facebook tracking Seizures without major complications cost in Montana: 3 hospitals compared (DRG 101)

Seizures without major complications in Montana

What 3 hospitals in Montana charged and were paid for a Medicare hospital stay for seizures without major complications (DRG 101), from 2024 Medicare claims.

DRG 101 Inpatient 2024 Medicare data
Average charge $21,442 Hospital list price billed
Average payment $7,157 Medicare + patient + other payers
Medicare paid $5,427 Average per stay
State rank #2 of 44 1 = lowest average payment

Hospitals in Montana billed an average of $21,442 for seizures without major complications, about 3.0 times the average total payment of $7,157. That payment is 27% below the U.S. average of $9,853.

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 $7,157Billed $21,442

About 33¢ 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: seizures without 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 Peter's HospitalHelena 13 $19,570 $7,027 $5,590
Benefis Hospitals INCGreat Falls 12 $28,087 $6,755 $5,446
St Vincent HealthcareBillings 11 $16,404 $7,749 $5,215
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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

Benefis Hospitals INCGreat Falls, MT$6,755
St Peter's HospitalHelena, MT$7,027
St Vincent HealthcareBillings, MT$7,749

Highest

St Vincent HealthcareBillings, MT$7,749
St Peter's HospitalHelena, MT$7,027
Benefis Hospitals INCGreat Falls, MT$6,755

Seizures without major complications in other states

Questions

How much does seizures without major complications cost in Montana?

In 2024 Medicare data, a hospital stay for seizures without major complications (DRG 101) at 3 hospitals in Montana was billed at $21,442 on average, while the average total payment was $7,157, of which Medicare paid $5,427. 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 3.0 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.