CMS Price Transparency Data

New patient office visit (30-44 min)

Facility: St Peters Health

Billing Code: 99203 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$109
about 0.9× the $118 Medicare rate · typically $77–$141
modeled estimate · not a bill or quote
What this hospital charges insurers
$83
Below the fair price — a good deal
about $26 under the fair price · 0.7× Medicare
Medicare pays $118 Fair price $109 This hospital $83 Cash price $136 Hospital's list price $160

How we calculate the fair BaseRate →

How this hospital compares to other MT hospitals

Lowest price of the 9 MT hospitals we have prices for — a strong deal.

Cheapest $83 Priciest $129

Black dot = this hospital, among the 9 MT hospitals with a price for this procedure. Full list below.

A fair price for a New patient office visit (30-44 min) is about $109 (about 0.9× the $118 Medicare rate). St Peters Health charges insurers about $83, or about $136 in cash — below the fair price — a good deal. Located in Helena, MT.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

2 of 6 major insurers have a published price at this hospital

✓ Blue Cross Blue Shield✓ Humana UnitedHealthcareAetnaCignaKaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
Blue Cross Blue Shieldmajor $81 - $186 69%
Humanamajor $83 71%

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Facility Profile & Credentials

  • Address: 2475 Broadway, Helena, MT 59601
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals