Pulmonary edema and respiratory failure in Idaho
What 12 hospitals in Idaho charged and were paid for a Medicare hospital stay for pulmonary edema and respiratory failure (DRG 189), from 2024 Medicare claims.
Average charge
$43,340
Hospital list price billed
Average payment
$10,491
Medicare + patient + other payers
Medicare paid
$8,742
Average per stay
State rank
#14 of 50
1 = lowest average payment
Hospitals in Idaho billed an average of $43,340 for pulmonary edema and respiratory failure, about 4.1 times the average total payment of $10,491. That payment is 14% below the U.S. average of $12,197.
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 $10,491Billed $43,340
About 24¢ was paid for every $1 hospitals in Idaho billed for this stay.
Idaho hospitals: pulmonary edema and respiratory failure
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 | 126 | $30,497 | $10,171 | $8,020 |
| St Lukes Regional Medical CenterBoise | 90 | $61,801 | $10,026 | $8,866 |
| St Alphonsus Regional Medical CenterBoise | 46 | $46,033 | $11,010 | $8,626 |
| St Lukes Magic Valley RMCTwin Falls | 36 | $35,652 | $10,025 | $8,744 |
| Eastern Idaho Regional Medical CenterIdaho Falls | 31 | $53,437 | $11,330 | $8,489 |
| Portneuf Medical CenterPocatello | 29 | $49,433 | $11,729 | $10,394 |
| Saint Alphonsus Medical Center - NampaNampa | 26 | $60,749 | $11,397 | $10,081 |
| Idaho Falls Community Hospital, LLCIdaho Falls | 26 | $39,346 | $8,784 | $7,468 |
| St Luke's Nampa Medical CenterNampa | 19 | $32,909 | $10,884 | $8,929 |
| St Joseph Regional Medical CenterLewiston | 18 | $29,985 | $11,464 | $10,286 |
| Madison Memorial HospitalRexburg | 15 | $24,640 | $10,839 | $9,155 |
| West Valley Medical CenterCaldwell | 12 | $42,521 | $10,807 | $9,221 |
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
| Idaho Falls Community Hospital, LLCIdaho Falls, ID | $8,784 |
|---|---|
| St Lukes Magic Valley RMCTwin Falls, ID | $10,025 |
| St Lukes Regional Medical CenterBoise, ID | $10,026 |
| Kootenai Medical CenterCoeur D'alene, ID | $10,171 |
| West Valley Medical CenterCaldwell, ID | $10,807 |
Highest
| Portneuf Medical CenterPocatello, ID | $11,729 |
|---|---|
| St Joseph Regional Medical CenterLewiston, ID | $11,464 |
| Saint Alphonsus Medical Center - NampaNampa, ID | $11,397 |
| Eastern Idaho Regional Medical CenterIdaho Falls, ID | $11,330 |
| St Alphonsus Regional Medical CenterBoise, ID | $11,010 |
Pulmonary edema and respiratory failure in other states
Questions
How much does pulmonary edema and respiratory failure cost in Idaho?
In 2024 Medicare data, a hospital stay for pulmonary edema and respiratory failure (DRG 189) at 12 hospitals in Idaho was billed at $43,340 on average, while the average total payment was $10,491, of which Medicare paid $8,742. 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 4.1 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.