ECMO or tracheostomy with ventilator >96 hours or principal diagnosis except face, mouth and nec in Idaho
What 1 hospital in Idaho charged and were paid for a Medicare hospital stay for ecmo or tracheostomy with ventilator >96 hours or principal diagnosis except face, mouth and nec (DRG 003), from 2024 Medicare claims.
Average charge
$402,866
Hospital list price billed
Average payment
$166,223
Medicare + patient + other payers
Medicare paid
$135,136
Average per stay
Volume
14
Medicare hospital stays
Hospitals in Idaho billed an average of $402,866 for ecmo or tracheostomy with ventilator >96 hours or principal diagnosis except face, mouth and nec, about 2.4 times the average total payment of $166,223. That payment is 32% below the U.S. average of $246,178.
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 $166,223Billed $402,866
About 41¢ was paid for every $1 hospitals in Idaho billed for this stay.
Idaho hospitals: ecmo or tracheostomy with ventilator >96 hours or principal diagnosis except face, mouth and nec
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 | 14 | $402,866 | $166,223 | $135,136 |
ECMO or tracheostomy with ventilator >96 hours or principal diagnosis except face, mouth and nec in other states
Questions
How much does ecmo or tracheostomy with ventilator >96 hours or principal diagnosis except face, mouth and nec cost in Idaho?
In 2024 Medicare data, a hospital stay for ecmo or tracheostomy with ventilator >96 hours or principal diagnosis except face, mouth and nec (DRG 003) at 1 hospital in Idaho was billed at $402,866 on average, while the average total payment was $166,223, of which Medicare paid $135,136. 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 2.4 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.