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Critical Access HospitalVoluntary Non-Profit - Private

Roosevelt Medical Center

Culbertson, MT

818 Second Avenue East, Culbertson, MT 59218(406) 787-6401

27

In-network payers

97

Disclosed rate categories

25

Beds

About this hospital

Roosevelt Medical Center is a 25-bed voluntary non-profit - private hospital in Culbertson, MT. Below you'll find publicly disclosed negotiated rates and facility details, including 27 in-network payers and 97 disclosed rate categories.

CCN (Medicare provider number)

271308

NPI

1598874232

Type

Critical Access Hospital

Ownership

Voluntary Non-Profit - Private

Beds

25

Insurance Accepted

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.

Medicare
Aetna
BCBS
Cigna
Aspirus Health PlanBanner HealthCenteneEMI HealthHealth AllianceHealth Alliance HAP

Prices for common services

The 24 services Roosevelt 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.

CT imaging

CT abdomen and pelvis with contrast

CPT 74177

$2,334 - $2,433

from 3 insurers · median $2,409

Blue Cross$2,409
Insurer A*$2,334
Insurer B*est.$2,433
Medicare $356Nearby hospitals $1,89527% above nearby hospitals

Typical for a hospital with this service line

CT imaging

CT head or brain without contrast

CPT 70450

$1,397 - $1,456

from 3 insurers · median $1,441

Blue Cross$1,441
Insurer A*$1,397
Insurer B*est.$1,456
Medicare $107Nearby hospitals $94453% above nearby hospitals

Typical for a hospital with this service line

CT imaging

CT angiography of chest blood vessels

CPT 71275

$2,651 - $2,764

from 3 insurers · median $2,735

Blue Cross$2,735
Insurer A*$2,651
Insurer B*est.$2,764
Medicare $179Nearby hospitals $1,88345% above nearby hospitals

Typical for a hospital with this service line

CT imaging

CT of the abdomen and pelvis, without contrast

CPT 74176

$2,053 - $2,140

from 3 insurers · median $2,118

Blue Cross$2,118
Insurer A*$2,053
Insurer B*est.$2,140
Medicare $244Nearby hospitals $1,10991% above nearby hospitals

Typical for a hospital with this service line

Cardiology and vascular testing

Complete echocardiogram with Doppler and color flow

CPT 93306

$1,941 - $2,024

from 3 insurers · median $2,003

UnitedHealthcare$1,941
Insurer A*$2,003
Insurer B*est.$2,024
Medicare $558Nearby hospitals $898123% above nearby hospitals

Typical for a hospital with this service line

MRI imaging

MRI brain before and after contrast

CPT 70553

$2,615 - $2,726

from 3 insurers · median $2,699

Blue Cross$2,699
Insurer A*$2,615
Insurer B*est.$2,726
Medicare $356Nearby hospitals $2,698In line with nearby hospitals

Typical for a hospital with this service line

X-ray and bone density

Chest X-ray, two views

CPT 71046

$284 - $311

from 4 insurers · median $303

Aetna$284
Insurer A*$298
Insurer B*$307
Insurer C*est.$311
Medicare $89Nearby hospitals $19357% above nearby hospitals

Typical for a hospital with this service line

Ultrasound

Limited ultrasound of the abdomen

CPT 76705

$711 - $741

from 3 insurers · median $733

UnitedHealthcare$711
Insurer A*$733
Insurer B*est.$741
Medicare $107Nearby hospitals $352108% above nearby hospitals

Typical for a hospital with this service line

Cardiology and vascular testing

Ultrasound of veins in one limb or a limited bilateral study

CPT 93971

$1,039 - $1,083

from 3 insurers · median $1,072

UnitedHealthcare$1,039
Insurer A*$1,072
Insurer B*est.$1,083
Medicare $107Nearby hospitals $529102% above nearby hospitals

Typical for a hospital with this service line

MRI imaging

MRI lumbar spine without contrast

CPT 72148

$1,410 - $1,470

from 3 insurers · median $1,455

Blue Cross$1,455
Insurer A*$1,410
Insurer B*est.$1,470
Medicare $244Nearby hospitals $1,21020% above nearby hospitals

Typical for a hospital with this service line

MRI imaging

MRI of the abdomen, before and after contrast

CPT 74183

$2,582 - $2,692

from 3 insurers · median $2,665

Blue Cross$2,665
Insurer A*$2,582
Insurer B*est.$2,692
Medicare $356Nearby hospitals $2,28117% above nearby hospitals

Typical for a hospital with this service line

MRI imaging

MRI of the brain, without contrast

CPT 70551

$1,419 - $1,480

from 3 insurers · median $1,465

Blue Cross$1,465
Insurer A*$1,419
Insurer B*est.$1,480
Medicare $244Nearby hospitals $1,31212% above nearby hospitals

Typical for a hospital with this service line

Laboratory and pathology

Comprehensive metabolic panel

CPT 80053

$132 - $139

from 4 insurers · median $137

Aetna$139
Insurer A*$132
Insurer B*$136
Insurer C*est.$137
Medicare $11Nearby hospitals $7290% above nearby hospitals

Typical for a hospital with this service line

Ultrasound

Complete pelvic ultrasound

CPT 76856

$631 - $658

from 3 insurers · median $651

UnitedHealthcare$631
Insurer A*$651
Insurer B*est.$658
Medicare $107Nearby hospitals $47936% above nearby hospitals

Typical for a hospital with this service line

Cardiology and vascular testing

Complete ultrasound of veins in both arms or both legs

CPT 93970

$1,232 - $1,285

from 3 insurers · median $1,272

UnitedHealthcare$1,232
Insurer A*$1,272
Insurer B*est.$1,285
Medicare $244Nearby hospitals $64497% above nearby hospitals

Typical for a hospital with this service line

Ultrasound

Ultrasound of head or neck soft tissues

CPT 76536

$664 - $692

from 3 insurers · median $685

UnitedHealthcare$664
Insurer A*$685
Insurer B*est.$692
Medicare $107Nearby hospitals $40669% above nearby hospitals

Typical for a hospital with this service line

Ultrasound

Complete abdominal ultrasound

CPT 76700

$867 - $904

from 3 insurers · median $894

UnitedHealthcare$867
Insurer A*$894
Insurer B*est.$904
Medicare $107Nearby hospitals $418114% above nearby hospitals

Typical for a hospital with this service line

X-ray and bone density

Foot X-ray, at least three views

CPT 73630

$273 - $290

from 4 insurers · median $283

Aetna$290
Insurer A*$273
Insurer B*$281
Insurer C*est.$284
Medicare $89Nearby hospitals $20538% above nearby hospitals

Typical for a hospital with this service line

Cardiology and vascular testing

Complete ultrasound of blood vessels in both sides of the neck

CPT 93880

$1,167 - $1,217

from 3 insurers · median $1,205

UnitedHealthcare$1,167
Insurer A*$1,205
Insurer B*est.$1,217
Medicare $244Nearby hospitals $499141% above nearby hospitals

Typical for a hospital with this service line

X-ray and bone density

Shoulder X-ray, at least two views

CPT 73030

$288 - $303

from 4 insurers · median $298

Aetna$303
Insurer A*$288
Insurer B*$297
Insurer C*est.$300
Medicare $89Nearby hospitals $20447% above nearby hospitals

Typical for a hospital with this service line

X-ray and bone density

Ankle X-ray, at least three views

CPT 73610

$281 - $295

from 4 insurers · median $287

Aetna$281
Insurer A*$283
Insurer B*$292
Insurer C*est.$295
Medicare $89Nearby hospitals $22826% above nearby hospitals

Typical for a hospital with this service line

Laboratory and pathology

Complete blood count with differential

CPT 85025

$10 - $104

from 4 insurers · median $62

Aetna$104
Insurer A*$10
Insurer B*$61
Insurer C*est.$64
Medicare $8Nearby hospitals $8224% below nearby hospitals

Typical for a hospital with this service line

Laboratory and pathology

Complete blood count

CPT 85027

$9 - $87

from 4 insurers · median $84

Aetna$87
Insurer A*$9
Insurer B*$83
Insurer C*est.$86
Medicare $6Nearby hospitals $6138% above nearby hospitals

Typical for a hospital with this service line

Orthopedics and pain

Aspiration or injection of a major joint, without ultrasound

CPT 20610

$250 - $261

from 3 insurers · median $258

Blue Cross$258
Insurer A*$250
Insurer B*est.$261
Medicare $314Nearby hospitals $31618% below nearby hospitals

Typical for a hospital with this service line

How the insurers pay at Roosevelt Medical Center

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.

InsurerServicesMedian % of MedicareAbove nearbyBelow nearby
Insurer A*24
665%
00
Insurer B*24
638%
193
Insurer C*24
605%
213
Insurer D*7
341%
41

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 Roosevelt Medical Center.

Location

818 Second Avenue East, Culbertson, MT 59218

(406) 787-6401

Get directions

Frequently asked questions

About Roosevelt Medical Center's rates and hospital price transparency.

How much does an MRI cost at Roosevelt Medical Center?

For MRI brain before and after contrast (CPT 70553), published negotiated rates at Roosevelt Medical Center range from $2,615 to $2,726 across 3 insurers. Blue Cross Blue Shield's rate is $2,699. The median at nearby comparable hospitals is $2,698. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a CT scan cost at Roosevelt Medical Center?

For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Roosevelt Medical Center range from $2,334 to $2,433 across 3 insurers. Blue Cross Blue Shield's rate is $2,409. The median at nearby comparable hospitals is $1,895. What a patient pays depends on their plan's deductible, coinsurance and network status.

How many beds does Roosevelt Medical Center have?

Roosevelt Medical Center has 25 beds. Facility type: Critical Access Hospital.

Where is Roosevelt Medical Center and what is its phone number?

Roosevelt Medical Center is located at 818 Second Avenue East, Culbertson, MT 59218. Its main phone number is (406) 787-6401.

What is Roosevelt Medical Center's CCN (Medicare provider number)?

Roosevelt Medical Center's CMS Certification Number (CCN), also called its Medicare provider number, is 271308.

What is Roosevelt Medical Center's NPI number?

The National Provider Identifier (NPI) on file for Roosevelt Medical Center is 1598874232.

Which insurance plans are in network at Roosevelt Medical Center?

Roosevelt Medical Center lists 27 in-network payers, including Aetna, Aspirus Health Plan, BCBS, Banner Health, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.

What price transparency data is available for Roosevelt Medical Center?

97 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.

What is a hospital price transparency MRF?

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.

What is a chargemaster review?

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

Running price transparency at a hospital like this one?

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.

Compliance MRF

Publish a CMS-compliant machine-readable file

We turn your chargemaster and payer contracts into the CMS template file, then keep it current as rates change.

CMS v3 example: standard_charge_information[0]
{
  "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
      }
    ]
  }]
}
  • CMS template layout, in JSON or CSV
  • Gross, discounted cash, payer-specific and de-identified min / max charges
  • cms-hpt.txt file and homepage footer link
  • Refreshed when your contracts change
Talk to us about your MRF
Chargemaster analysis

Get your chargemaster right for billing and payer contracts

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

CodingPricingPayer contractsCompliance
  • CPT, HCPCS, revenue code and modifier errors flagged line by line
  • Missing, duplicate and outdated charge lines identified
  • Charges set below payer allowables caught before lesser-of clauses cut payment
  • Revenue impact of charge changes modeled across percent-of-charge and stop-loss terms
  • Your negotiated rates benchmarked against peer hospitals for the same payers
Talk to us about your chargemaster