facebook tracking Level 4 Endovascular Procedures cost in Idaho: 11 hospitals compared (APC 5194)

Level 4 Endovascular Procedures in Idaho

What 11 hospitals in Idaho charged and were paid for level 4 endovascular procedures (APC 5194), from 2024 Medicare claims.

APC 5194 Outpatient 2024 Medicare data
Average charge $100,199 Hospital list price billed
Average allowed $15,905 Medicare's payment + patient's share
Medicare paid $14,313 Average per service
State rank #29 of 48 1 = lowest average payment

Hospitals in Idaho billed an average of $100,199 for level 4 endovascular procedures, about 6.3 times the average medicare-allowed amount of $15,905. That payment is 2% below the U.S. average of $16,197.

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 $15,905Billed $100,199

About 16¢ was paid for every $1 hospitals in Idaho billed for this service.

Idaho hospitals: level 4 endovascular 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
St Joseph Regional Medical CenterLewiston 56 $72,516 $16,563 $14,960
Eastern Idaho Regional Medical CenterIdaho Falls 50 $197,948 $15,749 $14,112
Kootenai Medical CenterCoeur D'alene 43 $57,241 $15,855 $14,299
St Alphonsus Regional Medical CenterBoise 33 $59,464 $16,936 $15,303
St Lukes Magic Valley RMCTwin Falls 23 $87,980 $16,202 $14,570
St Lukes Regional Medical CenterBoise 20 $74,577 $15,043 $13,411
Portneuf Medical CenterPocatello 16 $140,687 $12,750 $11,424
West Valley Medical CenterCaldwell – – – –
Treasure Valley HospitalBoise – – – –
St Luke's Nampa Medical CenterNampa – – – –
Idaho Falls Community Hospital, LLCIdaho Falls – – – –
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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

Portneuf Medical CenterPocatello, ID$12,750
St Lukes Regional Medical CenterBoise, ID$15,043
Eastern Idaho Regional Medical CenterIdaho Falls, ID$15,749
Kootenai Medical CenterCoeur D'alene, ID$15,855
St Lukes Magic Valley RMCTwin Falls, ID$16,202

Highest

St Alphonsus Regional Medical CenterBoise, ID$16,936
St Joseph Regional Medical CenterLewiston, ID$16,563
St Lukes Magic Valley RMCTwin Falls, ID$16,202
Kootenai Medical CenterCoeur D'alene, ID$15,855
Eastern Idaho Regional Medical CenterIdaho Falls, ID$15,749

Level 4 Endovascular Procedures in other states

Questions

How much does level 4 endovascular procedures cost in Idaho?

In 2024 Medicare data, level 4 endovascular procedures (APC 5194) at 11 hospitals in Idaho was billed at $100,199 on average, while the average medicare-allowed amount was $15,905, of which Medicare paid $14,313. 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 6.3 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.