The St. Peter’s Health Charges list reflect prices charged for select procedures. This list represents the most common procedures performed in the last year, along with other charges that may be of interest. This list will be updated periodically. Please keep in mind that there are several variables to each individual patient’s treatment and that costs may vary greatly, depending upon how many other resources are consumed during a hospital visit.
Due to the fact that it cannot be predicted what services a patient may require during an inpatient stay, it is not possible to quote an exact price in advance for an inpatient stay. Note too that you may also receive additional bills for services such as anesthesia, pathology or emergency room physician services. These contracted services will be billed separately from the bill you would receive from St. Peter's Health.
The price of an outpatient service may be determined in advance if the CPT code is known. However, oftentimes the use of additional supplies or drugs may increase the price charged for a procedure.
Download the Charge Master List
Effective June 1, 2017
Inpatient Procedures
| Description | Average Hospital Charge | Contact physician(s) of the following specialties for more information: |
|---|---|---|
| TOTAL HIP REPLACEMENT | $38,768.75 | Orthopedic Surgery Anesthesiology |
| TOTAL KNEE REPLACEMENT | $39,538.27 | Orthopedic Surgery Anesthesiology |
| VAGINAL HYSTERECTOMY | $12,473.63 | Obstetrics/Gynecology Anesthesiology |
Outpatient Procedures
| Description | Average Hospital Charge | Contact physician(s) of the following specialties for more information: |
|---|---|---|
| COLONOSCOPY- SCREENING | $1,511.75 | Gastroenterology |
| COLONOSCOPY-WITH POLYP REMOVAL | $2,028.99 | Gastroenterology Pathology |
| EGD | $2,031.86 | Gastroenterology |
| GALLBLADDER REMOVAL | $9,961.59 | General Surgery Anesthesiology Pathology |
| LEFT HEART CATH | $11,397.35 | Cardiology |
| STEREOTACTIC BREAST BIOPSY | $4,092.93 | Radiology |
| ULTRASOUND GUIDED BREAST BIOPSY | $3,936.73 | Radiology |
Cardiac
| CPT | Description | Average Hospital Charge | Contact physician(s) of the following specialties for more information: |
|---|---|---|---|
| 93306 | ECHO,2 D/M W/SPEC DOPPLER & COLOR FLOW | $1,719.21 | Cardiology |
| 93017 | CARDIOVASCULAR STRESS TEST, TREADMILL | $507.27 | Cardiology |
| 93350 | ECHO, STRESS EXERCISE | $929.09 | |
| 93005 | EKG-TRACING ONLY WITHOUT INTERPRETATION AND REPORT | $102.06 | Cardiology |
| 93225 | HOLTER MONITOR-CONNECTION, RECORDING AND DISCONNECTION | $606.03 | Cardiology |
| 93226 | HOLTER MONITOR-SCANNING ANALYSIS WITH REPORT | $554.01 | Cardiology |
Diagnostic Imaging Testing
| CPT | Description | Average Hospital Charge | Contact physician(s) of the following specialties for more information: |
|---|---|---|---|
| 77080 | BONE DENSITY (DEXA SCAN) | $293.67 | Radiology |
| 76700 | ABDOMINAL (COMP) ULTRASOUND | $439.48 | Radiology |
| 71045 | CHEST X-RAY 1 VIEW | $99.25 | Radiology |
| 71046 | CHEST X-RAY 2 VIEWS | $170.81 | Radiology |
| 74150 | CT SCAN ABDOMEN WITHOUT CONTRAST | $1,253.59 | Radiology |
| 76705 | GALLBLADDER ULTRASOUND | $356.13 | Radiology |
| 77065 | MAMMOGRAM-DIAGNOSTIC | $285.44 | Radiology |
| 72156 | MRI CERVICAL SPINE WITH AND WITHOUT CONTRAST | $2,169.66 | Radiology |
| 73221 | MRI SHOULDER | $1,554.79 | Radiology |
| 76641 | ULTRASOUND, BREAST BILATERAL | $772.30 | Radiology |
| 70486 | CT SINUS LIMITED STUDY | $619.73 | Radiology |
| 70486 | CT SINUS STEALTH | $619.73 | Radiology |
| 77067 | MAMMOGRAM-SCREENING | $282.46 | Radiology |
| 73721 | MRI ANKLE WITHOUT CONTRAST | $1,639.02 | Radiology |
| 70551 | MRI BRAIN WITHOUT CONTRAST | $2,132.56 | Radiology |
| 73721 | MRI KNEE WITHOUT CONTRAST | $1,639.02 | Radiology |
Note: All blood draws have an additional venipuncture charge of $18.35 (CPT 36415)
Lab Testing
| CPT | Description | Average Hospital Charge | Contact physician(s) of the following specialties for more information: |
|---|---|---|---|
| 80048 | BASIS METABOLIC PANEL | $58.64 | |
| 85025 | COMPLETE CBC WITH AUTOMATED DIFF | $90.24 | |
| 80053 | COMPLETE METABOLIC PANEL | $84.94 | |
| 82948 | GLUCOSE, POINT OF CARE | $14.48 | |
| 80061 | LIPID PANEL | $84.66 | |
| 83735 | MAGNESIUM | $34.43 | |
| 88142 | PAP SMEAR | $120.49 | Pathology |
| 85610 | PROTHROMBIN TIME | $26.60 | |
| 84443 | THYROID STIMULATING HORMONE (TSH) | $86.68 | |
| 81001 | URINALYSIS |
$65.86 |
|
| 87635 | COVID-19 CASH PRICE |
$78.00 |
Miscellaneous Procedures
| CPT | Description | Average Hospital Charge | Contact physician(s) of the following specialties for more information: |
|---|---|---|---|
| 95816 | EEG-AWAKE AND DROWSEY | $929.09 | Neurology |
| 95708 | EEG-24 HOUR | $1,262.56 | Neurology |
| 95819 | EEG-AWAKE AND ASLEEP | $732.94 | Neurology |
| 97802 | NUTRITION THERAPY- INITIAL ASSESSMENT, PER 15 MINUTES | $43.73 | |
| 97803 | NUTRITION THERAPY- RE-ASSESSMENT, PER 15 MINUTES | $43.73 | |
| 97804 | NUTRITION THERAPY- GROUP PER 30 MINUTES | $34.40 | |
| G0108 | NUTRITION THERAPY- INDIVIDUAL DIABETIC SELF MNGMT, PER 30 MINUTES |
$89.68 |
|
| G0109 | NUTRITION THERAPY- GROUP DIABETIC SELF MNGMT, PER 30 MINUTES | $30.31 | |
| 94060 | PFT WITH BRONCHODILATOR | $324.69 | Pulmonology |
| 94720 | PFT DIFFUSION STUDY | $307.68 | Pulmonology |
| 94260 | PFT THORACIC GAS VOLUME | $233.75 | Pulmonology |
| 94360 | PFT RESISTANCE TO FL | $250.26 | Pulmonology |
| 94010 | PFT WITHOUT BRONCHODILATOR | $62.65 | Pulmonology |
Note: All blood draws have an additional venipuncture charge of $18.35 (CPT 36415)
Obstetrics
| CPT | Description | Average Hospital Charge | >Contact physician(s) of the following specialties for more information: |
|---|---|---|---|
|
inpatient |
NEWBORN -ONE DAY STAY (BABY) |
$1,658.14 |
Family Practice or Pediatrics |
|
inpatient |
NEWBORN WITH CIRCUMCISION-ONE DAY STAY (BABY) |
$3,121.68 |
Family Practice or Pediatrics |
|
inpatient |
C SECTION DELIVERY- WITHOUT COMPLICATIONS (MOM) |
$11,233.29 |
Obstetrics or Family Practice Anesthesiology |
|
inpatient |
VAGINAL DELIVERY WITHOUT COMPLICATIONS (MOM) |
$5,429.18 |
Obstetrics or Family Practice |
|
inpatient |
VAGINAL DELIVERY- WITH INDUCTION (MOM) |
$6,387.99 |
Obstetrics or Family Practice |
|
76820 |
DOPPLER FETAL UMBILICAL ARTERY |
$291.05 |
Radiology |
|
76819 |
FETAL BIOPHYSICAL PROFILE, WITHOUT NON-STRESS TEST |
$297.65 |
Radiology |
|
59025 |
FETAL NON-STRESS |
$421.02 |
Radiology |
|
80055 |
LAB, OBSTETRIC PANEL |
$139.34 |
|
|
81025 |
LAB, URINE PREGNANCY TEST |
$55.28 |
|
|
76805 |
OB COMPLETE ULTRASOUND AFTER FIRST TRIMESTER |
$351.77 |
Radiology |
|
76815 |
OB LIMITED ULTRASOUND |
$249.63 |
Radiology |
|
84144 |
PROGESTERONE |
$197.65 |
|
Physical, Speech and Occupational Therapy
| CPT | Description | Average Hospital Charge | Contact physician(s) of the following specialties for more information: |
|---|---|---|---|
|
97003 |
OCCUPATIONAL THEREAPY, INTITAL EVALUATION |
$300.92 |
|
|
97110 |
THERAPUTIC EXERCISE, PER 15 MINUTES |
$87.33 |
|
|
97035 |
THERAPUTIC ULTRASOUND, PER 15 MINUTES |
$54.16 |
|
|
97530 |
THERAPUTIC ACTIVITIES, PER 15 MINUTES |
$71.66 |
|
|
|
DRIVING EVALUATION |
$203.63 |
|
|
97001 |
PHYSICAL THEREAPY, INTITAL EVALUATION |
$300.92 |
|
|
97110 |
THERAPUTIC EXERCISE, PER 15 MINUTES |
$87.33 |
|
|
97113 |
AQUATIC THERAPY, PER 15 MINUTES |
$71.66 |
|
|
97140 |
MANUAL THERAPY, PER 15 MINUTES |
$71.66 |
|
|
92506 |
SPEECH THEREAPY, INTITAL EVALUATION |
$451.34 |
|
|
92507 |
SPEECH, LANGUAGE THERAPY |
$161.66 |
|
|
92610 |
EVALUATION OF ORAL AND PHARYNGEAL SWALLOWING FUNCTION |
$217.74 |
|
|
92526 |
TREATMENT OF SWALLOWING DYSFUNCTION |
$161.79 |
|
|
|
CARDIAC/PULMONARY EXERCISE CLASS PER SESSION |
$3.58 |
|
Sleep Studies
| CPT | Description | Average Hospital Charge | Contact physician(s) of the following specialties for more information: |
|---|---|---|---|
|
95810 |
POLYSOMNOGRAM, ATTENDED BY TECHNOLOGIST |
$2,083.54 |
Neurology |
|
95811 |
POLYSOMNOGRAM, WITH CPAP, ATTENDED BY TECHNOLOGIST |
$2,083.54 |
Neurology |
|
95805 |
POLYSOMNOGRAM, SLEEP |
$1,717.14 |
Neurology |
In setting its prices for procedures, St Peter’s compares its charges to those of other Montana health care providers and makes adjustments where necessary to remain competitive.
Some procedures compared against other places (e.g., cardiovascular/heart pacemaker) are offered at St. Peter’s only in emergencies and because of the low volume are more expensive. The charge ranges also reflect disparities among health conditions, geographic location, and proximity to healthcare. Satisfactorily explaining or accurately predicting actual charges to individuals’ remains a difficult task.
St. Peter’s mission is to partner with its patients, the community, and medical staff to provide exceptional and compassionate healthcare. Because of this commitment to the community, some services such as the ambulance and home health services are subsidized by the Hospital. St. Peter’s also provides services to those in the Helena area who simply can't afford to pay for their healthcare.