CMS Price Transparency Data

Office visit, established patient (30-39 min)

Facility: St Peters Health

Billing Code: 99214 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$123
about 0.9× the $136 Medicare rate · typically $92–$153
modeled estimate · not a bill or quote
What this hospital charges insurers
$131
About the fair price
about $8 over the fair price · 1.0× Medicare
Medicare pays $136 Fair price $123 This hospital $131 Cash price $136 Hospital's list price $160

How we calculate the fair BaseRate →

How this hospital compares to other MT hospitals

A typical price — 4 charge more and 3 charge less, among the 9 MT hospitals compared.

Cheapest $122 Priciest $152

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

A fair price for a Office visit, established patient (30-39 min) is about $123 (about 0.9× the $136 Medicare rate). St Peters Health charges insurers about $131, or about $136 in cash — about the fair price. 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.

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

✓ Blue Cross Blue Shield✓ Aetna✓ Humana UnitedHealthcareCignaKaiser 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 $129 - $296 95%
Aetnamajor $152 112%
Humanamajor $131 97%

Self-Pay How to get the cash price

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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