Billings Clinic
BILLINGS CLINIC in Billings, MT charges 2.7x the Medicare reimbursement rate across 128 analyzed procedures, reflecting the pricing patterns at this nonprofit-private hospital.
Billings, MT 59101 · Acute Care Hospitals · CMS Rating: 4/5
About the analyst
Priya Iyengar leads the billing code review team at BillRazor Research. She analyzes NCCI bundling edits, DRG coding, and regional rate variation. Expertise: NCCI bundling, DRG analysis, regional pricing.
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Pricing grade
B
Good
Avg markup vs Medicare
2.73x
Charge / Medicare rate
Max markup
4.59x
Worst procedure
Procedures analyzed
128
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 |
|---|---|---|---|---|---|
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | 066 | $18,702 | $9,351 | — | 4.6x |
| LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC | 493 | $68,201 | $34,101 | — | 4.4x |
| BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC | 520 | $38,461 | $19,231 | — | 4.2x |
| OTHER VASCULAR PROCEDURES WITH CC | 253 | $70,940 | $35,470 | — | 4x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $24,170 | $12,085 | — | 3.7x |
| ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | 884 | $37,328 | $18,664 | — | 3.7x |
| FRACTURES OF HIP AND PELVIS WITHOUT MCC | 536 | $17,915 | $8,958 | — | 3.7x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC | 247 | $49,199 | $24,599 | — | 3.7x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | 282 | $16,787 | $8,394 | — | 3.7x |
| POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | 917 | $40,484 | $20,242 | — | 3.6x |
| DIABETES WITH CC | 638 | $20,958 | $10,479 | — | 3.5x |
| MAJOR CHEST TRAUMA WITH CC | 184 | $24,246 | $12,123 | — | 3.5x |
| SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | 460 | $90,401 | $45,200 | — | 3.5x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC | 322 | $45,709 | $22,855 | — | 3.5x |
| CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC | 234 | $124,545 | $62,272 | — | 3.4x |
| HEART FAILURE AND SHOCK WITH CC | 292 | $17,606 | $8,803 | — | 3.4x |
| CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | 236 | $99,056 | $49,528 | — | 3.4x |
| GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | 390 | $10,223 | $5,112 | — | 3.3x |
| SYNCOPE AND COLLAPSE | 312 | $19,458 | $9,729 | — | 3.3x |
| MAJOR CHEST TRAUMA WITH MCC | 183 | $34,188 | $17,094 | — | 3.3x |
| BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC | 519 | $46,535 | $23,268 | — | 3.3x |
| BRONCHITIS AND ASTHMA WITH CC/MCC | 202 | $21,227 | $10,613 | — | 3.3x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | 281 | $19,484 | $9,742 | — | 3.3x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES O | 246 | $74,843 | $37,421 | — | 3.2x |
| POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC | 918 | $15,460 | $7,730 | — | 3.2x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | 308 | $25,039 | $12,520 | — | 3.1x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | 064 | $42,745 | $21,372 | — | 3.1x |
| TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | 083 | $29,452 | $14,726 | — | 3.1x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | 481 | $45,505 | $22,752 | — | 3.1x |
| NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC | 070 | $38,241 | $19,120 | — | 3x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | 480 | $65,002 | $32,501 | — | 3x |
| CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MC | 024 | $83,025 | $41,513 | — | 3x |
| RENAL FAILURE WITH MCC | 682 | $30,373 | $15,187 | — | 2.9x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | 287 | $21,740 | $10,870 | — | 2.9x |
| NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC | 071 | $20,194 | $10,097 | — | 2.9x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | 482 | $32,521 | $16,260 | — | 2.9x |
| RED BLOOD CELL DISORDERS WITHOUT MCC | 812 | $17,745 | $8,873 | — | 2.9x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | 310 | $9,704 | $4,852 | — | 2.9x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | 190 | $22,356 | $11,178 | — | 2.9x |
| CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC O | 023 | $125,825 | $62,913 | — | 2.9x |
| TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | 069 | $15,577 | $7,789 | — | 2.9x |
| RED BLOOD CELL DISORDERS WITH MCC | 811 | $28,542 | $14,271 | — | 2.9x |
| HEART FAILURE AND SHOCK WITH MCC | 291 | $25,962 | $12,981 | — | 2.9x |
| PULMONARY EDEMA AND RESPIRATORY FAILURE | 189 | $24,836 | $12,418 | — | 2.9x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | 286 | $43,313 | $21,656 | — | 2.9x |
| CERVICAL SPINAL FUSION WITHOUT CC/MCC | 473 | $48,316 | $24,158 | — | 2.9x |
| GASTROINTESTINAL OBSTRUCTION WITH CC | 389 | $13,841 | $6,920 | — | 2.9x |
| CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION | 219 | $165,830 | $82,915 | — | 2.9x |
| SEIZURES WITH MCC | 100 | $48,345 | $24,172 | — | 2.8x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | 871 | $39,935 | $19,968 | — | 2.8x |
Showing 50 of 128 procedures
How BILLINGS CLINIC 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