Saint Alphonsus Regional Medical Center: charges and Medicare payments

Saint Alphonsus Regional Medical Center reported 2,541 Medicare inpatient stays across 98 DRGs in 2024. Across them it charged 3.89 times what it was paid — among the lower ratios in Idaho, number 9 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: 222 stays at an average charge of $72,828, 19% below the national average. It also billed 2,680 outpatient services, charging 4.13 times what Medicare paid.

1Medicare inpatient stays 2,541
2Charge ÷ paid, inpatient 3.89×
3Rank in ID (highest ratio = 1) 9 of 13
4CMS price-transparency actions 0

Average charge per stay at Saint Alphonsus Regional Medical Center, its 10 most frequent DRGs, bars to scale. Source: CMS DY2024.

Inpatient stays

For the 98 DRGs that can be compared with the national average, Saint Alphonsus Regional Medical Center charged more than the national average in 10 (10%). 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	222	$72,828	-19%	$17,201
291 Heart Failure and Shock with MCC	98	$60,126	+7%	$10,671
274 Percutaneous and Other Intracardiac Procedures without MCC	83	$73,202	-53%	$25,642
280 Acute Myocardial Infarction, Discharged Alive with MCC	64	$64,107	-15%	$13,843
885 Psychoses	55	$76,355	+73%	$15,793
309 Cardiac Arrhythmia and Conduction Disorders with CC	53	$33,510	-7%	$7,168
065 Intracranial Hemorrhage or Cerebral Infarction with CC or...	52	$42,507	-24%	$8,420
481 Hip and Femur Procedures except Major Joint with CC	48	$82,619	-18%	$17,043
064 Intracranial Hemorrhage or Cerebral Infarction with MCC	46	$77,815	-22%	$16,079
189 Pulmonary Edema and Respiratory Failure	46	$46,033	-20%	$11,010
378 Gastrointestinal Hemorrhage with CC	43	$31,930	-34%	$8,935
872 Septicemia or Severe Sepsis without MV >96 Hours without MCC	42	$42,204	-14%	$11,244
177 Respiratory Infections and Inflammations with MCC	40	$60,297	-15%	$14,348
641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	40	$34,795	-6%	$7,525
220 Cardiac Valve and Other Major Cardiothoracic Procedures...	39	$178,898	-35%	$45,493
330 Major Small and Large Bowel Procedures with CC	39	$76,271	-36%	$21,664
853 Infectious and Parasitic Diseases with O.R. Procedures with...	39	$192,609	-16%	$45,984
025 Craniotomy and Endovascular Intracranial Procedures with MCC	38	$120,504	-48%	$37,058
267 Endovascular Cardiac Valve Replacement and Supplement...	37	$107,662	-51%	$37,697
193 Simple Pneumonia and Pleurisy with MCC	35	$41,659	-30%	$11,532
552 Medical Back Problems without MCC	34	$39,389	-19%	$9,026
266 Endovascular Cardiac Valve Replacement and Supplement...	32	$126,492	-56%	$51,680
321 Percutaneous Cardiovascular Procedures with Intraluminal...	32	$135,363	-17%	$25,221
467 Revision of Hip or Knee Replacement with CC	32	$99,484	-37%	$28,673
377 Gastrointestinal Hemorrhage with MCC	30	$57,843	-32%	$14,186
281 Acute Myocardial Infarction, Discharged Alive with CC	29	$40,405	-20%	$8,486
322 Percutaneous Cardiovascular Procedures with Intraluminal...	29	$80,057	-30%	$17,621
522 Hip Replacement with Principal Diagnosis of Hip Fracture...	29	$72,921	-29%	$16,459
470 Major Hip and Knee Joint Replacement or Reattachment of...	28	$57,699	-38%	$16,226
683 Renal Failure with CC	28	$31,913	-22%	$7,490
308 Cardiac Arrhythmia and Conduction Disorders with MCC	27	$72,775	+28%	$13,896
287 Circulatory Disorders except AMI, with Cardiac...	26	$48,966	-23%	$9,836
243 Permanent Cardiac Pacemaker Implant with CC	25	$62,401	-44%	$19,954
083 Traumatic Stupor and Coma >1 Hour with CC	24	$43,009	-41%	$11,525
190 Chronic Obstructive Pulmonary Disease with MCC	23	$41,305	-18%	$9,456
392 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	23	$29,214	-27%	$7,168
682 Renal Failure with MCC	23	$71,018	+8%	$14,186
698 Other Kidney and Urinary Tract Diagnoses with MCC	23	$70,272	-4%	$17,385
331 Major Small and Large Bowel Procedures without CC/MCC	22	$53,325	-38%	$14,629
468 Revision of Hip or Knee Replacement without CC/MCC	22	$81,409	-34%	$22,584
310 Cardiac Arrhythmia and Conduction Disorders without CC/MCC	21	$27,467	-4%	$5,485
312 Syncope and Collapse	21	$38,504	-15%	$8,134
493 Lower Extremity and Humerus Procedures except Hip, Foot and...	21	$67,390	-43%	$20,298
551 Medical Back Problems with MCC	20	$63,238	-20%	$14,244
640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	20	$49,432	-18%	$11,912
023 Craniotomy with Major Device Implant or Acute Complex Cns...	19	$177,293	-37%	$56,971
082 Traumatic Stupor and Coma >1 Hour with MCC	19	$64,050	-44%	$18,683
184 Major Chest Trauma with CC	19	$32,639	-41%	$8,822
329 Major Small and Large Bowel Procedures with MCC	19	$107,705	-50%	$36,159
389 Gastrointestinal Obstruction with CC	19	$26,176	-33%	$7,254
435 Malignancy of Hepatobiliary System or Pancreas with MCC	19	$57,021	-40%	$15,805
183 Major Chest Trauma with MCC	18	$63,356	-15%	$13,325
418 Laparoscopic Cholecystectomy without C.D.E. with CC	18	$55,951	-40%	$13,622
480 Hip and Femur Procedures except Major Joint with MCC	17	$94,016	-32%	$24,134
689 Kidney and Urinary Tract Infections with MCC	17	$43,250	-16%	$10,229
175 Pulmonary Embolism with MCC or Acute Cor Pulmonale	16	$50,305	-23%	$11,733
494 Lower Extremity and Humerus Procedures except Hip, Foot and...	16	$62,073	-35%	$15,385
690 Kidney and Urinary Tract Infections without MCC	16	$28,447	-25%	$7,316
981 Extensive O.R. Procedures Unrelated To Principal Diagnosis...	16	$190,280	-12%	$43,566
057 Degenerative Nervous System Disorders without MCC	15	$49,255	-13%	$11,733

Showing the 60 most frequent of 98 DRGs.

Outpatient services

Service (APC)	Services	Avg charge	Medicare allowed
Level 5 Musculoskeletal Procedures	326	$38,646	$12,516
Level 4 Musculoskeletal Procedures	230	$26,185	$6,925
Level 1 Endovascular Procedures	171	$18,414	$3,146
Level 2 Excision/ Biopsy/ Incision and Drainage	127	$5,965	$1,519
Level 2 Upper GI Procedures	123	$7,656	$1,830
Level 1 Laparoscopy and Related Services	120	$24,854	$5,548
Level 3 Electrophysiologic Procedures	114	$87,816	$22,928
Comprehensive Observation Services	112	$17,631	$2,632
Level 2 Laparoscopy and Related Services	90	$39,128	$9,771
Level 6 Musculoskeletal Procedures	78	$49,106	$16,949
Level 3 Pacemaker and Similar Procedures	78	$25,522	$10,326
Level 3 Musculoskeletal Procedures	74	$13,705	$3,066
Level 3 Vascular Procedures	74	$12,596	$3,052
Level 2 Vascular Procedures	69	$4,495	$1,550
Level 3 Excision/ Biopsy/ Incision and Drainage	57	$10,631	$2,645
Level 2 Musculoskeletal Procedures	56	$6,909	$1,556
Level 3 Endovascular Procedures	52	$49,870	$10,638
Level 1 Nerve Procedures	51	$8,107	$1,840
Level 2 Pacemaker and Similar Procedures	50	$15,035	$8,223
Level 2 Breast/Lymphatic Surgery and Related Procedures	40	$23,691	$6,312
Level 4 Pacemaker and Similar Procedures	39	$45,872	$18,816
Level 2 ICD and Similar Procedures	38	$60,864	$31,747
Level 3 Airway Endoscopy	37	$3,437	$1,607
Level 4 Airway Endoscopy	33	$13,723	$3,625
Level 4 Endovascular Procedures	33	$59,464	$16,936

Against the Idaho average

For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Saint Alphonsus Regional Medical Center charged $72,828 on average, 11% more than the Idaho average of $65,631, and was paid $17,201 against a state average of $16,189. For Heart Failure and Shock with MCC (DRG 291), Saint Alphonsus Regional Medical Center charged $60,126 on average, 28% more than the Idaho average of $47,013, and was paid $10,671 against a state average of $10,637. For Percutaneous and Other Intracardiac Procedures without MCC (DRG 274), Saint Alphonsus Regional Medical Center charged $73,202 on average, 40% less than the Idaho average of $121,268, and was paid $25,642 against a state average of $24,800. For Acute Myocardial Infarction, Discharged Alive with MCC (DRG 280), Saint Alphonsus Regional Medical Center charged $64,107 on average, 6% less than the Idaho average of $67,889, and was paid $13,843 against a state average of $13,417. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $38,646 was 25% below the state average of $51,453. For Level 4 Musculoskeletal Procedures (outpatient APC 5114), its average charge of $26,185 was 20% below the state average of $32,787. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $18,414 was 37% below the state average of $29,086. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $5,965 was 28% below the state average of $8,252.

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.