CMS Price Transparency Data

Office visit, established patient (30-39 min)

Facility: Shodair Children's Hospital

Billing Code: 99214 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$132
about 1.0× the $136 Medicare rate · typically $74–$173
modeled estimate · not a bill or quote
What this hospital charges insurers
$128
About the fair price
about $4 under the fair price · 0.9× Medicare
Medicare pays $136 Fair price $132 This hospital $128 Cash price $204 Hospital's list price $273

How we calculate the fair BaseRate →

How this hospital compares to other MT hospitals

One of the lower prices — 7 of 8 other MT hospitals charge more for the same procedure.

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 $132 (about 1.0× the $136 Medicare rate). Shodair Children's Hospital charges insurers about $128, or about $204 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 $127 94%
+ 1 smaller / regional plan $129
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