facebook tracking Coronary bypass with cardiac catheterization or open ablation without major complications cost in Idaho: 3 hospitals compared (DRG 234)

Coronary bypass with cardiac catheterization or open ablation without major complications in Idaho

What 3 hospitals in Idaho charged and were paid for a Medicare hospital stay for coronary bypass with cardiac catheterization or open ablation without major complications (DRG 234), from 2024 Medicare claims.

DRG 234 Inpatient 2024 Medicare data
Average charge $283,218 Hospital list price billed
Average payment $40,865 Medicare + patient + other payers
Medicare paid $38,992 Average per stay
State rank #10 of 36 1 = lowest average payment

Hospitals in Idaho billed an average of $283,218 for coronary bypass with cardiac catheterization or open ablation without major complications, about 6.9 times the average total payment of $40,865. That payment is 11% below the U.S. average of $45,866.

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 $40,865Billed $283,218

About 14¢ was paid for every $1 hospitals in Idaho billed for this stay.

Medicare prices this stay in 2 versions, by how sick the patient was. Compare them in Idaho:

Idaho hospitals: coronary bypass with cardiac catheterization or open ablation without major complications

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
Kootenai Medical CenterCoeur D'alene 17 $196,861 $40,044 $38,265
St Lukes Regional Medical CenterBoise 11 $251,848 $41,905 $40,239
Eastern Idaho Regional Medical CenterIdaho Falls 11 $448,047 $41,095 $38,868
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Lowest and highest payments in Idaho

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.

Lowest

Kootenai Medical CenterCoeur D'alene, ID$40,044
Eastern Idaho Regional Medical CenterIdaho Falls, ID$41,095
St Lukes Regional Medical CenterBoise, ID$41,905

Highest

St Lukes Regional Medical CenterBoise, ID$41,905
Eastern Idaho Regional Medical CenterIdaho Falls, ID$41,095
Kootenai Medical CenterCoeur D'alene, ID$40,044

Coronary bypass with cardiac catheterization or open ablation without major complications in other states

Questions

How much does coronary bypass with cardiac catheterization or open ablation without major complications cost in Idaho?

In 2024 Medicare data, a hospital stay for coronary bypass with cardiac catheterization or open ablation without major complications (DRG 234) at 3 hospitals in Idaho was billed at $283,218 on average, while the average total payment was $40,865, of which Medicare paid $38,992. 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 stay in Idaho, average charges were 6.9 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.