Other musculoskeletal system and connective tissue operating room procedures with complications in Idaho
What 3 hospitals in Idaho charged and were paid for a Medicare hospital stay for other musculoskeletal system and connective tissue operating room procedures with complications (DRG 516), from 2024 Medicare claims.
Average charge
$83,352
Hospital list price billed
Average payment
$15,963
Medicare + patient + other payers
Medicare paid
$14,512
Average per stay
State rank
#5 of 33
1 = lowest average payment
Hospitals in Idaho billed an average of $83,352 for other musculoskeletal system and connective tissue operating room procedures with complications, about 5.2 times the average total payment of $15,963. That payment is 16% below the U.S. average of $18,981.
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 $15,963Billed $83,352
About 19¢ 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: other musculoskeletal system and connective tissue operating room procedures with 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 | 19 | $81,138 | $15,962 | $14,648 |
| Kootenai Medical CenterCoeur D'alene | 14 | $62,696 | $15,469 | $13,930 |
| Eastern Idaho Regional Medical CenterIdaho Falls | 11 | $113,466 | $16,592 | $15,019 |
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
| Kootenai Medical CenterCoeur D'alene, ID | $15,469 |
|---|---|
| St Lukes Regional Medical CenterBoise, ID | $15,962 |
| Eastern Idaho Regional Medical CenterIdaho Falls, ID | $16,592 |
Highest
| Eastern Idaho Regional Medical CenterIdaho Falls, ID | $16,592 |
|---|---|
| St Lukes Regional Medical CenterBoise, ID | $15,962 |
| Kootenai Medical CenterCoeur D'alene, ID | $15,469 |
Other musculoskeletal system and connective tissue operating room procedures with complications in other states
Questions
How much does other musculoskeletal system and connective tissue operating room procedures with complications cost in Idaho?
In 2024 Medicare data, a hospital stay for other musculoskeletal system and connective tissue operating room procedures with complications (DRG 516) at 3 hospitals in Idaho was billed at $83,352 on average, while the average total payment was $15,963, of which Medicare paid $14,512. 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 5.2 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.