73/100
#542 nationally
Intermountain Health St Vincent Regional Hospital
1233 N 30Th St, Billings, MT 59107 · (406) 657-7000
Charges moderately above what care is paid for
For every $1 of care Medicare actually paid for here, Intermountain Health St Vincent Regional Hospital billed $3.62 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
- 3.6x
- volume-weighted across all its priced work
- Procedures priced
- 115
- inpatient and outpatient combined
- Rank in MT
- #6
- 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 62% of U.S. hospitals.
Better than 84% of U.S. hospitals.
Better than 75% of U.S. hospitals.
Better than 77% 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 |
|---|---|---|---|---|
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
718 | $9,155 | $2,540 | -53% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
440 | $36,828 | $15,295 | -44% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
357 | $38,965 | $12,172 | -38% |
|
Level 1 Endovascular Procedures
APC 5191 · Hospital outpatient visit |
255 | $14,175 | $3,034 | -44% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
221 | $6,511 | $1,497 | -35% |
|
Level 2 Upper GI Procedures
APC 5302 · Hospital outpatient visit |
164 | $6,602 | $1,784 | -44% |
|
Level 1 Laparoscopy and Related Services
APC 5361 · Hospital outpatient visit |
126 | $21,752 | $5,341 | -38% |
|
Level 4 Musculoskeletal Procedures
APC 5114 · Hospital outpatient visit |
123 | $30,638 | $6,664 | -23% |
|
Level 3 Vascular Procedures
APC 5183 · Hospital outpatient visit |
112 | $11,423 | $2,988 | -40% |
|
Level 3 Excision/ Biopsy/ Incision and Drainage
APC 5073 · Hospital outpatient visit |
109 | $11,929 | $2,664 | -33% |
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 |
|---|---|---|---|
|
Revision of Hip or Knee Replacement without Complications/mcc
MS-DRG 468 · Inpatient stay |
$119,544 | $23,750 | +10% |
|
Combined Anterior and Posterior Spinal Fusion without Complications/mcc
MS-DRG 455 · Inpatient stay |
$193,590 | $38,795 | +9% |
|
Coronary Bypass without Cardiac Catheterization without Major Complications
MS-DRG 236 · Inpatient stay |
$196,781 | $31,119 | +7% |
|
Level 1 Nerve Procedures
APC 5431 · Hospital outpatient visit |
$11,987 | $1,810 | +6% |
|
Endovascular Cardiac Valve Replacement and Supplement Procedures without Major
MS-DRG 267 · Inpatient stay |
$199,759 | $36,723 | +5% |
|
Level 4 Neurostimulator and Related Procedures
APC 5464 · Hospital outpatient visit |
$83,956 | $20,459 | +4% |
|
Level 5 Neurostimulator and Related Procedures
APC 5465 · Hospital outpatient visit |
$114,240 | $29,027 | about average |
|
Level 4 Endovascular Procedures
APC 5194 · Hospital outpatient visit |
$93,883 | $16,406 | about average |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Seizures without Major Complications
MS-DRG 101 · Inpatient stay |
$16,404 | $7,749 | -60% |
|
Seizures with Major Complications
MS-DRG 100 · Inpatient stay |
$33,754 | $15,310 | -58% |
|
Kidney Failure (severe)
MS-DRG 682 · Inpatient stay |
$24,421 | $11,790 | -54% |
|
Diabetes (with complications)
MS-DRG 638 · Inpatient stay |
$16,052 | $7,185 | -54% |
|
Fracture, Sprain, Strain and Dislocation Except Femur, Hip, Pelvis and Thigh without
MS-DRG 563 · Inpatient stay |
$17,175 | $6,745 | -53% |
|
Infection Needing Surgery (severe)
MS-DRG 853 · Inpatient stay |
$83,460 | $38,135 | -53% |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
$9,155 | $2,540 | -53% |
|
Level 4 Urology and Related Services
APC 5374 · Hospital outpatient visit |
$9,845 | $3,215 | -52% |
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.