Community Hospital of Anaconda
401 W Pennsylvania, Anaconda, MT 59711 · 110 Priced Procedures · 85% Patient Recommendation
Typical commercial prices here are +121% above the fair benchmark (2.21×) even after accounting for local nurse/doctor wages and patient complexity.
5-Star CMS clinical quality rating paired with 2.21× fair market pricing.
Wide Procedure Spread · Upper-Quartile Skew Pricer
Community Hospital of Anaconda prices routine shoppable procedures at 3.2× Medicare (median 2.26× Fair BaseRate) while upper-quartile commercial rates jump +42% to 3.20× Fair BaseRate. Self-pay cash discounts and comparing specific CPT procedure codes before scheduling yield the strongest savings.
Where They're Good (Patient & Payer Edge)
- Bottom-quartile procedures (Q25) price at 0.38× the peer BaseRate benchmark
- Self-pay cash beats commercial insurance on 60% of shoppable procedures (99/100 Cash Honesty)
- 5-Star CMS clinical rating with 85% patient recommendation (82/100 safety score)
- IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (70.0% AGB cap)
Where You Can Get Burned (Markup Traps)
- Outpatient surgery & OR suites carry a 2.3× markup over Medicare rates
- Commercial insurance median sits at 2.26× Fair BaseRate (3.2× Medicare), so insured patients should always compare the self-pay cash price before paying.
- Upper-quartile procedures (Q75 3.20×) jump +42% above the median procedure ratio (Q50 2.26×)
- Unnegotiated chargemaster list prices average 6.4× Medicare (30¢ 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 Community Hospital of Anaconda
High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 110 published procedures.
| Procedure & Billing Code | This Hospital | vs. Fair |
|---|---|---|
| Rabies immune globulin HCPCS Code: 90375 | $3,628 | 11.3× |
| Total knee replacement CPT Code: 27447 | $3,250 | 0.2× |
| C-section delivery (full package) CPT Code: 59510 | $3,181 | 1.1× |
| Vaginal delivery (full package) CPT Code: 59400 | $2,860 | 1.1× |
| MRI, brain (with and without contrast) CPT Code: 70553 | $2,755 | unverified |
| CT scan, abdomen and pelvis (with contrast) CPT Code: 74177 | $2,648 | 5.9× |
| Total hip replacement CPT Code: 27130 | $2,653 | 0.2× |
| MRI, knee or other leg joint CPT Code: 73721 | $1,769 | 4.8× |
| MRI, brain (no contrast) CPT Code: 70551 | $1,636 | 4.8× |
| Trauma team activation HCPCS Code: G0390 | $1,659 | 1.1× |
| MRI, lower back (no contrast) CPT Code: 72148 | $1,570 | 4.6× |
| CT scan, neck (cervical spine) CPT Code: 72125 | $1,366 | unverified |
| CT scan, head (with and without contrast) CPT Code: 70470 | $1,333 | 5.2× |
| CT scan, lower back (lumbar spine) CPT Code: 72131 | $1,352 | unverified |
| CT scan, abdomen and pelvis (no contrast) CPT Code: 74176 | $1,182 | 3.9× |
| CT scan, chest (no contrast) CPT Code: 71250 | $1,089 | 6.5× |
| CT scan, head (with contrast) CPT Code: 70460 | $1,108 | 4.6× |
| CT scan, sinuses CPT Code: 70486 | $1,005 | 6.1× |
| CT scan, pelvis CPT Code: 72192 | $953 | 5.8× |
| Gallbladder removal (laparoscopic) CPT Code: 47562 | $863 | 0.1× |
| CT scan, head (no contrast) CPT Code: 70450 | $764 | 4.8× |
| Blood transfusion CPT Code: 36430 | $723 | 1.5× |
| Knee arthroscopy with meniscus repair CPT Code: 29881 | $702 | 0.2× |
| Ultrasound, leg veins (duplex) CPT Code: 93970 | $717 | unverified |
| Inguinal hernia repair CPT Code: 49505 | $686 | 0.2× |
Audit a Bill or Quote at Community Hospital of Anaconda (Zero PHI Required)
Statutory 501(r) AGB Cap Limits Bill to $3,387
At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (70.0% of gross = $3,387).
Self-Pay Cash Rate ($3,628) Beats Your Bill
Community Hospital of Anaconda's published 45 CFR § 180 self-pay cash rate is $3,628 (vs. $3,628 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.
Negotiate Toward $322 Fair BaseRate ($275 Medicare)
Your bill ($4,838) is $4,516 above the denoised Fair BaseRate ($322) and 17.6× the $275 Medicare rate.
Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)
Hospital-Specific CMS HCRIS Benchmark (70.0% 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 Community Hospital of Anaconda. Prior administrative notices do not necessarily reflect current compliance status.
- 2024-06-05·administrative_or_closure
Closure Notice
Recorded - 2024-02-29·warning_notice
Warning Notice
Recorded
Source: CMS Hospital Care Compare (168 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 Community Hospital of Anaconda.
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.