CMS Price Transparency Data

New patient office visit (30-44 min)

Facility: Shodair Children's Hospital

Billing Code: 99203 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$121
about 1.0× the $118 Medicare rate · typically $71–$147
modeled estimate · not a bill or quote
What this hospital charges insurers
$123
About the fair price
about $2 over the fair price · 1.0× Medicare
Medicare pays $118 Fair price $121 This hospital $123 Cash price $202 Hospital's list price $269

How we calculate the fair BaseRate →

How this hospital compares to other MT hospitals

A typical price — 5 charge more and 3 charge less, among the 9 MT hospitals compared.

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 $121 (about 1.0× the $118 Medicare rate). Shodair Children's Hospital charges insurers about $123, or about $202 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.

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

UnitedHealthcareBlue Cross Blue ShieldAetnaCignaHumanaKaiser 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
PacificSource $122 104%
+ 1 smaller / regional plan $123
Government programs also on file: Military & VA.

Self-Pay How to get the cash price

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Facility Profile & Credentials

  • Address: 2755 Colonial Dr, Helena, MT 59601
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Psychiatric