Level 2 Musculoskeletal Procedures in Idaho
What 15 hospitals in Idaho charged and were paid for level 2 musculoskeletal procedures (APC 5112), from 2024 Medicare claims.
Average charge
$7,254
Hospital list price billed
Average allowed
$1,418
Medicare's payment + patient's share
Medicare paid
$1,122
Average per service
State rank
#19 of 49
1 = lowest average payment
Hospitals in Idaho billed an average of $7,254 for level 2 musculoskeletal procedures, about 5.1 times the average medicare-allowed amount of $1,418. That payment is 6% below the U.S. average of $1,511.
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 $1,418Billed $7,254
About 20¢ was paid for every $1 hospitals in Idaho billed for this service.
Idaho hospitals: level 2 musculoskeletal procedures
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 |
|---|---|---|---|---|
| Kootenai Medical CenterCoeur D'alene | 172 | $6,862 | $1,486 | $1,169 |
| St Lukes Regional Medical CenterBoise | 113 | $5,419 | $1,101 | $875 |
| St Alphonsus Regional Medical CenterBoise | 56 | $6,909 | $1,556 | $1,239 |
| Mountain View HospitalIdaho Falls | 54 | $4,973 | $1,439 | $1,143 |
| Northwest Specialty HospitalPost Falls | 53 | $7,492 | $1,439 | $1,134 |
| Saint Alphonsus Medical Center - NampaNampa | 48 | $3,977 | $1,530 | $1,213 |
| Treasure Valley HospitalBoise | 34 | $8,078 | $1,447 | $1,144 |
| Madison Memorial HospitalRexburg | 28 | $3,935 | $1,451 | $1,149 |
| Eastern Idaho Regional Medical CenterIdaho Falls | 27 | $13,814 | $1,446 | $1,149 |
| Portneuf Medical CenterPocatello | 24 | $17,936 | $1,498 | $1,175 |
| St Lukes Magic Valley RMCTwin Falls | 23 | $6,821 | $1,549 | $1,234 |
| West Valley Medical CenterCaldwell | 23 | $14,855 | $1,446 | $1,147 |
| Idaho Falls Community Hospital, LLCIdaho Falls | 12 | $9,638 | $1,446 | $1,152 |
| St Joseph Regional Medical CenterLewiston | – | – | – | – |
| St Luke's Nampa Medical CenterNampa | – | – | – | – |
Lowest and highest allowed amounts in Idaho
Among hospitals with at least 11 Medicare services. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.
Lowest
| St Lukes Regional Medical CenterBoise, ID | $1,101 |
|---|---|
| Northwest Specialty HospitalPost Falls, ID | $1,439 |
| Mountain View HospitalIdaho Falls, ID | $1,439 |
| Idaho Falls Community Hospital, LLCIdaho Falls, ID | $1,446 |
| Eastern Idaho Regional Medical CenterIdaho Falls, ID | $1,446 |
Highest
| St Alphonsus Regional Medical CenterBoise, ID | $1,556 |
|---|---|
| St Lukes Magic Valley RMCTwin Falls, ID | $1,549 |
| Saint Alphonsus Medical Center - NampaNampa, ID | $1,530 |
| Portneuf Medical CenterPocatello, ID | $1,498 |
| Kootenai Medical CenterCoeur D'alene, ID | $1,486 |
Level 2 Musculoskeletal Procedures in other states
Questions
How much does level 2 musculoskeletal procedures cost in Idaho?
In 2024 Medicare data, level 2 musculoskeletal procedures (APC 5112) at 15 hospitals in Idaho was billed at $7,254 on average, while the average medicare-allowed amount was $1,418, of which Medicare paid $1,122. 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 5.1 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.