Comprehensive Observation Services in Idaho
What 14 hospitals in Idaho charged and were paid for comprehensive observation services (APC 8011), from 2024 Medicare claims.
Average charge
$16,167
Hospital list price billed
Average allowed
$2,548
Medicare's payment + patient's share
Medicare paid
$2,025
Average per service
State rank
#27 of 49
1 = lowest average payment
Hospitals in Idaho billed an average of $16,167 for comprehensive observation services, about 6.3 times the average medicare-allowed amount of $2,548. That payment is 3% below the U.S. average of $2,634.
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.
Paid $2,548Billed $16,167
About 16¢ was paid for every $1 hospitals in Idaho billed for this service.
Idaho hospitals: comprehensive observation services
Every Idaho hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| Kootenai Medical CenterCoeur D'alene | 1,028 | $14,166 | $2,579 | $2,049 |
| St Lukes Magic Valley RMCTwin Falls | 316 | $14,188 | $2,585 | $2,051 |
| St Lukes Regional Medical CenterBoise | 250 | $16,899 | $2,448 | $1,946 |
| Eastern Idaho Regional Medical CenterIdaho Falls | 166 | $22,316 | $2,440 | $1,939 |
| St Alphonsus Regional Medical CenterBoise | 112 | $17,631 | $2,632 | $2,092 |
| Portneuf Medical CenterPocatello | 103 | $24,037 | $2,613 | $2,081 |
| St Joseph Regional Medical CenterLewiston | 102 | $15,785 | $2,618 | $2,081 |
| Idaho Falls Community Hospital, LLCIdaho Falls | 84 | $13,029 | $2,440 | $1,939 |
| West Valley Medical CenterCaldwell | 76 | $26,181 | $2,438 | $1,932 |
| St Luke's Nampa Medical CenterNampa | 70 | $18,257 | $2,407 | $1,907 |
| Saint Alphonsus Medical Center - NampaNampa | 61 | $16,239 | $2,649 | $2,109 |
| Madison Memorial HospitalRexburg | 29 | $12,536 | $2,471 | $1,969 |
| Mountain View HospitalIdaho Falls | – | – | – | – |
| Northwest Specialty HospitalPost Falls | – | – | – | – |
Lowest and highest allowed amounts in Idaho
Among hospitals with at least 11 Medicare services. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.
Lowest
| St Luke's Nampa Medical CenterNampa, ID | $2,407 |
|---|---|
| West Valley Medical CenterCaldwell, ID | $2,438 |
| Eastern Idaho Regional Medical CenterIdaho Falls, ID | $2,440 |
| Idaho Falls Community Hospital, LLCIdaho Falls, ID | $2,440 |
| St Lukes Regional Medical CenterBoise, ID | $2,448 |
Highest
| Saint Alphonsus Medical Center - NampaNampa, ID | $2,649 |
|---|---|
| St Alphonsus Regional Medical CenterBoise, ID | $2,632 |
| St Joseph Regional Medical CenterLewiston, ID | $2,618 |
| Portneuf Medical CenterPocatello, ID | $2,613 |
| St Lukes Magic Valley RMCTwin Falls, ID | $2,585 |
Comprehensive Observation Services in other states
Questions
How much does comprehensive observation services cost in Idaho?
In 2024 Medicare data, comprehensive observation services (APC 8011) at 14 hospitals in Idaho was billed at $16,167 on average, while the average medicare-allowed amount was $2,548, of which Medicare paid $2,025. Your own cost depends on your insurance, deductible and the hospital.
Why are hospital charges so much higher than payments?
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 service in Idaho, average charges were 6.3 times the average payment. Uninsured patients can ask the hospital about its financial assistance (charity care) policy and cash prices.
Source: CMS, Medicare Outpatient Hospitals by Provider and Service, 2024. The allowed amount is Medicare's payment plus the patient's coinsurance. CMS omits hospitals with fewer than 11 services for privacy. About the data.