Fallon Medical Complex Inc is a nonprofit critical access hospital in Baker, Montana. Its CMS Certification Number (CCN) is 271301 and its NPI is 1316965346.
CMS Certification Number
National Provider Identifier
Billing entity in payer files
Baker, MT
Negotiated rates
In-network rates for clinicians billing at this hospital, from each insurer's price transparency files. Median rate, with the range when more than one contract applies.
| Service | Code | Physician rate | vs. Montana hospitals |
|---|---|---|---|
| Emergency room visit, high severity | 99285 | $298$285–$311 · 2 rates | 75th percentile · state median $284, mean $288 |
| CT scan, abdomen and pelvis, with contrast | 74177 | $433$283–$584 · 6 rates | 70th percentile · state median $343, mean $404 |
| MRI, brain, with and without contrast | 70553 | $483$315–$651 · 6 rates | 54th percentile · state median $477, mean $515 |
| Colonoscopy, diagnostic | 45378 | $546$310–$597 · 6 rates | 59th percentile · state median $545, mean $555 |
See UnitedHealthcare rates for every billing code at Fallon Medical Complex Inc
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Every billing code
CPT, HCPCS, MS-DRG and revenue codes, not just the four shown here.
Institutional rates
What each insurer pays the hospital itself, its facility fees.
Professional rates
What insurers pay physicians and clinicians billing here.
Inpatient and outpatient
Per-stay rates for admissions and per-visit rates for outpatient care.
The table above shows physician rates: what the insurer pays clinicians for the service. Facility rates are in the full data. Source: insurer Transparency in Coverage files.
From the hospital's Medicare enrollment record.
From CMS Care Compare. Each measure is compared with the national rate.
CMS overall rating
Not rated. CMS only stars hospitals that report enough measures; most critical access and specialty hospitals are not rated.
0 better1 no different0 worsethan national
0 better1 no different0 worsethan national
Units Medicare certifies separately, each with its own CCN.
Swing-bed unit
Fallon Medical Complex Inc
CCN 27Z301
Dahl Memorial Healthcare Association Inc
Ekalaka, MT
Garfield County Health Center
Jordan, MT
Glendive Medical Center Inc.
Glendive, MT
Intermountain Health Holy Rosary Hospital
Miles City, MT
Prairie County Hospital District
Terry, MT
Rosebud Health Care Center
Forsyth, MT
Compare negotiated rates from UHC, Aetna, Cigna and BCBS with the rest of the market, down to the TIN.
Quick answers about Fallon Medical Complex Inc.
Fallon Medical Complex Inc's CMS Certification Number (CCN) is 271301. Medicare uses the CCN to identify the hospital in cost reports, quality reporting and claims.
Fallon Medical Complex Inc bills under National Provider Identifier (NPI) 1316965346.
Fallon Medical Complex Inc bills insurers under tax ID (EIN) 36-3808993, held by FALLON MEDICAL COMPLEX INC. Insurers publish negotiated rates by tax ID, so this is the number to look up in price transparency files.
Fallon Medical Complex Inc is enrolled in Medicare as a critical access hospital with nonprofit ownership. Its legal business name is Fallon Medical Complex Inc.
Fallon Medical Complex Inc is at 202 S 4th St W, Baker, MT 59313.
Yes. Fallon Medical Complex Inc reports emergency services to CMS.
Yes. Fallon Medical Complex Inc has 1 Medicare-certified unit: swing-bed unit.
Enrollment records show how a hospital is registered with Medicare; confirm services and coverage with the hospital directly.