CT imaging
CT abdomen and pelvis with contrast
CPT 74177
$2,334 - $2,433
from 3 insurers · median $2,409
Typical for a hospital with this service line
Culbertson, MT
27
In-network payers
97
Disclosed rate categories
25
Beds
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 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 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
CPT 74177
$2,334 - $2,433
from 3 insurers · median $2,409
Typical for a hospital with this service line
CT imaging
CPT 70450
$1,397 - $1,456
from 3 insurers · median $1,441
Typical for a hospital with this service line
CT imaging
CPT 71275
$2,651 - $2,764
from 3 insurers · median $2,735
Typical for a hospital with this service line
CT imaging
CPT 74176
$2,053 - $2,140
from 3 insurers · median $2,118
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93306
$1,941 - $2,024
from 3 insurers · median $2,003
Typical for a hospital with this service line
MRI imaging
CPT 70553
$2,615 - $2,726
from 3 insurers · median $2,699
Typical for a hospital with this service line
X-ray and bone density
CPT 71046
$284 - $311
from 4 insurers · median $303
Typical for a hospital with this service line
Ultrasound
CPT 76705
$711 - $741
from 3 insurers · median $733
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93971
$1,039 - $1,083
from 3 insurers · median $1,072
Typical for a hospital with this service line
MRI imaging
CPT 72148
$1,410 - $1,470
from 3 insurers · median $1,455
Typical for a hospital with this service line
MRI imaging
CPT 74183
$2,582 - $2,692
from 3 insurers · median $2,665
Typical for a hospital with this service line
MRI imaging
CPT 70551
$1,419 - $1,480
from 3 insurers · median $1,465
Typical for a hospital with this service line
Laboratory and pathology
CPT 80053
$132 - $139
from 4 insurers · median $137
Typical for a hospital with this service line
Ultrasound
CPT 76856
$631 - $658
from 3 insurers · median $651
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93970
$1,232 - $1,285
from 3 insurers · median $1,272
Typical for a hospital with this service line
Ultrasound
CPT 76536
$664 - $692
from 3 insurers · median $685
Typical for a hospital with this service line
Ultrasound
CPT 76700
$867 - $904
from 3 insurers · median $894
Typical for a hospital with this service line
X-ray and bone density
CPT 73630
$273 - $290
from 4 insurers · median $283
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93880
$1,167 - $1,217
from 3 insurers · median $1,205
Typical for a hospital with this service line
X-ray and bone density
CPT 73030
$288 - $303
from 4 insurers · median $298
Typical for a hospital with this service line
X-ray and bone density
CPT 73610
$281 - $295
from 4 insurers · median $287
Typical for a hospital with this service line
Laboratory and pathology
CPT 85025
$10 - $104
from 4 insurers · median $62
Typical for a hospital with this service line
Laboratory and pathology
CPT 85027
$9 - $87
from 4 insurers · median $84
Typical for a hospital with this service line
Orthopedics and pain
CPT 20610
$250 - $261
from 3 insurers · median $258
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 | 665% | 0 | 0 |
| Insurer B* | 24 | 638% | 19 | 3 |
| Insurer C* | 24 | 605% | 21 | 3 |
| Insurer D* | 7 | 341% | 4 | 1 |
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.
818 Second Avenue East, Culbertson, MT 59218
(406) 787-6401
About Roosevelt Medical Center's rates and hospital price transparency.
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.
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.
Roosevelt Medical Center has 25 beds. Facility type: Critical Access Hospital.
Roosevelt Medical Center is located at 818 Second Avenue East, Culbertson, MT 59218. Its main phone number is (406) 787-6401.
Roosevelt Medical Center's CMS Certification Number (CCN), also called its Medicare provider number, is 271308.
The National Provider Identifier (NPI) on file for Roosevelt Medical Center is 1598874232.
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.
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.
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