Heart failure, with major complications in Idaho
MS-DRG 291: Heart failure and shock with mcc
$49,188typical hospital bill
$10,593typical amount paid
$8,543–$12,754range paid across 11 hospitals
Idaho hospitals billed Medicare a typical $49,188 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 | |
|---|---|---|---|---|---|
| Idaho Falls Community Hospital, LLC | Idaho Falls | 15 | $35,282 | $8,543 | |
| Kootenai Health | Coeur D'alene | 222 | $32,983 | $9,759 | |
| St Luke's Regional Medical Center | Boise | 184 | $49,188 | $10,334 | |
| St Luke's Nampa Medical Center | Nampa | 62 | $45,987 | $10,377 | |
| West Valley Medical Center | Caldwell | 30 | $49,747 | $10,482 | |
| Eastern Idaho Regional Medical Center | Idaho Falls | 54 | $60,801 | $10,593 | |
| Saint Alphonsus Regional Medical Center | Boise | 98 | $60,126 | $10,671 | |
| Saint Alphonsus Medical Center - Nampa | Nampa | 51 | $60,562 | $11,317 | |
| St Lukes Magic Valley Medical Center | Twin Falls | 78 | $48,172 | $11,914 | |
| St Joseph Regional Medical Center | Lewiston | 39 | $36,819 | $12,073 | |
| Portneuf Medical Center | Pocatello | 52 | $59,796 | $12,754 |
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.