Hospital Costs > Simple Pneumonia & Pleurisy W/O Cc/Mcc > Simple Pneumonia & Pleurisy W/O Cc/Mcc - costs for treatment in Idaho
| Hospital | City | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment |
|---|---|---|---|---|---|
| St Luke's Magic Valley Rmc | Twin Falls | 19 | $12,114.70 | $4,974.84 | $3,958.89 |
| St Luke's Regional Medical Center | Boise | 12 | $12,913.80 | $7,187.17 | $4,778.17 |
| St Alphonsus Regional Medical Center | Boise | 12 | $11,340.20 | $4,846.25 | $3,906.33 |
| Eastern Idaho Regional Medical Center | Idaho Falls | 43 | $21,010.30 | $5,344.21 | $3,784.74 |
| Kootenai Health | Coeur D'Alene | 27 | $14,378.20 | $5,066.89 | $3,705.85 | Total 5 hospitals | 113 |
Source: Medicare Provider Utilization and Payment Data: Inpatient for FY2014
Average Covered Charges: The provider's average charge for services covered by Medicare for all discharges in the MS-DRG. These will vary from hospital to hospital because of differences in hospital charge structures.
Average Total Payments: The average total payments to all providers for the MS-DRG including the MSDRG amount, teaching, disproportionate share, capital, and outlier payments for all cases. Also included in average total payments are co-payment and deductible amounts that the patient is responsible for and any additional payments by third parties for coordination of benefits.
Average Medicare Payments: The average amount that Medicare pays to the provider for Medicare's share of the MS-DRG. Average Medicare payment amounts include the MS-DRG amount, teaching, disproportionate share, capital, and outlier payments for all cases. Medicare payments DO NOT include beneficiary co-payments and deductible amounts nor any additional payments from third parties for coordination of benefits. Note: In general, Medicare FFS claims with dates-of-service or dates-of-discharge on or after April 1, 2013, incurred a 2 percent reduction in Medicare payment. This is in response to mandatory across-the-board reductions in Federal spending, also known as sequestration
Hospital Rank: We have calculated the rank for each procedure within a hospital. The left number is the national ranking, the right one is the state ranking. For discharges, ranking is from highest # of discharges to lower (hospital with highest number of discharges ranks first). For charges and payments, lowest means a higher ranking.