facebook tracking Percutaneous cardiovascular procedures with intraluminal device with major complications or 4+ arteries/ cost in Montana: 4 hospitals compared (DRG 321)

Percutaneous cardiovascular procedures with intraluminal device with major complications or 4+ arteries/ in Montana

What 4 hospitals in Montana charged and were paid for a Medicare hospital stay for percutaneous cardiovascular procedures with intraluminal device with major complications or 4+ arteries/ (DRG 321), from 2024 Medicare claims.

DRG 321 Inpatient 2024 Medicare data
Average charge $87,567 Hospital list price billed
Average payment $22,661 Medicare + patient + other payers
Medicare paid $20,727 Average per stay
State rank #8 of 47 1 = lowest average payment

Hospitals in Montana billed an average of $87,567 for percutaneous cardiovascular procedures with intraluminal device with major complications or 4+ arteries/, about 3.9 times the average total payment of $22,661. That payment is 15% below the U.S. average of $26,768.

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 $22,661Billed $87,567

About 26¢ 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: percutaneous cardiovascular procedures with intraluminal device with major complications or 4+ arteries/

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 45 $69,682 $22,624 $21,073
St Patrick Hospital and Health Sciences CenterMissoula 34 $73,704 $23,273 $20,153
St Vincent HealthcareBillings 27 $114,769 $23,166 $21,517
Logan Health Medical CenterKalispell 25 $109,236 $21,353 $20,029
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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$21,353
Billings Clinic HospitalBillings, MT$22,624
St Vincent HealthcareBillings, MT$23,166
St Patrick Hospital and Health Sciences CenterMissoula, MT$23,273

Highest

St Patrick Hospital and Health Sciences CenterMissoula, MT$23,273
St Vincent HealthcareBillings, MT$23,166
Billings Clinic HospitalBillings, MT$22,624
Logan Health Medical CenterKalispell, MT$21,353

Percutaneous cardiovascular procedures with intraluminal device with major complications or 4+ arteries/ in other states

Questions

How much does percutaneous cardiovascular procedures with intraluminal device with major complications or 4+ arteries/ cost in Montana?

In 2024 Medicare data, a hospital stay for percutaneous cardiovascular procedures with intraluminal device with major complications or 4+ arteries/ (DRG 321) at 4 hospitals in Montana was billed at $87,567 on average, while the average total payment was $22,661, of which Medicare paid $20,727. 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 3.9 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.