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 $1,653.09 Cardiology
93017 CARDIOVASCULAR STRESS TEST, TREADMILL $487.76 Cardiology
93350 ECHO, STRESS EXERCISE    
93005 EKG-TRACING ONLY WITHOUT INTERPRETATION AND REPORT $93.46 Cardiology
93225 HOLTER MONITOR-CONNECTION,RECORDING AND DISCONNECTION $554.97 Cardiology
93226 HOLTER MONITOR-SCANNING ANALYSIS WITH REPORT $507.33 Cardiology

Diagnostic Imaging Testing

CPT Description Average Hospital Charge Contact physician(s) of the following specialties for more information:
77080 BONE DENSITY (DEXA SCAN) $274.20 Radiology
76700 ABDOMINAL (COMP) ULTRASOUND $410.34 Radiology
71010 CHEST X-RAY 1 VIEW $92.67 Radiology
71020 CHEST X-RAY 2 VIEWS $159.49 Radiology
74150 CT SCAN ABDOMEN WITH OUT CONTRAST $1,170.49 Radiology
76705 GALLBLADDER ULTRASOUND $332.52 Radiology
G0204 MAMMOGRAM-DIAGNOSTIC $285.44 Radiology
72156 MRI CERVICAL SPINE WITH AND WITHOUT CONTRAST $2,228.65 Radiology
73221 MRI SHOULDER $1,423.80 Radiology
76641 ULTRASOUND, BREAST BILATERAL $360.55 Radiology
70486 CT SINUS LIMITED STUDY $578.65 Radiology
70486 CT SINUS STEALTH $578.65 Radiology
G0202 MAMMOGRAM-SCREENING $263.73 Radiology
73721 MRI ANKLE WITHOUT CONTRAST $1,305.16 Radiology
70551 MRI BRAIN WITHOUT CONTRAST $1,698.16 Radiology
73721 MRI KNEE WITHOUT CONTRAST $1,305.16 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 $57.49  
85025 COMPLETE CBC WITH AUTOMATED DIFF $88.47  
80053 COMPLETE METABOLIC PANEL $83.27  
82948 GLUCOSE, POINT OF CARE $14.20  
80061 LIPID PANEL $83.00  
88142 MAGNESIUM $33.75  
88142 PAP SMEAR $118.13 Pathology
85610 PROTHROMBIN TIME $26.08  
84443 THYROID STIMULATING HORMONE (TSH) $84.98  
81001 URINALYSIS $64.57  

Miscellaneous Procedures

CPT Description Average Hospital Charge Contact physician(s) of the following specialties for more information:
95816 EEG-AWAKE AND DROWSEY $850.82 Neurology
95953 EEG-24 HOUR $1,712.94 Neurology
95819 EEG-AWAKE AND ASLEEP $671.19 Neurology
97802 NUTRITION THERAPY- INITIAL ASSESSMENT, PER 15 MINUTES $40.05  
97803 NUTRITION THERAPY- RE-ASSESSMENT, PER 15 MINUTES $40.05  
97804 NUTRITION THERAPY- GROUP PER 30 MINUTES $31.50  
G0108 NUTRITION THERAPY- INDIVIDUAL DIABETIC SELF MNGMT, PER 30 MINUTES

$82.12

 
G0109 NUTRITION THERAPY- GROUP DIABETIC SELF MNGMT, PER 30 MINUTES $31.50  
94060 PFT WITH BRONCHODILATOR $297.33 Pulmonology
94720 PFT DIFFUSION STUDY $281.76 Pulmonology
94260 PFT THORACIC GAS VOLUME $214.06 Pulmonology
94360 PFT RESISTANCE TO FL $229.17 Pulmonology
94010 PFT WITHOUT BRONCHODILATOR $50.20 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

$222.25

Radiology

76819

FETAL BIOPHYSICAL PROFILE, WITHOUT NON-STRESS TEST

$229.15

Radiology

59025

FETAL NON-STRESS

$385.55

Radiology

80055

LAB, OBSTETRIC PANEL

$136.61

 

81025

LAB, URINE PREGNANCY TEST

$54.20

 

76805

OB COMPLETE ULTRASOUND AFTER FIRST TRIMESTER

$575.34

Radiology

76815

OB LIMITED ULTRASOUND

$368.02

 Radiology

84144

PROGESTERONE

$193.77

 

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

$241.62

 

97110

THERAPUTIC EXERCISE, PER 15 MINUTES

$79.97

 

97035

THERAPUTIC ULTRASOUND, PER 15 MINUTES

$49.60

 

97530

THERAPUTIC ACTIVITIES, PER 15 MINUTES

$65.62

 

 

DRIVING EVALUATION

$203.63

 

97001

PHYSICAL THEREAPY, INTITAL EVALUATION

$263.21

 

97110

THERAPUTIC EXERCISE, PER 15 MINUTES

$79.97

 

97113

AQUATIC THERAPY, PER 15 MINUTES

$65.62

 

97140

MANUAL THERAPY, PER 15 MINUTES

$65.62

 

92506

SPEECH THEREAPY, INTITAL EVALUATION

$413.31

 

92507

SPEECH, LANGUAGE THERAPY

$148.04

 

92610

EVALUATION OF ORAL AND PHARYNGEAL SWALLOWING FUNCTION

$199.40

 

92526

TREATMENT OF SWALLOWING DYSFUNCTION

$148.16

 

 

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

$1,908.00

Neurology

95811

POLYSOMNOGRAM, WITH CPAP, ATTENDED BY TECHNOLOGIST

$1,908.00

Neurology

95805

POLYSOMNOGRAM, SLEEP

$1,572.48

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.