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Fallon Medical Complex Hospital

202 S 4TH ST W, Baker, MT 59313

Fallon Medical Complex Hospital in Baker, MT has an average Medicare payment of $15,282 and a Value Score of C (58/100). Compare prices for 13 procedures. Based on CMS inpatient data.

Critical Access Hospitals|Voluntary non-profit - Private|(406) 778-3331
C
Value Score
58/100
$15K
Avg Payment
Not Rated
Quality Rating
13
Procedures Priced
Yes
Emergency Services

About Fallon Medical Complex Hospital

Fallon Medical Complex Hospital does not carry an overall CMS Hospital Compare star rating — typically because the hospital is too small, too specialized, or reports too few of the underlying measures to compute the composite. The CMS Hospital Compare measures break roughly evenly between better- and worse-than-benchmark performance, which is the modal pattern across U.S. hospitals.

Cost-wise, Fallon Medical Complex Hospital is mid-pack: $15,282 average payment across documented procedures, close to the median for U.S. acute-care facilities. The combined value score — quality versus cost — works out to 58/100, an above-average showing.

Fallon Medical Complex Hospital is non-profit — a voluntary-association or church-affiliated facility, which is the majority ownership pattern for U.S. acute-care hospitals. The CMS payment record for Fallon Medical Complex Hospital lists 13 distinct DRG codes — a mid-range procedure mix, including Major Hip and Knee Joint Replacement, Spinal Fusion (Non-Cervical) with MCC, Cervical Spinal Fusion without CC/MCC. Emergency services are available, which is the norm for acute-care hospitals and a meaningful factor for any patient choosing a facility for unplanned care.

Source: CMS Provider Data Catalog — Hospital Compare quality measures, CMS Inpatient Payment data files.

Procedure Prices

Procedure (DRG)Total Payment
Major Hip and Knee Joint Replacement
DRG 470 · Orthopedic
$28,327
Spinal Fusion (Non-Cervical) with MCC
DRG 460 · Orthopedic
$42,759
Cervical Spinal Fusion without CC/MCC
DRG 473 · Orthopedic
$17,709
GI Hemorrhage with MCC
DRG 378 · Digestive
$12,017
Septicemia or Severe Sepsis without Ventilator
DRG 871 · Infectious
$12,279
Percutaneous Cardiovascular Procedure with Drug-Eluting Stent
DRG 247 · Cardiac
$24,103
Simple Pneumonia and Pleurisy with CC
DRG 194 · Respiratory
$9,618
Simple Pneumonia and Pleurisy with MCC
DRG 193 · Respiratory
$8,581
Nutritional and Misc Metabolic Disorders with MCC
DRG 641 · Metabolic
$12,221
Transient Ischemia
DRG 069 · Neurological
$6,563
Signs and Symptoms without MCC
DRG 948 · Other
$5,221
Heart Failure and Shock with MCC
DRG 291 · Cardiac
$13,316
Syncope and Collapse
DRG 312 · Neurological
$5,950

Pricing data from CMS Hospital Price Transparency. Quality ratings from CMS Hospital Compare.

How Fallon Medical Complex Hospital Compares

Fallon Medical Complex Hospital has an average Medicare payment of $15,282, 15% above the Montana state average of $13,252. That is 4% lower than the national hospital average of $15,878. Most of its procedures fall under Orthopedic, where the typical payment is $26,891 (43% below this hospital's average). Its Value Score of C (58/100) reflects a blend of price percentile, CMS quality rating, and patient outcome measures.

Fallon Medical Complex Hospital Cost & Quality FAQ

Fallon Medical Complex Hospital has an average payment of $15,282 across 13 priced procedures. Costs vary significantly by procedure, compare individual prices in the procedure table above.

Fallon Medical Complex Hospital does not currently have a CMS star rating on file. Quality measures may still be available for individual metrics like mortality and readmission rates.

Fallon Medical Complex Hospital has a Value Score of C (58/100). This score combines cost efficiency, quality ratings, and patient outcomes to help compare hospitals. Voluntary non-profit - Private facilities like this one are critical access hospitals.

Yes, Fallon Medical Complex Hospital offers emergency services. The hospital is located at 202 S 4TH ST W, Baker, MT 59313. Phone: (406) 778-3331.

Hospital payment data reflects Medicare inpatient claims. Value Scores combine cost efficiency, CMS star ratings, and patient outcome measures. Actual out-of-pocket costs may vary based on insurance and individual circumstances.