Sepsis in Idaho
MS-DRG 872: Septicemia or severe sepsis without mv >96 hours without mcc
$40,760typical hospital bill
$9,305typical amount paid
$7,932–$11,244range paid across 10 hospitals
Idaho hospitals billed Medicare a typical $40,760 for this stay in 2024, about 4.4 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 | |
|---|---|---|---|---|---|
| Kootenai Health | Coeur D'alene | 56 | $29,246 | $7,932 | |
| St Luke's Regional Medical Center | Boise | 105 | $41,425 | $8,841 | |
| Eastern Idaho Regional Medical Center | Idaho Falls | 25 | $53,451 | $8,858 | |
| West Valley Medical Center | Caldwell | 13 | $37,288 | $8,950 | |
| St Luke's Nampa Medical Center | Nampa | 21 | $40,094 | $9,244 | |
| Saint Alphonsus Medical Center - Nampa | Nampa | 39 | $43,110 | $9,365 | |
| St Joseph Regional Medical Center | Lewiston | 24 | $33,064 | $9,558 | |
| St Lukes Magic Valley Medical Center | Twin Falls | 45 | $38,939 | $9,723 | |
| Portneuf Medical Center | Pocatello | 53 | $55,709 | $10,859 | |
| Saint Alphonsus Regional Medical Center | Boise | 42 | $42,204 | $11,244 |
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.