89/100
#112 nationally
St. Patrick Hospital
500 W Broadway, Missoula, MT 59802 · (406) 543-7271
Charges close to what care is actually paid for
For every $1 of care Medicare actually paid for here, St. Patrick Hospital billed $2.68 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
- 2.7x
- volume-weighted across all its priced work
- Procedures priced
- 143
- inpatient and outpatient combined
- Rank in MT
- #2
- lower markup ranks higher
- CMS quality stars
- 5/5
- 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 83% of U.S. hospitals.
Better than 93% of U.S. hospitals.
Better than 91% 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 |
|---|---|---|---|---|
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
491 | $10,067 | $2,562 | -48% |
|
Level 1 Endovascular Procedures
APC 5191 · Hospital outpatient visit |
353 | $13,025 | $3,047 | -48% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
266 | $33,998 | $15,991 | -48% |
|
Level 3 Electrophysiologic Procedures
APC 5213 · Hospital outpatient visit |
264 | $73,608 | $22,131 | -45% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
252 | $34,737 | $12,322 | -44% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
216 | $6,149 | $1,509 | -39% |
|
Level 2 Upper GI Procedures
APC 5302 · Hospital outpatient visit |
195 | $7,078 | $1,769 | -40% |
|
Level 1 Laparoscopy and Related Services
APC 5361 · Hospital outpatient visit |
183 | $20,079 | $5,386 | -43% |
|
Level 1 Intraocular Procedures
APC 5491 · Hospital outpatient visit |
177 | $7,322 | $2,175 | -38% |
|
Level 3 Endovascular Procedures
APC 5193 · Hospital outpatient visit |
160 | $38,197 | $10,251 | -44% |
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 |
|---|---|---|---|
|
Extracranial Procedures without Complications/mcc
MS-DRG 039 · Inpatient stay |
$48,376 | $9,068 | -9% |
|
Extracranial Procedures with Complications
MS-DRG 038 · Inpatient stay |
$57,702 | $15,092 | -14% |
|
Psychoses
MS-DRG 885 · Inpatient stay |
$29,699 | $11,517 | -18% |
|
Level 2 Breast/lymphatic Surgery and Related Procedures
APC 5092 · Hospital outpatient visit |
$30,368 | $6,114 | -23% |
|
Level 2 Pacemaker and Similar Procedures
APC 5222 · Hospital outpatient visit |
$28,859 | $7,965 | -24% |
|
Poisoning and Toxic Effects of Drugs without Major Complications
MS-DRG 918 · Inpatient stay |
$26,742 | $7,262 | -25% |
|
Level 2 Icd and Similar Procedures
APC 5232 · Hospital outpatient visit |
$109,535 | $30,752 | -26% |
|
Kidney Failure (severe)
MS-DRG 682 · Inpatient stay |
$38,164 | $14,971 | -28% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Amputation for Musculoskeletal System and Connective Tissue Disorders with Major
MS-DRG 474 · Inpatient stay |
$49,202 | $27,416 | -75% |
|
Lymphoma and Non-acute Leukemia with Major Complications
MS-DRG 840 · Inpatient stay |
$43,683 | $23,140 | -69% |
|
Craniotomy and Endovascular Intracranial Procedures with Major Complications
MS-DRG 025 · Inpatient stay |
$59,302 | $33,469 | -69% |
|
Level 4 Airway Endoscopy
APC 5154 · Hospital outpatient visit |
$7,828 | $3,511 | -66% |
|
Other Operating Room Procedures for Injuries with Complications
MS-DRG 908 · Inpatient stay |
$31,255 | $15,600 | -65% |
|
Level 3 Urology and Related Services
APC 5373 · Hospital outpatient visit |
$4,528 | $1,910 | -65% |
|
Endovascular Cardiac Valve Replacement and Supplement Procedures with Major Complications
MS-DRG 266 · Inpatient stay |
$88,293 | $47,618 | -63% |
|
Gastrointestinal Obstruction without Complications/mcc
MS-DRG 390 · Inpatient stay |
$8,925 | $4,639 | -63% |
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.