Cabinet Peaks Medical Center
209 Health Park Dr, Libby, MT 59923 · 108 Priced Procedures · 81% Patient Recommendation
Typical commercial prices here match the fair market benchmark (1.00×) after accounting for local nurse/doctor wages and patient complexity.
4-Star CMS clinical quality rating paired with 1.00× fair market pricing.
Aligned Regional Benchmark Peer
Cabinet Peaks Medical Center prices shoppable and inpatient services (3.9× to 2.9× Medicare, divergence 0.74×) in alignment with regional hospital peers (1.00× Fair BaseRate). Reviewing plan-specific negotiated rates and cash discounts helps lock in the lowest out-of-pocket tier.
Where They're Good (Patient & Payer Edge)
- Bottom-quartile procedures (Q25) price at 0.78× the peer BaseRate benchmark
- Self-pay cash beats commercial insurance on 90% of shoppable procedures (99/100 Cash Honesty)
- 2-Star CMS clinical rating with 81% patient recommendation (75/100 safety score)
- IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (90.6% AGB cap)
Where You Can Get Burned (Markup Traps)
- Outpatient surgery & OR suites carry a 2.0× markup over Medicare rates
- Commercial insurance median sits at 1.00× Fair BaseRate (3.9× Medicare), so insured patients should always compare the self-pay cash price before paying.
- Upper-quartile procedures (Q75 1.28×) jump +28% above the median procedure ratio (Q50 1.00×)
- Unnegotiated chargemaster list prices average 5.5× Medicare (33¢ true HCRIS cost per $1 gross)
Pre-scheduled outpatient procedures where patients can comparison-shop.
Emergency, inpatient DRG, lab, and specialty drug lines billed after admission.
Detects median-gaming when upper-quartile codes spike above the p50 median.
Procedure Prices at Cabinet Peaks Medical Center
High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 108 published procedures.
| Procedure & Billing Code | This Hospital | vs. Fair |
|---|---|---|
| C-section delivery (full package) CPT Code: 59510 | $3,450 | 1.2× |
| Vaginal delivery (full package) CPT Code: 59400 | $3,111 | 1.2× |
| MRI, brain (with and without contrast) CPT Code: 70553 | $2,244 | 4.4× |
| CT scan, abdomen and pelvis (with contrast) CPT Code: 74177 | $2,018 | 4.5× |
| Trauma team activation HCPCS Code: G0390 | $1,933 | 1.3× |
| CT scan, abdomen and pelvis (no contrast) CPT Code: 74176 | $1,730 | 5.7× |
| Echocardiogram (heart ultrasound) CPT Code: 93306 | $1,561 | 2.7× |
| MRI, brain (no contrast) CPT Code: 70551 | $1,447 | 4.2× |
| MRI, lower back (no contrast) CPT Code: 72148 | $1,317 | 3.9× |
| Sleep study (overnight, in lab) CPT Code: 95810 | $1,314 | 1.3× |
| CT scan, chest (no contrast) CPT Code: 71250 | $1,170 | 7.0× |
| CT scan, head (with and without contrast) CPT Code: 70470 | $1,185 | 4.6× |
| Total knee replacement CPT Code: 27447 | $1,194 | 0.1× |
| Total hip replacement CPT Code: 27130 | $1,196 | unverified |
| CT scan, lower back (lumbar spine) CPT Code: 72131 | $1,014 | 6.0× |
| CT scan, head (with contrast) CPT Code: 70460 | $1,031 | 4.3× |
| CT scan, neck (cervical spine) CPT Code: 72125 | $1,005 | 5.9× |
| MRI, knee or other leg joint CPT Code: 73721 | $985 | 2.7× |
| CT scan, head (no contrast) CPT Code: 70450 | $907 | 5.7× |
| CT scan, pelvis CPT Code: 72192 | $877 | 5.4× |
| Knee arthroscopy with meniscus repair CPT Code: 29881 | $848 | 0.3× |
| Inguinal hernia repair CPT Code: 49505 | $708 | 0.2× |
| Breast lump removal CPT Code: 19120 | $725 | 0.2× |
| Ultrasound, leg veins (duplex) CPT Code: 93970 | $660 | 2.4× |
| Colonoscopy with biopsy CPT Code: 45380 | $673 | 0.5× |
Audit a Bill or Quote at Cabinet Peaks Medical Center (Zero PHI Required)
Statutory 501(r) AGB Cap Limits Bill to $4,467
At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (90.6% of gross = $4,467).
Self-Pay Cash Rate ($3,450) Beats Your Bill
Cabinet Peaks Medical Center's published 45 CFR § 180 self-pay cash rate is $3,450 (vs. $3,450 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.
Negotiate Toward $2,975 Fair BaseRate ($2,473 Medicare)
Your bill ($4,929) is $1,954 above the denoised Fair BaseRate ($2,975) and 2.0× the $2,473 Medicare rate.
Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)
Hospital-Specific CMS HCRIS Benchmark (90.6% of gross charges)
Under 26 U.S.C. § 501(r)(5), a tax-exempt hospital organization may not bill FAP-eligible patients more than Amounts Generally Billed (AGB) to individuals with insurance covering emergency or medically necessary care. Derived from this facility’s reported CMS HCRIS cost-to-charge & insurer allowance filings. Verify your exact Financial Assistance Policy (FAP) determination directly with the billing office.
Clinical Quality, Patient Experience & Infection Benchmarks
CMS Price Transparency Administrative Enforcement Log
Factual public administrative actions published by the Centers for Medicare & Medicaid Services regarding 45 CFR § 180 compliance at Cabinet Peaks Medical Center. Prior administrative notices do not necessarily reflect current compliance status.
- 2025-03-20·administrative_or_closure
Closure Notice
Recorded - 2025-01-14·cap_corrective_action
CAP Request
Recorded - 2024-10-01·warning_notice
Warning Notice
Recorded
Source: CMS Hospital Care Compare (151 completed HCAHPS patient surveys). Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.
How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings
2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Cabinet Peaks Medical Center.
Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings
Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.