St Joseph Regional Medical Center
St Joseph Regional Medical Center in Lewiston, Idaho charges 3.6x the Medicare reimbursement rate across 28 analyzed procedures, representing a significant markup for this nonprofit facility.
Lewiston, ID 83501 · Acute Care Hospitals · CMS Rating: 2/5
About the analyst
Priya Iyengar leads the billing code review team at BillRazor Research. She analyzes NCCI bundling edits, DRG coding, and regional rate variation. Expertise: NCCI bundling, DRG analysis, regional pricing.
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Pricing grade
C
Average
Avg markup vs Medicare
3.64x
Charge / Medicare rate
Max markup
5.74x
Worst procedure
Procedures analyzed
28
With pricing data
Outlier procedures
0%
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 |
|---|---|---|---|---|---|
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | 282 | $27,422 | $13,711 | — | 5.7x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | 281 | $32,332 | $16,166 | — | 4.9x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | 287 | $36,128 | $18,064 | — | 4.7x |
| GASTROINTESTINAL OBSTRUCTION WITH CC | 389 | $25,790 | $12,895 | — | 4.6x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 872 | $31,842 | $15,921 | — | 4.2x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC | 247 | $59,075 | $29,537 | — | 4.1x |
| CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | 025 | $140,770 | $70,385 | — | 4x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $23,081 | $11,541 | — | 4x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $28,827 | $14,414 | — | 3.8x |
| INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | 853 | $178,043 | $89,022 | — | 3.8x |
| PULMONARY EDEMA AND RESPIRATORY FAILURE | 189 | $35,746 | $17,873 | — | 3.8x |
| AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC | 269 | $137,726 | $68,863 | — | 3.8x |
| SIMPLE PNEUMONIA AND PLEURISY WITH MCC | 193 | $39,088 | $19,544 | — | 3.7x |
| COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITHOUT CC/MCC | 455 | $148,697 | $74,348 | — | 3.7x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | 640 | $35,803 | $17,902 | — | 3.6x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | 482 | $46,657 | $23,329 | — | 3.6x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | 481 | $61,641 | $30,821 | — | 3.6x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | 064 | $52,454 | $26,227 | — | 3.5x |
| RENAL FAILURE WITH CC | 683 | $22,720 | $11,360 | — | 3.4x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES O | 246 | $84,304 | $42,152 | — | 3.4x |
| HEART FAILURE AND SHOCK WITH MCC | 291 | $34,144 | $17,072 | — | 3.3x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | 308 | $29,020 | $14,510 | — | 3.1x |
| CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC | 036 | $45,525 | $22,763 | — | 3.1x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | 871 | $47,595 | $23,798 | — | 2.9x |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | 177 | $41,471 | $20,736 | — | 2.8x |
| TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | 086 | $28,485 | $14,242 | — | 2.7x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | 280 | $30,644 | $15,322 | — | 2.4x |
| RENAL FAILURE WITH MCC | 682 | $21,925 | $10,962 | — | 1.8x |
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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