Hospital Costs > Simple Pneumonia & Pleurisy W Mcc > Simple Pneumonia & Pleurisy W Mcc - costs for treatment in Montana
| Hospital | City | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment |
|---|---|---|---|---|---|
| Billings Clinic Hospital | Billings | 106 | $17,693.30 | $9,635.77 | $8,256.79 |
| St Patrick Hospital | Missoula | 79 | $21,657.70 | $8,336.01 | $7,352.15 |
| St Vincent Healthcare | Billings | 77 | $25,935.80 | $9,904.58 | $8,170.73 |
| St Peter's Hospital Helena | Helena | 72 | $19,170.60 | $9,388.54 | $8,315.28 |
| Benefis Hospitals Inc | Great Falls | 71 | $23,923.70 | $9,951.69 | $8,477.51 |
| St James Healthcare | Butte | 47 | $31,865.50 | $10,880.00 | $9,914.51 |
| Kalispell Regional Medical Center | Kalispell | 38 | $24,790.20 | $9,601.13 | $7,666.92 |
| Community Medical Center Missoula | Missoula | 24 | $26,043.70 | $10,441.90 | $9,358.29 |
| Bozeman Deaconess Hospital | Bozeman | 19 | $16,794.80 | $8,209.84 | $7,113.63 | Total 9 hospitals | 533 |
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.