How many shoppable procedure prices are published for Sidney Health Center?

Sidney Health Center in Sidney, MT currently has 117 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

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

Across scored shoppable procedures, Sidney Health Center's median negotiated commercial rate is 1.0× the regionally adjusted fair BaseRate benchmark.

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

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

Hospital Profile Critical Access Hospital Voluntary non-profit - Private 25 Beds · rural Updated: 2026-04-30

Sidney Health Center

216 14Th Ave Sw, Sidney, MT 59270 · 117 Priced Procedures · 81% Patient Recommendation

CMS Overall Rating 3 / 5 Stars

Near Fair BaseRate Benchmark

1.03×vs. Fair Market Price

Typical commercial prices here are +3% above the fair benchmark (1.03×) even after accounting for local nurse/doctor wages and patient complexity.

72/100 · Corroborated

72/100Self-Pay Cash Beats Insurance 85% of the Time

File Completeness56

Price Logic77

Peer Alignment61

Clean Billing68

Real Cash Discount100

High Quality · Fair Price

4-Star CMS clinical quality rating paired with 1.03× fair market pricing.

Behavioral Pricing FingerprintMedian-Gamed · High Captive Markup

Loss-Leader / Captive Ancillary Cross-Subsidizer

Sidney Health Center prices routine shoppable procedures near 1.1× Medicare (p50 1.01×) while skewing captive emergency, lab, and upper-quartile codes to 2.0× Medicare (p75 1.33×, +32% upper-tail jump). Patients scheduling elective outpatient care can capture competitive rates, but emergency and ancillary bills require strict line-item auditing.

#10 of 26 in MT · 34th State Percentile#1,427 of 3,385 in U.S. · 42nd National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 0.55× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 85% of shoppable procedures (99/100 Cash Honesty)
CMS clinical safety score (66/100 safety score) with 81% patient recommendation
IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (93.3% AGB cap)

Watchout

Where You Can Get Burned (Markup Traps)

Even at low-cost facilities (1.03× 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 (1.6×) & laboratory (2.7×) services average 1.82× higher multiples than routine shoppable care (1.1×)
Upper-quartile procedures (Q75 1.33×) jump +32% above the median procedure ratio (Q50 1.01×)
Unnegotiated chargemaster list prices average 5.0× Medicare (34¢ true HCRIS cost per $1 gross)

Front-Door ShoppableElective / Imaging

1.1× Medicare

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

Back-Door Captive & ER1.82× Divergence

2.0× Medicare

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

Quantile Tail Spread+32% Upper Tail

Q25 0.55× · Q50 1.01× · Q75 1.33×

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

1.1× MedicareGood

Outpatient Surgery & ORBack-Door Captive

0.5× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

1.1× MedicareGood

Back-Door Captive ER VisitsBack-Door Captive

1.6× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

2.7× MedicareFair

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

0.6× MedicareGood

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

85% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

3 CMS · 66/100Fair

Procedure Prices at Sidney Health Center

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 117 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
C-section delivery (full package) CPT Code: `59510`	$4,229	$4,320	$2,975	1.5×
Vaginal delivery (full package) CPT Code: `59400`	$4,266	$3,889	$2,680	1.5×
Total knee replacement CPT Code: `27447`	$3,218	$3,218	$13,523	0.2×
Total hip replacement CPT Code: `27130`	$3,013	$3,013	$13,413	0.2×
Rabies immune globulin HCPCS Code: `90375`	$2,740	$2,740	$322	8.5×
Gallbladder removal (laparoscopic) CPT Code: `47562`	$1,374	$1,071	$6,109	0.2×
Knee arthroscopy with meniscus repair CPT Code: `29881`	$1,142	$889	$3,372	0.3×
Cataract surgery with lens implant CPT Code: `66984`	$1,947	$861	$2,540	0.3×
Bunion correction surgery CPT Code: `28296`	$1,288	$839	$3,446	0.2×
Inguinal hernia repair CPT Code: `49505`	$1,076	$851	$3,629	0.2×
Breast lump removal CPT Code: `19120`	$1,020	$681	$3,875	0.2×
MRI, brain (with and without contrast) CPT Code: `70553`	$1,925	$519	$511	1.0×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$1,219	$491	$448	1.1×
MRI, brain (no contrast) CPT Code: `70551`	$1,013	$319	$343	0.9×
MRI, lower back (no contrast) CPT Code: `72148`	$877	$311	$338	0.9×
MRI, knee or other leg joint CPT Code: `73721`	$877	$331	$369	0.9×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$394	$295	$272	1.1×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$371	$310	$583	0.5×
Sleep study (overnight, in lab) CPT Code: `95810`	$326	$326	$1,021	0.3×
CT scan, head (with and without contrast) CPT Code: `70470`	$898	$282	$258	1.1×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$752	$299	$303	1.0×
Colonoscopy (diagnostic) CPT Code: `45378`	$851	$293	$981	0.3×
Colonoscopy with biopsy CPT Code: `45380`	$649	$318	$1,256	0.3×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$341	$254	$148	1.7×
CT scan, pelvis CPT Code: `72192`	$647	$216	$163	1.3×
CT scan, chest (no contrast) CPT Code: `71250`	$789	$216	$167	1.3×
Psychiatric evaluation (first visit) CPT Code: `90791`	$154	$236	$185	1.3×
CT scan, head (with contrast) CPT Code: `70460`	$500	$241	$242	1.0×
CT scan, sinuses CPT Code: `70486`	$657	$208	$166	1.3×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$765	$210	$168	1.3×
CT scan, neck (cervical spine) CPT Code: `72125`	$752	$211	$169	1.2×
Blood transfusion CPT Code: `36430`	$199	$199	$498	0.4×
Upper endoscopy with biopsy CPT Code: `43239`	$707	$219	$987	0.2×
Ultrasound, abdomen (complete) CPT Code: `76700`	$266	$185	$134	1.4×
Ultrasound, thyroid and neck CPT Code: `76536`	$251	$175	$132	1.3×
Ultrasound, pelvis CPT Code: `76856`	$317	$168	$130	1.3×
Office visit, established patient (30-39 min) CPT Code: `99214`	$102	$155	$123	1.3×
CT scan, head (no contrast) CPT Code: `70450`	$743	$174	$160	1.1×
Family therapy session CPT Code: `90847`	$120	$169	$173	1.0×
New patient office visit (30-44 min) CPT Code: `99203`	$112	$131	$110	1.2×
Psychotherapy session (45 minutes) CPT Code: `90834`	$97	$150	$166	0.9×
Speech therapy (language evaluation) CPT Code: `92507`	$93	$124	$86	1.4×
Ultrasound, abdomen (limited) CPT Code: `76705`	$218	$139	$126	1.1×
Office visit, established patient (20-29 min) CPT Code: `99213`	$69	$105	$87	1.2×
Psychotherapy session (60 minutes) CPT Code: `90837`	$102	$102	$181	0.6×
Neurobehavioral status check CPT Code: `96116`	$112	$126	$231	0.5×
X-ray, lower back CPT Code: `72110`	$294	$83	$112	0.7×
Typhoid vaccine HCPCS Code: `90675`	$801	$801	$347	2.3×
Pneumococcal vaccine HCPCS Code: `90732`	$153	$153	$140	1.1×
Varicella (chickenpox) vaccine HCPCS Code: `90716`	$141	$141	$203	0.7×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$93	$93	$11	8.5×
Culture, blood CPT Code: `87040`	$87	$87	$11	7.9×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$89	$89	$20	4.5×
Blood test, clotting time (PTT) CPT Code: `85730`	$56	$56	$6	9.3×
Culture, bacterial CPT Code: `87070`	$76	$76	$9	8.4×
Blood test, basic metabolic panel CPT Code: `80048`	$72	$72	$9	8.0×
Blood test, liver function panel CPT Code: `80076`	$70	$70	$9	7.8×
Blood test, complete blood count (CBC) CPT Code: `85025`	$61	$61	$8	7.6×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$74	$74	$14	5.3×
Blood test, vitamin B12 CPT Code: `82607`	$81	$81	$16	5.1×
Blood test, vitamin D CPT Code: `82306`	$87	$87	$31	2.8×
X-ray, hip CPT Code: `73502`	$115	$76	$93	0.8×
Blood test, glucose (blood sugar) CPT Code: `82947`	$36	$36	$4	9.0×
Blood test, lipase CPT Code: `83690`	$46	$46	$7	6.6×
Blood test, amylase CPT Code: `82150`	$41	$41	$7	5.9×
Blood test, ferritin (iron stores) CPT Code: `82728`	$62	$62	$14	4.4×
Blood antibody screen CPT Code: `86850`	$76	$76	$46	1.7×
Blood test, sodium CPT Code: `84295`	$36	$36	$5	7.2×
Blood test, magnesium CPT Code: `83735`	$46	$46	$7	6.6×
Blood test, thyroid (TSH) CPT Code: `84443`	$60	$60	$18	3.3×
Hepatitis C antibody test CPT Code: `86803`	$46	$46	$15	3.1×
Blood test, PSA (prostate screen) CPT Code: `84153`	$58	$58	$19	3.1×
Diagnostic procedure preparation HCPCS Code: `G0279`	$95	$70	$35	2.0×
Orthotic fitting and training CPT Code: `97760`	$78	$76	$51	1.5×
Extended office visit (prolonged) HCPCS Code: `G2212`	$34	$49	$33	1.5×
Physical therapy (gait training) CPT Code: `97116`	$37	$48	$33	1.5×
Physical therapy (functional capacity test) CPT Code: `97750`	$54	$55	$38	1.4×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$57	$57	$40	1.4×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$66	$66	$56	1.2×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$82	$82	$111	0.7×
X-ray, neck (cervical spine) CPT Code: `72040`	$135	$64	$93	0.7×
X-ray, hand CPT Code: `73130`	$139	$60	$93	0.6×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$34	$34	$10	3.4×
X-ray, ankle CPT Code: `73610`	$109	$58	$93	0.6×
X-ray, shoulder CPT Code: `73030`	$97	$56	$92	0.6×
X-ray, foot CPT Code: `73630`	$137	$54	$92	0.6×
X-ray, chest (two views) CPT Code: `71046`	$144	$54	$93	0.6×
Screening mammogram (both breasts) CPT Code: `77067`	$71	$71	$123	0.6×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$24	$24	$3	8.0×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$28	$28	$4	7.0×
Blood test, creatinine (kidney) CPT Code: `82565`	$28	$28	$5	5.6×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$43	$53	$38	1.4×
Occupational therapy (self-care training) CPT Code: `97535`	$49	$53	$38	1.4×
Blood test, calcium CPT Code: `82310`	$25	$25	$5	5.0×
Blood test, potassium CPT Code: `84132`	$25	$25	$5	5.0×
Blood test, hemoglobin CPT Code: `85018`	$13	$13	$3	4.3×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$15	$15	$5	3.0×
Speech therapy (group session) CPT Code: `92508`	—	$39	$27	1.4×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$40	$48	$35	1.4×
Electrical stimulation therapy HCPCS Code: `G0283`	$18	$20	$14	1.4×
Physical therapy (manual therapy) CPT Code: `97140`	$37	$45	$34	1.3×
Hepatitis B vaccine HCPCS Code: `90744`	$40	$40	$37	1.1×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$37	$37	$39	0.9×
Electrocardiogram (ECG/EKG) CPT Code: `93000`	$37	$23	$25	0.9×
Prosthetic fitting and training CPT Code: `97761`	$40	$40	$45	0.9×
Colorectal cancer screening HCPCS Code: `G0010`	$39	$39	$49	0.8×
Flu vaccine (high dose) HCPCS Code: `90656`	$18	$18	$25	0.7×
Pneumonia vaccine injection HCPCS Code: `G0009`	$28	$28	$49	0.6×
X-ray, chest (single view) CPT Code: `71045`	$100	$42	$92	0.5×
X-ray, pelvis CPT Code: `72170`	$126	$45	$110	0.4×
Group therapy session CPT Code: `90853`	$72	$40	$100	0.4×
Flu vaccine injection HCPCS Code: `G0008`	$18	$18	$48	0.4×
Psychological testing evaluation CPT Code: `96136`	—	$37	$128	0.3×
Hospital observation (per hour) HCPCS Code: `G0378`	$24	$24	$86	0.3×
Breathing treatment (nebulizer) CPT Code: `94640`	$40	$40	$201	0.2×
Psychological testing by technician CPT Code: `96138`	—	$56	$395	0.1×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$69	$10	$64	0.2×

Showing top 25 high-impact procedures of 117 total

Inline Bill X-Ray & 501(r) Calculator 501(c)(3) Nonprofit · Free Care ≤200% FPL · AGB Cap 93.3%

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

CMS CCN: 271344

CPT 59510

Select Procedure to Audit:

Fair BaseRate™ $2,975

Medicare Rate $2,473

Self-Pay Cash $4,229

Insurer Median $4,320

1. Amount on Your Bill or Quote ($) Pre-filled with Sidney Health 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: $6,372 (274% FPL)

Statutory 501(r) AGB Cap Limits Bill to $6,372

At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (93.3% of gross = $6,372).

Step 2 · Cash vs. Insurance Arbitrage Save $2,601 Paying Cash

Self-Pay Cash Rate ($4,229) Beats Your Bill

Sidney Health Center's published 45 CFR § 180 self-pay cash rate is $4,229 (vs. $4,320 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.

Step 3 · Fair BaseRate Target +$3,855 Above Fair BaseRate

Negotiate Toward $2,975 Fair BaseRate ($2,473 Medicare)

Your bill ($6,830) is $3,855 above the denoised Fair BaseRate ($2,975) and 2.8× the $2,473 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: 810233499

Filing Period: 195602

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 (93.3% 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 Overall4/5 Stars (4/5)

Safety Composite66/100

Would Recommend81%

Rated 9 or 10 (HCAHPS)76%

Median ER Wait152 min

Left ER Before Seen2%

30-Day Mortality vs U.S.worse

Unplanned Readmissionsame

Hip/Knee Complication Rate4%

Healthcare-Associated Infections (CDC NHSN / CMS HAI)

1.00 SIR = National Predicted Baseline (Lower Is Safer)

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

2026-05-05·cap_corrective_action
CAP Request
Recorded
2026-01-28·warning_notice
Warning Notice
Recorded

Source: CMS Hospital Care Compare (209 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

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

Price Index: 1.04× regional baseline

Quality: 54/100 CMS composite

Median Household Income$69,578U.S. Census ACS

Local Uninsured Share6.1%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 72/100 · Corroborated CMS CCN 271344 EIN 810233499

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 271344) ↗ Verify IRS Form 990 (EIN 810233499) ↗ CMS HCRIS Cost Reports ↗

Published MRF FileCMS_45_CFR_180_FILING.json

Publication / Vintage2026-04-30

Validated Rate Rows3,869 (CMS v3.0.0)

File Integrity DigestVerified · CCN 271344

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