CT imaging
CT abdomen and pelvis with contrast
CPT 74177
$4,230 - $4,230
from 2 insurers · median $4,230
Typical for a hospital with this service line
Ekalaka, MT
15
In-network payers
86
Disclosed rate categories
25
Beds
Dahl Memorial Healthcare Assoc. is a 25-bed voluntary non-profit - private hospital in Ekalaka, MT. Below you'll find publicly disclosed negotiated rates and facility details, including 15 in-network payers and 86 disclosed rate categories.
CCN (Medicare provider number)
271302
NPI
1760531404
Type
Critical Access Hospital
Ownership
Voluntary Non-Profit - Private
Beds
25
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 Dahl Memorial Healthcare Assoc. 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
$4,230 - $4,230
from 2 insurers · median $4,230
Typical for a hospital with this service line
CT imaging
CPT 70450
$1,478 - $1,478
from 2 insurers · median $1,478
Typical for a hospital with this service line
CT imaging
CPT 74176
$2,370 - $2,370
from 2 insurers · median $2,370
Typical for a hospital with this service line
CT imaging
CPT 71275
$2,733 - $2,733
from 2 insurers · median $2,733
Typical for a hospital with this service line
X-ray and bone density
CPT 71046
$271 - $271
from 2 insurers · median $271
Typical for a hospital with this service line
Ultrasound
CPT 76870
$2,042 - $2,042
from 2 insurers · median $2,042
Typical for a hospital with this service line
Laboratory and pathology
CPT 80053
$98 - $98
from 2 insurers · median $98
Typical for a hospital with this service line
X-ray and bone density
CPT 73630
$272 - $272
from 2 insurers · median $272
Typical for a hospital with this service line
X-ray and bone density
CPT 73030
$286 - $286
from 2 insurers · median $286
Typical for a hospital with this service line
Laboratory and pathology
CPT 85025
$77 - $77
from 2 insurers · median $77
Typical for a hospital with this service line
X-ray and bone density
CPT 73564
$458 - $458
from 2 insurers · median $458
Typical for a hospital with this service line
Laboratory and pathology
CPT 80307
$292 - $292
from 2 insurers · median $292
Typical for a hospital with this service line
Lung function and sleep
CPT 94060
$418 - $418
from 2 insurers · median $418
Typical for a hospital with this service line
Orthopedics and pain
CPT 20610
$237 - $237
from 2 insurers · median $237
Typical for a hospital with this service line
Lung function and sleep
CPT 94010
$156 - $156
from 2 insurers · median $156
Typical for a hospital with this service line
Skin and soft tissue
CPT 17110
$303 - $303
from 2 insurers · median $303
Typical for a hospital with this service line
Skin and soft tissue
CPT 11102
$271 - $271
from 2 insurers · median $271
Typical for a hospital with this service line
Rehabilitation
CPT 97110
$132 - $132
from 2 insurers · median $132
Typical for a hospital with this service line
Skin and soft tissue
CPT 17000
$179 - $179
from 2 insurers · median $179
Typical for a hospital with this service line
Orthopedics and pain
CPT 20553
$238 - $238
from 2 insurers · median $238
Typical for a hospital with this service line
Orthopedics and pain
CPT 20605
$244 - $244
from 2 insurers · median $244
Typical for a hospital with this service line
Skin and soft tissue
CPT 11730
$307 - $307
from 2 insurers · median $307
Typical for a hospital with this service line
Rehabilitation
CPT 97112
$142 - $142
from 2 insurers · median $142
Typical for a hospital with this service line
Orthopedics and pain
CPT 20600
$180 - $180
from 2 insurers · median $180
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* | 24 | 314% | 12 | 0 |
| Insurer B* | 24 | 314% | 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 Dahl Memorial Healthcare Assoc..
215 Sandy Street, Ekalaka, MT 59324
(406) 775-8739
About Dahl Memorial Healthcare Assoc.'s rates and hospital price transparency.
For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Dahl Memorial Healthcare Assoc. range from $4,230 to $4,230 across 2 insurers. Blue Cross Blue Shield's rate is $4,230. What a patient pays depends on their plan's deductible, coinsurance and network status.
Dahl Memorial Healthcare Assoc. has 25 beds. Facility type: Critical Access Hospital.
Dahl Memorial Healthcare Assoc. is located at 215 Sandy Street, Ekalaka, MT 59324. Its main phone number is (406) 775-8739.
Dahl Memorial Healthcare Assoc.'s CMS Certification Number (CCN), also called its Medicare provider number, is 271302.
The National Provider Identifier (NPI) on file for Dahl Memorial Healthcare Assoc. is 1760531404.
Dahl Memorial Healthcare Assoc. lists 15 in-network payers, including Avera Health Plans, BCBS, Cigna, Harvard Pilgrim Health Care (Point32Health), and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.
86 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