Billings Clinic · Billings, MT
34
In-network payers
201
Disclosed rate categories
308
Beds
5
Care quality
Billings Clinic Hospital is a 308-bed voluntary non-profit - private hospital in Billings, MT, affiliated with Billings Clinic. Below you'll find publicly disclosed negotiated rates and facility details, including 34 in-network payers and 201 disclosed rate categories.
CCN (Medicare provider number)
270004
NPI
1265478291
Type
Short Term Acute Care Hospital
Ownership
Voluntary Non-Profit - Private
Beds
308
Care Quality
5
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 Billings Clinic Hospital 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
$21,509 - $51,411
from 2 insurers · median $36,460
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 · Inpatient
MS-DRG 470
$45,399 - $89,954
from 2 insurers · median $67,677
115 Medicare discharges for this DRG in CMS hospital data
Childbirth · Inpatient
MS-DRG 807
$9,665 - $41,586
from 4 insurers · median $11,553
CMS lists this service as CPT 59400, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 807, so these are facility case rates.
Hospital reports neonatal nursery services to CMS
CT imaging
CPT 74177
$492 - $2,381
from 3 insurers · median $2,198
Common here, based on CMS Medicare volume
Medicine & Surgery · Inpatient
MS-DRG 460
$103,369
negotiated rate
89 Medicare discharges for this DRG in CMS hospital data
Gynecology
CPT 58571
$3,987 - $70,450
from 4 insurers · median $18,941
117 Medicare claims in Level 2 Laparoscopy and Related Services (CMS 2024)
Medicine & Surgery
CPT 42820
$4,403 - $64,900
from 2 insurers · median $34,652
Typical for a hospital with this service line
Urology
CPT 50590
$2,985 - $64,900
from 2 insurers · median $33,943
195 Medicare claims in Level 4 Urology and Related Services (CMS 2024)
Gynecology
CPT 58558
$4,577 - $5,080
from 2 insurers · median $4,829
31 Medicare claims in Level 4 Gynecologic Procedures (CMS 2024)
Medicine & Surgery · Inpatient
MS-DRG 473
$31,251 - $109,875
from 2 insurers · median $70,563
17 Medicare discharges for this DRG in CMS hospital data
Gynecology
CPT 58563
$38,711 - $70,450
from 2 insurers · median $54,581
Typical for a hospital with this service line
Medicine & Surgery
CPT 49505
$2,243 - $72,175
from 4 insurers · median $10,644
79 Medicare claims in Level 1 Abdominal/Peritoneal/Biliary and Related Procedures (CMS 2024)
MRI imaging
CPT 70553
$1,877 - $2,381
from 3 insurers · median $2,198
Common here, based on CMS Medicare volume
CT imaging
CPT 71275
$385 - $1,662
from 3 insurers · median $1,532
Common here, based on CMS Medicare volume
Cardiology and vascular testing
CPT 93306
$1,023 - $1,058
from 3 insurers · median $1,023
Common here, based on CMS Medicare volume
Gynecology
CPT 57288
$2,443 - $72,475
from 4 insurers · median $20,831
49 Medicare claims in Level 5 Gynecologic Procedures (CMS 2024)
Childbirth · Inpatient
MS-DRG 807
$9,665 - $41,586
from 4 insurers · median $11,553
CMS lists this service as CPT 59610, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 807, so these are facility case rates.
Hospital reports neonatal nursery services to CMS
CT imaging
CPT 74176
$1,291 - $1,749
from 3 insurers · median $1,302
Common here, based on CMS Medicare volume
MRI imaging
CPT 72148
$1,266 - $1,302
from 3 insurers · median $1,291
Common here, based on CMS Medicare volume
CT imaging
CPT 70450
$467 - $1,153
from 3 insurers · median $473
Common here, based on CMS Medicare volume
Nuclear imaging
CPT 78815
$3,533 - $4,889
from 3 insurers · median $3,992
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45385
$1,526 - $1,857
from 3 insurers · median $1,825
Common here, based on CMS Medicare volume
Ear, nose and throat
CPT 69436
$536 - $2,606
from 3 insurers · median $1,976
33 Medicare claims in Level 3 ENT Procedures (CMS 2024)
Mammography
CPT 77067
$148 - $239
from 3 insurers · median $148
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* | 12 | 1398% | 9 | 0 |
| Insurer B* | 20 | 437% | 3 | 13 |
| Insurer C* | 18 | 216% | 1 | 15 |
| Insurer D* | 18 | 176% | 4 | 4 |
How we chose these services: 9 appear in this hospital's own Medicare claims, 10 are common here based on CMS Medicare volume, and 5 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 Billings Clinic Hospital.
2800 10th Avenue North, Billings, MT 59101
(406) 657-4000
The nearest hospitals of similar type and size. Their rates are compared with Billings Clinic Hospital for the same insurers and services above.
Intermountain Health St. Vincent Regional Hospital
▲ Rates typically 31% higher than Billings Clinic Hospital (17 services)
Benefis Health System
Rates about the same as Billings Clinic Hospital (19 services)
Banner Wyoming Medical Center
▲ Rates typically 24% higher than Billings Clinic Hospital (19 services)
Eastern Idaho Regional Medical Center (Eirmc)
Rates about the same as Billings Clinic Hospital (21 services)
St Patrick Hospital
▲ Rates typically 9% higher than Billings Clinic Hospital (21 services)
Portneuf Medical Center
▲ Rates typically 28% higher than Billings Clinic Hospital (21 services)
Logan Health Medical Center
Intermountain Health St. James Hospital
About Billings Clinic Hospital's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Billings Clinic Hospital range from $1,877 to $2,381 across 3 insurers. Cigna's rate is $2,381. The median at nearby comparable hospitals is $2,727. 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 Billings Clinic Hospital range from $492 to $2,381 across 3 insurers. Aetna's rate is $492. The median at nearby comparable hospitals is $2,764. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Colonoscopy with polyp removal (CPT 45385), published negotiated rates at Billings Clinic Hospital range from $1,526 to $1,857 across 3 insurers. Aetna's rate is $1,526. The median at nearby comparable hospitals is $4,257. 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 Billings Clinic Hospital range from $21,509 to $51,411 across 2 insurers. Blue Cross Blue Shield's rate is $51,411. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Billings Clinic Hospital range from $148 to $239 across 3 insurers. Aetna's rate is $239. The median at nearby comparable hospitals is $358. 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 Billings Clinic Hospital range from $45,399 to $89,954 across 2 insurers. Blue Cross Blue Shield's rate is $89,954. The median at nearby comparable hospitals is $40,081. What a patient pays depends on their plan's deductible, coinsurance and network status.
Billings Clinic Hospital has 308 beds. Facility type: Short Term Acute Care Hospital.
Billings Clinic Hospital is located at 2800 10th Avenue North, Billings, MT 59101. Its main phone number is (406) 657-4000.
Billings Clinic Hospital's CMS Certification Number (CCN), also called its Medicare provider number, is 270004.
The National Provider Identifier (NPI) on file for Billings Clinic Hospital is 1265478291.
Billings Clinic Hospital is affiliated with Billings Clinic.
Billings Clinic Hospital lists 34 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.
201 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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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.
We turn your chargemaster and payer contracts into the CMS template file, then keep it current as rates change.
{
"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