facebook tracking Level 2 Endovascular Procedures cost in Montana: 10 hospitals compared (APC 5192)

Level 2 Endovascular Procedures in Montana

What 10 hospitals in Montana charged and were paid for level 2 endovascular procedures (APC 5192), from 2024 Medicare claims.

APC 5192 Outpatient 2024 Medicare data
Average charge $26,447 Hospital list price billed
Average allowed $5,447 Medicare's payment + patient's share
Medicare paid $4,335 Average per service
State rank #29 of 48 1 = lowest average payment

Hospitals in Montana billed an average of $26,447 for level 2 endovascular procedures, about 4.9 times the average medicare-allowed amount of $5,447. That payment is about the same as the U.S. average of $5,463.

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 $5,447Billed $26,447

About 21¢ was paid for every $1 hospitals in Montana billed for this service.

Montana hospitals: level 2 endovascular 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 53 $18,082 $5,278 $4,189
Logan Health Medical CenterKalispell 46 $33,230 $5,739 $4,573
St Vincent HealthcareBillings 40 $24,960 $5,359 $4,269
St Patrick Hospital and Health Sciences CenterMissoula 37 $20,868 $5,359 $4,270
Benefis Hospitals INCGreat Falls 36 $31,332 $5,359 $4,259
Bozeman Deaconess HospitalBozeman 28 $20,875 $5,739 $4,569
Community Medical Center INCMissoula 15 $49,093 $5,359 $4,270
Great Falls Clinic Medical CenterGreat Falls 15 $28,965 $5,359 $4,270
St Peter's HospitalHelena – – – –
St James HealthcareButte – – – –
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Lowest and highest allowed amounts in Montana

Among hospitals with at least 11 Medicare services. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.

Lowest

Highest

Bozeman Deaconess HospitalBozeman, MT$5,739
Logan Health Medical CenterKalispell, MT$5,739
Benefis Hospitals INCGreat Falls, MT$5,359
St Vincent HealthcareBillings, MT$5,359
St Patrick Hospital and Health Sciences CenterMissoula, MT$5,359

Level 2 Endovascular Procedures in other states

Questions

How much does level 2 endovascular procedures cost in Montana?

In 2024 Medicare data, level 2 endovascular procedures (APC 5192) at 10 hospitals in Montana was billed at $26,447 on average, while the average medicare-allowed amount was $5,447, of which Medicare paid $4,335. 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 4.9 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.