Fracture or sprain (not hip or thigh) in Idaho
MS-DRG 563: Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without mcc
$33,955typical hospital bill
$7,455typical amount paid
$7,007–$8,907range paid across 3 hospitals
Idaho hospitals billed Medicare a typical $33,955 for this stay in 2024, about 4.6 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 | 12 | $20,866 | $7,007 | |
| St Luke's Regional Medical Center | Boise | 17 | $33,955 | $7,455 | |
| Portneuf Medical Center | Pocatello | 14 | $46,476 | $8,907 |
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.