Pneumonia, with complications in Montana
MS-DRG 194: Simple pneumonia and pleurisy with cc
$18,944typical hospital bill
$6,682typical amount paid
$6,391–$6,974range paid across 2 hospitals
Montana hospitals billed Medicare a typical $18,944 for this stay in 2024, about 2.8 times what was actually paid. Medicare's payment depends mostly on the hospital's location and teaching role; the bill depends on the hospital's own price list, so bills vary far more than payments.
Billed (list price)Actually paid (Medicare + patient)
| Hospital | City | Medicare stays | Billed | Paid | |
|---|---|---|---|---|---|
| Benefis Hospitals Inc | Great Falls | 14 | $25,759 | $6,391 | |
| Billings Clinic Hospital | Billings | 12 | $12,128 | $6,974 |
Medicare: CMS, 2024 (hospitals with 11 or more Medicare stays). Cash and insurer prices: hospitals' own price files, where read; insurer figures are commercial plans only, median and 10th–90th percentile across plans.