Big Sandy Medical Center prices. From its own published file.

Big Sandy Medical Center in Big Sandy, MT publishes its standard charges as required by federal rule. Here's what it lists for common services, and how to check your bill against it.

1,085prices published

—file last updated

$282cash price for emergency visit, highest (level 5) (list $613)

Common services

Service	Cash price	List price	Insurers pay
Emergency visit, moderate (level 3) `99283`	$115	$271	$70.00–$402
Emergency visit, high (level 4) `99284`	$194	$423	$119–$609
Emergency visit, highest (level 5) `99285`	$282	$613	$173–$883
Comprehensive metabolic panel `80053`	$36.00	$77.00	$44.00–$110
Basic metabolic panel `80048`	$75.00	$94.00	$91.00–$95.00
Complete blood count (CBC) `85025`	$20.00	$37.00	$24.00–$101
Blood draw (venipuncture) `36415`	$30.00	$38.00	$37.00–$38.00
Urinalysis `81001`	$81.00	$101	$98.00–$102
Troponin (heart test) `84484`	$190	$238	$231–$240
EKG tracing `93005`	$146	$182	$177–$184
Chest X-ray, 2 views `71046`	$147	$184	$178–$186
Ultrasound, abdomen `76700`	$525	$656	$636–$663
IV push, single drug `96374`	$154	$192	$186–$194
IV fluids, first hour `96360`	$139	$174	$169–$176
Upper GI endoscopy with biopsy `43239`	$945	$1,181	$1,146–$1,193

Cash price: the discounted price for self-pay patients. List price: the hospital's gross charge. Insurers pay: the lowest and highest rates it lists for insurance plans. Source: Big Sandy Medical Center price transparency page.

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Common billing problems to look for

Billed above the posted cash priceIf you're paying yourself, ask the hospital to apply its published cash price.
Panels billed inside panelsA basic metabolic panel (80048) billed with a comprehensive one (80053) on the same day.
Duplicate linesThe same service billed twice without explanation.
No itemized billYou can ask for every line with its code, date and amount.