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Psychiatric HospitalVoluntary Non-Profit - Private

Shodair Children S Hospital

Helena, MT

2755 Colonial Drive, Helena, MT 59601(406) 444-7500

Not rated by CMS

CMS star rating

30

Beds

30

In-network payers

About this hospital

Shodair Children S Hospital is a 30-bed voluntary non-profit - private hospital in Helena, MT. Below you'll find publicly disclosed negotiated rates and facility details, including 30 in-network payers and 147 disclosed rate categories.

CCN
274004
NPI
1811056898
County
Lewis and Clark County
Metro area
Helena, MT MSA
Medicare contractor
Jurisdiction F, Noridian Healthcare Solutions (03001)
In Medicare since
1987
Last CMS survey
2008

Negotiated Rates

The data below comes from CMS-mandated price transparency data. Learn more.

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PayerCategoryCode Type & GroupContract Typevs. State Average

Aetna

Outpatient

CPT Medicine Services and Procedures

Range: 90281 - 99607

Percentage of Bill Charged

-

Aetna

Outpatient

CPT Pathology and Laboratory Procedures

Range: 80047 - 89398

Percentage of Bill Charged

-

Aetna

Outpatient

HCPCS Alcohol and Drug Abuse Treatment

Range: H0001 - H2037

Percentage of Bill Charged

-

Aetna

Outpatient

HCPCS Ambulance and Other Transport Services and Supplies

Range: A0021 - A0999

Percentage of Bill Charged

-

Aetna

Facility

RC Behavioral Health Treatments/Services - Extension of 090X

Range: 0910 - 0919

Percentage of Bill Charged

-

Aetna

Facility

RC Pharmacy (Also see 063X, an extension of 250X)

Range: 0250 - 0259

Percentage of Bill Charged

-

Aetna

Facility

RC Professional Fees

Range: 0960 - 0969

Percentage of Bill Charged

-

Aetna

Facility

RC Room and Board Semi-private (two beds)

Range: 0120 - 0129

Percentage of Bill Charged

-

BCBS

Outpatient

CPT Anesthesia

Range: 00100 - 01999

Percentage of Bill Charged

-

BCBS

Outpatient

CPT Anesthesia

Range: 00100 - 01999

Negotiated

Very High

Rates shown are negotiated amounts between this hospital and insurance providers. Actual patient costs depend on your insurance plan and coverage details.

...

Insurance Accepted

Acceptance varies by plan and service. Confirm coverage with your insurer or the hospital's billing department.

Medicare
Aetna
BCBS
Cigna
United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health)
Aspirus Health PlanAvera Health PlansBanner HealthCenteneEMI HealthHarvard Pilgrim Health Care (Point32Health)

More about this hospital

Tax IDs and NPIs insurers list

The employer identification numbers (EINs) health plans and networks list for Shodair Children S Hospital in the in-network rate files they publish, with the organization NPIs billed under each.

Tax ID (EIN)Plans and networks listing itOrganization NPIs
81-0231789Montana Childrens Home Hospital43Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Aspirus Health Plan and 38 more1811056898 Montana Children's Home & Hospital1972205284 Montana Children's Home & Hospital1053577205 Montana Children's Home & Hospitaland 1 more

Source: PayerPrice analysis of insurers' Transparency in Coverage in-network files. An EIN can cover several hospitals and clinics in a health system, and insurers sometimes list other organizations' NPIs under it.

Location

2755 Colonial Drive, Helena, MT 59601

(406) 444-7500

Get directions

Frequently asked questions

About Shodair Children S Hospital's rates and hospital price transparency.

Who is the CEO of Shodair Children S Hospital?

Shodair Children S Hospital's Medicare enrollment lists Galen Hollenbaugh as President Of Hospital Board since 2024.

What is Shodair Children S Hospital's tax ID (EIN)?

Insurers' price transparency files list Shodair Children S Hospital under employer identification number 81-0231789 (Montana Childrens Home Hospital). 43 health plans and networks list 81-0231789 for it.

Is Shodair Children S Hospital accredited?

Yes. CMS's Provider of Services file lists The Joint Commission as the accrediting organization for Shodair Children S Hospital, effective 2023.

What services does Shodair Children S Hospital offer?

CMS lists 9 services at Shodair Children S Hospital, including Adult Inpatient Psychiatric Care, Alcohol and/or Drug Service, Clinical Laboratory, Dietary Care, Emergency Psychiatric Care, Psychiatric Care of Children and/or Adolescents.

How many beds does Shodair Children S Hospital have?

Shodair Children S Hospital has 30 beds. 20 are Medicare-certified beds in CMS's Provider of Services file. Facility type: Psychiatric Hospital.

Where is Shodair Children S Hospital and what is its phone number?

Shodair Children S Hospital is located at 2755 Colonial Drive, Helena, MT 59601. Its main phone number is (406) 444-7500.

What is Shodair Children S Hospital's CCN (Medicare provider number)?

Shodair Children S Hospital's CMS Certification Number (CCN), also called its Medicare provider number, is 274004.

What is Shodair Children S Hospital's NPI number?

The National Provider Identifier (NPI) on file for Shodair Children S Hospital is 1811056898.

Which insurance plans are in network at Shodair Children S Hospital?

Shodair Children S Hospital 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.

What price transparency data is available for Shodair Children S Hospital?

147 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.

For hospital finance and compliance teams

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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.

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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
      }
    ]
  }]
}
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  • cms-hpt.txt file and homepage footer link
  • Refreshed when your contracts change
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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.

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  • 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
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