Emergency Department Visit with High Level of Medical Decision Making Cost in Montana
What this costs without insurance: real self-pay cash prices and insurance-negotiated rates at 39 Montana hospitals. CPT 99285. Sourced directly from each facility's CMS-mandated transparency file. Dataset: Q4 2026.
📊 Median $582
📉 Low $127
📈 High $5,536
🏥 39 hospitals
🏛️ 27 with insurance contracts
🇺🇸 Medicare $171
Hospital comparison — Montana
Sorted by cash price (lowest first). Showing top 39 of 39 hospitals.
Billed more than $582 for this? That gap is evidence.
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| Hospital | Cash | BCBS | UHC | Humana | Cigna | Aetna | Medicare | TRICARE | Health Net |
|---|---|---|---|---|---|---|---|---|---|
| PHILLIPS COUNTY HOSPITAL MALTA |
$127 | — | — | — | — | — | $171 | — | — |
| NORTHERN MONTANA HOSPITAL HAVRE |
$195 | $197 | $197 | $197 | — | $197 | $86.49 | — | — |
| LOGAN HEALTH CUT BANK CUT BANK |
$234 | $608 | — | $633 | — | — | — | — | — |
| LOGAN HEALTH MEDICAL CENTER KALISPELL |
$234 | $608 | — | $633 | — | — | — | — | — |
| PROVIDENCE ST JOSEPH MEDICAL CENTER POLSON |
$257 | — | — | — | — | — | — | — | — |
| LOGAN HEALTH WHITEFISH WHITEFISH |
$268 | — | — | — | — | — | — | — | — |
| LOGAN HEALTH SHELBY SHELBY |
$281 | — | — | — | — | — | — | — | — |
| ST LUKE COMMUNITY HOSPITAL RONAN |
$288 | $265 | — | — | — | — | — | — | — |
| BOZEMAN HEALTH DEACONESS HOSPITAL BOZEMAN |
$302 | $275 | $377 | $657 | $369 | — | — | $164 | $377 |
| PROVIDENCE ST PATRICK HOSPITAL MISSOULA |
$333 | $615 | — | $621 | — | — | — | — | — |
| LOGAN HEALTH CHESTER CHESTER |
$346 | — | — | — | — | — | — | — | — |
| ROSEBUD HEALTH CARE CENTER HOSPITAL FORSYTH |
$357 | $304 | $350 | — | $350 | — | $168 | — | — |
| ROOSEVELT MEDICAL CENTER CULBERTSON |
$372 | $246 | $208 | — | — | — | — | — | $531 |
| MADISON VALLEY MEDICAL CENTER N MAIN STREET ENNIS |
$516 | — | — | — | — | — | — | — | — |
| SIDNEY HEALTH CENTER SIDNEY |
$526 | $279 | $161 | — | $279 | $268 | — | — | — |
| CLARK FORK VALLEY HOSPITAL PLAINS |
$531 | $531 | — | — | — | — | — | — | — |
| BILLINGS CLINIC BILLINGS |
$536 | $608 | — | — | — | — | — | — | — |
| BOZEMAN HEALTH BIG SKY MEDICAL CENTER BIG SKY |
$538 | $491 | $673 | $657 | $657 | — | — | $164 | $673 |
| STILLWATER BILLINGS CLINIC COLUMBUS |
$569 | — | — | — | — | — | — | — | — |
| DAHL MEMORIAL HEALTHCARE EKALAKA |
$582 | $582 | $582 | — | — | — | — | — | — |
| FALLON MEDICAL COMPLEX BAKER |
$598 | $45.29 | $45.29 | $45.29 | — | — | — | $45.29 | — |
| BENEFIS TETON MEDICAL CENTER CHOTEAU |
$667 | — | — | — | — | — | — | — | — |
| BENEFIS MISSOURI RIVER MEDICAL CENTER CHOTEAU |
$667 | — | — | — | — | — | — | — | — |
| BIG SANDY MEDICAL CENTER BIG SANDY |
$699 | $865 | — | $883 | — | — | — | — | — |
| BIG HORN COUNTY MEMORIAL HOSPITAL HARDIN |
$1,041 | $963 | $963 | $963 | — | — | — | — | $1,106 |
| PRAIRIE COMMUNITY HOSPITAL TERRY |
$1,147 | $926 | $926 | $1,112 | — | $926 | — | $926 | — |
| GARFIELD COUNTY HEALTH CENTER JORDAN |
$1,205 | $90.00 | $75.00 | — | — | — | — | — | — |
| MINERAL COMMUNITY HOSPITAL SUPERIOR |
$1,220 | $95.00 | — | — | $95.00 | — | — | — | — |
| LOGAN HEALTH CONRAD CONRAD |
$1,265 | — | — | — | — | — | — | — | — |
| BILLINGS CLINIC BROADWATER TOWNSEND |
$1,290 | — | — | — | — | — | — | — | — |
| ST. PETER'S HEALTH REGIONAL MEDICAL CENTER E BROADWAY ST HELENA |
$1,405 | — | — | — | — | — | — | — | — |
| HOLY ROSARY HEALTHCARE MILES CITY |
$1,493 | — | $300 | — | $277 | — | — | — | — |
| GLENDIVE MEDICAL CENTER GLENDIVE |
$1,518 | $39.00 | $39.00 | $39.00 | $39.00 | $39.00 | $39.00 | $852 | — |
| BEARTOOTH BILLINGS CLINIC RED LODGE |
$1,585 | — | — | — | — | $95.00 | — | — | — |
| ST. JAMES HEALTHCARE BUTTE |
$1,848 | — | $625 | $631 | — | — | — | — | — |
| GREAT FALLS CLINIC HOSPITAL GREAT FALLS |
$1,851 | $80.00 | $75.00 | $605 | — | — | — | — | — |
| ST. VINCENT REGIONAL HOSPITAL BILLINGS |
$2,029 | — | $625 | — | — | — | $613 | — | — |
| DEER LODGE MEDICAL CENTER DEER LODGE |
$2,180 | — | — | — | — | — | — | — | — |
| COMMUNITY MEDICAL CENTER FORT MISSOULA ROAD MISSOULA |
$5,536 | — | $3,489 | $761 | $3,382 | $3,604 | — | — | — |
What these prices are. Each figure is the facility’s own published self-pay (cash) price for CPT 99285, filed under the federal price transparency rule (45 CFR Part 180). Hospital facility charges may not include separate physician, anesthesia, or pathology fees. National median for this code: $1,180 across all reporting facilities. Dataset: Q4 2026. Always confirm the final price with the facility before booking.
Billed more than $582 for this?
That is the median of what the 39 Montana hospitals above publish for Emergency department visit with high level of medical decision making — their own figures, filed under federal law. A bill well above them is evidence you can put in writing.
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Medicare reimbursement benchmark
For CPT 99285 in Montana, Medicare reimburses about $171 on the 2026 Physician Fee Schedule (non-facility, state average across localities). Hospital cash prices for the same code in Montana range from $127 to $5,536 — that means hospital cash prices are typically 3.4x what Medicare pays. If a self-pay quote you receive is more than 2-3x the Medicare rate, ask the hospital for the cash-discount price in writing.
Frequently asked questions
- How much does emergency department visit with high level of medical decision making cost in Montana?
- Cash prices for emergency department visit with high level of medical decision making (CPT 99285) in Montana range from $127 to $5,536, with a median of $582. Prices vary widely by hospital.
- Where can I find the cheapest emergency department visit with high level of medical decision making in Montana?
- The cheapest Montana hospital published cash price for this procedure is $127. Use the table above sorted by cash price to find the lowest-priced facility near you.
- Are these the prices I'll pay?
- These are the rates hospitals publish. Final price depends on your insurance, deductible, and the specific services billed. Always confirm with the facility and your insurer before any procedure.
- Why do prices vary so much between hospitals?
- Hospitals set cash prices independently, and insurance contracts negotiate different rates per payer. Two facilities a few miles apart can charge 5-10x different prices for the same procedure.
- Where does this data come from?
- Federal law (45 CFR § 180) requires hospitals to publish their pricing in a machine-readable file. We aggregate these files and republish in a consumer-friendly format.
Emergency department visit with high level of medical decision making in nearby states
Other procedures in Montana
Methodology. Cash prices and insurance-negotiated rates published by each Montana facility under federal price transparency rules (45 CFR § 180). CPT code 99285 (Doctor Visits). Data refreshed regularly; verify with the facility before any procedure.