St Patrick Hospital: charges and Medicare payments

St Patrick Hospital reported 2,903 Medicare inpatient stays across 101 DRGs in 2024. Across them it charged 2.36 times what it was paid — among the lower ratios in Montana, number 10 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: 266 stays at an average charge of $33,998, 62% below the national average. It also billed 4,104 outpatient services, charging 3.83 times what Medicare paid.

1Medicare inpatient stays 2,903
2Charge ÷ paid, inpatient 2.36×
3Rank in MT (highest ratio = 1) 10 of 10
4CMS price-transparency actions 0

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

Inpatient stays

For the 101 DRGs that can be compared with the national average, St Patrick 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	266	$33,998	-62%	$15,991
291 Heart Failure and Shock with MCC	121	$24,978	-56%	$10,451
885 Psychoses	101	$29,699	-33%	$11,517
267 Endovascular Cardiac Valve Replacement and Supplement...	97	$75,996	-66%	$38,828
266 Endovascular Cardiac Valve Replacement and Supplement...	90	$88,293	-69%	$47,618
274 Percutaneous and Other Intracardiac Procedures without MCC	88	$50,393	-68%	$25,127
177 Respiratory Infections and Inflammations with MCC	63	$26,374	-63%	$13,155
853 Infectious and Parasitic Diseases with O.R. Procedures with...	63	$79,393	-65%	$39,966
322 Percutaneous Cardiovascular Procedures with Intraluminal...	58	$49,511	-57%	$15,724
872 Septicemia or Severe Sepsis without MV >96 Hours without MCC	58	$16,276	-67%	$9,130
189 Pulmonary Edema and Respiratory Failure	53	$20,208	-65%	$9,868
064 Intracranial Hemorrhage or Cerebral Infarction with MCC	50	$36,288	-64%	$16,416
193 Simple Pneumonia and Pleurisy with MCC	50	$19,846	-67%	$10,757
065 Intracranial Hemorrhage or Cerebral Infarction with CC or...	48	$20,823	-63%	$8,892
219 Cardiac Valve and Other Major Cardiothoracic Procedures...	47	$146,369	-63%	$62,178
236 Coronary Bypass without Cardiac Catheterization without MCC	47	$100,736	-52%	$41,119
481 Hip and Femur Procedures except Major Joint with CC	42	$50,043	-50%	$16,867
698 Other Kidney and Urinary Tract Diagnoses with MCC	37	$21,741	-70%	$12,883
378 Gastrointestinal Hemorrhage with CC	36	$19,035	-61%	$7,876
392 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	36	$15,943	-60%	$6,726
321 Percutaneous Cardiovascular Procedures with Intraluminal...	34	$73,704	-55%	$23,273
253 Other Vascular Procedures with CC	32	$57,229	-57%	$20,540
330 Major Small and Large Bowel Procedures with CC	32	$51,148	-57%	$24,538
468 Revision of Hip or Knee Replacement without CC/MCC	32	$57,819	-53%	$20,990
640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	31	$22,133	-63%	$10,558
683 Renal Failure with CC	31	$16,292	-60%	$7,194
220 Cardiac Valve and Other Major Cardiothoracic Procedures...	30	$114,515	-59%	$42,699
377 Gastrointestinal Hemorrhage with MCC	30	$37,910	-56%	$15,101
235 Coronary Bypass without Cardiac Catheterization with MCC	29	$129,839	-56%	$48,453
280 Acute Myocardial Infarction, Discharged Alive with MCC	29	$32,394	-57%	$12,819
951 Other Factors Influencing Health Status	28	$9,474	-63%	$4,875
163 Major Chest Procedures with MCC	26	$70,342	-67%	$36,257
242 Permanent Cardiac Pacemaker Implant with MCC	26	$81,426	-49%	$25,572
281 Acute Myocardial Infarction, Discharged Alive with CC	26	$21,681	-57%	$7,603
682 Renal Failure with MCC	26	$38,164	-42%	$14,971
252 Other Vascular Procedures with MCC	25	$89,923	-47%	$26,482
023 Craniotomy with Major Device Implant or Acute Complex Cns...	23	$97,817	-65%	$44,395
243 Permanent Cardiac Pacemaker Implant with CC	23	$53,695	-52%	$18,846
522 Hip Replacement with Principal Diagnosis of Hip Fracture...	23	$51,015	-50%	$17,977
854 Infectious and Parasitic Diseases with O.R. Procedures with...	23	$34,740	-65%	$16,152
025 Craniotomy and Endovascular Intracranial Procedures with MCC	21	$59,302	-74%	$33,469
039 Extracranial Procedures without CC/MCC	20	$48,376	-24%	$9,068
460 Spinal Fusion except Cervical without MCC	20	$64,419	-62%	$29,934
467 Revision of Hip or Knee Replacement with CC	20	$79,785	-49%	$26,932
233 Coronary Bypass with Cardiac Catheterization or Open...	19	$148,046	-62%	$68,289
418 Laparoscopic Cholecystectomy without C.D.E. with CC	19	$42,664	-54%	$12,923
254 Other Vascular Procedures without CC/MCC	18	$45,001	-51%	$13,606
269 Aortic and Heart Assist Procedures except Pulsation Balloon...	18	$87,349	-55%	$35,762
445 Disorders of The Biliary Tract with CC	18	$20,635	-65%	$8,740
480 Hip and Femur Procedures except Major Joint with MCC	18	$68,211	-51%	$21,646
521 Hip Replacement with Principal Diagnosis of Hip Fracture...	18	$58,631	-57%	$22,755
175 Pulmonary Embolism with MCC or Acute Cor Pulmonale	17	$24,907	-62%	$10,986
472 Cervical Spinal Fusion with CC	17	$54,581	-62%	$22,756
641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	17	$18,847	-49%	$6,564
908 Other O.R. Procedures for Injuries with CC	17	$31,255	-68%	$15,600
919 Complications of Treatment with MCC	17	$38,255	-57%	$17,775
309 Cardiac Arrhythmia and Conduction Disorders with CC	16	$14,045	-61%	$6,076
391 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	16	$23,311	-62%	$11,185
483 Major Joint or Limb Reattachment Procedures of Upper...	16	$61,717	-51%	$19,524
493 Lower Extremity and Humerus Procedures except Hip, Foot and...	16	$65,272	-45%	$19,322

Showing the 60 most frequent of 101 DRGs.

Outpatient services

Service (APC)	Services	Avg charge	Medicare allowed
Comprehensive Observation Services	491	$10,067	$2,562
Level 1 Endovascular Procedures	353	$13,025	$3,047
Level 3 Electrophysiologic Procedures	264	$73,608	$22,131
Level 5 Musculoskeletal Procedures	252	$34,737	$12,322
Level 2 Excision/ Biopsy/ Incision and Drainage	216	$6,149	$1,509
Level 2 Upper GI Procedures	195	$7,078	$1,769
Level 1 Laparoscopy and Related Services	183	$20,079	$5,386
Level 1 Intraocular Procedures	177	$7,322	$2,175
Level 3 Endovascular Procedures	160	$38,197	$10,251
Level 3 Vascular Procedures	144	$9,012	$2,957
Level 3 Pacemaker and Similar Procedures	139	$27,954	$9,943
Level 6 Musculoskeletal Procedures	131	$44,365	$17,193
Level 4 Musculoskeletal Procedures	111	$22,327	$6,613
Level 4 Urology and Related Services	103	$10,466	$3,268
Level 2 Laparoscopy and Related Services	92	$30,768	$9,644
Level 3 Excision/ Biopsy/ Incision and Drainage	82	$6,942	$2,664
Level 4 Pacemaker and Similar Procedures	80	$62,361	$18,227
Level 5 ENT Procedures	79	$19,648	$5,491
Level 5 Urology and Related Services	71	$19,478	$4,851
Level 4 Endovascular Procedures	68	$51,874	$15,706
Level 2 Vascular Procedures	51	$4,306	$1,502
Level 2 Breast/Lymphatic Surgery and Related Procedures	49	$30,368	$6,114
Level 4 Vascular Procedures	49	$20,079	$5,152
Level 3 Urology and Related Services	49	$4,528	$1,910
Level 2 ICD and Similar Procedures	48	$109,535	$30,752

Against the Montana average

For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), St Patrick Hospital charged $33,998 on average, 20% less than the Montana average of $42,642, and was paid $15,991 against a state average of $15,860. For Heart Failure and Shock with MCC (DRG 291), St Patrick Hospital charged $24,978 on average, 18% less than the Montana average of $30,559, and was paid $10,451 against a state average of $10,456. For Psychoses (DRG 885), St Patrick Hospital charged $29,699 on average, 28% more than the Montana average of $23,290, and was paid $11,517 against a state average of $11,292. For Endovascular Cardiac Valve Replacement and Supplement Procedures without MCC (DRG 267), St Patrick Hospital charged $75,996 on average, 22% less than the Montana average of $97,222, and was paid $38,828 against a state average of $38,149. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $10,067 was 8% below the state average of $10,951. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $13,025 was 16% below the state average of $15,556. For Level 3 Electrophysiologic Procedures (outpatient APC 5213), its average charge of $73,608 was 17% below the state average of $88,571. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $34,737 was 19% below the state average of $42,843.

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.