Other Musculoskeletal System and Connective Tissue O.r. Procedures with Cc in Idaho
MS-DRG 516: Other musculoskeletal system and connective tissue o.r. procedures with cc
$81,138typical hospital bill
$15,962typical amount paid
$15,469–$16,592range paid across 3 hospitals
Idaho hospitals billed Medicare a typical $81,138 for this stay in 2024, about 5.1 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 | |
|---|---|---|---|---|---|
| Kootenai Health | Coeur D'alene | 14 | $62,697 | $15,469 | |
| St Luke's Regional Medical Center | Boise | 19 | $81,138 | $15,962 | |
| Eastern Idaho Regional Medical Center | Idaho Falls | 11 | $113,466 | $16,592 |
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.