facebook tracking Laparoscopic cholecystectomy without c.d.e. with complications cost in Montana: 3 hospitals compared (DRG 418)

Laparoscopic cholecystectomy without c.d.e. with complications in Montana

What 3 hospitals in Montana charged and were paid for a Medicare hospital stay for laparoscopic cholecystectomy without c.d.e. with complications (DRG 418), from 2024 Medicare claims.

DRG 418 Inpatient 2024 Medicare data
Average charge $40,945 Hospital list price billed
Average payment $13,206 Medicare + patient + other payers
Medicare paid $11,044 Average per stay
State rank #10 of 42 1 = lowest average payment

Hospitals in Montana billed an average of $40,945 for laparoscopic cholecystectomy without c.d.e. with complications, about 3.1 times the average total payment of $13,206. That payment is 12% below the U.S. average of $15,043.

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 $13,206Billed $40,945

About 32¢ was paid for every $1 hospitals in Montana billed for this stay.

Montana hospitals: laparoscopic cholecystectomy without c.d.e. 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
St Patrick Hospital and Health Sciences CenterMissoula 19 $42,664 $12,923 $11,315
Billings Clinic HospitalBillings 17 $32,624 $14,236 $10,898
Benefis Hospitals INCGreat Falls 16 $47,745 $12,448 $10,879
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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

Benefis Hospitals INCGreat Falls, MT$12,448
St Patrick Hospital and Health Sciences CenterMissoula, MT$12,923
Billings Clinic HospitalBillings, MT$14,236

Highest

Billings Clinic HospitalBillings, MT$14,236
St Patrick Hospital and Health Sciences CenterMissoula, MT$12,923
Benefis Hospitals INCGreat Falls, MT$12,448

Laparoscopic cholecystectomy without c.d.e. with complications in other states

Questions

How much does laparoscopic cholecystectomy without c.d.e. with complications cost in Montana?

In 2024 Medicare data, a hospital stay for laparoscopic cholecystectomy without c.d.e. with complications (DRG 418) at 3 hospitals in Montana was billed at $40,945 on average, while the average total payment was $13,206, of which Medicare paid $11,044. 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 3.1 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.