Implantation of Drug Infusion Device in Montana
What 4 hospitals in Montana charged and were paid for implantation of drug infusion device (APC 5471), from 2024 Medicare claims.
Average charge
$61,068
Hospital list price billed
Average allowed
$16,685
Medicare's payment + patient's share
Medicare paid
$15,053
Average per service
State rank
#23 of 32
1 = lowest average payment
Hospitals in Montana billed an average of $61,068 for implantation of drug infusion device, about 3.7 times the average medicare-allowed amount of $16,685. That payment is 1% above the U.S. average of $16,462.
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 $16,685Billed $61,068
About 27¢ was paid for every $1 hospitals in Montana billed for this service.
Montana hospitals: implantation of drug infusion device
Every Montana hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| St Vincent HealthcareBillings | 13 | $61,068 | $16,685 | $15,053 |
| Benefis Hospitals INCGreat Falls | – | – | – | – |
| Community Medical Center INCMissoula | – | – | – | – |
| Logan Health Medical CenterKalispell | – | – | – | – |
Implantation of Drug Infusion Device in other states
Questions
How much does implantation of drug infusion device cost in Montana?
In 2024 Medicare data, implantation of drug infusion device (APC 5471) at 4 hospitals in Montana was billed at $61,068 on average, while the average medicare-allowed amount was $16,685, of which Medicare paid $15,053. 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 service in Montana, average charges were 3.7 times the average payment. Uninsured patients can ask the hospital about its financial assistance (charity care) policy and cash prices.
Source: CMS, Medicare Outpatient Hospitals by Provider and Service, 2024. The allowed amount is Medicare's payment plus the patient's coinsurance. CMS omits hospitals with fewer than 11 services for privacy. About the data.