Hip and femur procedures except major joint with major complications in Idaho
What 5 hospitals in Idaho charged and were paid for a Medicare hospital stay for hip and femur procedures except major joint with major complications (DRG 480), from 2024 Medicare claims.
Average charge
$95,080
Hospital list price billed
Average payment
$22,815
Medicare + patient + other payers
Medicare paid
$20,324
Average per stay
State rank
#13 of 46
1 = lowest average payment
Hospitals in Idaho billed an average of $95,080 for hip and femur procedures except major joint with major complications, about 4.2 times the average total payment of $22,815. That payment is 13% below the U.S. average of $26,284.
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 $22,815Billed $95,080
About 24¢ 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: hip and femur procedures except major joint 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 |
|---|---|---|---|---|
| St Lukes Regional Medical CenterBoise | 41 | $92,510 | $21,044 | $19,738 |
| St Lukes Magic Valley RMCTwin Falls | 22 | $97,899 | $24,935 | $20,294 |
| Kootenai Medical CenterCoeur D'alene | 22 | $76,986 | $23,204 | $22,213 |
| St Alphonsus Regional Medical CenterBoise | 17 | $94,016 | $24,134 | $19,896 |
| Eastern Idaho Regional Medical CenterIdaho Falls | 12 | $133,368 | $22,400 | $19,528 |
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 | $21,044 |
|---|---|
| Eastern Idaho Regional Medical CenterIdaho Falls, ID | $22,400 |
| Kootenai Medical CenterCoeur D'alene, ID | $23,204 |
| St Alphonsus Regional Medical CenterBoise, ID | $24,134 |
| St Lukes Magic Valley RMCTwin Falls, ID | $24,935 |
Highest
| St Lukes Magic Valley RMCTwin Falls, ID | $24,935 |
|---|---|
| St Alphonsus Regional Medical CenterBoise, ID | $24,134 |
| Kootenai Medical CenterCoeur D'alene, ID | $23,204 |
| Eastern Idaho Regional Medical CenterIdaho Falls, ID | $22,400 |
| St Lukes Regional Medical CenterBoise, ID | $21,044 |
Hip and femur procedures except major joint with major complications in other states
Questions
How much does hip and femur procedures except major joint with major complications cost in Idaho?
In 2024 Medicare data, a hospital stay for hip and femur procedures except major joint with major complications (DRG 480) at 5 hospitals in Idaho was billed at $95,080 on average, while the average total payment was $22,815, of which Medicare paid $20,324. 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 4.2 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.