Idaho / St Joseph Regional Medical Center
CMS certification 130003 · Lewiston, ID · 1 entry in CMS's price-transparency list
St Joseph Regional Medical Center: charges and Medicare payments
St Joseph Regional Medical Center reported 570 Medicare inpatient stays across 24 DRGs in 2024. Across them it charged 3.11 times what it was paid — among the lower ratios in Idaho, number 13 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: 107 stays at an average charge of $46,697, 48% below the national average. It also billed 1,322 outpatient services, charging 6.8 times what Medicare paid.
- 1Medicare inpatient stays 570
- 2Charge ÷ paid, inpatient 3.11×
- 3Rank in ID (highest ratio = 1) 13 of 13
- 4CMS price-transparency actions 1
Inpatient stays
For the 24 DRGs that can be compared with the national average, St Joseph Regional Medical Center 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 | 107 | $46,697 | -48% | $18,418 |
| 322 Percutaneous Cardiovascular Procedures with Intraluminal... | 40 | $61,726 | -46% | $17,995 |
| 291 Heart Failure and Shock with MCC | 39 | $36,819 | -35% | $12,073 |
| 193 Simple Pneumonia and Pleurisy with MCC | 31 | $29,555 | -51% | $12,616 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 28 | $42,396 | -44% | $14,757 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 24 | $33,064 | -33% | $9,558 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 22 | $36,038 | -35% | $9,495 |
| 455 Combined Anterior and Posterior Spinal Fusion without CC/MCC | 21 | $156,020 | -23% | $42,704 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 21 | $25,731 | -31% | $7,249 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 20 | $138,273 | -40% | $46,050 |
| 177 Respiratory Infections and Inflammations with MCC | 19 | $48,572 | -31% | $15,540 |
| 189 Pulmonary Edema and Respiratory Failure | 18 | $29,985 | -48% | $11,464 |
| 281 Acute Myocardial Infarction, Discharged Alive with CC | 18 | $37,823 | -25% | $9,026 |
| 682 Renal Failure with MCC | 18 | $39,149 | -41% | $13,963 |
| 282 Acute Myocardial Infarction, Discharged Alive without CC/MCC | 17 | $27,283 | -37% | $6,705 |
| 522 Hip Replacement with Principal Diagnosis of Hip Fracture... | 17 | $66,222 | -35% | $19,680 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 17 | $32,229 | -47% | $12,173 |
| 176 Pulmonary Embolism without MCC | 14 | $31,609 | -24% | $7,570 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 14 | $26,660 | -26% | $6,898 |
| 321 Percutaneous Cardiovascular Procedures with Intraluminal... | 14 | $88,065 | -46% | $26,674 |
| 683 Renal Failure with CC | 14 | $37,953 | -7% | $8,343 |
| 272 Other Major Cardiovascular Procedures without CC/MCC | 13 | $83,508 | -33% | $22,638 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 12 | $44,163 | -56% | $18,525 |
| 481 Hip and Femur Procedures except Major Joint with CC | 12 | $71,189 | -29% | $19,351 |
Outpatient services
Against the Idaho average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), St Joseph Regional Medical Center charged $46,697 on average, 29% less than the Idaho average of $65,631, and was paid $18,418 against a state average of $16,189. For Percutaneous Cardiovascular Procedures with Intraluminal Device without MCC (DRG 322), St Joseph Regional Medical Center charged $61,726 on average, 37% less than the Idaho average of $97,692, and was paid $17,995 against a state average of $16,569. For Heart Failure and Shock with MCC (DRG 291), St Joseph Regional Medical Center charged $36,819 on average, 22% less than the Idaho average of $47,013, and was paid $12,073 against a state average of $10,637. For Simple Pneumonia and Pleurisy with MCC (DRG 193), St Joseph Regional Medical Center charged $29,555 on average, 33% less than the Idaho average of $44,005, and was paid $12,616 against a state average of $11,057. For Level 3 Vascular Procedures (outpatient APC 5183), its average charge of $23,126 was 31% above the state average of $17,600. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $8,184 was 1% below the state average of $8,252. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $71,311 was 39% above the state average of $51,453. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $15,785 was 2% below the state average of $16,143.
Price-transparency record
CMS's enforcement list records these actions for a hospital named St Joseph Regional Medical Center in Lewiston, ID, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Met Requirements — 2025-04-14 (CMS case 3806)
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.