facebook tracking Gastrointestinal obstruction without complications cost in Montana: 5 hospitals compared (DRG 390)

Gastrointestinal obstruction without complications in Montana

What 5 hospitals in Montana charged and were paid for a Medicare hospital stay for gastrointestinal obstruction without complications (DRG 390), from 2024 Medicare claims.

DRG 390 Inpatient 2024 Medicare data
Average charge $12,296 Hospital list price billed
Average payment $4,914 Medicare + patient + other payers
Medicare paid $3,080 Average per stay
State rank #7 of 42 1 = lowest average payment

Hospitals in Montana billed an average of $12,296 for gastrointestinal obstruction without complications, about 2.5 times the average total payment of $4,914. That payment is 14% below the U.S. average of $5,706.

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 $4,914Billed $12,296

About 40¢ was paid for every $1 hospitals in Montana billed for this stay.

Montana hospitals: gastrointestinal obstruction 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
Bozeman Deaconess HospitalBozeman 22 $14,897 $5,421 $2,992
Billings Clinic HospitalBillings 16 $10,305 $5,099 $3,315
St Peter's HospitalHelena 14 $12,734 $4,499 $3,051
St Patrick Hospital and Health Sciences CenterMissoula 14 $8,925 $4,639 $3,133
Logan Health Medical CenterKalispell 12 $13,608 $4,540 $2,899
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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

Highest

Gastrointestinal obstruction without complications in other states

Questions

How much does gastrointestinal obstruction without complications cost in Montana?

In 2024 Medicare data, a hospital stay for gastrointestinal obstruction without complications (DRG 390) at 5 hospitals in Montana was billed at $12,296 on average, while the average total payment was $4,914, of which Medicare paid $3,080. 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 2.5 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.