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The Price of Medicare Procedures in Idaho



This table shows the 100 most frequently charged procedures/diagnosis in Idaho to the Inpatient Prospective Payment System (IPPS). This table will give a basic idea of the cost of medicare for hospital procedures. Hospitals determine what they bill according to a "chargemaster". The charge master serves as a price point for the beginning of negotiations between you and the health care provider.



ProcedureProvider StateTotal DischargesHospital Charge(s)Medicare Payment(s)Your Cost
Acute Myocardial Infarction Discharged Alive No Complications
 Idaho 62 $17417 $5018 $12399
Acute Myocardial Infarction Discharged Alive With Complications
 Idaho 82 $24844 $7308 $17536
Acute Myocardial Infarction Discharged Alive With Major Complications
 Idaho 120 $27277 $10919 $16358
Alcohol Drug Abuse No Rehabilitation Therapy No Major Complications
 Idaho 62 $10748 $3950 $6798
Back And Neck Proc Exc Spinal Fusion No Complications
 Idaho 128 $18026 $6512 $11514
Bronchitis And Asthma With Complications
 Idaho 40 $18074 $6174 $11900
Cardiac Arrhythmia And Conduction Disorders No Complications
 Idaho 225 $9009 $3825 $5184
Cardiac Arrhythmia And Conduction Disorders With Complications
 Idaho 204 $14982 $5561 $9421
Cardiac Arrhythmia And Conduction Disorders With Major Complications
 Idaho 150 $22501 $8491 $14010
Cellulitis No Major Complications
 Idaho 205 $14379 $5267 $9112
Cellulitis With Major Complications
 Idaho 25 $17961 $8801 $9160
Cervical Spinal Fusion No Complications
 Idaho 243 $36164 $13878 $22286
Chest Pain
 Idaho 109 $11233 $3601 $7632
Chronic Obstructive Pulmonary Disease No Complications
 Idaho 146 $10950 $4584 $6366
Chronic Obstructive Pulmonary Disease With Complications
 Idaho 219 $14827 $6141 $8686
Chronic Obstructive Pulmonary Disease With Major Complications
 Idaho 285 $19035 $7656 $11379
Circulatory Disorders Except Ami With Card Cath No Major Complications
 Idaho 206 $23314 $7165 $16149
Cranial And Peripheral Nerve Disorders No Major Complications
 Idaho 30 $14599 $5415 $9184
Degenerative Nervous System Disorders No Major Complications
 Idaho 12 $15238 $5410 $9828
Diabetes With Complications
 Idaho 78 $13335 $5369 $7966
Disorders Of Pancreas Except Malignancy With Complications
 Idaho 66 $19842 $6960 $12882
Esophagitis Gastroent And Misc Digest Disorders No Major Complications
 Idaho 471 $13802 $4741 $9061
Esophagitis Gastroent And Misc Digest Disorders With Major Complications
 Idaho 87 $25136 $9345 $15791
Extracranial Procedures No Complications
 Idaho 113 $18151 $6457 $11694
Fractures Of Hip And Pelvis No Major Complications
 Idaho 84 $11320 $4443 $6877
Fx Sprn Strn And Disl Except Femur Hip Pelvis Thigh No Major Complications
 Idaho 13 $16606 $4555 $12051
Gi Hemorrhage No Complications
 Idaho 56 $13558 $4538 $9020
Gi Hemorrhage With Complications
 Idaho 341 $16645 $6496 $10149
Gi Hemorrhage With Major Complications
 Idaho 110 $30511 $12486 $18025
Gi Obstruction No Complications
 Idaho 109 $11153 $4024 $7129
Gi Obstruction With Complications
 Idaho 127 $17548 $5941 $11607
Heart Failure And Shock No Complications
 Idaho 129 $11962 $4117 $7845
Heart Failure And Shock With Complications
 Idaho 426 $16747 $6461 $10286
Heart Failure And Shock With Major Complications
 Idaho 349 $22146 $9391 $12755
Hip And Femur Procedures Except Major Joint No Complications
 Idaho 129 $26205 $9758 $16447
Hip And Femur Procedures Except Major Joint With Complications
 Idaho 268 $32502 $11618 $20884
Hip And Femur Procedures Except Major Joint With Major Complications
 Idaho 103 $45495 $18344 $27151
Hypertension No Major Complications
 Idaho 11 $13901 $3759 $10142
Infectious And Parasitic Diseases Or Procedure With Major Complications
 Idaho 88 $88799 $38362 $50437
Intracranial Hemorrhage Or Cerebral Infarction No Complications
 Idaho 182 $14160 $5345 $8815
Intracranial Hemorrhage Or Cerebral Infarction With Complications
 Idaho 360 $17447 $7164 $10283
Intracranial Hemorrhage Or Cerebral Infarction With Major Complications
 Idaho 179 $25043 $11856 $13187
Kidney And Urinary Tract Infections No Major Complications
 Idaho 366 $11932 $4933 $6999
Kidney And Urinary Tract Infections With Major Complications
 Idaho 69 $17039 $7810 $9229
Laparoscopic Cholecystectomy No Cde No Complications
 Idaho 65 $23981 $7235 $16746
Laparoscopic Cholecystectomy No Cde With Complications
 Idaho 79 $29558 $11335 $18223
Major Cardiovasc Procedures No Major Complications
 Idaho 110 $55479 $20982 $34497
Major Gastrointestinal Disorders And Peritoneal Infections With Complications
 Idaho 50 $21118 $7742 $13376
Major Joint Replacement Of Lower Extremity No Major Complications
 Idaho 2365 $35794 $13798 $21996
Major Joint Replacement Of Lower Extremity With Major Complications
 Idaho 93 $49953 $20630 $29323
Major Small And Large Bowel Procedures With Complications
 Idaho 204 $44363 $17342 $27021
Major Small And Large Bowel Procedures With Major Complications
 Idaho 140 $79824 $35139 $44685
Medical Back Problems No Major Complications
 Idaho 129 $13890 $5203 $8687
Misc Disorders Of Metabolism Fluids Electrolytes No Major Complications
 Idaho 333 $11279 $4424 $6855
Misc Disorders Of Metabolism Fluids Electrolytes With Major Complications
 Idaho 138 $18953 $7406 $11547
Other Circulatory System Diagnoses With Complications
 Idaho 28 $18957 $6232 $12725
Other Circulatory System Diagnoses With Major Complications
 Idaho 128 $27968 $12417 $15551
Other Digestive System Diagnoses With Complications
 Idaho 121 $16392 $6181 $10211
Other Kidney And Urinary Tract Diagnoses With Complications
 Idaho 15 $11002 $5977 $5025
Other Kidney And Urinary Tract Diagnoses With Major Complications
 Idaho 48 $27007 $11557 $15450
Other Vascular Procedures No Complications
 Idaho 68 $29418 $10809 $18609
Other Vascular Procedures With Complications
 Idaho 51 $31809 $16011 $15798
Other Vascular Procedures With Major Complications
 Idaho 57 $55694 $22113 $33581
Perc Cardiovasc Proc No Coronary Artery Stent No Major Complications
 Idaho 29 $32922 $11224 $21698
Perc Cardiovasc Proc With Drug Eluting Stent No Major Complications
 Idaho 319 $46565 $13118 $33447
Perc Cardiovasc Proc With Drug Eluting Stent With Major Complications
 Idaho 89 $66247 $20791 $45456
Perc Cardiovasc Proc With Nondrug Eluting Stent No Major Complications
 Idaho 98 $40538 $10991 $29547
Peripheral Vascular Disorders With Complications
 Idaho 37 $17134 $6652 $10482
Permanent Cardiac Pacemaker Implant No Complications
 Idaho 86 $39737 $12829 $26908
Permanent Cardiac Pacemaker Implant With Complications
 Idaho 64 $46334 $15835 $30499
Poisoning And Toxic Effects Of Drugs No Major Complications
 Idaho 113 $11704 $4208 $7496
Poisoning And Toxic Effects Of Drugs With Major Complications
 Idaho 117 $22739 $10258 $12481
Psychoses
 Idaho 570 $14142 $5707 $8435
Pulmonary Edema And Respiratory Failure
 Idaho 363 $19618 $8824 $10794
Pulmonary Embolism No Major Complications
 Idaho 161 $14835 $6498 $8337
Red Blood Cell Disorders No Major Complications
 Idaho 101 $12286 $5011 $7275
Red Blood Cell Disorders With Major Complications
 Idaho 30 $19911 $8006 $11905
Renal Failure No Complications
 Idaho 11 $9584 $3989 $5595
Renal Failure With Complications
 Idaho 388 $16551 $6570 $9981
Renal Failure With Major Complications
 Idaho 270 $26197 $11236 $14961
Respiratory Infections And Inflammations With Complications
 Idaho 147 $22288 $8998 $13290
Respiratory Infections And Inflammations With Major Complications
 Idaho 208 $30269 $13219 $17050
Respiratory System Diagnosis With Ventilator Support 96 Plus Hrs
 Idaho 24 $109765 $41640 $68125
Respiratory System Diagnosis With Ventilator Support Less 96 Hrs
 Idaho 197 $43014 $15997 $27017
Seizures No Major Complications
 Idaho 58 $18471 $5310 $13161
Septicemia Or Severe Sepsis No Mv 96 Plus Hrs No Major Complications
 Idaho 458 $18300 $7216 $11084
Septicemia Or Severe Sepsis No Mv 96 Plus Hrs With Major Complications
 Idaho 1075 $30837 $12841 $17996
Septicemia Or Severe Sepsis With Mv 96 Plus Hrs
 Idaho 22 $117492 $46131 $71361
Signs And Symptoms No Major Complications
 Idaho 89 $10914 $4181 $6733
Simple Pneumonia And Pleurisy No Complications
 Idaho 256 $11942 $4568 $7374
Simple Pneumonia And Pleurisy With Complications
 Idaho 606 $16524 $6483 $10041
Simple Pneumonia And Pleurisy With Major Complications
 Idaho 381 $22060 $9342 $12718
Spinal Fusion Except Cervical No Major Complications
 Idaho 542 $71614 $26072 $45542
Syncope And Collapse
 Idaho 167 $11789 $4630 $7159
Transient Ischemia
 Idaho 130 $12151 $4606 $7545


Source: CMS

As part of the Obama administration’s goal to make our healthcare more accountable, transparent and affordable the CMS.gov has released data from more then 3000 hospitals that receive payments for the 100 highest frequently billed charges under Medicare. For more information visit CMS.gov.

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