Sepsis, with major complications in Idaho
MS-DRG 871: Septicemia or severe sepsis without mv >96 hours with mcc
$62,260typical hospital bill
$16,052typical amount paid
$13,486–$19,852range paid across 12 hospitals
Idaho hospitals billed Medicare a typical $62,260 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 | 50 | $48,748 | $13,486 | |
| West Valley Medical Center | Caldwell | 78 | $54,000 | $14,218 | |
| Kootenai Health | Coeur D'alene | 327 | $46,866 | $14,770 | |
| St Lukes Magic Valley Medical Center | Twin Falls | 244 | $62,176 | $15,425 | |
| St Luke's Regional Medical Center | Boise | 493 | $73,841 | $15,547 | |
| Madison Memorial Hospital | Rexburg | 15 | $32,884 | $16,013 | |
| Saint Alphonsus Medical Center - Nampa | Nampa | 137 | $65,326 | $16,091 | |
| St Luke's Nampa Medical Center | Nampa | 129 | $62,343 | $16,131 | |
| Eastern Idaho Regional Medical Center | Idaho Falls | 183 | $78,065 | $16,183 | |
| Saint Alphonsus Regional Medical Center | Boise | 222 | $72,828 | $17,201 | |
| St Joseph Regional Medical Center | Lewiston | 107 | $46,697 | $18,418 | |
| Portneuf Medical Center | Pocatello | 223 | $82,635 | $19,852 |
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.