Hip and femur procedures except major joint with complications in Montana
What 8 hospitals in Montana charged and were paid for a Medicare hospital stay for hip and femur procedures except major joint with complications (DRG 481), from 2024 Medicare claims.
Average charge
$55,376
Hospital list price billed
Average payment
$16,231
Medicare + patient + other payers
Medicare paid
$14,438
Average per stay
State rank
#11 of 50
1 = lowest average payment
Hospitals in Montana billed an average of $55,376 for hip and femur procedures except major joint with complications, about 3.4 times the average total payment of $16,231. That payment is 12% below the U.S. average of $18,473.
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 $16,231Billed $55,376
About 29¢ 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: hip and femur procedures except major joint with 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 | 52 | $50,237 | $16,530 | $14,865 |
| St Vincent HealthcareBillings | 45 | $54,652 | $16,163 | $13,869 |
| St Patrick Hospital and Health Sciences CenterMissoula | 42 | $50,043 | $16,867 | $14,498 |
| Benefis Hospitals INCGreat Falls | 35 | $58,956 | $15,479 | $13,939 |
| Bozeman Deaconess HospitalBozeman | 35 | $67,758 | $15,383 | $13,929 |
| Logan Health Medical CenterKalispell | 27 | $53,366 | $15,212 | $13,738 |
| St Peter's HospitalHelena | 26 | $48,998 | $15,855 | $14,318 |
| St James HealthcareButte | 15 | $67,719 | $19,839 | $18,316 |
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 | $15,212 |
|---|---|
| Bozeman Deaconess HospitalBozeman, MT | $15,383 |
| Benefis Hospitals INCGreat Falls, MT | $15,479 |
| St Peter's HospitalHelena, MT | $15,855 |
| St Vincent HealthcareBillings, MT | $16,163 |
Highest
| St James HealthcareButte, MT | $19,839 |
|---|---|
| St Patrick Hospital and Health Sciences CenterMissoula, MT | $16,867 |
| Billings Clinic HospitalBillings, MT | $16,530 |
| St Vincent HealthcareBillings, MT | $16,163 |
| St Peter's HospitalHelena, MT | $15,855 |
Hip and femur procedures except major joint with complications in other states
Questions
How much does hip and femur procedures except major joint with complications cost in Montana?
In 2024 Medicare data, a hospital stay for hip and femur procedures except major joint with complications (DRG 481) at 8 hospitals in Montana was billed at $55,376 on average, while the average total payment was $16,231, of which Medicare paid $14,438. 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 3.4 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.