HC Apligraf1 Sq Cm at Benefis Hospitals Inc

Falls, MT

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Pricing by billing methodology

Price type

How this price compares nationally

Benefis Hospitals Inc’s median price of $172 is 43% above the median hospital's median price ($120), higher than 75% of the 1,917 hospitals reporting HCPCS Q4101. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS Q4101 at Benefis Hospitals Inc

Negotiated rates from the hospital’s own file: 11 payers, 26 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.

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1	Blue Cross Blue Shield bhs hb bcbs employee health plan fee schedule · outpatient	$27	$27	—	—	—	$27 – $27
2	Blue Cross Blue Shield bhs hb bcbs blue options fee schedule · outpatient	$36	$36	—	—	—	$36 – $36
3	Cigna bhs hb allegiance fee schedule · outpatient	$46	$46	—	—	—	$46 – $46
4	Healthpartners bhs hb allegiance fee schedule · outpatient	$46	$46	—	—	—	$46 – $46
5	Kaiser bhs hb allegiance fee schedule · outpatient	$46	$46	—	—	—	$46 – $46
6	Medical Mutual bhs hb allegiance fee schedule · outpatient	$46	$46	—	—	—	$46 – $46
7	Blue Cross Blue Shield bhs hb bcbs blue focus percent of total billed charges · outpatientfrom % of charges	$125	$125	—	—	—	$125 – $125
8	Aetna bhs hb medicare other · outpatient	$127	$127	—	—	—	$127 – $127
9	Anthem bhs hb medicare other · outpatient	$127	$127	—	—	—	$127 – $127
10	Blue Cross Blue Shield bhs hb medicare other · outpatient	$127	$127	—	—	—	$127 – $127
11	Kaiser bhs hb medicare other · outpatient	$127	$127	—	—	—	$127 – $127
12	Medicare bhs hb medicare other · outpatient	$127	$127	—	—	—	$127 – $127
13	WellCare bhs hb medicare other · outpatient	$127	$127	—	—	—	$127 – $127
14	Blue Cross Blue Shield bhs hb bcbs employee health plan percent of total billed charges · inpatientfrom % of charges	$145	$145	—	—	—	$145 – $145
15	Blue Cross Blue Shield bhs hb bcbs blue focus percent of total billed charges · inpatientfrom % of charges	$154	$154	—	—	—	$154 – $154
16	Blue Cross Blue Shield bhs hb bcbs blue options percent of total billed charges · inpatientfrom % of charges	$157	$157	—	—	—	$157 – $157
17	Blue Cross Blue Shield bhs hb bcbs federal percent of total billed charges · bothfrom % of charges	$164	$164	—	—	—	$164 – $164
18	Blue Cross Blue Shield bhs hb bcbs healthy montana kids percent of total billed charges · bothfrom % of charges	$164	$164	—	—	—	$164 – $164
19	Blue Cross Blue Shield bhs hb bcbs healthlink ppo percent of total billed charges · bothfrom % of charges	$166	$166	—	—	—	$166 – $166
20	Cigna bhs hb allegiance percent of total billed charges · inpatientfrom % of charges	$174	$174	—	—	—	$174 – $174
21	Healthpartners bhs hb allegiance percent of total billed charges · inpatientfrom % of charges	$174	$174	—	—	—	$174 – $174
22	Kaiser bhs hb allegiance percent of total billed charges · inpatientfrom % of charges	$174	$174	—	—	—	$174 – $174
23	Medical Mutual bhs hb allegiance percent of total billed charges · inpatientfrom % of charges	$174	$174	—	—	—	$174 – $174
24	Aetna bhs hb first choice health percent of total billed charges · bothfrom % of charges	$178	$178	—	—	—	$178 – $178
25	First Health bhs hb first choice health percent of total billed charges · bothfrom % of charges	$178	$178	—	—	—	$178 – $178

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Last updated: Mar 26, 2026

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