Idaho procedure costs
48 hospitals · 705 Medicare providers · 2,679 procedure codes with Idaho locality adjustments.
The short answer
Idaho has 48 hospitals and 705 Medicare-billing providers across 2,679 procedure codes. The average Medicare payment per procedure is $183.99; the average submitted (billed) charge is $964.95.
- Procedure codes
- 2,679
- Providers per hospital
- 14.7
- Billed-to-Medicare ratio
- 5.2x
- Markup rank
- #34 of 56
Source: CMS Medicare Physician & Other Practitioners, 2023.
About this dataset, nationwide
According to the Centers for Medicare & Medicaid Services (CMS), the 2023 Medicare Physician & Other Practitioners dataset records payments for 9,297 procedure codes billed across 5,426 hospitals in 56 states and territories; see our methodology for how each figure is sourced and computed.
Idaho against every US state
Where the state's average Medicare payment per procedure falls, all 56 tracked jurisdictions
$184 higher than 23% of 56 states
Each bar is a $25-wide band; taller bars hold more states. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.
Source CMS Medicare Physician & Other Practitioners, 2023
The priciest procedures in Idaho
Highest average Medicare payment per procedure billed in Idaho. Hover any bar for the exact figure; even these top procedures are billed well above what Medicare reimburses.
Top procedures by Medicare payment - Idaho
The cost spread in Idaho
The highest- and lowest-paying procedures Medicare reimbursed in Idaho, side by side.
Most expensive
Least expensive
Top Procedures by Volume
Idaho Healthcare Cost Landscape
CMS lists 48 hospitals in Idaho across 38 cities. BOISE holds 6 (13%). The three densest cities together hold 25% of the state roster. Statewide that is 705 Medicare-billing providers, 14.7 per listed hospital.
17 hospitals carry a CMS overall star rating (4 five-star, 5 four-star, 6 three-star, 1 two-star, 1 one-star) ; five-star share among rated facilities is 24%. 31 hospitals in this extract have no published overall rating.
Facility-type mix: Critical Access Hospitals 26 (54%); Acute Care Hospitals 16 (33%); Psychiatric 4 (8%); Acute Care - Veterans Administration 1 (2%).
Among the 30 highest-volume procedure codes billed in Idaho, DME (Temporary) leads with 2.4M services (25% of this top-volume slice) across 1 codes. Next is Medicine at 23%.
Submitted charges average $964.95 against $183.99 Medicare payment (5.2x billed-to-Medicare). That ratio ranks #34 of 56 jurisdictions with both figures in this extract. Average Medicare payment itself is #43 of 56.
Volume leaders are not the high-payment codes. Provision Of Covid-19 Test, Nonprescription Self-Administered And Self-Collected Use, Fda Approved, Authorized Or Cleared, One Test Count is in the top volume slice but not the highest Medicare payments; Insertion Of Spinal Neurostimulator Generator Or Receiver is in the high-payment set without matching volume rank.
These are CMS roster and claims aggregates for Idaho, not a quote for any patient, plan, or visit. See the methodology and CMS Medicare Provider Charge Data.
Where Idaho hospitals sit
City of the CMS hospital roster, not a travel or care recommendation. 38 distinct cities appear on 48 listed facilities.
| City | Hospitals | Share of state roster |
|---|---|---|
| BOISE | 6 | 13% |
| BLACKFOOT | 3 | 6% |
| IDAHO FALLS | 3 | 6% |
| NAMPA | 2 | 4% |
| AMERICAN FALLS | 1 | 2% |
| ARCO | 1 | 2% |
| BONNERS FERRY | 1 | 2% |
| BURLEY | 1 | 2% |
Nationwide states with similar hospital scale or Medicare payment
Two CMS-extract-derived peer sets for Idaho: nearest hospital inventory and nearest statewide average Medicare payment. Not clinical substitutes: registry-scale and payment neighborhoods only.
Similar CMS hospital count
Nearest states with ≥5 hospitals (48 here).
Similar average Medicare payment
Nearest states with published averages ($183.99 here).
Hospitals in Idaho
How Idaho Compares Nationally
Idaho's average Medicare payment is #43 of 56 in this extract. Submitted-over-Medicare markup ranks #34 of 56 (5.2x). Hospital-count peers (nearest CMS roster size to 48): North Dakota 47, Nevada 46, New Mexico 45, Utah 51. Payment peers (nearest average Medicare payment to $183.99): Hawaii $182.11, New Hampshire $188.37, Montana $191.94, Wyoming $173.02.
Those peer sets are registry neighborhoods, not clinical substitutes. Markup rank and payment rank can diverge: a jurisdiction can sit high on billed-to-Medicare while sitting mid-pack on payment, or the reverse. Figures remain CMS averages for Idaho, not an out-of-pocket quote.
Related registry pages
Idaho averages sit on two maps: Medicare payment and submitted-over-Medicare markup.
- Procedure codes billed in this extract, in national volume order. Browse procedures
- State payment rank versus markup rank on the rankings hub. Rankings
- How these figures are sourced. Methodology
Figures here are Idaho CMS averages, not a quote for any patient, plan, or visit.
Read our methodology - how this data is sourced, computed, and verified.
Every figure on PlainProcedure is rendered directly from CMS Medicare Physician & Other Practitioners data, no number is typed in by an editor. This page draws directly on CMS Medicare Physician & Other Practitioners data, no figure is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, the data changelog, or report a data error.