Idaho / Eastern Idaho Regional Medical Center
CMS certification 130018 · Idaho Falls, ID · 3 entries in CMS's price-transparency list
Eastern Idaho Regional Medical Center: charges and Medicare payments
Eastern Idaho Regional Medical Center reported 1,473 Medicare inpatient stays across 57 DRGs in 2024. Across them it charged 6.78 times what it was paid — among the higher ratios in Idaho, number 1 of 13 hospitals with at least 100 stays (state median 4.16×, national 4.15×). Its most frequent stay was DRG 871, Septicemia or Severe Sepsis without MV >96 Hours with MCC: 183 stays at an average charge of $78,065, 14% below the national average. It also billed 1,510 outpatient services, charging 15.77 times what Medicare paid.
- 1Medicare inpatient stays 1,473
- 2Charge ÷ paid, inpatient 6.78×
- 3Rank in ID (highest ratio = 1) 1 of 13
- 4CMS price-transparency actions 3
Inpatient stays
For the 57 DRGs that can be compared with the national average, Eastern Idaho Regional Medical Center charged more than the national average in 33 (58%). Payments follow Medicare's rates, so they usually vary far less than charges.
| DRG | Stays | Avg charge | vs US | Avg paid |
|---|---|---|---|---|
| 871 Septicemia or Severe Sepsis without MV >96 Hours with MCC | 183 | $78,065 | -14% | $16,183 |
| 274 Percutaneous and Other Intracardiac Procedures without MCC | 83 | $275,963 | +76% | $25,379 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 70 | $92,866 | -7% | $15,022 |
| 193 Simple Pneumonia and Pleurisy with MCC | 55 | $61,842 | +3% | $11,316 |
| 291 Heart Failure and Shock with MCC | 54 | $60,801 | +8% | $10,593 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 45 | $56,562 | +2% | $8,508 |
| 208 Respiratory System Diagnosis with Ventilator Support <=96... | 42 | $147,471 | +9% | $21,527 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 40 | $118,263 | +56% | $12,623 |
| 682 Renal Failure with MCC | 38 | $50,059 | -24% | $13,383 |
| 454 Combined Anterior and Posterior Spinal Fusion with CC | 37 | $293,126 | +5% | $52,065 |
| 267 Endovascular Cardiac Valve Replacement and Supplement... | 34 | $316,937 | +43% | $46,119 |
| 321 Percutaneous Cardiovascular Procedures with Intraluminal... | 34 | $206,317 | +26% | $25,032 |
| 322 Percutaneous Cardiovascular Procedures with Intraluminal... | 33 | $177,412 | +55% | $16,913 |
| 189 Pulmonary Edema and Respiratory Failure | 31 | $53,437 | -7% | $11,330 |
| 177 Respiratory Infections and Inflammations with MCC | 30 | $84,908 | +20% | $13,783 |
| 025 Craniotomy and Endovascular Intracranial Procedures with MCC | 28 | $199,222 | -14% | $33,349 |
| 683 Renal Failure with CC | 28 | $35,142 | -14% | $8,028 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 28 | $73,694 | 0% | $13,033 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 25 | $53,451 | +9% | $8,858 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 24 | $57,809 | -4% | $10,727 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 23 | $311,768 | +36% | $42,945 |
| 069 Transient Ischemia without Thrombolytic | 21 | $45,199 | -10% | $6,773 |
| 229 Other Cardiothoracic Procedures without MCC | 19 | $271,506 | +64% | $25,037 |
| 885 Psychoses | 19 | $79,018 | +79% | $13,238 |
| 377 Gastrointestinal Hemorrhage with MCC | 18 | $93,280 | +9% | $13,421 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 18 | $31,619 | -21% | $6,908 |
| 481 Hip and Femur Procedures except Major Joint with CC | 18 | $118,476 | +18% | $17,097 |
| 091 Other Disorders of Nervous System with MCC | 16 | $62,889 | -24% | $13,693 |
| 163 Major Chest Procedures with MCC | 16 | $344,180 | +63% | $63,516 |
| 455 Combined Anterior and Posterior Spinal Fusion without CC/MCC | 16 | $248,882 | +23% | $40,249 |
| 023 Craniotomy with Major Device Implant or Acute Complex Cns... | 15 | $314,918 | +12% | $40,119 |
| 470 Major Hip and Knee Joint Replacement or Reattachment of... | 15 | $122,281 | +31% | $15,334 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 15 | $28,575 | -23% | $6,928 |
| 689 Kidney and Urinary Tract Infections with MCC | 15 | $48,131 | -6% | $9,617 |
| 175 Pulmonary Embolism with MCC or Acute Cor Pulmonale | 14 | $44,900 | -31% | $10,800 |
| 286 Circulatory Disorders except AMI, with Cardiac... | 14 | $141,113 | +26% | $17,561 |
| 305 Hypertension without MCC | 14 | $34,987 | -13% | $6,202 |
| 378 Gastrointestinal Hemorrhage with CC | 14 | $63,537 | +31% | $8,391 |
| 453 Combined Anterior and Posterior Spinal Fusion with MCC | 14 | $526,544 | +16% | $90,604 |
| 472 Cervical Spinal Fusion with CC | 14 | $121,286 | -15% | $23,321 |
| 482 Hip and Femur Procedures except Major Joint without CC/MCC | 14 | $98,880 | +27% | $13,301 |
| 699 Other Kidney and Urinary Tract Diagnoses with CC | 14 | $43,866 | -8% | $8,723 |
| 100 Seizures with MCC | 13 | $90,819 | -4% | $16,037 |
| 917 Poisoning and Toxic Effects of Drugs with MCC | 13 | $73,117 | -2% | $13,281 |
| 085 Traumatic Stupor and Coma <1 Hour with MCC | 12 | $99,035 | -9% | $16,629 |
| 243 Permanent Cardiac Pacemaker Implant with CC | 12 | $199,247 | +79% | $20,285 |
| 281 Acute Myocardial Infarction, Discharged Alive with CC | 12 | $71,558 | +42% | $8,922 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 12 | $28,679 | -21% | $6,554 |
| 329 Major Small and Large Bowel Procedures with MCC | 12 | $244,857 | +14% | $34,892 |
| 480 Hip and Femur Procedures except Major Joint with MCC | 12 | $133,368 | -4% | $22,400 |
| 057 Degenerative Nervous System Disorders without MCC | 11 | $39,945 | -29% | $10,929 |
| 082 Traumatic Stupor and Coma >1 Hour with MCC | 11 | $187,562 | +63% | $19,198 |
| 234 Coronary Bypass with Cardiac Catheterization or Open... | 11 | $448,047 | +67% | $41,095 |
| 252 Other Vascular Procedures with MCC | 11 | $276,948 | +62% | $29,516 |
| 287 Circulatory Disorders except AMI, with Cardiac... | 11 | $99,713 | +56% | $8,558 |
| 516 Other Musculoskeletal System and Connective Tissue O.R.... | 11 | $113,466 | +12% | $16,592 |
| 811 Red Blood Cell Disorders with MCC | 11 | $68,162 | 0% | $11,780 |
Outpatient services
Against the Idaho average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Eastern Idaho Regional Medical Center charged $78,065 on average, 19% more than the Idaho average of $65,631, and was paid $16,183 against a state average of $16,189. For Percutaneous and Other Intracardiac Procedures without MCC (DRG 274), Eastern Idaho Regional Medical Center charged $275,963 on average, 128% more than the Idaho average of $121,268, and was paid $25,379 against a state average of $24,800. For Intracranial Hemorrhage or Cerebral Infarction with MCC (DRG 064), Eastern Idaho Regional Medical Center charged $92,866 on average, 26% more than the Idaho average of $73,416, and was paid $15,022 against a state average of $15,637. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Eastern Idaho Regional Medical Center charged $61,842 on average, 41% more than the Idaho average of $44,005, and was paid $11,316 against a state average of $11,057. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $62,286 was 114% above the state average of $29,086. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $22,316 was 38% above the state average of $16,143. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $19,111 was 132% above the state average of $8,252. For Level 3 Vascular Procedures (outpatient APC 5183), its average charge of $34,153 was 94% above the state average of $17,600.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Eastern Idaho Regional Medical Center in Idaho Falls, ID, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Met Requirements — 2023-12-06 (CMS case 1987)
- Met Requirements — 2025-04-15 (CMS case 3821)
- Met Requirements — 2025-05-01 (CMS case 4256)
A warning notice or corrective-action request is not a finding of wrongdoing; "Met Requirements" and closure notices record that CMS's review ended. Matched to this hospital by exact name, city and state.
Charges are the hospital's list prices averaged over its 2024 Medicare cases; payments are what those cases actually brought in. Neither is what you will pay. For a planned procedure, ask the hospital for its price estimate or, if you are uninsured or self-paying, a good-faith estimate.
Sources: CMS Medicare Inpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Medicare Outpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Hospital Price Transparency Enforcement Activities and Outcomes, July 2026. Checked 2026-10-24. Methodology.