Benefis Hospitals Inc
BENEFIS HOSPITALS INC in Great Falls, MT charges 4.5x the Medicare reimbursement rate across 70 analyzed procedures, reflecting the pricing patterns typical of nonprofit-private hospitals in Montana.
Great Falls, MT 59405 · Acute Care Hospitals · CMS Rating: 2/5
About the analyst
Michael Glenn reviews CMS datasets and drug pricing at BillRazor Research. He focuses on NADAC acquisition costs and procedure coding accuracy. Expertise: drug pricing, NADAC data, CPT coding.
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Pricing grade
C
Average
Avg markup vs Medicare
4.48x
Charge / Medicare rate
Max markup
7.18x
Worst procedure
Procedures analyzed
70
With pricing data
Outlier procedures
0%
Above 90th percentile
Pricing grades reflect how this hospital's chargemaster (list) rates compare to Medicare reimbursement benchmarks within the same state. Grades measure pricing patterns only — not quality of care, patient outcomes, or clinical performance. A lower grade does not mean a hospital provides inferior care. Based on publicly available federal data. Not endorsed by or affiliated with any government agency.
| Procedure | Code | Gross charge | Cash price | Medicare | Markup |
|---|---|---|---|---|---|
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | 282 | $27,210 | $13,605 | — | 7.2x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC | 322 | $80,371 | $40,186 | — | 6.8x |
| PULMONARY EMBOLISM WITHOUT MCC | 176 | $25,915 | $12,957 | — | 6x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC | 247 | $67,519 | $33,759 | — | 5.9x |
| SYNCOPE AND COLLAPSE | 312 | $29,431 | $14,716 | — | 5.8x |
| BRONCHITIS AND ASTHMA WITH CC/MCC | 202 | $34,575 | $17,287 | — | 5.7x |
| LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC | 417 | $72,167 | $36,084 | — | 5.6x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES O | 246 | $111,884 | $55,942 | — | 5.6x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | 331 | $53,669 | $26,834 | — | 5.5x |
| MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES | 483 | $81,833 | $40,917 | — | 5.5x |
| AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC | 269 | $168,285 | $84,143 | — | 5.5x |
| KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | 689 | $41,013 | $20,506 | — | 5.3x |
| LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | 418 | $56,980 | $28,490 | — | 5.3x |
| RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | 208 | $82,498 | $41,249 | — | 5.2x |
| GASTROINTESTINAL HEMORRHAGE WITH CC | 378 | $30,368 | $15,184 | — | 5.1x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | 280 | $49,043 | $24,522 | — | 5.1x |
| KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | 690 | $22,559 | $11,279 | — | 5.1x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | 190 | $33,470 | $16,735 | — | 5x |
| REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | 468 | $92,662 | $46,331 | — | 5x |
| SIMPLE PNEUMONIA AND PLEURISY WITH CC | 194 | $24,516 | $12,258 | — | 4.9x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | 482 | $51,297 | $25,648 | — | 4.9x |
| RED BLOOD CELL DISORDERS WITHOUT MCC | 812 | $28,369 | $14,185 | — | 4.9x |
| PULMONARY EDEMA AND RESPIRATORY FAILURE | 189 | $36,725 | $18,362 | — | 4.8x |
| CELLULITIS WITHOUT MCC | 603 | $25,049 | $12,524 | — | 4.8x |
| DIABETES WITH MCC | 637 | $39,729 | $19,865 | — | 4.7x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | 308 | $35,921 | $17,961 | — | 4.7x |
| PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | 175 | $45,587 | $22,793 | — | 4.7x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | 480 | $94,065 | $47,033 | — | 4.7x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $20,687 | $10,343 | — | 4.6x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | 330 | $76,295 | $38,148 | — | 4.6x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | 640 | $37,930 | $18,965 | — | 4.6x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | 309 | $18,982 | $9,491 | — | 4.6x |
| TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | 069 | $21,385 | $10,692 | — | 4.6x |
| PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | 243 | $70,288 | $35,144 | — | 4.6x |
| OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | 314 | $67,118 | $33,559 | — | 4.6x |
| RENAL FAILURE WITH CC | 683 | $23,181 | $11,591 | — | 4.5x |
| SIMPLE PNEUMONIA AND PLEURISY WITH MCC | 193 | $35,531 | $17,766 | — | 4.5x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | 481 | $61,764 | $30,882 | — | 4.5x |
| GASTROINTESTINAL OBSTRUCTION WITH CC | 389 | $20,179 | $10,089 | — | 4.5x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | 281 | $23,865 | $11,932 | — | 4.5x |
| SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | 460 | $107,498 | $53,749 | — | 4.4x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $21,011 | $10,506 | — | 4.4x |
| RENAL FAILURE WITH MCC | 682 | $42,365 | $21,183 | — | 4.4x |
| MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | 470 | $53,532 | $26,766 | — | 4.3x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $26,637 | $13,318 | — | 4.3x |
| INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | 853 | $149,548 | $74,774 | — | 4.3x |
| HEART FAILURE AND SHOCK WITH MCC | 291 | $35,009 | $17,505 | — | 4.3x |
| OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | 699 | $27,327 | $13,664 | — | 4.3x |
| SIGNS AND SYMPTOMS WITHOUT MCC | 948 | $20,604 | $10,302 | — | 4.3x |
| HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | 522 | $59,068 | $29,534 | — | 4.2x |
Showing 50 of 70 procedures
How BENEFIS HOSPITALS INC compares to nearby hospitals
Comparison based on average markup ratios from federal hospital pricing data (FY 2024). Chargemaster rates are gross charges — they are not what most insured patients pay. Actual costs depend on your insurance plan, negotiated rates, and coverage terms. This comparison is for informational purposes only and does not constitute medical, financial, or legal advice. Verify costs directly with your provider and insurer.
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Pricing data from federal hospital transparency files and physician fee schedules. Last updated: . All data is publicly available under federal law.
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Data: Federal hospital pricing data, updated annually. All data publicly available under federal law.
Methodology: Hospital gross charges divided by Medicare payment for the same DRG. A ratio of 3.0x means the hospital's listed price is 3 times what Medicare pays. Chargemaster rates are list prices — they are not what most insured patients pay. Grades measure pricing patterns only — not quality of care or clinical performance.
This information is for educational purposes only and is not medical, financial, or legal advice. Actual costs depend on your insurance and provider. We recommend verifying costs directly with your provider. Full methodology · Terms of use