Critical Access HospitalVoluntary Non-Profit - Private

Beartooth Billings Clinic

Billings Clinic · Red Lodge, MT

2525 North Broadway Avenue, Red Lodge, MT 59068(406) 446-2345

In-network payers

181

Disclosed rate categories

308

Beds

About this hospital

Beartooth Billings Clinic is a 308-bed voluntary non-profit - private hospital in Red Lodge, MT, affiliated with Billings Clinic. Below you'll find publicly disclosed negotiated rates and facility details, including 27 in-network payers and 181 disclosed rate categories.

CCN (Medicare provider number)

271326

NPI

1336119338

Type

Critical Access Hospital

Ownership

Voluntary Non-Profit - Private

Beds

308

Insurance Accepted

Insurance acceptance may vary by specific plan, network status, and services required. Contact your insurance provider or the hospital's billing department to confirm coverage details.

Aspirus Health PlanAvera Health PlansBanner HealthEMI HealthGroup Health Cooperative of South Central WisconsinHarvard Pilgrim Health Care (Point32Health)

Negotiated Rates

The data below comes from CMS-mandated price transparency data. Learn more.

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Payer	Category	Code Type & Group	Contract Type	vs. State Average
Aetna	Outpatient	CPT Evaluation and Management Range: 99091 - 99499	Negotiated	Very Low
Aetna	Outpatient	CPT Evaluation and Management Range: 99091 - 99499	Percentage of Bill Charged	-
Aetna	Outpatient	CPT Medicine Services and Procedures Range: 90281 - 99607	Negotiated	Very Low
Aetna	Outpatient	CPT Medicine Services and Procedures Range: 90281 - 99607	Percentage of Bill Charged	-
Aetna	Outpatient	CPT Pathology and Laboratory Procedures Range: 80047 - 89398	Negotiated	Very Low
Aetna	Outpatient	CPT Pathology and Laboratory Procedures Range: 80047 - 89398	Percentage of Bill Charged	-
Aetna	Outpatient	CPT Proprietary Laboratory Analyses Range: 0001U - 0401U	Percentage of Bill Charged	-
Aetna	Outpatient	CPT Proprietary Laboratory Analyses Range: 0001U - 0401U	Negotiated	Very Low
Aetna	Outpatient	CPT Radiology Procedures Range: 70010 - 79999	Negotiated	Very Low
Aetna	Outpatient	CPT Radiology Procedures Range: 70010 - 79999	Percentage of Bill Charged	-

Rates shown are negotiated amounts between this hospital and insurance providers. Actual patient costs depend on your insurance plan and coverage details.

Showing 1 - 10 of 181

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Location

2525 North Broadway Avenue, Red Lodge, MT 59068

(406) 446-2345

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Frequently asked questions

About Beartooth Billings Clinic's rates and hospital price transparency.

How many beds does Beartooth Billings Clinic have?

Beartooth Billings Clinic has 308 beds. Facility type: Critical Access Hospital.

Where is Beartooth Billings Clinic and what is its phone number?

Beartooth Billings Clinic is located at 2525 North Broadway Avenue, Red Lodge, MT 59068. Its main phone number is (406) 446-2345.

What is Beartooth Billings Clinic's CCN (Medicare provider number)?

Beartooth Billings Clinic's CMS Certification Number (CCN), also called its Medicare provider number, is 271326.

What is Beartooth Billings Clinic's NPI number?

The National Provider Identifier (NPI) on file for Beartooth Billings Clinic is 1336119338.

What health system is Beartooth Billings Clinic part of?

Beartooth Billings Clinic is affiliated with Billings Clinic.

Which insurance plans are in network at Beartooth Billings Clinic?

Beartooth Billings Clinic lists 27 in-network payers, including Aetna, Aspirus Health Plan, Avera Health Plans, BCBS, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.

What price transparency data is available for Beartooth Billings Clinic?

181 disclosed rate categories. Each shows the payer, category, code type and group with its code range, and contract type, along with how the rate compares with the state average.

What is a hospital price transparency MRF?

Under 45 CFR Part 180, every US hospital must publish a machine-readable file of its standard charges, including gross charges, discounted cash prices and payer-specific negotiated rates, in the CMS template format. PayerPrice can help hospitals publish and maintain these files.

What is a chargemaster review?

A chargemaster (charge description master, or CDM) is a hospital's master list of billable items, with codes, descriptions and gross charges. A chargemaster review looks at those lines for accuracy and pricing. PayerPrice can help hospitals review their chargemaster; contact us to discuss your needs.

For hospital finance and compliance teams

Running price transparency at a hospital like this one?

The data on this page comes from the files hospitals and payers publish. We help hospitals publish theirs correctly, and take a fresh look at their chargemaster.

Compliance MRF

Publish a CMS-compliant machine-readable file

We turn your chargemaster and payer contracts into the CMS template file, then keep it current as rates change.

CMS v3 example: standard_charge_information[0]

{
  "description": "MRI of brain (no contrast)",
  "code_information": [
    { "code": "611", "type": "RC" },
    { "code": "70551", "type": "CPT" }
  ],
  "standard_charges": [{
    "setting": "outpatient",
    "minimum": 250,
    "maximum": 400,
    "gross_charge": 1200,
    "discounted_cash": 1080,
    "payers_information": [
      {
        "payer_name": "Platform Health Insurance",
        "plan_name": "PPO",
        "methodology": "fee schedule",
        "standard_charge_dollar": 400
      },
      {
        "payer_name": "Region Health Insurance",
        "plan_name": "HMO",
        "methodology": "fee schedule",
        "standard_charge_dollar": 250
      }
    ]
  }]
}

CMS template layout, in JSON or CSV
Gross, discounted cash, payer-specific and de-identified min / max charges
cms-hpt.txt file and homepage footer link
Refreshed when your contracts change

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Chargemaster analysis

Get your chargemaster right for billing and payer contracts

Your chargemaster sets the gross charge on every claim, and many payer contracts base payment on it through percent-of-charge, lesser-of and stop-loss terms. We audit it line by line and show how your charges and negotiated rates compare with peer hospitals before your next negotiation.

What a review covers

CodingPricingPayer contractsCompliance

CPT, HCPCS, revenue code and modifier errors flagged line by line
Missing, duplicate and outdated charge lines identified
Charges set below payer allowables caught before lesser-of clauses cut payment
Revenue impact of charge changes modeled across percent-of-charge and stop-loss terms
Your negotiated rates benchmarked against peer hospitals for the same payers

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