facebook tracking Carotid artery stent procedures without complications cost in Montana: 1 hospitals compared (DRG 036)

Carotid artery stent procedures without complications in Montana

What 1 hospital in Montana charged and were paid for a Medicare hospital stay for carotid artery stent procedures without complications (DRG 036), from 2024 Medicare claims.

DRG 036 Inpatient 2024 Medicare data
Average charge $43,369 Hospital list price billed
Average payment $14,527 Medicare + patient + other payers
Medicare paid $12,971 Average per stay
Volume 12 Medicare hospital stays

Hospitals in Montana billed an average of $43,369 for carotid artery stent procedures without complications, about 3.0 times the average total payment of $14,527. That payment is 8% below the U.S. average of $15,778.

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 $14,527Billed $43,369

About 33¢ was paid for every $1 hospitals in Montana billed for this stay.

Montana hospitals: carotid artery stent procedures without complications

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
Billings Clinic HospitalBillings 12 $43,369 $14,527 $12,971
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Carotid artery stent procedures without complications in other states

Questions

How much does carotid artery stent procedures without complications cost in Montana?

In 2024 Medicare data, a hospital stay for carotid artery stent procedures without complications (DRG 036) at 1 hospital in Montana was billed at $43,369 on average, while the average total payment was $14,527, of which Medicare paid $12,971. 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 3.0 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.