Plains, MT
35
In-network payers
127
Disclosed rate categories
16
Beds
Clark Fork Valley Hospital is a 16-bed voluntary non-profit - private hospital in Plains, MT. Below you'll find publicly disclosed negotiated rates and facility details, including 35 in-network payers and 127 disclosed rate categories.
CCN (Medicare provider number)
271323
NPI
1265547939
Type
Critical Access Hospital
Ownership
Voluntary Non-Profit - Private
Beds
16
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 Clark Fork Valley 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.
CT imaging
CPT 74177
$3,000 - $3,428
from 4 insurers · median $3,223
Typical for a hospital with this service line
CT imaging
CPT 74176
$2,551 - $2,938
from 4 insurers · median $2,681
Typical for a hospital with this service line
CT imaging
CPT 70450
$1,022 - $1,177
from 4 insurers · median $1,074
Typical for a hospital with this service line
Digestive procedures
CPT 43239
$3,890 - $4,446
from 3 insurers · median $4,224
Typical for a hospital with this service line
CT imaging
CPT 71260
$1,489 - $3,166
from 4 insurers · median $2,889
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93306
$1,827 - $2,088
from 3 insurers · median $1,983
Typical for a hospital with this service line
Medicine & Surgery
CPT 47562
$14,560 - $16,640
from 3 insurers · median $15,808
Typical for a hospital with this service line
MRI imaging
CPT 70553
$2,095 - $2,394
from 3 insurers · median $2,274
Typical for a hospital with this service line
Mammography
CPT 77067
$207 - $265
from 4 insurers · median $231
Typical for a hospital with this service line
Digestive procedures
CPT 45385
$1,598 - $1,826
from 3 insurers · median $1,735
Typical for a hospital with this service line
MRI imaging
CPT 74183
$3,589 - $4,101
from 3 insurers · median $3,896
Typical for a hospital with this service line
Medicine & Surgery
CPT 66984
$5,151 - $5,887
from 3 insurers · median $5,593
Typical for a hospital with this service line
MRI imaging
CPT 72148
$1,771 - $2,024
from 4 insurers · median $1,854
Typical for a hospital with this service line
Digestive procedures
CPT 45380
$1,380 - $1,754
from 4 insurers · median $1,600
Typical for a hospital with this service line
MRI imaging
CPT 72197
$3,587 - $4,099
from 3 insurers · median $3,894
Typical for a hospital with this service line
Medicine & Surgery
CPT 29826
$13,447 - $15,368
from 3 insurers · median $14,600
Typical for a hospital with this service line
X-ray and bone density
CPT 71046
$162 - $185
from 4 insurers · median $172
Typical for a hospital with this service line
Orthopedics and pain
CPT 29888
$16,738 - $19,129
from 3 insurers · median $18,173
Typical for a hospital with this service line
Digestive procedures
CPT 45378
$1,381 - $1,633
from 4 insurers · median $1,490
Typical for a hospital with this service line
Medicine & Surgery
CPT 29881
$8,896 - $10,167
from 3 insurers · median $9,659
Typical for a hospital with this service line
Laboratory and pathology
CPT 80053
$14 - $129
from 3 insurers · median $118
Typical for a hospital with this service line
Ultrasound
CPT 76705
$289 - $330
from 4 insurers · median $313
Typical for a hospital with this service line
Ultrasound
CPT 76856
$514 - $587
from 3 insurers · median $558
Typical for a hospital with this service line
Medicine & Surgery
CPT 49505
$12,126 - $13,858
from 3 insurers · median $13,165
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* | 10 | 512% | 3 | 6 |
| Insurer B* | 24 | 374% | 12 | 7 |
| Insurer C* | 24 | 360% | 8 | 3 |
| Insurer D* | 24 | 332% | 9 | 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 Clark Fork Valley Hospital.
10 Kruger Road, Plains, MT 59859
(406) 826-4800
The nearest hospitals of similar type and size. Their rates are compared with Clark Fork Valley Hospital for the same insurers and services above.
Mineral Community Hospital
â–¼ Rates typically 6% lower than Clark Fork Valley Hospital (17 services)
St Luke Community Hospital
â–¼ Rates typically 12% lower than Clark Fork Valley Hospital (11 services)
St. Joseph Hospital
â–¼ Rates typically 34% lower than Clark Fork Valley Hospital (22 services)
Shoshone Medical Center
â–¼ Rates typically 6% lower than Clark Fork Valley Hospital (16 services)
Logan Health - Whitefish
â–¼ Rates typically 7% lower than Clark Fork Valley Hospital (18 services)
Cabinet Peaks Medical Center
â–¼ Rates typically 7% lower than Clark Fork Valley Hospital (10 services)
Glendive Medical Center
Northeast Montana Healthcare-Poplar
Marcus Daly Memorial Hospital
Sheridan Memorial Hospital
About Clark Fork Valley Hospital's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Clark Fork Valley Hospital range from $2,095 to $2,394 across 3 insurers. Blue Cross Blue Shield's rate is $2,394. The median at nearby comparable hospitals is $2,880. 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 Clark Fork Valley Hospital range from $3,000 to $3,428 across 4 insurers. Aetna's rate is $3,188. The median at nearby comparable hospitals is $3,039. 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 Clark Fork Valley Hospital range from $1,598 to $1,826 across 3 insurers. Blue Cross Blue Shield's rate is $1,826. The median at nearby comparable hospitals is $2,370. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Clark Fork Valley Hospital range from $207 to $265 across 4 insurers. Aetna's rate is $265. The median at nearby comparable hospitals is $337. What a patient pays depends on their plan's deductible, coinsurance and network status.
Clark Fork Valley Hospital has 16 beds. Facility type: Critical Access Hospital.
Clark Fork Valley Hospital is located at 10 Kruger Road, Plains, MT 59859. Its main phone number is (406) 826-4800.
Clark Fork Valley Hospital's CMS Certification Number (CCN), also called its Medicare provider number, is 271323.
The National Provider Identifier (NPI) on file for Clark Fork Valley Hospital is 1265547939.
Clark Fork Valley Hospital lists 35 in-network payers, including Aetna, Ameri Health, Aspirus Health Plan, Avera Health Plans, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.
127 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