Healthcare Pricing Data: IDAHO FALLS, 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
7.0x
Across all procedures
vs National Average
-6%
Chargemaster rates
About This Data
IDAHO FALLS, 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 7.0x for the 30 procedures in this dataset.(Source: CMS IPPS Provider Summary)
The procedure with the highest average listed charges in IDAHO FALLS is CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC O (DRG 023), with an average chargemaster rate of $299,039 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
| Procedure | DRG | Avg Listed Charge | Hospitals Reporting | Charge-to-Medicare Ratio |
|---|---|---|---|---|
| SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | 460 | $116,689 | 3 | 5.0x |
| COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITHOUT CC/MCC | 455 | $185,033 | 2 | 5.7x |
| INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | 853 | $176,628 | 2 | 4.6x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | 481 | $81,530 | 2 | 6.1x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | 871 | $77,194 | 2 | 5.5x |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | 177 | $55,663 | 2 | 5.1x |
| RENAL FAILURE WITH MCC | 682 | $52,820 | 2 | 5.1x |
| HEART FAILURE AND SHOCK WITH MCC | 291 | $44,435 | 2 | 5.5x |
| PULMONARY EDEMA AND RESPIRATORY FAILURE | 189 | $42,631 | 2 | 5.2x |
| KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | 689 | $42,545 | 2 | 5.7x |
| SIMPLE PNEUMONIA AND PLEURISY WITH MCC | 193 | $42,279 | 2 | 5.3x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 872 | $38,519 | 2 | 6.2x |
| GASTROINTESTINAL HEMORRHAGE WITH CC | 378 | $36,093 | 2 | 6.0x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $35,168 | 2 | 5.9x |
| RENAL FAILURE WITH CC | 683 | $28,979 | 2 | 5.6x |
| GASTROINTESTINAL OBSTRUCTION WITH CC | 389 | $24,674 | 2 | 5.9x |
| CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC O | 023 | $299,039 | 1 | 7.4x |
| MAJOR CHEST PROCEDURES WITH MCC | 163 | $282,658 | 1 | 8.5x |
| ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC | 267 | $267,763 | 1 | 7.3x |
| COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH CC | 454 | $256,938 | 1 | 5.8x |
| PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC | 274 | $238,028 | 1 | 10.2x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | 329 | $235,408 | 1 | 7.1x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES O | 246 | $219,381 | 1 | 10.0x |
| CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | 025 | $205,502 | 1 | 6.5x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC | 322 | $170,659 | 1 | 13.2x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC | 247 | $160,932 | 1 | 11.9x |
| PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | 243 | $153,726 | 1 | 9.7x |
| RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | 208 | $149,315 | 1 | 8.0x |
| CERVICAL SPINAL FUSION WITH CC | 472 | $140,033 | 1 | 6.5x |
| HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | 522 | $116,328 | 1 | 8.5x |
Source: CMS IPPS Provider Summary. Listed charges are hospital chargemaster rates, not patient-paid amounts.
Hospitals in IDAHO FALLS With Pricing Data
Have a bill from a IDAHO FALLS hospital?
Upload your bill and our system compares every line item against publicly available Medicare reimbursement data. Free comparison in 60 seconds.
Upload your bill — free comparisonData 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