facebook tracking Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with major complications cost in Idaho: 10 hospitals compared (DRG 640)

Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with major complications in Idaho

What 10 hospitals in Idaho charged and were paid for a Medicare hospital stay for miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with major complications (DRG 640), from 2024 Medicare claims.

DRG 640 Inpatient 2024 Medicare data
Average charge $49,721 Hospital list price billed
Average payment $11,350 Medicare + patient + other payers
Medicare paid $9,500 Average per stay
State rank #20 of 49 1 = lowest average payment

Hospitals in Idaho billed an average of $49,721 for miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with major complications, about 4.4 times the average total payment of $11,350. That payment is 12% below the U.S. average of $12,830.

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 $11,350Billed $49,721

About 23¢ was paid for every $1 hospitals in Idaho billed for this stay.

Medicare prices this stay in 2 versions, by how sick the patient was. Compare them in Idaho:

Idaho hospitals: miscellaneous disorders of nutrition, metabolism, fluids and electrolytes 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 57 $58,022 $12,257 $9,311
Kootenai Medical CenterCoeur D'alene 40 $35,651 $9,745 $8,320
St Lukes Magic Valley RMCTwin Falls 24 $41,618 $10,513 $9,493
Eastern Idaho Regional Medical CenterIdaho Falls 24 $57,809 $10,727 $9,161
Portneuf Medical CenterPocatello 23 $71,570 $14,014 $11,633
Idaho Falls Community Hospital, LLCIdaho Falls 21 $31,713 $8,505 $7,437
St Alphonsus Regional Medical CenterBoise 20 $49,432 $11,912 $9,454
St Joseph Regional Medical CenterLewiston 17 $32,229 $12,173 $11,117
St Luke's Nampa Medical CenterNampa 15 $60,058 $13,038 $11,316
Saint Alphonsus Medical Center - NampaNampa 14 $57,835 $11,024 $9,977
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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

Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with major complications in other states

Questions

How much does miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with major complications cost in Idaho?

In 2024 Medicare data, a hospital stay for miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with major complications (DRG 640) at 10 hospitals in Idaho was billed at $49,721 on average, while the average total payment was $11,350, of which Medicare paid $9,500. 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.