Pneumonia, with major complications in Idaho
MS-DRG 193: Simple pneumonia and pleurisy with mcc
$41,789typical hospital bill
$11,164typical amount paid
$9,666–$13,737range paid across 10 hospitals
Idaho hospitals billed Medicare a typical $41,789 for this stay in 2024, about 3.7 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 | 74 | $31,662 | $9,666 | |
| St Luke's Regional Medical Center | Boise | 99 | $45,477 | $10,402 | |
| Idaho Falls Community Hospital, LLC | Idaho Falls | 11 | $41,415 | $10,591 | |
| St Lukes Magic Valley Medical Center | Twin Falls | 68 | $39,035 | $10,717 | |
| St Luke's Nampa Medical Center | Nampa | 28 | $45,646 | $11,012 | |
| Eastern Idaho Regional Medical Center | Idaho Falls | 55 | $61,842 | $11,316 | |
| Saint Alphonsus Regional Medical Center | Boise | 35 | $41,659 | $11,532 | |
| St Joseph Regional Medical Center | Lewiston | 31 | $29,555 | $12,616 | |
| Portneuf Medical Center | Pocatello | 42 | $62,644 | $12,789 | |
| Saint Alphonsus Medical Center - Nampa | Nampa | 20 | $41,920 | $13,737 |
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.