Idaho / Portneuf Medical Center
CMS certification 130028 · Pocatello, ID · 4 entries in CMS's price-transparency list
Portneuf Medical Center: charges and Medicare payments
Portneuf Medical Center reported 1,018 Medicare inpatient stays across 36 DRGs in 2024. Across them it charged 5.1 times what it was paid — among the higher ratios in Idaho, number 2 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: 223 stays at an average charge of $82,635, 8% below the national average. It also billed 1,976 outpatient services, charging 11.33 times what Medicare paid.
- 1Medicare inpatient stays 1,018
- 2Charge ÷ paid, inpatient 5.1×
- 3Rank in ID (highest ratio = 1) 2 of 13
- 4CMS price-transparency actions 4
Inpatient stays
For the 36 DRGs that can be compared with the national average, Portneuf Medical Center charged more than the national average in 22 (61%). 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 | 223 | $82,635 | -8% | $19,852 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 53 | $55,709 | +14% | $10,859 |
| 291 Heart Failure and Shock with MCC | 52 | $59,796 | +6% | $12,754 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 46 | $208,270 | -9% | $46,708 |
| 193 Simple Pneumonia and Pleurisy with MCC | 42 | $62,644 | +5% | $12,789 |
| 177 Respiratory Infections and Inflammations with MCC | 38 | $58,975 | -16% | $16,424 |
| 274 Percutaneous and Other Intracardiac Procedures without MCC | 32 | $187,295 | +19% | $31,204 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 31 | $69,204 | -6% | $16,770 |
| 189 Pulmonary Edema and Respiratory Failure | 29 | $49,433 | -14% | $11,729 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 24 | $40,246 | +11% | $7,331 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 23 | $71,570 | +19% | $14,014 |
| 682 Renal Failure with MCC | 23 | $64,644 | -2% | $15,546 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 21 | $61,855 | +11% | $9,990 |
| 267 Endovascular Cardiac Valve Replacement and Supplement... | 21 | $306,528 | +39% | $47,408 |
| 683 Renal Failure with CC | 21 | $42,361 | +4% | $8,865 |
| 236 Coronary Bypass without Cardiac Catheterization without MCC | 20 | $275,085 | +31% | $47,954 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 20 | $69,740 | -8% | $15,682 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 20 | $32,538 | -19% | $7,747 |
| 481 Hip and Femur Procedures except Major Joint with CC | 20 | $186,792 | +85% | $19,305 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 19 | $88,606 | -11% | $19,537 |
| 175 Pulmonary Embolism with MCC or Acute Cor Pulmonale | 19 | $61,405 | -6% | $13,013 |
| 322 Percutaneous Cardiovascular Procedures with Intraluminal... | 18 | $185,224 | +62% | $19,609 |
| 378 Gastrointestinal Hemorrhage with CC | 18 | $57,414 | +18% | $9,756 |
| 689 Kidney and Urinary Tract Infections with MCC | 17 | $53,904 | +5% | $11,608 |
| 281 Acute Myocardial Infarction, Discharged Alive with CC | 16 | $67,772 | +34% | $9,416 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 16 | $56,382 | 0% | $12,745 |
| 552 Medical Back Problems without MCC | 16 | $47,842 | -2% | $9,525 |
| 690 Kidney and Urinary Tract Infections without MCC | 16 | $53,272 | +41% | $7,511 |
| 310 Cardiac Arrhythmia and Conduction Disorders without CC/MCC | 14 | $32,852 | +14% | $5,470 |
| 321 Percutaneous Cardiovascular Procedures with Intraluminal... | 14 | $242,633 | +48% | $28,272 |
| 377 Gastrointestinal Hemorrhage with MCC | 14 | $67,601 | -21% | $18,460 |
| 563 Fracture, Sprain, Strain and Dislocation except Femur, Hip,... | 14 | $46,476 | +9% | $8,907 |
| 470 Major Hip and Knee Joint Replacement or Reattachment of... | 13 | $148,842 | +60% | $19,633 |
| 184 Major Chest Trauma with CC | 12 | $70,855 | +28% | $10,413 |
| 389 Gastrointestinal Obstruction with CC | 12 | $31,179 | -20% | $8,770 |
| 854 Infectious and Parasitic Diseases with O.R. Procedures with... | 11 | $99,356 | +1% | $19,969 |
Outpatient services
Against the Idaho average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Portneuf Medical Center charged $82,635 on average, 26% more than the Idaho average of $65,631, and was paid $19,852 against a state average of $16,189. For Septicemia or Severe Sepsis without MV >96 Hours without MCC (DRG 872), Portneuf Medical Center charged $55,709 on average, 35% more than the Idaho average of $41,154, and was paid $10,859 against a state average of $9,365. For Heart Failure and Shock with MCC (DRG 291), Portneuf Medical Center charged $59,796 on average, 27% more than the Idaho average of $47,013, and was paid $12,754 against a state average of $10,637. For Infectious and Parasitic Diseases with O.R. Procedures with MCC (DRG 853), Portneuf Medical Center charged $208,270 on average, 23% more than the Idaho average of $168,775, and was paid $46,708 against a state average of $40,708. For Level 2 Urology and Related Services (outpatient APC 5372), its average charge of $1,891 was 114% above the state average of $883. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $43,028 was 48% above the state average of $29,086. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $13,797 was 67% above the state average of $8,252. For Level 3 Urology and Related Services (outpatient APC 5373), its average charge of $9,906 was 120% above the state average of $4,503.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Portneuf Medical Center in Pocatello, ID, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Warning Notice — 2023-03-29 (CMS case 1280)
- Closure Notice — 2023-10-16 (CMS case 1280)
- Warning Notice — 2025-04-24 (CMS case 4070)
- Closure Notice — 2025-07-28 (CMS case 4070)
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.