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Healthcare Pricing Data: BOISE, ID

3 hospitals with public pricing data · 30 procedures reported to CMS

Hospitals

3

With CMS data

Procedures

30

DRG categories

Avg Charge-to-Medicare Ratio

5.0x

Across all procedures

vs National Average

-22%

Chargemaster rates

About This Data

BOISE, ID has 3 hospitals that report pricing data to the Centers for Medicare & Medicaid Services (CMS). Across these facilities, the average chargemaster-to-Medicare reimbursement ratio is 5.0x for the 30 procedures in this dataset.(Source: CMS IPPS Provider Summary)

The procedure with the highest average listed charges in BOISE is CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION (DRG 220), with an average chargemaster rate of $218,341 across reporting hospitals.

Important: Chargemaster rates are hospital list prices and are not what most insured patients pay. Actual costs depend on your insurance plan's negotiated rates, deductibles, and coverage. Use this data as a starting point for understanding pricing in your area.

Procedure Pricing Data

ProcedureDRGAvg Listed ChargeHospitals ReportingCharge-to-Medicare Ratio
COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITHOUT CC/MCC455$108,16233.6x
PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC274$73,74833.4x
CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION220$218,34125.5x
CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC236$187,32726.3x
CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC O023$169,82024.0x
MAJOR CHEST PROCEDURES WITH MCC163$169,20124.6x
INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC853$149,39524.2x
CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC025$149,07424.5x
EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC981$146,18224.4x
MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC329$140,73824.0x
ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC266$135,33423.0x
MAJOR CHEST PROCEDURES WITH CC164$129,04526.7x
PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES O246$119,81825.6x
RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS208$110,30725.2x
ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC267$102,56022.9x
REVISION OF HIP OR KNEE REPLACEMENT WITH CC467$100,76724.2x
PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC242$99,75224.2x
MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC330$99,44725.8x
HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC480$97,40424.8x
HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC521$96,85824.7x
REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC468$93,06624.9x
PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC322$84,93427.5x
PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC247$82,18426.5x
HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC522$79,30125.5x
SEIZURES WITH MCC100$75,90725.0x
INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC064$75,82225.3x
MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC470$75,20326.2x
MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC331$69,77026.4x
SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC871$68,94325.0x
GASTROINTESTINAL HEMORRHAGE WITH MCC377$68,44225.0x

Source: CMS IPPS Provider Summary. Listed charges are hospital chargemaster rates, not patient-paid amounts.

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Data from CMS Inpatient Prospective Payment System (IPPS) Provider Summary. All data publicly available under federal law (45 CFR Part 180).

Listed chargemaster rates are not what most insured patients pay. This information is for educational purposes only. Read our methodology·Report a data error