Idaho / Idaho Falls Community Hospital, LLC
CMS certification 130074 · Idaho Falls, ID
Idaho Falls Community Hospital, LLC: charges and Medicare payments
Idaho Falls Community Hospital, LLC reported 347 Medicare inpatient stays across 19 DRGs in 2024. Across them it charged 3.68 times what it was paid — among the lower ratios in Idaho, number 11 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: 50 stays at an average charge of $48,748, 46% below the national average. It also billed 766 outpatient services, charging 5.29 times what Medicare paid.
- 1Medicare inpatient stays 347
- 2Charge ÷ paid, inpatient 3.68×
- 3Rank in ID (highest ratio = 1) 11 of 13
- 4CMS price-transparency actions 0
Inpatient stays
For the 19 DRGs that can be compared with the national average, Idaho Falls Community Hospital, LLC charged more than the national average in 0 (0%). 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 | 50 | $48,748 | -46% | $13,486 |
| 177 Respiratory Infections and Inflammations with MCC | 32 | $46,459 | -34% | $11,562 |
| 189 Pulmonary Edema and Respiratory Failure | 26 | $39,346 | -32% | $8,784 |
| 683 Renal Failure with CC | 25 | $26,721 | -34% | $6,344 |
| 378 Gastrointestinal Hemorrhage with CC | 24 | $26,948 | -44% | $6,589 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 21 | $31,713 | -47% | $8,505 |
| 389 Gastrointestinal Obstruction with CC | 17 | $18,081 | -54% | $5,713 |
| 291 Heart Failure and Shock with MCC | 15 | $35,282 | -37% | $8,543 |
| 481 Hip and Femur Procedures except Major Joint with CC | 15 | $47,846 | -53% | $13,899 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 15 | $34,224 | -8% | $7,412 |
| 690 Kidney and Urinary Tract Infections without MCC | 14 | $22,247 | -41% | $5,661 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 14 | $90,178 | -61% | $30,713 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 12 | $36,308 | -28% | $7,730 |
| 460 Spinal Fusion except Cervical without MCC | 12 | $78,370 | -54% | $27,495 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 11 | $22,933 | -59% | $7,231 |
| 178 Respiratory Infections and Inflammations with CC | 11 | $21,437 | -53% | $6,511 |
| 193 Simple Pneumonia and Pleurisy with MCC | 11 | $41,415 | -31% | $10,591 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 11 | $19,096 | -47% | $5,361 |
| 948 Signs and Symptoms without MCC | 11 | $24,284 | -36% | $5,408 |
Outpatient services
Against the Idaho average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Idaho Falls Community Hospital, LLC charged $48,748 on average, 26% less than the Idaho average of $65,631, and was paid $13,486 against a state average of $16,189. For Respiratory Infections and Inflammations with MCC (DRG 177), Idaho Falls Community Hospital, LLC charged $46,459 on average, 9% less than the Idaho average of $51,217, and was paid $11,562 against a state average of $13,035. For Pulmonary Edema and Respiratory Failure (DRG 189), Idaho Falls Community Hospital, LLC charged $39,346 on average, 9% less than the Idaho average of $43,340, and was paid $8,784 against a state average of $10,491. For Renal Failure with CC (DRG 683), Idaho Falls Community Hospital, LLC charged $26,721 on average, 13% less than the Idaho average of $30,657, and was paid $6,344 against a state average of $7,627. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $17,276 was 41% below the state average of $29,086. For Level 3 Vascular Procedures (outpatient APC 5183), its average charge of $7,809 was 56% below the state average of $17,600. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $13,029 was 19% below the state average of $16,143. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $41,998 was 18% below the state average of $51,453.
Price-transparency record
No action in CMS's price-transparency enforcement list (July 2026) matches this hospital's exact name, city and state. That can mean CMS has not reviewed it, or that it is listed under a different name.
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.