Pulmonary Edema & Respiratory Failure - costs for treatment in Montana

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Pulmonary Edema & Respiratory Failure - costs for treatment in Montana


Hospital City Discharges Avg Covered Charges Avg Total Payment Avg Medicare Payment
St Peter's Hospital HelenaHelena25$20,817.00$8,910.00$7,685.56
Billings Clinic HospitalBillings48$21,590.80$7,959.00$6,988.12
Benefis Hospitals IncGreat Falls72$23,639.20$8,010.15$7,039.61
St Patrick HospitalMissoula72$17,910.70$7,281.47$6,030.82
St James HealthcareButte28$41,760.80$11,613.30$10,534.50
Community Medical Center MissoulaMissoula34$29,741.90$9,018.53$8,102.79
St Vincent HealthcareBillings106$21,824.80$8,076.13$7,065.32
Kalispell Regional Medical CenterKalispell37$22,701.90$7,747.03$6,997.19
Bozeman Deaconess HospitalBozeman13$11,682.00$6,948.23$6,108.85
Total 9 hospitals435

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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