74/100
#527 nationally
St James Hospital
400 S Clark St, Butte, MT 59701 · (406) 723-2500
Charges moderately above what care is paid for
For every $1 of care Medicare actually paid for here, St James Hospital billed $3.27 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
- 3.3x
- volume-weighted across all its priced work
- Procedures priced
- 29
- inpatient and outpatient combined
- Rank in MT
- #5
- 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 77% of U.S. hospitals.
Better than 78% of U.S. hospitals.
Better than 69% of U.S. hospitals.
Better than 74% 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 |
222 | $14,096 | $2,739 | -27% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
188 | $49,499 | $19,232 | -24% |
|
Level 1 Endovascular Procedures
APC 5191 · Hospital outpatient visit |
157 | $12,476 | $3,247 | -51% |
|
Level 1 Nerve Procedures
APC 5431 · Hospital outpatient visit |
83 | $4,581 | $1,939 | -60% |
|
Level 3 Vascular Procedures
APC 5183 · Hospital outpatient visit |
62 | $12,174 | $3,201 | -36% |
|
Sepsis (without major complications)
MS-DRG 872 · Inpatient stay |
54 | $27,992 | $9,866 | -29% |
|
Level 3 Endovascular Procedures
APC 5193 · Hospital outpatient visit |
54 | $48,103 | $11,034 | -29% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
52 | $10,804 | $1,628 | +7% |
|
Level 3 Pacemaker and Similar Procedures
APC 5223 · Hospital outpatient visit |
43 | $44,379 | $10,711 | -14% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
36 | $41,179 | $12,715 | -5% |
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 Pacemaker and Similar Procedures
APC 5222 · Hospital outpatient visit |
$41,990 | $8,529 | +11% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
$10,804 | $1,628 | +7% |
|
Level 1 Laparoscopy and Related Services
APC 5361 · Hospital outpatient visit |
$37,249 | $5,794 | +6% |
|
Pulmonary Embolism with Major Complications or Acute Cor Pulmonale
MS-DRG 175 · Inpatient stay |
$54,388 | $13,757 | about average |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
$41,179 | $12,715 | -5% |
|
Level 3 Excision/ Biopsy/ Incision and Drainage
APC 5073 · Hospital outpatient visit |
$15,540 | $2,853 | -12% |
|
Level 3 Pacemaker and Similar Procedures
APC 5223 · Hospital outpatient visit |
$44,379 | $10,711 | -14% |
|
Level 4 Endovascular Procedures
APC 5194 · Hospital outpatient visit |
$81,522 | $17,568 | -15% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Level 1 Nerve Procedures
APC 5431 · Hospital outpatient visit |
$4,581 | $1,939 | -60% |
|
Level 3 Urology and Related Services
APC 5373 · Hospital outpatient visit |
$6,104 | $1,965 | -53% |
|
Level 1 Endovascular Procedures
APC 5191 · Hospital outpatient visit |
$12,476 | $3,247 | -51% |
|
Respiratory Infection (severe)
MS-DRG 177 · Inpatient stay |
$33,385 | $16,819 | -39% |
|
Pneumonia (severe)
MS-DRG 193 · Inpatient stay |
$28,278 | $12,631 | -39% |
|
Level 3 Vascular Procedures
APC 5183 · Hospital outpatient visit |
$12,174 | $3,201 | -36% |
|
Level 2 Vascular Procedures
APC 5182 · Hospital outpatient visit |
$5,520 | $1,608 | -36% |
|
Infection Needing Surgery (severe)
MS-DRG 853 · Inpatient stay |
$115,052 | $47,407 | -35% |
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.