What 10 hospitals in Montana charged and were paid for level 1 laparoscopy and related services (APC 5361), from 2024 Medicare claims.
Hospitals in Montana billed an average of $24,644 for level 1 laparoscopy and related services, about 4.5 times the average medicare-allowed amount of $5,439. That payment is 1% below the U.S. average of $5,495.
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.
About 22¢ was paid for every $1 hospitals in Montana billed for this service.
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 Patrick Hospital and Health Sciences CenterMissoula | 183 | $20,079 | $5,386 | $4,278 |
| Billings Clinic HospitalBillings | 129 | $13,516 | $5,095 | $4,045 |
| St Vincent HealthcareBillings | 126 | $21,752 | $5,341 | $4,242 |
| Benefis Hospitals INCGreat Falls | 119 | $25,786 | $5,373 | $4,273 |
| Logan Health Medical CenterKalispell | 103 | $26,518 | $5,705 | $4,515 |
| St Peter's HospitalHelena | 90 | $14,530 | $5,681 | $4,524 |
| Bozeman Deaconess HospitalBozeman | 89 | $47,272 | $5,742 | $4,560 |
| Community Medical Center INCMissoula | 68 | $34,294 | $5,410 | $4,307 |
| Great Falls Clinic Medical CenterGreat Falls | 42 | $33,163 | $5,305 | $4,196 |
| St James HealthcareButte | 15 | $37,249 | $5,794 | $4,616 |
Among hospitals with at least 11 Medicare services. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.
| Billings Clinic HospitalBillings, MT | $5,095 |
|---|---|
| Great Falls Clinic Medical CenterGreat Falls, MT | $5,305 |
| St Vincent HealthcareBillings, MT | $5,341 |
| Benefis Hospitals INCGreat Falls, MT | $5,373 |
| St Patrick Hospital and Health Sciences CenterMissoula, MT | $5,386 |
| St James HealthcareButte, MT | $5,794 |
|---|---|
| Bozeman Deaconess HospitalBozeman, MT | $5,742 |
| Logan Health Medical CenterKalispell, MT | $5,705 |
| St Peter's HospitalHelena, MT | $5,681 |
| Community Medical Center INCMissoula, MT | $5,410 |
In 2024 Medicare data, level 1 laparoscopy and related services (APC 5361) at 10 hospitals in Montana was billed at $24,644 on average, while the average medicare-allowed amount was $5,439, of which Medicare paid $4,320. Your own cost depends on your insurance, deductible and the hospital.
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 4.5 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.