Major hematological and immunological diagnoses except sickle cell crisis and coagulatio in Montana
What 1 hospital in Montana charged and were paid for a Medicare hospital stay for major hematological and immunological diagnoses except sickle cell crisis and coagulatio (DRG 808), from 2024 Medicare claims.
Average charge
$39,456
Hospital list price billed
Average payment
$17,748
Medicare + patient + other payers
Medicare paid
$16,824
Average per stay
Volume
13
Medicare hospital stays
Hospitals in Montana billed an average of $39,456 for major hematological and immunological diagnoses except sickle cell crisis and coagulatio, about 2.2 times the average total payment of $17,748. That payment is 37% below the U.S. average of $27,957.
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 $17,748Billed $39,456
About 45¢ was paid for every $1 hospitals in Montana billed for this stay.
Medicare prices this stay in 2 versions, by how sick the patient was. Compare them in Montana:
Montana hospitals: major hematological and immunological diagnoses except sickle cell crisis and coagulatio
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 |
|---|---|---|---|---|
| Billings Clinic HospitalBillings | 13 | $39,456 | $17,748 | $16,824 |
Major hematological and immunological diagnoses except sickle cell crisis and coagulatio in other states
Questions
How much does major hematological and immunological diagnoses except sickle cell crisis and coagulatio cost in Montana?
In 2024 Medicare data, a hospital stay for major hematological and immunological diagnoses except sickle cell crisis and coagulatio (DRG 808) at 1 hospital in Montana was billed at $39,456 on average, while the average total payment was $17,748, of which Medicare paid $16,824. 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 2.2 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.