Hospital Costs > Simple Pneumonia & Pleurisy W Cc > Simple Pneumonia & Pleurisy W Cc - costs for treatment in Montana
| Hospital | City | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment |
|---|---|---|---|---|---|
| St Peter's Hospital Helena | Helena | 36 | $19,092.90 | $7,277.03 | $6,437.92 |
| Billings Clinic Hospital | Billings | 40 | $14,307.00 | $6,521.15 | $5,443.40 |
| Benefis Hospitals Inc | Great Falls | 88 | $17,196.40 | $6,427.73 | $5,353.28 |
| St Patrick Hospital | Missoula | 23 | $13,517.30 | $5,575.04 | $4,613.30 |
| St James Healthcare | Butte | 19 | $18,979.50 | $7,313.37 | $6,427.53 |
| Community Medical Center Missoula | Missoula | 13 | $19,167.50 | $7,055.08 | $6,024.77 |
| Northern Montana Hospital | Havre | 26 | $16,746.80 | $7,590.23 | $6,709.00 |
| St Vincent Healthcare | Billings | 54 | $16,963.90 | $7,003.91 | $5,348.09 |
| Kalispell Regional Medical Center | Kalispell | 51 | $27,389.30 | $9,081.16 | $8,179.51 |
| Bozeman Deaconess Hospital | Bozeman | 31 | $9,735.58 | $5,559.32 | $4,623.06 | Total 10 hospitals | 381 |
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.