Simple Pneumonia & Pleurisy W Cc - costs for treatment in Montana

Hospital Costs > Simple Pneumonia & Pleurisy W Cc > Simple Pneumonia & Pleurisy W Cc - costs for treatment in Montana

Simple Pneumonia & Pleurisy W Cc - costs for treatment in Montana


Hospital City Discharges Avg Covered Charges Avg Total Payment Avg Medicare Payment
Bozeman Deaconess HospitalBozeman31$9,735.58$5,559.32$4,623.06
St Patrick HospitalMissoula23$13,517.30$5,575.04$4,613.30
Benefis Hospitals IncGreat Falls88$17,196.40$6,427.73$5,353.28
Billings Clinic HospitalBillings40$14,307.00$6,521.15$5,443.40
St Vincent HealthcareBillings54$16,963.90$7,003.91$5,348.09
Community Medical Center MissoulaMissoula13$19,167.50$7,055.08$6,024.77
St Peter's Hospital HelenaHelena36$19,092.90$7,277.03$6,437.92
St James HealthcareButte19$18,979.50$7,313.37$6,427.53
Northern Montana HospitalHavre26$16,746.80$7,590.23$6,709.00
Kalispell Regional Medical CenterKalispell51$27,389.30$9,081.16$8,179.51
Total 10 hospitals381

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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