Hip or thigh bone surgery (not replacement), with major complications in Idaho
MS-DRG 480: Hip and femur procedures except major joint with mcc
$94,016typical hospital bill
$23,204typical amount paid
$21,044–$24,935range paid across 5 hospitals
Idaho hospitals billed Medicare a typical $94,016 for this stay in 2024, about 4.1 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 | |
|---|---|---|---|---|---|
| St Luke's Regional Medical Center | Boise | 41 | $92,510 | $21,044 | |
| Eastern Idaho Regional Medical Center | Idaho Falls | 12 | $133,368 | $22,400 | |
| Kootenai Health | Coeur D'alene | 22 | $76,986 | $23,204 | |
| Saint Alphonsus Regional Medical Center | Boise | 17 | $94,016 | $24,134 | |
| St Lukes Magic Valley Medical Center | Twin Falls | 22 | $97,899 | $24,935 |
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.