facebook tracking Gastrointestinal hemorrhage with complications cost in Idaho: 9 hospitals compared (DRG 378)

Gastrointestinal hemorrhage with complications in Idaho

What 9 hospitals in Idaho charged and were paid for a Medicare hospital stay for gastrointestinal hemorrhage with complications (DRG 378), from 2024 Medicare claims.

DRG 378 Inpatient 2024 Medicare data
Average charge $36,120 Hospital list price billed
Average payment $8,392 Medicare + patient + other payers
Medicare paid $6,800 Average per stay
State rank #18 of 50 1 = lowest average payment

Hospitals in Idaho billed an average of $36,120 for gastrointestinal hemorrhage with complications, about 4.3 times the average total payment of $8,392. That payment is 10% below the U.S. average of $9,353.

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 $8,392Billed $36,120

About 23¢ was paid for every $1 hospitals in Idaho billed for this stay.

Idaho hospitals: gastrointestinal hemorrhage with 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 75 $26,980 $7,614 $6,493
St Lukes Regional Medical CenterBoise 68 $40,029 $8,522 $6,859
St Alphonsus Regional Medical CenterBoise 43 $31,930 $8,935 $7,179
Idaho Falls Community Hospital, LLCIdaho Falls 24 $26,948 $6,589 $5,093
St Lukes Magic Valley RMCTwin Falls 23 $35,751 $8,307 $6,959
Portneuf Medical CenterPocatello 18 $57,414 $9,756 $8,218
Saint Alphonsus Medical Center - NampaNampa 16 $42,024 $10,958 $6,686
St Luke's Nampa Medical CenterNampa 16 $34,053 $8,760 $7,821
Eastern Idaho Regional Medical CenterIdaho Falls 14 $63,537 $8,391 $6,796
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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.

Gastrointestinal hemorrhage with complications in other states

Questions

How much does gastrointestinal hemorrhage with complications cost in Idaho?

In 2024 Medicare data, a hospital stay for gastrointestinal hemorrhage with complications (DRG 378) at 9 hospitals in Idaho was billed at $36,120 on average, while the average total payment was $8,392, of which Medicare paid $6,800. 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 4.3 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.