44/100
#1,467 nationally
Great Falls Clinic Hospital
3010 15Th Avenue South, Great Falls, MT 59405 · (406) 216-8000
Charges well above the national norm
For every $1 of care Medicare actually paid for here, Great Falls Clinic Hospital billed $5.65 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
- 5.7x
- volume-weighted across all its priced work
- Procedures priced
- 38
- inpatient and outpatient combined
- Rank in MT
- #10
- 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 41% of U.S. hospitals.
Better than 50% of U.S. hospitals.
Better than 44% of U.S. hospitals.
Better than 40% 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 |
|---|---|---|---|---|
|
Level 1 Intraocular Procedures
APC 5491 · Hospital outpatient visit |
485 | $13,252 | $2,174 | +13% |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
200 | $12,503 | $2,556 | -36% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
191 | $67,710 | $12,043 | +8% |
|
Level 4 Musculoskeletal Procedures
APC 5114 · Hospital outpatient visit |
119 | $47,637 | $6,707 | +19% |
|
Level 1 Endovascular Procedures
APC 5191 · Hospital outpatient visit |
116 | $20,838 | $3,060 | -17% |
|
Level 3 Musculoskeletal Procedures
APC 5113 · Hospital outpatient visit |
78 | $23,223 | $3,004 | +14% |
|
Level 1 Nerve Procedures
APC 5431 · Hospital outpatient visit |
75 | $15,204 | $1,810 | +34% |
|
Level 3 Urology and Related Services
APC 5373 · Hospital outpatient visit |
71 | $7,405 | $1,867 | -43% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
65 | $42,273 | $13,751 | -35% |
|
Level 5 Urology and Related Services
APC 5375 · Hospital outpatient visit |
54 | $34,320 | $4,851 | +25% |
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 |
|---|---|---|---|
|
Level 2 Intraocular Procedures
APC 5492 · Hospital outpatient visit |
$37,800 | $3,812 | +83% |
|
Level 2 Laparoscopy and Related Services
APC 5362 · Hospital outpatient visit |
$94,402 | $9,644 | +58% |
|
Level 1 Abdominal/peritoneal/biliary and Related Procedures
APC 5341 · Hospital outpatient visit |
$35,045 | $3,244 | +51% |
|
Level 3 Pacemaker and Similar Procedures
APC 5223 · Hospital outpatient visit |
$72,348 | $10,003 | +40% |
|
Combined Anterior and Posterior Spinal Fusion without Complications/mcc
MS-DRG 455 · Inpatient stay |
$239,887 | $34,245 | +36% |
|
Level 1 Nerve Procedures
APC 5431 · Hospital outpatient visit |
$15,204 | $1,810 | +34% |
|
Level 2 Neurostimulator and Related Procedures
APC 5462 · Hospital outpatient visit |
$33,970 | $6,172 | +30% |
|
Level 5 Urology and Related Services
APC 5375 · Hospital outpatient visit |
$34,320 | $4,851 | +25% |
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 |
$7,405 | $1,867 | -43% |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
$12,503 | $2,556 | -36% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
$42,273 | $13,751 | -35% |
|
Sepsis (without major complications)
MS-DRG 872 · Inpatient stay |
$26,550 | $10,119 | -32% |
|
Irregular Heartbeat (severe)
MS-DRG 308 · Inpatient stay |
$32,871 | $9,391 | -31% |
|
Pneumonia (severe)
MS-DRG 193 · Inpatient stay |
$33,039 | $9,136 | -29% |
|
Urinary Tract Infection (without major complications)
MS-DRG 690 · Inpatient stay |
$21,337 | $5,681 | -28% |
|
Level 2 Upper GI Procedures
APC 5302 · Hospital outpatient visit |
$8,889 | $1,784 | -24% |
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.