Craniotomy with major device implant or acute complex CNS principal diagnosis with major complications o in Montana
What 3 hospitals in Montana charged and were paid for a Medicare hospital stay for craniotomy with major device implant or acute complex cns principal diagnosis with major complications o (DRG 023), from 2024 Medicare claims.
Average charge
$113,364
Hospital list price billed
Average payment
$43,656
Medicare + patient + other payers
Medicare paid
$41,932
Average per stay
State rank
#3 of 38
1 = lowest average payment
Hospitals in Montana billed an average of $113,364 for craniotomy with major device implant or acute complex cns principal diagnosis with major complications o, about 2.6 times the average total payment of $43,656. That payment is 23% below the U.S. average of $56,603.
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 $43,656Billed $113,364
About 39¢ was paid for every $1 hospitals in Montana billed for this stay.
Montana hospitals: craniotomy with major device implant or acute complex cns principal diagnosis with major complications o
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 | 35 | $105,120 | $44,097 | $42,408 |
| St Patrick Hospital and Health Sciences CenterMissoula | 23 | $97,817 | $44,395 | $42,490 |
| St Vincent HealthcareBillings | 19 | $147,369 | $41,949 | $40,380 |
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
| St Vincent HealthcareBillings, MT | $41,949 |
|---|---|
| Billings Clinic HospitalBillings, MT | $44,097 |
| St Patrick Hospital and Health Sciences CenterMissoula, MT | $44,395 |
Highest
| St Patrick Hospital and Health Sciences CenterMissoula, MT | $44,395 |
|---|---|
| Billings Clinic HospitalBillings, MT | $44,097 |
| St Vincent HealthcareBillings, MT | $41,949 |
Craniotomy with major device implant or acute complex CNS principal diagnosis with major complications o in other states
Questions
How much does craniotomy with major device implant or acute complex cns principal diagnosis with major complications o cost in Montana?
In 2024 Medicare data, a hospital stay for craniotomy with major device implant or acute complex cns principal diagnosis with major complications o (DRG 023) at 3 hospitals in Montana was billed at $113,364 on average, while the average total payment was $43,656, of which Medicare paid $41,932. 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 2.6 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.