Bozeman Health Deaconess Regional Medical Center: charges and Medicare payments

Bozeman Health Deaconess Regional Medical Center reported 1,327 Medicare inpatient stays across 57 DRGs in 2024. Across them it charged 3.35 times what it was paid — mid-range in Montana, number 6 of 10 hospitals with at least 100 stays (state median 3.38×, national 4.15×). Its most frequent stay was DRG 871, Septicemia or Severe Sepsis without MV >96 Hours with MCC: 138 stays at an average charge of $45,717, 49% below the national average. It also billed 3,228 outpatient services, charging 5.52 times what Medicare paid.

1Medicare inpatient stays 1,327
2Charge ÷ paid, inpatient 3.35×
3Rank in MT (highest ratio = 1) 6 of 10
4CMS price-transparency actions 0

Average charge per stay at Bozeman Health Deaconess Regional Medical Center, its 10 most frequent DRGs, bars to scale. Source: CMS DY2024.

Inpatient stays

For the 57 DRGs that can be compared with the national average, Bozeman Health Deaconess Regional Medical Center charged more than the national average in 2 (4%). Payments follow Medicare's rates, so they usually vary far less than charges.

DRG	Stays	Avg charge	vs US	Avg paid
871 Septicemia or Severe Sepsis without MV >96 Hours with MCC	138	$45,717	-49%	$15,459
291 Heart Failure and Shock with MCC	58	$24,196	-57%	$9,675
470 Major Hip and Knee Joint Replacement or Reattachment of...	58	$69,308	-26%	$13,973
177 Respiratory Infections and Inflammations with MCC	57	$28,260	-60%	$12,489
193 Simple Pneumonia and Pleurisy with MCC	50	$23,688	-60%	$9,955
872 Septicemia or Severe Sepsis without MV >96 Hours without MCC	47	$23,785	-52%	$7,933
378 Gastrointestinal Hemorrhage with CC	43	$27,672	-43%	$7,625
189 Pulmonary Edema and Respiratory Failure	41	$31,296	-46%	$10,466
190 Chronic Obstructive Pulmonary Disease with MCC	40	$25,959	-49%	$8,563
392 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	35	$20,431	-49%	$7,028
481 Hip and Femur Procedures except Major Joint with CC	35	$67,758	-33%	$15,383
641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	32	$20,613	-44%	$6,704
853 Infectious and Parasitic Diseases with O.R. Procedures with...	27	$117,989	-48%	$42,524
287 Circulatory Disorders except AMI, with Cardiac...	26	$30,773	-52%	$8,249
640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	25	$32,090	-47%	$10,863
322 Percutaneous Cardiovascular Procedures with Intraluminal...	22	$46,301	-60%	$13,424
390 Gastrointestinal Obstruction without CC/MCC	22	$14,897	-47%	$5,421
522 Hip Replacement with Principal Diagnosis of Hip Fracture...	22	$66,287	-35%	$15,482
690 Kidney and Urinary Tract Infections without MCC	21	$14,041	-63%	$6,379
309 Cardiac Arrhythmia and Conduction Disorders with CC	20	$19,164	-47%	$6,738
065 Intracranial Hemorrhage or Cerebral Infarction with CC or...	19	$30,763	-45%	$7,803
175 Pulmonary Embolism with MCC or Acute Cor Pulmonale	19	$28,361	-56%	$10,516
330 Major Small and Large Bowel Procedures with CC	19	$104,983	-12%	$20,612
377 Gastrointestinal Hemorrhage with MCC	18	$46,239	-46%	$13,170
480 Hip and Femur Procedures except Major Joint with MCC	18	$91,239	-34%	$22,825
312 Syncope and Collapse	16	$22,370	-51%	$8,848
689 Kidney and Urinary Tract Infections with MCC	16	$21,902	-57%	$8,943
064 Intracranial Hemorrhage or Cerebral Infarction with MCC	15	$42,288	-58%	$14,422
286 Circulatory Disorders except AMI, with Cardiac...	15	$45,697	-59%	$15,701
308 Cardiac Arrhythmia and Conduction Disorders with MCC	15	$31,095	-45%	$9,110
389 Gastrointestinal Obstruction with CC	15	$17,674	-55%	$6,361
483 Major Joint or Limb Reattachment Procedures of Upper...	15	$74,502	-41%	$18,291
552 Medical Back Problems without MCC	14	$19,750	-60%	$7,526
660 Kidney and Ureter Procedures for Non-Neoplasm with CC	14	$39,260	-42%	$11,279
683 Renal Failure with CC	14	$27,192	-33%	$7,033
698 Other Kidney and Urinary Tract Diagnoses with MCC	14	$38,407	-48%	$12,295
812 Red Blood Cell Disorders without MCC	14	$31,109	-30%	$7,074
948 Signs and Symptoms without MCC	14	$44,566	+17%	$9,182
091 Other Disorders of Nervous System with MCC	13	$51,251	-38%	$14,630
092 Other Disorders of Nervous System with CC	13	$22,481	-56%	$7,898
331 Major Small and Large Bowel Procedures without CC/MCC	13	$93,456	+9%	$20,119
445 Disorders of The Biliary Tract with CC	13	$38,805	-33%	$12,826
454 Combined Anterior and Posterior Spinal Fusion with CC	13	$210,820	-25%	$58,172
682 Renal Failure with MCC	13	$26,421	-60%	$11,126
329 Major Small and Large Bowel Procedures with MCC	12	$129,593	-40%	$35,735
543 Pathological Fractures and Musculoskeletal and Connective...	12	$18,932	-61%	$8,084
854 Infectious and Parasitic Diseases with O.R. Procedures with...	12	$41,989	-57%	$15,160
069 Transient Ischemia without Thrombolytic	11	$25,248	-50%	$6,346
202 Bronchitis and Asthma with CC/MCC	11	$19,111	-59%	$7,467
244 Permanent Cardiac Pacemaker Implant without CC/MCC	11	$55,720	-40%	$13,414
280 Acute Myocardial Infarction, Discharged Alive with MCC	11	$29,309	-61%	$11,615
391 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	11	$45,143	-26%	$10,226
444 Disorders of The Biliary Tract with MCC	11	$65,821	-21%	$16,779
468 Revision of Hip or Knee Replacement without CC/MCC	11	$79,159	-36%	$19,630
482 Hip and Femur Procedures except Major Joint without CC/MCC	11	$48,799	-37%	$11,881
521 Hip Replacement with Principal Diagnosis of Hip Fracture...	11	$90,406	-33%	$22,664
951 Other Factors Influencing Health Status	11	$22,351	-13%	$4,862

Outpatient services

Service (APC)	Services	Avg charge	Medicare allowed
Level 2 Urology and Related Services	501	$858	$685
Level 5 Musculoskeletal Procedures	336	$57,942	$13,022
Level 3 Urology and Related Services	259	$4,301	$2,045
Comprehensive Observation Services	228	$10,409	$2,734
Level 2 Excision/ Biopsy/ Incision and Drainage	162	$8,596	$1,628
Level 4 Urology and Related Services	139	$14,288	$3,501
Level 5 Urology and Related Services	134	$26,493	$5,196
Level 3 Vascular Procedures	124	$10,259	$3,201
Level 2 Upper GI Procedures	115	$16,585	$1,897
Level 3 Excision/ Biopsy/ Incision and Drainage	99	$15,917	$2,853
Level 6 Musculoskeletal Procedures	98	$63,756	$18,495
Level 1 Laparoscopy and Related Services	89	$47,272	$5,742
Level 4 Musculoskeletal Procedures	76	$41,128	$7,183
Level 2 Intraocular Procedures	76	$16,356	$4,083
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures	72	$20,154	$3,397
Level 4 Airway Endoscopy	69	$20,863	$3,760
Level 1 Endovascular Procedures	57	$13,415	$3,277
Level 2 Laparoscopy and Related Services	57	$91,082	$10,174
Level 2 Vascular Procedures	46	$4,572	$1,608
Level 3 Musculoskeletal Procedures	43	$16,815	$3,250
Level 2 Breast/Lymphatic Surgery and Related Procedures	41	$39,367	$6,548
Level 2 Musculoskeletal Procedures	37	$8,728	$1,614
Level 1 Nerve Procedures	36	$9,247	$1,939
Level 4 Gynecologic Procedures	32	$12,413	$3,139
Level 3 Airway Endoscopy	30	$3,949	$1,704

Against the Montana average

For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Bozeman Health Deaconess Regional Medical Center charged $45,717 on average, 7% more than the Montana average of $42,642, and was paid $15,459 against a state average of $15,860. For Heart Failure and Shock with MCC (DRG 291), Bozeman Health Deaconess Regional Medical Center charged $24,196 on average, 21% less than the Montana average of $30,559, and was paid $9,675 against a state average of $10,456. For Major Hip and Knee Joint Replacement or Reattachment of Lower Extremity without MCC (DRG 470), Bozeman Health Deaconess Regional Medical Center charged $69,308 on average, 20% more than the Montana average of $57,762, and was paid $13,973 against a state average of $14,352. For Respiratory Infections and Inflammations with MCC (DRG 177), Bozeman Health Deaconess Regional Medical Center charged $28,260 on average, 21% less than the Montana average of $35,729, and was paid $12,489 against a state average of $13,317. For Level 2 Urology and Related Services (outpatient APC 5372), its average charge of $858 was 24% below the state average of $1,133. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $57,942 was 35% above the state average of $42,843. For Level 3 Urology and Related Services (outpatient APC 5373), its average charge of $4,301 was 4% below the state average of $4,484. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $10,409 was 5% below the state average of $10,951.

Price-transparency record

No action in CMS's price-transparency enforcement list (July 2026) matches this hospital's exact name, city and state. That can mean CMS has not reviewed it, or that it is listed under a different name.

Charges are the hospital's list prices averaged over its 2024 Medicare cases; payments are what those cases actually brought in. Neither is what you will pay. For a planned procedure, ask the hospital for its price estimate or, if you are uninsured or self-paying, a good-faith estimate.

Sources: CMS Medicare Inpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Medicare Outpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Hospital Price Transparency Enforcement Activities and Outcomes, July 2026. Checked 2026-10-24. Methodology.