Community Medical Center
Community Medical Center in Missoula, MT charges 4.6x the Medicare reimbursement rate across 17 analyzed procedures, according to our analysis of this nonprofit hospital's pricing data.
Missoula, MT 59804 · Acute Care Hospitals · CMS Rating: 4/5
About the analyst
David Park researches procedure pricing and insurance reimbursement patterns at BillRazor Research. He specializes in cost comparison across care settings and metropolitan areas. Expertise: procedure pricing, insurance reimbursement, cost comparison.
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Pricing grade
C
Average
Avg markup vs Medicare
4.6x
Charge / Medicare rate
Max markup
7.28x
Worst procedure
Procedures analyzed
17
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 |
|---|---|---|---|---|---|
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | 640 | $58,637 | $29,319 | — | 7.3x |
| STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC | 328 | $71,929 | $35,965 | — | 6.7x |
| SIMPLE PNEUMONIA AND PLEURISY WITH MCC | 193 | $58,003 | $29,001 | — | 6.1x |
| RENAL FAILURE WITH CC | 683 | $29,117 | $14,558 | — | 5.4x |
| GASTROINTESTINAL HEMORRHAGE WITH CC | 378 | $32,381 | $16,190 | — | 5.3x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | 330 | $87,581 | $43,790 | — | 5.2x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | 481 | $55,956 | $27,978 | — | 4.5x |
| GASTROINTESTINAL HEMORRHAGE WITH MCC | 377 | $53,978 | $26,989 | — | 4.3x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 872 | $26,978 | $13,489 | — | 4.2x |
| HEART FAILURE AND SHOCK WITH MCC | 291 | $34,612 | $17,306 | — | 4.2x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | 871 | $53,239 | $26,620 | — | 4x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | 286 | $53,179 | $26,589 | — | 3.8x |
| RENAL FAILURE WITH MCC | 682 | $40,283 | $20,141 | — | 3.8x |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | 177 | $43,649 | $21,825 | — | 3.7x |
| KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | 690 | $16,612 | $8,306 | — | 3.5x |
| PULMONARY EDEMA AND RESPIRATORY FAILURE | 189 | $24,990 | $12,495 | — | 3.4x |
| INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | 853 | $93,844 | $46,922 | — | 2.9x |
How COMMUNITY MEDICAL CENTER 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