MALTA, MT
1 known revision on file.
| Revision date | Added | Payer-specific rates |
|---|---|---|
| Jun 16, 2026 | Nov 4, 2026 | Yes |
Search by billing code or procedure name (CPT, HCPCS, MS-DRG and more) to see Phillips County Hospital Assn’s price for it.
The codes Phillips County Hospital Assn has the most pricing samples for.
| Procedure | |||||||
|---|---|---|---|---|---|---|---|
| Acetaminophen 1000 mg injectionHCPCS J0131 | $0 | $6 | $10 | 171% | 2,801–2,810 | $0 | $23 |
| Iron sucrose injection, 20 mg per mLHCPCS J1756 | $1 | $1 | — | — | 1,008 | $1 | $1 |
| Therapeutic exercise sessionCPT 97110 | $93 | $92 | $16 | 17% | 872 | $72 | $110 |
| Flumazenil IV injectionHCPCS J3490 | $7 | $6 | $1 | 9% | 624 | $5 | $7 |
| Manual therapy, one or more body regionsCPT 97140 | $79 | $78 | $13 | 17% | 563 | $61 | $94 |
| Emergency department visitCPT 99283 | $100 | $233 | $226 | 97% | 400–445 | $68 | $619 |
| Ondansetron injection 4 mgHCPCS J2405 | $1 | $1 | $1 | 45% | 224 | $0 | $2 |
| Observation care, per hourHCPCS G0378 | $184 | $192 | $12 | 6% | 223 | $184 | $209 |
| Chest X-ray, two viewsCPT 71046 | $225 | $214 | $34 | 16% | 143–161 | $161 | $247 |
| Ketorolac injection, 30 mg per mLHCPCS J1885 | $3 | $3 | $0 | 15% | 124–178 | $2 | $3 |
EIN: 816016152
Last updated: Jun 16, 2026
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Hospital ID: b3371540f1215148e91ca49628805b727c6d19a708c4813fbca32e988ca17561