Heart failure and shock with major complications in Idaho
What 11 hospitals in Idaho charged and were paid for a Medicare hospital stay for heart failure and shock with major complications (DRG 291), from 2024 Medicare claims.
Average charge
$47,246
Hospital list price billed
Average payment
$10,635
Medicare + patient + other payers
Medicare paid
$9,114
Average per stay
State rank
#17 of 50
1 = lowest average payment
Hospitals in Idaho billed an average of $47,246 for heart failure and shock with major complications, about 4.4 times the average total payment of $10,635. That payment is 12% below the U.S. average of $12,050.
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 $10,635Billed $47,246
About 23¢ was paid for every $1 hospitals in Idaho billed for this stay.
Medicare prices this stay in 3 versions, by how sick the patient was. Compare them in Idaho:
Idaho hospitals: heart failure and shock with 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 | 222 | $32,983 | $9,759 | $8,324 |
| St Lukes Regional Medical CenterBoise | 184 | $49,188 | $10,334 | $9,200 |
| St Alphonsus Regional Medical CenterBoise | 98 | $60,126 | $10,671 | $9,452 |
| St Lukes Magic Valley RMCTwin Falls | 78 | $48,172 | $11,914 | $8,539 |
| St Luke's Nampa Medical CenterNampa | 62 | $45,987 | $10,377 | $9,032 |
| Eastern Idaho Regional Medical CenterIdaho Falls | 54 | $60,801 | $10,593 | $8,918 |
| Portneuf Medical CenterPocatello | 52 | $59,796 | $12,754 | $11,422 |
| Saint Alphonsus Medical Center - NampaNampa | 51 | $60,562 | $11,317 | $9,396 |
| St Joseph Regional Medical CenterLewiston | 39 | $36,819 | $12,073 | $11,111 |
| West Valley Medical CenterCaldwell | 30 | $49,747 | $10,482 | $9,192 |
| Idaho Falls Community Hospital, LLCIdaho Falls | 15 | $35,282 | $8,543 | $7,237 |
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
| Idaho Falls Community Hospital, LLCIdaho Falls, ID | $8,543 |
|---|---|
| Kootenai Medical CenterCoeur D'alene, ID | $9,759 |
| St Lukes Regional Medical CenterBoise, ID | $10,334 |
| St Luke's Nampa Medical CenterNampa, ID | $10,377 |
| West Valley Medical CenterCaldwell, ID | $10,482 |
Highest
| Portneuf Medical CenterPocatello, ID | $12,754 |
|---|---|
| St Joseph Regional Medical CenterLewiston, ID | $12,073 |
| St Lukes Magic Valley RMCTwin Falls, ID | $11,914 |
| Saint Alphonsus Medical Center - NampaNampa, ID | $11,317 |
| St Alphonsus Regional Medical CenterBoise, ID | $10,671 |
Heart failure and shock with major complications in other states
Questions
How much does heart failure and shock with major complications cost in Idaho?
In 2024 Medicare data, a hospital stay for heart failure and shock with major complications (DRG 291) at 11 hospitals in Idaho was billed at $47,246 on average, while the average total payment was $10,635, of which Medicare paid $9,114. 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 4.4 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.