facebook tracking Implantation of Drug Infusion Device cost in Idaho: 7 hospitals compared (APC 5471)

Implantation of Drug Infusion Device in Idaho

What 7 hospitals in Idaho charged and were paid for implantation of drug infusion device (APC 5471), from 2024 Medicare claims.

APC 5471 Outpatient 2024 Medicare data
Average charge $74,213 Hospital list price billed
Average allowed $15,391 Medicare's payment + patient's share
Medicare paid $13,759 Average per service
State rank #15 of 32 1 = lowest average payment

Hospitals in Idaho billed an average of $74,213 for implantation of drug infusion device, about 4.8 times the average medicare-allowed amount of $15,391. That payment is 7% below the U.S. average of $16,462.

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 $15,391Billed $74,213

About 21¢ was paid for every $1 hospitals in Idaho billed for this service.

Idaho hospitals: implantation of drug infusion device

Every Idaho hospital that billed Medicare for this service at least 11 times. Click a column to sort.

Hospital Services Avg charge Avg allowed Medicare paid
Mountain View HospitalIdaho Falls 46 $74,213 $15,391 $13,759
St Lukes Magic Valley RMCTwin Falls – – – –
St Lukes Regional Medical CenterBoise – – – –
Portneuf Medical CenterPocatello – – – –
Kootenai Medical CenterCoeur D'alene – – – –
Northwest Specialty HospitalPost Falls – – – –
Idaho Falls Community Hospital, LLCIdaho Falls – – – –
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Implantation of Drug Infusion Device in other states

Questions

How much does implantation of drug infusion device cost in Idaho?

In 2024 Medicare data, implantation of drug infusion device (APC 5471) at 7 hospitals in Idaho was billed at $74,213 on average, while the average medicare-allowed amount was $15,391, of which Medicare paid $13,759. 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 service in Idaho, average charges were 4.8 times the average payment. Uninsured patients can ask the hospital about its financial assistance (charity care) policy and cash prices.

Source: CMS, Medicare Outpatient Hospitals by Provider and Service, 2024. The allowed amount is Medicare's payment plus the patient's coinsurance. CMS omits hospitals with fewer than 11 services for privacy. About the data.