facebook tracking Seizures with major complications cost in Idaho: 2 hospitals compared (DRG 100)

Seizures with major complications in Idaho

What 2 hospitals in Idaho charged and were paid for a Medicare hospital stay for seizures with major complications (DRG 100), from 2024 Medicare claims.

DRG 100 Inpatient 2024 Medicare data
Average charge $89,042 Hospital list price billed
Average payment $15,268 Medicare + patient + other payers
Medicare paid $13,626 Average per stay
Volume 29 Medicare hospital stays

Hospitals in Idaho billed an average of $89,042 for seizures with major complications, about 5.8 times the average total payment of $15,268. That payment is 23% below the U.S. average of $19,930.

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 $15,268Billed $89,042

About 17¢ 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: seizures 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 16 $87,598 $14,643 $13,386
Eastern Idaho Regional Medical CenterIdaho Falls 13 $90,819 $16,037 $13,920
Advertisement

Seizures with major complications in other states

Questions

How much does seizures with major complications cost in Idaho?

In 2024 Medicare data, a hospital stay for seizures with major complications (DRG 100) at 2 hospitals in Idaho was billed at $89,042 on average, while the average total payment was $15,268, of which Medicare paid $13,626. 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 5.8 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.