67/100
#722 nationally
Benefis Hospitals Inc
1101 26Th St S, Great Falls, MT 59405 · (406) 455-5000
Charges moderately above what care is paid for
For every $1 of care Medicare actually paid for here, Benefis Hospitals Inc billed $4.05 in list charges. That gap does not change a Medicare patient's bill — but it is where an uninsured or out-of-network bill starts.
- Charge-to-payment
- 4.1x
- volume-weighted across all its priced work
- Procedures priced
- 110
- inpatient and outpatient combined
- Rank in MT
- #7
- lower markup ranks higher
- CMS quality stars
- 2/5
- shown for context, not in the grade
How this grade was reached
Each component is scored against every other U.S. hospital in the same federal files, so the grade is a position in the country, not a pass mark we invented.
Better than 58% of U.S. hospitals.
Better than 70% of U.S. hospitals.
Better than 71% of U.S. hospitals.
Better than 78% of U.S. hospitals.
What this hospital treats most
The ten procedures it billed Medicare for most often, with its charge beside the national middle.
| Procedure | Patients | Charged | Actually paid | vs national |
|---|---|---|---|---|
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
507 | $13,156 | $2,554 | -32% |
|
Level 2 Urology and Related Services
APC 5372 · Hospital outpatient visit |
449 | $1,562 | $641 | -50% |
|
Level 3 Urology and Related Services
APC 5373 · Hospital outpatient visit |
252 | $4,694 | $1,872 | -64% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
188 | $53,060 | $15,156 | -19% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
188 | $52,228 | $12,152 | -16% |
|
Level 1 Intraocular Procedures
APC 5491 · Hospital outpatient visit |
160 | $7,462 | $2,163 | -37% |
|
Level 2 Upper GI Procedures
APC 5302 · Hospital outpatient visit |
142 | $8,992 | $1,765 | -23% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
136 | $8,428 | $1,502 | -16% |
|
Level 4 Urology and Related Services
APC 5374 · Hospital outpatient visit |
127 | $14,090 | $3,227 | -32% |
|
Level 1 Laparoscopy and Related Services
APC 5361 · Hospital outpatient visit |
119 | $25,786 | $5,373 | -27% |
Where its charges run furthest above the national middle
Only procedures it performed at least eleven times, so a single unusual case cannot produce the headline.
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Diabetes (with complications)
MS-DRG 638 · Inpatient stay |
$41,182 | $9,596 | +19% |
|
Other Major Cardiovascular Procedures with Complications
MS-DRG 271 · Inpatient stay |
$163,958 | $26,460 | +9% |
|
Organic Disturbances and Intellectual Disability
MS-DRG 884 · Inpatient stay |
$54,049 | $15,353 | +8% |
|
Level 4 Endovascular Procedures
APC 5194 · Hospital outpatient visit |
$102,042 | $13,740 | +7% |
|
Level 3 Lower GI Procedures
APC 5313 · Hospital outpatient visit |
$17,042 | $2,528 | about average |
|
Level 5 ENT Procedures
APC 5165 · Hospital outpatient visit |
$35,314 | $5,233 | about average |
|
Level 6 Musculoskeletal Procedures
APC 5116 · Hospital outpatient visit |
$83,588 | $17,434 | about average |
|
Level 1 Abdominal/peritoneal/biliary and Related Procedures
APC 5341 · Hospital outpatient visit |
$23,276 | $3,244 | about average |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Level 3 Urology and Related Services
APC 5373 · Hospital outpatient visit |
$4,694 | $1,872 | -64% |
|
Traumatic Stupor and Coma <1 Hour with Complications
MS-DRG 086 · Inpatient stay |
$22,376 | $9,944 | -60% |
|
Level 2 Musculoskeletal Procedures
APC 5112 · Hospital outpatient visit |
$4,684 | $1,451 | -58% |
|
Diabetes with Major Complications
MS-DRG 637 · Inpatient stay |
$26,276 | $10,842 | -53% |
|
Gastrointestinal Obstruction with Complications
MS-DRG 389 · Inpatient stay |
$15,018 | $6,075 | -52% |
|
Other Disorders of Nervous System with Complications
MS-DRG 092 · Inpatient stay |
$22,214 | $8,820 | -51% |
|
Level 2 Urology and Related Services
APC 5372 · Hospital outpatient visit |
$1,562 | $641 | -50% |
|
Kidney Failure (severe)
MS-DRG 682 · Inpatient stay |
$27,306 | $11,074 | -48% |
What this page cannot tell you
- It is not your bill. These are averages across Medicare patients. What you pay depends on your insurance, your plan's negotiated rate and your own case.
- It is not a quality rating. A hospital with a high markup may be excellent, and one with a low markup may not be. We checked: across every U.S. hospital, markup and the CMS quality star rating barely move together.
- A charge is not a cost. Hospitals do not collect their list charges from insured patients. The number matters because it is the opening figure on an uninsured or out-of-network bill.
- Ask for the real number. Every U.S. hospital must publish a machine-readable price file and give you a written good-faith estimate on request.