Hospital · CCN 270017

Intermountain Health St James Hospital

400 S Clark St, Butte, MT 59701 · Silver Bow County
Part of Intermountain Healthcare · 69 beds · 2
Micropolitan area core: primary flow within an urban cluster of 10,000 to 49,999

14 admission types 38 outpatient services

Billed per dollar paid, all admissions

2.72×

$21.5M billed against $7.9M paid across 460 Medicare discharges; the national figure is 5.03×.

2.9%

of adults in Silver Bow County have medical debt in collections

9.7%

uninsured in the county · state 10.5%

$58K

median household income

2.7×

billed ÷ paid, inpatient, summed over the county's hospitals in the Medicare file (1 in the inpatient or outpatient file)ⓘ

32.3%

obesity in the countyⓘ

10.2%

diagnosed diabetes (PLACES)

6.8%

coronary heart disease (PLACES)

—

median age · — below poverty (ACS)

01 · Admissions

What it billed Medicare, by admission type

Average charge submitted and average total payment per discharge, 2024. Rows under 11 discharges are suppressed by CMS. The last column is the hospital's ratio against its state's for the same admission.

DRG

Admission

Discharges

Charge

Paid

Billed ÷ paid

871

Septicemia or severe sepsis without mv >96 hours with mcc

188

$49,499

$19,232

2.6× st 2.7×

872

Septicemia or severe sepsis without mv >96 hours without mcc

$27,992

$9,866

2.8× st 2.8×

291

Heart failure and shock with mcc

$41,179

$12,715

3.2× st 2.9×

698

Other kidney and urinary tract diagnoses with mcc

$41,136

$15,819

2.6× st 2.5×

177

Respiratory infections and inflammations with mcc

$33,385

$16,819

2.0× st 2.7×

853

Infectious and parasitic diseases with o.r. procedures with mcc

$115,052

$47,407

2.4× st 2.4×

193

Simple pneumonia and pleurisy with mcc

$28,278

$12,631

2.2× st 2.8×

481

Hip and femur procedures except major joint with cc

$67,719

$19,839

3.4× st 3.4×

189

Pulmonary edema and respiratory failure

$39,123

$12,656

3.1× st 3.1×

322

Percutaneous cardiovascular procedures with intraluminal device without mcc

$67,893

$17,449

3.9× st 4.3×

522

Hip replacement with principal diagnosis of hip fracture without mcc

$72,740

$20,313

3.6× st 3.2×

683

Renal failure with cc

$24,746

$8,562

2.9× st 2.9×

175

Pulmonary embolism with mcc or acute cor pulmonale

$54,388

$13,757

4.0× st 2.7×

065

Intracranial hemorrhage or cerebral infarction with cc or tpa in 24 hours

$30,082

$9,832

3.1× st 2.9×

02 · Outpatient

Outpatient services

Comprehensive APCs, Medicare's outpatient payment groups: submitted charge against what Medicare allowed, per service.

APC

Service

Services

Charge

Allowed

Billed ÷ allowed

8011

Comprehensive Observation Services

222

$14,096

$2,739

5.1×

5191

Level 1 Endovascular Procedures

157

$12,476

$3,247

3.8×

5431

Level 1 Nerve Procedures

$4,581

$1,939

2.4×

5183

Level 3 Vascular Procedures

$12,174

$3,201

3.8×

5193

Level 3 Endovascular Procedures

$48,103

$11,034

4.4×

5072

Level 2 Excision/ Biopsy/ Incision and Drainage

$10,804

$1,628

6.6×

5223

Level 3 Pacemaker and Similar Procedures

$44,379

$10,711

4.1×

5182

Level 2 Vascular Procedures

$5,520

$1,608

3.4×

5222

Level 2 Pacemaker and Similar Procedures

$41,990

$8,529

4.9×

5115

Level 5 Musculoskeletal Procedures

$51,985

$13,194

3.9×

5373

Level 3 Urology and Related Services

$6,104

$1,965

3.1×

5073

Level 3 Excision/ Biopsy/ Incision and Drainage

$15,540

$2,853

5.4×

5194

Level 4 Endovascular Procedures

$81,522

$17,568

4.6×

5361

Level 1 Laparoscopy and Related Services

$37,249

$5,794

6.4×

5374

Level 4 Urology and Related Services

$17,222

$3,500

4.9×

5375

Level 5 Urology and Related Services

—

5313

Level 3 Lower GI Procedures

—

5627

Level 7 Radiation Therapy

—

5491

Level 1 Intraocular Procedures

—

5331

Complex GI Procedures

—

5341

Level 1 Abdominal/Peritoneal/Biliary and Related Procedures

—

5362

Level 2 Laparoscopy and Related Services

—

5414

Level 4 Gynecologic Procedures

—

5303

Level 3 Upper GI Procedures

—

5302

Level 2 Upper GI Procedures

—

5116

Level 6 Musculoskeletal Procedures

—

5155

Level 5 Airway Endoscopy

—

5163

Level 3 ENT Procedures

—

5164

Level 4 ENT Procedures

—

5165

Level 5 ENT Procedures

—

5113

Level 3 Musculoskeletal Procedures

—

5184

Level 4 Vascular Procedures

—

5112

Level 2 Musculoskeletal Procedures

—

5192

Level 2 Endovascular Procedures

—

5092

Level 2 Breast/Lymphatic Surgery and Related Procedures

—

5091

Level 1 Breast/Lymphatic Surgery and Related Procedures

—

5232

Level 2 ICD and Similar Procedures

—

5114

Level 4 Musculoskeletal Procedures

—

Sources for this hospital

the files read, as fetched — not our copy of them

Medicare Inpatient Hospitals - by Provider and Service · CMS · 2024
MUP_INP_RY26_P03_V10_DY24_PrvSvc.CSV · 38.0M bytes · fetched 2026-08-21 · sha256 2ab6da15be4c… · publisher's page · public domain (US federal)
Medicare Outpatient Hospitals - by Provider and Service · CMS · 2024
MUP_OUT_RY26_P04_V10_DY24_Prov_Svc.csv · 28.1M bytes · fetched 2026-08-21 · sha256 f293918edbf6… · publisher's page · public domain (US federal)
AHRQ Compendium of U.S. Health Systems — hospital linkage file · AHRQ · 2023
chsp-hospital-linkage-2023.csv · 1.5M bytes · fetched 2026-08-21 · sha256 a86146f10c8d… · publisher's page · public; cite AHRQ Compendium of U.S. Health Systems
2020 ZCTA to County relationship file · US Census Bureau · 2020
tab20_zcta520_county20_natl.txt · 6.8M bytes · fetched 2026-08-21 · sha256 3ed41278d637… · publisher's page · public domain (US federal)

Every figure on this page is computed from these files by pipeline/prices/; the same rows are in the API.

Source rows for this hospital as JSON: inpatient · outpatient. CMS, Medicare Inpatient and Outpatient Hospitals by Provider and Service, 2024.