facebook tracking Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with major complications cost in Montana: 7 hospitals compared (DRG 640)

Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with major complications in Montana

What 7 hospitals in Montana charged and were paid for a Medicare hospital stay for miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with major complications (DRG 640), from 2024 Medicare claims.

DRG 640 Inpatient 2024 Medicare data
Average charge $27,092 Hospital list price billed
Average payment $10,486 Medicare + patient + other payers
Medicare paid $8,853 Average per stay
State rank #8 of 49 1 = lowest average payment

Hospitals in Montana billed an average of $27,092 for miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with major complications, about 2.6 times the average total payment of $10,486. That payment is 18% below the U.S. average of $12,830.

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 $10,486Billed $27,092

About 39¢ 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: miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with major 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 35 $21,972 $10,979 $9,193
St Patrick Hospital and Health Sciences CenterMissoula 31 $22,133 $10,558 $9,451
St Vincent HealthcareBillings 29 $36,364 $10,173 $8,941
Benefis Hospitals INCGreat Falls 26 $29,179 $10,382 $7,809
Bozeman Deaconess HospitalBozeman 25 $32,090 $10,863 $8,588
Logan Health Medical CenterKalispell 23 $24,702 $9,987 $8,762
St Peter's HospitalHelena 16 $23,327 $10,131 $9,033
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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

Logan Health Medical CenterKalispell, MT$9,987
St Peter's HospitalHelena, MT$10,131
St Vincent HealthcareBillings, MT$10,173
Benefis Hospitals INCGreat Falls, MT$10,382
St Patrick Hospital and Health Sciences CenterMissoula, MT$10,558

Highest

Billings Clinic HospitalBillings, MT$10,979
Bozeman Deaconess HospitalBozeman, MT$10,863
St Patrick Hospital and Health Sciences CenterMissoula, MT$10,558
Benefis Hospitals INCGreat Falls, MT$10,382
St Vincent HealthcareBillings, MT$10,173

Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with major complications in other states

Questions

How much does miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with major complications cost in Montana?

In 2024 Medicare data, a hospital stay for miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with major complications (DRG 640) at 7 hospitals in Montana was billed at $27,092 on average, while the average total payment was $10,486, of which Medicare paid $8,853. 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 2.6 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.