How many shoppable procedure prices are published for Stillwater Billings Clinic?

Stillwater Billings Clinic in Columbus, MT currently has 100 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Stillwater Billings Clinic's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, Stillwater Billings Clinic's median negotiated commercial rate is 1.2× the regionally adjusted fair BaseRate benchmark.

Hospital Profile Critical Access Hospital Voluntary non-profit - Private 16 Beds · rural Updated: 2025-12-19

Stillwater Billings Clinic

710 N 11Th St, Columbus, MT 59019 · 100 Priced Procedures · 79% Patient Recommendation

CMS Overall Rating No CMS Rating

Above Fair Market · Negotiate

1.16×vs. Fair Market Price

Typical commercial prices here are +16% above the fair benchmark (1.16×) even after accounting for local nurse/doctor wages and patient complexity.

55/100 · Caution

55/100Self-Pay Cash Beats Insurance 35% of the Time

File Completeness66

Price Logic53

Peer Alignment60

Clean Billing75

Real Cash Discount16

Regional Benchmark Tier

Balances commercial hospital prices against CMS clinical safety, infection control, and patient experience.

Behavioral Pricing FingerprintMedian-Gamed · High Captive Markup

Loss-Leader / Captive Ancillary Cross-Subsidizer

Stillwater Billings Clinic prices routine shoppable procedures near 0.6× Medicare (p50 0.92×) while skewing captive emergency, lab, and upper-quartile codes to 2.0× Medicare (p75 1.93×, +110% upper-tail jump). Patients scheduling elective outpatient care can capture competitive rates, but emergency and ancillary bills require strict line-item auditing.

#14 of 26 in MT · 50th State Percentile#1,892 of 3,385 in U.S. · 55th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 0.39× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 35% of shoppable procedures (25/100 Cash Honesty)
CMS clinical safety score (72/100 safety score) with 79% patient recommendation
IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (71.2% AGB cap)

Watchout

Where You Can Get Burned (Markup Traps)

Even at low-cost facilities (1.16× 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 (0.5×) & laboratory (1.4×) services average 3.33× higher multiples than routine shoppable care (0.6×)
Upper-quartile procedures (Q75 1.93×) jump +110% above the median procedure ratio (Q50 0.92×)
Consolidated metro market (HHI 5,208) limits in-network hospital competition (Highly Concentrated Monopoly (>2,500))

Front-Door ShoppableElective / Imaging

0.6× Medicare

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

Back-Door Captive & ER3.33× Divergence

2.0× Medicare

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

Quantile Tail Spread+110% Upper Tail

Q25 0.39× · Q50 0.92× · Q75 1.93×

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

0.6× MedicareGood

Outpatient Surgery & ORBack-Door Captive

0.8× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

0.9× MedicareGood

Back-Door Captive ER VisitsBack-Door Captive

0.5× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

1.4× MedicareGood

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

1.1× MedicareGood

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

35% Cash Edge · 25/100Watchout

CMS Clinical Safety & Star ValueIntegrity & Outcomes

3 CMS · 72/100Fair

Procedure Prices at Stillwater Billings Clinic

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 100 published procedures.

Sort:

Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	$12,404	$12,404	$19,087	0.6×
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	$4,503	$4,503	$8,223	0.5×
Trauma team activation HCPCS Code: `G0390`	$3,949	$3,949	$1,453	2.7×
Blood transfusion CPT Code: `36430`	$975	$975	$498	2.0×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$2,131	$331	$583	0.6×
Colonoscopy (diagnostic) CPT Code: `45378`	$1,689	$314	$981	0.3×
Colonoscopy with biopsy CPT Code: `45380`	$1,347	$339	$1,256	0.3×
Upper endoscopy with biopsy CPT Code: `43239`	$624	$234	$987	0.2×
Orthotic fitting and training CPT Code: `97760`	$178	$178	$51	3.5×
Speech therapy (language evaluation) CPT Code: `92507`	$191	$191	$86	2.2×
MRI, brain (with and without contrast) CPT Code: `70553`	$1,793	$191	$511	0.4×
Physical therapy (gait training) CPT Code: `97116`	$155	$155	$33	4.7×
Prosthetic fitting and training CPT Code: `97761`	$178	$178	$45	4.0×
X-ray, hand CPT Code: `73130`	$162	$162	$93	1.7×
X-ray, foot CPT Code: `73630`	$160	$160	$92	1.7×
X-ray, ankle CPT Code: `73610`	$161	$161	$93	1.7×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$134	$134	$35	3.8×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$134	$134	$38	3.5×
Physical therapy (manual therapy) CPT Code: `97140`	$114	$114	$34	3.4×
Occupational therapy (self-care training) CPT Code: `97535`	$125	$125	$38	3.3×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$129	$129	$40	3.2×
Physical therapy (functional capacity test) CPT Code: `97750`	$110	$110	$38	2.9×
X-ray, chest (single view) CPT Code: `71045`	$133	$133	$92	1.4×
X-ray, pelvis CPT Code: `72170`	$153	$153	$110	1.4×
Hospital observation (per hour) HCPCS Code: `G0378`	$124	$124	$86	1.4×
Office visit, established patient (30-39 min) CPT Code: `99214`	$236	$130	$123	1.1×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$809	$145	$303	0.5×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$2,072	$152	$448	0.3×
X-ray, hip CPT Code: `73502`	$116	$116	$93	1.2×
CT scan, head (with and without contrast) CPT Code: `70470`	$1,443	$106	$258	0.4×
MRI, lower back (no contrast) CPT Code: `72148`	$943	$124	$338	0.4×
MRI, brain (no contrast) CPT Code: `70551`	$1,047	$124	$343	0.4×
New patient office visit (30-44 min) CPT Code: `99203`	$257	$127	$110	unverified
Office visit, established patient (20-29 min) CPT Code: `99213`	$160	$85	$87	1.0×
CT scan, chest (no contrast) CPT Code: `71250`	$950	$96	$167	0.6×
CT scan, pelvis CPT Code: `72192`	$1,759	$90	$163	0.6×
MRI, knee or other leg joint CPT Code: `73721`	$983	$113	$369	0.3×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$279	$83	$148	0.6×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$1,064	$83	$168	0.5×
CT scan, neck (cervical spine) CPT Code: `72125`	$1,048	$83	$169	0.5×
CT scan, head (with contrast) CPT Code: `70460`	$1,084	$94	$242	0.4×
Varicella (chickenpox) vaccine HCPCS Code: `90716`	$298	$157	$203	0.8×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$126	$126	$20	6.3×
Pneumococcal vaccine HCPCS Code: `90732`	$174	$128	$140	0.9×
Electrical stimulation therapy HCPCS Code: `G0283`	$76	$76	$14	5.4×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$127	$99	$111	0.9×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$68	$68	$10	6.8×
Speech therapy (group session) CPT Code: `92508`	$66	$66	$27	2.4×
Colorectal cancer screening (alternative) HCPCS Code: `G0145`	$56	$56	$27	2.1×
Blood test, vitamin D CPT Code: `82306`	$198	$60	$31	1.9×
Screening mammogram (both breasts) CPT Code: `77067`	$179	$63	$123	0.5×
Ultrasound, abdomen (complete) CPT Code: `76700`	$451	$67	$134	0.5×
CT scan, head (no contrast) CPT Code: `70450`	$901	$71	$160	0.4×
Ultrasound, pelvis CPT Code: `76856`	$348	$57	$130	0.4×
CT scan, sinuses CPT Code: `70486`	$845	$72	$166	0.4×
Drug screening test HCPCS Code: `G0480`	$78	$78	$116	unverified
Diagnostic procedure preparation HCPCS Code: `G0279`	$109	$50	$35	1.4×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$105	$69	$56	1.2×
Breathing treatment (nebulizer) CPT Code: `94640`	$66	$66	$201	0.3×
Blood test, PSA (prostate screen) CPT Code: `84153`	$123	$37	$19	1.9×
Extended office visit (prolonged) HCPCS Code: `G2212`	$105	$50	$33	1.5×
Flu vaccine injection HCPCS Code: `G0008`	$37	$37	$48	0.8×
Colorectal cancer screening HCPCS Code: `G0010`	$37	$37	$49	0.8×
Pneumonia vaccine injection HCPCS Code: `G0009`	$36	$36	$49	0.7×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$615	$57	$272	0.2×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$36	$6	$3	2.0×
Blood test, ferritin (iron stores) CPT Code: `82728`	$125	$28	$14	2.0×
Blood test, potassium CPT Code: `84132`	$40	$10	$5	2.0×
Blood test, sodium CPT Code: `84295`	$40	$10	$5	2.0×
Blood test, complete blood count (CBC) CPT Code: `85025`	$89	$16	$8	2.0×
Blood test, clotting time (PTT) CPT Code: `85730`	$35	$12	$6	2.0×
Blood test, vitamin B12 CPT Code: `82607`	$118	$31	$16	1.9×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$69	$27	$14	1.9×
Ultrasound, abdomen (limited) CPT Code: `76705`	$328	$49	$126	0.4×
Ultrasound, thyroid and neck CPT Code: `76536`	$314	$47	$132	0.4×
Blood test, calcium CPT Code: `82310`	$30	$10	$5	2.0×
Blood test, creatinine (kidney) CPT Code: `82565`	$47	$10	$5	2.0×
Blood test, glucose (blood sugar) CPT Code: `82947`	$34	$8	$4	2.0×
Blood test, lipase CPT Code: `83690`	$73	$14	$7	2.0×
Blood test, magnesium CPT Code: `83735`	$48	$14	$7	2.0×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$53	$21	$11	1.9×
Culture, blood CPT Code: `87040`	$143	$21	$11	1.9×
Blood test, basic metabolic panel CPT Code: `80048`	$82	$17	$9	1.9×
Blood test, liver function panel CPT Code: `80076`	$136	$17	$9	1.9×
Culture, bacterial CPT Code: `87070`	$46	$17	$9	1.9×
Blood test, amylase CPT Code: `82150`	$112	$13	$7	1.9×
Blood antibody screen CPT Code: `86850`	$35	$20	$46	0.4×
X-ray, neck (cervical spine) CPT Code: `72040`	$162	$19	$93	0.2×
X-ray, lower back CPT Code: `72110`	$268	$22	$112	0.2×
X-ray, chest (two views) CPT Code: `71046`	$157	$18	$93	0.2×
Blood test, thyroid (TSH) CPT Code: `84443`	$70	$34	$18	unverified
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$39	$8	$4	2.0×
Hepatitis C antibody test CPT Code: `86803`	$150	$29	$15	1.9×
Hepatitis B vaccine HCPCS Code: `90744`	$39	$39	$37	1.1×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$51	$39	$39	1.0×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$42	$9	$5	1.8×
Blood test, hemoglobin CPT Code: `85018`	$29	$5	$3	1.7×
Flu vaccine (high dose) HCPCS Code: `90656`	$22	$22	$25	0.9×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$218	$21	$64	0.3×
X-ray, shoulder CPT Code: `73030`	$167	$16	$92	0.2×

Showing top 25 high-impact procedures of 100 total

Inline Bill X-Ray & 501(r) Calculator 501(c)(3) Nonprofit · Free Care ≤200% FPL · AGB Cap 71.2%

Audit a Bill or Quote at Stillwater Billings Clinic (Zero PHI Required)

CMS CCN: 271330

CPT 871

Select Procedure to Audit:

Fair BaseRate™ $19,087

Medicare Rate $14,117

Self-Pay Cash $12,404

Insurer Median $12,404

1. Amount on Your Bill or Quote ($) Pre-filled with Stillwater Billings Clinic’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: $8,830 (274% FPL)

Statutory 501(r) AGB Cap Limits Bill to $8,830

At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (71.2% of gross = $8,830).

Step 2 · Cash vs. Insurance Arbitrage Published Cash: $12,404

Compare Prompt-Pay Cash Rate Against Remaining Deductible

Stillwater Billings Clinic's published 45 CFR § 180 self-pay cash rate is $12,404 (vs. $12,404 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.

Step 3 · Fair BaseRate Target Target: $19,087 Fair BaseRate

Negotiate Toward $19,087 Fair BaseRate ($14,117 Medicare)

Your entered amount is at or below the modeled Fair BaseRate benchmark ($19,087).

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 (71.2% 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

Safety Composite72/100

Would Recommend79%

Rated 9 or 10 (HCAHPS)69%

Median ER Wait106 min

Left ER Before Seen0%

30-Day Mortality vs U.S.same

Unplanned Readmissionsame

Source: CMS Hospital Care Compare (36 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 Quality & Price Benchmark Pareto Frontier (Price + Quality)

2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Stillwater Billings Clinic.

Price Index: 0.98× regional baseline

Quality: 59/100 CMS composite

Median Household Income$81,503U.S. Census ACS

Local Uninsured Share4.6%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 55/100 · Caution CMS CCN 271330

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 271330) ↗ CMS HCRIS Cost Reports ↗

Published MRF FileCMS_45_CFR_180_FILING.json

Publication / Vintage2025-12-19

Validated Rate Rows11,174 (CMS v3.00)

File Integrity DigestVerified · CCN 271330

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