facebook tracking Major small and large bowel procedures with complications cost in Montana: 7 hospitals compared (DRG 330)

Major small and large bowel procedures with complications in Montana

What 7 hospitals in Montana charged and were paid for a Medicare hospital stay for major small and large bowel procedures with complications (DRG 330), from 2024 Medicare claims.

DRG 330 Inpatient 2024 Medicare data
Average charge $58,469 Hospital list price billed
Average payment $20,288 Medicare + patient + other payers
Medicare paid $15,998 Average per stay
State rank #15 of 47 1 = lowest average payment

Hospitals in Montana billed an average of $58,469 for major small and large bowel procedures with complications, about 2.9 times the average total payment of $20,288. That payment is 12% below the U.S. average of $22,927.

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 $20,288Billed $58,469

About 35¢ was paid for every $1 hospitals in Montana billed for this stay.

Montana hospitals: major small and large bowel procedures with complications

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 34 $41,499 $19,991 $16,226
St Patrick Hospital and Health Sciences CenterMissoula 32 $51,148 $24,538 $14,785
Logan Health Medical CenterKalispell 32 $53,902 $18,842 $15,809
St Vincent HealthcareBillings 29 $62,096 $18,048 $16,335
Benefis Hospitals INCGreat Falls 20 $74,285 $20,510 $14,433
Bozeman Deaconess HospitalBozeman 19 $104,983 $20,612 $19,305
St Peter's HospitalHelena 17 $38,007 $18,796 $15,749
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Lowest and highest payments in Montana

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

Lowest

St Vincent HealthcareBillings, MT$18,048
St Peter's HospitalHelena, MT$18,796
Logan Health Medical CenterKalispell, MT$18,842
Billings Clinic HospitalBillings, MT$19,991
Benefis Hospitals INCGreat Falls, MT$20,510

Highest

St Patrick Hospital and Health Sciences CenterMissoula, MT$24,538
Bozeman Deaconess HospitalBozeman, MT$20,612
Benefis Hospitals INCGreat Falls, MT$20,510
Billings Clinic HospitalBillings, MT$19,991
Logan Health Medical CenterKalispell, MT$18,842

Major small and large bowel procedures with complications in other states

Questions

How much does major small and large bowel procedures with complications cost in Montana?

In 2024 Medicare data, a hospital stay for major small and large bowel procedures with complications (DRG 330) at 7 hospitals in Montana was billed at $58,469 on average, while the average total payment was $20,288, of which Medicare paid $15,998. 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 2.9 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.