facebook tracking Other vascular procedures with complications cost in Montana: 2 hospitals compared (DRG 253)

Other vascular procedures with complications in Montana

What 2 hospitals in Montana charged and were paid for a Medicare hospital stay for other vascular procedures with complications (DRG 253), from 2024 Medicare claims.

DRG 253 Inpatient 2024 Medicare data
Average charge $67,290 Hospital list price billed
Average payment $21,014 Medicare + patient + other payers
Medicare paid $18,519 Average per stay
Volume 45 Medicare hospital stays

Hospitals in Montana billed an average of $67,290 for other vascular procedures with complications, about 3.2 times the average total payment of $21,014. That payment is 17% below the U.S. average of $25,417.

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 $21,014Billed $67,290

About 31¢ was paid for every $1 hospitals in Montana billed for this stay.

Montana hospitals: other vascular 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
St Patrick Hospital and Health Sciences CenterMissoula 32 $57,229 $20,540 $17,710
St Vincent HealthcareBillings 13 $92,057 $22,180 $20,512
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Other vascular procedures with complications in other states

Questions

How much does other vascular procedures with complications cost in Montana?

In 2024 Medicare data, a hospital stay for other vascular procedures with complications (DRG 253) at 2 hospitals in Montana was billed at $67,290 on average, while the average total payment was $21,014, of which Medicare paid $18,519. 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 3.2 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.