Hospital Costs > Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc > Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc - costs for treatment in Montana
| Hospital | City | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment |
|---|---|---|---|---|---|
| Billings Clinic Hospital | Billings | 17 | $43,221.40 | $18,968.20 | $17,932.60 |
| Benefis Hospitals Inc | Great Falls | 12 | $56,320.90 | $23,820.40 | $22,850.50 |
| St Patrick Hospital | Missoula | 15 | $49,916.70 | $21,832.70 | $15,893.20 |
| St James Healthcare | Butte | 15 | $73,958.60 | $25,063.90 | $24,180.70 |
| St Vincent Healthcare | Billings | 23 | $65,225.80 | $21,804.10 | $20,622.00 |
| Kalispell Regional Medical Center | Kalispell | 11 | $46,157.40 | $20,255.90 | $19,153.40 | Total 6 hospitals | 93 |
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.