Idaho / Madison Memorial Hospital
CMS certification 130025 · Rexburg, ID · 1 entry in CMS's price-transparency list
Madison Memorial Hospital: charges and Medicare payments
Madison Memorial Hospital reported 30 Medicare inpatient stays across 2 DRGs in 2024. Across them it charged 2.14 times what it was paid. Its most frequent stay was DRG 189, Pulmonary Edema and Respiratory Failure: 15 stays at an average charge of $24,640, 57% below the national average. It also billed 299 outpatient services, charging 4.11 times what Medicare paid.
- 1Medicare inpatient stays 30
- 2Charge ÷ paid, inpatient 2.14×
- 3Rank in ID (highest ratio = 1) –
- 4CMS price-transparency actions 1
Inpatient stays
For the 2 DRGs that can be compared with the national average, Madison Memorial Hospital 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 |
|---|---|---|---|---|
| 189 Pulmonary Edema and Respiratory Failure | 15 | $24,640 | -57% | $10,839 |
| 871 Septicemia or Severe Sepsis without MV >96 Hours with MCC | 15 | $32,884 | -64% | $16,013 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Level 5 Musculoskeletal Procedures | 62 | $39,952 | $11,865 |
| Level 3 Musculoskeletal Procedures | 48 | $8,832 | $2,922 |
| Comprehensive Observation Services | 29 | $12,536 | $2,471 |
| Level 2 Musculoskeletal Procedures | 28 | $3,935 | $1,451 |
| Level 4 Musculoskeletal Procedures | 27 | $24,753 | $6,458 |
| Level 1 Laparoscopy and Related Services | 27 | $17,158 | $5,209 |
| Level 6 Musculoskeletal Procedures | 21 | $62,932 | $16,788 |
| Level 1 Nerve Procedures | 18 | $4,033 | $1,743 |
| Level 1 Abdominal/Peritoneal/Biliary and Related Procedures | 16 | $9,971 | $3,123 |
| Level 3 Vascular Procedures | 12 | $8,923 | $2,877 |
| Level 3 Excision/ Biopsy/ Incision and Drainage | 11 | $6,488 | $2,565 |
Against the Idaho average
For Pulmonary Edema and Respiratory Failure (DRG 189), Madison Memorial Hospital charged $24,640 on average, 43% less than the Idaho average of $43,340, and was paid $10,839 against a state average of $10,491. For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Madison Memorial Hospital charged $32,884 on average, 50% less than the Idaho average of $65,631, and was paid $16,013 against a state average of $16,189. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $39,952 was 22% below the state average of $51,453. For Level 3 Musculoskeletal Procedures (outpatient APC 5113), its average charge of $8,832 was 41% below the state average of $15,009. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $12,536 was 22% below the state average of $16,143. For Level 2 Musculoskeletal Procedures (outpatient APC 5112), its average charge of $3,935 was 46% below the state average of $7,265.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Madison Memorial Hospital in Rexburg, ID, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Met Requirements — 2026-06-04 (CMS case 7973)
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.