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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
59510Cash Price
(No Insurance)
$5,754
Gross Charge
$6,769
Medicare Rate
$2,419
Insurance Negotiated Rates
Pacific Source-All Plans$3,890
Cataract Surgery
66984Cash Price
(No Insurance)
$2,164
Gross Charge
$2,546
Medicare Rate
$445
Insurance Negotiated Rates
Self Pay Discount$2,164
Chest X-Ray 1 View
71045Cash Price
(No Insurance)
$219
Gross Charge
$258
Medicare Rate
$24
Insurance Negotiated Rates
Self Pay Discount$219
Chest X-Ray 2 Views
71046Cash Price
(No Insurance)
$259
Gross Charge
$305
Medicare Rate
$31
Insurance Negotiated Rates
Self Pay Discount$259
Cash Price
(No Insurance)
$758
Gross Charge
$892
Medicare Rate
$356
Insurance Negotiated Rates
Pacific Source-All Plans$305
Cash Price
(No Insurance)
$978
Gross Charge
$1,150
Medicare Rate
$450
Insurance Negotiated Rates
Pacific Source-All Plans$330
Cash Price
(No Insurance)
$1,016
Gross Charge
$1,195
Medicare Rate
$471
Insurance Negotiated Rates
Pacific Source-All Plans$419
Cash Price
(No Insurance)
$20
Gross Charge
$23
Insurance Negotiated Rates
Blue Cross Blue Shield$10
Cash Price
(No Insurance)
$122
Gross Charge
$144
Insurance Negotiated Rates
Blue Cross Blue Shield$14
Cash Price
(No Insurance)
$2,801
Gross Charge
$3,295
Medicare Rate
$280
Insurance Negotiated Rates
Blue Cross Blue Shield$386
Cash Price
(No Insurance)
$1,910
Gross Charge
$2,247
Medicare Rate
$172
Insurance Negotiated Rates
Blue Cross Blue Shield$184
CT Chest Low Dose
71271Cash Price
(No Insurance)
$938
Gross Charge
$1,103
Medicare Rate
$128
Insurance Negotiated Rates
Blue Cross Blue Shield$167
Cash Price
(No Insurance)
$1,828
Gross Charge
$2,150
Medicare Rate
$156
Insurance Negotiated Rates
Blue Cross Blue Shield$219
ER Visit Level 3
99283Cash Price
(No Insurance)
$309
Gross Charge
$364
Medicare Rate
$69
Insurance Negotiated Rates
Blue Cross Blue Shield$103
ER Visit Level 4
99284Cash Price
(No Insurance)
$523
Gross Charge
$615
Medicare Rate
$117
Insurance Negotiated Rates
Pacific Source-All Plans$193
ER Visit Level 5
99285Cash Price
(No Insurance)
$759
Gross Charge
$893
Medicare Rate
$170
Insurance Negotiated Rates
Pacific Source-All Plans$280
Cash Price
(No Insurance)
$105
Gross Charge
$123
Medicare Rate
$48
Insurance Negotiated Rates
Blue Cross Blue Shield$31
Hemoglobin A1C
83036Cash Price
(No Insurance)
$62
Gross Charge
$73
Insurance Negotiated Rates
Blue Cross Blue Shield$13
Knee X-Ray
73560Cash Price
(No Insurance)
$364
Gross Charge
$428
Medicare Rate
$32
Insurance Negotiated Rates
Blue Cross Blue Shield$41
Cash Price
(No Insurance)
$1,448
Gross Charge
$1,704
Medicare Rate
$615
Insurance Negotiated Rates
Pacific Source-All Plans$1,094
Lipid Panel
80061Cash Price
(No Insurance)
$137
Gross Charge
$161
Insurance Negotiated Rates
Blue Cross Blue Shield$18
Mammogram Diagnostic
77066Cash Price
(No Insurance)
$468
Gross Charge
$551
Medicare Rate
$146
Insurance Negotiated Rates
Blue Cross Blue Shield$195
Mammogram Screening
77067Cash Price
(No Insurance)
$232
Gross Charge
$273
Medicare Rate
$118
Insurance Negotiated Rates
Blue Cross Blue Shield$162
MRI Brain
70551Cash Price
(No Insurance)
$2,045
Gross Charge
$2,406
Medicare Rate
$183
Insurance Negotiated Rates
Blue Cross Blue Shield$243
Cash Price
(No Insurance)
$3,239
Gross Charge
$3,810
Medicare Rate
$296
Insurance Negotiated Rates
Blue Cross Blue Shield$409
MRI Cervical Spine
72141Cash Price
(No Insurance)
$2,116
Gross Charge
$2,489
Medicare Rate
$179
Insurance Negotiated Rates
Blue Cross Blue Shield$233
MRI Knee
73721Cash Price
(No Insurance)
$1,814
Gross Charge
$2,134
Medicare Rate
$191
Insurance Negotiated Rates
Blue Cross Blue Shield$264
MRI Lumbar Spine
72148Cash Price
(No Insurance)
$1,911
Gross Charge
$2,248
Medicare Rate
$180
Insurance Negotiated Rates
Blue Cross Blue Shield$234
MRI Shoulder
73221Cash Price
(No Insurance)
$1,759
Gross Charge
$2,069
Medicare Rate
$191
Insurance Negotiated Rates
Blue Cross Blue Shield$264
Office Visit Level 3
99213Cash Price
(No Insurance)
$156
Gross Charge
$184
Medicare Rate
$91
Insurance Negotiated Rates
Pacific Source-All Plans$83
Office Visit Level 4
99214Cash Price
(No Insurance)
$220
Gross Charge
$259
Medicare Rate
$130
Insurance Negotiated Rates
Self Pay Discount$115
Shoulder X-Ray
73030Cash Price
(No Insurance)
$384
Gross Charge
$452
Medicare Rate
$33
Insurance Negotiated Rates
Blue Cross Blue Shield$38
TSH (Thyroid)
84443Cash Price
(No Insurance)
$58
Gross Charge
$69
Insurance Negotiated Rates
Blue Cross Blue Shield$23
Ultrasound Abdomen
76700Cash Price
(No Insurance)
$86
Gross Charge
$102
Medicare Rate
$107
Insurance Negotiated Rates
Blue Cross Blue Shield$24
Ultrasound Pelvis
76856Cash Price
(No Insurance)
$632
Gross Charge
$744
Medicare Rate
$98
Insurance Negotiated Rates
Blue Cross Blue Shield$124
Cash Price
(No Insurance)
$561
Gross Charge
$660
Medicare Rate
$109
Insurance Negotiated Rates
Blue Cross Blue Shield$18
Cash Price
(No Insurance)
$668
Gross Charge
$786
Medicare Rate
$301
Insurance Negotiated Rates
Pacific Source-All Plans$202
Cash Price
(No Insurance)
$855
Gross Charge
$1,006
Medicare Rate
$390
Insurance Negotiated Rates
Pacific Source-All Plans$227
Urinalysis
81001Cash Price
(No Insurance)
$40
Gross Charge
$48
Insurance Negotiated Rates
Blue Cross Blue Shield$4
Vaginal Delivery
59400Cash Price
(No Insurance)
$5,211
Gross Charge
$6,131
Medicare Rate
$2,163
Insurance Negotiated Rates
Pacific Source-All Plans$3,507