Cardiac Valve and Other Major Cardiothoracic Procedures Without Cardiac Catheterization in Idaho
MS-DRG 219: Cardiac valve and other major cardiothoracic procedures without cardiac catheterization
$260,719typical hospital bill
$72,966typical amount paid
$65,778–$77,253range paid across 3 hospitals
Idaho hospitals billed Medicare a typical $260,719 for this stay in 2024, about 3.6 times what was actually paid. Medicare's payment depends mostly on the hospital's location and teaching role; the bill depends on the hospital's own price list, so bills vary far more than payments.
Billed (list price)Actually paid (Medicare + patient)
| Hospital | City | Medicare stays | Billed | Paid | |
|---|---|---|---|---|---|
| Kootenai Health | Coeur D'alene | 15 | $260,719 | $65,778 | |
| St Luke's Regional Medical Center | Boise | 15 | $340,319 | $72,966 | |
| Saint Alphonsus Regional Medical Center | Boise | 12 | $238,244 | $77,253 |
Medicare: CMS, 2024 (hospitals with 11 or more Medicare stays). Cash and insurer prices: hospitals' own price files, where read; insurer figures are commercial plans only, median and 10th–90th percentile across plans.