BENEFIS TETON MEDICAL CENTER (Choteau, MT) prices

45 CFR § 180 compliance

B · 85

This hospital published most of what § 180 requires.

●Machine-readable file published: assessment threshold met

●Gross / standard charges: assessment threshold met

●Discounted cash price: assessment threshold met

●Payer-specific negotiated rates: assessment threshold met

○Min / max negotiated charges: below assessment threshold

●Free, public, no login required: assessment threshold met

Procedures listed

858

Insurances with rates

CPT / HCPCS codes

Source MRF

csv ↗

File last updated: 2026-03-26 (per the hospital's file)

Retrieved: 2026-11-06

Most expensive procedures (gross)

PX-2000000002

$5,067

HC Icu Complex Room Daily

Gross

$8,445

PX-2000000001

$3,758

HC Icu Room Daily

Gross

$6,264

PX-361G033001

$3,682

HC Facility Svs Dental Rehab

Gross

$6,136

PX-4505940901

$3,469

HC Obstetrical Care,Vag Deliv Only

Gross

$5,782

PX-3527417801

$2,508

HC CT Abd & Pelv 1/> Regns - CT Abdomen Pelvis W WO Contrast

Gross

$4,180

PX-3507047101

$2,497

HC Cta Head&Neck C+ W/Noncontrast Img&Post-Pxessing

Gross

$4,161

PX-3613255601

$2,276

HC Perq Drainage Pleura Insert Cath W/O Imaging

Gross

$3,794

PX-3527417701

$2,242

HC CT Abd & Pelv W/Contrast - CT Abdomen Pelvis W Contrast

Gross

$3,737

PX-681G039003

$2,204

HC Trauma Team Activation

Gross

$3,674

PX-3612550501

$2,017

HC Closed Tx Radial Shaft Fracture W/Manipulation

Gross

$3,362

PX-3611014001

$1,987

HC Drainage of Hematoma/Fluid

Gross

$3,312

PX-4502750201

$1,920

HC Closed Fem Shft Fx W/Manj W/WO Skin/Skeletal Traction

Gross

$3,200

PX-3602560501

$1,903

HC Closed Rx Dist Rad/Ulna Fx,Manipul

Gross

$3,171

PX-4509929101

$1,879

HC Critical Care, E/M 30-74 Minutes

Gross

$3,132

PX-3527417601

$1,774

HC CT Abd & Pelvis W/O Contrast - CT Abdomen Pelvis WO Contrast

Gross

$2,957

PX-3527417401

$1,700

HC CT Angio Abd&Pelv W/O&W/Dye - CT Angiogram Abdomen Pelvis W Contrast

Gross

$2,833

PX-3527417001

$1,694

HC CT Abdomen W/O & W/Dye - CT Abdomen W WO Contrast

Gross

$2,823

PX-4501008101

$1,657

HC Drain Pilonidal Cyst Complic

Gross

$2,762

PX-3527127501

$1,544

HC CT Angio, Chest, Combo, Incl Image - CT Pe Chest

Gross

$2,574

PX-4503255101

$1,478

HC Tube Thoracostomy Includes Water Seal

Gross

$2,464

PX-3517048802

$1,420

HC CT Scans Face/Jaw Combo - CT Sinus Facial Bones W WO Contrast

Gross

$2,367

PX-3527416001

$1,399

HC CT Abdomen W/Dye - CT Abdomen W Contrast

Gross

$2,332

PX-3527126002

$1,373

HC Cat Scan of Chest Contrast - CT Chest W Contrast

Gross

$2,289

PX-3527212901

$1,351

HC CT Scan Dorsal Sp Contrast - CT Thoracic Spine W Contrast

Gross

$2,251

PX-3527212701

$1,340

HC CT Scan Cerv Sp Combo - CT Cervical Spine W WO Contrast

Gross

$2,233

PX-3527213001

$1,333

HC CT Scan Dorsal Sp Combo - CT Thoracic Spine W WO Contrast

Gross

$2,221

PX-3527213301

$1,333

HC CT Scan Lumbar Sp Combo - CT Lumbar Spine W WO Contrast

Gross

$2,221

PX-3527370201

$1,294

HC CT Scan of Leg Combo - CT Femur W and WO IV Contrast

Gross

$2,156

PX-3527370202

$1,294

HC CT Scan of Leg Combo - CT Tibia Fibula W and WO IV Contrast

Gross

$2,156

PX-3527370204

$1,294

HC CT Scan of Leg Combo - CT Lower Extremity W and WO IV Contrast

Gross

$2,156

PX-3527370206

$1,294

HC CT Scan of Leg Combo - CT Knee W and WO IV Contrast

Gross

$2,156

PX-3527370209

$1,294

HC CT Scan of Leg Combo - CT Hip W and WO IV Contrast

Gross

$2,156

PX-3517049101

$1,272

HC CT Neck Tissue Contrast - CT Soft Tissue Neck W Contrast

Gross

$2,120

PX-3527127001

$1,221

HC Cat Scan of Chest Combo - CT Chest W WO Contrast

Gross

$2,035

PX-3527219401

$1,197

HC CT Scan of Pelvis Combo - CT Pelvis W WO Contrast

Gross

$1,995

PX-3527320201

$1,189

HC CT Scan of Arm Combo - CT Shoulder W and WO IV Contrast

Gross

$1,982

PX-3527320204

$1,189

HC CT Scan of Arm Combo - CT Radius Ulna W and WO IV Contrast

Gross

$1,982

PX-3527320205

$1,189

HC CT Scan of Arm Combo - CT Wrist W and WO IV Contrast

Gross

$1,982

PX-3527320207

$1,189

HC CT Scan of Arm Combo - CT Hand W and WO IV Contrast

Gross

$1,982

PX-3527320209

$1,189

HC CT Scan of Arm Combo - CT Upper Extremity W and WO IV Contrast

Gross

$1,982

PX-3527320211

$1,189

HC CT Scan of Arm Combo - CT Elbow W and WO IV Contrast

Gross

$1,982

PX-390P905201

$1,182

HC Platelets, Hla-Match Each

Gross

$1,970

PX-3527219201

$1,181

HC CT Scan,Pelvis,W/O Contrast - CT Pelvis WO Contrast

Gross

$1,969

PX-3527125001

$1,174

HC CT Scan,Thorax,W/O Contrast - CT Chest WO Contrast

Gross

$1,957

PX-3527213101

$1,161

HC CT Scan,Lumbar Spine,W/O Contrast - CT Lumbar Spine WO Contrast

Gross

$1,935

PX-4509928501

$1,153

HC Emergency Department Level 5 Visit High Severity&Threat Func

Gross

$1,921

PX-3527212601

$1,141

HC CT Scan Cerv Spine Contrast - CT Cervical Spine W Contrast

Gross

$1,902

PX-3517049201

$1,132

HC CT Neck Tissue Combo - CT Soft Tissue Neck W WO Contrast

Gross

$1,887

PX-3517047001

$1,130

HC CT Scan Head Combo - CT Head W WO Contrast

Gross

$1,883

PX-9812560501

$1,118

Cltx Dstl Rdl Fx/Epiphysl Sep W/Manj When Perf

Gross

$1,863

Code	Description	Gross	Cash	Min payer	Max payer	# insurers
PX-2000000002	HC Icu Complex Room Daily	$8,445	$5,067	—	—	38
PX-2000000001	HC Icu Room Daily	$6,264	$3,758	—	—	38
PX-361G033001	HC Facility Svs Dental Rehab	$6,136	$3,682	—	—	19
PX-4505940901	HC Obstetrical Care,Vag Deliv Only	$5,782	$3,469	—	—	19
PX-3527417801	HC CT Abd & Pelv 1/> Regns - CT Abdomen Pelvis W WO Contrast	$4,180	$2,508	—	—	20
PX-3507047101	HC Cta Head&Neck C+ W/Noncontrast Img&Post-Pxessing	$4,161	$2,497	—	—	19
PX-3613255601	HC Perq Drainage Pleura Insert Cath W/O Imaging	$3,794	$2,276	—	—	19
PX-3527417701	HC CT Abd & Pelv W/Contrast - CT Abdomen Pelvis W Contrast	$3,737	$2,242	—	—	20
PX-681G039003	HC Trauma Team Activation	$3,674	$2,204	—	—	19
PX-3612550501	HC Closed Tx Radial Shaft Fracture W/Manipulation	$3,362	$2,017	—	—	19
PX-3611014001	HC Drainage of Hematoma/Fluid	$3,312	$1,987	—	—	19
PX-4502750201	HC Closed Fem Shft Fx W/Manj W/WO Skin/Skeletal Traction	$3,200	$1,920	—	—	19
PX-3602560501	HC Closed Rx Dist Rad/Ulna Fx,Manipul	$3,171	$1,903	—	—	19
PX-4509929101	HC Critical Care, E/M 30-74 Minutes	$3,132	$1,879	—	—	19
PX-3527417601	HC CT Abd & Pelvis W/O Contrast - CT Abdomen Pelvis WO Contrast	$2,957	$1,774	—	—	20
PX-3527417401	HC CT Angio Abd&Pelv W/O&W/Dye - CT Angiogram Abdomen Pelvis W Contrast	$2,833	$1,700	—	—	20
PX-3527417001	HC CT Abdomen W/O & W/Dye - CT Abdomen W WO Contrast	$2,823	$1,694	—	—	20
PX-4501008101	HC Drain Pilonidal Cyst Complic	$2,762	$1,657	—	—	19
PX-3527127501	HC CT Angio, Chest, Combo, Incl Image - CT Pe Chest	$2,574	$1,544	—	—	20
PX-4503255101	HC Tube Thoracostomy Includes Water Seal	$2,464	$1,478	—	—	19
PX-3517048802	HC CT Scans Face/Jaw Combo - CT Sinus Facial Bones W WO Contrast	$2,367	$1,420	—	—	20
PX-3527416001	HC CT Abdomen W/Dye - CT Abdomen W Contrast	$2,332	$1,399	—	—	20
PX-3527126002	HC Cat Scan of Chest Contrast - CT Chest W Contrast	$2,289	$1,373	—	—	20
PX-3527212901	HC CT Scan Dorsal Sp Contrast - CT Thoracic Spine W Contrast	$2,251	$1,351	—	—	20
PX-3527212701	HC CT Scan Cerv Sp Combo - CT Cervical Spine W WO Contrast	$2,233	$1,340	—	—	20
PX-3527213001	HC CT Scan Dorsal Sp Combo - CT Thoracic Spine W WO Contrast	$2,221	$1,333	—	—	20
PX-3527213301	HC CT Scan Lumbar Sp Combo - CT Lumbar Spine W WO Contrast	$2,221	$1,333	—	—	20
PX-3527370201	HC CT Scan of Leg Combo - CT Femur W and WO IV Contrast	$2,156	$1,294	—	—	20
PX-3527370202	HC CT Scan of Leg Combo - CT Tibia Fibula W and WO IV Contrast	$2,156	$1,294	—	—	20
PX-3527370204	HC CT Scan of Leg Combo - CT Lower Extremity W and WO IV Contrast	$2,156	$1,294	—	—	20
PX-3527370206	HC CT Scan of Leg Combo - CT Knee W and WO IV Contrast	$2,156	$1,294	—	—	20
PX-3527370209	HC CT Scan of Leg Combo - CT Hip W and WO IV Contrast	$2,156	$1,294	—	—	20
PX-3517049101	HC CT Neck Tissue Contrast - CT Soft Tissue Neck W Contrast	$2,120	$1,272	—	—	20
PX-3527127001	HC Cat Scan of Chest Combo - CT Chest W WO Contrast	$2,035	$1,221	—	—	20
PX-3527219401	HC CT Scan of Pelvis Combo - CT Pelvis W WO Contrast	$1,995	$1,197	—	—	20
PX-3527320201	HC CT Scan of Arm Combo - CT Shoulder W and WO IV Contrast	$1,982	$1,189	—	—	20
PX-3527320204	HC CT Scan of Arm Combo - CT Radius Ulna W and WO IV Contrast	$1,982	$1,189	—	—	20
PX-3527320205	HC CT Scan of Arm Combo - CT Wrist W and WO IV Contrast	$1,982	$1,189	—	—	20
PX-3527320207	HC CT Scan of Arm Combo - CT Hand W and WO IV Contrast	$1,982	$1,189	—	—	20
PX-3527320209	HC CT Scan of Arm Combo - CT Upper Extremity W and WO IV Contrast	$1,982	$1,189	—	—	20
PX-3527320211	HC CT Scan of Arm Combo - CT Elbow W and WO IV Contrast	$1,982	$1,189	—	—	20
PX-390P905201	HC Platelets, Hla-Match Each	$1,970	$1,182	—	—	20
PX-3527219201	HC CT Scan,Pelvis,W/O Contrast - CT Pelvis WO Contrast	$1,969	$1,181	—	—	20
PX-3527125001	HC CT Scan,Thorax,W/O Contrast - CT Chest WO Contrast	$1,957	$1,174	—	—	20
PX-3527213101	HC CT Scan,Lumbar Spine,W/O Contrast - CT Lumbar Spine WO Contrast	$1,935	$1,161	—	—	20
PX-4509928501	HC Emergency Department Level 5 Visit High Severity&Threat Func	$1,921	$1,153	—	—	19
PX-3527212601	HC CT Scan Cerv Spine Contrast - CT Cervical Spine W Contrast	$1,902	$1,141	—	—	20
PX-3517049201	HC CT Neck Tissue Combo - CT Soft Tissue Neck W WO Contrast	$1,887	$1,132	—	—	20
PX-3517047001	HC CT Scan Head Combo - CT Head W WO Contrast	$1,883	$1,130	—	—	20
PX-9812560501	Cltx Dstl Rdl Fx/Epiphysl Sep W/Manj When Perf	$1,863	$1,118	—	—	19

Showing top 50 of 858 priced procedures, sorted by gross charge.

Data straight from this hospital's federally-mandated machine-readable file (45 CFR § 180). The compliance grade reflects how completely the hospital published the six required data elements, not the quality of care.