Intermountain Health St Vincent Regional Hospital: charges and Medicare payments

Intermountain Health St Vincent Regional Hospital reported 2,261 Medicare inpatient stays across 76 DRGs in 2024. Across them it charged 3.42 times what it was paid — mid-range in Montana, number 4 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: 440 stays at an average charge of $36,828, 59% below the national average. It also billed 3,365 outpatient services, charging 4.71 times what Medicare paid.

1Medicare inpatient stays 2,261
2Charge ÷ paid, inpatient 3.42×
3Rank in MT (highest ratio = 1) 4 of 10
4CMS price-transparency actions 0

Average charge per stay at Intermountain Health St Vincent Regional Hospital, its 10 most frequent DRGs, bars to scale. Source: CMS DY2024.

Inpatient stays

For the 76 DRGs that can be compared with the national average, Intermountain Health St Vincent Regional Hospital charged more than the national average in 0 (0%). 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	440	$36,828	-59%	$15,294
291 Heart Failure and Shock with MCC	107	$36,558	-35%	$11,479
872 Septicemia or Severe Sepsis without MV >96 Hours without MCC	100	$20,507	-58%	$8,050
853 Infectious and Parasitic Diseases with O.R. Procedures with...	71	$83,460	-64%	$38,135
470 Major Hip and Knee Joint Replacement or Reattachment of...	59	$55,475	-40%	$14,332
193 Simple Pneumonia and Pleurisy with MCC	54	$26,370	-56%	$10,247
274 Percutaneous and Other Intracardiac Procedures without MCC	46	$110,436	-30%	$24,067
481 Hip and Femur Procedures except Major Joint with CC	45	$54,652	-46%	$16,163
266 Endovascular Cardiac Valve Replacement and Supplement...	40	$212,820	-25%	$47,471
322 Percutaneous Cardiovascular Procedures with Intraluminal...	40	$84,224	-26%	$14,385
698 Other Kidney and Urinary Tract Diagnoses with MCC	38	$27,296	-63%	$12,695
027 Craniotomy and Endovascular Intracranial Procedures without...	37	$92,614	-34%	$18,401
064 Intracranial Hemorrhage or Cerebral Infarction with MCC	36	$41,888	-58%	$15,065
065 Intracranial Hemorrhage or Cerebral Infarction with CC or...	33	$22,380	-60%	$8,013
468 Revision of Hip or Knee Replacement without CC/MCC	33	$119,544	-3%	$23,750
280 Acute Myocardial Infarction, Discharged Alive with MCC	31	$41,657	-45%	$11,947
025 Craniotomy and Endovascular Intracranial Procedures with MCC	30	$92,402	-60%	$32,430
682 Renal Failure with MCC	30	$24,421	-63%	$11,790
330 Major Small and Large Bowel Procedures with CC	29	$62,096	-48%	$18,048
378 Gastrointestinal Hemorrhage with CC	29	$26,905	-45%	$7,765
640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	29	$36,364	-40%	$10,173
854 Infectious and Parasitic Diseases with O.R. Procedures with...	28	$51,421	-48%	$16,093
321 Percutaneous Cardiovascular Procedures with Intraluminal...	27	$114,769	-30%	$23,166
175 Pulmonary Embolism with MCC or Acute Cor Pulmonale	26	$26,652	-59%	$11,252
177 Respiratory Infections and Inflammations with MCC	26	$27,714	-61%	$11,256
281 Acute Myocardial Infarction, Discharged Alive with CC	25	$26,611	-47%	$7,213
377 Gastrointestinal Hemorrhage with MCC	25	$39,440	-54%	$13,660
331 Major Small and Large Bowel Procedures without CC/MCC	23	$50,064	-42%	$13,534
189 Pulmonary Edema and Respiratory Failure	22	$39,826	-31%	$9,429
190 Chronic Obstructive Pulmonary Disease with MCC	22	$30,472	-40%	$8,581
690 Kidney and Urinary Tract Infections without MCC	22	$17,421	-54%	$6,283
603 Cellulitis without MCC	21	$18,283	-51%	$7,051
039 Extracranial Procedures without CC/MCC	20	$43,393	-32%	$8,853
389 Gastrointestinal Obstruction with CC	20	$16,701	-57%	$6,409
641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	20	$28,372	-23%	$6,292
689 Kidney and Urinary Tract Infections with MCC	20	$27,692	-46%	$9,051
870 Septicemia or Severe Sepsis with MV >96 Hours	20	$231,506	-28%	$62,599
023 Craniotomy with Major Device Implant or Acute Complex Cns...	19	$147,369	-48%	$41,949
309 Cardiac Arrhythmia and Conduction Disorders with CC	19	$18,936	-48%	$6,425
392 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	19	$21,524	-46%	$6,258
683 Renal Failure with CC	19	$17,937	-56%	$7,142
467 Revision of Hip or Knee Replacement with CC	18	$125,334	-21%	$27,539
811 Red Blood Cell Disorders with MCC	18	$42,139	-38%	$10,924
460 Spinal Fusion except Cervical without MCC	17	$131,655	-23%	$32,838
522 Hip Replacement with Principal Diagnosis of Hip Fracture...	17	$57,824	-43%	$15,974
329 Major Small and Large Bowel Procedures with MCC	16	$147,466	-31%	$41,066
236 Coronary Bypass without Cardiac Catheterization without MCC	15	$196,781	-7%	$31,119
267 Endovascular Cardiac Valve Replacement and Supplement...	14	$199,759	-10%	$36,723
286 Circulatory Disorders except AMI, with Cardiac...	14	$54,741	-51%	$16,445
308 Cardiac Arrhythmia and Conduction Disorders with MCC	14	$32,666	-42%	$9,452
314 Other Circulatory System Diagnoses with MCC	14	$48,005	-49%	$16,872
455 Combined Anterior and Posterior Spinal Fusion without CC/MCC	14	$193,590	-5%	$38,795
480 Hip and Femur Procedures except Major Joint with MCC	14	$94,385	-32%	$23,064
862 Postoperative and Post-Traumatic Infections with MCC	14	$61,663	-26%	$15,560
253 Other Vascular Procedures with CC	13	$92,057	-30%	$22,180
391 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	13	$34,863	-43%	$10,133
482 Hip and Femur Procedures except Major Joint without CC/MCC	13	$47,699	-39%	$12,199
483 Major Joint or Limb Reattachment Procedures of Upper...	13	$84,556	-33%	$19,137
536 Fractures of Hip and Pelvis without MCC	13	$18,987	-50%	$7,568
812 Red Blood Cell Disorders without MCC	13	$22,915	-48%	$7,206

Showing the 60 most frequent of 76 DRGs.

Outpatient services

Service (APC)	Services	Avg charge	Medicare allowed
Comprehensive Observation Services	718	$9,155	$2,540
Level 5 Musculoskeletal Procedures	357	$38,965	$12,172
Level 1 Endovascular Procedures	255	$14,175	$3,034
Level 2 Excision/ Biopsy/ Incision and Drainage	221	$6,511	$1,497
Level 2 Upper GI Procedures	164	$6,602	$1,784
Level 1 Laparoscopy and Related Services	126	$21,752	$5,341
Level 4 Musculoskeletal Procedures	123	$30,638	$6,664
Level 3 Vascular Procedures	112	$11,423	$2,988
Level 3 Excision/ Biopsy/ Incision and Drainage	109	$11,929	$2,664
Level 2 Laparoscopy and Related Services	98	$37,005	$9,562
Level 4 Urology and Related Services	98	$9,845	$3,215
Level 5 Urology and Related Services	98	$16,619	$4,851
Level 3 Urology and Related Services	80	$6,980	$1,910
Level 3 Endovascular Procedures	75	$58,056	$10,192
Level 4 Vascular Procedures	66	$25,613	$5,152
Level 5 Neurostimulator and Related Procedures	66	$114,240	$29,027
Level 6 Musculoskeletal Procedures	63	$63,363	$17,434
Level 3 Electrophysiologic Procedures	49	$110,775	$21,789
Level 2 Breast/Lymphatic Surgery and Related Procedures	44	$24,797	$6,003
Level 2 Endovascular Procedures	40	$24,960	$5,359
Level 3 Pacemaker and Similar Procedures	38	$37,537	$10,003
Level 3 Lower GI Procedures	32	$12,558	$2,631
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures	32	$15,670	$3,244
Level 3 Musculoskeletal Procedures	29	$15,486	$2,951
Level 4 Airway Endoscopy	26	$16,663	$3,511

Against the Montana average

For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Intermountain Health St Vincent Regional Hospital charged $36,828 on average, 14% less than the Montana average of $42,642, and was paid $15,294 against a state average of $15,860. For Heart Failure and Shock with MCC (DRG 291), Intermountain Health St Vincent Regional Hospital charged $36,558 on average, 20% more than the Montana average of $30,559, and was paid $11,479 against a state average of $10,456. For Septicemia or Severe Sepsis without MV >96 Hours without MCC (DRG 872), Intermountain Health St Vincent Regional Hospital charged $20,507 on average, 13% less than the Montana average of $23,658, and was paid $8,050 against a state average of $8,589. For Infectious and Parasitic Diseases with O.R. Procedures with MCC (DRG 853), Intermountain Health St Vincent Regional Hospital charged $83,460 on average, 17% less than the Montana average of $100,346, and was paid $38,135 against a state average of $40,574. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $9,155 was 16% below the state average of $10,951. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $38,965 was 9% below the state average of $42,843. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $14,175 was 9% below the state average of $15,556. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $6,511 was 2% below the state average of $6,661.

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.