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Roosevelt Medical Center prices. From its own published file.

Roosevelt Medical Center in Culbertson, 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.

894prices published
Apr 2026file last updated
$372cash price for emergency visit, highest (level 5) (list $972)

Common services

ServiceCash priceList priceInsurers pay
Emergency visit, moderate (level 3)
99283
$134$442$84.28–$750
Emergency visit, high (level 4)
99284
$253$709$143–$1,164
Emergency visit, highest (level 5)
99285
$372$972$208–$1,571
Comprehensive metabolic panel
80053
$140$140$29.04–$140
Basic metabolic panel
80048
$108$108$23.27–$108
Complete blood count (CBC)
85025
$25.00$65.00$21.37–$105
Blood draw (venipuncture)
36415
$26.00$26.00$23.40–$26.00
Urinalysis
81001
$58.00$58.00$8.71–$58.00
Troponin (heart test)
84484
$142$142$43.29–$142
EKG tracing
93005
$230$230$207–$230
Chest X-ray, 2 views
71046
$317$317$285–$317
CT head without contrast
70450
$1,486$1,486$1,337–$1,486
CT abdomen and pelvis with contrast
74177
$2,483$2,483$2,235–$2,483
MRI lower back without contrast
72148
$1,500$1,500$1,350–$1,500
Ultrasound, abdomen
76700
$922$922$830–$922
IV push, single drug
96374
$280$280$252–$280
IV fluids, first hour
96360
$157$307$141–$457
Ketorolac injection, 15 mg
J1885
$7.00$7.00$6.30–$7.00
Ondansetron injection
J2405
$1.00$1.00$0.90–$1.00

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: Roosevelt Medical Center price transparency page.

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