CMS Price Transparency Data

New patient office visit (30-44 min)

Facility: Stillwater Billings Clinic

Billing Code: 99203 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$106

about 0.9× the $118 Medicare rate · typically $65–$110

modeled estimate · not a bill or quote

What this hospital charges insurers

$127

Above the fair price

about $21 over the fair price · 1.1× Medicare

Medicare pays $118 Fair price $106 This hospital $127 Cash price $257 Hospital's list price $257

How we calculate the fair BaseRate →

How this hospital compares to other MT hospitals

On the higher side — 6 of 8 other MT hospitals charge less.

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 $106 (about 0.9× the $118 Medicare rate). Stillwater Billings Clinic charges insurers about $127, or about $257 in cash — above the fair price. Located in Columbus, MT.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $106. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser 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
UnitedHealthcaremajor	$118 - $307	100%
Blue Cross Blue Shieldmajor	$132 - $323	112%
Aetnamajor	$127 - $313	108%
Cignamajor	$125 - $307	106%
Humanamajor	$161 - $222	137%
PacificSource	$126 - $307	107%
+ 29 smaller / regional plans	$118 - $452

Government programs also on file: Military & VA.

Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 257), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 99203.

Insurance Before you use insurance

Call your insurance company to confirm Stillwater Billings Clinic is in-network.
Ask your insurer whether prior approval is required for CPT code 99203.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Stillwater Billings Clinic

Compare: New patient office visit (30-44 min) at other MT hospitals

Insurance negotiated median for the same procedure, sorted lowest first.