Benefis Healthcare System · Great Falls, MT
33
In-network payers
231
Disclosed rate categories
530
Beds
3
Care quality
Benefis Health System is a 530-bed voluntary non-profit - private hospital in Great Falls, MT, affiliated with Benefis Healthcare System. Below you'll find publicly disclosed negotiated rates and facility details, including 33 in-network payers and 231 disclosed rate categories.
CCN (Medicare provider number)
270012
NPI
1881650737
Type
Short Term Acute Care Hospital
Ownership
Voluntary Non-Profit - Private
Beds
530
Care Quality
3
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.
The 24 services Benefis Health System most likely performs, ranked by likely volume and what it is paid. Each service names one insurer. * marks hidden insurer names; A, B and C rank the remaining rates from low to high and reset for each service.
Book a demo to see hidden insurer names, more payer rates, and hospital data.
Childbirth · Inpatient
MS-DRG 788
$80,000
negotiated rate
CMS lists this service as CPT 59510, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 788, so these are facility case rates.
Hospital reports neonatal nursery services to CMS
Medicine & Surgery
CPT 47562
$13,269 - $67,000
from 2 insurers · median $40,135
119 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Digestive procedures
CPT 49650
$15,655 - $67,000
from 2 insurers · median $41,327
119 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Gynecology
CPT 58571
$8,821 - $67,000
from 2 insurers · median $37,910
51 Medicare claims in Level 2 Laparoscopy and Related Services (CMS 2024)
CT imaging
CPT 74177
$707 - $2,971
from 2 insurers · median $1,839
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 29826
$9,697 - $67,000
from 2 insurers · median $38,348
Common here, based on CMS Medicare volume
Medicine & Surgery · Inpatient
MS-DRG 470
$80,000
negotiated rate
45 Medicare discharges for this DRG in CMS hospital data
Urology
CPT 50590
$3,205 - $65,000
from 2 insurers · median $34,103
127 Medicare claims in Level 4 Urology and Related Services (CMS 2024)
Medicine & Surgery
CPT 42820
$2,428 - $65,000
from 2 insurers · median $33,714
Typical for a hospital with this service line
Medicine & Surgery
CPT 49505
$67,000
negotiated rate
38 Medicare claims in Level 1 Abdominal/Peritoneal/Biliary and Related Procedures (CMS 2024)
Gynecology
CPT 58662
$4,011 - $65,000
from 2 insurers · median $34,506
Typical for a hospital with this service line
Gynecology
CPT 58661
$65,000
negotiated rate
Typical for a hospital with this service line
Orthopedics and pain
CPT 63030
$13,084 - $67,000
from 2 insurers · median $40,042
95 Medicare claims in Level 4 Musculoskeletal Procedures (CMS 2024)
CT imaging
CPT 70450
$218 - $1,363
from 2 insurers · median $790
Common here, based on CMS Medicare volume
Mammography
CPT 77067
$296 - $301
from 2 insurers · median $298
Common here, based on CMS Medicare volume
Ear, nose and throat
CPT 30520
$65,000
negotiated rate
Typical for a hospital with this service line
Nuclear imaging
CPT 78815
$2,151 - $9,508
from 2 insurers · median $5,830
Common here, based on CMS Medicare volume
Cardiology and vascular testing
CPT 93306
$404 - $1,767
from 2 insurers · median $1,086
Common here, based on CMS Medicare volume
CT imaging
CPT 71275
$635 - $2,368
from 2 insurers · median $1,502
Common here, based on CMS Medicare volume
MRI imaging
CPT 70553
$749 - $2,629
from 2 insurers · median $1,689
Common here, based on CMS Medicare volume
Ear, nose and throat
CPT 42830
$67,000
negotiated rate
Typical for a hospital with this service line
CT imaging
CPT 74176
$337 - $2,379
from 2 insurers · median $1,358
Common here, based on CMS Medicare volume
Orthopedics and pain
CPT 29888
$67,000
negotiated rate
Typical for a hospital with this service line
MRI imaging
CPT 72148
$428 - $1,780
from 2 insurers · median $1,104
Common here, based on CMS Medicare volume
Median rate as a percent of Medicare across the outpatient services above, and how many services sit above or below the same insurer's median at nearby hospitals. * marks hidden insurer names. These table labels track the same insurers across services; the labels on each service card reset.
| Insurer | Services | Median % of Medicare | Above nearby | Below nearby |
|---|---|---|---|---|
| Insurer A* | 15 | 1080% | 14 | 0 |
| Insurer B* | 17 | 326% | 13 | 4 |
| Insurer C* | 9 | 198% | 1 | 8 |
How we chose these services: 7 appear in this hospital's own Medicare claims, 10 are common here based on CMS Medicare volume, and 7 are typical for the service lines it reports to CMS. Rates come from insurer and hospital price transparency files as of October 2026. Rates under a quarter of Medicare or over 20 times Medicare are left out as likely physician-fee rows or file errors. Book a demo to see all 300 CMS shoppable services for Benefis Health System.
1101 26th Street South, Great Falls, MT 59405
(406) 455-5000
The nearest hospitals of similar type and size. Their rates are compared with Benefis Health System for the same insurers and services above.
Intermountain Health St. Vincent Regional Hospital
▲ Rates typically 48% higher than Benefis Health System (15 services)
Billings Clinic Hospital
▲ Rates typically 8% higher than Benefis Health System (21 services)
Kootenai Health
▼ Rates typically 71% lower than Benefis Health System (23 services)
Eastern Idaho Regional Medical Center (Eirmc)
▼ Rates typically 47% lower than Benefis Health System (23 services)
Multicare Deaconess Hospital
▲ Rates typically 20% higher than Benefis Health System (19 services)
St. Lukes Regional Medical Center
▼ Rates typically 43% lower than Benefis Health System (23 services)
Great Falls Clinic Medical Center
Intermountain Health St. James Hospital
Bozeman Health Deaconess Hospital
About Benefis Health System's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Benefis Health System range from $749 to $2,629 across 2 insurers. Cigna's rate is $749. The median at nearby comparable hospitals is $1,830. What a patient pays depends on their plan's deductible, coinsurance and network status.
For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Benefis Health System range from $707 to $2,971 across 2 insurers. Aetna's rate is $2,971. The median at nearby comparable hospitals is $1,616. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Cesarean delivery, hospital stay (MS-DRG 788), published negotiated rates at Benefis Health System range from $80,000 to $80,000 across 1 insurers. Blue Cross Blue Shield's rate is $80,000. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Benefis Health System range from $296 to $301 across 2 insurers. Cigna's rate is $296. The median at nearby comparable hospitals is $266. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Major lower-extremity joint replacement without MCC (MS-DRG 470), published negotiated rates at Benefis Health System range from $80,000 to $80,000 across 1 insurers. Blue Cross Blue Shield's rate is $80,000. The median at nearby comparable hospitals is $38,788. What a patient pays depends on their plan's deductible, coinsurance and network status.
Benefis Health System has 530 beds. Facility type: Short Term Acute Care Hospital.
Benefis Health System is located at 1101 26th Street South, Great Falls, MT 59405. Its main phone number is (406) 455-5000.
Benefis Health System's CMS Certification Number (CCN), also called its Medicare provider number, is 270012.
The National Provider Identifier (NPI) on file for Benefis Health System is 1881650737.
Benefis Health System is affiliated with Benefis Healthcare System.
Benefis Health System lists 33 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.
231 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.
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.
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.
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{
"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
}
]
}]
}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