P&P, Paid & Penalized

Public Medicare data, made visible.

State

Montana

6 of 11 hospitals take a cut in FY2027: 60% of the 10 measured on at least one condition. The average cut, counting all 11 hospitals, is 0.16%, the 45th-largest among the 49 states and DC in the program. Estimated total: $897Kestimate.

Montana · FY2027Compared with all hospitals nationally

1Hospitals

11

2Penalized

60%

of 10 measured · −23 pts vs nation

3Average cut

0.16%

−0.19 pts vs nation

4Cut 1% or more

0

0% of hospitals (nation 8%)

5At the 3% cap

0

6Estimated dollars

$897Kestimate

Hospitals on the map

Figure 1. 6 of the 11 hospitals here take a cut; the largest, 0.97%, is at St. Patrick Hospital.
Billings Clinic Hospital, Billings, MT: no cutIntermountain Health St Vincent Regional Hospital, Billings, MT: no cutLogan Health Medical Center, Kalispell, MT: no cutSt James Hospital, Butte, MT: no cutP H S Indian Hospital at Browning - Blackfeet, Browning, MT: no cutSt Peters Health, Helena, MT: cut 0.09%Community Medical Center, Missoula, MT: cut 0.12%Bozeman Health Deaconess Hospital, Bozeman, MT: cut 0.01%Great Falls Clinic Hospital, Great Falls, MT: cut 0.09%Benefis Hospitals Inc, Great Falls, MT: cut 0.43%St. Patrick Hospital, Missoula, MT: cut 0.97% Billings Clinic Hospital, Billings, MT: no cutIntermountain Health St Vincent Regional Hospital, Billings, MT: no cutLogan Health Medical Center, Kalispell, MT: no cutSt James Hospital, Butte, MT: no cutP H S Indian Hospital at Browning - Blackfeet, Browning, MT: no cutSt Peters Health, Helena, MT: cut 0.09%Community Medical Center, Missoula, MT: cut 0.12%Bozeman Health Deaconess Hospital, Bozeman, MT: cut 0.01%Great Falls Clinic Hospital, Great Falls, MT: cut 0.09%Benefis Hospitals Inc, Great Falls, MT: cut 0.43%St. Patrick Hospital, Missoula, MT: cut 0.97%

Hospital dots, by cut

  • No cut
  • Under 0.25%
  • 0.25%–0.49%
  • 0.50%–0.99%
  • 1.00%–1.99%
  • 2.00%–3.00%

Dots are sized by Medicare volume and shaded by cut. Select one to open it.

CMS FY2027 Hospital Readmissions Reduction Program Supplemental Data File. Locations geocoded from street addresses (U.S. Census Bureau Geocoder), else ZIP or county centers.

Show table
HospitalCityCutBase payments (dot size)
St. Patrick HospitalMissoula0.97%$70.8M
Benefis Hospitals IncGreat Falls0.43%$38.6M
Community Medical CenterMissoula0.12%$13.1M
Great Falls Clinic HospitalGreat Falls0.09%$8.8M
St Peters HealthHelena0.09%$19.3M
Bozeman Health Deaconess HospitalBozeman0.01%$24.6M
Billings Clinic HospitalBillings0.00%$88.6M
Intermountain Health St Vincent Regional HospitalBillings0.00%$53.0M
Logan Health Medical CenterKalispell0.00%$38.6M
P H S Indian Hospital at Browning - BlackfeetBrowning0.00%$522K
St James HospitalButte0.00%$8.3M

Size of the cuts

Figure 2. 5 of the 11 hospitals here take no cut, against 20% of all hospitals; the average cut is 0.16%.
0%10%20%30%40%50% No cut: 5 here (45%); 20% of all hospitals0.0% to 0.1%: 3 here (27%); 18% of all hospitals0.1% to 0.2%: 1 here (9%); 11% of all hospitals0.2% to 0.3%: 0 here (0%); 10% of all hospitals0.3% to 0.4%: 0 here (0%); 8% of all hospitals0.4% to 0.5%: 1 here (9%); 6% of all hospitals0.5% to 0.6%: 0 here (0%); 6% of all hospitals0.6% to 0.7%: 0 here (0%); 4% of all hospitals0.7% to 0.8%: 0 here (0%); 3% of all hospitals0.8% to 0.9%: 0 here (0%); 3% of all hospitals0.9% to 1.0%: 1 here (9%); 2% of all hospitals1.0% to 1.1%: 0 here (0%); 2% of all hospitals1.1% to 1.2%: 0 here (0%); 1% of all hospitals1.2% to 1.3%: 0 here (0%); 1% of all hospitals1.3% to 1.4%: 0 here (0%); 1% of all hospitals1.4% to 1.5%: 0 here (0%); 1% of all hospitals1.5% to 1.6%: 0 here (0%); 1% of all hospitals1.6% to 1.7%: 0 here (0%); 0% of all hospitals1.7% to 1.8%: 0 here (0%); 0% of all hospitals1.8% to 1.9%: 0 here (0%); 0% of all hospitals1.9% to 2.0%: 0 here (0%); 0% of all hospitals2.0% to 2.1%: 0 here (0%); 0% of all hospitals2.1% to 2.2%: 0 here (0%); 0% of all hospitals2.2% to 2.3%: 0 here (0%); 0% of all hospitals2.3% to 2.4%: 0 here (0%); 0% of all hospitals2.4% to 2.5%: 0 here (0%); 0% of all hospitals2.5% to 2.6%: 0 here (0%); 0% of all hospitals2.6% to 2.7%: 0 here (0%); 0% of all hospitals2.7% to 2.8%: 0 here (0%); 0% of all hospitals2.8% to 2.9%: 0 here (0%); 0% of all hospitals2.9% to 3.0%: 0 here (0%); 0% of all hospitals 1%2%3%average 0.16%none 0%10%20%30%40%50% No cut: 5 here (45%); 20% of all hospitals0.0% to 0.1%: 3 here (27%); 18% of all hospitals0.1% to 0.2%: 1 here (9%); 11% of all hospitals0.2% to 0.3%: 0 here (0%); 10% of all hospitals0.3% to 0.4%: 0 here (0%); 8% of all hospitals0.4% to 0.5%: 1 here (9%); 6% of all hospitals0.5% to 0.6%: 0 here (0%); 6% of all hospitals0.6% to 0.7%: 0 here (0%); 4% of all hospitals0.7% to 0.8%: 0 here (0%); 3% of all hospitals0.8% to 0.9%: 0 here (0%); 3% of all hospitals0.9% to 1.0%: 1 here (9%); 2% of all hospitals1.0% to 1.1%: 0 here (0%); 2% of all hospitals1.1% to 1.2%: 0 here (0%); 1% of all hospitals1.2% to 1.3%: 0 here (0%); 1% of all hospitals1.3% to 1.4%: 0 here (0%); 1% of all hospitals1.4% to 1.5%: 0 here (0%); 1% of all hospitals1.5% to 1.6%: 0 here (0%); 1% of all hospitals1.6% to 1.7%: 0 here (0%); 0% of all hospitals1.7% to 1.8%: 0 here (0%); 0% of all hospitals1.8% to 1.9%: 0 here (0%); 0% of all hospitals1.9% to 2.0%: 0 here (0%); 0% of all hospitals2.0% to 2.1%: 0 here (0%); 0% of all hospitals2.1% to 2.2%: 0 here (0%); 0% of all hospitals2.2% to 2.3%: 0 here (0%); 0% of all hospitals2.3% to 2.4%: 0 here (0%); 0% of all hospitals2.4% to 2.5%: 0 here (0%); 0% of all hospitals2.5% to 2.6%: 0 here (0%); 0% of all hospitals2.6% to 2.7%: 0 here (0%); 0% of all hospitals2.7% to 2.8%: 0 here (0%); 0% of all hospitals2.8% to 2.9%: 0 here (0%); 0% of all hospitals2.9% to 3.0%: 0 here (0%); 0% of all hospitals 0.5%1%1.5%2%2.5%3%average 0.16%none

Bars: Montana. Outline: all hospitals. Both as shares, so areas of any size compare. The bar at the left is hospitals with no cut.

CMS FY2027 Hospital Readmissions Reduction Program Supplemental Data File.

Show table
Cut fromtoHospitals hereShare hereShare of all hospitals
No cut—545%20%
0.0%0.1%327%18%
0.1%0.2%19%11%
0.2%0.3%00%10%
0.3%0.4%00%8%
0.4%0.5%19%6%
0.5%0.6%00%6%
0.6%0.7%00%4%
0.7%0.8%00%3%
0.8%0.9%00%3%
0.9%1.0%19%2%
1.0%1.1%00%2%
1.1%1.2%00%1%
1.2%1.3%00%1%
1.3%1.4%00%1%
1.4%1.5%00%1%
1.5%1.6%00%1%
1.6%1.7%00%0%
1.7%1.8%00%0%
1.8%1.9%00%0%
1.9%2.0%00%0%
2.0%2.1%00%0%
2.1%2.2%00%0%
2.2%2.3%00%0%
2.3%2.4%00%0%
2.4%2.5%00%0%
2.5%2.6%00%0%
2.6%2.7%00%0%
2.7%2.8%00%0%
2.8%2.9%00%0%
2.9%3.0%00%0%

Peer groups

Figure 3. Most of the 11 hospitals here are in group 1.
Group 1: 6 hospitals, average cut 0.18%Group 1avg cut 0.18%6Group 2: 3 hospitals, average cut 0.21%Group 2avg cut 0.21%3Group 3: 1 hospital, average cut 0.00%Group 3avg cut 0.00%1Group 4: 1 hospital, average cut 0.00%Group 4avg cut 0.00%1Group 5: no hospital hereGroup 5none0 Group 1: 6 hospitals, average cut 0.18%Group 1avg cut 0.18%6Group 2: 3 hospitals, average cut 0.21%Group 2avg cut 0.21%3Group 3: 1 hospital, average cut 0.00%Group 3avg cut 0.00%1Group 4: 1 hospital, average cut 0.00%Group 4avg cut 0.00%1Group 5: no hospital hereGroup 5none0

How many hospitals here fall in each dual-eligible peer group. Group 1 serves the fewest low-income patients, group 5 the most. Under each group: its average cut here.

CMS FY2027 Hospital Readmissions Reduction Program Supplemental Data File.

Show table
Peer groupHospitals hereAverage cut
Group 160.18%
Group 230.21%
Group 310.00%
Group 410.00%
Group 50none

Which conditions drive the penalties here

Figure 4. Bypass surgery is the largest part of the estimated dollars here, 83%.
  • All hospitals

Penalized on this condition

Heart attack: 3 of 10 measured hospitals penalized, 30%; all hospitals 50%Heart attack3 of 1030%COPD: 4 of 10 measured hospitals penalized, 40%; all hospitals 50%COPD4 of 1040%Heart failure: 1 of 10 measured hospitals penalized, 10%; all hospitals 50%Heart failure1 of 1010%Pneumonia: 0 of 10 measured hospitals penalized, 0%; all hospitals 50%Pneumonia0 of 100%Bypass surgery: 2 of 5 measured hospitals penalized, 40%; all hospitals 49%Bypass (CABG)2 of 540%Hip/knee replacement: 2 of 8 measured hospitals penalized, 25%; all hospitals 50%Hip/knee2 of 825% Heart attack: 3 of 10 measured hospitals penalized, 30%; all hospitals 50%Heart attack3 of 10 measured30%COPD: 4 of 10 measured hospitals penalized, 40%; all hospitals 50%COPD4 of 10 measured40%Heart failure: 1 of 10 measured hospitals penalized, 10%; all hospitals 50%Heart failure1 of 10 measured10%Pneumonia: 0 of 10 measured hospitals penalized, 0%; all hospitals 50%Pneumonia0 of 10 measured0%Bypass surgery: 2 of 5 measured hospitals penalized, 40%; all hospitals 49%Bypass surgery2 of 5 measured40%Hip/knee replacement: 2 of 8 measured hospitals penalized, 25%; all hospitals 50%Hip/knee replacement2 of 8 measured25%

Share of estimated dollars

Bypass surgery: $743K of the modeled dollars, 83%Bypass (CABG)≈ $743K83%Heart attack: $89K of the modeled dollars, 10%Heart attack≈ $89K10%COPD: $27K of the modeled dollars, 3%COPD≈ $27K3%Hip/knee replacement: $21K of the modeled dollars, 2%Hip/knee≈ $21K2%Heart failure: $16K of the modeled dollars, 2%Heart failure≈ $16K2%Pneumonia: $0 of the modeled dollars, 0%Pneumonia≈ $00% Bypass surgery: $743K of the modeled dollars, 83%Bypass surgery≈ $743K83%Heart attack: $89K of the modeled dollars, 10%Heart attack≈ $89K10%COPD: $27K of the modeled dollars, 3%COPD≈ $27K3%Hip/knee replacement: $21K of the modeled dollars, 2%Hip/knee replacement≈ $21K2%Heart failure: $16K of the modeled dollars, 2%Heart failure≈ $16K2%Pneumonia: $0 of the modeled dollars, 0%Pneumonia≈ $00%

Left: share of measured hospitals penalized on each condition (tick: all hospitals, about half). Right: share of the estimated dollars. Each condition flags about half of the hospitals measured on it by design, because CMS compares a hospital with the median of its peer group, so a bar near the tick is not a finding on its own. Dollars are modeled here: each cut hospital’s estimated dollars split by its conditions’ parts of the cut.

Estimate · CMS FY2027 Hospital Readmissions Reduction Program Supplemental Data File; dollars are modeled here.

Show table
ConditionMeasured herePenalized hereShare penalizedAll hospitals’ shareModeled dollarsShare of dollars
Heart attack10330%50%$89K10%
COPD10440%50%$27K3%
Heart failure10110%50%$16K2%
Pneumonia1000%50%$00%
Bypass surgery5240%49%$743K83%
Hip/knee replacement8225%50%$21K2%

Average cut over time

Figure 5. In FY2027, the average cut in Montana was 0.16%, against 0.35% across all hospitals in the program.
Shaded: the years whose data reach the claims of January 1, 2020 to June 30, 2020, which CMS left out. 0%0.5%1% 3% cap FY2013: 0.03% here; 0.28% across all hospitals in the programFY2014: 0.02% here; 0.26% across all hospitals in the programFY2015: 0.15% here; 0.50% across all hospitals in the programFY2016: 0.24% here; 0.49% across all hospitals in the programFY2017: 0.24% here; 0.60% across all hospitals in the programFY2018: 0.22% here; 0.61% across all hospitals in the programFY2019: 0.30% here; 0.59% across all hospitals in the programFY2020: 0.12% here; 0.60% across all hospitals in the programFY2021: 0.24% here; 0.58% across all hospitals in the programFY2022: 0.27% here; 0.54% across all hospitals in the programFY2023: 0.28% here; 0.33% across all hospitals in the programFY2024: 0.21% here; 0.34% across all hospitals in the programFY2025: 0.15% here; 0.33% across all hospitals in the programFY2026: 0.10% here; 0.35% across all hospitals in the programFY2027: 0.16% here; 0.35% across all hospitals in the program0.16% ’13’15’17’19’21’23’25’27 Shaded: the years whose data reach the claims of January 1, 2020 to June 30, 2020, which CMS left out. 0%0.5%1% 2%3% cap FY2013: 0.03% here; 0.28% across all hospitals in the programFY2014: 0.02% here; 0.26% across all hospitals in the programFY2015: 0.15% here; 0.50% across all hospitals in the programFY2016: 0.24% here; 0.49% across all hospitals in the programFY2017: 0.24% here; 0.60% across all hospitals in the programFY2018: 0.22% here; 0.61% across all hospitals in the programFY2019: 0.30% here; 0.59% across all hospitals in the programFY2020: 0.12% here; 0.60% across all hospitals in the programFY2021: 0.24% here; 0.58% across all hospitals in the programFY2022: 0.27% here; 0.54% across all hospitals in the programFY2023: 0.28% here; 0.33% across all hospitals in the programFY2024: 0.21% here; 0.34% across all hospitals in the programFY2025: 0.15% here; 0.33% across all hospitals in the programFY2026: 0.10% here; 0.35% across all hospitals in the programFY2027: 0.16% here; 0.35% across all hospitals in the program0.16% The pandemic years’13’14’15’16’17’18’19’20’21’22’23’24’25’26’27

Red: hospitals in Montana that are in the FY2027 program. Dashed: every hospital in the FY2027 program, nationwide. Each year averages those in that year’s file. The cap on the cut changed over the years, so a cut in one year is not the same size of penalty in another. Shaded: the years whose data reach the claims of January 1, 2020 to June 30, 2020, which CMS left out.

This site recomputes · CMS Hospital Readmissions Reduction Program supplemental data files, FY2013–FY2027.

Show table
Fiscal yearAverage cut hereAverage cut, all hospitals in the program
FY20130.03%0.28%
FY20140.02%0.26%
FY20150.15%0.50%
FY20160.24%0.49%
FY20170.24%0.60%
FY20180.22%0.61%
FY20190.30%0.59%
FY20200.12%0.60%
FY20210.24%0.58%
FY20220.27%0.54%
FY20230.28%0.33%
FY20240.21%0.34%
FY20250.15%0.33%
FY20260.10%0.35%
FY20270.16%0.35%

Metro areas

Largest first, by hospitals.

Metro areaHospitalsPenalizedAverage cutCut 1% or moreEstimated dollars
Outside metro areas30%0.00%0$0
Billings, MT20%0.00%0$0
Great Falls, MT2100%0.26%0$174K
Missoula, MT2100%0.54%0$703K
Bozeman, MT1100%0.01%0$2K
Helena, MT1100%0.09%0$17K

Download the table as a CSV

Hospitals in Montana

Largest cut first. Select a hospital to open its page.

Hospitals in Montana, largest cut first
HospitalCutEstimated dollarsPeer groupConditionsBeds
St. Patrick HospitalMissoula, MT · CCN 2700140.97%$687K1Heart attack: measured, adds nothing; COPD: adds to the cut; Heart failure: measured, adds nothing; Pneumonia: measured, adds nothing; Bypass surgery: adds to the cut; Hip/knee replacement: adds to the cutCounted toward the cut: COPD, Bypass surgery, and Hip/knee replacement253
Benefis Hospitals IncGreat Falls, MT · CCN 2700120.43%$166K2Heart attack: adds to the cut; COPD: adds to the cut; Heart failure: measured, adds nothing; Pneumonia: measured, adds nothing; Bypass surgery: adds to the cut; Hip/knee replacement: measured, adds nothingCounted toward the cut: Heart attack, COPD, and Bypass surgery398
Community Medical CenterMissoula, MT · CCN 2700230.12%$16K2Heart attack: measured, adds nothing; COPD: measured, adds nothing; Heart failure: adds to the cut; Pneumonia: measured, adds nothing; Bypass surgery: too few cases to be measured; Hip/knee replacement: measured, adds nothingCounted toward the cut: Heart failure151
St Peters HealthHelena, MT · CCN 2700030.09%$17K2Heart attack: measured, adds nothing; COPD: measured, adds nothing; Heart failure: measured, adds nothing; Pneumonia: measured, adds nothing; Bypass surgery: too few cases to be measured; Hip/knee replacement: adds to the cutCounted toward the cut: Hip/knee replacement99
Great Falls Clinic HospitalGreat Falls, MT · CCN 2700860.09%$8K1Heart attack: adds to the cut; COPD: measured, adds nothing; Heart failure: measured, adds nothing; Pneumonia: measured, adds nothing; Bypass surgery: too few cases to be measured; Hip/knee replacement: measured, adds nothingCounted toward the cut: Heart attack20
Bozeman Health Deaconess HospitalBozeman, MT · CCN 2700570.01%$2K1Heart attack: adds to the cut; COPD: measured, adds nothing; Heart failure: measured, adds nothing; Pneumonia: measured, adds nothing; Bypass surgery: too few cases to be measured; Hip/knee replacement: measured, adds nothingCounted toward the cut: Heart attack140
Billings Clinic HospitalBillings, MT · CCN 2700040.00%$01Heart attack: measured, adds nothing; COPD: adds to the cut; Heart failure: measured, adds nothing; Pneumonia: measured, adds nothing; Bypass surgery: measured, adds nothing; Hip/knee replacement: measured, adds nothingCounted toward the cut: COPD304
St James HospitalButte, MT · CCN 2700170.00%$03Heart attack: measured, adds nothing; COPD: adds to the cut; Heart failure: measured, adds nothing; Pneumonia: measured, adds nothing; Bypass surgery: too few cases to be measured; Hip/knee replacement: too few cases to be measuredCounted toward the cut: COPD98
Intermountain Health St Vincent Regional HospitalBillings, MT · CCN 2700490.00%$01Heart attack: measured, adds nothing; COPD: measured, adds nothing; Heart failure: measured, adds nothing; Pneumonia: measured, adds nothing; Bypass surgery: measured, adds nothing; Hip/knee replacement: measured, adds nothingNo condition counted286
Logan Health Medical CenterKalispell, MT · CCN 2700510.00%$01Heart attack: measured, adds nothing; COPD: measured, adds nothing; Heart failure: measured, adds nothing; Pneumonia: measured, adds nothing; Bypass surgery: measured, adds nothing; Hip/knee replacement: too few cases to be measuredNo condition counted160
P H S Indian Hospital at Browning - BlackfeetBrowning, MT · CCN 2700740.00%$04Heart attack: too few cases to be measured; COPD: too few cases to be measured; Heart failure: too few cases to be measured; Pneumonia: too few cases to be measured; Bypass surgery: too few cases to be measured; Hip/knee replacement: too few cases to be measuredNo condition counted28

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