Sheridan Memorial Hosptial
440 W Laurel Ave, Plentywood, MT 59254 · 83 Priced Procedures
Typical commercial prices here are 75% below the fair benchmark (0.25×) after accounting for local nurse/doctor wages and patient complexity.
Balances commercial hospital prices against CMS clinical safety, infection control, and patient experience.
Uniform Value Leader · Low-Cost Across Departments
Sheridan Memorial Hosptial maintains low, disciplined commercial pricing across both routine shoppable procedures (0.5× Medicare, p50 0.21× Fair BaseRate) and emergency/ancillary services (0.2× Medicare, p75 0.21× Fair BaseRate). Both insured and self-pay patients benefit from below-benchmark rates across departments.
Where They're Good (Patient & Payer Edge)
- Elective shoppable care is priced 79% below peer Fair BaseRate (0.21×)
- Self-pay cash beats commercial insurance on 76% of shoppable procedures (44/100 Cash Honesty)
- CMS clinical safety score (67/100 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 (94.1% AGB cap)
Where You Can Get Burned (Markup Traps)
- Even at low-cost facilities (0.25× 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 0.21× Fair BaseRate (0.5× Medicare), so insured patients should always compare the self-pay cash price before paying.
- Specialty infusion drugs (J-codes) average 1.1× Medicare — verify per-unit billing on itemized statements
- Unnegotiated chargemaster list prices average 11.5× Medicare (27¢ 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 Sheridan Memorial Hosptial
High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 83 published procedures.
| Procedure & Billing Code | This Hospital | vs. Fair |
|---|---|---|
| Digestive disorders treatment (inpatient stay) MS-DRG Code: 392 | $20,237 | 2.5× |
| Sepsis treatment (inpatient stay) MS-DRG Code: 871 | $13,367 | 0.7× |
| CT scan, abdomen and pelvis (with contrast) CPT Code: 74177 | $4,546 | 10.1× |
| Sleep study (overnight, in lab) CPT Code: 95810 | $4,480 | 4.4× |
| MRI, lower back (no contrast) CPT Code: 72148 | $4,172 | 12.3× |
| MRI, brain (no contrast) CPT Code: 70551 | $4,189 | 12.2× |
| Trauma team activation HCPCS Code: G0390 | $3,450 | 2.4× |
| MRI, brain (with and without contrast) CPT Code: 70553 | $3,397 | 6.6× |
| CT scan, abdomen and pelvis (no contrast) CPT Code: 74176 | $3,258 | 10.8× |
| MRI, knee or other leg joint CPT Code: 73721 | $3,189 | 8.6× |
| CT scan, head (with and without contrast) CPT Code: 70470 | $3,128 | 12.1× |
| CT scan, lower back (lumbar spine) CPT Code: 72131 | $2,429 | 14.5× |
| CT scan, neck (cervical spine) CPT Code: 72125 | $2,431 | 14.4× |
| CT scan, chest (no contrast) CPT Code: 71250 | $2,215 | 13.3× |
| CT scan, head (no contrast) CPT Code: 70450 | $2,128 | 13.3× |
| CT scan, pelvis CPT Code: 72192 | $2,128 | 13.1× |
| CT scan, head (with contrast) CPT Code: 70460 | $2,102 | 8.7× |
| Blood transfusion CPT Code: 36430 | $1,978 | 4.0× |
| CT scan, sinuses CPT Code: 70486 | $1,908 | 11.5× |
| Ultrasound, leg veins (duplex) CPT Code: 93970 | $1,519 | 5.6× |
| Ultrasound, thyroid and neck CPT Code: 76536 | $1,192 | 9.0× |
| Ultrasound, abdomen (limited) CPT Code: 76705 | $987 | 7.8× |
| Ultrasound, abdomen (complete) CPT Code: 76700 | $963 | 7.2× |
| Ultrasound, pelvis CPT Code: 76856 | $804 | 6.2× |
| X-ray, lower back CPT Code: 72110 | $735 | 6.6× |
Audit a Bill or Quote at Sheridan Memorial Hosptial (Zero PHI Required)
Statutory 501(r) AGB Cap Limits Bill to $21,167
At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (94.1% of gross = $21,167).
Self-Pay Cash Rate ($20,237) Beats Your Bill
Sheridan Memorial Hosptial's published 45 CFR § 180 self-pay cash rate is $20,237 (vs. $20,237 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.
Negotiate Toward $8,223 Fair BaseRate ($5,676 Medicare)
Your bill ($22,485) is $14,262 above the denoised Fair BaseRate ($8,223) and 4.0× the $5,676 Medicare rate.
Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)
Hospital-Specific CMS HCRIS Benchmark (94.1% 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.
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 Sheridan Memorial Hosptial.
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.