Hospital · CCN 270049
Intermountain Health St Vincent Regional Hospital
1233 N 30th St, Billings, MT 59101 · Yellowstone County
Part of Intermountain Healthcare · 226 beds · 2
Metropolitan area core: primary flow within an urbanized area of 50,000 and greater
76 admission types 60 outpatient services
Billed per dollar paid, all admissions
3.42×
$130.5M billed against $38.1M paid across 2,261 Medicare discharges; the national figure is 5.03×.
5.8%
of adults in Yellowstone County have medical debt in collections
9.2%
uninsured in the county · state 10.5%
$70K
median household income
2.8×
billed ÷ paid, inpatient, summed over the county's hospitals in the Medicare file (2 in the inpatient or outpatient file)ⓘ
34.0%
obesity in the countyⓘ
9.5%
diagnosed diabetes (PLACES)
6.0%
coronary heart disease (PLACES)
—
median age · — below poverty (ACS)
01 · Admissions
What it billed Medicare, by admission type
Average charge submitted and average total payment per discharge, 2024. Rows under 11 discharges are suppressed by CMS. The last column is the hospital's ratio against its state's for the same admission.
DRG
Admission
Discharges
Charge
Paid
Billed ÷ paid
871
Septicemia or severe sepsis without mv >96 hours with mcc
440
$36,828
$15,295
2.4× st 2.7×
291
Heart failure and shock with mcc
107
$36,558
$11,479
3.2× st 2.9×
872
Septicemia or severe sepsis without mv >96 hours without mcc
100
$20,507
$8,050
2.5× st 2.8×
853
Infectious and parasitic diseases with o.r. procedures with mcc
71
$83,460
$38,135
2.2× st 2.4×
470
Major hip and knee joint replacement or reattachment of lower extremity without mcc
59
$55,475
$14,332
3.9× st 4.0×
193
Simple pneumonia and pleurisy with mcc
54
$26,370
$10,247
2.6× st 2.8×
274
Percutaneous and other intracardiac procedures without mcc
46
$110,436
$24,067
4.6× st 2.8×
481
Hip and femur procedures except major joint with cc
45
$54,652
$16,163
3.4× st 3.4×
266
Endovascular cardiac valve replacement and supplement procedures with mcc
40
$212,820
$47,471
4.5× st 2.7×
322
Percutaneous cardiovascular procedures with intraluminal device without mcc
40
$84,224
$14,385
5.9× st 4.3×
698
Other kidney and urinary tract diagnoses with mcc
38
$27,296
$12,695
2.2× st 2.5×
027
Craniotomy and endovascular intracranial procedures without cc/mcc
37
$92,614
$18,401
5.0× st 4.7×
064
Intracranial hemorrhage or cerebral infarction with mcc
36
$41,888
$15,065
2.8× st 2.6×
468
Revision of hip or knee replacement without cc/mcc
33
$119,544
$23,750
5.0× st 3.9×
065
Intracranial hemorrhage or cerebral infarction with cc or tpa in 24 hours
33
$22,380
$8,013
2.8× st 2.9×
280
Acute myocardial infarction, discharged alive with mcc
31
$41,657
$11,947
3.5× st 3.0×
682
Renal failure with mcc
30
$24,421
$11,790
2.1× st 2.5×
025
Craniotomy and endovascular intracranial procedures with mcc
30
$92,402
$32,430
2.8× st 2.7×
330
Major small and large bowel procedures with cc
29
$62,096
$18,048
3.4× st 2.9×
378
Gastrointestinal hemorrhage with cc
29
$26,905
$7,765
3.5× st 3.3×
640
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with mcc
29
$36,364
$10,173
3.6× st 2.6×
854
Infectious and parasitic diseases with o.r. procedures with cc
28
$51,421
$16,093
3.2× st 3.0×
321
Percutaneous cardiovascular procedures with intraluminal device with mcc or 4+ arteries/
27
$114,769
$23,166
5.0× st 3.9×
177
Respiratory infections and inflammations with mcc
26
$27,714
$11,256
2.5× st 2.7×
175
Pulmonary embolism with mcc or acute cor pulmonale
26
$26,652
$11,252
2.4× st 2.7×
377
Gastrointestinal hemorrhage with mcc
25
$39,440
$13,660
2.9× st 3.0×
281
Acute myocardial infarction, discharged alive with cc
25
$26,611
$7,213
3.7× st 3.5×
331
Major small and large bowel procedures without cc/mcc
23
$50,064
$13,534
3.7× st 4.0×
190
Chronic obstructive pulmonary disease with mcc
22
$30,472
$8,581
3.6× st 3.0×
189
Pulmonary edema and respiratory failure
22
$39,826
$9,429
4.2× st 3.1×
690
Kidney and urinary tract infections without mcc
22
$17,421
$6,283
2.8× st 3.0×
603
Cellulitis without mcc
21
$18,283
$7,051
2.6× st 2.4×
689
Kidney and urinary tract infections with mcc
20
$27,692
$9,051
3.1× st 2.7×
641
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without mcc
20
$28,372
$6,292
4.5× st 3.5×
039
Extracranial procedures without cc/mcc
20
$43,393
$8,853
4.9× st 4.6×
870
Septicemia or severe sepsis with mv >96 hours
20
$231,507
$62,599
3.7× st 3.3×
389
Gastrointestinal obstruction with cc
20
$16,701
$6,409
2.6× st 2.9×
683
Renal failure with cc
19
$17,937
$7,142
2.5× st 2.9×
392
Esophagitis, gastroenteritis and miscellaneous digestive disorders without mcc
19
$21,524
$6,258
3.4× st 2.8×
309
Cardiac arrhythmia and conduction disorders with cc
19
$18,936
$6,425
2.9× st 2.9×
023
Craniotomy with major device implant or acute complex cns principal diagnosis with mcc o
19
$147,369
$41,949
3.5× st 2.6×
467
Revision of hip or knee replacement with cc
18
$125,334
$27,539
4.6× st 3.7×
811
Red blood cell disorders with mcc
18
$42,139
$10,925
3.9× st 3.5×
460
Spinal fusion except cervical without mcc
17
$131,655
$32,838
4.0× st 3.1×
522
Hip replacement with principal diagnosis of hip fracture without mcc
17
$57,824
$15,974
3.6× st 3.2×
329
Major small and large bowel procedures with mcc
16
$147,466
$41,066
3.6× st 2.7×
236
Coronary bypass without cardiac catheterization without mcc
15
$196,781
$31,119
6.3× st 3.2×
267
Endovascular cardiac valve replacement and supplement procedures without mcc
14
$199,759
$36,723
5.4× st 2.5×
286
Circulatory disorders except ami, with cardiac catheterization with mcc
14
$54,741
$16,445
3.3× st 3.1×
480
Hip and femur procedures except major joint with mcc
14
$94,385
$23,064
4.1× st 3.5×
308
Cardiac arrhythmia and conduction disorders with mcc
14
$32,666
$9,452
3.5× st 3.0×
314
Other circulatory system diagnoses with mcc
14
$48,005
$16,872
2.8× st 2.7×
862
Postoperative and post-traumatic infections with mcc
14
$61,663
$15,560
4.0× st 3.4×
455
Combined anterior and posterior spinal fusion without cc/mcc
14
$193,590
$38,795
5.0× st 4.2×
812
Red blood cell disorders without mcc
13
$22,915
$7,206
3.2× st 3.8×
253
Other vascular procedures with cc
13
$92,057
$22,180
4.2× st 3.2×
391
Esophagitis, gastroenteritis and miscellaneous digestive disorders with mcc
13
$34,863
$10,133
3.4× st 2.8×
482
Hip and femur procedures except major joint without cc/mcc
13
$47,699
$12,199
3.9× st 3.5×
483
Major joint or limb reattachment procedures of upper extremities
13
$84,556
$19,137
4.4× st 4.1×
536
Fractures of hip and pelvis without mcc
13
$18,987
$7,568
2.5× st 3.0×
026
Craniotomy and endovascular intracranial procedures with cc
12
$77,147
$22,312
3.5× st 3.0×
208
Respiratory system diagnosis with ventilator support <=96 hours
12
$110,453
$22,239
5.0× st 3.8×
243
Permanent cardiac pacemaker implant with cc
12
$62,956
$19,489
3.2× st 3.5×
521
Hip replacement with principal diagnosis of hip fracture with mcc
12
$77,353
$22,536
3.4× st 2.9×
552
Medical back problems without mcc
12
$20,511
$7,087
2.9× st 2.7×
287
Circulatory disorders except ami, with cardiac catheterization without mcc
12
$40,906
$8,464
4.8× st 3.5×
638
Diabetes with cc
12
$16,052
$7,185
2.2× st 3.1×
233
Coronary bypass with cardiac catheterization or open ablation with mcc
12
$270,818
$62,264
4.4× st 2.9×
466
Revision of hip or knee replacement with mcc
11
$143,203
$43,127
3.3× st 3.3×
101
Seizures without mcc
11
$16,404
$7,749
2.1× st 3.0×
100
Seizures with mcc
11
$33,754
$15,310
2.2× st 3.1×
310
Cardiac arrhythmia and conduction disorders without cc/mcc
11
$14,327
$4,730
3.0× st 3.1×
493
Lower extremity and humerus procedures except hip, foot and femur with cc
11
$67,381
$18,282
3.7× st 3.5×
637
Diabetes with mcc
11
$29,782
$11,202
2.7× st 2.5×
621
O.r. procedures for obesity without cc/mcc
11
$48,657
$11,591
4.2× st 4.2×
563
Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without mcc
11
$17,175
$6,745
2.5× st 2.5×
02 · Outpatient
Outpatient services
Comprehensive APCs, Medicare's outpatient payment groups: submitted charge against what Medicare allowed, per service.
APC
Service
Services
Charge
Allowed
Billed ÷ allowed
8011
Comprehensive Observation Services
718
$9,155
$2,540
3.6×
5115
Level 5 Musculoskeletal Procedures
357
$38,965
$12,172
3.2×
5191
Level 1 Endovascular Procedures
255
$14,175
$3,034
4.7×
5072
Level 2 Excision/ Biopsy/ Incision and Drainage
221
$6,511
$1,497
4.3×
5302
Level 2 Upper GI Procedures
164
$6,602
$1,784
3.7×
5361
Level 1 Laparoscopy and Related Services
126
$21,752
$5,341
4.1×
5114
Level 4 Musculoskeletal Procedures
123
$30,638
$6,664
4.6×
5183
Level 3 Vascular Procedures
112
$11,423
$2,988
3.8×
5073
Level 3 Excision/ Biopsy/ Incision and Drainage
109
$11,929
$2,664
4.5×
5374
Level 4 Urology and Related Services
98
$9,845
$3,215
3.1×
5362
Level 2 Laparoscopy and Related Services
98
$37,005
$9,562
3.9×
5375
Level 5 Urology and Related Services
98
$16,619
$4,851
3.4×
5373
Level 3 Urology and Related Services
80
$6,980
$1,910
3.7×
5193
Level 3 Endovascular Procedures
75
$58,056
$10,192
5.7×
5465
Level 5 Neurostimulator and Related Procedures
66
$114,240
$29,027
3.9×
5184
Level 4 Vascular Procedures
66
$25,613
$5,152
5.0×
5116
Level 6 Musculoskeletal Procedures
63
$63,363
$17,434
3.6×
5213
Level 3 Electrophysiologic Procedures
49
$110,775
$21,789
5.1×
5092
Level 2 Breast/Lymphatic Surgery and Related Procedures
44
$24,797
$6,003
4.1×
5192
Level 2 Endovascular Procedures
40
$24,960
$5,359
4.7×
5223
Level 3 Pacemaker and Similar Procedures
38
$37,537
$10,003
3.8×
5313
Level 3 Lower GI Procedures
32
$12,558
$2,631
4.8×
5341
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures
32
$15,670
$3,244
4.8×
5113
Level 3 Musculoskeletal Procedures
29
$15,486
$2,951
5.2×
5154
Level 4 Airway Endoscopy
26
$16,663
$3,511
4.7×
5091
Level 1 Breast/Lymphatic Surgery and Related Procedures
25
$15,590
$3,574
4.4×
5112
Level 2 Musculoskeletal Procedures
24
$5,970
$1,507
4.0×
5462
Level 2 Neurostimulator and Related Procedures
22
$23,774
$6,412
3.7×
5222
Level 2 Pacemaker and Similar Procedures
20
$32,607
$7,965
4.1×
5464
Level 4 Neurostimulator and Related Procedures
20
$83,956
$20,459
4.1×
5232
Level 2 ICD and Similar Procedures
19
$142,188
$30,752
4.6×
5414
Level 4 Gynecologic Procedures
17
$11,929
$2,797
4.3×
5182
Level 2 Vascular Procedures
17
$4,852
$1,502
3.2×
5431
Level 1 Nerve Procedures
16
$11,987
$1,810
6.6×
5153
Level 3 Airway Endoscopy
15
$10,468
$1,592
6.6×
5194
Level 4 Endovascular Procedures
13
$93,883
$16,406
5.7×
5471
Implantation of Drug Infusion Device
13
$61,068
$16,685
3.7×
5155
Level 5 Airway Endoscopy
13
$27,318
$6,417
4.3×
5303
Level 3 Upper GI Procedures
12
$18,278
$3,591
5.1×
5461
Level 1 Neurostimulator and Related Procedures
—
—
—
—
5432
Level 2 Nerve Procedures
—
—
—
—
5094
Level 4 Breast/Lymphatic Surgery and Related Procedures
—
—
—
—
5093
Level 3 Breast/Lymphatic Surgery and Related Procedures
—
—
—
—
5492
Level 2 Intraocular Procedures
—
—
—
—
5503
Level 3 Extraocular, Repair, and Plastic Eye Procedures
—
—
—
—
5627
Level 7 Radiation Therapy
—
—
—
—
5416
Level 6 Gynecologic Procedures
—
—
—
—
5415
Level 5 Gynecologic Procedures
—
—
—
—
5224
Level 4 Pacemaker and Similar Procedures
—
—
—
—
5331
Complex GI Procedures
—
—
—
—
5212
Level 2 Electrophysiologic Procedures
—
—
—
—
5342
Level 2 Abdominal/Peritoneal/Biliary and Related Procedures
—
—
—
—
5372
Level 2 Urology and Related Services
—
—
—
—
5165
Level 5 ENT Procedures
—
—
—
—
5164
Level 4 ENT Procedures
—
—
—
—
5163
Level 3 ENT Procedures
—
—
—
—
5377
Level 7 Urology and Related Services
—
—
—
—
5378
Level 8 Urology and Related Services
—
—
—
—
5231
Level 1 ICD and Similar Procedures
—
—
—
—
5463
Level 3 Neurostimulator and Related Procedures
—
—
—
—
Sources for this hospital
the files read, as fetched — not our copy of them- MUP_INP_RY26_P03_V10_DY24_PrvSvc.CSV · 38.0M bytes · fetched 2026-08-21 · sha256 2ab6da15be4c… · publisher's page · public domain (US federal)
- MUP_OUT_RY26_P04_V10_DY24_Prov_Svc.csv · 28.1M bytes · fetched 2026-08-21 · sha256 f293918edbf6… · publisher's page · public domain (US federal)
- chsp-hospital-linkage-2023.csv · 1.5M bytes · fetched 2026-08-21 · sha256 a86146f10c8d… · publisher's page · public; cite AHRQ Compendium of U.S. Health Systems
- 2020 ZCTA to County relationship file · US Census Bureau · 2020tab20_zcta520_county20_natl.txt · 6.8M bytes · fetched 2026-08-21 · sha256 3ed41278d637… · publisher's page · public domain (US federal)
Every figure on this page is computed from these files by pipeline/prices/; the same rows are in the API.
Source rows for this hospital as JSON: inpatient · outpatient. CMS, Medicare Inpatient and Outpatient Hospitals by Provider and Service, 2024.