Postoperative and post-traumatic infections with major complications in Montana
What 2 hospitals in Montana charged and were paid for a Medicare hospital stay for postoperative and post-traumatic infections with major complications (DRG 862), from 2024 Medicare claims.
Average charge
$51,182
Hospital list price billed
Average payment
$14,960
Medicare + patient + other payers
Medicare paid
$13,936
Average per stay
Volume
26
Medicare hospital stays
Hospitals in Montana billed an average of $51,182 for postoperative and post-traumatic infections with major complications, about 3.4 times the average total payment of $14,960. That payment is 27% below the U.S. average of $20,381.
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 $14,960Billed $51,182
About 29¢ 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: postoperative and post-traumatic infections 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 |
|---|---|---|---|---|
| St Vincent HealthcareBillings | 14 | $61,663 | $15,560 | $14,688 |
| St Patrick Hospital and Health Sciences CenterMissoula | 12 | $38,955 | $14,261 | $13,059 |
Postoperative and post-traumatic infections with major complications in other states
Questions
How much does postoperative and post-traumatic infections with major complications cost in Montana?
In 2024 Medicare data, a hospital stay for postoperative and post-traumatic infections with major complications (DRG 862) at 2 hospitals in Montana was billed at $51,182 on average, while the average total payment was $14,960, of which Medicare paid $13,936. 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 3.4 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.