What 6 hospitals in Idaho charged and were paid for a Medicare hospital stay for chronic obstructive pulmonary disease with major complications (DRG 190), from 2024 Medicare claims.
Hospitals in Idaho billed an average of $40,536 for chronic obstructive pulmonary disease with major complications, about 4.3 times the average total payment of $9,456. That payment is 11% below the U.S. average of $10,575.
These are averages for patients with original (fee-for-service) Medicare. Private insurance pays different, negotiated prices, and what you owe depends on your plan's deductible and coinsurance. Use these figures to compare hospitals, not as a quote.
About 23¢ was paid for every $1 hospitals in Idaho billed for this stay.
Medicare prices this stay in 3 versions, by how sick the patient was. Compare them in Idaho:
Every Idaho hospital that billed Medicare for this stay at least 11 times. Click a column to sort.
| Hospital | Stays | Avg charge | Avg payment | Medicare paid |
|---|---|---|---|---|
| St Alphonsus Regional Medical CenterBoise | 23 | $41,305 | $9,456 | $8,042 |
| Kootenai Medical CenterCoeur D'alene | 21 | $32,977 | $8,509 | $7,245 |
| St Lukes Regional Medical CenterBoise | 19 | $48,417 | $11,735 | $7,367 |
| Saint Alphonsus Medical Center - NampaNampa | 13 | $47,427 | $9,601 | $8,346 |
| St Lukes Magic Valley RMCTwin Falls | 12 | $36,574 | $9,072 | $7,715 |
| Idaho Falls Community Hospital, LLCIdaho Falls | 12 | $36,308 | $7,730 | $6,370 |
Among hospitals with at least 11 Medicare hospital stays. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.
| Idaho Falls Community Hospital, LLCIdaho Falls, ID | $7,730 |
|---|---|
| Kootenai Medical CenterCoeur D'alene, ID | $8,509 |
| St Lukes Magic Valley RMCTwin Falls, ID | $9,072 |
| St Alphonsus Regional Medical CenterBoise, ID | $9,456 |
| Saint Alphonsus Medical Center - NampaNampa, ID | $9,601 |
| St Lukes Regional Medical CenterBoise, ID | $11,735 |
|---|---|
| Saint Alphonsus Medical Center - NampaNampa, ID | $9,601 |
| St Alphonsus Regional Medical CenterBoise, ID | $9,456 |
| St Lukes Magic Valley RMCTwin Falls, ID | $9,072 |
| Kootenai Medical CenterCoeur D'alene, ID | $8,509 |
In 2024 Medicare data, a hospital stay for chronic obstructive pulmonary disease with major complications (DRG 190) at 6 hospitals in Idaho was billed at $40,536 on average, while the average total payment was $9,456, of which Medicare paid $7,546. Your own cost depends on your insurance, deductible and the hospital.
Charges are a hospital's list prices. Medicare pays fixed rates set in advance, and private insurers negotiate their own discounts, so almost nobody pays the full charge. For this stay in Idaho, average charges were 4.3 times the average payment. Uninsured patients can ask the hospital about its financial assistance (charity care) policy and cash prices.
Source: CMS, Medicare Inpatient Hospitals by Provider and Service, 2024. Average total payment includes Medicare's payment, the patient's deductible and coinsurance, and any other payer. CMS omits hospitals with fewer than 11 hospital stays for privacy. About the data.