90/100
#82 nationally
Billings Clinic Hospital
2800 10Th Ave N, Billings, MT 59101 · (406) 657-4000
Charges close to what care is actually paid for
For every $1 of care Medicare actually paid for here, Billings Clinic Hospital billed $2.55 in list charges. That gap does not change a Medicare patient's bill — but it is where an uninsured or out-of-network bill starts.
- Charge-to-payment
- 2.5x
- volume-weighted across all its priced work
- Procedures priced
- 172
- inpatient and outpatient combined
- Rank in MT
- #1
- lower markup ranks higher
- CMS quality stars
- 4/5
- shown for context, not in the grade
How this grade was reached
Each component is scored against every other U.S. hospital in the same federal files, so the grade is a position in the country, not a pass mark we invented.
Better than 82% of U.S. hospitals.
Better than 95% of U.S. hospitals.
Better than 94% of U.S. hospitals.
Better than 94% of U.S. hospitals.
What this hospital treats most
The ten procedures it billed Medicare for most often, with its charge beside the national middle.
| Procedure | Patients | Charged | Actually paid | vs national |
|---|---|---|---|---|
|
Level 2 Urology and Related Services
APC 5372 · Hospital outpatient visit |
651 | $861 | $579 | -73% |
|
Level 3 Urology and Related Services
APC 5373 · Hospital outpatient visit |
516 | $3,364 | $1,721 | -74% |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
389 | $8,375 | $2,539 | -57% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
377 | $3,590 | $1,479 | -64% |
|
Level 1 Endovascular Procedures
APC 5191 · Hospital outpatient visit |
304 | $10,477 | $3,054 | -58% |
|
Level 1 Intraocular Procedures
APC 5491 · Hospital outpatient visit |
296 | $3,156 | $2,108 | -73% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
294 | $26,859 | $10,666 | -57% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
274 | $38,823 | $15,878 | -41% |
|
Level 5 Urology and Related Services
APC 5375 · Hospital outpatient visit |
272 | $9,606 | $4,496 | -65% |
|
Level 3 Electrophysiologic Procedures
APC 5213 · Hospital outpatient visit |
244 | $79,878 | $22,042 | -40% |
Where its charges run furthest above the national middle
Only procedures it performed at least eleven times, so a single unusual case cannot produce the headline.
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Red Blood Cell Disorders with Major Complications
MS-DRG 811 · Inpatient stay |
$55,535 | $17,978 | about average |
|
Seizures with Major Complications
MS-DRG 100 · Inpatient stay |
$58,721 | $15,890 | -27% |
|
Level 4 Airway Endoscopy
APC 5154 · Hospital outpatient visit |
$15,339 | $3,397 | -32% |
|
Respiratory Infection (severe)
MS-DRG 177 · Inpatient stay |
$36,561 | $14,517 | -34% |
|
Bronchitis and Asthma with Complications/mcc
MS-DRG 202 · Inpatient stay |
$25,949 | $8,084 | -34% |
|
Back and Neck Procedures Except Spinal Fusion with Complications
MS-DRG 519 · Inpatient stay |
$56,391 | $17,270 | -34% |
|
Aortic and Heart Assist Procedures Except Pulsation Balloon without Major Complications
MS-DRG 269 · Inpatient stay |
$108,812 | $33,254 | -34% |
|
Level 2 Icd and Similar Procedures
APC 5232 · Hospital outpatient visit |
$97,068 | $30,752 | -35% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Level 3 Extraocular, Repair, and Plastic Eye Procedures
APC 5503 · Hospital outpatient visit |
$3,136 | $2,191 | -78% |
|
Level 2 Musculoskeletal Procedures
APC 5112 · Hospital outpatient visit |
$2,463 | $1,499 | -78% |
|
Level 3 Urology and Related Services
APC 5373 · Hospital outpatient visit |
$3,364 | $1,721 | -74% |
|
Level 7 Radiation Therapy
APC 5627 · Hospital outpatient visit |
$15,463 | $7,301 | -74% |
|
Level 3 ENT Procedures
APC 5163 · Hospital outpatient visit |
$1,679 | $1,326 | -74% |
|
Level 3 Musculoskeletal Procedures
APC 5113 · Hospital outpatient visit |
$5,443 | $2,884 | -73% |
|
Level 1 Intraocular Procedures
APC 5491 · Hospital outpatient visit |
$3,156 | $2,108 | -73% |
|
Level 5 Gynecologic Procedures
APC 5415 · Hospital outpatient visit |
$8,135 | $4,359 | -73% |
What this page cannot tell you
- It is not your bill. These are averages across Medicare patients. What you pay depends on your insurance, your plan's negotiated rate and your own case.
- It is not a quality rating. A hospital with a high markup may be excellent, and one with a low markup may not be. We checked: across every U.S. hospital, markup and the CMS quality star rating barely move together.
- A charge is not a cost. Hospitals do not collect their list charges from insured patients. The number matters because it is the opening figure on an uninsured or out-of-network bill.
- Ask for the real number. Every U.S. hospital must publish a machine-readable price file and give you a written good-faith estimate on request.