Coagulation disorders in Montana
What 2 hospitals in Montana charged and were paid for a Medicare hospital stay for coagulation disorders (DRG 813), from 2024 Medicare claims.
Average charge
$36,550
Hospital list price billed
Average payment
$12,536
Medicare + patient + other payers
Medicare paid
$11,074
Average per stay
Volume
24
Medicare hospital stays
Hospitals in Montana billed an average of $36,550 for coagulation disorders, about 2.9 times the average total payment of $12,536. That payment is 29% below the U.S. average of $17,707.
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 $12,536Billed $36,550
About 34¢ was paid for every $1 hospitals in Montana billed for this stay.
Montana hospitals: coagulation disorders
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 | $39,141 | $12,355 | $10,356 |
| St Patrick Hospital and Health Sciences CenterMissoula | 12 | $33,959 | $12,718 | $11,792 |
Coagulation disorders in other states
Questions
How much does coagulation disorders cost in Montana?
In 2024 Medicare data, a hospital stay for coagulation disorders (DRG 813) at 2 hospitals in Montana was billed at $36,550 on average, while the average total payment was $12,536, of which Medicare paid $11,074. 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 2.9 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.