St Peters Health
ST PETERS HEALTH in Helena, MT charges 3.9x the Medicare reimbursement rate across 42 analyzed procedures, making it a moderately-priced nonprofit hospital in Montana.
Helena, MT 59601 · Acute Care Hospitals · CMS Rating: 4/5
About the analyst
Elena Vasquez leads hospital billing pattern analysis at BillRazor Research. She focuses on identifying overcharges, markup outliers, and patient advocacy strategies. Expertise: hospital billing patterns, overcharge analysis, patient advocacy.
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Pricing grade
C
Average
Avg markup vs Medicare
3.88x
Charge / Medicare rate
Max markup
6.73x
Worst procedure
Procedures analyzed
42
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 |
|---|---|---|---|---|---|
| DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | 057 | $59,892 | $29,946 | — | 6.7x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | 309 | $21,604 | $10,802 | — | 6.6x |
| PULMONARY EDEMA AND RESPIRATORY FAILURE | 189 | $42,139 | $21,070 | — | 5.5x |
| SIGNS AND SYMPTOMS WITHOUT MCC | 948 | $27,143 | $13,571 | — | 5.3x |
| SIMPLE PNEUMONIA AND PLEURISY WITH CC | 194 | $25,680 | $12,840 | — | 5.2x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | 310 | $14,178 | $7,089 | — | 5.2x |
| FRACTURES OF HIP AND PELVIS WITHOUT MCC | 536 | $23,995 | $11,997 | — | 5.1x |
| HEART FAILURE AND SHOCK WITH CC | 292 | $26,332 | $13,166 | — | 4.9x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | 281 | $26,120 | $13,060 | — | 4.9x |
| MEDICAL BACK PROBLEMS WITHOUT MCC | 552 | $26,226 | $13,113 | — | 4.8x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC | 247 | $57,588 | $28,794 | — | 4.6x |
| OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | 394 | $25,216 | $12,608 | — | 4.4x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | 190 | $30,210 | $15,105 | — | 4.4x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $19,647 | $9,823 | — | 4.4x |
| SYNCOPE AND COLLAPSE | 312 | $22,310 | $11,155 | — | 4.2x |
| KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | 690 | $18,354 | $9,177 | — | 4.1x |
| OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | 699 | $26,216 | $13,108 | — | 4.1x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $24,113 | $12,056 | — | 4x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES O | 246 | $87,030 | $43,515 | — | 4x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $18,139 | $9,070 | — | 4x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 872 | $23,865 | $11,933 | — | 3.8x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | 308 | $27,784 | $13,892 | — | 3.7x |
| HEART FAILURE AND SHOCK WITH MCC | 291 | $32,027 | $16,014 | — | 3.7x |
| RENAL FAILURE WITH CC | 683 | $19,516 | $9,758 | — | 3.7x |
| PSYCHOSES | 885 | $29,826 | $14,913 | — | 3.6x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | 481 | $46,405 | $23,203 | — | 3.5x |
| HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | 522 | $49,455 | $24,727 | — | 3.4x |
| CELLULITIS WITHOUT MCC | 603 | $16,761 | $8,381 | — | 3.4x |
| SIMPLE PNEUMONIA AND PLEURISY WITH MCC | 193 | $27,042 | $13,521 | — | 3.3x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | 331 | $32,545 | $16,272 | — | 3.2x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | 871 | $40,506 | $20,253 | — | 3.1x |
| RENAL FAILURE WITH MCC | 682 | $30,504 | $15,252 | — | 3x |
| GASTROINTESTINAL OBSTRUCTION WITH CC | 389 | $13,608 | $6,804 | — | 2.9x |
| MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | 470 | $35,984 | $17,992 | — | 2.9x |
| KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | 689 | $21,252 | $10,626 | — | 2.9x |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | 178 | $19,704 | $9,852 | — | 2.8x |
| GASTROINTESTINAL HEMORRHAGE WITH CC | 378 | $16,681 | $8,341 | — | 2.8x |
| MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES | 483 | $41,813 | $20,907 | — | 2.6x |
| INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | 853 | $81,114 | $40,557 | — | 2.3x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | 330 | $37,836 | $18,918 | — | 2.3x |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | 177 | $28,475 | $14,238 | — | 2.2x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | 064 | $25,126 | $12,563 | — | 1.9x |
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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