Hospital Costs > Simple Pneumonia & Pleurisy W/O Cc/Mcc > Simple Pneumonia & Pleurisy W/O Cc/Mcc - costs for treatment in Montana
| Hospital | City | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment |
|---|---|---|---|---|---|
| St Peter's Hospital Helena | Helena | 11 | $11,121.00 | $4,447.36 | $3,455.36 |
| Benefis Hospitals Inc | Great Falls | 21 | $14,935.10 | $4,724.14 | $3,703.00 |
| St Patrick Hospital | Missoula | 15 | $10,853.10 | $4,060.67 | $2,819.93 |
| Northern Montana Hospital | Havre | 18 | $11,610.90 | $5,663.17 | $4,717.39 |
| St Vincent Healthcare | Billings | 28 | $11,296.80 | $4,936.57 | $3,834.36 |
| Kalispell Regional Medical Center | Kalispell | 17 | $14,301.60 | $4,767.06 | $3,637.65 |
| Bozeman Deaconess Hospital | Bozeman | 13 | $7,877.46 | $3,990.77 | $2,974.15 | Total 7 hospitals | 123 |
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.