How many shoppable procedure prices are published for Logan Health Medical Center?

Logan Health Medical Center in Kalispell, MT currently has 111 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

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

Across scored shoppable procedures, Logan Health Medical Center's median negotiated commercial rate is 1.2× the regionally adjusted fair BaseRate benchmark.

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

CMS Care Compare assigns Logan Health 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 210 Beds · rural Updated: 2026-04-01

Logan Health Medical Center

310 Sunnyview Lane, Kalispell, MT 59901 · 111 Priced Procedures · 66% Patient Recommendation

CMS Overall Rating 3 / 5 Stars

Above Fair Market · Negotiate

1.19×vs. Fair Market Price

Typical commercial prices here are +19% above the fair benchmark (1.19×) even after accounting for local nurse/doctor wages and patient complexity.

75/100 · Corroborated

75/100Self-Pay Cash Beats Insurance 32% of the Time

File Completeness56

Price Logic79

Peer Alignment64

Clean Billing88

Real Cash Discount92

Premium Quality Tier

3-Star CMS clinical quality rating paired with 1.19× fair market pricing.

Behavioral Pricing FingerprintHigh-HHI Market Leverage

Consolidated System Premium Pricer

Operating in a concentrated regional market (CBSA HHI 7,274), Logan Health Medical Center commands a 1.19× BaseRate commercial premium across insurers. Self-pay cash quotes, in-state peer hospitals, and freestanding outpatient facilities offer critical leverage against consolidated system pricing.

#16 of 26 in MT · 57th State Percentile#1,976 of 3,385 in U.S. · 58th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 0.84× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 32% of shoppable procedures (92/100 Cash Honesty)
CMS clinical safety score (64/100 safety score) with 66% patient recommendation
IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (34.1% AGB cap)

Watchout

Where You Can Get Burned (Markup Traps)

Even at low-cost facilities (1.19× Fair BaseRate), out-of-network or unnegotiated chargemaster bills can exceed commercial medians — confirm in-network status or request a self-pay cash quote up front.
Captive ER (2.0×) & laboratory (2.0×) services average 1.17× higher multiples than routine shoppable care (1.2×)
Upper-quartile procedures (Q75 1.43×) jump +22% above the median procedure ratio (Q50 1.17×)
Consolidated metro market (HHI 7,274) limits in-network hospital competition (Highly Concentrated Monopoly (>2,500))

Front-Door ShoppableElective / Imaging

1.2× Medicare

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

Back-Door Captive & ER1.17× Divergence

1.4× Medicare

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

Quantile Tail Spread+22% Upper Tail

Q25 0.84× · Q50 1.17× · Q75 1.43×

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

1.2× MedicareGood

Outpatient Surgery & ORBack-Door Captive

0.5× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

1.4× MedicareGood

Back-Door Captive ER VisitsBack-Door Captive

2.0× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

2.0× MedicareGood

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

0.6× MedicareGood

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

32% Cash Edge · 92/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

3 CMS · 64/100Elevated

Procedure Prices at Logan Health Medical Center

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 111 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Spinal fusion, single level (inpatient stay) MS-DRG Code: `451`	—	$26,168	$30,775	0.9×
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	—	$15,988	$19,087	0.8×
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	—	$15,881	$19,432	0.8×
Heart stent placement (inpatient stay) MS-DRG Code: `322`	—	$14,569	$17,936	0.8×
Total knee replacement CPT Code: `27447`	$14,270	$14,270	$13,523	1.1×
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	—	$6,796	$8,223	0.8×
Trauma team activation HCPCS Code: `G0390`	$4,079	$4,079	$1,453	2.8×
Inguinal hernia repair CPT Code: `49505`	$4,023	$3,804	$3,629	1.0×
Knee arthroscopy with meniscus repair CPT Code: `29881`	$2,710	$2,710	$3,372	0.8×
Bunion correction surgery CPT Code: `28296`	$2,686	$2,686	$3,446	0.8×
Cataract surgery with lens implant CPT Code: `66984`	$1,788	$1,788	$2,540	0.7×
Colonoscopy with biopsy CPT Code: `45380`	$1,779	$1,271	$1,256	1.0×
Colonoscopy (diagnostic) CPT Code: `45378`	$1,073	$988	$981	1.0×
Upper endoscopy with biopsy CPT Code: `43239`	$1,476	$964	$987	1.0×
Sleep study (overnight, in lab) CPT Code: `95810`	$1,340	$912	$1,021	0.9×
Blood transfusion CPT Code: `36430`	$413	$469	$498	0.9×
Breast lump removal CPT Code: `19120`	$445	$445	$3,875	0.1×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$1,124	$371	$448	0.8×
MRI, brain (with and without contrast) CPT Code: `70553`	$1,157	$371	$511	0.7×
Neurobehavioral status check CPT Code: `96116`	—	$229	$231	1.0×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$237	$254	$272	0.9×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$983	$254	$303	0.8×
MRI, lower back (no contrast) CPT Code: `72148`	$1,057	$254	$338	0.8×
MRI, brain (no contrast) CPT Code: `70551`	$1,309	$254	$343	0.7×
MRI, knee or other leg joint CPT Code: `73721`	$607	$254	$369	0.7×
Injection procedure for pain management HCPCS Code: `G0260`	$230	$230	$855	0.3×
Psychiatric evaluation (first visit) CPT Code: `90791`	$195	$189	$185	1.0×
CT scan, head (with contrast) CPT Code: `70460`	$578	$186	$242	0.8×
CT scan, head (with and without contrast) CPT Code: `70470`	$664	$186	$258	0.7×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$196	$196	$583	unverified
Psychotherapy session (60 minutes) CPT Code: `90837`	$114	$114	$181	0.6×
Speech therapy (language evaluation) CPT Code: `92507`	$149	$138	$86	unverified
X-ray, shoulder CPT Code: `73030`	$102	$92	$92	1.0×
X-ray, foot CPT Code: `73630`	$99	$92	$92	1.0×
X-ray, chest (two views) CPT Code: `71046`	$80	$92	$93	1.0×
X-ray, ankle CPT Code: `73610`	$106	$92	$93	1.0×
Ultrasound, abdomen (complete) CPT Code: `76700`	$279	$111	$134	0.8×
CT scan, head (no contrast) CPT Code: `70450`	$498	$111	$160	0.7×
CT scan, pelvis CPT Code: `72192`	$761	$111	$163	0.7×
CT scan, chest (no contrast) CPT Code: `71250`	$470	$111	$167	0.7×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$564	$111	$168	0.7×
CT scan, neck (cervical spine) CPT Code: `72125`	$1,125	$111	$169	0.7×
Family therapy session CPT Code: `90847`	$95	$95	$173	unverified
Orthotic fitting and training CPT Code: `97760`	$72	$86	$51	unverified
Typhoid vaccine HCPCS Code: `90675`	$241	$241	$347	0.7×
Drug screening test HCPCS Code: `G0480`	—	$169	$116	1.5×
Pneumococcal vaccine HCPCS Code: `90732`	$110	$110	$140	0.8×
Prosthetic fitting and training CPT Code: `97761`	$51	$76	$45	1.7×
Physical therapy (functional capacity test) CPT Code: `97750`	$65	$62	$38	1.6×
Physical therapy (gait training) CPT Code: `97116`	$52	$53	$33	1.6×
Occupational therapy (self-care training) CPT Code: `97535`	$59	$59	$38	1.6×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$56	$53	$35	1.5×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$96	$63	$64	1.0×
Care planning with family CPT Code: `90887`	$77	$77	$107	0.7×
Varicella (chickenpox) vaccine HCPCS Code: `90716`	$88	$88	$203	0.4×
Psychological testing evaluation CPT Code: `96136`	$53	$53	$128	0.4×
Psychotherapy session (45 minutes) CPT Code: `90834`	$76	$76	$166	unverified
Speech therapy (group session) CPT Code: `92508`	—	$44	$27	1.6×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$57	$61	$38	1.6×
Physical therapy (manual therapy) CPT Code: `97140`	$52	$49	$34	1.4×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$27	$28	$20	1.4×
Flu vaccine injection HCPCS Code: `G0008`	$58	$50	$48	1.0×
Pneumonia vaccine injection HCPCS Code: `G0009`	$58	$50	$49	1.0×
Colorectal cancer screening HCPCS Code: `G0010`	$65	$50	$49	1.0×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$73	$73	$148	0.5×
Blood test, vitamin D CPT Code: `82306`	$90	$44	$31	1.4×
X-ray, hip CPT Code: `73502`	$47	$47	$93	0.5×
X-ray, lower back CPT Code: `72110`	$52	$52	$112	0.5×
Screening mammogram (both breasts) CPT Code: `77067`	$57	$57	$123	0.5×
Ultrasound, pelvis CPT Code: `76856`	$60	$60	$130	0.5×
Blood test, ferritin (iron stores) CPT Code: `82728`	$47	$20	$14	1.4×
X-ray, chest (single view) CPT Code: `71045`	$40	$40	$92	0.4×
Ultrasound, abdomen (limited) CPT Code: `76705`	$49	$49	$126	0.4×
CT scan, sinuses CPT Code: `70486`	$62	$62	$166	0.4×
Ultrasound, thyroid and neck CPT Code: `76536`	$42	$42	$132	0.3×
Breathing treatment (nebulizer) CPT Code: `94640`	$55	$55	$201	unverified
Occupational therapy (therapeutic activities) CPT Code: `97530`	$66	$67	$40	unverified
Urinalysis (automated, with microscopy) CPT Code: `81001`	$23	$5	$3	1.7×
Blood test, calcium CPT Code: `82310`	$13	$8	$5	1.6×
Blood test, creatinine (kidney) CPT Code: `82565`	$13	$8	$5	1.6×
Blood test, glucose (blood sugar) CPT Code: `82947`	$18	$6	$4	1.5×
Blood test, clotting time (PTT) CPT Code: `85730`	$11	$9	$6	1.5×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$38	$16	$11	1.5×
Culture, bacterial CPT Code: `87070`	$96	$13	$9	1.4×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$39	$20	$14	1.4×
Blood test, vitamin B12 CPT Code: `82607`	$49	$22	$16	1.4×
Blood test, basic metabolic panel CPT Code: `80048`	$34	$12	$9	1.3×
X-ray, neck (cervical spine) CPT Code: `72040`	$37	$37	$93	unverified
X-ray, pelvis CPT Code: `72170`	$36	$36	$110	unverified
X-ray, hand CPT Code: `73130`	$36	$36	$93	unverified
Blood test, amylase CPT Code: `82150`	$71	$10	$7	1.4×
Blood test, lipase CPT Code: `83690`	$63	$10	$7	1.4×
Blood test, magnesium CPT Code: `83735`	$27	$10	$7	1.4×
Blood test, PSA (prostate screen) CPT Code: `84153`	$65	$27	$19	1.4×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$53	$14	$10	1.4×
Blood test, potassium CPT Code: `84132`	$13	$7	$5	1.4×
Hepatitis C antibody test CPT Code: `86803`	$65	$21	$15	1.4×
Blood test, thyroid (TSH) CPT Code: `84443`	$44	$25	$18	1.4×
Blood test, complete blood count (CBC) CPT Code: `85025`	$20	$11	$8	1.4×
Culture, blood CPT Code: `87040`	—	$15	$11	1.4×
Blood antibody screen CPT Code: `86850`	$88	$34	$46	0.7×
Blood test, hemoglobin CPT Code: `85018`	$13	$4	$3	1.3×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$12	$6	$5	1.2×
Flu vaccine (high dose) HCPCS Code: `90656`	$25	$25	$25	1.0×
Electrical stimulation therapy HCPCS Code: `G0283`	—	$13	$14	0.9×
Diagnostic procedure preparation HCPCS Code: `G0279`	$45	$13	$35	0.4×
Group therapy session CPT Code: `90853`	$32	$32	$100	0.3×
Blood test, liver function panel CPT Code: `80076`	$35	$12	$9	unverified
Blood test, sodium CPT Code: `84295`	$13	$7	$5	unverified
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$34	$6	$4	unverified
Psychological testing by technician CPT Code: `96138`	$31	$31	$395	unverified

Showing top 25 high-impact procedures of 111 total

Inline Bill X-Ray & 501(r) Calculator 501(c)(3) Nonprofit · Free Care ≤200% FPL · AGB Cap 34.1%

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

CMS CCN: 270051

CPT 451

Select Procedure to Audit:

Fair BaseRate™ $30,775

Medicare Rate $23,504

Self-Pay Cash Request Quote

Insurer Median $26,168

1. Amount on Your Bill or Quote ($) Pre-filled with Logan Health 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 501(r) AGB Cap: $21,397 (274% FPL)

Statutory 501(r) AGB Cap Limits Bill to $21,397

At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (34.1% of gross = $21,397).

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

Compare Prompt-Pay Cash Rate Against Remaining Deductible

Ask Logan Health 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 +$32,028 Above Fair BaseRate

Negotiate Toward $30,775 Fair BaseRate ($23,504 Medicare)

Your bill ($62,803) is $32,028 above the denoised Fair BaseRate ($30,775) and 2.7× the $23,504 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) 501(c)(3) Nonprofit Hospital

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

EIN: 237293874

Filing Period: 197307

Free Care Eligibility BenchmarkUp to 200% FPL100% charity write-off income threshold

Discounted Care EligibilityUp to 400% FPLSliding-scale & AGB billing cap tier

Charity Care Share of ExpensesSee Schedule HNet community financial assistance reported

26 U.S.C. § 501(r)(5) AGB Benchmark Method: lookback_commercial_median

Hospital-Specific CMS HCRIS Benchmark (34.1% 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.

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 Composite64/100

Would Recommend66%

Rated 9 or 10 (HCAHPS)69%

Median ER Wait206 min

Left ER Before Seen2%

30-Day Mortality vs U.S.same

Unplanned Readmissionsame

Hip/Knee Complication Rate3.5%

Healthcare-Associated Infections (CDC NHSN / CMS HAI)

1.00 SIR = National Predicted Baseline (Lower Is Safer)

Central-Line Bloodstream Infectionsame

C. diff Hospital-Onset Infectionbetter

CMS Price Transparency Administrative Enforcement Log

Factual public administrative actions published by the Centers for Medicare & Medicaid Services regarding 45 CFR § 180 compliance at Logan Health Medical Center. Prior administrative notices do not necessarily reflect current compliance status.

2023-10-19·administrative_or_closure
Closure Notice
Recorded
2023-02-13·warning_notice
Warning Notice
Recorded

Source: CMS Hospital Care Compare (552 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

Higher-Quality, Above-Median Price Tier Pareto Frontier (Price + Quality)

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

Price Index: 1.01× regional baseline

Quality: 59/100 CMS composite

Median Household Income$71,327U.S. Census ACS

Local Uninsured Share9.1%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 270051 EIN 237293874

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

MRF Portal Indexed (CMS_45_CFR_180_FILING.json) Verify on CMS Medicare.gov (CCN 270051) ↗ Verify IRS Form 990 (EIN 237293874) ↗ CMS HCRIS Cost Reports ↗

Published MRF FileCMS_45_CFR_180_FILING.json

Publication / Vintage2026-04-01

Validated Rate Rows370 (CMS v3.0.0)

File Integrity DigestVerified · CCN 270051

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