Level 1 ICD and Similar Procedures in Montana
What 6 hospitals in Montana charged and were paid for level 1 icd and similar procedures (APC 5231), from 2024 Medicare claims.
Average charge
–
Hospital list price billed
Average allowed
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Medicare's payment + patient's share
Medicare paid
–
Average per service
Volume
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Medicare services
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.
Montana hospitals: level 1 icd and similar procedures
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 |
|---|---|---|---|---|
| Billings Clinic HospitalBillings | – | – | – | – |
| Benefis Hospitals INCGreat Falls | – | – | – | – |
| St Patrick Hospital and Health Sciences CenterMissoula | – | – | – | – |
| St Vincent HealthcareBillings | – | – | – | – |
| Logan Health Medical CenterKalispell | – | – | – | – |
| Great Falls Clinic Medical CenterGreat Falls | – | – | – | – |
Level 1 ICD and Similar Procedures in other states
Questions
How much does level 1 icd and similar procedures cost in Montana?
In 2024 Medicare data, level 1 icd and similar procedures (APC 5231) at 6 hospitals in Montana was billed at – on average, while the average medicare-allowed amount was –. 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. 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.