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Frances Mahon Deaconess Hospital
Glasgow, MT · CMS ID: 271316
This hospital has pricing data for 41 procedures ranging from $43 to $6,755.
Procedures (41)
C-Section Delivery
59510Cash Price
(No Insurance)
$6,755
Gross Charge
$7,506
Medicare Rate
$2,419
Insurance Negotiated Rates
Ihs-All Plans$2,608
Chest X-Ray 1 View
71045Cash Price
(No Insurance)
$46
Gross Charge
$51
Medicare Rate
$24
Insurance Negotiated Rates
UnitedHealthcare$8
Chest X-Ray 2 Views
71046Cash Price
(No Insurance)
$55
Gross Charge
$61
Medicare Rate
$31
Insurance Negotiated Rates
Ihs-All Plans$10
Cash Price
(No Insurance)
$1,211
Gross Charge
$1,346
Medicare Rate
$356
Insurance Negotiated Rates
UnitedHealthcare$177
Cash Price
(No Insurance)
$1,315
Gross Charge
$1,461
Medicare Rate
$450
Insurance Negotiated Rates
UnitedHealthcare$192
Cash Price
(No Insurance)
$1,670
Gross Charge
$1,856
Medicare Rate
$471
Insurance Negotiated Rates
Ihs-All Plans$243
Cash Price
(No Insurance)
$131
Gross Charge
$146
Insurance Negotiated Rates
Blue Cross Blue Shield$66
Cash Price
(No Insurance)
$226
Gross Charge
$251
Insurance Negotiated Rates
Ihs-All Plans$113
Cash Price
(No Insurance)
$445
Gross Charge
$494
Medicare Rate
$280
Insurance Negotiated Rates
Ihs-All Plans$83
Cash Price
(No Insurance)
$424
Gross Charge
$471
Medicare Rate
$172
Insurance Negotiated Rates
UnitedHealthcare$79
Cash Price
(No Insurance)
$283
Gross Charge
$314
Medicare Rate
$156
Insurance Negotiated Rates
UnitedHealthcare$53
ER Visit Level 3
99283Cash Price
(No Insurance)
$256
Gross Charge
$284
Medicare Rate
$69
Insurance Negotiated Rates
Ihs-All Plans$68
ER Visit Level 4
99284Cash Price
(No Insurance)
$431
Gross Charge
$479
Medicare Rate
$117
Insurance Negotiated Rates
Ihs-All Plans$116
ER Visit Level 5
99285Cash Price
(No Insurance)
$625
Gross Charge
$694
Medicare Rate
$170
Insurance Negotiated Rates
Ihs-All Plans$169
Cash Price
(No Insurance)
$131
Gross Charge
$145
Medicare Rate
$48
Insurance Negotiated Rates
Ihs-All Plans$28
Hemoglobin A1C
83036Cash Price
(No Insurance)
$151
Gross Charge
$168
Insurance Negotiated Rates
Blue Cross Blue Shield$76
Hip Replacement
27130Cash Price
(No Insurance)
$5,894
Gross Charge
$6,549
Medicare Rate
$1,129
Insurance Negotiated Rates
Ihs-All Plans$1,256
Knee Arthroscopy
29881Cash Price
(No Insurance)
$2,500
Gross Charge
$2,778
Medicare Rate
$495
Insurance Negotiated Rates
Ihs-All Plans$537
Knee Replacement
27447Cash Price
(No Insurance)
$5,889
Gross Charge
$6,543
Medicare Rate
$1,127
Insurance Negotiated Rates
UnitedHealthcare$1,255
Knee X-Ray
73560Cash Price
(No Insurance)
$43
Gross Charge
$48
Medicare Rate
$32
Insurance Negotiated Rates
Ihs-All Plans$8
Cash Price
(No Insurance)
$3,064
Gross Charge
$3,404
Medicare Rate
$615
Insurance Negotiated Rates
Ihs-All Plans$647
Lipid Panel
80061Cash Price
(No Insurance)
$192
Gross Charge
$213
Insurance Negotiated Rates
Blue Cross Blue Shield$96
Mammogram Diagnostic
77066Cash Price
(No Insurance)
$245
Gross Charge
$272
Medicare Rate
$146
Insurance Negotiated Rates
Ihs-All Plans$45
Mammogram Screening
77067Cash Price
(No Insurance)
$185
Gross Charge
$206
Medicare Rate
$118
Insurance Negotiated Rates
Ihs-All Plans$35
MRI Brain
70551Cash Price
(No Insurance)
$362
Gross Charge
$402
Medicare Rate
$183
Insurance Negotiated Rates
Ihs-All Plans$67
Cash Price
(No Insurance)
$557
Gross Charge
$619
Medicare Rate
$296
Insurance Negotiated Rates
Ihs-All Plans$105
MRI Cervical Spine
72141Cash Price
(No Insurance)
$364
Gross Charge
$404
Medicare Rate
$179
Insurance Negotiated Rates
Ihs-All Plans$68
MRI Knee
73721Cash Price
(No Insurance)
$335
Gross Charge
$372
Medicare Rate
$191
Insurance Negotiated Rates
Ihs-All Plans$62
MRI Lumbar Spine
72148Cash Price
(No Insurance)
$364
Gross Charge
$404
Medicare Rate
$180
Insurance Negotiated Rates
Ihs-All Plans$68
MRI Shoulder
73221Cash Price
(No Insurance)
$335
Gross Charge
$372
Medicare Rate
$191
Insurance Negotiated Rates
UnitedHealthcare$62
Office Visit Level 3
99213Cash Price
(No Insurance)
$203
Gross Charge
$226
Medicare Rate
$91
Insurance Negotiated Rates
Ihs-All Plans$64
Office Visit Level 4
99214Cash Price
(No Insurance)
$298
Gross Charge
$331
Medicare Rate
$130
Insurance Negotiated Rates
Ihs-All Plans$94
Shoulder X-Ray
73030Cash Price
(No Insurance)
$48
Gross Charge
$53
Medicare Rate
$33
Insurance Negotiated Rates
Ihs-All Plans$9
TSH (Thyroid)
84443Cash Price
(No Insurance)
$149
Gross Charge
$165
Insurance Negotiated Rates
Blue Cross Blue Shield$65
Ultrasound Abdomen
76700Cash Price
(No Insurance)
$198
Gross Charge
$220
Medicare Rate
$107
Insurance Negotiated Rates
Ihs-All Plans$37
Ultrasound Pelvis
76856Cash Price
(No Insurance)
$170
Gross Charge
$189
Medicare Rate
$98
Insurance Negotiated Rates
Ihs-All Plans$31
Cash Price
(No Insurance)
$170
Gross Charge
$189
Medicare Rate
$109
Insurance Negotiated Rates
Ihs-All Plans$32
Cash Price
(No Insurance)
$558
Gross Charge
$620
Medicare Rate
$301
Insurance Negotiated Rates
UnitedHealthcare$118
Cash Price
(No Insurance)
$627
Gross Charge
$697
Medicare Rate
$390
Insurance Negotiated Rates
UnitedHealthcare$132
Urinalysis
81001Cash Price
(No Insurance)
$58
Gross Charge
$64
Insurance Negotiated Rates
Blue Cross Blue Shield$29
Vaginal Delivery
59400Cash Price
(No Insurance)
$6,119
Gross Charge
$6,799
Medicare Rate
$2,163
Insurance Negotiated Rates
Blue Cross Blue Shield$45