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FRANCES MAHON DEACONESS HOSPITAL

Hospital

621 3RD ST S

GLASGOW, MT, 59230

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Procedure Prices at FRANCES MAHON DEACONESS HOSPITAL

EKG Interpretation

CPT 93010

$8.13

Chest X-Ray (2 views)

CPT 71046

$10.5

EKG

CPT 93000

$14.56

Chest X-Ray (1 view)

CPT 71045

$15.24

VENIPUNCTURE

CPT 36415

$17.28

Thoracic Spine X-Ray

CPT 72072

$19.07

Abdominal Ultrasound — Limited

CPT 76705

$28.44

Mechanical Traction

CPT 97012

$42.88

Appendectomy

CPT 44950

$53

Recurrent Inguinal Hernia Repair

CPT 49520

$53

Diagnostic Mammogram (bilateral)

CPT 77066

$53

Screening Mammogram (bilateral)

CPT 77067

$53

Therapeutic Exercises

CPT 97110

$60.8

Therapeutic Activities

CPT 97530

$64

Abdominal Ultrasound

CPT 76700

$68

Diagnostic Mammogram (unilateral)

CPT 77065

$68

ER Visit — Low-Moderate Complexity

CPT 99283

$72.05

TELEHEALTH VISIT LEVEL 3-EST

CPT 99213

$76.32

OB Ultrasound

CPT 76805

$82.65

CBC W/AUTOMATED DIFFERENTIAL

CPT 85025

$86.4

CT Chest

CPT 71250

$94.79

MRI Brain w/o Contrast

CPT 70551

$121.96

MRI Joint of Lower Extremity

CPT 73721

$124.8

Upper GI Endoscopy w/ Biopsy

CPT 43239

$137.37

EKG Tracing

CPT 93005

$140.8

Blood test, comprehensive group of blood chemicals

CPT 80053

$167.04

Retroperitoneal Ultrasound

CPT 76770

$171

MRI Brain w/ Contrast

CPT 70553

$173.31

Colonoscopy

CPT 45378

$183.36

ER Visit — Moderate Complexity

CPT 99284

$198.14

Colonoscopy w/ Biopsy

CPT 45380

$199.27

TELEHEALTH PSY PT&/FAM 60 MIN

CPT 90837

$254.72

ER Visit — High Complexity

CPT 99285

$319.15

INJ FORAMEN EPIDURAL L/S, SNGL

CPT 64483

$405.6

Inguinal Hernia Repair

CPT 49505

$530.9

Laparoscopic Hernia Repair

CPT 49650

$656.68

Laparoscopic Cholecystectomy

CPT 47562

$667.7

Echocardiogram

CPT 93307

$746.88

Knee Arthroscopy

CPT 29881

$826.27

Arthroscop rotator cuff repr

CPT 29827

$1,083.84

Echocardiogram w/ Doppler

CPT 93306

$1,105.28

TREAT THIGH FRACTURE

CPT 27245

$1,240.64

Knee Replacement

CPT 27447

$1,296.64

Hip Replacement

CPT 27130

$1,297.99

CT Abdomen & Pelvis

CPT 74177

$2,036.48

Vaginal Delivery

CPT 59400

$2,428.49

C-Section

CPT 59510

$2,686.13

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Prices sourced from federally mandated hospital price transparency files. Cash prices reflect self-pay discounted rates. Negotiated rates vary by insurance plan. Data may not reflect current pricing — always confirm with the hospital before scheduling.