Heart valve replacement through a catheter (TAVR), with major complications in Idaho
MS-DRG 266: Endovascular cardiac valve replacement and supplement procedures with mcc
$147,246typical hospital bill
$49,204typical amount paid
$46,728–$51,680range paid across 2 hospitals
Idaho hospitals billed Medicare a typical $147,246 for this stay in 2024, about 3.0 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 | 30 | $168,001 | $46,728 | |
| Saint Alphonsus Regional Medical Center | Boise | 32 | $126,492 | $51,680 |
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.