Logan Health - Shelby
640 Park Ave, Shelby, MT 59474 · 101 Priced Procedures
Typical commercial prices here are +219% above the fair benchmark (3.19×) even after accounting for local nurse/doctor wages and patient complexity.
Balances commercial hospital prices against CMS clinical safety, infection control, and patient experience.
Cash-Arbitrage Bifurcated Pricer
Logan Health - Shelby maintains elevated commercial insurance contracts (3.19× Fair BaseRate) while offering direct self-pay cash discounts that beat commercial negotiated medians on 62% of procedures. High-deductible and uninsured patients should always request the self-pay cash rate prior to billing.
Where They're Good (Patient & Payer Edge)
- Bottom-quartile procedures (Q25) price at 2.37× the peer BaseRate benchmark
- Self-pay cash beats commercial insurance on 62% of shoppable procedures (99/100 Cash Honesty)
- CMS clinical safety score (69/100 safety score) with 72% patient recommendation
- IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (74.9% AGB cap)
Where You Can Get Burned (Markup Traps)
- Even at low-cost facilities (3.19× 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.
- Commercial insurance median sits at 3.30× Fair BaseRate (4.0× Medicare), so insured patients should always compare the self-pay cash price before paying.
- Even at low-cost facilities (3.19× 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.
- Unnegotiated chargemaster list prices average 8.9× Medicare (29¢ 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 Logan Health - Shelby
High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 101 published procedures.
| Procedure & Billing Code | This Hospital | vs. Fair |
|---|---|---|
| Rabies immune globulin HCPCS Code: 90375 | $26,256 | 81.5× |
| Colonoscopy (diagnostic) CPT Code: 45378 | $2,078 | 2.1× |
| Trauma team activation HCPCS Code: G0390 | $2,068 | 1.4× |
| Cataract surgery with lens implant CPT Code: 66984 | $1,825 | 0.7× |
| CT scan, abdomen and pelvis (with contrast) CPT Code: 74177 | $1,728 | 3.9× |
| Colonoscopy with biopsy CPT Code: 45380 | $1,638 | 1.3× |
| Sleep study (overnight, in lab) CPT Code: 95810 | $1,510 | 1.5× |
| MRI, lower back (no contrast) CPT Code: 72148 | $1,317 | 3.9× |
| MRI, brain (no contrast) CPT Code: 70551 | $1,317 | 3.8× |
| MRI, brain (with and without contrast) CPT Code: 70553 | $1,335 | 2.6× |
| Upper endoscopy with biopsy CPT Code: 43239 | $1,179 | 1.2× |
| CT scan, abdomen and pelvis (no contrast) CPT Code: 74176 | $1,090 | 3.6× |
| Gallbladder removal (laparoscopic) CPT Code: 47562 | $1,094 | 0.2× |
| Echocardiogram (heart ultrasound) CPT Code: 93306 | $880 | 1.5× |
| Inguinal hernia repair CPT Code: 49505 | $865 | 0.2× |
| Hepatitis B immune globulin HCPCS Code: 90371 | $814 | 5.4× |
| Blood transfusion CPT Code: 36430 | $747 | 1.5× |
| MRI, knee or other leg joint CPT Code: 73721 | $699 | 1.9× |
| Injection procedure for pain management HCPCS Code: G0260 | $673 | 0.8× |
| CT scan, head (with and without contrast) CPT Code: 70470 | $593 | 2.3× |
| CT scan, head (no contrast) CPT Code: 70450 | $552 | 3.5× |
| CT scan, pelvis CPT Code: 72192 | $552 | 3.4× |
| CT scan, sinuses CPT Code: 70486 | $552 | 3.3× |
| CT scan, chest (no contrast) CPT Code: 71250 | $552 | 3.3× |
| CT scan, lower back (lumbar spine) CPT Code: 72131 | $552 | 3.3× |
Audit a Bill or Quote at Logan Health - Shelby (Zero PHI Required)
Statutory 501(r) AGB Cap Limits Bill to $30,251
At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (74.9% of gross = $30,251).
Self-Pay Cash Rate ($26,256) Beats Your Bill
Logan Health - Shelby's published 45 CFR § 180 self-pay cash rate is $26,256 (vs. $26,256 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 ($40,394) is $40,072 above the denoised Fair BaseRate ($322) and 146.9× the $275 Medicare rate.
Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)
Hospital-Specific CMS HCRIS Benchmark (74.9% 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
Source: CMS Hospital Care Compare. 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 Logan Health - Shelby.
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.