Portneuf Medical Center
PORTNEUF MEDICAL CENTER in Pocatello, Idaho charges 6.1x the Medicare reimbursement rate on average across 41 analyzed procedures at this for-profit hospital.
Pocatello, ID 83201 · Acute Care Hospitals · CMS Rating: 3/5
About the analyst
Elena Vasquez leads hospital billing pattern analysis at BillRazor Research. She focuses on identifying overcharges, markup outliers, and patient advocacy strategies. Expertise: hospital billing patterns, overcharge analysis, patient advocacy.
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Billing patterns — for-profit
For-profit hospitals in our dataset demonstrate distinct billing patterns, with 628 facilities showing an average markup of 7.8 times Medicare rates. These hospitals typically maintain higher charge structures across most service categories compared to non-profit and government facilities. Common patterns include substantial charges above benchmark rates for emergency services, surgical procedures, and diagnostic imaging. Patients should be aware that initial bills from for-profit hospitals often reflect chargemaster rates rather than negotiated insurance amounts. The billing structure frequently includes separate charges for facility fees, physician services, and ancillary services that may appear as multiple line items. Before receiving care, patients can request cost estimates and inquire about financial assistance programs, which are federally required at all hospital types. Understanding that insurance negotiations typically result in significantly lower actual payments than initial charges can help patients navigate the billing process more effectively when receiving care at for-profit facilities.
Pricing grade
D
High
Avg markup vs Medicare
6.11x
Charge / Medicare rate
Max markup
9.49x
Worst procedure
Procedures analyzed
41
With pricing data
Outlier procedures
2.4%
Above 90th percentile
Pricing grades reflect how this hospital's chargemaster (list) rates compare to Medicare reimbursement benchmarks within the same state. Grades measure pricing patterns only — not quality of care, patient outcomes, or clinical performance. A lower grade does not mean a hospital provides inferior care. Based on publicly available federal data. Not endorsed by or affiliated with any government agency.
| Procedure | Code | Gross charge | Cash price | Medicare | Markup |
|---|---|---|---|---|---|
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC | 247 | $149,242 | $74,621 | — | 9.5x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES O | 246 | $275,992 | $137,996 | — | 9.1x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | 281 | $62,951 | $31,476 | — | 8.9x |
| MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | 470 | $129,973 | $64,986 | — | 8.6x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | 481 | $152,496 | $76,248 | — | 8.2x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | 287 | $63,715 | $31,857 | — | 7.4x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | 640 | $83,487 | $41,744 | — | 7.4x |
| DIABETES WITH CC | 638 | $51,365 | $25,682 | — | 7.3x |
| GASTROINTESTINAL HEMORRHAGE WITH CC | 378 | $56,290 | $28,145 | — | 7.1x |
| KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | 690 | $43,583 | $21,791 | — | 7.1x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $55,994 | $27,997 | — | 7.1x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 872 | $56,765 | $28,383 | — | 7x |
| PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | 243 | $140,535 | $70,268 | — | 6.7x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | 280 | $88,171 | $44,085 | — | 6.4x |
| PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC | 274 | $184,970 | $92,485 | — | 6.4x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | 480 | $170,600 | $85,300 | — | 6.3x |
| ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC | 267 | $276,971 | $138,485 | — | 6.3x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | 309 | $33,014 | $16,507 | — | 6.2x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | 330 | $122,363 | $61,182 | — | 6.2x |
| GASTROINTESTINAL HEMORRHAGE WITH MCC | 377 | $98,127 | $49,064 | — | 6.2x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | 286 | $111,716 | $55,858 | — | 6x |
| HYPERTENSION WITHOUT MCC | 305 | $32,840 | $16,420 | — | 5.8x |
| KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | 689 | $54,625 | $27,312 | — | 5.7x |
| OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | 698 | $79,723 | $39,862 | — | 5.7x |
| DIABETES WITH MCC | 637 | $61,938 | $30,969 | — | 5.5x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $31,388 | $15,694 | — | 5.4x |
| PULMONARY EDEMA AND RESPIRATORY FAILURE | 189 | $55,056 | $27,528 | — | 5.4x |
| HEART FAILURE AND SHOCK WITH MCC | 291 | $58,436 | $29,218 | — | 5.4x |
| RENAL FAILURE WITH CC | 683 | $37,889 | $18,944 | — | 5.3x |
| RENAL FAILURE WITH MCC | 682 | $64,364 | $32,182 | — | 5.2x |
| INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | 854 | $87,713 | $43,856 | — | 5x |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | 177 | $73,675 | $36,837 | — | 4.8x |
| MEDICAL BACK PROBLEMS WITHOUT MCC | 552 | $35,696 | $17,848 | — | 4.7x |
| PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | 175 | $52,899 | $26,449 | — | 4.6x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $26,981 | $13,490 | — | 4.6x |
| INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | 853 | $203,703 | $101,852 | — | 4.5x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | 871 | $72,851 | $36,426 | — | 4.5x |
| SIMPLE PNEUMONIA AND PLEURISY WITH MCC | 193 | $46,831 | $23,415 | — | 4.4x |
| SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | 460 | $147,899 | $73,950 | — | 4.4x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | 308 | $40,977 | $20,489 | — | 4.3x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | 064 | $67,901 | $33,951 | — | 4x |
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Pricing data from federal hospital transparency files and physician fee schedules. Last updated: . All data is publicly available under federal law.
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Data: Federal hospital pricing data, updated annually. All data publicly available under federal law.
Methodology: Hospital gross charges divided by Medicare payment for the same DRG. A ratio of 3.0x means the hospital's listed price is 3 times what Medicare pays. Chargemaster rates are list prices — they are not what most insured patients pay. Grades measure pricing patterns only — not quality of care or clinical performance.
This information is for educational purposes only and is not medical, financial, or legal advice. Actual costs depend on your insurance and provider. We recommend verifying costs directly with your provider. Full methodology · Terms of use