Great Falls, MT
33
In-network payers
150
Disclosed rate categories
19
Beds
5
Care quality
Great Falls Clinic Medical Center is a 19-bed proprietary hospital in Great Falls, MT. Below you'll find publicly disclosed negotiated rates and facility details, including 33 in-network payers and 150 disclosed rate categories.
CCN (Medicare provider number)
270086
NPI
1639109978
Type
Short Term Acute Care Hospital
Ownership
Proprietary
Beds
19
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 Great Falls Clinic 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.
Gynecology
CPT 58558
$9,543 - $13,830
from 4 insurers · median $13,397
13 Medicare claims in Level 4 Gynecologic Procedures (CMS 2024)
Medicine & Surgery
CPT 66984
$5,473 - $7,758
from 4 insurers · median $5,838
485 Medicare claims in Level 1 Intraocular Procedures (CMS 2024)
Medicine & Surgery
CPT 47562
$15,620 - $20,664
from 4 insurers · median $20,018
42 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
CT imaging
CPT 74177
$359 - $2,488
from 4 insurers · median $1,426
Common here, based on CMS Medicare volume
Digestive procedures
CPT 49650
$18,867 - $20,125
from 4 insurers · median $20,125
42 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Medicine & Surgery
CPT 29881
$12,679 - $13,564
from 4 insurers · median $13,140
78 Medicare claims in Level 3 Musculoskeletal Procedures (CMS 2024)
Gynecology
CPT 58571
$19,146 - $30,831
from 4 insurers · median $20,422
15 Medicare claims in Level 2 Laparoscopy and Related Services (CMS 2024)
Orthopedics and pain
CPT 63030
$19,093 - $20,366
from 4 insurers · median $20,366
119 Medicare claims in Level 4 Musculoskeletal Procedures (CMS 2024)
Mammography
CPT 77067
$150 - $348
from 4 insurers · median $329
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 42820
$11,894 - $16,375
from 4 insurers · median $15,863
Typical for a hospital with this service line
Digestive procedures
CPT 47563
$7,764 - $20,125
from 4 insurers · median $19,496
42 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Cardiology and vascular testing
CPT 93306
$205 - $1,383
from 4 insurers · median $1,231
Common here, based on CMS Medicare volume
Orthopedics and pain
CPT 20610
$504 - $3,249
from 4 insurers · median $3,148
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 29826
$10,139 - $11,866
from 4 insurers · median $11,495
Common here, based on CMS Medicare volume
CT imaging
CPT 70450
$111 - $1,313
from 4 insurers · median $713
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45385
$2,657 - $3,124
from 4 insurers · median $2,834
Common here, based on CMS Medicare volume
Ear, nose and throat
CPT 69436
$7,514 - $8,014
from 4 insurers · median $8,014
Typical for a hospital with this service line
Orthopedics and pain
CPT 29888
$11,500 - $27,638
from 4 insurers · median $26,775
Typical for a hospital with this service line
Gynecology
CPT 58661
$12,704 - $13,551
from 4 insurers · median $13,551
Typical for a hospital with this service line
Urology
CPT 52000
$9,023 - $9,625
from 4 insurers · median $9,625
Typical for a hospital with this service line
CT imaging
CPT 71275
$322 - $2,184
from 4 insurers · median $1,208
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45380
$2,518 - $5,256
from 4 insurers · median $2,686
Common here, based on CMS Medicare volume
MRI imaging
CPT 70553
$380 - $2,639
from 4 insurers · median $1,497
Common here, based on CMS Medicare volume
Orthopedics and pain
CPT 29880
$14,244 - $15,194
from 4 insurers · median $15,194
78 Medicare claims in Level 3 Musculoskeletal Procedures (CMS 2024)
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 | 373% | 0 | 0 |
| Insurer B* | 24 | 350% | 0 | 0 |
| Insurer C* | 24 | 326% | 0 | 0 |
| Insurer D* | 24 | 271% | 0 | 0 |
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 Great Falls Clinic Medical Center.
3010 15th Avenue South, Great Falls, MT 59405
(406) 216-8000
The nearest hospitals of similar type and size. Their rates are compared with Great Falls Clinic Medical Center for the same insurers and services above.
Treasure Valley Hospital
â–¼ Rates typically 39% lower than Great Falls Clinic Medical Center (23 services)
Cache Valley Hospital
â–¼ Rates typically 52% lower than Great Falls Clinic Medical Center (24 services)
Benefis Health System
St Patrick Hospital
Intermountain Health St. Vincent Regional Hospital
Bozeman Health Deaconess Hospital
About Great Falls Clinic Medical Center's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Great Falls Clinic Medical Center range from $380 to $2,639 across 4 insurers. Aetna's rate is $2,639. 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 Great Falls Clinic Medical Center range from $359 to $2,488 across 4 insurers. Cigna's rate is $359. 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 Great Falls Clinic Medical Center range from $2,657 to $3,124 across 4 insurers. Aetna's rate is $3,124. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Great Falls Clinic Medical Center range from $150 to $348 across 4 insurers. Aetna's rate is $348. What a patient pays depends on their plan's deductible, coinsurance and network status.
Great Falls Clinic Medical Center has 19 beds. Facility type: Short Term Acute Care Hospital.
Great Falls Clinic Medical Center is located at 3010 15th Avenue South, Great Falls, MT 59405. Its main phone number is (406) 216-8000.
Great Falls Clinic Medical Center's CMS Certification Number (CCN), also called its Medicare provider number, is 270086.
The National Provider Identifier (NPI) on file for Great Falls Clinic Medical Center is 1639109978.
Great Falls Clinic Medical Center lists 33 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.
150 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