Craniotomy with major device implant or acute complex CNS principal diagnosis with major complications o in Idaho
What 3 hospitals in Idaho charged and were paid for a Medicare hospital stay for craniotomy with major device implant or acute complex cns principal diagnosis with major complications o (DRG 023), from 2024 Medicare claims.
Average charge
$203,015
Hospital list price billed
Average payment
$44,762
Medicare + patient + other payers
Medicare paid
$38,942
Average per stay
State rank
#5 of 38
1 = lowest average payment
Hospitals in Idaho billed an average of $203,015 for craniotomy with major device implant or acute complex cns principal diagnosis with major complications o, about 4.5 times the average total payment of $44,762. That payment is 21% below the U.S. average of $56,603.
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 $44,762Billed $203,015
About 22¢ was paid for every $1 hospitals in Idaho billed for this stay.
Idaho hospitals: craniotomy with major device implant or acute complex cns principal diagnosis with major complications o
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 Lukes Regional Medical CenterBoise | 27 | $158,947 | $38,751 | $37,327 |
| St Alphonsus Regional Medical CenterBoise | 19 | $177,293 | $56,971 | $41,940 |
| Eastern Idaho Regional Medical CenterIdaho Falls | 15 | $314,918 | $40,119 | $38,051 |
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
| St Lukes Regional Medical CenterBoise, ID | $38,751 |
|---|---|
| Eastern Idaho Regional Medical CenterIdaho Falls, ID | $40,119 |
| St Alphonsus Regional Medical CenterBoise, ID | $56,971 |
Highest
| St Alphonsus Regional Medical CenterBoise, ID | $56,971 |
|---|---|
| Eastern Idaho Regional Medical CenterIdaho Falls, ID | $40,119 |
| St Lukes Regional Medical CenterBoise, ID | $38,751 |
Craniotomy with major device implant or acute complex CNS principal diagnosis with major complications o in other states
Questions
How much does craniotomy with major device implant or acute complex cns principal diagnosis with major complications o cost in Idaho?
In 2024 Medicare data, a hospital stay for craniotomy with major device implant or acute complex cns principal diagnosis with major complications o (DRG 023) at 3 hospitals in Idaho was billed at $203,015 on average, while the average total payment was $44,762, of which Medicare paid $38,942. 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 4.5 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.