Pneumonia, with major complications in Montana
MS-DRG 193: Simple pneumonia and pleurisy with mcc
$29,373typical hospital bill
$10,351typical amount paid
$9,136–$12,631range paid across 10 hospitals
Montana hospitals billed Medicare a typical $29,373 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 | |
|---|---|---|---|---|---|
| Great Falls Clinic Hospital | Great Falls | 15 | $33,039 | $9,136 | |
| Bozeman Health Deaconess Hospital | Bozeman | 50 | $23,688 | $9,955 | |
| Benefis Hospitals Inc | Great Falls | 73 | $35,986 | $10,096 | |
| Intermountain Health St Vincent Regional Hospital | Billings | 54 | $26,370 | $10,247 | |
| Community Medical Center | Missoula | 18 | $43,524 | $10,301 | |
| Logan Health Medical Center | Kalispell | 60 | $30,469 | $10,401 | |
| St Peters Health | Helena | 89 | $36,220 | $10,729 | |
| St. Patrick Hospital | Missoula | 50 | $19,846 | $10,757 | |
| Billings Clinic Hospital | Billings | 113 | $24,497 | $10,771 | |
| St James Hospital | Butte | 17 | $28,278 | $12,631 |
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.