facebook tracking Level 3 Endovascular Procedures cost in Montana: 10 hospitals compared (APC 5193)

Level 3 Endovascular Procedures in Montana

What 10 hospitals in Montana charged and were paid for level 3 endovascular procedures (APC 5193), from 2024 Medicare claims.

APC 5193 Outpatient 2024 Medicare data
Average charge $51,442 Hospital list price billed
Average allowed $10,451 Medicare's payment + patient's share
Medicare paid $8,817 Average per service
State rank #31 of 48 1 = lowest average payment

Hospitals in Montana billed an average of $51,442 for level 3 endovascular procedures, about 4.9 times the average medicare-allowed amount of $10,451. That payment is about the same as the U.S. average of $10,507.

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 $10,451Billed $51,442

About 20¢ was paid for every $1 hospitals in Montana billed for this service.

Montana hospitals: level 3 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
St Patrick Hospital and Health Sciences CenterMissoula 160 $38,197 $10,251 $8,618
Billings Clinic HospitalBillings 130 $39,055 $10,305 $8,673
Logan Health Medical CenterKalispell 79 $72,182 $11,034 $9,399
St Vincent HealthcareBillings 75 $58,056 $10,192 $8,557
St James HealthcareButte 54 $48,103 $11,034 $9,400
Great Falls Clinic Medical CenterGreat Falls 47 $73,157 $10,305 $8,668
Benefis Hospitals INCGreat Falls 43 $62,435 $10,305 $8,670
Community Medical Center INCMissoula 20 $74,388 $10,305 $8,673
Bozeman Deaconess HospitalBozeman 15 $39,661 $11,034 $9,402
St Peter's HospitalHelena – – – –
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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

St Vincent HealthcareBillings, MT$10,192
St Patrick Hospital and Health Sciences CenterMissoula, MT$10,251
Community Medical Center INCMissoula, MT$10,305
Billings Clinic HospitalBillings, MT$10,305
Benefis Hospitals INCGreat Falls, MT$10,305

Highest

Logan Health Medical CenterKalispell, MT$11,034
St James HealthcareButte, MT$11,034
Bozeman Deaconess HospitalBozeman, MT$11,034
Great Falls Clinic Medical CenterGreat Falls, MT$10,305
Benefis Hospitals INCGreat Falls, MT$10,305

Level 3 Endovascular Procedures in other states

Questions

How much does level 3 endovascular procedures cost in Montana?

In 2024 Medicare data, level 3 endovascular procedures (APC 5193) at 10 hospitals in Montana was billed at $51,442 on average, while the average medicare-allowed amount was $10,451, of which Medicare paid $8,817. 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.