Baker, MT
30
In-network payers
109
Disclosed rate categories
25
Beds
Fallon Medical Complex is a 25-bed voluntary non-profit - private hospital in Baker, MT. Below you'll find publicly disclosed negotiated rates and facility details, including 30 in-network payers and 109 disclosed rate categories.
CCN (Medicare provider number)
271301
NPI
1316965346
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 Fallon Medical Complex 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
$491 - $2,401
from 4 insurers · median $1,482
Typical for a hospital with this service line
CT imaging
CPT 70450
$171 - $1,390
from 4 insurers · median $794
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93306
$310 - $2,315
from 4 insurers · median $1,325
Typical for a hospital with this service line
Mammography
CPT 77067
$202 - $318
from 4 insurers · median $264
Typical for a hospital with this service line
CT imaging
CPT 71260
$270 - $1,871
from 4 insurers · median $1,104
Typical for a hospital with this service line
X-ray and bone density
CPT 71046
$53 - $310
from 4 insurers · median $183
Typical for a hospital with this service line
MRI imaging
CPT 72148
$310 - $2,428
from 4 insurers · median $1,401
Typical for a hospital with this service line
Laboratory and pathology
CPT 80053
$11 - $166
from 4 insurers · median $161
Typical for a hospital with this service line
CT imaging
CPT 71275
$455 - $3,067
from 3 insurers · median $521
Typical for a hospital with this service line
MRI imaging
CPT 73721
$329 - $3,897
from 4 insurers · median $1,171
Typical for a hospital with this service line
MRI imaging
CPT 70553
$516 - $3,033
from 3 insurers · median $628
Typical for a hospital with this service line
MRI imaging
CPT 72141
$309 - $2,241
from 4 insurers · median $1,307
Typical for a hospital with this service line
Digestive procedures
CPT 45385
$394 - $774
from 2 insurers · median $584
Typical for a hospital with this service line
Laboratory and pathology
CPT 85025
$8 - $87
from 4 insurers · median $84
Typical for a hospital with this service line
Digestive procedures
CPT 45380
$311 - $741
from 2 insurers · median $526
Typical for a hospital with this service line
Ultrasound
CPT 76536
$174 - $572
from 4 insurers · median $386
Typical for a hospital with this service line
Ultrasound
CPT 76830
$188 - $424
from 4 insurers · median $296
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93880
$300 - $1,283
from 4 insurers · median $769
Typical for a hospital with this service line
X-ray and bone density
CPT 73630
$54 - $289
from 4 insurers · median $173
Typical for a hospital with this service line
Ultrasound
CPT 76705
$137 - $546
from 3 insurers · median $157
Typical for a hospital with this service line
X-ray and bone density
CPT 73030
$55 - $275
from 4 insurers · median $166
Typical for a hospital with this service line
Mammography
CPT 77065
$198 - $361
from 3 insurers · median $231
Typical for a hospital with this service line
Digestive procedures
CPT 43239
$650
negotiated rate
Typical for a hospital with this service line
Mammography
CPT 77066
$250 - $396
from 3 insurers · median $291
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* | 16 | 605% | 9 | 3 |
| Insurer B* | 21 | 536% | 0 | 0 |
| Insurer C* | 24 | 153% | 0 | 2 |
| Insurer D* | 23 | 138% | 2 | 13 |
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 Fallon Medical Complex.
202 South 4th Street West, Baker, MT 59313
(406) 778-3331
The nearest hospitals of similar type and size. Their rates are compared with Fallon Medical Complex for the same insurers and services above.
Dahl Memorial Healthcare Assoc.
▲ Rates typically 440% higher than Fallon Medical Complex (9 services)
Southwest Healthcare Services
▲ Rates typically 76% higher than Fallon Medical Complex (20 services)
Glendive Medical Center
Rates about the same as Fallon Medical Complex (10 services)
Prairie Community Hospital
▼ Rates typically 85% lower than Fallon Medical Complex (17 services)
Intermountain Health Holy Rosary Hospital
▼ Rates typically 22% lower than Fallon Medical Complex (13 services)
Chi St. Alexius Health Dickinson Medical Center
▲ Rates typically 127% higher than Fallon Medical Complex (24 services)
Stillwater Community Hospital
Rosebud Community Hospital
Barrett Hospital And Healthcare
About Fallon Medical Complex's rates and hospital price transparency.
For MRI lumbar spine without contrast (CPT 72148), published negotiated rates at Fallon Medical Complex range from $310 to $2,428 across 4 insurers. UnitedHealthcare's rate is $374. The median at nearby comparable hospitals is $1,460. 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 Fallon Medical Complex range from $491 to $2,401 across 4 insurers. Blue Cross Blue Shield's rate is $491. The median at nearby comparable hospitals is $2,206. 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 Fallon Medical Complex range from $394 to $774 across 2 insurers. UnitedHealthcare's rate is $774. The median at nearby comparable hospitals is $1,476. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Fallon Medical Complex range from $202 to $318 across 4 insurers. Blue Cross Blue Shield's rate is $202. The median at nearby comparable hospitals is $405. What a patient pays depends on their plan's deductible, coinsurance and network status.
Fallon Medical Complex has 25 beds. Facility type: Critical Access Hospital.
Fallon Medical Complex is located at 202 South 4th Street West, Baker, MT 59313. Its main phone number is (406) 778-3331.
Fallon Medical Complex's CMS Certification Number (CCN), also called its Medicare provider number, is 271301.
The National Provider Identifier (NPI) on file for Fallon Medical Complex is 1316965346.
Fallon Medical Complex lists 30 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.
109 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