Montana / Intermountain Health St James Hospital
CMS certification 270017 · Butte, MT
Intermountain Health St James Hospital: charges and Medicare payments
Intermountain Health St James Hospital reported 460 Medicare inpatient stays across 14 DRGs in 2024. Across them it charged 2.72 times what it was paid — among the lower ratios in Montana, number 8 of 10 hospitals with at least 100 stays (state median 3.38×, national 4.15×). Its most frequent stay was DRG 871, Septicemia or Severe Sepsis without MV >96 Hours with MCC: 188 stays at an average charge of $49,499, 45% below the national average. It also billed 849 outpatient services, charging 5.37 times what Medicare paid.
- 1Medicare inpatient stays 460
- 2Charge ÷ paid, inpatient 2.72×
- 3Rank in MT (highest ratio = 1) 8 of 10
- 4CMS price-transparency actions 0
Inpatient stays
For the 14 DRGs that can be compared with the national average, Intermountain Health St James Hospital charged more than the national average in 0 (0%). Payments follow Medicare's rates, so they usually vary far less than charges.
| DRG | Stays | Avg charge | vs US | Avg paid |
|---|---|---|---|---|
| 871 Septicemia or Severe Sepsis without MV >96 Hours with MCC | 188 | $49,499 | -45% | $19,232 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 54 | $27,992 | -43% | $9,866 |
| 291 Heart Failure and Shock with MCC | 36 | $41,179 | -27% | $12,715 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 32 | $41,136 | -44% | $15,819 |
| 177 Respiratory Infections and Inflammations with MCC | 28 | $33,385 | -53% | $16,819 |
| 193 Simple Pneumonia and Pleurisy with MCC | 17 | $28,278 | -53% | $12,631 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 17 | $115,052 | -50% | $47,407 |
| 189 Pulmonary Edema and Respiratory Failure | 15 | $39,123 | -32% | $12,656 |
| 481 Hip and Femur Procedures except Major Joint with CC | 15 | $67,719 | -33% | $19,839 |
| 322 Percutaneous Cardiovascular Procedures with Intraluminal... | 14 | $67,893 | -41% | $17,448 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 11 | $30,082 | -46% | $9,832 |
| 175 Pulmonary Embolism with MCC or Acute Cor Pulmonale | 11 | $54,388 | -17% | $13,757 |
| 522 Hip Replacement with Principal Diagnosis of Hip Fracture... | 11 | $72,740 | -29% | $20,313 |
| 683 Renal Failure with CC | 11 | $24,746 | -39% | $8,562 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Comprehensive Observation Services | 222 | $14,096 | $2,739 |
| Level 1 Endovascular Procedures | 157 | $12,476 | $3,247 |
| Level 1 Nerve Procedures | 83 | $4,581 | $1,939 |
| Level 3 Vascular Procedures | 62 | $12,174 | $3,201 |
| Level 3 Endovascular Procedures | 54 | $48,103 | $11,034 |
| Level 2 Excision/ Biopsy/ Incision and Drainage | 52 | $10,804 | $1,628 |
| Level 3 Pacemaker and Similar Procedures | 43 | $44,379 | $10,711 |
| Level 2 Vascular Procedures | 33 | $5,520 | $1,608 |
| Level 2 Pacemaker and Similar Procedures | 32 | $41,990 | $8,529 |
| Level 5 Musculoskeletal Procedures | 29 | $51,984 | $13,194 |
| Level 3 Excision/ Biopsy/ Incision and Drainage | 19 | $15,540 | $2,853 |
| Level 3 Urology and Related Services | 19 | $6,104 | $1,965 |
| Level 4 Endovascular Procedures | 18 | $81,522 | $17,568 |
| Level 1 Laparoscopy and Related Services | 15 | $37,249 | $5,794 |
| Level 4 Urology and Related Services | 11 | $17,222 | $3,500 |
Against the Montana average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Intermountain Health St James Hospital charged $49,499 on average, 16% more than the Montana average of $42,642, and was paid $19,232 against a state average of $15,860. For Septicemia or Severe Sepsis without MV >96 Hours without MCC (DRG 872), Intermountain Health St James Hospital charged $27,992 on average, 18% more than the Montana average of $23,658, and was paid $9,866 against a state average of $8,589. For Heart Failure and Shock with MCC (DRG 291), Intermountain Health St James Hospital charged $41,179 on average, 35% more than the Montana average of $30,559, and was paid $12,715 against a state average of $10,456. For Other Kidney and Urinary Tract Diagnoses with MCC (DRG 698), Intermountain Health St James Hospital charged $41,136 on average, 20% more than the Montana average of $34,210, and was paid $15,819 against a state average of $13,223. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $14,096 was 29% above the state average of $10,951. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $12,476 was 20% below the state average of $15,556. For Level 1 Nerve Procedures (outpatient APC 5431), its average charge of $4,581 was 33% below the state average of $6,825. For Level 3 Vascular Procedures (outpatient APC 5183), its average charge of $12,174 was 5% above the state average of $11,568.
Price-transparency record
No action in CMS's price-transparency enforcement list (July 2026) matches this hospital's exact name, city and state. That can mean CMS has not reviewed it, or that it is listed under a different name.
Charges are the hospital's list prices averaged over its 2024 Medicare cases; payments are what those cases actually brought in. Neither is what you will pay. For a planned procedure, ask the hospital for its price estimate or, if you are uninsured or self-paying, a good-faith estimate.
Sources: CMS Medicare Inpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Medicare Outpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Hospital Price Transparency Enforcement Activities and Outcomes, July 2026. Checked 2026-10-24. Methodology.