Lung infection, with major complications in Idaho
MS-DRG 177: Respiratory infections and inflammations with mcc
$52,535typical hospital bill
$13,570typical amount paid
$11,562–$16,424range paid across 10 hospitals
Idaho hospitals billed Medicare a typical $52,535 for this stay in 2024, about 3.9 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 | 32 | $46,459 | $11,562 | |
| Kootenai Health | Coeur D'alene | 119 | $41,902 | $11,773 | |
| St Luke's Regional Medical Center | Boise | 145 | $56,497 | $12,459 | |
| St Lukes Magic Valley Medical Center | Twin Falls | 81 | $39,603 | $12,930 | |
| St Luke's Nampa Medical Center | Nampa | 26 | $45,403 | $13,566 | |
| Saint Alphonsus Medical Center - Nampa | Nampa | 18 | $60,868 | $13,575 | |
| Eastern Idaho Regional Medical Center | Idaho Falls | 30 | $84,908 | $13,783 | |
| Saint Alphonsus Regional Medical Center | Boise | 40 | $60,297 | $14,348 | |
| St Joseph Regional Medical Center | Lewiston | 19 | $48,572 | $15,540 | |
| Portneuf Medical Center | Pocatello | 38 | $58,975 | $16,424 |
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.