Idaho / Northwest Specialty Hospital
CMS certification 130066 · Post Falls, ID
Northwest Specialty Hospital: charges and Medicare payments
Northwest Specialty Hospital reported 200 Medicare inpatient stays across 8 DRGs in 2024. Across them it charged 5.01 times what it was paid — among the higher ratios in Idaho, number 3 of 13 hospitals with at least 100 stays (state median 4.16×, national 4.15×). Its most frequent stay was DRG 454, Combined Anterior and Posterior Spinal Fusion with CC: 77 stays at an average charge of $241,812, 14% below the national average. It also billed 1,736 outpatient services, charging 5.63 times what Medicare paid.
- 1Medicare inpatient stays 200
- 2Charge ÷ paid, inpatient 5.01×
- 3Rank in ID (highest ratio = 1) 3 of 13
- 4CMS price-transparency actions 0
Inpatient stays
For the 8 DRGs that can be compared with the national average, Northwest Specialty 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 |
|---|---|---|---|---|
| 454 Combined Anterior and Posterior Spinal Fusion with CC | 77 | $241,812 | -14% | $50,359 |
| 455 Combined Anterior and Posterior Spinal Fusion without CC/MCC | 39 | $182,792 | -10% | $34,337 |
| 460 Spinal Fusion except Cervical without MCC | 18 | $168,703 | -1% | $29,793 |
| 427 Multiple Level Combined Anterior and Posterior Spinal Fusion... | 16 | $339,056 | -1% | $64,301 |
| 472 Cervical Spinal Fusion with CC | 16 | $97,564 | -32% | $20,388 |
| 402 Single Level Combined Anterior and Posterior Spinal Fusion... | 12 | $157,461 | -16% | $30,420 |
| 330 Major Small and Large Bowel Procedures with CC | 11 | $50,077 | -58% | $15,597 |
| 473 Cervical Spinal Fusion without CC/MCC | 11 | $92,618 | -19% | $16,355 |
Outpatient services
Against the Idaho average
For Combined Anterior and Posterior Spinal Fusion with CC (DRG 454), Northwest Specialty Hospital charged $241,812 on average, 0% less than the Idaho average of $242,884, and was paid $50,359 against a state average of $51,128. For Combined Anterior and Posterior Spinal Fusion without CC/MCC (DRG 455), Northwest Specialty Hospital charged $182,792 on average, 7% more than the Idaho average of $170,839, and was paid $34,337 against a state average of $35,816. For Spinal Fusion except Cervical without MCC (DRG 460), Northwest Specialty Hospital charged $168,703 on average, 15% more than the Idaho average of $146,806, and was paid $29,793 against a state average of $31,338. For Multiple Level Combined Anterior and Posterior Spinal Fusion except Cervical with CC (DRG 427), Northwest Specialty Hospital charged $339,056 on average, 6% more than the Idaho average of $319,172, and was paid $64,301 against a state average of $60,118. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $57,860 was 12% above the state average of $51,453. For Level 1 Nerve Procedures (outpatient APC 5431), its average charge of $4,651 was 47% below the state average of $8,830. For Level 4 Musculoskeletal Procedures (outpatient APC 5114), its average charge of $33,007 was 1% above the state average of $32,787. For Level 2 Upper GI Procedures (outpatient APC 5302), its average charge of $7,361 was 11% below the state average of $8,277.
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.