Heart valve replacement through a catheter (TAVR), with major complications in Montana
MS-DRG 266: Endovascular cardiac valve replacement and supplement procedures with mcc
$125,721typical hospital bill
$47,544typical amount paid
$45,231–$48,798range paid across 4 hospitals
Montana hospitals billed Medicare a typical $125,721 for this stay in 2024, about 2.6 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 | |
|---|---|---|---|---|---|
| Logan Health Medical Center | Kalispell | 32 | $138,173 | $45,231 | |
| Intermountain Health St Vincent Regional Hospital | Billings | 40 | $212,820 | $47,471 | |
| St. Patrick Hospital | Missoula | 90 | $88,293 | $47,618 | |
| Billings Clinic Hospital | Billings | 40 | $113,270 | $48,798 |
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.