Hospital Costs > Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Cc > Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Cc - costs for treatment in Montana
| Hospital | City | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment |
|---|---|---|---|---|---|
| Billings Clinic Hospital | Billings | 24 | $98,466.80 | $32,501.40 | $29,894.20 |
| St Patrick Hospital | Missoula | 56 | $107,181.00 | $30,707.20 | $29,683.90 |
| St Vincent Healthcare | Billings | 23 | $171,240.00 | $39,860.00 | $33,445.80 |
| Kalispell Regional Medical Center | Kalispell | 13 | $131,106.00 | $33,630.30 | $32,510.30 | Total 4 hospitals | 116 |
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.