Hospital Costs > Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc > Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc - costs for treatment in Montana
Hospital | City | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment |
---|---|---|---|---|---|
The Healthcenter | Kalispell | 84 | $19,293.60 | $13,298.30 | $10,191.30 |
St Patrick Hospital | Missoula | 247 | $36,777.70 | $13,529.90 | $10,482.80 |
Bozeman Deaconess Hospital | Bozeman | 191 | $30,125.90 | $12,821.10 | $10,603.20 |
Great Falls Clinic Medical Center | Great Falls | 148 | $35,746.70 | $12,470.20 | $10,835.50 |
Kalispell Regional Medical Center | Kalispell | 212 | $35,911.20 | $13,802.90 | $11,565.60 |
Billings Clinic Hospital | Billings | 295 | $31,076.20 | $14,217.30 | $11,649.60 |
St Peter's Hospital Helena | Helena | 139 | $34,669.00 | $13,916.60 | $11,978.40 |
Community Medical Center Missoula | Missoula | 223 | $35,963.00 | $14,710.50 | $12,232.70 |
Benefis Hospitals Inc | Great Falls | 172 | $40,620.70 | $15,055.10 | $12,339.30 |
St Vincent Healthcare | Billings | 479 | $43,361.70 | $15,032.80 | $12,619.90 |
Northern Montana Hospital | Havre | 22 | $47,390.80 | $16,679.80 | $13,506.60 |
St James Healthcare | Butte | 47 | $51,719.90 | $16,333.80 | $13,773.50 | Total 12 hospitals | 2.259 |
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.