Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc - costs for treatment in Montana

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Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc - costs for treatment in Montana


Hospital City Discharges Avg Covered Charges Avg Total Payment Avg Medicare Payment
St Peter's Hospital HelenaHelena73$15,224.70$5,604.04$4,099.62
Billings Clinic HospitalBillings43$11,304.60$5,172.77$4,157.37
Benefis Hospitals IncGreat Falls80$13,121.70$4,987.34$3,959.70
St Patrick HospitalMissoula48$17,091.00$4,260.92$3,316.25
St James HealthcareButte24$17,989.20$5,376.75$4,320.75
Community Medical Center MissoulaMissoula19$13,085.00$5,646.74$4,618.26
Northern Montana HospitalHavre11$15,947.00$6,039.18$4,936.64
St Vincent HealthcareBillings41$13,685.60$5,267.07$4,084.24
Kalispell Regional Medical CenterKalispell31$14,148.00$5,162.84$3,977.61
Bozeman Deaconess HospitalBozeman39$10,277.50$4,225.87$3,296.64
Total 10 hospitals409

DATA

Source: Medicare Provider Utilization and Payment Data: Inpatient for FY2014

Average Covered Charges: The provider's average charge for services covered by Medicare for all discharges in the MS-DRG. These will vary from hospital to hospital because of differences in hospital charge structures.

Average Total Payments: The average total payments to all providers for the MS-DRG including the MSDRG amount, teaching, disproportionate share, capital, and outlier payments for all cases. Also included in average total payments are co-payment and deductible amounts that the patient is responsible for and any additional payments by third parties for coordination of benefits.

Average Medicare Payments: The average amount that Medicare pays to the provider for Medicare's share of the MS-DRG. Average Medicare payment amounts include the MS-DRG amount, teaching, disproportionate share, capital, and outlier payments for all cases. Medicare payments DO NOT include beneficiary co-payments and deductible amounts nor any additional payments from third parties for coordination of benefits. Note: In general, Medicare FFS claims with dates-of-service or dates-of-discharge on or after April 1, 2013, incurred a 2 percent reduction in Medicare payment. This is in response to mandatory across-the-board reductions in Federal spending, also known as sequestration

Hospital Rank: We have calculated the rank for each procedure within a hospital. The left number is the national ranking, the right one is the state ranking. For discharges, ranking is from highest # of discharges to lower (hospital with highest number of discharges ranks first). For charges and payments, lowest means a higher ranking.





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