Other circulatory system diagnoses with major complications in Montana
What 5 hospitals in Montana charged and were paid for a Medicare hospital stay for other circulatory system diagnoses with major complications (DRG 314), from 2024 Medicare claims.
Average charge
$45,145
Hospital list price billed
Average payment
$16,641
Medicare + patient + other payers
Medicare paid
$14,939
Average per stay
State rank
#5 of 47
1 = lowest average payment
Hospitals in Montana billed an average of $45,145 for other circulatory system diagnoses with major complications, about 2.7 times the average total payment of $16,641. That payment is 22% below the U.S. average of $21,323.
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 $16,641Billed $45,145
About 37¢ was paid for every $1 hospitals in Montana billed for this stay.
Medicare prices this stay in 3 versions, by how sick the patient was. Compare them in Montana:
Montana hospitals: other circulatory system diagnoses 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 | 19 | $28,870 | $16,910 | $16,052 |
| St Vincent HealthcareBillings | 14 | $48,005 | $16,872 | $15,411 |
| Benefis Hospitals INCGreat Falls | 13 | $74,646 | $17,346 | $13,639 |
| St Patrick Hospital and Health Sciences CenterMissoula | 13 | $39,467 | $16,259 | $14,778 |
| Logan Health Medical CenterKalispell | 11 | $41,465 | $15,502 | $14,140 |
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 | $15,502 |
|---|---|
| St Patrick Hospital and Health Sciences CenterMissoula, MT | $16,259 |
| St Vincent HealthcareBillings, MT | $16,872 |
| Billings Clinic HospitalBillings, MT | $16,910 |
| Benefis Hospitals INCGreat Falls, MT | $17,346 |
Highest
| Benefis Hospitals INCGreat Falls, MT | $17,346 |
|---|---|
| Billings Clinic HospitalBillings, MT | $16,910 |
| St Vincent HealthcareBillings, MT | $16,872 |
| St Patrick Hospital and Health Sciences CenterMissoula, MT | $16,259 |
| Logan Health Medical CenterKalispell, MT | $15,502 |
Other circulatory system diagnoses with major complications in other states
Questions
How much does other circulatory system diagnoses with major complications cost in Montana?
In 2024 Medicare data, a hospital stay for other circulatory system diagnoses with major complications (DRG 314) at 5 hospitals in Montana was billed at $45,145 on average, while the average total payment was $16,641, of which Medicare paid $14,939. 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 2.7 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.