The Price of Medicare Procedures in Montana



This table shows the 100 most frequently charged procedures/diagnosis in Montana to the Inpatient Prospective Payment System (IPPS). This table will give a basic idea of the cost of medicare for hospital procedures. Hospitals determine what they bill according to a "chargemaster". The charge master serves as a price point for the beginning of negotiations between you and the health care provider.



ProcedureProvider StateTotal DischargesHospital Charge(s)Medicare Payment(s)Your Cost
Acute Myocardial Infarction Discharged Alive No Complications
 Montana 14 $13830 $5047 $8783
Acute Myocardial Infarction Discharged Alive With Complications
 Montana 30 $20320 $7794 $12526
Acute Myocardial Infarction Discharged Alive With Major Complications
 Montana 36 $27563 $11552 $16011
Alcohol Drug Abuse No Rehabilitation Therapy No Major Complications
 Montana 69 $9279 $4409 $4870
Back And Neck Proc Exc Spinal Fusion No Complications
 Montana 130 $18649 $6537 $12112
Bronchitis And Asthma With Complications
 Montana 37 $10946 $5197 $5749
Cardiac Arrhythmia And Conduction Disorders No Complications
 Montana 165 $8673 $3583 $5090
Cardiac Arrhythmia And Conduction Disorders With Complications
 Montana 193 $11692 $5226 $6466
Cardiac Arrhythmia And Conduction Disorders With Major Complications
 Montana 144 $18691 $7965 $10726
Cellulitis No Major Complications
 Montana 231 $11914 $5343 $6571
Cellulitis With Major Complications
 Montana 25 $17613 $9112 $8501
Cervical Spinal Fusion No Complications
 Montana 89 $35305 $13690 $21615
Chest Pain
 Montana 97 $10248 $3776 $6472
Chronic Obstructive Pulmonary Disease No Complications
 Montana 209 $10228 $4816 $5412
Chronic Obstructive Pulmonary Disease With Complications
 Montana 248 $13134 $6274 $6860
Chronic Obstructive Pulmonary Disease With Major Complications
 Montana 327 $15813 $7568 $8245
Circulatory Disorders Except Ami With Card Cath No Major Complications
 Montana 217 $21795 $7272 $14523
Circulatory Disorders Except Ami With Card Cath With Major Complications
 Montana 26 $30352 $12243 $18109
Cranial And Peripheral Nerve Disorders No Major Complications
 Montana 26 $10018 $5497 $4521
Degenerative Nervous System Disorders No Major Complications
 Montana 63 $19375 $6298 $13077
Diabetes With Complications
 Montana 57 $12842 $5157 $7685
Disorders Of Pancreas Except Malignancy With Complications
 Montana 31 $16352 $7399 $8953
Dysequilibrium
 Montana 19 $11774 $3986 $7788
Esophagitis Gastroent And Misc Digest Disorders No Major Complications
 Montana 425 $11706 $4656 $7050
Esophagitis Gastroent And Misc Digest Disorders With Major Complications
 Montana 53 $20744 $7942 $12802
Extracranial Procedures No Complications
 Montana 174 $18650 $6421 $12229
Fractures Of Hip And Pelvis No Major Complications
 Montana 55 $10571 $4725 $5846
Fx Sprn Strn And Disl Except Femur Hip Pelvis Thigh No Major Complications
 Montana 17 $11389 $4912 $6477
Gi Hemorrhage No Complications
 Montana 13 $10398 $4662 $5736
Gi Hemorrhage With Complications
 Montana 406 $14434 $6348 $8086
Gi Hemorrhage With Major Complications
 Montana 77 $33204 $12358 $20846
Gi Obstruction No Complications
 Montana 63 $8324 $3978 $4346
Gi Obstruction With Complications
 Montana 144 $13363 $5799 $7564
Heart Failure And Shock No Complications
 Montana 146 $10205 $4306 $5899
Heart Failure And Shock With Complications
 Montana 443 $14254 $6439 $7815
Heart Failure And Shock With Major Complications
 Montana 293 $19591 $9226 $10365
Hip And Femur Procedures Except Major Joint No Complications
 Montana 79 $23196 $9284 $13912
Hip And Femur Procedures Except Major Joint With Complications
 Montana 294 $31771 $11728 $20043
Hip And Femur Procedures Except Major Joint With Major Complications
 Montana 62 $45436 $18809 $26627
Infectious And Parasitic Diseases Or Procedure With Major Complications
 Montana 80 $92930 $36599 $56331
Intracranial Hemorrhage Or Cerebral Infarction No Complications
 Montana 165 $12348 $5203 $7145
Intracranial Hemorrhage Or Cerebral Infarction With Complications
 Montana 321 $16517 $7156 $9361
Intracranial Hemorrhage Or Cerebral Infarction With Major Complications
 Montana 117 $24631 $12181 $12450
Kidney And Urinary Tract Infections No Major Complications
 Montana 346 $10790 $4963 $5827
Kidney And Urinary Tract Infections With Major Complications
 Montana 98 $14472 $7188 $7284
Laparoscopic Cholecystectomy No Cde No Complications
 Montana 33 $21075 $7563 $13512
Laparoscopic Cholecystectomy No Cde With Complications
 Montana 76 $23642 $11028 $12614
Major Cardiovasc Procedures No Major Complications
 Montana 135 $67080 $21387 $45693
Major Gastrointestinal Disorders And Peritoneal Infections With Complications
 Montana 70 $15160 $7783 $7377
Major Joint Replacement Of Lower Extremity No Major Complications
 Montana 1987 $31410 $13433 $17977
Major Joint Replacement Of Lower Extremity With Major Complications
 Montana 79 $45817 $20938 $24879
Major Small And Large Bowel Procedures With Complications
 Montana 199 $36742 $16724 $20018
Major Small And Large Bowel Procedures With Major Complications
 Montana 120 $72271 $31705 $40566
Medical Back Problems No Major Complications
 Montana 137 $13097 $5331 $7766
Misc Disorders Of Metabolism Fluids Electrolytes No Major Complications
 Montana 363 $10159 $4401 $5758
Misc Disorders Of Metabolism Fluids Electrolytes With Major Complications
 Montana 73 $19816 $7153 $12663
Other Circulatory System Diagnoses With Major Complications
 Montana 19 $18603 $11685 $6918
Other Digestive System Diagnoses With Complications
 Montana 94 $14472 $6268 $8204
Other Kidney And Urinary Tract Diagnoses With Complications
 Montana 25 $12967 $5800 $7167
Other Kidney And Urinary Tract Diagnoses With Major Complications
 Montana 14 $20014 $10308 $9706
Other Vascular Procedures No Complications
 Montana 75 $26944 $10801 $16143
Other Vascular Procedures With Complications
 Montana 86 $46462 $15163 $31299
Other Vascular Procedures With Major Complications
 Montana 29 $63111 $20002 $43109
Perc Cardiovasc Proc No Coronary Artery Stent No Major Complications
 Montana 11 $37837 $12187 $25650
Perc Cardiovasc Proc With Drug Eluting Stent No Major Complications
 Montana 383 $45386 $13541 $31845
Perc Cardiovasc Proc With Drug Eluting Stent With Major Complications
 Montana 74 $64471 $20629 $43842
Perc Cardiovasc Proc With Nondrug Eluting Stent No Major Complications
 Montana 116 $41133 $11110 $30023
Peripheral Vascular Disorders With Complications
 Montana 26 $10751 $5873 $4878
Permanent Cardiac Pacemaker Implant No Complications
 Montana 73 $38425 $14842 $23583
Permanent Cardiac Pacemaker Implant With Complications
 Montana 77 $45980 $17148 $28832
Poisoning And Toxic Effects Of Drugs No Major Complications
 Montana 92 $10880 $4009 $6871
Poisoning And Toxic Effects Of Drugs With Major Complications
 Montana 67 $23082 $9076 $14006
Psychoses
 Montana 398 $11957 $5742 $6215
Pulmonary Edema And Respiratory Failure
 Montana 269 $19942 $8328 $11614
Pulmonary Embolism No Major Complications
 Montana 143 $13632 $6619 $7013
Red Blood Cell Disorders No Major Complications
 Montana 109 $10324 $4937 $5387
Renal Failure No Complications
 Montana 11 $8688 $4104 $4584
Renal Failure With Complications
 Montana 345 $14985 $6417 $8568
Renal Failure With Major Complications
 Montana 126 $25408 $10878 $14530
Respiratory Infections And Inflammations With Complications
 Montana 201 $17993 $8850 $9143
Respiratory Infections And Inflammations With Major Complications
 Montana 191 $25491 $12252 $13239
Respiratory System Diagnosis With Ventilator Support 96 Plus Hrs
 Montana 15 $69458 $31075 $38383
Respiratory System Diagnosis With Ventilator Support Less 96 Hrs
 Montana 126 $43976 $14557 $29419
Seizures No Major Complications
 Montana 56 $12694 $4874 $7820
Septicemia Or Severe Sepsis No Mv 96 Plus Hrs No Major Complications
 Montana 282 $15779 $7367 $8412
Septicemia Or Severe Sepsis No Mv 96 Plus Hrs With Major Complications
 Montana 610 $30614 $12632 $17982
Signs And Symptoms No Major Complications
 Montana 106 $11494 $4345 $7149
Simple Pneumonia And Pleurisy No Complications
 Montana 242 $10300 $4638 $5662
Simple Pneumonia And Pleurisy With Complications
 Montana 600 $13747 $6573 $7174
Simple Pneumonia And Pleurisy With Major Complications
 Montana 384 $20434 $9388 $11046
Spinal Fusion Except Cervical No Major Complications
 Montana 389 $72930 $25493 $47437
Syncope And Collapse
 Montana 130 $10518 $4512 $6006
Transient Ischemia
 Montana 85 $11917 $4911 $7006


Source: CMS

As part of the Obama administration’s goal to make our healthcare more accountable, transparent and affordable the CMS.gov has released data from more then 3000 hospitals that receive payments for the 100 highest frequently billed charges under Medicare. For more information visit CMS.gov.

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