Montana · 1,500 published self-pay prices, from $1.05 to $21,123.
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 1,500 published items.
| Item | Cash price | Setting |
|---|---|---|
| 3D breast mammography of 1 breast | $75.00 | Outpatient |
| 3D breast mammography of both breasts | $75.00 | Outpatient |
| 5% DEXTROSE/WATER (500 ML = 1 UNIT) | $19.50 | Outpatient |
| 88720 Bilirubin, total, transcutaneous | $20.63 | Outpatient |
| A0380 Basic life support mileage | $21.75 | Outpatient |
| A0422 - Oxygen, Administration, & Supplies | $206 | Outpatient |
| A0425 EMS Ground Mileage | $23.63 | Outpatient |
| A0428 Basic Life Support (Non Emerg) | $21.75 | Outpatient |
| ACETAMINOP-CODEINE 120-12 MG/5 | $15.44 | Outpatient |
| acetaminophen 10 mg/mL 100mL Soln nemh | $128 | Outpatient |
| ACETAMINOPHEN 120 MG SUPPOS | $3.00 | Outpatient |
| acetaminophen 160 mg/5 mL suspension nemh | $1.50 | Outpatient |
| acetaminophen 325 mg suppository nemh | $3.00 | Outpatient |
| acetaminophen 325 mg tablet nemh | $1.50 | Outpatient |
| ACETAMINOPHEN 500 MG TABLET | $1.50 | Outpatient |
| ACETAMINOPHEN-COD #3 TABLET | $4.50 | Outpatient |
| ACETYLCYSTEINE 20% VIAL | $17.74 | Outpatient |
| ACETYLCYSTEINE 6 GRAM/30 ML VL | $202 | Outpatient |
| ACTEMRA 200 MG/10 ML VIAL | $149 | Outpatient |
| ACTIVASE 100 MG VIAL | $9,900 | Outpatient |
| activated charcoal aq 50gm suspension nemh | $53.21 | Outpatient |
| Acute hepatitis panel | $331 | Outpatient |
| ACYCLOVIR 200 MG CAPSULE | $3.44 | Outpatient |
| ACYCLOVIR 500 MG/10 ML VIAL | $36.00 | Outpatient |
| adenosine 3mg/mL 2mL solution nemh | $16.73 | Outpatient |
| Adenosine, 5-monophosphate, cyclic (cyclic AMP) level | $141 | Outpatient |
| Administration of additional new drug or substance into vein using push technique | $128 | Outpatient |
| Administration of additional new drug or substance into vein, 1 hour or less | $150 | Outpatient |
| Administration of chemotherapy into vein using push technique | $627 | Outpatient |
| Administration of chemotherapy into vein, 1 hour or less | $579 | Outpatient |
| Administration of chemotherapy into vein, each additional hour | $65.25 | Outpatient |
| Administration of vaccine | $54.38 | Both |
| Administration of vaccine, each additional vaccine | $30.75 | Outpatient |
| Adrenocorticotropic hormone (ACTH) level | $330 | Outpatient |
| ADVATE 200-400 UNIT VIAL | $2.07 | Outpatient |
| Albumin (protein) level | $30.75 | Outpatient |
| ALBUTEIN 25% VIAL | $124 | Outpatient |
| ALBUTEROL SUL 1.25 MG/3 ML SOL | $3.74 | Outpatient |
| ALBUTEROL SUL 2.5 MG/3 ML SOLN | $3.00 | Outpatient |
| Alcohols levels, 1 or 2 | $127 | Outpatient |
| Aldolase (enzyme) level | $90.75 | Outpatient |
| Aldosterone hormone level | $341 | Outpatient |
| alfentanil 0.5 mg/mL 2mL vial nemh | $23.67 | Outpatient |
| ALIMTA 100 MG VIAL | $664 | Outpatient |
| ALIMTA 500 MG VIAL | $2,776 | Outpatient |
| Alkaloids levels | $230 | Outpatient |
| ALLOPURINOL 100 MG TABLET | $2.25 | Outpatient |
| alpha 1-proteinase inhibitor human Inject nemh | $10.35 | Outpatient |
| Alpha-fetoprotein (AFP) level, serum | $164 | Outpatient |
| ALS1-Emergency | $837 | Outpatient |
| alum-mag-simeth 200-200-20mg/5mL 30mL nemh | $1.50 | Outpatient |
| Amino acid level, 2 to 5 amino acids, quantitative, each specimen | $61.88 | Outpatient |
| AMIODARONE 150 MG/3 ML VIAL | $13.50 | Outpatient |
| amiodarone hcl 200mg tab nemh | $7.61 | Outpatient |
| amitriptyline 25 mg tablet nemh | $2.25 | Outpatient |
| AMLODIPINE BESYLATE 5 MG TAB | $3.70 | Outpatient |
| AMMONIA INHALANT AMPULE | $3.00 | Outpatient |
| Ammonia level | $125 | Outpatient |
| AMOX-CLAV 250-62.5 MG/5 ML SUS | $97.09 | Outpatient |
| AMOX-CLAV 875-125 MG TABLET | $10.62 | Outpatient |
| AMOXICILLIN 250 MG CAPSULE | $2.25 | Outpatient |
| AMOXICILLIN 250 MG/5 ML SUSP | $15.89 | Outpatient |
| Amphetamines levels, 1 or 2 | $93.00 | Outpatient |
| AMPICILLIN 1 GM VIAL | $19.43 | Outpatient |
| AMPICILLIN 500 MG VIAL | $13.50 | Outpatient |
| AMPICILLIN-SULBACTAM 3 GM VIAL | $34.58 | Outpatient |
| Amplifed DNA or RNA probe detection of severe acute respiratory syndrome coronavirus 2 (Covid-19) antigen | $121 | Outpatient |
| Amylase (enzyme) level | $45.00 | Outpatient |
| Analysis for antibody (IgM) to Cytomegalovirus (CMV) | $137 | Outpatient |
| Analysis for antibody (IgM) to Toxoplasma (parasite) | $122 | Outpatient |
| Analysis for antibody (IgM) to West Nile virus | $133 | Outpatient |
| Analysis for antibody Borrelia burgdorferi (Lyme disease bacteria) | $160 | Outpatient |
| Analysis for antibody to Bartonella (bacteria) | $64.50 | Outpatient |
| Analysis for antibody to Brucella (bacteria) | $111 | Outpatient |
| Analysis for antibody to Coccidioides (bacteria) | $92.25 | Outpatient |
| Analysis for antibody to Cytomegalovirus (CMV) | $130 | Outpatient |
| Analysis for antibody to Epstein-Barr virus (mononucleosis virus), early antigen | $142 | Outpatient |
| Analysis for antibody to Herpes simplex virus, type 1 | $126 | Outpatient |
| Analysis for antibody to Herpes simplex virus, type 2 | $155 | Outpatient |
| Analysis for antibody to HIV -1 virus | $23.63 | Outpatient |
| Analysis for antibody to HIV-1 and HIV-2 virus | $139 | Outpatient |
| Analysis for antibody to HIV-2 virus | $136 | Outpatient |
| Analysis for antibody to mumps virus | $114 | Outpatient |
| Analysis for antibody to Mycoplasma (bacteria) | $90.00 | Outpatient |
| Analysis for antibody to Rickettsia (bacteria) | $104 | Outpatient |
| Analysis for antibody to Rubella (German measles virus) | $72.38 | Outpatient |
| Analysis for antibody to Rubeola (measles virus) | $112 | Outpatient |
| Analysis for antibody to Toxoplasma (parasite) | $130 | Outpatient |
| Analysis for antibody to varicella-zoster virus (chicken pox) | $128 | Outpatient |
| Analysis for antibody to West Nile virus | $122 | Outpatient |
| Analysis for antibody, Treponema pallidum | $111 | Outpatient |
| Analysis for detection of tumor marker | $170 | Outpatient |
| Analysis of substance using immunoassay technique, multiple step method | $33.75 | Outpatient |
| Analysis test by nucleic acid for Hepatitis C virus | $1,092 | Outpatient |
| Androstenedione (hormone) level | $108 | Outpatient |
| Antithrombin III antigen (clotting inhibitor) activity | $183 | Outpatient |
| Antithrombin III antigen (clotting inhibitor) level | $175 | Outpatient |
| Apolipoprotein level | $98.63 | Outpatient |
| Application of electrical stimulation | $76.50 | Outpatient |
| Application of electrical stimulation with therapist present, each 15 minutes | $123 | Outpatient |
| Application of lower and upper arm splint | $118 | Both |
| Application of mechanical traction | $65.63 | Outpatient |
| Application of medication using electrical current, each 15 minutes | $115 | Outpatient |
| Application of short leg splint from calf to foot | $236 | Both |
| Application of ultrasound, each 15 minutes | $84.38 | Outpatient |
| Application of whirlpool therapy | $31.88 | Outpatient |
| ARANESP 100 MCG/0.5 ML SYRINGE | $1,742 | Outpatient |
| ARANESP 200 MCG/0.4 ML SYRINGE | $1,742 | Outpatient |
| ARANESP 60 MCG/0.3 ML SYRINGE | $503 | Outpatient |
| Arsenic level | $106 | Outpatient |
| Artery puncture collection of blood sample | $123 | Outpatient |
| ARTIFICIAL TEARS DROPS | $3.76 | Outpatient |
| Aspiration and/or injection of fluid from large joint | $316 | Outpatient |
| Aspiration and/or injection of fluid from medium joint | $526 | Outpatient |
| Aspiration and/or injection of fluid from small joint | $439 | Outpatient |
| Aspiration of abscess, blood, or cyst | $250 | Outpatient |
| Aspiration of bladder using tube or trocar | $119 | Both |
| Aspiration of bladder with insertion of bladder tube to skin | $332 | Both |
| Aspiration of fluid from chest cavity | $652 | Outpatient |
| aspirin 81 mg chewable tablet nemh | $1.50 | Outpatient |
| Assessment of antibody to human leukocyte antigens (HLA) with antibody identification by qualitative panel using complete HLA phenotypes, HLA class II | $133 | Outpatient |
| ASTHMANEFRIN RFILL 2.25% SOLN | $3.00 | Outpatient |
| ATENOLOL 50 MG TABLET | $2.25 | Outpatient |
| atrop-hyoscyam-PB-scop 32.4mg/10mL elixir nemh | $63.45 | Outpatient |
| atropine 0.4 mg/mL vial nemh | $20.76 | Outpatient |
| ATROPINE 1 MG/10 ML SYRINGE | $15.61 | Outpatient |
| atropine ophthalmic 1% 5mL solution nemh | $251 | Outpatient |
| Automated urinalysis test | $27.75 | Outpatient |
| Automated white blood cell count | $42.38 | Outpatient |
| AVASTIN 100 MG/4 ML VIAL | $897 | Outpatient |
| AVASTIN 400 MG/16 ML VIAL | $3,586 | Outpatient |
| AVITENE FLOUR | $214 | Outpatient |
| AZACITIDINE 100 MG VIAL | $556 | Outpatient |
| AZITHROMYCIN 200 MG/5 ML SUSP | $78.48 | Outpatient |
| AZITHROMYCIN 250 MG TABLET | $17.51 | Outpatient |
| AZITHROMYCIN I.V. 500 MG VIAL | $20.06 | Outpatient |
| bacitracin 500 Unit(s)/gm 1gm ointment nemh | $2.25 | Outpatient |
| bacitracin 500 Unit(s)/gm 30gm ointment nemh | $20.45 | Outpatient |
| BACITRACIN 500 UNIT/GM OPHTH | $133 | Outpatient |
| Bacterial blood culture | $24.38 | Outpatient |
| Bacterial colony count, urine | $108 | Outpatient |
| Bacterial culture for aerobic isolates | $111 | Outpatient |
| Bacterial culture, any other source except urine, blood or stool, aerobic | $20.25 | Outpatient |
| Bacterial culture, any source, except blood, anaerobic | $113 | Outpatient |
| BACTERIOSTATIC SALINE VIAL | $13.50 | Outpatient |
| BACTERIOSTATIC WATER VIAL | $13.50 | Outpatient |
| BASIC LIFE SUPPORT (EMERGENCY) | $665 | Outpatient |
| BASIC LIFE SUPPORT (NON EMERGENCY) | $544 | Outpatient |
| BCG (TICE STRAIN) VIAL | $191 | Outpatient |
| BENDEKA 100 MG/4 ML VIAL | $700 | Outpatient |
| benzocaine topical 20% spray nemh | $12.24 | Outpatient |
| Benzodiazepines levels, 13 or more | $106 | Outpatient |
| Beta 2 glycoprotein 1 antibody (autoantibody) measurement | $156 | Outpatient |
| BETAMETHASONE SP-AC 30 MG/5 ML | $21.60 | Outpatient |
| BICILLIN C-R 1.2 MILLION UNIT | $185 | Outpatient |
| BICILLIN L-A 1,200,000 UNITS | $281 | Outpatient |
| Bile acids level, total | $108 | Outpatient |
| Bilirubin level, direct | $58.88 | Outpatient |
| Bilirubin level, total | $58.13 | Outpatient |
| Biopsy and scraping of cervix using an endoscope | $547 | Outpatient |
| Biopsy of cervix using an endoscope | $349 | Outpatient |
| Biopsy of lining of uterus | $438 | Outpatient |
| Biopsy of related skin growth, first growth | $225 | Outpatient |
| Biotinidase (enzyme) level | $61.88 | Outpatient |
| BISACODYL 10 MG SUPPOSITORY | $3.00 | Outpatient |
| BISACODYL EC 5 MG TABLET | $2.25 | Outpatient |
| BLEOMYCIN SULFATE 15 UNIT VIAL | $79.20 | Outpatient |
| Blood chloride level | $58.88 | Outpatient |
| Blood count, hemoglobin | $30.00 | Outpatient |
| Blood creatinine level | $32.25 | Outpatient |
| Blood gas, oxygen saturation measurement | $84.00 | Outpatient |
| Blood gases measurement | $61.50 | Outpatient |
| Blood gases measurement, with O2 saturation | $186 | Outpatient |
| Blood glucose (sugar) level after receiving dose of glucose | $19.88 | Outpatient |
| Blood glucose (sugar) measurement using reagent strip | $31.13 | Outpatient |
| Blood glucose (sugar) tolerance test, 3 specimens | $146 | Outpatient |
| Blood glucose (sugar) tolerance test, each additional beyond 3 specimens | $51.00 | Outpatient |
| Blood group typing (ABO) | $35.63 | Outpatient |
| Blood osmolality (concentration) measurement | $67.88 | Outpatient |
| Blood potassium level | $16.13 | Outpatient |
| Blood smear interpretation by physician with written report | $23.63 | Outpatient |
| Blood sodium level | $16.13 | Outpatient |
| Blood test panel for electrolytes (sodium potassium, chloride, carbon dioxide) | $93.00 | Outpatient |
| Blood test, basic group of blood chemicals (Calcium, ionized) | $32.25 | Outpatient |
| Blood test, basic group of blood chemicals (Calcium, total) | $138 | Outpatient |
| Blood test, clotting time | $79.13 | Outpatient |
| Blood test, comprehensive group of blood chemicals | $51.38 | Outpatient |
| Blood test, lipids (cholesterol and triglycerides) | $51.38 | Outpatient |
| Blood test, thyroid stimulating hormone (TSH) | $47.25 | Outpatient |
| Blood typing for Rh (D) antigen | $60.00 | Outpatient |
| Blood unit compatibility test, antiglobulin technique | $229 | Outpatient |
| Blood unit compatibility test, immediate spin technique | $203 | Outpatient |
| Blood viscosity measurement | $216 | Outpatient |
| Body fluid cell count | $85.50 | Outpatient |
| Body fluid cell count with cell identification | $70.13 | Outpatient |
| Body fluid pH level | $77.25 | Outpatient |
| BOTOX 100 UNIT VIAL | $700 | Outpatient |
| BOTOX 200 UNIT VIAL | $1,400 | Outpatient |
| Breath test analysis for helicobacter pylori | $268 | Outpatient |
| brompheniramine-pe 1-2.5 mg/5 mL 118mL liquid nemh | $16.20 | Outpatient |
| BUMETANIDE 1 MG/4 ML VIAL | $13.50 | Outpatient |
| BUPIVACAIN 0.75%-DEXTROS 8.25% | $6.75 | Outpatient |
| BUPIVACAINE 0.25% VIAL | $13.50 | Outpatient |
| BUPIVACAINE 0.5% VIAL | $13.50 | Outpatient |
| BUPIVACAINE 0.5%-EPI 1:200,000 | $13.50 | Outpatient |
| C-peptide (protein) level | $203 | Outpatient |
| Cadmium level | $106 | Outpatient |
| CALCIUM ANTACID 500 MG CHW TAB | $1.50 | Outpatient |
| CALCIUM CHLORIDE 1 GM/10ML SYR | $24.30 | Outpatient |
| CALCIUM GLUC 1,000 MG/10 ML VL | $2.47 | Outpatient |
| Calcium level, ionized | $16.13 | Outpatient |
| Calcium level, total | $66.75 | Outpatient |
| Cannabinoids levels, natural | $115 | Outpatient |
| Carbamazepine level, free | $97.50 | Outpatient |
| Carbamazepine level, total | $129 | Outpatient |
| Carbon dioxide (bicarbonate) level | $58.88 | Outpatient |
| CARBOplatin 10 mg/mL 45mL vial nemh | $135 | Outpatient |
| CARBOPLATIN 50 MG/5 ML VIAL | $27.81 | Outpatient |
| CARBOPROST 250 MCG/ML VIAL | $359 | Outpatient |
| Carboxyhemoglobin (protein) level | $115 | Outpatient |
| Carcinoembryonic antigen (CEA) protein level | $172 | Outpatient |
| CARDENE-NACL 40 MG/200 ML IV | $229 | Outpatient |
| Cardiolipin antibody (tissue antibody) measurement | $190 | Outpatient |
| Carotene level | $90.38 | Outpatient |
| CARVEDILOL 6.25 MG TABLET | $4.73 | Outpatient |
| CATHFLO ACTIVASE 2 MG VIAL | $207 | Outpatient |
| CEFAZOLIN 1 GM VIAL | $13.50 | Outpatient |
| CEFEPIME HCL 2 GRAM VIAL | $90.80 | Outpatient |
| cefotaxime 1000mg vial nemh | $13.50 | Outpatient |
| cefOXitin 1 gm vial nemh | $13.50 | Outpatient |
| CEFTRIAXONE 1 GM VIAL | $13.50 | Outpatient |
| CEFTRIAXONE 250 MG VIAL | $13.50 | Outpatient |
| Cell examination of body fluid, smears | $288 | Outpatient |
| Cell examination of specimen, concentration technique | $197 | Outpatient |
| Cell examination of specimen, selective cellular enhancement technique | $224 | Outpatient |
| CEPHALEXIN 250 MG CAPSULE | $2.25 | Outpatient |
| CEPHALEXIN 250 MG/5 ML SUSP | $64.69 | Outpatient |
| Cerebrospinal fluid, or amniotic fluid albumin (protein) level | $47.25 | Outpatient |
| CETACAINE SPRAY | $2.25 | Outpatient |
| Chemical analysis using chromatography technique | $95.63 | Outpatient |
| Chemical receptor analysis | $190 | Outpatient |
| Chemical test for genetic disorder | $65.25 | Outpatient |
| Chemistry procedures | $34.50 | Outpatient |
| Chemstrip CHARGE | $28.88 | Outpatient |
| CHILD BENADRYL 12.5 MG TB CHEW | $2.25 | Outpatient |
| CHILD'S BENADRYL 12.5 MG/5 ML | $12.60 | Outpatient |
| CHILDREN IBUPROFEN 100 MG/5 ML | $10.80 | Outpatient |
| CHLD ACETAMINOPHEN 160 MG/5 ML | $6.39 | Outpatient |
| Chloride level | $70.13 | Outpatient |
| CHLORPROMAZINE 25 MG/ML AMP | $78.00 | Outpatient |
| Cholesterol level | $19.88 | Outpatient |
| Chromium level to test for poisoning or deficiency | $204 | Outpatient |
| Chromosome analysis for genetic defects, additional karyotypes, each study | $141 | Outpatient |
| Chromosome analysis for genetic defects, count 15-20 cells | $510 | Outpatient |
| CIPROFLOXACIN HCL 250 MG TAB | $2.25 | Outpatient |
| CISATRACURIUM 10 MG/5 ML VIAL | $40.56 | Outpatient |
| CISPLATIN 50 MG/50 ML VIAL | $54.41 | Outpatient |
| cladribine 1 mg/mL 10mL vial nemh | $261 | Outpatient |
| clindamycin 150 mg capsule nemh | $2.25 | Outpatient |
| clindamycin 150 mg/mL 4mL vial nemh | $13.50 | Outpatient |
| CLINDAMYCIN PH 900 MG/6 ML VL | $13.50 | Outpatient |
| cloNIDine 0.1 mg tablet nemh | $2.25 | Outpatient |
| clopidogrel 75 mg tablet nemh | $2.25 | Outpatient |
| Closed treatment of 3 broken lower leg bones at ankle with manipulation | $1,800 | Both |
| Closed treatment of broken collar bone with manipulation | $1,998 | Outpatient |
| Closed treatment of broken end of finger or thumb with manipulation | $591 | Both |
| Closed treatment of broken finger or hand at base of finger with manipulation | $1,575 | Both |
| Closed treatment of broken finger or thumb at midportion or part near hand with manipulation | $1,181 | Both |
| Closed treatment of broken great toe with manipulation | $363 | Both |
| Closed treatment of broken hand bone with manipulation | $732 | Both |
| Closed treatment of broken middle part of upper arm bone with manipulation | $118 | Both |
| Closed treatment of broken midpart of both forearm bones with manipulation | $1,133 | Both |
| Closed treatment of broken nose bone with manipulation | $1,964 | Outpatient |
| Closed treatment of broken or growth plate separate of forearm bone at wrist with manipulation | $1,432 | Both |
| Closed treatment of broken outside lower leg bone at ankle with manipulation | $1,898 | Both |
| Closed treatment of broken shin bone at lower weight bearing joint with manipulation and/or traction | $2,146 | Both |
| Closed treatment of dislocated finger joint with manipulation under anesthesia | $1,155 | Both |
| Closed treatment of dislocated hand bone at wrist joint with manipulation | $996 | Both |
| Closed treatment of dislocated hand joint at base of finger with manipulation | $118 | Both |
| Closed treatment of dislocated hip under anesthesia | $591 | Both |
| Closed treatment of dislocated joint in toe | $408 | Both |
| Closed treatment of dislocated kneecap | $1,143 | Both |
| Closed treatment of dislocated shoulder and broken upper arm bone at shoulder joint with manipulation | $1,242 | Both |
| Closed treatment of dislocated shoulder with manipulation under anesthesia | $924 | Both |
| Closed treatment of middle part of broken shin bone with manipulation | $2,396 | Both |
| clotrimazole topical 1% 30gm cream nemh | $6.58 | Outpatient |
| Clotting factor VII (proconvertin, stable factor) | $202 | Outpatient |
| Clotting factor VIII (AHG) measurement | $270 | Outpatient |
| Clotting factor X assessment test, diluted | $105 | Outpatient |
| Coagulation assessment blood test, plasma or whole blood | $133 | Outpatient |
| Coagulation function measurement, D-dimer; quantitative | $112 | Outpatient |
| Complete blood cell count (red cells, white blood cell, platelets), automated test | $83.25 | Outpatient |
| Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | $39.38 | Outpatient |
| Complete ultrasound of abdomen and pelvis artery and vein blood flow | $450 | Outpatient |
| Complete ultrasound scan behind abdominal cavity | $458 | Outpatient |
| Complete ultrasound scan of 1 breast | $197 | Outpatient |
| Complete ultrasound scan of abdomen | $465 | Outpatient |
| Complete ultrasound scan of pelvis | $552 | Outpatient |
| Complete X-ray of body bones | $411 | Outpatient |
| Complicated insertion of bladder tube | $178 | Both |
For procedures with standard CPT codes — where prices can be compared across hospitals — see prices in Montana or browse all procedures.