Hospital Costs > Major Male Pelvic Procedures W/O Cc/Mcc > Major Male Pelvic Procedures W/O Cc/Mcc - costs for treatment in Montana
| Hospital | City | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment |
|---|---|---|---|---|---|
| St Vincent Healthcare | Billings | 13 | $19,524.40 | $11,607.00 | $4,461.38 |
| St Patrick Hospital | Missoula | 16 | $27,398.60 | $11,557.20 | $5,046.12 |
| Kalispell Regional Medical Center | Kalispell | 11 | $41,460.50 | $8,219.27 | $7,012.00 |
| Billings Clinic Hospital | Billings | 20 | $16,607.20 | $8,362.70 | $7,159.00 | Total 4 hospitals | 60 |
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.