facebook tracking Septicemia or severe sepsis without ventilator >96 hours without major complications cost in Idaho: 10 hospitals compared (DRG 872)

Septicemia or severe sepsis without ventilator >96 hours without major complications in Idaho

What 10 hospitals in Idaho charged and were paid for a Medicare hospital stay for septicemia or severe sepsis without ventilator >96 hours without major complications (DRG 872), from 2024 Medicare claims.

DRG 872 Inpatient 2024 Medicare data
Average charge $41,614 Hospital list price billed
Average payment $9,419 Medicare + patient + other payers
Medicare paid $7,260 Average per stay
State rank #29 of 50 1 = lowest average payment

Hospitals in Idaho billed an average of $41,614 for septicemia or severe sepsis without ventilator >96 hours without major complications, about 4.4 times the average total payment of $9,419. That payment is 7% below the U.S. average of $10,085.

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 $9,419Billed $41,614

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: septicemia or severe sepsis without ventilator >96 hours without 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 105 $41,425 $8,841 $6,991
Kootenai Medical CenterCoeur D'alene 56 $29,246 $7,932 $6,440
Portneuf Medical CenterPocatello 53 $55,709 $10,859 $7,745
St Lukes Magic Valley RMCTwin Falls 45 $38,939 $9,723 $7,154
St Alphonsus Regional Medical CenterBoise 42 $42,204 $11,244 $7,561
Saint Alphonsus Medical Center - NampaNampa 39 $43,110 $9,365 $7,414
Eastern Idaho Regional Medical CenterIdaho Falls 25 $53,451 $8,858 $7,021
St Joseph Regional Medical CenterLewiston 24 $33,064 $9,558 $8,402
St Luke's Nampa Medical CenterNampa 21 $40,094 $9,244 $7,823
West Valley Medical CenterCaldwell 13 $37,288 $8,950 $7,359
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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.

Septicemia or severe sepsis without ventilator >96 hours without major complications in other states

Questions

How much does septicemia or severe sepsis without ventilator >96 hours without major complications cost in Idaho?

In 2024 Medicare data, a hospital stay for septicemia or severe sepsis without ventilator >96 hours without major complications (DRG 872) at 10 hospitals in Idaho was billed at $41,614 on average, while the average total payment was $9,419, of which Medicare paid $7,260. 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.