CT imaging
CT abdomen and pelvis with contrast
CPT 74177
$2,487 - $4,686
from 3 insurers · median $4,686
Typical for a hospital with this service line
Big Sky, MT
Not rated by CMS
CMS star rating
8
Beds
32
Inpatient discharges a year
$21.2M
Net patient revenue a year
24
In-network payers
Bozeman Health Big Sky Medical Center is an 8-bed voluntary non-profit - private hospital in Big Sky, MT. Below you'll find publicly disclosed negotiated rates and facility details, including 24 in-network payers and 172 disclosed rate categories.
The 24 services Bozeman Health Big Sky Medical Center 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, or start a free trial.
CT imaging
CPT 74177
$2,487 - $4,686
from 3 insurers · median $4,686
Typical for a hospital with this service line
CT imaging
CPT 70450
$1,077 - $2,082
from 2 insurers · median $1,580
Typical for a hospital with this service line
CT imaging
CPT 74176
$1,915 - $4,095
from 4 insurers · median $3,444
Typical for a hospital with this service line
Digestive procedures
CPT 49650
$3,721 - $78,000
from 2 insurers · median $40,861
Typical for a hospital with this service line
MRI imaging
CPT 70553
$2,618 - $4,952
from 3 insurers · median $4,952
Typical for a hospital with this service line
Medicine & Surgery
CPT 42820
$3,646 - $78,000
from 2 insurers · median $40,823
Typical for a hospital with this service line
CT imaging
CPT 71260
$1,648 - $3,168
from 3 insurers · median $2,558
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93306
$922 - $1,663
from 2 insurers · median $1,292
Typical for a hospital with this service line
MRI imaging
CPT 70551
$1,744 - $3,296
from 3 insurers · median $3,296
Typical for a hospital with this service line
MRI imaging
CPT 72148
$1,660 - $3,124
from 3 insurers · median $2,975
Typical for a hospital with this service line
Medicine & Surgery
CPT 29826
$78,000
negotiated rate
Typical for a hospital with this service line
MRI imaging
CPT 74183
$2,638 - $6,676
from 3 insurers · median $4,993
Typical for a hospital with this service line
Orthopedics and pain
CPT 29888
$7,651 - $78,000
from 2 insurers · median $42,825
Typical for a hospital with this service line
X-ray and bone density
CPT 71046
$132 - $296
from 3 insurers · median $235
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93971
$693 - $1,298
from 3 insurers · median $1,298
Typical for a hospital with this service line
Digestive procedures
CPT 45385
$1,129 - $1,269
from 3 insurers · median $1,253
Typical for a hospital with this service line
Ultrasound
CPT 76705
$306 - $534
from 3 insurers · median $509
Typical for a hospital with this service line
Digestive procedures
CPT 43239
$774 - $881
from 2 insurers · median $828
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93970
$1,056 - $1,890
from 3 insurers · median $1,682
Typical for a hospital with this service line
Digestive procedures
CPT 45380
$952 - $1,098
from 2 insurers · median $1,025
Typical for a hospital with this service line
Gynecology
CPT 58571
$2,830 - $6,962
from 2 insurers · median $4,896
Typical for a hospital with this service line
Medicine & Surgery
CPT 66984
$2,133 - $2,267
from 2 insurers · median $2,200
Typical for a hospital with this service line
Ultrasound
CPT 76830
$271 - $591
from 4 insurers · median $480
Typical for a hospital with this service line
Ultrasound
CPT 76536
$345 - $616
from 3 insurers · median $587
Typical for a hospital with this service line
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 | 1268% | 0 | 0 |
| Insurer B* | 8 | 1052% | 0 | 0 |
| Insurer C* | 20 | 662% | 0 | 0 |
| Insurer D* | 23 | 287% | 0 | 0 |
How we chose these services: 0 appear in this hospital's own Medicare claims, 0 are common here based on CMS Medicare volume, and 24 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 Bozeman Health Big Sky Medical Center, or start a free trial.
Acceptance varies by plan and service. Confirm coverage with your insurer or the hospital's billing department.





Quality
Not rated by CMS
Doctors and services
Accredited by DNV
Finances
$21.2M net patient revenue
Ownership and leadership
Owned by Bozeman Deaconess Health Services
The employer identification numbers (EINs) health plans and networks list for Bozeman Health Big Sky Medical Center in the in-network rate files they publish, with the organization NPIs billed under each.
| Tax ID (EIN) | Plans and networks listing it | Organization NPIs |
|---|---|---|
| 47-4718253Bozeman Health Big Sky Medical Center | 49Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Ameri Health and 44 more | 1265801559 Bozeman Health Big Sky Medical Center LLC1588141048 Bozeman Health Big Sky Medical Center LLC1740659952 Bozeman Health Big Sky Medical Center LLCand 3 more |
Source: PayerPrice analysis of insurers' Transparency in Coverage in-network files. An EIN can cover several hospitals and clinics in a health system, and insurers sometimes list other organizations' NPIs under it.
334 TOWN CENTER AVE, Big Sky, MT 59716
(406) 995-6995
How Bozeman Health Big Sky Medical Center compares with other US facilities on the measures CMS publishes, mostly from Medicare patients.
Time in the ER before going home
107 min
Lower than 85% of US hospitals
US median: 148 min
Median minutes from arrival to leaving for ER patients who were sent home; lower is better
| Measure | Result | Period |
|---|---|---|
| Time in the ER before going homeCMS: Average (median) time patients spent in the emergency department before leaving from the visit, excluding patients transferred to another facility or psychiatric care/mental health patients. A lower number of minutes is better | 107 min | 2024-10-01 to 2025-09-30 |
Source: CMS Provider Data Catalog, released 2026-09-30. US comparisons rank this facility among every facility CMS reports for each measure. See Medicare Care Compare.
Each result CMS publishes for Bozeman Health Big Sky Medical Center, beside the US median and the average of MT hospitals. The rank says what share of US hospitals the result is better or worse than; counts and confidence limits are not ranked.
Risk-adjusted 30-day death rates and surgical complications; lower is better.
| Measure | This hospital | US median | MT average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Rate of complications for hip/knee replacement patients2023-04-01 to 2025-03-31 | Not Available | 4.233 | |||
| Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate2024-07-01 to 2025-06-30 | Not Available | 4.2 | |||
| Death rate for heart attack patients2022-07-01 to 2025-06-30 | Not Available | 11.74 | |||
| Death rate for CABG surgery patients2022-07-01 to 2025-06-30 | Not Available | 2.95 | |||
| Death rate for COPD patients2022-07-01 to 2025-06-30 | Not Available | 9.6 | |||
| Death rate for heart failure patients2022-07-01 to 2025-06-30 | Not Available | 12.65 | |||
| Death rate for pneumonia patients2022-07-01 to 2025-06-30 | Not Available | 16.27 | |||
| Death rate for stroke patients2023-07-01 to 2025-06-30 | Not Available | 11.39 | |||
| Pressure ulcer rate2022-07-01 to 2024-06-30 | Not Available | 0.7442 | |||
| Death rate among surgical inpatients with serious treatable complications2022-07-01 to 2024-06-30 | Not Available | 183 | |||
| Iatrogenic pneumothorax rate2022-07-01 to 2024-06-30 | Not Available | 0.2017 | |||
| In-hospital fall-associated fracture rate2022-07-01 to 2024-06-30 | Not Available | 0.28 | |||
| Postoperative hemorrhage or hematoma rate2022-07-01 to 2024-06-30 | Not Available | 2.525 | |||
| Postoperative acute kidney injury requiring dialysis rate2022-07-01 to 2024-06-30 | Not Available | 1.595 | |||
| Postoperative respiratory failure rate2022-07-01 to 2024-06-30 | Not Available | 11.27 | |||
| Perioperative pulmonary embolism or deep vein thrombosis rate2022-07-01 to 2024-06-30 | Not Available | 3.33 | |||
| Postoperative sepsis rate2022-07-01 to 2024-06-30 | Not Available | 5.827 | |||
| Postoperative wound dehiscence rate2022-07-01 to 2024-06-30 | Not Available | 1.809 | |||
| Abdominopelvic accidental puncture or laceration rate2022-07-01 to 2024-06-30 | Not Available | 1.222 | |||
| CMS Medicare PSI 90: Patient safety and adverse events composite2022-07-01 to 2024-06-30 | Not Available | 1.098 |
Unplanned returns to a hospital after a stay or an outpatient procedure; lower is better.
| Measure | This hospital | US median | MT average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Hospital return days for heart attack patients2022-07-01 to 2025-06-30 | Not Available | -6.867 | |||
| Hospital return days for heart failure patients2022-07-01 to 2025-06-30 | Not Available | -11.73 | |||
| Hospital return days for pneumonia patients2022-07-01 to 2025-06-30 | Not Available | -11.67 | |||
| Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)2024-07-01 to 2025-06-30 | Not Available | ||||
| Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)2022-01-01 to 2024-12-31 | Not Available | 12.51 | |||
| Rate of inpatient admissions for patients receiving outpatient chemotherapy2024-01-01 to 2024-12-31 | Not Available | 9.922 | |||
| Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy2024-01-01 to 2024-12-31 | Not Available | 5.906 | |||
| Ratio of unplanned hospital visits after hospital outpatient surgery2024-01-01 to 2024-12-31 | Not Available | 1 | |||
| Acute Myocardial Infarction (AMI) 30-Day Readmission Rate2023-07-01 to 2025-06-30 | Not Available | 14.04 | |||
| Rate of readmission for CABG2023-07-01 to 2025-06-30 | Not Available | 11.14 | |||
| Rate of readmission for chronic obstructive pulmonary disease (COPD) patients2023-07-01 to 2025-06-30 | Not Available | 19.64 | |||
| Heart failure (HF) 30-Day Readmission Rate2023-07-01 to 2025-06-30 | Not Available | 20.85 | |||
| Rate of readmission after hip/knee replacement2023-07-01 to 2025-06-30 | Not Available | 5.656 | |||
| Pneumonia (PN) 30-Day Readmission Rate2023-07-01 to 2025-06-30 | Not Available | 16.68 |
Standardized infection ratios (1 is the US baseline) and the counts behind them; lower is better.
| Measure | This hospital | US median | MT average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Central Line Associated Bloodstream Infection (ICU + select Wards): Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.3796 | |||
| Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 2.925 | |||
| Central Line Associated Bloodstream Infection: Number of Device Days2024-10-01 to 2025-09-30 | 159 | 1,370 | 1,511 | ||
| Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases2024-10-01 to 2025-09-30 | 0.043 | 0.9835 | 1.325 | ||
| Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases2024-10-01 to 2025-09-30 | 0 | 0 | 1.375 | ||
| Central Line Associated Bloodstream Infection (ICU + select Wards)2024-10-01 to 2025-09-30 | Not Available | 1.037 | |||
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.2554 | |||
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 2.101 | |||
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days2024-10-01 to 2025-09-30 | 29 | 1,799 | 2,401 | ||
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases2024-10-01 to 2025-09-30 | 0.071 | 1.377 | 2.744 | ||
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases2024-10-01 to 2025-09-30 | 0 | 0 | 1.038 | ||
| Catheter Associated Urinary Tract Infections (ICU + select Wards)2024-10-01 to 2025-09-30 | Not Available | 0.6529 | |||
| SSI - Colon Surgery: Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.5568 | |||
| SSI - Colon Surgery: Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 2.675 | |||
| SSI - Colon Surgery: Number of Procedures2024-10-01 to 2025-09-30 | Not Available | 67.41 | |||
| SSI - Colon Surgery: Predicted Cases2024-10-01 to 2025-09-30 | Not Available | 1.751 | |||
| SSI - Colon Surgery: Observed Cases2024-10-01 to 2025-09-30 | Not Available | 1.824 | |||
| SSI - Colon Surgery2024-10-01 to 2025-09-30 | Not Available | 1.027 | |||
| SSI - Abdominal Hysterectomy: Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.205 | |||
| SSI - Abdominal Hysterectomy: Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 2.737 | |||
| SSI - Abdominal Hysterectomy: Number of Procedures2024-10-01 to 2025-09-30 | Not Available | 57 | |||
| SSI - Abdominal Hysterectomy: Predicted Cases2024-10-01 to 2025-09-30 | Not Available | 0.4779 | |||
| SSI - Abdominal Hysterectomy: Observed Cases2024-10-01 to 2025-09-30 | Not Available | 0.5714 | |||
| SSI - Abdominal Hysterectomy2024-10-01 to 2025-09-30 | Not Available | 0.611 | |||
| MRSA Bacteremia: Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.0656 | |||
| MRSA Bacteremia: Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 1.67 | |||
| MRSA Bacteremia: Patient Days2024-10-01 to 2025-09-30 | 1,045 | 14,451 | 21,227 | ||
| MRSA Bacteremia: Predicted Cases2024-10-01 to 2025-09-30 | 0.022 | 0.567 | 1.361 | ||
| MRSA Bacteremia: Observed Cases2024-10-01 to 2025-09-30 | 0 | 0 | 0.5909 | ||
| MRSA Bacteremia2024-10-01 to 2025-09-30 | Not Available | 0.2669 | |||
| Clostridium Difficile (C.Diff): Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.1733 | |||
| Clostridium Difficile (C.Diff): Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 1.315 | |||
| Clostridium Difficile (C.Diff): Patient Days2024-10-01 to 2025-09-30 | 1,045 | 13,646 | 17,851 | ||
| Clostridium Difficile (C.Diff): Predicted Cases2024-10-01 to 2025-09-30 | 0.231 | 5.683 | 8.632 | ||
| Clostridium Difficile (C.Diff): Observed Cases2024-10-01 to 2025-09-30 | 0 | 2 | 3.542 | ||
| Clostridium Difficile (C.Diff)2024-10-01 to 2025-09-30 | Not Available | 0.3515 |
How recent inpatients answered each survey question, with CMS's star rating per topic.
| Measure | This hospital | US median | MT average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Room was "always" clean2024-10-01 to 2025-09-30 | Not Available | 74.7 | |||
| Room was "sometimes" or "never" clean2024-10-01 to 2025-09-30 | Not Available | 7.667 | |||
| Room was "usually" clean2024-10-01 to 2025-09-30 | Not Available | 17.63 | |||
| Cleanliness - linear mean score2024-10-01 to 2025-09-30 | Not Applicable | 86.4 | |||
| Cleanliness - star rating2024-10-01 to 2025-09-30 | Not Applicable | 3.35 | |||
| Nurses "always" communicated well2024-10-01 to 2025-09-30 | Not Available | 81.9 | |||
| Nurse communication - linear mean score2024-10-01 to 2025-09-30 | Not Applicable | 92.25 | |||
| Nurses "sometimes" or "never" communicated well2024-10-01 to 2025-09-30 | Not Available | 2.533 | |||
| Nurse communication - star rating2024-10-01 to 2025-09-30 | Not Applicable | 3.9 | |||
| Nurses "usually" communicated well2024-10-01 to 2025-09-30 | Not Available | 15.57 | |||
| Doctors "always" communicated well2024-10-01 to 2025-09-30 | Not Available | 82.2 | |||
| Doctor communication - linear mean score2024-10-01 to 2025-09-30 | Not Applicable | 91.8 | |||
| Doctors "sometimes" or "never" communicated well2024-10-01 to 2025-09-30 | Not Available | 3.7 | |||
| Doctor communication - star rating2024-10-01 to 2025-09-30 | Not Applicable | 3.5 | |||
| Doctors "usually" communicated well2024-10-01 to 2025-09-30 | Not Available | 14.1 | |||
| Staff "always" explained2024-10-01 to 2025-09-30 | Not Available | 65.33 | |||
| Communication about medicines - linear mean score2024-10-01 to 2025-09-30 | Not Applicable | 79.85 | |||
| Staff "sometimes" or "never" explained2024-10-01 to 2025-09-30 | Not Available | 16.67 | |||
| Communication about medicines - star rating2024-10-01 to 2025-09-30 | Not Applicable | 3.2 | |||
| Staff "usually" explained2024-10-01 to 2025-09-30 | Not Available | 18 | |||
| Discharge information - linear mean score2024-10-01 to 2025-09-30 | Not Applicable | 88.4 | |||
| No, staff "did not" give patients this information2024-10-01 to 2025-09-30 | Not Available | 11.3 | |||
| Discharge information - star rating2024-10-01 to 2025-09-30 | Not Applicable | 4.05 | |||
| Yes, staff "did" give patients this information2024-10-01 to 2025-09-30 | Not Available | 88.7 | |||
| No, staff "did not" give patients information about help after discharge2024-10-01 to 2025-09-30 | Not Available | 12 | |||
| Yes, staff "did" give patients information about help after discharge2024-10-01 to 2025-09-30 | Not Available | 88 | |||
| Doctors "always" explained things so they could understand2024-10-01 to 2025-09-30 | Not Available | 75.08 | |||
| Doctors "sometimes" or "never" explained things so they could understand2024-10-01 to 2025-09-30 | Not Available | 5.52 | |||
| Doctors "usually" explained things so they could understand2024-10-01 to 2025-09-30 | Not Available | 19.4 | |||
| Doctors "always" listened carefully2024-10-01 to 2025-09-30 | Not Available | 79.2 | |||
| Doctors "sometimes" or "never" listened carefully2024-10-01 to 2025-09-30 | Not Available | 4.44 | |||
| Doctors "usually" listened carefully2024-10-01 to 2025-09-30 | Not Available | 16.36 | |||
| Doctors "always" treated them with courtesy and respect2024-10-01 to 2025-09-30 | Not Available | 86.96 | |||
| Doctors "sometimes" or "never" treated them with courtesy and respect2024-10-01 to 2025-09-30 | Not Available | 2.72 | |||
| Doctors "usually" treated them with courtesy and respect2024-10-01 to 2025-09-30 | Not Available | 10.32 | |||
| Patients who gave a rating of "6" or lower (low)2024-10-01 to 2025-09-30 | Not Available | 5.8 | |||
| Patients who gave a rating of "7" or "8" (medium)2024-10-01 to 2025-09-30 | Not Available | 19.8 | |||
| Patients who gave a rating of "9" or "10" (high)2024-10-01 to 2025-09-30 | Not Available | 74.4 | |||
| Overall hospital rating - linear mean score2024-10-01 to 2025-09-30 | Not Applicable | 89.2 | |||
| Overall hospital rating - star rating2024-10-01 to 2025-09-30 | Not Applicable | 3.5 | |||
| Staff "always" explained new medications2024-10-01 to 2025-09-30 | Not Available | 75.68 | |||
| Staff "sometimes" or "never" explained new medications2024-10-01 to 2025-09-30 | Not Available | 8.44 | |||
| Staff "usually" explained new medications2024-10-01 to 2025-09-30 | Not Available | 15.88 | |||
| Nurses "always" explained things so they could understand2024-10-01 to 2025-09-30 | Not Available | 74.48 | |||
| Nurses "sometimes" or "never" explained things so they could understand2024-10-01 to 2025-09-30 | Not Available | 4.6 | |||
| Nurses "usually" explained things so they could understand2024-10-01 to 2025-09-30 | Not Available | 20.92 | |||
| Nurses "always" listened carefully2024-10-01 to 2025-09-30 | Not Available | 78.2 | |||
| Nurses "sometimes" or "never" listened carefully2024-10-01 to 2025-09-30 | Not Available | 2.72 | |||
| Nurses "usually" listened carefully2024-10-01 to 2025-09-30 | Not Available | 19.08 | |||
| Nurses "always" treated them with courtesy and respect2024-10-01 to 2025-09-30 | Not Available | 88.16 | |||
| Nurses "sometimes" or "never" treated them with courtesy and respect2024-10-01 to 2025-09-30 | Not Available | 1.56 | |||
| Nurses "usually" treated them with courtesy and respect2024-10-01 to 2025-09-30 | Not Available | 10.28 | |||
| "Always" quiet at night2024-10-01 to 2025-09-30 | Not Available | 61.7 | |||
| "Sometimes" or "never" quiet at night2024-10-01 to 2025-09-30 | Not Available | 6.333 | |||
| "Usually" quiet at night2024-10-01 to 2025-09-30 | Not Available | 31.97 | |||
| Quietness - linear mean score2024-10-01 to 2025-09-30 | Not Applicable | 83.65 | |||
| Quietness - star rating2024-10-01 to 2025-09-30 | Not Applicable | 3.65 | |||
| "NO", patients would not recommend the hospital (they probably would not or definitely would not recommend it)2024-10-01 to 2025-09-30 | Not Available | 3.233 | |||
| "YES", patients would definitely recommend the hospital2024-10-01 to 2025-09-30 | Not Available | 75.43 | |||
| Recommend hospital - linear mean score2024-10-01 to 2025-09-30 | Not Applicable | 89.1 | |||
| "YES", patients would probably recommend the hospital2024-10-01 to 2025-09-30 | Not Available | 21.33 | |||
| Recommend hospital - star rating2024-10-01 to 2025-09-30 | Not Applicable | 4.1 | |||
| Staff "always" explained possible side effects2024-10-01 to 2025-09-30 | Not Available | 49.76 | |||
| Staff "sometimes" or "never" explained possible side effects2024-10-01 to 2025-09-30 | Not Available | 27.24 | |||
| Staff "usually" explained possible side effects2024-10-01 to 2025-09-30 | Not Available | 23 | |||
| Summary star rating2024-10-01 to 2025-09-30 | Not Applicable | 3.8 | |||
| No, staff "did not" give patients information about possible symptoms2024-10-01 to 2025-09-30 | Not Available | 10.64 | |||
| Yes, staff "did" give patients information about possible symptoms2024-10-01 to 2025-09-30 | Not Available | 89.36 |
How often the hospital gave recommended care, and how fast.
| Measure | This hospital | US median | MT average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Emergency department volume2024-01-01 to 2024-12-31 | low | ||||
| Global Malnutrition Composite Score2024-01-01 to 2024-12-31 | Not Available | ||||
| Global Malnutrition Composite Score: Malnutrition Diagnosis Documented2024-01-01 to 2024-12-31 | Not Available | ||||
| Global Malnutrition Composite Score: Malnutrition Risk Screening2024-01-01 to 2024-12-31 | Not Available | ||||
| Global Malnutrition Composite Score: Nutrition Assessment2024-01-01 to 2024-12-31 | Not Available | ||||
| Global Malnutrition Composite Score: Nutritional Care Plan2024-01-01 to 2024-12-31 | Not Available | ||||
| Hospital Harm - Severe Hyperglycemia2024-01-01 to 2024-12-31 | Not Available | 9.4 | |||
| Hospital Harm - Severe Hypoglycemia2024-01-01 to 2024-12-31 | Not Available | 1.875 | |||
| Hospital Harm - Opioid Related Adverse Events2024-01-01 to 2024-12-31 | Not Available | 0 | |||
| Healthcare workers given influenza vaccination2024-10-01 to 2025-03-31 · 155 cases | 55 | 79 | 53.09 | Worse than 82% of US hospitals | |
| Average (median) time all patients spent in the emergency department before leaving from the visit, including psychiatric/mental health patients and patients who were transferred to another facility. A lower number of minutes is better2024-10-01 to 2025-09-30 · 384 cases | 112 | 154 | 126 | Better than 85% of US hospitals | |
| Average (median) time patients spent in the emergency department before leaving from the visit, excluding patients transferred to another facility or psychiatric care/mental health patients. A lower number of minutes is better2024-10-01 to 2025-09-30 · 344 cases | 107 | 148 | 120 | Better than 85% of US hospitals | |
| Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better2024-10-01 to 2025-09-30 | Not Available | 172 | |||
| Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better2024-10-01 to 2025-09-30 · 30 cases | 174 | 293 | 223 | Better than 94% of US hospitals | |
| Left before being seen2024-01-01 to 2024-12-31 · 4,217 cases | 0 | 1 | 1.1 | The best result, shared by 23% of US hospitals | |
| Head CT results2024-10-01 to 2025-09-30 | Not Available | 79.5 | |||
| Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients2024-01-01 to 2024-12-31 | Not Available | 87.75 | |||
| Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery2024-01-01 to 2024-12-31 | Not Available | ||||
| ST-Segment Elevation Myocardial Infarction (STEMI)2024-01-01 to 2024-12-31 | Not Available | ||||
| Safe Use of Opioids - Concurrent Prescribing2024-01-01 to 2024-12-31 · 28 cases | 11 | 15 | 16.23 | Better than 77% of US hospitals | |
| Appropriate care for severe sepsis and septic shock2024-10-01 to 2025-09-30 | Not Available | 73.5 | |||
| Septic Shock 3-Hour Bundle2024-10-01 to 2025-09-30 | Not Available | 83.57 | |||
| Septic Shock 6-Hour Bundle2024-10-01 to 2025-09-30 | Not Available | 86.9 | |||
| Severe Sepsis 3-Hour Bundle2024-10-01 to 2025-09-30 | Not Available | 86 | |||
| Severe Sepsis 6-Hour Bundle2024-10-01 to 2025-09-30 | Not Available | 94.36 | |||
| Discharged on Antithrombotic Therapy2024-01-01 to 2024-12-31 | Not Available | 97.86 | |||
| Anticoagulation Therapy for Atrial Fibrillation/Flutter2024-01-01 to 2024-12-31 | Not Available | 62 | |||
| Antithrombotic Therapy by End of Hospital Day 22024-01-01 to 2024-12-31 | Not Available | 93 | |||
| Venous Thromboembolism Prophylaxis2024-01-01 to 2024-12-31 | Not Available | 70.22 | |||
| Intensive Care Unit Venous Thromboembolism Prophylaxis2024-01-01 to 2024-12-31 | Not Available | 90 |
How often scans were ordered when they may not be needed; lower is better.
| Measure | This hospital | US median | MT average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Abdomen CT Use of Contrast Material2024-07-01 to 2025-06-30 | 2.5 | 5 | 6.108 | Better than 80% of US hospitals | |
| Breast Cancer Screening Recall Rates2024-07-01 to 2025-06-30 | Not Available | 7.097 |
Medicare spending around an inpatient stay compared with the US (1 is the US median).
| Measure | This hospital | US median | MT average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Medicare hospital spending per patient (Medicare Spending per Beneficiary)2024-01-01 to 2024-12-31 | Not Available | 0.9118 |
Source: CMS Care Compare hospital files, latest release 2026-09-30, with program results for earlier fiscal years from CMS's archived snapshots. US medians and ranks count every hospital CMS reports; state averages are plain means of the state's reporting hospitals, not CMS's patient-weighted state rates.
DNV (since 2019)
Accreditation
None
Medical school affiliation
Private (not for profit)
Ownership type
4
Medicare-certified beds
10
Registered nurses (full-time equivalent)
2019
In Medicare since
Source: CMS Provider of Services file, as reported by the hospital and state surveyors.
What Bozeman Health Big Sky Medical Center reported to Medicare in its latest cost report, covering Jan 1, 2025 to Dec 31, 2025.
32
Inpatient discharges
Medicare 50%, Medicaid n/a
986
Inpatient days
34% of available bed days used
78
Employees (full-time equivalent)
Source: CMS cost report (HCRIS) (report 838707). Figures cover the reporting period, which is not always 12 months, and are self-reported.
Inpatient days and discharges Bozeman Health Big Sky Medical Center reported by payer. Medicare and Medicaid include their managed care plans, shown separately below.
| Medicare | Medicaid | Other | Total | |
|---|---|---|---|---|
| Inpatient days | 484 | 89 | 413 | 986 |
| Discharges | 16 | 0 | 16 | 32 |
| Average length of stay | 30.3 days | 25.8 days | 30.8 days | |
| Average daily census | 1.3 | 0.2 | 1.1 | 2.7 |
4
Medicare Advantage days
2 discharges
39
Observation bed days
| Unit | Beds | Inpatient days | Medicare days | Occupancy |
|---|---|---|---|---|
| Adults & pediatrics | 8 | 59 | 34 | 2% |
Source: CMS cost report (HCRIS, Form 2552-10), report 838707, as submitted. Hospitals report these figures themselves; they are not audited financial statements. Worksheet S-3 Part I.
Staff by profession and the rooms and units Bozeman Health Big Sky Medical Center reported at its latest Medicare certification survey (2016). Counts are people, not full-time equivalents.
10
Registered nurses
1
Licensed practical nurses
5
Physicians
1
Pharmacists
4
Radiology technicians
2
Medical technologists
13
Other personnel
Source: CMS Provider of Services file.
111 clinicians who bill Medicare list Bozeman Health Big Sky Medical Center as a hospital affiliation. Showing 24 of them. Book a demo to see the commercial rates insurers publish for them, or start a free trial.
Todd Winkler, MD
Diagnostic Radiology Physician
NPI 1659337335
See commercial rates for Todd Winkler, MDGabriel Edwards, MD
Vascular & Interventional Radiology Physician
NPI 1578821963
See commercial rates for Gabriel Edwards, MDJason Anderson, MD
Diagnostic Radiology Physician
NPI 1508201773
See commercial rates for Jason Anderson, MDReginald Handley, MD
Vascular & Interventional Radiology Physician
NPI 1205018595
See commercial rates for Reginald Handley, MDAnthony Stark, D.O.
Physical Medicine & Rehabilitation Physician
NPI 1598909376
See commercial rates for Anthony Stark, D.O.Albert Meier, MD
Diagnostic Radiology Physician
NPI 1851612782
See commercial rates for Albert Meier, MDPeder Horner, M.D.
Vascular & Interventional Radiology Physician
NPI 1235218942
See commercial rates for Peder Horner, M.D.Heidi Tuthill, MD
Diagnostic Radiology Physician
NPI 1932169182
See commercial rates for Heidi Tuthill, MDRonald Tharp, MD
Diagnostic Radiology Physician
NPI 1124080270
See commercial rates for Ronald Tharp, MDTimothy Strigenz, M.D.
Pain Medicine (Anesthesiology) Physician
NPI 1801991682
See commercial rates for Timothy Strigenz, M.D.Alexander Taylor
Cardiovascular Disease Physician
NPI 1023407806
See commercial rates for Alexander TaylorMarcie Lovgren, PA
Surgical Physician Assistant
NPI 1811182769
See commercial rates for Marcie Lovgren, PAPreston Schneider
Cardiovascular Disease Physician
NPI 1922240621
See commercial rates for Preston SchneiderChristopher Anzalone, D.O.
Cardiovascular Disease Physician
NPI 1346604865
See commercial rates for Christopher Anzalone, D.O.Sean Bell, M.D.
Cardiovascular Disease Physician
NPI 1528593225
See commercial rates for Sean Bell, M.D.Christopher Nero, MD
Anatomic Pathology & Clinical Pathology Physician
NPI 1548396377
See commercial rates for Christopher Nero, MDDouglas Hadley, MD
Vascular & Interventional Radiology Physician
NPI 1902984776
See commercial rates for Douglas Hadley, MDJulie Topping, MD
Internal Medicine Physician
NPI 1700823226
See commercial rates for Julie Topping, MDDavid Koeplin, MD
Radiation Oncology Physician
NPI 1205868965
See commercial rates for David Koeplin, MDCarl Luem, M.D.
Anatomic Pathology & Clinical Pathology Physician
NPI 1477707404
See commercial rates for Carl Luem, M.D.Kerrie Emerick, M.D.
Anatomic Pathology & Clinical Pathology Physician
NPI 1184820482
See commercial rates for Kerrie Emerick, M.D.Crystal Henderson, NP-C
Family Nurse Practitioner
NPI 1952757247
See commercial rates for Crystal Henderson, NP-CTimothy O'Brien, MD
Sports Medicine (Orthopaedic Surgery) Physician
NPI 1922008374
See commercial rates for Timothy O'Brien, MDStewart Chumbley, FNP-BC
Family Nurse Practitioner
NPI 1316351810
See commercial rates for Stewart Chumbley, FNP-BCSource: CMS Doctors and Clinicians facility affiliations, released 2026-10-15, with names and specialties from NPPES. Affiliation means the clinician bills Medicare for care at this hospital; it is not employment.
Revenue, expenses and income Bozeman Health Big Sky Medical Center reported to Medicare for Jan 1, 2025 to Dec 31, 2025. Percentages are of net patient revenue.
| Line | Amount | Share |
|---|---|---|
| Gross patient revenue (charges) | $33.3M | 156.9% |
| Inpatient | $2.1M | 10.0% |
| Outpatient | $31.1M | 146.9% |
| Contractual allowances and discounts | -$12.1M | -56.9% |
| Net patient revenue | $21.2M | 100.0% |
| Operating expenses | -$24.1M | -113.5% |
| Operating income from patient care | -$2.9M | -13.5% |
| Other income | $3.2M | 15.3% |
| Contributions and donations | $284,524 | 1.3% |
| Investment income | $29,433 | 0.1% |
| Other | $2.9M | 13.8% |
| Net income | $373,341 | 1.8% |
| Line | Amount | Share |
|---|---|---|
| Traditional Medicare | $3.9M | 14.7% |
| Medicaid (including managed care) | $1.8M | 6.9% |
| Other payers and self-pay | $20.8M | 78.4% |
| Total charges | $26.6M | 100.0% |
Source: CMS cost report (HCRIS, Form 2552-10), report 838707, as submitted. Hospitals report these figures themselves; they are not audited financial statements. Traditional Medicare is the program charges on Worksheets D-3 and D Part V; Medicaid is from Worksheet S-10.
Computed from Bozeman Health Big Sky Medical Center's latest cost report.
-13.5%
Operating margin
Operating income from patient care / net patient revenue
1.5%
Total margin
Net income / net patient revenue plus other income
10.0%
EBITDAR margin
Net income before interest, depreciation and leases (Worksheet A-7), / total revenue
45% of expenses
Personnel costs
Salaries, direct-care contract labor and core wage-related costs / operating expenses
1.2%
Return on assets
Net income for a year / total assets
0.15
Current ratio
Current assets / current liabilities
0.10
Quick ratio
Cash, temporary investments and net receivables / current liabilities
2 days
Days cash on hand
Cash and temporary investments / daily operating expenses excluding depreciation
59 days
Days in patient receivables
Net patient receivables / daily net patient revenue
571 days
Average payment period
Current liabilities / daily operating expenses excluding depreciation
0.76
Asset turnover
Total revenue for a year / total assets
10.1 years
Average age of plant
Accumulated depreciation / depreciation for a year
Source: CMS cost report (HCRIS, Form 2552-10), report 838707, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
What Bozeman Health Big Sky Medical Center owned and owed at the end of its reporting period (Dec 2025), across all fund types: $32.2M in total assets and a -$21.3M fund balance.
| Line | Amount | Of total assets |
|---|---|---|
| Cash and temporary investments | $144,123 | 0.4% |
| Patient receivables, net | $3.4M | 10.6% |
| Inventory | $466,053 | 1.4% |
| Total current assets | $5.4M | 16.7% |
| Property and equipment, net of depreciation | $25.3M | 78.6% |
| Investments and other assets | $1.5M | 4.7% |
| Total assets | $32.2M | 100.0% |
| Current liabilities | $35.6M | 110.5% |
| Long-term debt | $18M | 55.8% |
| Total liabilities | $53.5M | 166.2% |
| Fund balance (net assets) | -$21.3M | -66.2% |
Source: CMS cost report (HCRIS, Form 2552-10), report 838707, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Care Bozeman Health Big Sky Medical Center provided without full payment, as reported on Worksheet S-10 of its cost report.
$634,814
Cost of charity care
Care for patients approved for charity care and uninsured discounts, at cost
$2.4M
Bad debt
Patient bills written off as uncollectible, at charges
$1,312
Medicaid shortfall
Cost of Medicaid patients (charges times the cost-to-charge ratio) minus Medicaid payments; negative means a surplus
-$13,040
CHIP shortfall
Cost of stand-alone CHIP patients minus CHIP payments
$1.9M
Total unreimbursed and uncompensated care
7.8% of operating expenses
Medicaid, CHIP and indigent care shortfalls plus charity care and the cost of bad debt (Worksheet S-10 line 31)
Source: CMS cost report (HCRIS, Form 2552-10), report 838707, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Bozeman Health Big Sky Medical Center's full-year cost reports, by fiscal year end. Reports shorter than ten months are left out.
| Fiscal year ending | Dec 2020 | Dec 2021 | Dec 2022 | Dec 2023 | Dec 2024 | Dec 2025 |
|---|---|---|---|---|---|---|
| Net patient revenue | $8.5M | $12.5M | $14.8M | $15.7M | $17.7M | $21.2M |
| Operating expenses | $15.2M | $16.7M | $19.1M | $18.6M | $21.6M | $24.1M |
| Operating margin | -80.2% | -34.2% | -28.5% | -18.2% | -21.9% | -13.5% |
| Net income | -$2.5M | -$1.7M | -$967,096 | -$776,909 | -$1M | $373,341 |
| Total assets | $27.8M | $29.6M | $29M | $29.4M | $29M | $32.2M |
| Discharges | 29 | 55 | 17 | 28 | 34 | 32 |
| Inpatient days | 60 | 164 | 117 | 405 | 1,008 | 986 |
| Medicare Advantage days | 1 | 5 | 12 | 12 | 16 | 4 |
| Beds | 1 | 8 | 8 | 8 | 8 | 8 |
| Employees (FTE) | 56 | 64 | 67 | 72 | 81 | 78 |
Source: CMS cost report (HCRIS, Form 2552-10), report 838707, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Each cost center Bozeman Health Big Sky Medical Center reports, largest first. Total cost includes its share of overhead; the cost-to-charge ratio is total cost / charges.
| Department | Salaries | Total cost | Charges | Cost-to-charge | Square feet |
|---|---|---|---|---|---|
| Emergency | $3.1M | $5.4M | $9.3M | 0.59 | 5,730 |
| Radiology-diagnostic | $1.1M | $2.5M | $11.4M | 0.22 | 2,658 |
| Laboratory | $609,015 | $1.7M | $2.2M | 0.76 | 978 |
| Drugs charged to patients | $707,665 | $1.8M | 0.40 | ||
| Physical therapy | $165,093 | $641,207 | $861,516 | 0.74 | 3,493 |
| Observation beds (non-distinct part | $116,796 | $64,056 | 1.82 | ||
| Medical supplies charged to patient | $74,084 | $26,937 | 2.75 |
| Department | Salaries | Total cost | Charges | Cost-to-charge | Square feet |
|---|---|---|---|---|---|
| Adults & pediatrics | $1.3M | $2.7M | $930,614 | 2.88 | 6,613 |
| Department | Salaries | Direct cost | Paid hours | Average hourly wage | Square feet |
|---|---|---|---|---|---|
| Other administrative and general | $410,002 | $2.6M | 4,509 | ||
| Employee benefits department | $2.2M | ||||
| Cap rel costs-bldg & fixt | $1.5M | 53,906 | |||
| Operation of plant | $298,715 | $1.2M | 8,076 | ||
| Admitting | $717,058 | $719,729 | 626 | ||
| Cap rel costs-mvble equip | $568,201 | ||||
| Nursing administration | $371,386 | $489,011 | 209 | ||
| Dietary | $196,372 | $237,740 | 958 | ||
| Housekeeping | $194,654 | $226,437 | 144 | ||
| Laundry & linen service | $221,643 | ||||
| Pharmacy | $83,060 | $100,691 | 1,249 | ||
| Medical records & library | $91,462 | ||||
| Central services & supply | $10,021 | 3,004 |
Source: CMS cost report (HCRIS, Form 2552-10), report 838707, as submitted. Hospitals report these figures themselves; they are not audited financial statements. Worksheets A, B-1, C Part I and S-3 Part II.
Organizations Bozeman Health Big Sky Medical Center reports to Medicare as owners or with operational control.
Bozeman Deaconess Health Services
5% or greater direct ownership interest, 100%, since 2015
Sources: CMS Hospital All Owners.
The officers and board members on Bozeman Health Big Sky Medical Center's Medicare enrollment and on the IRS Form 990 filed under its tax ID.
Source: CMS Hospital All Owners (PECOS), the people the hospital lists on its Medicare enrollment.
340B drug pricing program
Participating since 2020
340B ID CAH271389-00, registered as a critical access hospital; 1 active contract pharmacies. Authorizing official: Bradley Ludford, CFO.
Source: HRSA 340B Office of Pharmacy Affairs Information System.
Accountable care organization (Medicare Shared Savings Program)
Main Street Rural Health Hickory ACO LLC
ACO A5334, current agreement since 2026. Public reporting page
Source: CMS Shared Savings Program participants, 2026, matched on Bozeman Health Big Sky Medical Center's legal name.
Big sky medical center
CCN 27Z389, certified 2020, Medicare cost reimbursed
Source: Worksheet S-2 Part I of Bozeman Health Big Sky Medical Center's latest Medicare cost report (HCRIS).
About Bozeman Health Big Sky Medical Center's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Bozeman Health Big Sky Medical Center range from $2,618 to $4,952 across 3 insurers. Aetna's rate is $4,952. 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 Bozeman Health Big Sky Medical Center range from $2,487 to $4,686 across 3 insurers. Cigna's rate is $2,487. 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 Bozeman Health Big Sky Medical Center range from $1,129 to $1,269 across 3 insurers. Cigna's rate is $1,253. What a patient pays depends on their plan's deductible, coinsurance and network status.
Bozeman Health Big Sky Medical Center reported 32 inpatient discharges and 986 inpatient days from Jan 1, 2025 to Dec 31, 2025.
Bozeman Health Big Sky Medical Center reported 78 full-time-equivalent employees on payroll from Jan 1, 2025 to Dec 31, 2025.
Bozeman Health Big Sky Medical Center reported $21.2M in net patient revenue on $33.3M of gross charges for Jan 1, 2025 to Dec 31, 2025, an operating margin of -13.5%, and net income of $373,341.
Bozeman Health Big Sky Medical Center reported $1.9M of unreimbursed and uncompensated care for Jan 1, 2025 to Dec 31, 2025, including $634,814 of charity care at cost.
Bozeman Health Big Sky Medical Center's Medicare enrollment lists Kathryn D Bertany as CEO & President since 2022.
Insurers' price transparency files list Bozeman Health Big Sky Medical Center under employer identification number 47-4718253 (Bozeman Health Big Sky Medical Center). 49 health plans and networks list 47-4718253 for it.
Yes. HRSA's 340B database lists Bozeman Health Big Sky Medical Center (340B ID CAH271389-00) as a participating critical access hospital since 2020, with 1 active contract pharmacies.
111 clinicians who bill Medicare list Bozeman Health Big Sky Medical Center as a hospital affiliation in CMS's Doctors and Clinicians data. The largest groups are family medicine physician (16), medical physician assistant (16), internal medicine physician (15).
Yes. CMS's Provider of Services file lists DNV as the accrediting organization for Bozeman Health Big Sky Medical Center, effective 2019.
In its Medicare enrollment, Bozeman Health Big Sky Medical Center reports Bozeman Deaconess Health Services as 5% or greater direct ownership interest (100%).
Bozeman Health Big Sky Medical Center has 8 beds, including its psychiatric, rehabilitation and other subprovider units, in its latest Medicare cost report. 4 are Medicare-certified beds in CMS's Provider of Services file. Facility type: HOSPITAL.
Bozeman Health Big Sky Medical Center is located at 334 TOWN CENTER AVE, Big Sky, MT 59716. Its main phone number is (406) 995-6995.
Bozeman Health Big Sky Medical Center's CMS Certification Number (CCN), also called its Medicare provider number, is 271389.
The National Provider Identifier (NPI) on file for Bozeman Health Big Sky Medical Center is 1588141048.
Bozeman Health Big Sky Medical Center lists 24 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.
172 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.
For hospital finance and compliance teams
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