Butte Silver Bow Area Hospital Prices
Cash and insurance-negotiated prices at hospitals in and around Butte Silver Bow, MT. Part of all Montana hospital prices.
Typical commercial prices here are +104% above the fair benchmark (2.04×) even after accounting for local nurse/doctor wages and patient complexity.
Most affordable Montana hospital: St James Hospital (Butte) at 2.04× the fair price (1% below benchmark).
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.
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)
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))
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.
Hospitals in the Butte Silver Bow area
Ranked by how their prices compare to the fair BaseRate — best value first. The × fair figure is geo-adjusted. Tap any hospital for its full price list.
- St James Hospital · Butte 60/100 81 priced 2.04× fair
How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings
Prices are sourced from each hospital's federally-required public price file, most recently published October 2026. The BaseRate is a modeled fair-price estimate — not a bill or quote. How we build these numbers →