
| Confirmation test for antibody to Borrelia burgdorferi (Lyme disease bacteria) | $31.50 | Outpatient |
| CONNECTOR STRAIGHT O2 SUPPLY | $5.85 | Outpatient |
| CONTACT LAYER, STERILE, 16 SQ. IN. OR LESS, EACH DRESSING | $7.65 | Outpatient |
| CONTRAST OMNIPAQUE 350 50 ML | $184 | Outpatient |
| Cortisol (hormone) measurement, free | $39.60 | Outpatient |
| Cortisol (hormone) measurement, total | $16.20 | Outpatient |
| COVER SHOE HEAVY DUTY 3 LAYER FABRIC | $27.90 | Outpatient |
| Creatine kinase (cardiac enzyme) level, MB fraction only | $112 | Outpatient |
| Creatine kinase (cardiac enzyme) level, total | $37.80 | Outpatient |
| Creatinine clearance measurement to test for kidney function | $36.90 | Outpatient |
| Creatinine level to test for kidney function or muscle injury | $28.80 | Outpatient |
| Critical care, each additional 30 minutes | $450 | Both |
| Critical care, first 30-74 minutes | $468 | Both |
| CRUTCH CHILD 4FT-4FT 6IN ALUMINUM PREMIER PRO | $94.45 | Outpatient |
| CRUTCH YOUTH 4FT 6IN-5FT 2IN ALUMINUM PREMIER PRO | $94.45 | Outpatient |
| CRUTCHES UNDERARM, OTHER THAN WOOD, ADJUSTABLE OR FIXED, PAIR, WITH PADS, TIPS AND HANDGRIPS | $79.20 | Outpatient |
| Crystal identification from tissue or body fluid | $52.41 | Outpatient |
| CT scan head or brain with contrast | $1,530 | Outpatient |
| CT scan head or brain without contrast | $1,485 | Outpatient |
| CT scan of abdomen and pelvis before and after contrast | $2,880 | Outpatient |
| CT scan of abdomen and pelvis with contrast | $2,520 | Outpatient |
| CT scan of abdomen and pelvis without contrast | $1,800 | Outpatient |
| CT scan of abdomen before and after contrast | $2,610 | Outpatient |
| CT scan of abdomen with contrast | $1,980 | Outpatient |
| CT scan of abdomen without contrast | $1,620 | Outpatient |
| CT scan of abdominal aorta and both leg arteries with contrast | $2,340 | Outpatient |
| CT scan of arm before and after contrast | $1,350 | Outpatient |
| CT scan of arm with contrast | $1,260 | Outpatient |
| CT scan of arm without contrast | $1,350 | Outpatient |
| CT scan of blood vessels of abdomen and pelvis with contrast | $2,430 | Outpatient |
| CT scan of blood vessels of abdomen with contrast | $1,980 | Outpatient |
| CT scan of blood vessels of arm with contrast | $1,260 | Outpatient |
| CT scan of blood vessels of chest with contrast | $1,980 | Outpatient |
| CT scan of blood vessels of head with contrast | $1,440 | Outpatient |
| CT scan of blood vessels of lower leg with contrast | $990 | Outpatient |
| CT scan of blood vessels of neck with contrast | $2,250 | Outpatient |
| CT scan of blood vessels of pelvis with contrast | $1,170 | Outpatient |
| CT scan of chest before and after contrast | $2,070 | Outpatient |
| CT scan of chest with contrast | $1,710 | Outpatient |
| CT scan of chest without contrast | $1,530 | Outpatient |
| CT scan of cranial cavity before and after contrast | $1,530 | Outpatient |
| CT scan of cranial cavity with contrast | $1,350 | Outpatient |
| CT scan of cranial cavity without contrast | $1,350 | Outpatient |
| CT scan of face before and after contrast | $1,665 | Outpatient |
| CT scan of face with contrast | $1,530 | Outpatient |
| CT scan of face without contrast | $1,350 | Outpatient |
| CT scan of head or brain before and after contrast | $2,160 | Outpatient |
| CT scan of leg before and after contrast | $1,350 | Outpatient |
| CT scan of leg with contrast material | $1,260 | Outpatient |
| CT scan of leg without contrast | $1,170 | Outpatient |
| CT scan of lower spine before and after contrast | $2,070 | Outpatient |
| CT scan of lower spine with contrast | $1,800 | Outpatient |
| CT scan of lower spine without contrast | $1,530 | Outpatient |
| CT scan of middle spine before and after contrast | $2,070 | Outpatient |
| CT scan of middle spine with contrast | $1,800 | Outpatient |
| CT scan of middle spine without contrast | $1,350 | Outpatient |
| CT scan of pelvis before and after contrast | $1,980 | Outpatient |
| CT scan of pelvis with contrast | $1,800 | Outpatient |
| CT scan of pelvis without contrast | $1,436 | Outpatient |
| CT scan of soft tissue of neck before and after contrast | $2,025 | Outpatient |
| CT scan of soft tissue of neck with contrast | $1,665 | Outpatient |
| CT scan of soft tissue of neck without contrast | $1,350 | Outpatient |
For procedures with standard CPT codes — where prices can be compared across hospitals — see prices in Montana or browse all procedures.