Cardiac valve and other major cardiothoracic procedures without cardiac catheterization in Montana
What 3 hospitals in Montana charged and were paid for a Medicare hospital stay for cardiac valve and other major cardiothoracic procedures without cardiac catheterization (DRG 220), from 2024 Medicare claims.
Average charge
$132,189
Hospital list price billed
Average payment
$41,375
Medicare + patient + other payers
Medicare paid
$37,914
Average per stay
State rank
#3 of 33
1 = lowest average payment
Hospitals in Montana billed an average of $132,189 for cardiac valve and other major cardiothoracic procedures without cardiac catheterization, about 3.2 times the average total payment of $41,375. That payment is 25% below the U.S. average of $55,508.
These are averages for patients with original (fee-for-service) Medicare. Private insurance pays different, negotiated prices, and what you owe depends on your plan's deductible and coinsurance. Use these figures to compare hospitals, not as a quote.
Paid $41,375Billed $132,189
About 31¢ was paid for every $1 hospitals in Montana billed for this stay.
Medicare prices this stay in 3 versions, by how sick the patient was. Compare them in Montana:
Montana hospitals: cardiac valve and other major cardiothoracic procedures without cardiac catheterization
Every Montana hospital that billed Medicare for this stay at least 11 times. Click a column to sort.
| Hospital | Stays | Avg charge | Avg payment | Medicare paid |
|---|---|---|---|---|
| St Patrick Hospital and Health Sciences CenterMissoula | 30 | $114,515 | $42,699 | $37,237 |
| Billings Clinic HospitalBillings | 21 | $139,093 | $40,943 | $39,236 |
| Logan Health Medical CenterKalispell | 12 | $164,291 | $38,823 | $37,296 |
Lowest and highest payments in Montana
Among hospitals with at least 11 Medicare hospital stays. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.
Lowest
| Logan Health Medical CenterKalispell, MT | $38,823 |
|---|---|
| Billings Clinic HospitalBillings, MT | $40,943 |
| St Patrick Hospital and Health Sciences CenterMissoula, MT | $42,699 |
Highest
| St Patrick Hospital and Health Sciences CenterMissoula, MT | $42,699 |
|---|---|
| Billings Clinic HospitalBillings, MT | $40,943 |
| Logan Health Medical CenterKalispell, MT | $38,823 |
Cardiac valve and other major cardiothoracic procedures without cardiac catheterization in other states
Questions
How much does cardiac valve and other major cardiothoracic procedures without cardiac catheterization cost in Montana?
In 2024 Medicare data, a hospital stay for cardiac valve and other major cardiothoracic procedures without cardiac catheterization (DRG 220) at 3 hospitals in Montana was billed at $132,189 on average, while the average total payment was $41,375, of which Medicare paid $37,914. Your own cost depends on your insurance, deductible and the hospital.
Why are hospital charges so much higher than payments?
Charges are a hospital's list prices. Medicare pays fixed rates set in advance, and private insurers negotiate their own discounts, so almost nobody pays the full charge. For this stay in Montana, average charges were 3.2 times the average payment. Uninsured patients can ask the hospital about its financial assistance (charity care) policy and cash prices.
Source: CMS, Medicare Inpatient Hospitals by Provider and Service, 2024. Average total payment includes Medicare's payment, the patient's deductible and coinsurance, and any other payer. CMS omits hospitals with fewer than 11 hospital stays for privacy. About the data.