facebook tracking Postoperative and post-traumatic infections with major complications cost in Idaho: 2 hospitals compared (DRG 862)

Postoperative and post-traumatic infections with major complications in Idaho

What 2 hospitals in Idaho charged and were paid for a Medicare hospital stay for postoperative and post-traumatic infections with major complications (DRG 862), from 2024 Medicare claims.

DRG 862 Inpatient 2024 Medicare data
Average charge $50,302 Hospital list price billed
Average payment $13,804 Medicare + patient + other payers
Medicare paid $12,002 Average per stay
Volume 24 Medicare hospital stays

Hospitals in Idaho billed an average of $50,302 for postoperative and post-traumatic infections with major complications, about 3.6 times the average total payment of $13,804. That payment is 32% below the U.S. average of $20,381.

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 $13,804Billed $50,302

About 27¢ 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: postoperative and post-traumatic infections 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
Kootenai Medical CenterCoeur D'alene 13 $47,616 $13,441 $10,521
St Lukes Regional Medical CenterBoise 11 $53,476 $14,233 $13,753
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Postoperative and post-traumatic infections with major complications in other states

Questions

How much does postoperative and post-traumatic infections with major complications cost in Idaho?

In 2024 Medicare data, a hospital stay for postoperative and post-traumatic infections with major complications (DRG 862) at 2 hospitals in Idaho was billed at $50,302 on average, while the average total payment was $13,804, of which Medicare paid $12,002. 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 3.6 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.