How many shoppable procedure prices are published for St James Hospital?

St James Hospital in Butte, MT currently has 118 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do St James Hospital's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, St James Hospital's median negotiated commercial rate is 2.0× the regionally adjusted fair BaseRate benchmark.

What is St James Hospital's CMS Care Compare overall star rating?

CMS Care Compare assigns St James Hospital an overall hospital quality rating of 2 out of 5 stars based on public federal clinical and patient-experience measures.

Hospital Profile Acute Care Hospital Voluntary non-profit - Private 69 Beds · rural Updated: 3/22/2026

St James Hospital

400 S Clark St, Butte, MT 59701 · 118 Priced Procedures · 65% Patient Recommendation

CMS Overall Rating 2 / 5 Stars

High Markup · Shop Alternatives

2.04×vs. Fair Market Price

Typical commercial prices here are +104% above the fair benchmark (2.04×) even after accounting for local nurse/doctor wages and patient complexity.

60/100 · Caution

60/100Self-Pay Cash Beats Insurance 0% of the Time

File Completeness66

Price Logic50

Peer Alignment76

Clean Billing62

Real Cash Discount50

High-Markup · Check Safety

4-Star CMS clinical quality rating paired with 2.04× fair market pricing.

Behavioral Pricing FingerprintHigh-HHI Market Leverage

Consolidated System Premium Pricer

Operating in a concentrated regional market (CBSA HHI 10,000), St James Hospital commands a 2.04× BaseRate commercial premium across insurers. Self-pay cash quotes, in-state peer hospitals, and freestanding outpatient facilities offer critical leverage against consolidated system pricing.

#22 of 26 in MT · 80th State Percentile#3,098 of 3,385 in U.S. · 91st National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 1.21× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 0% of shoppable procedures (50/100 Cash Honesty)
2-Star CMS clinical rating with 65% patient recommendation (69/100 safety score)
IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (87.1% AGB cap)

Watchout

Where You Can Get Burned (Markup Traps)

Outpatient surgery & OR suites carry a 3.0× markup over Medicare rates
Commercial insurance median sits at 2.08× Fair BaseRate (2.4× Medicare), so insured patients should always compare the self-pay cash price before paying.
Upper-quartile procedures (Q75 2.46×) jump +18% above the median procedure ratio (Q50 2.08×)
Consolidated metro market (HHI 10,000) limits in-network hospital competition (Highly Concentrated Monopoly (>2,500))

Front-Door ShoppableElective / Imaging

2.4× Medicare

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

Back-Door Captive & ER0.50× Divergence

1.2× Medicare

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

Quantile Tail Spread+18% Upper Tail

Q25 1.21× · Q50 2.08× · Q75 2.46×

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

2.4× MedicareFair

Outpatient Surgery & ORBack-Door Captive

3.0× MedicareFair

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

2.4× MedicareFair

Back-Door Captive ER VisitsBack-Door Captive

1.6× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

3.8× MedicareElevated

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

1.8× MedicareGood

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

0% Cash Edge · 50/100Elevated

CMS Clinical Safety & Star ValueIntegrity & Outcomes

2 CMS · 69/100Fair

Procedure Prices at St James Hospital

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 118 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Total hip replacement CPT Code: `27130`	—	$13,253	$13,413	1.0×
Total knee replacement CPT Code: `27447`	—	$13,253	$13,523	1.0×
Gallbladder removal (laparoscopic) CPT Code: `47562`	—	$6,009	$6,109	unverified
Breast lump removal CPT Code: `19120`	—	$3,944	$3,875	1.0×
Inguinal hernia repair CPT Code: `49505`	—	$3,635	$3,629	1.0×
Knee arthroscopy with meniscus repair CPT Code: `29881`	—	$3,342	$3,372	1.0×
Bunion correction surgery CPT Code: `28296`	—	$3,342	$3,446	1.0×
Sleep study (overnight, in lab) CPT Code: `95810`	—	$2,900	$1,021	unverified
Cataract surgery with lens implant CPT Code: `66984`	—	$2,349	$2,540	0.9×
Trauma team activation HCPCS Code: `G0390`	—	$1,596	$1,453	1.1×
MRI, brain (with and without contrast) CPT Code: `70553`	—	$1,285	$511	2.5×
Colonoscopy with biopsy CPT Code: `45380`	—	$1,214	$1,256	1.0×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	—	$1,076	$448	2.4×
Echocardiogram (heart ultrasound) CPT Code: `93306`	—	$1,029	$583	1.8×
Upper endoscopy with biopsy CPT Code: `43239`	—	$966	$987	1.0×
Colonoscopy (diagnostic) CPT Code: `45378`	—	$939	$981	1.0×
MRI, knee or other leg joint CPT Code: `73721`	—	$826	$369	2.2×
Ultrasound, leg veins (duplex) CPT Code: `93970`	—	$798	$272	2.9×
Rabies immune globulin HCPCS Code: `90375`	—	$770	$322	2.4×
MRI, brain (no contrast) CPT Code: `70551`	—	$767	$343	2.2×
MRI, lower back (no contrast) CPT Code: `72148`	—	$728	$338	2.2×
Injection procedure for pain management HCPCS Code: `G0260`	—	$713	$855	0.8×
CT scan, neck (cervical spine) CPT Code: `72125`	—	$642	$169	3.8×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	—	$661	$303	2.2×
CT scan, chest (no contrast) CPT Code: `71250`	—	$633	$167	3.8×
CT scan, lower back (lumbar spine) CPT Code: `72131`	—	$635	$168	3.8×
CT scan, head (with and without contrast) CPT Code: `70470`	—	$626	$258	2.4×
Diagnostic mammogram (both breasts) CPT Code: `77066`	—	$589	$148	unverified
CT scan, head (with contrast) CPT Code: `70460`	—	$516	$242	2.1×
CT scan, sinuses CPT Code: `70486`	—	$471	$166	2.8×
Screening mammogram (both breasts) CPT Code: `77067`	—	$487	$123	unverified
Ultrasound, thyroid and neck CPT Code: `76536`	—	$436	$132	3.3×
CT scan, pelvis CPT Code: `72192`	—	$447	$163	2.7×
Blood transfusion CPT Code: `36430`	—	$450	$498	0.9×
Ultrasound, abdomen (complete) CPT Code: `76700`	—	$405	$134	3.0×
Psychological testing by technician CPT Code: `96138`	—	$407	$395	1.0×
Ultrasound, pelvis CPT Code: `76856`	—	$374	$130	2.9×
CT scan, head (no contrast) CPT Code: `70450`	—	$358	$160	2.2×
Psychotherapy session (60 minutes) CPT Code: `90837`	—	$364	$181	2.0×
Psychiatric evaluation (first visit) CPT Code: `90791`	—	$365	$185	2.0×
Ultrasound, abdomen (limited) CPT Code: `76705`	—	$306	$126	2.4×
Family therapy session CPT Code: `90847`	—	$306	$173	1.8×
Neurobehavioral status check CPT Code: `96116`	—	$318	$231	1.4×
Care planning with family CPT Code: `90887`	—	$221	$107	2.1×
Psychotherapy session (45 minutes) CPT Code: `90834`	—	$242	$166	1.5×
Speech therapy (language evaluation) CPT Code: `92507`	—	$209	$86	2.4×
X-ray, hip CPT Code: `73502`	—	$185	$93	2.0×
X-ray, lower back CPT Code: `72110`	—	$206	$112	1.8×
Breathing treatment (nebulizer) CPT Code: `94640`	—	$207	$201	1.0×
X-ray, chest (two views) CPT Code: `71046`	—	$150	$93	1.6×
X-ray, ankle CPT Code: `73610`	—	$142	$93	1.5×
X-ray, hand CPT Code: `73130`	—	$137	$93	1.5×
X-ray, neck (cervical spine) CPT Code: `72040`	—	$135	$93	1.5×
X-ray, foot CPT Code: `73630`	—	$129	$92	1.4×
X-ray, shoulder CPT Code: `73030`	—	$122	$92	1.3×
X-ray, pelvis CPT Code: `72170`	—	$144	$110	1.3×
Psychological testing evaluation CPT Code: `96136`	—	$131	$128	1.0×
Hepatitis B immune globulin HCPCS Code: `90371`	—	—	$151	—
Electrocardiogram (ECG/EKG) CPT Code: `93000`	—	$109	$25	4.4×
Diagnostic procedure preparation HCPCS Code: `G0279`	—	$107	$35	3.1×
Prosthetic fitting and training CPT Code: `97761`	—	$114	$45	2.5×
Orthotic fitting and training CPT Code: `97760`	—	$130	$51	unverified
Physical therapy (functional capacity test) CPT Code: `97750`	—	$94	$38	2.5×
Physical therapy (gait training) CPT Code: `97116`	—	$81	$33	2.5×
Occupational therapy (therapeutic activities) CPT Code: `97530`	—	$98	$40	2.5×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	—	$90	$38	2.4×
Occupational therapy (self-care training) CPT Code: `97535`	—	$90	$38	2.4×
Physical therapy (therapeutic exercise) CPT Code: `97110`	—	$81	$35	2.3×
X-ray, chest (single view) CPT Code: `71045`	—	$90	$92	1.0×
Group therapy session CPT Code: `90853`	—	$94	$100	0.9×
Hospital observation (per hour) HCPCS Code: `G0378`	—	—	$86	—
Varicella (chickenpox) vaccine HCPCS Code: `90716`	—	$351	$203	1.7×
Typhoid vaccine HCPCS Code: `90675`	—	—	$347	—
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	—	$236	$111	2.1×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	—	$112	$56	2.0×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	—	$119	$39	unverified
Pneumococcal vaccine HCPCS Code: `90732`	—	—	$140	unverified
Pneumonia vaccine injection HCPCS Code: `G0009`	—	$115	$49	unverified
Drug screening test HCPCS Code: `G0480`	—	—	$116	—
Speech therapy (group session) CPT Code: `92508`	—	$67	$27	2.5×
Physical therapy (manual therapy) CPT Code: `97140`	—	$76	$34	2.2×
Hepatitis B vaccine HCPCS Code: `90744`	—	$77	$37	2.1×
Flu vaccine injection HCPCS Code: `G0008`	—	$68	$48	1.4×
Electrical stimulation therapy HCPCS Code: `G0283`	—	$35	$14	2.5×
Blood antibody screen CPT Code: `86850`	—	$56	$46	1.2×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	—	$61	$64	1.0×
Colorectal cancer screening HCPCS Code: `G0010`	—	—	$49	—
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 test, calcium CPT Code: `82310`	—	—	$5	unverified
Blood test, creatinine (kidney) CPT Code: `82565`	—	—	$5	unverified
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	—
Blood test, lipase CPT Code: `83690`	—	—	$7	—
Blood test, magnesium CPT Code: `83735`	—	—	$7	unverified
Blood test, potassium CPT Code: `84132`	—	—	$5	—
Blood test, PSA (prostate screen) CPT Code: `84153`	—	—	$19	unverified
Blood test, sodium CPT Code: `84295`	—	—	$5	—
Blood test, thyroid (TSH) CPT Code: `84443`	—	—	$18	—
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	—	—	$4	unverified
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	—
Flu vaccine (high dose) HCPCS Code: `90656`	—	—	$25	—
Prostate cancer screening (blood test) HCPCS Code: `G0103`	—	—	$20	—
Colorectal cancer screening (alternative) HCPCS Code: `G0145`	—	—	$27	—
Behavioral health day program HCPCS Code: `H2012`	—	$18	$100	unverified

Showing top 25 high-impact procedures of 118 total

Inline Bill X-Ray & 501(r) Calculator 501(c)(3) Nonprofit · Free Care ≤200% FPL · AGB Cap 87.1%

Audit a Bill or Quote at St James Hospital (Zero PHI Required)

CMS CCN: 270017

CPT 27130

Select Procedure to Audit:

Fair BaseRate™ $13,413

Medicare Rate $13,117

Self-Pay Cash Request Quote

Insurer Median $13,253

1. Amount on Your Bill or Quote ($) Pre-filled with St James Hospital’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: $27,698 (274% FPL)

Statutory 501(r) AGB Cap Limits Bill to $27,698

At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (87.1% of gross = $27,698).

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

Compare Prompt-Pay Cash Rate Against Remaining Deductible

Ask St James Hospital'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 +$18,394 Above Fair BaseRate

Negotiate Toward $13,413 Fair BaseRate ($13,117 Medicare)

Your bill ($31,807) is $18,394 above the denoised Fair BaseRate ($13,413) and 2.4× the $13,117 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)

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 (87.1% 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 Overall4/5 Stars (4/5)

Safety Composite69/100

Would Recommend65%

Rated 9 or 10 (HCAHPS)73%

Median ER Wait154 min

Left ER Before Seen2%

30-Day Mortality vs U.S.same

Unplanned Readmissionsame

Hip/Knee Complication Rate3.6%

Healthcare-Associated Infections (CDC NHSN / CMS HAI)

1.00 SIR = National Predicted Baseline (Lower Is Safer)

C. diff Hospital-Onset Infectionsame

Source: CMS Hospital Care Compare (392 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 Value & Quality Leader Pareto Frontier (Price + Quality)

2D regional comparison of commercial negotiated price index against CMS clinical quality composite for St James Hospital.

Price Index: 1.00× regional baseline

Quality: 65/100 CMS composite

Median Household Income$57,504U.S. Census ACS

Local Uninsured Share6.6%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 60/100 · Caution CMS CCN 270017

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 270017) ↗ CMS HCRIS Cost Reports ↗

Published MRF FileCMS_45_CFR_180_FILING.json

Publication / Vintage3/22/2026

Validated Rate Rows7,384 (CMS v3.0.0)

File Integrity DigestVerified · CCN 270017

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