Compare: Big Horn Hospital vs Billings Clinic

Comparing cash prices at two hospitals on the 262 procedures both publish. Start over ·

Big Horn Hospital is cheaper overall — its cash prices run about 30% lower than Billings Clinic (median across 262 shared procedures), winning on 234 of them.
Big Horn Hospital
Hardin, MT

ER wait 140 min
cheaper on 234
Billings Clinic
Billings, MT
CMS rating ★★★★☆
72% recommend · ER wait 172 min · readmit 14.2%
🍼 Birthing-Friendly
cheaper on 28
ProcedureBig Horn HospitalBillings ClinicMedicare
3D mammogram (tomosynthesis)$51$95$51
Abdominal fluid drain (paracentesis)$1,003$1,011$284
Abdominal ultrasound$332$450$100
Abdominal ultrasound (complete)$380$491$114
Abdominal ultrasound (limited)$284$408$86
Albumin blood test$23$27$5
Aldosterone test$186$348$41
Alkaline phosphatase test$24$27$5
Alpha-fetoprotein (AFP) test$77$86$17
ALT liver enzyme test$24$27$5
Ammonia blood test$67$68$15
Amylase test$30$34$6
Antinuclear antibody (ANA) test$55$39$12
Arterial blood gas (ABG)$119$205$26
AST liver enzyme test$24$26$5
Basic metabolic panel$39$44$8
Bilirubin blood test$23$26$5
Blood clotting test (PT/INR)$15$23$4
Blood crossmatch$422$90
Blood glucose test$20$42$5
Blood transfusion$146$811$47
Blood type and screen$45$9$10
Blood type test$11$11$3
Blood type test (ABO group)$14$16$3
Blood type test (Rh/D antigen)$8$5$3
BNP (heart failure) test$179$173$39
Bone density scan (DEXA)$118$273$39
Breast ultrasound$273$331$92
Breast ultrasound (limited)$273$296$84
C-reactive protein (CRP)$24$27$5
CA 19-9 tumor marker test$95$107$21
CA-125 ovarian marker test$95$106$21
Calcium blood test$24$30$5
Carotid artery ultrasound$528$667$156
CEA tumor marker test$87$98$19
Celiac disease test$53$95$12
Chest X-ray$118$194$37
Chest X-ray (1 view)$80$171$25
Chest X-ray (2 views)$104$185$33
CK-MB heart enzyme test$53$59$12
Clotting time test (PTT)$21$30$6
Complete blood count (CBC)$33$40$7
Complete blood count (CBC) (complete)$36$43$8
Comprehensive metabolic panel$48$53$11
Copper blood test$57$254$12
Cortisol test$74$84$16
COVID-19 PCR test$234$121$51
Creatine kinase (CK) test$30$34$7
CT angiography of the chest$817$1,656$281
CT angiography of the head$806$1,452$274
CT scan of the abdomen$734$1,401$230
CT scan of the abdomen and pelvis$1,034$2,101$300
CT scan of the abdomen and pelvis with and without contrast$1,159$2,423$338
CT scan of the abdomen and pelvis with contrast$1,034$2,101$300
CT scan of the abdomen and pelvis without contrast$612$1,943$183
CT scan of the abdomen with and without contrast$753$1,616$259
CT scan of the abdomen with contrast$734$1,401$230
CT scan of the abdomen without contrast$457$1,243$136
CT scan of the arm$688$1,278$199
CT scan of the arm with contrast$688$1,278$199
CT scan of the arm without contrast$482$1,151$161
CT scan of the chest$563$1,430$167
CT scan of the chest with and without contrast$667$1,663$196
CT scan of the chest with contrast$563$1,430$167
CT scan of the chest without contrast$445$1,278$133
CT scan of the head$498$1,243$148
CT scan of the head with and without contrast$585$1,430$173
CT scan of the head with contrast$498$1,243$148
CT scan of the head without contrast$354$1,120$107
CT scan of the leg$562$1,278$166
CT scan of the leg with contrast$562$1,278$166
CT scan of the leg without contrast$434$1,151$130
CT scan of the lower back (lumbar spine)$526$1,430$169
CT scan of the lower back (lumbar spine) with and without contrast$526$1,663$197
CT scan of the lower back (lumbar spine) with contrast$568$1,430$169
CT scan of the lower back (lumbar spine) without contrast$434$1,278$130
CT scan of the neck$622$1,243$183
CT scan of the neck (cervical spine)$568$1,430$168
CT scan of the neck (cervical spine) with and without contrast$667$1,663$196
CT scan of the neck (cervical spine) with contrast$568$1,430$168
CT scan of the neck (cervical spine) without contrast$436$1,278$131
CT scan of the neck with and without contrast$754$1,430$220
CT scan of the neck with contrast$622$1,243$183
CT scan of the neck without contrast$502$1,120$150
CT scan of the pelvis$718$1,616$226
CT scan of the pelvis with and without contrast$727$1,616$251
CT scan of the pelvis with contrast$718$1,401$226
CT scan of the pelvis without contrast$446$2,423$133
CT scan of the sinuses$512$1,243$152
CT scan of the sinuses with and without contrast$627$1,430$184
CT scan of the sinuses with contrast$512$1,243$152
CT scan of the sinuses without contrast$429$1,120$128
D-dimer test$47$51$10
DHEA-sulfate test$59$210$22
Diagnostic mammogram$187$258$140
Drug screen (urine)$138$70$17
Echocardiogram$351$1,051$138
Echocardiogram with and without contrast$257$649$101
EKG / ECG (tracing only)$273$176$7
Electrocardiogram (EKG)$273$176$8
Electrolyte panel$32$37$7
Emergency department visit$423$500$69
Emergency department visit (level 1)$68$185$11
Emergency department visit (level 2)$248$323$40
Emergency department visit (level 3)$423$500$69
Emergency department visit (level 4)$719$755$118
Emergency department visit (level 5)$1,041$1,107$171
Estradiol (estrogen) test$128$142$28
Fecal occult blood (stool) test$20$34$10
Fecal occult blood (stool) test (guaiac, gFOBT)$20$18$4
Ferritin (iron) test$62$70$14
Fibrinogen test$34$44$10
Folate (folic acid) test$67$75$15
Free T4 thyroid test$41$46$9
FSH hormone test$85$96$19
GGT liver test$33$38$7
Glucose tolerance test$38$46$8
HDL cholesterol test$37$43$8
Hematocrit test$11$43$2
Hemoglobin A1c (diabetes test)$44$49$10
Hepatitis B test$36$49$10
Hepatitis C test$50$72$14
HIV test$86$55$19
HIV test (antibody)$63$70$14
HIV test (antigen/antibody combo)$110$39$24
Iron blood test$30$23$6
IV infusion therapy$143$216$44
IV infusion therapy (each additional)$70$103$21
IV infusion therapy (initial)$217$328$67
Kidney ultrasound$267$428$84
Kidney ultrasound (limited)$183$365$61
Lactate test$53$54$12
LDH test$28$30$6
LDL cholesterol test$48$48$11
Leg vein ultrasound (Doppler)$437$656$150
Leg vein ultrasound (Doppler) (limited)$340$547$116
LH hormone test$85$96$19
Lipase test$31$35$7
Lipid (cholesterol) panel$61$37$13
Liver function panel$37$43$8
Magnesium blood test$31$35$7
MRA of the brain$742$1,514$226
MRA of the neck$968$1,584$245
MRA of the neck without contrast$1,191$2,407$343
MRI of the abdomen$1,067$1,511$300
MRI of the abdomen with contrast$1,067$1,511$300
MRI of the abdomen without contrast$680$1,106$194
MRI of the ankle$922$1,357$261
MRI of the ankle with contrast$922$1,357$261
MRI of the ankle without contrast$782$1,242$222
MRI of the brain$936$1,381$269
MRI of the brain with contrast$936$1,381$269
MRI of the brain without contrast$672$1,254$195
MRI of the chest$1,330$1,547$371
MRI of the chest with contrast$1,330$1,547$371
MRI of the chest without contrast$1,459$2,138$466
MRI of the knee$1,118$1,302$315
MRI of the knee with contrast$1,118$1,302$315
MRI of the knee without contrast$696$1,214$204
MRI of the lower back (lumbar spine)$943$1,377$270
MRI of the lower back (lumbar spine) with contrast$943$1,377$270
MRI of the lower back (lumbar spine) without contrast$658$1,129$192
MRI of the mid-back (thoracic spine)$952$1,227$271
MRI of the mid-back (thoracic spine) with and without contrast$1,118$2,190$319
MRI of the mid-back (thoracic spine) with contrast$952$1,227$271
MRI of the mid-back (thoracic spine) without contrast$657$1,130$190
MRI of the neck (cervical spine)$958$1,381$274
MRI of the neck (cervical spine) with and without contrast$1,116$2,190$318
MRI of the neck (cervical spine) with contrast$958$1,381$274
MRI of the neck (cervical spine) without contrast$657$1,104$191
MRI of the pelvis$945$1,369$268
MRI of the pelvis with contrast$945$1,369$268
MRI of the pelvis without contrast$804$1,251$227
MRI of the shoulder$1,116$1,288$313
MRI of the shoulder with contrast$1,116$1,288$313
MRI of the shoulder without contrast$698$1,189$205
MRI of the wrist$1,179$1,372$330
MRI of the wrist with contrast$1,179$1,372$330
MRI of the wrist without contrast$904$1,268$303
Occupational therapy evaluation$293$180$101
Occupational therapy evaluation (high complexity)$293$233$101
Occupational therapy evaluation (low complexity)$293$167$101
Occupational therapy evaluation (moderate complexity)$293$180$101
Parathyroid hormone (PTH) test$189$211$41
Pelvic ultrasound$246$287$78
Pelvic ultrasound (complete)$342$425$105
Pelvic ultrasound (limited)$149$149$51
Phosphorus blood test$22$25$5
Physical therapy evaluation$290$210$98
Physical therapy evaluation (high complexity)$290$236$98
Physical therapy evaluation (moderate complexity)$290$210$98
Platelet count$20$25$4
Pregnancy blood test (hCG)$34$42$8
Pregnancy ultrasound$407$455$126
Pregnancy ultrasound (first trimester)$379$437$117
Pregnancy ultrasound (second or third trimester)$436$473$136
Procalcitonin test$124$250$27
Prolactin test$89$100$19
Prostate test (PSA)$84$93$18
Scoliosis spine X-ray$143$200$58
Scoliosis spine X-ray (1 view)$131$173$44
Scoliosis spine X-ray (3 views)$154$226$72
Screening mammogram$151$214$126
Scrotal ultrasound$328$425$99
Sedimentation rate (ESR) test$12$17$3
Sex hormone binding globulin test$57$90$22
Soft tissue ultrasound$175$245$64
Speech therapy$235$182$76
Swallow study$215$379$85
T3 thyroid test$65$72$14
Tdap (tetanus) vaccine$71$98
Testosterone test$118$110$26
Thyroid test (TSH)$77$86$17
Thyroid ultrasound$364$408$109
Total protein test$17$20$4
Transvaginal ultrasound$387$407$118
Trigger point injection$182$724$56
Trigger point injection (1-2 muscles)$182$678$52
Triglycerides test$26$29$6
Troponin (heart) test$57$49$12
Uric acid (gout) test$21$24$5
Urinalysis$12$16$3
Urine microalbumin test$25$31$5
Urine pregnancy test$39$22$9
Vaccine administration$61$37$19
Vaccine administration (each additional)$51$37$16
Vitamin B12 test$69$78$15
Vitamin D test$104$150$30
X-ray of the abdomen$115$176$36
X-ray of the ankle$114$177$37
X-ray of the collarbone$100$176$33
X-ray of the elbow$100$181$33
X-ray of the facial bones$123$197$39
X-ray of the foot$106$177$34
X-ray of the forearm$90$176$29
X-ray of the hand$113$177$38
X-ray of the hip$122$181$49
X-ray of the hip (1 view)$100$171$34
X-ray of the hip (3 views)$145$181$49
X-ray of the knee$126$181$42
X-ray of the knee (2 views)$106$176$34
X-ray of the knee (3 views)$126$181$42
X-ray of the knee (4+ views)$129$185$49
X-ray of the lower back (lumbar spine)$140$208$47
X-ray of the lower back (lumbar spine) (2 views)$123$192$40
X-ray of the lower back (lumbar spine) (4+ views)$157$223$53
X-ray of the lower leg$98$302$31
X-ray of the mid-back (thoracic spine)$111$196$36
X-ray of the mid-back (thoracic spine) (2 views)$101$189$33
X-ray of the mid-back (thoracic spine) (3 views)$121$203$39
X-ray of the neck (cervical spine)$143$202$47
X-ray of the neck (cervical spine) (3 views)$122$184$40
X-ray of the pelvis$108$247$36
X-ray of the pelvis (1 view)$86$302$28
X-ray of the ribs$131$183$42
X-ray of the ribs (2 views)$114$165$36
X-ray of the ribs (3 views)$131$192$42
X-ray of the shoulder$106$181$36
X-ray of the skull$125$267$40
X-ray of the upper arm$100$181$32
X-ray of the wrist$126$177$43
Zinc blood test$52$74$11

Green = lower cash price. Source: hospitals' machine-readable files (45 CFR §180). Estimates — confirm with the hospital.