Estimated using RAND 2024 commercial-to-Medicare ratios. Actual prices vary by insurer, plan, and facility.
Idaho Pricing in Context
In Idaho, CPT code 99282 (Emergency Department Visit With Straightforward Medical Decision Making) carries an average Medicare payment of $26.39 — 10% below the national benchmark of $29.37. 170 providers across the state submitted claims for this procedure in 2023, performing 573 total services. Individual payments in ID ranged from N/A at the low end to N/A at the high end, reflecting differences in provider setting (office vs. facility), modifiers, and the specific geographic locality code applied within the state.
The average billed charge in Idaho is $163.25, which is the figure uninsured patients would most likely encounter before any negotiation or charity discount. Medicare, by statute, only reimburses the allowed amount — the balance between billed and paid is written off under provider participation agreements. Insured patients generally pay a negotiated rate that falls between these two figures; the exact amount depends on plan design, deductible status, and in-network participation. Because Idaho sits below the national Medicare average, commercial rates in the state may also run lower than the US median.
Using RAND 2024 commercial-to-Medicare ratios for Emergency procedures, the estimated commercial insurance price in Idaho lands near $79.76, with self-pay cash prices typically around $73.38. Before scheduling, patients can request a Good Faith Estimate under the No Surprises Act, compare cash rates from hospital Machine-Readable Files, and confirm whether the provider is in-network with their specific plan. This page presents CMS reference data for informational use; it does not constitute medical or financial advice.
Frequently Asked Questions
How much does Emergency Department Visit With Straightforward Medical Decision Making cost in Idaho?
The average Medicare payment for Emergency Department Visit With Straightforward Medical Decision Making in Idaho is $26.39, which is 10% below the national average of $29.37. Providers in ID typically bill $163.25 for this procedure.
What does Emergency Department Visit With Straightforward Medical Decision Making cost with insurance in Idaho?
With commercial insurance in Idaho, Emergency Department Visit With Straightforward Medical Decision Making costs an estimated $79.76. Without insurance, the estimated cash price is $73.38. These estimates are based on RAND 2024 commercial-to-Medicare ratios and vary by insurer, plan, and facility.
How many providers perform Emergency Department Visit With Straightforward Medical Decision Making in Idaho?
170 providers in Idaho billed Medicare for Emergency Department Visit With Straightforward Medical Decision Making in 2023, performing 573 total services. Medicare payments ranged from N/A to N/A depending on the provider.
Is Emergency Department Visit With Straightforward Medical Decision Making cheaper in Idaho than the national average?
Yes — Emergency Department Visit With Straightforward Medical Decision Making costs 10% below the national average in Idaho. The state average Medicare payment is $26.39 compared to $29.37 nationally. Factors like local cost of living, provider competition, and regional Medicare fee schedules all influence state-level pricing.
Related Guides
Related Data Sources
Data from CMS Medicare Physician & Other Practitioners (2023).
Read our methodology — how this data is sourced, computed, and verified.