facebook tracking Permanent cardiac pacemaker implant with complications cost in Montana: 5 hospitals compared (DRG 243)

Permanent cardiac pacemaker implant with complications in Montana

What 5 hospitals in Montana charged and were paid for a Medicare hospital stay for permanent cardiac pacemaker implant with complications (DRG 243), from 2024 Medicare claims.

DRG 243 Inpatient 2024 Medicare data
Average charge $62,595 Hospital list price billed
Average payment $17,956 Medicare + patient + other payers
Medicare paid $15,400 Average per stay
State rank #11 of 43 1 = lowest average payment

Hospitals in Montana billed an average of $62,595 for permanent cardiac pacemaker implant with complications, about 3.5 times the average total payment of $17,956. That payment is 12% below the U.S. average of $20,414.

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 $17,956Billed $62,595

About 29¢ was paid for every $1 hospitals in Montana billed for this stay.

Montana hospitals: permanent cardiac pacemaker implant 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 23 $42,317 $17,801 $16,400
St Patrick Hospital and Health Sciences CenterMissoula 23 $53,695 $18,846 $14,996
Logan Health Medical CenterKalispell 21 $81,165 $16,917 $15,347
Benefis Hospitals INCGreat Falls 13 $83,888 $16,920 $15,416
St Vincent HealthcareBillings 12 $62,956 $19,489 $14,334
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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$16,917
Benefis Hospitals INCGreat Falls, MT$16,920
Billings Clinic HospitalBillings, MT$17,801
St Patrick Hospital and Health Sciences CenterMissoula, MT$18,846
St Vincent HealthcareBillings, MT$19,489

Highest

St Vincent HealthcareBillings, MT$19,489
St Patrick Hospital and Health Sciences CenterMissoula, MT$18,846
Billings Clinic HospitalBillings, MT$17,801
Benefis Hospitals INCGreat Falls, MT$16,920
Logan Health Medical CenterKalispell, MT$16,917

Permanent cardiac pacemaker implant with complications in other states

Questions

How much does permanent cardiac pacemaker implant with complications cost in Montana?

In 2024 Medicare data, a hospital stay for permanent cardiac pacemaker implant with complications (DRG 243) at 5 hospitals in Montana was billed at $62,595 on average, while the average total payment was $17,956, of which Medicare paid $15,400. 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 3.5 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.