Home › Facilities › Sheridan Memorial Hospital

Sheridan Memorial Hospital

Montana · 1,500 published self-pay prices, from $53.10 to $9,359.

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.

ItemCash priceSetting
12 lead 8 pads$290Outpatient
13150 ED PROF CPX LC <1.1CM EAR - HOSPITAL$1,142Outpatient
20005 ED PROF INC SOFT TISSUE ABSCESS DEEP$1,388Outpatient
2019-NCOV CORONAVIRUS, SARS-COV-2/2019-NCOV (COVID-19), ANY TECHNIQUE, MULTIPLE TYPES OR SUBTYPES (INCLUDES ALL TARGETS), NON-CDC$153Outpatient
3D breast mammography of 1 breast$225Outpatient
3D breast mammography of both breasts$133Outpatient
3D radiographic procedure$63.45Outpatient
3D radiographic procedure with computerized image postprocessing$117Outpatient
64402 ED PROF INJ ANESTH FACIAL NERVE-HOSP$1,240Outpatient
8" Wheelchair Front Wheels$104Outpatient
AB BINDER 12INCH XLG__0814-4525$174Outpatient
ACE BANDAGE 4 INCH DOUBLE__39410$56.48Outpatient
ACETAMINOP-CODEINE 120-12 MG/5$540Outpatient
ACETYLCYSTEINE 20% VIAL$67.50Outpatient
Acne surgery$201Outpatient
Activated protein resistance assay$74.48Outpatient
Acute hepatitis panel$407Outpatient
Administration of developmental test, first hour$635Outpatient
Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle$160Outpatient
Administration of vaccine$68.40Outpatient
Adrenocorticotropic hormone (ACTH) level$303Outpatient
ADVAIR 250-50 DISKUS$253Outpatient
ADVAIR 500-50 DISKUS$268Outpatient
Advance care planning, first 30 minutes$188Outpatient
aed pads$361Outpatient
AEROCHAMBER__MON79750$106Outpatient
AirFit AirTouch setup pack N20 (no mask)$65.03Outpatient
AirFit Mask N30 (with mask)$126Outpatient
AirFit Mask P10 (with mask)$126Outpatient
AirFit Setup Pack F20 with HumidX (no mask)$57.38Outpatient
AirMini$780Outpatient
AirMini 20W AC Adapter$57.38Outpatient
ALBUTEROL HFA 90 MCG INHALER$174Outpatient
Alcohol and/or substance abuse screening and intervention, 15-30 minutes$98.10Outpatient
Alcohol and/or substance abuse screening and intervention, more than 30 minutes$153Outpatient
Aldolase (enzyme) level$81.45Outpatient
Aldosterone hormone level$324Outpatient
Alkaloids levels$67.05Outpatient
Alpha-1-antitrypsin (protein) blood test, phenotype$119Outpatient
Alpha-1-antitrypsin (protein) blood test, total$117Outpatient
Alpha-fetoprotein (AFP) level, serum$147Outpatient
Aluminum level$80.33Outpatient
AMBULANCE SERVICE, ADVANCED LIFE SUPPORT, EMERGENCY TRANSPORT, LEVEL 1 (ALS 1 - EMERGENCY)$3,318Outpatient
AMBULANCE SERVICE, ADVANCED LIFE SUPPORT, NON-EMERGENCY TRANSPORT, LEVEL 1 (ALS 1)$2,893Outpatient
AMBULANCE SERVICE, BASIC LIFE SUPPORT, EMERGENCY TRANSPORT (BLS-EMERGENCY)$1,671Outpatient
AMBULANCE SERVICE, BASIC LIFE SUPPORT, NON-EMERGENCY TRANSPORT, (BLS)$1,129Outpatient
Ambulatory blood pressure monitoring, 1 day or longer, with recording, scanning analysis, interpretation, and report$344Outpatient
AMIDATE 20 MG/10 ML VIAL$59.40Outpatient
AMIDATE 40 MG/20 ML VIAL$77.85Outpatient
Amino acid level, 6 or more amino acids, quantitative, each specimen$269Outpatient
Ammonia level$105Outpatient
AMOXICILLIN 250 MG/5 ML SUSP$54.00Outpatient
AMOXICILLIN 400 MG/5 ML SUSP$799Outpatient
Amplifed DNA or RNA probe detection of severe acute respiratory syndrome coronavirus 2 (Covid-19) antigen$84.38Outpatient
Amylase (enzyme) level$162Outpatient
Analysis for antibody (IgM) to Cytomegalovirus (CMV)$112Outpatient
Analysis for antibody (IgM) to Toxoplasma (parasite)$127Outpatient
Analysis for antibody (IgM) to West Nile virus$132Outpatient
Analysis for antibody Borrelia burgdorferi (Lyme disease bacteria)$157Outpatient
Analysis for antibody to aspergillus (fungus)$160Outpatient
Analysis for antibody to Bartonella (bacteria)$88.43Outpatient
Analysis for antibody to Borrelia (relapsing fever bacteria)$125Outpatient
Analysis for antibody to Brucella (bacteria)$70.65Outpatient
Analysis for antibody to Coccidioides (bacteria)$101Outpatient
Analysis for antibody to Coxiella burnetii (Q fever bacteria)$155Outpatient
Analysis for antibody to Cytomegalovirus (CMV)$182Outpatient
Analysis for antibody to Epstein-Barr virus (mononucleosis virus), early antigen$161Outpatient
Analysis for antibody to Epstein-Barr virus (mononucleosis virus), nuclear antigen$154Outpatient
Analysis for antibody to Epstein-Barr virus (mononucleosis virus), viral capsid$174Outpatient
Analysis for antibody to Francisella tularensis (bacteria transmitted by rodents)$70.65Outpatient
Analysis for antibody to Helicobacter pylori (gastrointestinal bacteria)$267Outpatient
Analysis for antibody to Herpes simplex virus, type 1$144Outpatient
Analysis for antibody to Herpes simplex virus, type 2$144Outpatient
Analysis for antibody to HIV-1 and HIV-2 virus$169Outpatient
Analysis for antibody to john cunningham virus$187Outpatient
Analysis for antibody to Legionella (waterborne bacteria)$119Outpatient
Analysis for antibody to mumps virus$69.30Outpatient
Analysis for antibody to Mycoplasma (bacteria)$125Outpatient
Analysis for antibody to Rubella (German measles virus)$75.38Outpatient
Analysis for antibody to Rubeola (measles virus)$130Outpatient
Analysis for antibody to varicella-zoster virus (chicken pox)$113Outpatient
Analysis for antibody to virus$211Outpatient
Analysis for antibody to West Nile virus$132Outpatient
Analysis for antibody, Treponema pallidum$68.63Outpatient
Analysis for detection of tumor marker$110Outpatient
Analysis of substance using immunoassay technique, multiple step method$53.33Outpatient
Analysis test by nucleic acid for Hepatitis C virus$886Outpatient
Analysis using chemiluminescent technique (light and chemical )reaction$291Outpatient
Angiotensin l - converting enzyme (ACE) level$146Outpatient
ANKLE BRACE LACE UP LARGE__1159072$118Outpatient
ANKLE BRACE LACE UP MEDIUM__1159072$118Outpatient
ANKLE BRACE LACE UP SMALL__1159072$118Outpatient
ANKLE CONTROL ORTHOSIS, STIRRUP STYLE, RIGID, INCLUDES ANY TYPE INTERFACE (E.G., PNEUMATIC, GEL), PREFABRICATED, OFF-THE-SHELF$103Outpatient
ANNUAL DEPRESSION SCREENING, 5 TO 15 MINUTES$71.33Outpatient
ANNUAL WELLNESS VISIT, INCLUDES A PERSONALIZED PREVENTION PLAN OF SERVICE (PPS), SUBSEQUENT VISIT$249Outpatient
ANNUAL WELLNESS VISIT; INCLUDES A PERSONALIZED PREVENTION PLAN OF SERVICE (PPS), INITIAL VISIT$367Outpatient
ANNUAL, FACE-TO-FACE INTENSIVE BEHAVIORAL THERAPY FOR CARDIOVASCULAR DISEASE, INDIVIDUAL, 15 MINUTES$84.83Outpatient
Antithrombin III antigen (clotting inhibitor) activity$65.93Outpatient
Antithrombin III antigen (clotting inhibitor) level$263Outpatient
Application of elbow to finger cast$291Outpatient
Application of electrical stimulation with therapist present, each 15 minutes$121Outpatient
Application of hand and lower forearm cast$221Outpatient
Application of long leg brace-type cast from thigh to toe$369Outpatient
Application of long leg cast from thigh to toe$496Outpatient
Application of long leg splint from thigh to ankle or toe$343Outpatient
Application of lower and upper arm splint$241Outpatient
Application of mechanical traction$124Outpatient
Application of medication using electrical current, each 15 minutes$74.70Outpatient
Application of nonmoveable finger splint$139Outpatient
Application of nonmoveable forearm to hand splint$206Outpatient
Application of short leg cast$411Outpatient
Application of short leg splint from calf to foot$224Outpatient
Application of shoulder to hand cast$376Outpatient
Application of ultrasound, each 15 minutes$125Outpatient
Application of vein wound compression bandages on lower leg, ankle, and foot$147Outpatient
Application of walking cast covering below knee to toe$184Outpatient
Application of walking cast covering thigh to toe$548Outpatient
AQUA K PAD__3012752-000$117Outpatient
Artery puncture collection of blood sample$490Outpatient
ASMANEX TWISTHALER 220 MCG #60$441Outpatient
Aspiration and/or injection of cyst of tendon$278Outpatient
Aspiration and/or injection of fluid from large joint$309Outpatient
Aspiration and/or injection of fluid from medium joint$272Outpatient
Aspiration and/or injection of fluid from small joint$227Outpatient
Aspiration of abscess, blood, or cyst$358Outpatient
Aspiration of cyst of breast, each additional cyst$189Outpatient
Aspiration of cyst of breast, first cyst$330Outpatient
Aspiration of fluid from chest cavity$767Outpatient
atropine 1% ophthalmic 2mL soln$175Outpatient
atropine 1% ophthalmic 5mL soln$186Outpatient
AZITHROMYCIN 100 MG/5 ML SUSP$54.68Outpatient
BACK CUSHION <22 IN$287Outpatient
Bacterial blood culture$373Outpatient
Bacterial colony count, urine$163Outpatient
Bacterial culture for aerobic isolates$126Outpatient
Bacterial culture for anaerobic isolates$103Outpatient
Bacterial culture, any other source except urine, blood or stool, aerobic$109Outpatient
Bacterial culture, any source, except blood, anaerobic$179Outpatient
Bath Stool w/ Back & Arms$79.65Outpatient
BATH TRANSFER BENCH$147Outpatient
BED ASSIST RAIL$80.55Outpatient
BED CRADLE (NU)$57.83Outpatient
BED WEDGE - 12" (NU)$55.80Outpatient
Benzodiazepines levels, 13 or more$60.30Outpatient
Beta 2 glycoprotein 1 antibody (autoantibody) measurement$86.40Outpatient
Beta-2 microglobulin (protein) level$257Outpatient
Bile acids level, total$85.73Outpatient
Bilirubin level, direct$92.70Outpatient
Bilirubin level, total$56.03Outpatient
Biochemical assays for evaluation of chronic Hepatitis C virus infection$382Outpatient
Biofeedback training for bowel or bladder control, each additional 15 minutes$53.55Outpatient
Biofeedback training for bowel or bladder control, initial 15 minutes$74.25Outpatient
BIOPATCH DRESSING 1"__G15067$85.73Outpatient
Biopsy and scraping of cervix using an endoscope$313Outpatient
Biopsy of bone marrow$742Outpatient
Biopsy of breast and placement of locating device using ultrasound, first growth$103Outpatient
Biopsy of breast through incision$745Outpatient
Biopsy of cervix or removal of growth$276Outpatient
Biopsy of ear$220Outpatient
Biopsy of eyelid$437Outpatient
Biopsy of front 2/3 of tongue$374Outpatient
Biopsy of growth of external female genitals, each additional growth$101Outpatient
Biopsy of growth of external female genitals, first growth$174Outpatient
Biopsy of lining of uterus$473Outpatient
Biopsy of lip$341Outpatient
Biopsy of lower large bowel using a flexible endoscope$326Outpatient
Biopsy of mouth$414Outpatient
Biopsy of penis$431Outpatient
Biopsy of prostate gland$237Outpatient
Biopsy of related skin growth, each additional growth$310Outpatient
Biopsy of related skin growth, first growth$564Outpatient
BLOOD ADMIN SET Y OLD__2C8419$62.78Outpatient
Blood count, hemoglobin$65.25Outpatient
Blood creatinine level$63.68Outpatient
Blood gases measurement$462Outpatient
Blood glucose (sugar) level after receiving dose of glucose$99.23Outpatient
Blood group typing (ABO)$72.90Outpatient
Blood osmolality (concentration) measurement$118Outpatient
Blood pH level$189Outpatient
Blood potassium level$91.58Outpatient
Blood smear interpretation by physician with written report$85.28Outpatient
Blood test panel for electrolytes (sodium potassium, chloride, carbon dioxide)$154Outpatient
Blood test, basic group of blood chemicals (Calcium, total)$180Outpatient
Blood test, clotting time, substitution$57.15Outpatient
Blood test, comprehensive group of blood chemicals$156Outpatient
Blood test, lipids (cholesterol and triglycerides)$136Outpatient
Blood test, thyroid stimulating hormone (TSH)$110Outpatient
Blood typing for red blood cell antigens$103Outpatient
Blood typing for Rh (D) antigen$92.70Outpatient
Blood typing Rh phenotyping$81.90Outpatient
Blood unit compatibility test, antiglobulin technique$266Outpatient
Blood unit compatibility test, immediate spin technique$224Outpatient
Blood viscosity measurement$244Outpatient
Body fluid cell count$65.03Outpatient
Body fluid cell count with cell identification$75.60Outpatient
Body fluid pH level$94.50Outpatient
BP CUFF CHILD 9 FLEXI__REUSE-12-1SC$65.93Outpatient
Breath test analysis for helicobacter pylori$156Outpatient
BRIEFS (L) CASE$63.45Outpatient
BRIEFS, MED/FIRST QU__BENEPROTIEN$164Outpatient
BROSELOW INTRAOSSEOU__305540$256Outpatient
BROSELOW INTUBATION__11996-000017$213Outpatient
BROSELOW IV DELIVERY__11101-000016$205Outpatient
BROSELOW OXYGEN MODU__A910$132Outpatient
BUDESONIDE-FORMOTEROL 160-4.5$448Outpatient
bvm (adult)$69.30Outpatient
C-peptide (protein) level$146Outpatient
Calcitonin (hormone) level$324Outpatient
CALCIUM CHLORIDE 1 GM/10ML SYR$90.00Outpatient
CALMOSEPTINE OINTMENT$102Outpatient
CALMOSEPTINE__P771024$84.38Outpatient
CAM RELEASE ASSEMBLY, FOOTREST OR LEGREST, REPLACEMENT ONLY, EACH$80.10Outpatient
CANE ADJ/FIXED QUAD (NU)$75.60Outpatient
Cannabinoids levels, natural$76.73Outpatient
Carbamazepine level, total$255Outpatient
Carbon dioxide (bicarbonate) level$185Outpatient
Carboxyhemoglobin (protein) level$340Outpatient
Carcinoembryonic antigen (CEA) protein level$231Outpatient
cardic 3 lead & pads$257Outpatient
Cardiolipin antibody (tissue antibody) measurement$250Outpatient
Care management services for behavioral health conditions, 20 minutes or more clinical staff time directed by health care professional$87.08Outpatient
Carnitine level$84.83Outpatient
CAT TOURNIQUET__30-0023$201Outpatient
Catecholamines (organic nitrogen) level$310Outpatient
CATH TRAY, W/O FOLEY__897400$63.68Outpatient
CATH TRAY,16FR__898316$81.90Outpatient
CATHETER LEG BAG STRAP__31444$58.50Outpatient
CAVILON BARRIER FILM SPRAY__SSQ72X72 BGE$73.80Outpatient
Cell examination of specimen, selective cellular enhancement technique$361Outpatient
Cerebrospinal fluid, or amniotic fluid albumin (protein) level$117Outpatient
Ceruloplasmin (protein) level$143Outpatient
CERVICAL COLLAR__79-83005$56.70Outpatient
CERVICAL OR VAGINAL CANCER SCREENING; PELVIC AND CLINICAL BREAST EXAMINATION$106Outpatient
CERVICAL, COLLAR, SEMI-RIGID THERMOPLASTIC FOAM, TWO-PIECE, PREFABRICATED, OFF-THE-SHELF$119Outpatient
Charge for OT Evaluation$311Outpatient
Chemical analysis using chromatography technique$175Outpatient
Cholesterol level$97.20Outpatient
Chromosome analysis for genetic defects, additional karyotypes, each study$94.50Outpatient
Chromosome analysis for genetic defects, analyze 20-25 cells$292Outpatient
Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month$80.10Outpatient
Chronic care management services for two or more chronic conditions, additional 30 minutes provided personally by health care professional, per calendar month$238Outpatient
Chronic care management services for two or more chronic conditions, first 30 minutes provided personally by health care professional, per calendar month$366Outpatient
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month$65.93Outpatient
CIPROFLOXACIN 0.3% EYE DROP$63.90Outpatient
Citrate level$81.00Outpatient
CLAVICLE BRACE TRIBUCKLE LG__08141224$71.78Outpatient
CLINDAMYCIN 900 MG/50 ML-D5W$53.10Outpatient
Closed treatment of 2 broken lower leg bones at ankle with manipulation$1,144Outpatient
Closed treatment of 3 broken lower leg bones at ankle with manipulation$1,997Outpatient
Closed treatment of broken base of forearm bone on small finger side at wrist$1,633Outpatient
Closed treatment of broken bone in forefoot or midfoot$517Outpatient
Closed treatment of broken collar bone$352Outpatient
Closed treatment of broken end of finger or thumb$950Outpatient
Closed treatment of broken end of finger or thumb with manipulation$1,135Outpatient
Closed treatment of broken finger or thumb at midportion or part near hand with manipulation$793Outpatient
Closed treatment of broken forearm (radius) bone at the wrist area on the thumb side of the wrist without manipulation$652Outpatient
Closed treatment of broken great toe$554Outpatient
Closed treatment of broken hand bone$456Outpatient
Closed treatment of broken hand bone with manipulation$699Outpatient
Closed treatment of broken kneecap$1,481Outpatient
Closed treatment of broken middle or upper end of outside lower leg bone$1,168Outpatient
Closed treatment of broken middle part of shin bone$689Outpatient
Closed treatment of broken middle part of upper arm bone$1,465Outpatient
Closed treatment of broken midpart of both forearm bones$1,336Outpatient
Closed treatment of broken midpart of forearm bone on small finger side$1,262Outpatient
Closed treatment of broken nose bone with manipulation$604Outpatient
Closed treatment of broken or growth plate separate of forearm bone at wrist with manipulation$2,779Outpatient
Closed treatment of broken outside lower leg bone at ankle$730Outpatient
Closed treatment of broken outside lower leg bone at ankle with manipulation$954Outpatient
Closed treatment of broken shin bone at lower weight bearing joint$662Outpatient
Closed treatment of broken shin bone at lower weight bearing joint with manipulation and/or traction$2,218Outpatient
Closed treatment of broken thigh bone$2,119Outpatient
Closed treatment of broken upper thigh bone$1,775Outpatient
Closed treatment of dislocated ankle$1,383Outpatient
Closed treatment of dislocated finger joint with manipulation$928Outpatient
Closed treatment of dislocated finger joint with manipulation under anesthesia$1,122Outpatient
Closed treatment of dislocated forearm bone on thumb side at elbow with manipulation, child$465Outpatient
Closed treatment of dislocated hand joint at base of finger with manipulation$700Outpatient
Closed treatment of dislocated hip prosthesis$2,227Outpatient
Closed treatment of dislocated jaw joint$664Outpatient
Closed treatment of dislocated joint in toe$469Outpatient
Closed treatment of dislocated kneecap$1,295Outpatient
Closed treatment of dislocated shoulder with manipulation$682Outpatient
Closed treatment of dislocated shoulder with manipulation under anesthesia$2,335Outpatient
Closed treatment of middle part of broken shin bone with manipulation$2,200Outpatient
clotrimazole 1% cream 15gm$476Outpatient
Clotting factor VIII (VW factor) antigen$205Outpatient
CO2 ANALYZER ADULT__EASYCAP II$138Outpatient
Coagulation function measurement, D-dimer; quantitative$55.80Outpatient
Collagen cross links test, (urine test to evaluate bone health)$139Outpatient
COLOSTOMY POUCH__3803889$102Outpatient
COMMODE CHAIR W/FIXED ARM (NU)$99.00Outpatient
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count$53.10Outpatient
Complete ultrasound of abdomen and pelvis artery and vein blood flow$530Outpatient
Complete ultrasound scan behind abdominal cavity$150Outpatient
Complete ultrasound scan of 1 breast$96.08Outpatient
Complete ultrasound scan of abdomen$150Outpatient
Complete ultrasound scan of pelvis$103Outpatient
Complete X-ray of body bones$119Outpatient
Complex chronic care management services for two or more chronic conditions, each additional 30 minutes of clinical staff time directed by a physician or other qualified health care professional, per calendar month$166Outpatient

Compare coded procedures

For procedures with standard CPT codes — where prices can be compared across hospitals — see prices in Montana or browse all procedures.