Cellulitis W/O Mcc - costs for treatment in Montana

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Cellulitis W/O Mcc - costs for treatment in Montana


Hospital City Discharges Avg Covered Charges Avg Total Payment Avg Medicare Payment
St Peter's Hospital HelenaHelena38$12,583.70$5,254.21$4,232.74
Billings Clinic HospitalBillings30$11,474.40$6,049.03$4,422.40
Benefis Hospitals IncGreat Falls30$13,311.00$5,837.40$4,260.17
St Patrick HospitalMissoula41$12,346.50$4,870.41$3,813.61
Community Medical Center MissoulaMissoula16$12,214.40$6,142.81$5,148.25
Northern Montana HospitalHavre13$12,633.20$6,858.46$5,652.31
St Vincent HealthcareBillings49$15,893.70$6,221.57$4,601.04
Kalispell Regional Medical CenterKalispell19$19,789.60$6,370.68$4,528.79
Bozeman Deaconess HospitalBozeman18$9,587.00$4,781.56$3,840.89
Total 9 hospitals254

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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