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Pondera Medical Center

Conrad, MT · CMS ID: 271324

This hospital has pricing data for 40 procedures ranging from $20 to $5,754.

Procedures (40)

C-Section Delivery

59510
Cash Price
(No Insurance)
$5,754
Gross Charge
$6,769
Insurance Negotiated Rates
Pacific Source-All Plans$3,890

Cataract Surgery

66984
Cash Price
(No Insurance)
$2,164
Gross Charge
$2,546
Insurance Negotiated Rates
Self Pay Discount$2,164

Chest X-Ray 1 View

71045
Cash Price
(No Insurance)
$219
Gross Charge
$258
Insurance Negotiated Rates
Self Pay Discount$219

Chest X-Ray 2 Views

71046
Cash Price
(No Insurance)
$259
Gross Charge
$305
Insurance Negotiated Rates
Self Pay Discount$259

Colonoscopy Diagnostic

45378
Cash Price
(No Insurance)
$758
Gross Charge
$892
Insurance Negotiated Rates
Pacific Source-All Plans$305

Colonoscopy with Biopsy

45380
Cash Price
(No Insurance)
$978
Gross Charge
$1,150
Insurance Negotiated Rates
Pacific Source-All Plans$330

Colonoscopy with Polyp Removal

45385
Cash Price
(No Insurance)
$1,016
Gross Charge
$1,195
Insurance Negotiated Rates
Pacific Source-All Plans$419

Complete Blood Count (CBC)

85025
Cash Price
(No Insurance)
$20
Gross Charge
$23
Insurance Negotiated Rates
Blue Cross Blue Shield$10

Comprehensive Metabolic Panel

80053
Cash Price
(No Insurance)
$122
Gross Charge
$144
Insurance Negotiated Rates
Blue Cross Blue Shield$14

CT Abdomen/Pelvis with Contrast

74177
Cash Price
(No Insurance)
$2,801
Gross Charge
$3,295
Insurance Negotiated Rates
Blue Cross Blue Shield$386

CT Abdomen/Pelvis without Contrast

74176
Cash Price
(No Insurance)
$1,910
Gross Charge
$2,247
Insurance Negotiated Rates
Blue Cross Blue Shield$184

CT Chest Low Dose

71271
Cash Price
(No Insurance)
$938
Gross Charge
$1,103
Insurance Negotiated Rates
Blue Cross Blue Shield$167

CT Chest with Contrast

71260
Cash Price
(No Insurance)
$1,828
Gross Charge
$2,150
Insurance Negotiated Rates
Blue Cross Blue Shield$219

ER Visit Level 3

99283
Cash Price
(No Insurance)
$309
Gross Charge
$364
Insurance Negotiated Rates
Blue Cross Blue Shield$103

ER Visit Level 4

99284
Cash Price
(No Insurance)
$523
Gross Charge
$615
Insurance Negotiated Rates
Pacific Source-All Plans$193

ER Visit Level 5

99285
Cash Price
(No Insurance)
$759
Gross Charge
$893
Insurance Negotiated Rates
Pacific Source-All Plans$280

Fetal Non-Stress Test

59025
Cash Price
(No Insurance)
$105
Gross Charge
$123
Insurance Negotiated Rates
Blue Cross Blue Shield$31

Hemoglobin A1C

83036
Cash Price
(No Insurance)
$62
Gross Charge
$73
Insurance Negotiated Rates
Blue Cross Blue Shield$13

Knee X-Ray

73560
Cash Price
(No Insurance)
$364
Gross Charge
$428
Insurance Negotiated Rates
Blue Cross Blue Shield$41

Laparoscopic Cholecystectomy

47562
Cash Price
(No Insurance)
$1,448
Gross Charge
$1,704
Insurance Negotiated Rates
Pacific Source-All Plans$1,094

Lipid Panel

80061
Cash Price
(No Insurance)
$137
Gross Charge
$161
Insurance Negotiated Rates
Blue Cross Blue Shield$18

Mammogram Diagnostic

77066
Cash Price
(No Insurance)
$468
Gross Charge
$551
Insurance Negotiated Rates
Blue Cross Blue Shield$195

Mammogram Screening

77067
Cash Price
(No Insurance)
$232
Gross Charge
$273
Insurance Negotiated Rates
Blue Cross Blue Shield$162

MRI Brain

70551
Cash Price
(No Insurance)
$2,045
Gross Charge
$2,406
Insurance Negotiated Rates
Blue Cross Blue Shield$243

MRI Brain with Contrast

70553
Cash Price
(No Insurance)
$3,239
Gross Charge
$3,810
Insurance Negotiated Rates
Blue Cross Blue Shield$409

MRI Cervical Spine

72141
Cash Price
(No Insurance)
$2,116
Gross Charge
$2,489
Insurance Negotiated Rates
Blue Cross Blue Shield$233

MRI Knee

73721
Cash Price
(No Insurance)
$1,814
Gross Charge
$2,134
Insurance Negotiated Rates
Blue Cross Blue Shield$264

MRI Lumbar Spine

72148
Cash Price
(No Insurance)
$1,911
Gross Charge
$2,248
Insurance Negotiated Rates
Blue Cross Blue Shield$234

MRI Shoulder

73221
Cash Price
(No Insurance)
$1,759
Gross Charge
$2,069
Insurance Negotiated Rates
Blue Cross Blue Shield$264

Office Visit Level 3

99213
Cash Price
(No Insurance)
$156
Gross Charge
$184
Insurance Negotiated Rates
Pacific Source-All Plans$83

Office Visit Level 4

99214
Cash Price
(No Insurance)
$220
Gross Charge
$259
Insurance Negotiated Rates
Self Pay Discount$115

Shoulder X-Ray

73030
Cash Price
(No Insurance)
$384
Gross Charge
$452
Insurance Negotiated Rates
Blue Cross Blue Shield$38

TSH (Thyroid)

84443
Cash Price
(No Insurance)
$58
Gross Charge
$69
Insurance Negotiated Rates
Blue Cross Blue Shield$23

Ultrasound Abdomen

76700
Cash Price
(No Insurance)
$86
Gross Charge
$102
Insurance Negotiated Rates
Blue Cross Blue Shield$24

Ultrasound Pelvis

76856
Cash Price
(No Insurance)
$632
Gross Charge
$744
Insurance Negotiated Rates
Blue Cross Blue Shield$124

Ultrasound Transvaginal

76830
Cash Price
(No Insurance)
$561
Gross Charge
$660
Insurance Negotiated Rates
Blue Cross Blue Shield$18

Upper Endoscopy Diagnostic

43235
Cash Price
(No Insurance)
$668
Gross Charge
$786
Insurance Negotiated Rates
Pacific Source-All Plans$202

Upper Endoscopy with Biopsy

43239
Cash Price
(No Insurance)
$855
Gross Charge
$1,006
Insurance Negotiated Rates
Pacific Source-All Plans$227

Urinalysis

81001
Cash Price
(No Insurance)
$40
Gross Charge
$48
Insurance Negotiated Rates
Blue Cross Blue Shield$4

Vaginal Delivery

59400
Cash Price
(No Insurance)
$5,211
Gross Charge
$6,131
Insurance Negotiated Rates
Pacific Source-All Plans$3,507