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

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

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 Vincent HealthcareBillings28$11,296.80$4,936.57$3,834.36
Benefis Hospitals IncGreat Falls21$14,935.10$4,724.14$3,703.00
Northern Montana HospitalHavre18$11,610.90$5,663.17$4,717.39
Kalispell Regional Medical CenterKalispell17$14,301.60$4,767.06$3,637.65
St Patrick HospitalMissoula15$10,853.10$4,060.67$2,819.93
Bozeman Deaconess HospitalBozeman13$7,877.46$3,990.77$2,974.15
St Peter's Hospital HelenaHelena11$11,121.00$4,447.36$3,455.36
Total 7 hospitals123

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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