Billings Clinic Hospital
Billings, Montana 59101
CCN: 270004 Acute Care Hospitals Emergency Services
4/5
CMS Star Rating
Above Average
128
DRG Categories
3,751
Total Discharges
$41,238
Avg Charges
$17,275
Avg Payment
$15,481
Avg Medicare
2.39x
Charge-to-Payment
Quality Ratings — CMS Hospital Compare
Based on CMS measures of mortality, safety of care, readmissions, patient experience, and timeliness
Mortality
Below Average Safety of Care
Above Average Readmissions
Above Average Patient Experience
Reported Montana Average Rating
3.63 / 5 This hospital is above average
3 five-star hospitals of rated in Montana
National Average Rating
3.08 / 5
288 five-star hospitals of 2866 rated nationally
Type: Acute Care Hospitals Ownership: Voluntary non-profit - Private
Compared to Montana Average
How this hospital compares to the average of 11 hospitals in Montana
Average Charges
$41,238 -15%
State avg: $48,771
Average Payment
$17,275 +9%
State avg: $15,883
Charge-to-Payment Ratio
2.39x Below avg
State avg: 3.04x
Top 20 DRGs by Volume
Most common diagnosis groups at this hospital, sorted by number of discharges
| DRG | Description | Discharges | Avg Charges | Avg Payment | Markup |
|---|---|---|---|---|---|
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | 264 | $39,935 | $15,760 | 2.53x |
| 291 | HEART FAILURE AND SHOCK WITH MCC | 142 | $25,962 | $10,279 | 2.53x |
| 885 | PSYCHOSES | 135 | $13,529 | $10,493 | 1.29x |
| 274 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC | 115 | $58,551 | $25,366 | 2.31x |
| 177 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | 109 | $26,629 | $14,669 | 1.82x |
| 470 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | 96 | $35,232 | $14,991 | 2.35x |
| 193 | SIMPLE PNEUMONIA AND PLEURISY WITH MCC | 93 | $22,064 | $10,645 | 2.07x |
| 853 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | 68 | $90,879 | $38,527 | 2.36x |
| 460 | SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | 67 | $90,401 | $29,725 | 3.04x |
| 247 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC | 66 | $49,199 | $15,040 | 3.27x |
| 481 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | 64 | $45,505 | $16,354 | 2.78x |
| 872 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 60 | $19,628 | $8,289 | 2.37x |
| 378 | GASTROINTESTINAL HEMORRHAGE WITH CC | 59 | $14,419 | $7,945 | 1.81x |
| 064 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | 58 | $42,745 | $15,896 | 2.69x |
| 392 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 58 | $12,360 | $6,471 | 1.91x |
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | 57 | $22,356 | $8,792 | 2.54x |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 54 | $24,170 | $8,120 | 2.98x |
| 690 | KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | 50 | $12,709 | $6,434 | 1.98x |
| 025 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | 46 | $91,082 | $35,229 | 2.59x |
| 280 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | 46 | $30,981 | $12,561 | 2.47x |
Showing top 20 of 128 DRG categories at this hospital.
About This Data
Hospital charges and payment data are from the CMS Medicare Inpatient Prospective Payment System (IPPS) Provider Summary. Quality star ratings (1-5) are from CMS Hospital Compare, based on measures of mortality, safety of care, readmissions, patient experience, and timeliness. Negotiated insurance rates are from hospital Machine-Readable Files (MRFs) required by the CMS Hospital Price Transparency Rule.