Infection needing surgery, with major complications in Idaho
MS-DRG 853: Infectious and parasitic diseases with o.r. procedures with mcc
$144,656typical hospital bill
$42,595typical amount paid
$30,713–$46,708range paid across 9 hospitals
Idaho hospitals billed Medicare a typical $144,656 for this stay in 2024, about 3.4 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 | 14 | $90,178 | $30,713 | |
| Kootenai Health | Coeur D'alene | 67 | $105,610 | $33,617 | |
| Saint Alphonsus Medical Center - Nampa | Nampa | 23 | $133,152 | $34,319 | |
| St Lukes Magic Valley Medical Center | Twin Falls | 21 | $144,656 | $38,077 | |
| St Luke's Regional Medical Center | Boise | 74 | $186,818 | $42,595 | |
| Eastern Idaho Regional Medical Center | Idaho Falls | 23 | $311,768 | $42,945 | |
| Saint Alphonsus Regional Medical Center | Boise | 39 | $192,609 | $45,984 | |
| St Joseph Regional Medical Center | Lewiston | 20 | $138,273 | $46,050 | |
| Portneuf Medical Center | Pocatello | 46 | $208,270 | $46,708 |
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.