facebook tracking Big Sandy Medical Center, Big Sandy, MT: ER Visit 1h 17m

Big Sandy Medical Center, Big Sandy, MT

166 Montana Ave E, Big Sandy, MT 59520Chouteau County

Critical access hospital 8 beds (Medicare cost report FY2025) Emergency room

Independent directory · data from CMS, not from this hospital

Big Sandy Medical Center is a non-profit critical access hospital in Big Sandy, Montana, with an emergency department. According to HospitalsInEachState.com's analysis of the July 2026 CMS release, patients treated and sent home spend a median of 1 hr 17 min in its emergency department, 43 min shorter than the average across Montana hospitals (2 hr). Big Sandy Medical Center is in network for at least one 2027 Marketplace plan from 2 insurers in Montana, according to the insurers' network files loaded November 4, 2026.

Median ER visit 1 hr 17 min treated & sent home −43 min vs MT hospitals' avg
Medicare star ratingNot ratedReason below
Beds8Medicare cost report FY2025

CMS did not publish an overall star rating for this hospital; hospitals that report too few quality measures are not rated.

Source: CMS Care Compare, July 2026 releaseER figures are medians, not live waitsAbout the data

Visiting Big Sandy Medical Center

Address 166 Montana Ave E
Big Sandy, MT 59520
County: Chouteau
Directions Apple Maps Call (406) 378-2188
Emergency room Yes. For patients treated and sent home, the median ER visit here lasts 1 hr 17 min (average across MT hospitals: 2 hr). Medicare's median time in the ER for patients treated and sent home; not a live wait. ER times across MT
What to bring
  • Photo ID and your insurance, Medicare or Medicaid card
  • A list of your medicines, doses and allergies
  • Your doctor's name and phone number
  • A phone charger
Visiting hours and parking vary: call ahead.

Quick answers about Big Sandy Medical Center

How long is the ER wait at Big Sandy Medical Center?

CMS doesn't publish live wait times. Over the 12 months CMS reported, patients treated and sent home spent a median of 1 hr 17 min in the Big Sandy Medical Center emergency room (the average across Montana hospitals is 2 hr). 0% of ER patients left before being seen. For tonight's wait, call (406) 378-2188. In an emergency, call 911.

What is the phone number for Big Sandy Medical Center?

The main phone number for Big Sandy Medical Center is (406) 378-2188, from Medicare's hospital records.

Call (406) 378-2188
What is the address of Big Sandy Medical Center?

Big Sandy Medical Center is at 166 Montana Ave E, Big Sandy, MT 59520.

Directions (opens Google Maps)
Does Big Sandy Medical Center have an emergency room?

Yes. Big Sandy Medical Center has an emergency department, according to Medicare data.

Quality and performance

Centers for Medicare & Medicaid Services · data as of July 2026

Patients treated and sent home from the emergency department at Big Sandy Medical Center spend a median of 1 hour 17 minutes there. That is 43 minutes shorter than the average across Montana hospitals (2 hours).

Left before seen 0%
ER volume low
Type Critical access
Ownership Non-profit

Source: CMS Hospital General Information and Timely & Effective Care. Wait times are a median over a past 12-month reporting period, not live data. Not affiliated with CMS or with Big Sandy Medical Center. For a medical emergency, call 911.

Compare ER waits across Montana · Other Critical Access hospitals in Montana · How we source this data · Something wrong on this page? Tell us

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What insurance does Big Sandy Medical Center accept?

Original Medicare: Medicare-certified, so it can bill Original Medicare (Medicare number 271311). Medicare Advantage plans have their own networks, which this section does not cover.

2027 Marketplace plans in Montana that list this hospital

Marketplace insurers whose 2027 plan networks in Montana list Big Sandy Medical Center, most plans in network first
InsurerPlans in networkNetworkNetwork tier
Blue Cross and Blue Shield of Montana 40 of 76 plans BLUE-PREFERRED-PPO Blue-Preferred-Ppo
Mountain Health CO-OP 13 of 25 plans – Preferred

2027 plan year, individual Marketplace (ACA) plans only.Health insurance in Montana

Plans that include this hospital: Blue Preferred Bronze PPO℠ - Standard HSA, Blue Preferred Bronze PPO℠ - Support HSA, Blue Preferred Gold PPO℠ - Balance, Blue Preferred Gold PPO℠ - Secure, Blue Preferred Gold PPO℠ - Standard, Blue Preferred Silver PPO℠ - Balance Compare plans

Adults in Montana qualify for Medicaid up to 133% of the poverty line. Ask the hospital which Montana Medicaid plans it takes.

Is Big Sandy Medical Center in your plan?

For HealthCare.gov Marketplace plans (2027). Enter your ZIP code, then pick your insurer and plan. We only use your ZIP code to find plans; we don't save it.

Live from HealthCare.gov's Marketplace provider data, as reported by insurers. Networks change: confirm with your insurer before you get care. Not affiliated with HealthCare.gov or CMS.

What insurance does Big Sandy Medical Center accept?

In the 2027 HealthCare.gov Marketplace plan data (insurer network files loaded November 4, 2026), Big Sandy Medical Center is in network for 2 Marketplace insurers in Montana: Blue Cross and Blue Shield of Montana (40 of 76 plans) and Mountain Health CO-OP (13 of 25 plans). This covers Marketplace (ACA) plans only, not Medicare Advantage, Medicaid or employer plans. Networks differ from plan to plan and can change, so confirm with the insurer before you get care.

Does Big Sandy Medical Center take Medicare?

Big Sandy Medical Center is a Medicare-certified hospital (CMS Certification Number 271311), according to CMS hospital data. Medicare Advantage plans have their own networks, which this page does not cover; check with your plan before you get care.

Does Big Sandy Medical Center accept Blue Cross and Blue Shield of Montana?

Big Sandy Medical Center is in network for 40 of 76 plans that Blue Cross and Blue Shield of Montana sells on the Montana Marketplace in 2027, according to Blue Cross and Blue Shield of Montana's network file loaded November 4, 2026. Not every Blue Cross and Blue Shield of Montana plan includes it. Networks differ from plan to plan and can change, so confirm with the insurer before you get care.

Does Big Sandy Medical Center accept Mountain Health CO-OP?

Big Sandy Medical Center is in network for 13 of 25 plans that Mountain Health CO-OP sells on the Montana Marketplace in 2027, according to Mountain Health CO-OP's network file loaded November 4, 2026. Not every Mountain Health CO-OP plan includes it. Networks differ from plan to plan and can change, so confirm with the insurer before you get care.

Source: the insurers' 2027 machine-readable provider files listed in the CMS Marketplace public use files, loaded November 4, 2026, matched to hospitals by NPI from CMS Hospital Enrollments. How we match networks to hospitals Networks change; confirm with your insurer before you go.

Timely and effective care

Centers for Medicare & Medicaid Services · all patients unless noted · Oct 2024 – Sep 2025

Big Sandy Medical Center's emergency department is classed by CMS as low volume.

MeasureThis hospitalU.S.*
Typical time in the ER before going homeMedian minutes from arrival to leaving, for ER patients sent home (not counting mental health patients or transfers). Lower is better. 234 patients. 77 min 162 min
Typical ER time for patients transferred to another facilityMedian minutes from arrival to leaving. Lower is better. 35 patients. 140 min 287 min
Patients who left the ER before being seenLower is better. 308 patients. 0% 2%
Health care workers vaccinated against fluHigher is better. 58 patients. 66% 78%
Blood clot prevention givenHigher is better. 47 patients. 34% 90%*

CMS publishes these process-of-care measures without a better/worse verdict, so the U.S. figure is shown for context; small differences, or results based on few patients, may not mean much. *Median of all hospitals CMS reports, where CMS publishes no national figure. About the data.

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Size and finances

Medicare cost report · fiscal year ending Jun 2025

Beds
8
Reported to Medicare, FY2025
Employees
51
Full-time equivalent
Discharges
28
Inpatient stays a year
Patient revenue
$5.5 million
Net of discounts
Charity care
$6,000
0.1% of expenses

As reported by the hospital to CMS; not audited. Operating margin is income from patient care divided by net patient revenue and leaves out investment income and donations. Compare Montana hospital finances.

Who owns Big Sandy Medical Center

Medicare enrollment and ownership records (PECOS)

Medicare lists the hospital's legal name as Big Sandy Medical Center Inc, a non-profit organization, incorporated 1966.

Big Sandy Medical Center Inc Operational or managerial control · since 1989 Non-profit

10 doctors and other clinicians list Big Sandy Medical Center as a hospital affiliation in Medicare's clinician directory.

Organizations with 5% or more ownership (directly or through other companies), partnership interests or operational control, as the hospital reported them to Medicare. Records can lag behind recent sales. Individuals are not listed. Who owns America's hospitals.

Non-profit finances

IRS Form 990 · tax year ending Jun 2023 · Big Sandy Medical Center Inc (EIN 81-0291695)

Revenue
$6.0 million
Expenses
$6.2 million
Deficit
$259,000
-4.3% of revenue
Officer pay
$25,000
Compensation of current officers, directors and key employees

As filed with the IRS by Big Sandy Medical Center Inc. Matched by name and address, so check the filing to confirm it's the right organization. See the full Form 990 filings · Non-profit hospital finances.

The area around Big Sandy Medical Center

HRSA shortage designations and BLS pay data

Primary care: Chouteau is a federally designated health professional shortage area. Highest shortage score 13.

Mental health: Chouteau is a federally designated health professional shortage area. Highest shortage score 21.

Dental: Chouteau is a federally designated health professional shortage area. Highest shortage score 14.

Nurse pay: registered nurses in Montana earn a median $85,280 a year. Healthcare salaries in Montana.

Shortage areas are designated by the Health Resources and Services Administration where there are too few primary care, mental health or dental providers for the population; scores run from 0 to 25 for primary and mental health care and 0 to 26 for dental care, higher meaning greater need. Montana shortage areas

Healthcare pay in Montana

Registered nurses across Montana (all employers) earned a median of $85,280 a year (BLS, May 2025).Registered Nurse (RN) salary in MontanaNurse Practitioner salary in MontanaRespiratory Therapist salary in MontanaHealthcare salaries in Montana

Cite this data

Writing about Big Sandy Medical Center? You're welcome to quote these figures. They are free to use under CC BY 4.0: please credit HospitalsInEachState.com and link to this page.

Figures as of the July 2026 CMS release Updated automatically when CMS publishes new data Permanent link: hospitalsineachstate.com/hospitals/montana/big-sandy/big-sandy-medical-center/166-montana-ave-e/

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