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Hospital Profile Critical Access Hospitals Voluntary non-profit - Private

Big Sandy Medical Center

166 MONTANA AVE E, Big Sandy, MT 59520

CMS Overall Rating No CMS Rating
Factual Overview

Big Sandy Medical Center is a Critical Access Hospitals (Voluntary non-profit - Private) operating in Big Sandy, MT. Mapped commercial insurance prices across 66 procedures average 4.93x the Medicare baseline. CMS has not published a quality star rating for this facility.

Facility Overview

Setting: rural Bed Count: 8 Beds Teaching Status: Non-Teaching Annual Discharges: 29

Patient Experience

Recommendation Rate: N/A High Patient Rating: N/A ER Wait Time (Med): 72 min Readmission Rate: N/A

Pricing & Transparency

Procedures Mapped: 66 codes Avg Markup vs Medicare: 4.93x Price File In Index: Yes MRF Version: 3.0.0
Procedure & Code Cash Price Actions
Breast lump removal
CPT Code: 19120
 $838 Calc
Upper endoscopy with biopsy
CPT Code: 43239
 $945 Calc
X-ray, chest (single view)
CPT Code: 71045
 $187 Calc
X-ray, chest (two views)
CPT Code: 71046
 $147 Calc
X-ray, neck (cervical spine)
CPT Code: 72040
 $139 Calc
X-ray, lower back
CPT Code: 72110
 $208 Calc
X-ray, pelvis
CPT Code: 72170
 $114 Calc
X-ray, shoulder
CPT Code: 73030
 $136 Calc
X-ray, hand
CPT Code: 73130
 $119 Calc
X-ray, hip
CPT Code: 73502
 $72 Calc
X-ray, ankle
CPT Code: 73610
 $118 Calc
X-ray, foot
CPT Code: 73630
 $116 Calc
Ultrasound, thyroid and neck
CPT Code: 76536
 $250 Calc
Ultrasound, abdomen (complete)
CPT Code: 76700
 $525 Calc
Ultrasound, abdomen (limited)
CPT Code: 76705
 $224 Calc
Ultrasound, pelvis
CPT Code: 76856
 $246 Calc
Screening mammogram (both breasts)
CPT Code: 77067
 $173 Calc
Blood test, basic metabolic panel
CPT Code: 80048
 $75 Calc
Blood test, comprehensive metabolic panel
CPT Code: 80053
 $62 Calc
Blood test, cholesterol (lipid panel)
CPT Code: 80061
 $136 Calc
Blood test, liver function panel
CPT Code: 80076
 $78 Calc
Urinalysis (automated, with microscopy)
CPT Code: 81001
 $81 Calc
Blood test, amylase
CPT Code: 82150
 $44 Calc
Blood test, vitamin D
CPT Code: 82306
 $120 Calc
Blood test, calcium
CPT Code: 82310
 $38 Calc
Blood test, creatinine (kidney)
CPT Code: 82565
 $28 Calc
Blood test, vitamin B12
CPT Code: 82607
 $82 Calc
Blood test, ferritin (iron stores)
CPT Code: 82728
 $56 Calc
Blood test, glucose (blood sugar)
CPT Code: 82947
 $29 Calc
Blood test, average blood sugar (A1c)
CPT Code: 83036
 $46 Calc
Blood test, lipase
CPT Code: 83690
 $38 Calc
Blood test, magnesium
CPT Code: 83735
 $38 Calc
Blood test, potassium
CPT Code: 84132
 $31 Calc
Blood test, PSA (prostate screen)
CPT Code: 84153
 $78 Calc
Blood test, sodium
CPT Code: 84295
 $30 Calc
Blood test, thyroid (TSH)
CPT Code: 84443
 $94 Calc
Blood test, urea nitrogen (BUN, kidney)
CPT Code: 84520
 $36 Calc
Blood test, hemoglobin
CPT Code: 85018
 $20 Calc
Blood test, complete blood count (CBC)
CPT Code: 85025
 $30 Calc
Blood test, clotting time (PT/INR)
CPT Code: 85610
 $33 Calc
Blood test, clotting time (PTT)
CPT Code: 85730
 $44 Calc
Hepatitis C antibody test
CPT Code: 86803
 $114 Calc
Blood antibody screen
CPT Code: 86850
 $66 Calc
Culture, blood
CPT Code: 87040
 $91 Calc
Culture, bacterial
CPT Code: 87070
 $65 Calc
Psychiatric evaluation (first visit)
CPT Code: 90791
 $218 Calc
Psychotherapy session (45 minutes)
CPT Code: 90834
 $126 Calc
Psychotherapy session (60 minutes)
CPT Code: 90837
 $185 Calc
Family therapy session
CPT Code: 90847
 $126 Calc
Group therapy session
CPT Code: 90853
 $34 Calc
Speech therapy (language evaluation)
CPT Code: 92507
 $126 Calc
Electrocardiogram (EKG, tracing only)
CPT Code: 93005
 $146 Calc
Ultrasound, leg veins (duplex)
CPT Code: 93970
 $422 Calc
Breathing treatment (nebulizer)
CPT Code: 94640
 $42 Calc
Physical therapy (therapeutic exercise)
CPT Code: 97110
 $84 Calc
Physical therapy (neuromuscular re-education)
CPT Code: 97112
 $64 Calc
Physical therapy (gait training)
CPT Code: 97116
 $53 Calc
Physical therapy (manual therapy)
CPT Code: 97140
 $63 Calc
Occupational therapy (therapeutic activities)
CPT Code: 97530
 $63 Calc
Occupational therapy (self-care training)
CPT Code: 97535
 $66 Calc
Physical therapy (functional capacity test)
CPT Code: 97750
 $143 Calc
Orthotic fitting and training
CPT Code: 97760
 $93 Calc
Prosthetic fitting and training
CPT Code: 97761
 $57 Calc
New patient office visit (30-44 min)
CPT Code: 99203
 $190 Calc
Office visit, established patient (20-29 min)
CPT Code: 99213
 $143 Calc
Office visit, established patient (30-39 min)
CPT Code: 99214
 $154 Calc