85/100
#201 nationally
St Peters Health
2475 Broadway, Helena, MT 59601 · (406) 442-2480
Charges close to what care is actually paid for
For every $1 of care Medicare actually paid for here, St Peters Health billed $2.76 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
- 2.8x
- volume-weighted across all its priced work
- Procedures priced
- 71
- inpatient and outpatient combined
- Rank in MT
- #3
- lower markup ranks higher
- CMS quality stars
- 3/5
- 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 75% of U.S. hospitals.
Better than 95% of U.S. hospitals.
Better than 88% of U.S. hospitals.
Better than 87% 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 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
279 | $28,776 | $12,898 | -54% |
|
Level 2 Urology and Related Services
APC 5372 · Hospital outpatient visit |
264 | $879 | $671 | -72% |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
165 | $11,261 | $2,682 | -42% |
|
Level 3 Urology and Related Services
APC 5373 · Hospital outpatient visit |
158 | $3,431 | $2,006 | -73% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
143 | $43,376 | $16,101 | -34% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
135 | $5,794 | $1,575 | -43% |
|
Level 1 Laparoscopy and Related Services
APC 5361 · Hospital outpatient visit |
90 | $14,530 | $5,681 | -59% |
|
Pneumonia (severe)
MS-DRG 193 · Inpatient stay |
89 | $36,220 | $10,729 | -22% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
87 | $29,356 | $10,385 | -32% |
|
Level 4 Urology and Related Services
APC 5374 · Hospital outpatient visit |
65 | $15,011 | $3,433 | -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 |
|---|---|---|---|
|
Degenerative Nervous System Disorders without Major Complications
MS-DRG 057 · Inpatient stay |
$42,294 | $12,287 | -12% |
|
Irregular Heartbeat (severe)
MS-DRG 308 · Inpatient stay |
$38,871 | $9,120 | -18% |
|
Back Problems (without major complications)
MS-DRG 552 · Inpatient stay |
$31,825 | $8,832 | -19% |
|
Level 2 Vascular Procedures
APC 5182 · Hospital outpatient visit |
$6,893 | $1,577 | -20% |
|
Pneumonia (severe)
MS-DRG 193 · Inpatient stay |
$36,220 | $10,729 | -22% |
|
COPD (severe)
MS-DRG 190 · Inpatient stay |
$31,896 | $9,311 | -24% |
|
Fluid and Electrolyte Disorder (without major complications)
MS-DRG 641 · Inpatient stay |
$23,246 | $7,496 | -24% |
|
Level 4 Urology and Related Services
APC 5374 · Hospital outpatient visit |
$15,011 | $3,433 | -27% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Level 3 Airway Endoscopy
APC 5153 · Hospital outpatient visit |
$2,861 | $1,671 | -75% |
|
Level 1 Nerve Procedures
APC 5431 · Hospital outpatient visit |
$2,863 | $1,901 | -75% |
|
Level 3 Urology and Related Services
APC 5373 · Hospital outpatient visit |
$3,431 | $2,006 | -73% |
|
Level 2 Urology and Related Services
APC 5372 · Hospital outpatient visit |
$879 | $671 | -72% |
|
Major Small and Large Bowel Procedures with Complications
MS-DRG 330 · Inpatient stay |
$38,007 | $18,796 | -62% |
|
Stroke (severe)
MS-DRG 064 · Inpatient stay |
$29,219 | $15,170 | -62% |
|
Level 2 Laparoscopy and Related Services
APC 5362 · Hospital outpatient visit |
$24,164 | $9,853 | -60% |
|
Level 5 Urology and Related Services
APC 5375 · Hospital outpatient visit |
$11,269 | $4,950 | -59% |
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.