facebook tracking Respiratory system diagnosis with ventilator support <=96 hours cost in Montana: 5 hospitals compared (DRG 208)

Respiratory system diagnosis with ventilator support <=96 hours in Montana

What 5 hospitals in Montana charged and were paid for a Medicare hospital stay for respiratory system diagnosis with ventilator support <=96 hours (DRG 208), from 2024 Medicare claims.

DRG 208 Inpatient 2024 Medicare data
Average charge $79,911 Hospital list price billed
Average payment $21,103 Medicare + patient + other payers
Medicare paid $19,814 Average per stay
State rank #5 of 45 1 = lowest average payment

Hospitals in Montana billed an average of $79,911 for respiratory system diagnosis with ventilator support <=96 hours, about 3.8 times the average total payment of $21,103. That payment is 18% below the U.S. average of $25,674.

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 $21,103Billed $79,911

About 26¢ was paid for every $1 hospitals in Montana billed for this stay.

Montana hospitals: respiratory system diagnosis with ventilator support <=96 hours

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 21 $61,822 $21,459 $20,106
Benefis Hospitals INCGreat Falls 13 $86,338 $20,233 $18,892
St Patrick Hospital and Health Sciences CenterMissoula 13 $67,263 $21,337 $19,636
Logan Health Medical CenterKalispell 13 $87,162 $20,113 $18,934
St Vincent HealthcareBillings 12 $110,453 $22,239 $21,448
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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$20,113
Benefis Hospitals INCGreat Falls, MT$20,233
St Patrick Hospital and Health Sciences CenterMissoula, MT$21,337
Billings Clinic HospitalBillings, MT$21,459
St Vincent HealthcareBillings, MT$22,239

Highest

St Vincent HealthcareBillings, MT$22,239
Billings Clinic HospitalBillings, MT$21,459
St Patrick Hospital and Health Sciences CenterMissoula, MT$21,337
Benefis Hospitals INCGreat Falls, MT$20,233
Logan Health Medical CenterKalispell, MT$20,113

Respiratory system diagnosis with ventilator support <=96 hours in other states

Questions

How much does respiratory system diagnosis with ventilator support <=96 hours cost in Montana?

In 2024 Medicare data, a hospital stay for respiratory system diagnosis with ventilator support <=96 hours (DRG 208) at 5 hospitals in Montana was billed at $79,911 on average, while the average total payment was $21,103, of which Medicare paid $19,814. 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 3.8 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.