How many shoppable procedure prices are published for Community Medical Center?

Community Medical Center in Missoula, MT currently has 105 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Community Medical Center's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, Community Medical Center's median negotiated commercial rate is 0.7× the regionally adjusted fair BaseRate benchmark.

What is Community Medical Center's CMS Care Compare overall star rating?

CMS Care Compare assigns Community Medical Center an overall hospital quality rating of 3 out of 5 stars based on public federal clinical and patient-experience measures.

Hospital Profile Acute Care Hospital Voluntary non-profit - Private 141 Beds · urban Updated: 2026-07-17

Community Medical Center

2827 Fort Missoula Rd, Missoula, MT 59804 · 105 Priced Procedures · 68% Patient Recommendation

CMS Overall Rating 3 / 5 Stars

Good Deal · Below Fair Market

0.74×vs. Fair Market Price

Typical commercial prices here are 26% below the fair benchmark (0.74×) after accounting for local nurse/doctor wages and patient complexity.

75/100 · Corroborated

75/100Self-Pay Cash Beats Insurance 0% of the Time

File Completeness90

Price Logic96

Peer Alignment79

Clean Billing49

Real Cash Discount50

Regional Benchmark Tier

3-Star CMS clinical quality rating paired with 0.74× fair market pricing.

Behavioral Pricing FingerprintLow Shoppable & Low Captive Rates

Uniform Value Leader · Low-Cost Across Departments

Community Medical Center maintains low, disciplined commercial pricing across both routine shoppable procedures (1.3× Medicare, p50 0.74× Fair BaseRate) and emergency/ancillary services (1.3× Medicare, p75 0.76× Fair BaseRate). Both insured and self-pay patients benefit from below-benchmark rates across departments.

#7 of 26 in MT · 23rd State Percentile#177 of 3,385 in U.S. · 5th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Elective shoppable care is priced 26% below peer Fair BaseRate (0.74×)
Self-pay cash beats commercial insurance on 0% of shoppable procedures (50/100 Cash Honesty)
CMS clinical safety score (66/100 safety score) with 68% patient recommendation
Binding Good Faith Estimate rights under 45 CFR § 149.610 protect self-pay patients before scheduling

Watchout

Where You Can Get Burned (Markup Traps)

Outpatient surgery & OR suites carry a 1.5× markup over Medicare rates
Commercial insurance median sits at 0.74× Fair BaseRate (1.3× Medicare), so insured patients should always compare the self-pay cash price before paying.
Specialty infusion drugs (J-codes) average 1.5× Medicare — verify per-unit billing on itemized statements
Consolidated metro market (HHI 5,686) limits in-network hospital competition (Highly Concentrated Monopoly (>2,500))

Front-Door ShoppableElective / Imaging

1.3× Medicare

Pre-scheduled outpatient procedures where patients can comparison-shop.

Back-Door Captive & ER1.00× Divergence

1.3× Medicare

Emergency, inpatient DRG, lab, and specialty drug lines billed after admission.

Quantile Tail Spread+3% Upper Tail

Q25 0.73× · Q50 0.74× · Q75 0.76×

Detects median-gaming when upper-quartile codes spike above the p50 median.

Select any lens to inspect department markups, federal cost accounting, or insurer discounts.

Department & Integrity Multiples (vs. CMS Medicare Cost Anchor) Green ≤1.3× · Teal 1.3–1.8× · Amber 1.8–2.5× · Rose >2.5×

Front-Door Shoppable CareFront-Door Shoppable

1.3× MedicareGood

Outpatient Surgery & ORBack-Door Captive

1.5× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

1.2× MedicareGood

Back-Door Captive ER VisitsBack-Door Captive

0.7× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

1.1× MedicareGood

Specialty & Infusion Drugs (J-Codes)Back-Door Captive

1.5× MedicareGood

Self-Pay Cash Honesty & 501(r)Integrity & Outcomes

0% Cash Edge · 50/100Elevated

CMS Clinical Safety & Star ValueIntegrity & Outcomes

3 CMS · 66/100Fair

Procedure Prices at Community Medical Center

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 105 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	—	$37,625	$19,432	unverified
Spinal fusion, single level (inpatient stay) MS-DRG Code: `451`	—	$22,522	$30,775	0.7×
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	—	$14,421	$19,087	0.8×
Total knee replacement CPT Code: `27447`	—	—	$13,523	—
Total hip replacement CPT Code: `27130`	—	—	$13,413	—
Heart stent placement (inpatient stay) MS-DRG Code: `322`	—	$13,319	$17,936	0.7×
Gallbladder removal (laparoscopic) CPT Code: `47562`	—	—	$6,109	—
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	—	$5,904	$8,223	0.7×
Breast lump removal CPT Code: `19120`	—	—	$3,875	—
Inguinal hernia repair CPT Code: `49505`	—	—	$3,629	—
Bunion correction surgery CPT Code: `28296`	—	—	$3,446	—
Knee arthroscopy with meniscus repair CPT Code: `29881`	—	—	$3,372	—
C-section delivery (full package) CPT Code: `59510`	—	—	$2,975	—
Vaginal delivery (full package) CPT Code: `59400`	—	—	$2,680	—
Trauma team activation HCPCS Code: `G0390`	—	—	$1,453	—
Colonoscopy with biopsy CPT Code: `45380`	—	—	$1,256	—
Upper endoscopy with biopsy CPT Code: `43239`	—	—	$987	—
Colonoscopy (diagnostic) CPT Code: `45378`	—	—	$981	—
Injection procedure for pain management HCPCS Code: `G0260`	—	—	$855	—
Echocardiogram (heart ultrasound) CPT Code: `93306`	—	—	$583	—
Blood transfusion CPT Code: `36430`	—	—	$498	—
MRI, brain (with and without contrast) CPT Code: `70553`	—	—	$511	—
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	—	—	$448	—
MRI, knee or other leg joint CPT Code: `73721`	—	—	$369	—
MRI, brain (no contrast) CPT Code: `70551`	—	—	$343	—
MRI, lower back (no contrast) CPT Code: `72148`	—	—	$338	—
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	—	—	$303	—
Ultrasound, leg veins (duplex) CPT Code: `93970`	—	—	$272	—
CT scan, head (with contrast) CPT Code: `70460`	—	—	$242	—
CT scan, head (with and without contrast) CPT Code: `70470`	—	—	$258	—
Breathing treatment (nebulizer) CPT Code: `94640`	—	—	$201	—
CT scan, head (no contrast) CPT Code: `70450`	—	—	$160	—
CT scan, sinuses CPT Code: `70486`	—	—	$166	—
CT scan, chest (no contrast) CPT Code: `71250`	—	—	$167	—
CT scan, neck (cervical spine) CPT Code: `72125`	—	—	$169	—
CT scan, lower back (lumbar spine) CPT Code: `72131`	—	—	$168	—
CT scan, pelvis CPT Code: `72192`	—	—	$163	—
Ultrasound, thyroid and neck CPT Code: `76536`	—	—	$132	—
Ultrasound, abdomen (complete) CPT Code: `76700`	—	—	$134	—
Ultrasound, abdomen (limited) CPT Code: `76705`	—	—	$126	—
Ultrasound, pelvis CPT Code: `76856`	—	—	$130	—
Diagnostic mammogram (both breasts) CPT Code: `77066`	—	—	$148	—
Screening mammogram (both breasts) CPT Code: `77067`	—	—	$123	—
X-ray, chest (single view) CPT Code: `71045`	—	—	$92	—
X-ray, chest (two views) CPT Code: `71046`	—	—	$93	—
X-ray, neck (cervical spine) CPT Code: `72040`	—	—	$93	—
X-ray, lower back CPT Code: `72110`	—	—	$112	—
X-ray, pelvis CPT Code: `72170`	—	—	$110	—
X-ray, shoulder CPT Code: `73030`	—	—	$92	—
X-ray, hand CPT Code: `73130`	—	—	$93	—
X-ray, hip CPT Code: `73502`	—	—	$93	—
X-ray, ankle CPT Code: `73610`	—	—	$93	—
X-ray, foot CPT Code: `73630`	—	—	$92	—
Speech therapy (language evaluation) CPT Code: `92507`	—	—	$86	—
New patient office visit (30-44 min) CPT Code: `99203`	—	—	$110	—
Office visit, established patient (30-39 min) CPT Code: `99214`	—	—	$123	—
Office visit, established patient (20-29 min) CPT Code: `99213`	—	—	$87	—
Hospital observation (per hour) HCPCS Code: `G0378`	—	—	$86	—
Pneumococcal vaccine HCPCS Code: `90732`	—	—	$140	—
Drug screening test HCPCS Code: `G0480`	—	—	$116	—
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	—	—	$64	—
Blood test, basic metabolic panel CPT Code: `80048`	—	—	$9	—
Blood test, comprehensive metabolic panel CPT Code: `80053`	—	—	$11	—
Blood test, cholesterol (lipid panel) CPT Code: `80061`	—	—	$14	—
Blood test, liver function panel CPT Code: `80076`	—	—	$9	—
Urinalysis (automated, with microscopy) CPT Code: `81001`	—	—	$3	—
Blood test, amylase CPT Code: `82150`	—	—	$7	—
Blood test, vitamin D CPT Code: `82306`	—	—	$31	—
Blood antibody screen CPT Code: `86850`	—	—	$46	—
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	—	—	$56	—
Physical therapy (neuromuscular re-education) CPT Code: `97112`	—	—	$38	—
Blood test, calcium CPT Code: `82310`	—	—	$5	—
Blood test, creatinine (kidney) CPT Code: `82565`	—	—	$5	—
Blood test, vitamin B12 CPT Code: `82607`	—	—	$16	—
Blood test, ferritin (iron stores) CPT Code: `82728`	—	—	$14	—
Blood test, glucose (blood sugar) CPT Code: `82947`	—	—	$4	—
Blood test, average blood sugar (A1c) CPT Code: `83036`	—	—	$10	—
Physical therapy (gait training) CPT Code: `97116`	—	—	$33	—
Occupational therapy (therapeutic activities) CPT Code: `97530`	—	—	$40	—
Physical therapy (functional capacity test) CPT Code: `97750`	—	—	$38	—
Blood test, lipase CPT Code: `83690`	—	—	$7	—
Blood test, magnesium CPT Code: `83735`	—	—	$7	—
Blood test, potassium CPT Code: `84132`	—	—	$5	—
Blood test, PSA (prostate screen) CPT Code: `84153`	—	—	$19	—
Blood test, sodium CPT Code: `84295`	—	—	$5	—
Blood test, thyroid (TSH) CPT Code: `84443`	—	—	$18	—
Physical therapy (therapeutic exercise) CPT Code: `97110`	—	—	$35	—
Physical therapy (manual therapy) CPT Code: `97140`	—	—	$34	—
Occupational therapy (self-care training) CPT Code: `97535`	—	—	$38	—
Orthotic fitting and training CPT Code: `97760`	—	—	$51	—
Flu vaccine injection HCPCS Code: `G0008`	—	—	$48	—
Pneumonia vaccine injection HCPCS Code: `G0009`	—	—	$49	—
Diagnostic procedure preparation HCPCS Code: `G0279`	—	—	$35	—
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	—	—	$4	—
Blood test, hemoglobin CPT Code: `85018`	—	—	$3	—
Blood test, complete blood count (CBC) CPT Code: `85025`	—	—	$8	—
Blood test, clotting time (PT/INR) CPT Code: `85610`	—	—	$5	—
Blood test, clotting time (PTT) CPT Code: `85730`	—	—	$6	—
Hepatitis C antibody test CPT Code: `86803`	—	—	$15	—
Culture, blood CPT Code: `87040`	—	—	$11	—
Culture, bacterial CPT Code: `87070`	—	—	$9	—
Speech therapy (group session) CPT Code: `92508`	—	—	$27	—
Prostate cancer screening (blood test) HCPCS Code: `G0103`	—	—	$20	—
Electrical stimulation therapy HCPCS Code: `G0283`	—	—	$14	—
Extended office visit (prolonged) HCPCS Code: `G2212`	—	—	$33	—

Showing top 25 high-impact procedures of 105 total

Inline Bill X-Ray & 501(r) Calculator For-Profit Facility · Cash & Fair BaseRate Audit

Audit a Bill or Quote at Community Medical Center (Zero PHI Required)

CMS CCN: 270023

CPT 470

Select Procedure to Audit:

Fair BaseRate™ $19,432

Medicare Rate $14,044

Self-Pay Cash Request Quote

Insurer Median $37,625

1. Amount on Your Bill or Quote ($) Pre-filled with Community Medical Center’s charged/list benchmark

2. Household Annual Income ($) Screened against 2026 HHS Federal Poverty Guidelines

3. Household Size (1–8) 2026 FPL: $15,650 + $5,500 per additional person

Step 1 · 501(r) Charity Care Check 274% of 2026 FPL

Above Standard 400% FPL Financial-Assistance Ceiling

At 274% FPL, you exceed the standard 400% FPL tier, though medical-hardship caps (when bills exceed 10% of annual income) may still apply.

Step 2 · Cash vs. Insurance Arbitrage Request Prompt-Pay Quote

Compare Prompt-Pay Cash Rate Against Remaining Deductible

Ask Community Medical Center's billing desk for their written 45 CFR § 180 discounted self-pay cash price and Good Faith Estimate under the No Surprises Act.

Step 3 · Fair BaseRate Target +$97,825 Above Fair BaseRate

Negotiate Toward $19,432 Fair BaseRate ($14,044 Medicare)

Your bill ($117,257) is $97,825 above the denoised Fair BaseRate ($19,432) and 8.3× the $14,044 Medicare rate.

1-Click Factual Dispute Summary: Copy a citation-backed benchmark memo (with CMS CCN, CPT code, Medicare reference, Fair BaseRate, and 26 U.S.C. § 501(r) calculations) to paste into patient-portal messages or billing appeals.

IRS Form 990 Schedule H & 26 U.S.C. § 501(r) For-Profit / Non-501(c)(3)

Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)

EIN: 611744940

Public IRS & CMS ownership records classify Community Medical Center as a non-501(c)(3) facility. Federal 26 U.S.C. § 501(r) statutory charity-care caps apply specifically to tax-exempt nonprofit hospitals, though state hospital fair-pricing statutes and prompt-pay self-pay discounts may still apply.

Screen your household size, income, and itemized CPT codes against 2026 HHS Federal Poverty Guidelines: Calculate Your 501(r) Cap Above ↑

CMS Care Compare Public Quality Record

Clinical Quality, Patient Experience & Infection Benchmarks

CMS Overall3/5 Stars (3/5)

Safety Composite66/100

Would Recommend68%

Rated 9 or 10 (HCAHPS)63%

Median ER Wait128 min

Left ER Before Seen0%

30-Day Mortality vs U.S.same

Unplanned Readmissionsame

Healthcare-Associated Infections (CDC NHSN / CMS HAI)

1.00 SIR = National Predicted Baseline (Lower Is Safer)

Central-Line Bloodstream Infectionsame

C. diff Hospital-Onset Infectionsame

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 Medical Center. Prior administrative notices do not necessarily reflect current compliance status.

2025-09-29·administrative_or_closure
Closure Notice
Recorded
2025-06-27·warning_notice
Warning Notice
Recorded

Source: CMS Hospital Care Compare (640 completed HCAHPS patient surveys). Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.

Care-Setting Arbitrage, Bilateral SVD Insurer Leverage & Regional Alternatives

How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings

Regional Quality & Price Benchmark

2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Community Medical Center.

Price Index: 1.19× regional baseline

Quality: 58/100 CMS composite

Median Household Income$71,246U.S. Census ACS

Local Uninsured Share6.4%Regional ACS estimate

200% FPL (1 Person)$31,920Common free-care ceiling

400% FPL (Family of 4)$128,600Common AGB cap ceiling

45 CFR § 180 Primary-Source Lineage & Federal Verification VeriRate 75/100 · Corroborated CMS CCN 270023 EIN 611744940

Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings

Download Official Hospital MRF ↗ Verify on CMS Medicare.gov (CCN 270023) ↗ Verify IRS Form 990 (EIN 611744940) ↗ CMS HCRIS Cost Reports ↗

Published MRF File61-1744940_community-medical-center_standardcharges.csv

Publication / Vintage2026-07-17 · 10.61 MB

Validated Rate Rows625 (CMS v3.0.0)

File Integrity Digestc8cd1835c20d8605d08b…

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.

Submit MRF Update Correction Policy