St Luke's Regional Medical Center: charges and Medicare payments

St Luke's Regional Medical Center reported 4,449 Medicare inpatient stays across 135 DRGs in 2024. Across them it charged 4.76 times what it was paid — among the higher ratios in Idaho, number 4 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: 493 stays at an average charge of $73,841, 18% below the national average. It also billed 7,062 outpatient services, charging 5.02 times what Medicare paid.

1Medicare inpatient stays 4,449
2Charge ÷ paid, inpatient 4.76×
3Rank in ID (highest ratio = 1) 4 of 13
4CMS price-transparency actions 0

Average charge per stay at St Luke's Regional Medical Center, its 10 most frequent DRGs, bars to scale. Source: CMS DY2024.

Inpatient stays

For the 135 DRGs that can be compared with the national average, St Luke's Regional Medical Center charged more than the national average in 23 (17%). 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	493	$73,841	-18%	$15,547
291 Heart Failure and Shock with MCC	184	$49,188	-13%	$10,334
177 Respiratory Infections and Inflammations with MCC	145	$56,497	-20%	$12,459
274 Percutaneous and Other Intracardiac Procedures without MCC	111	$63,051	-60%	$24,089
872 Septicemia or Severe Sepsis without MV >96 Hours without MCC	105	$41,425	-16%	$8,841
193 Simple Pneumonia and Pleurisy with MCC	99	$45,477	-24%	$10,402
189 Pulmonary Edema and Respiratory Failure	90	$61,801	+7%	$10,026
280 Acute Myocardial Infarction, Discharged Alive with MCC	90	$62,866	-17%	$12,620
065 Intracranial Hemorrhage or Cerebral Infarction with CC or...	86	$45,677	-18%	$8,820
322 Percutaneous Cardiovascular Procedures with Intraluminal...	79	$91,348	-20%	$16,278
064 Intracranial Hemorrhage or Cerebral Infarction with MCC	77	$75,224	-25%	$15,220
853 Infectious and Parasitic Diseases with O.R. Procedures with...	74	$186,818	-18%	$42,595
378 Gastrointestinal Hemorrhage with CC	68	$40,029	-18%	$8,522
683 Renal Failure with CC	65	$32,169	-21%	$7,670
175 Pulmonary Embolism with MCC or Acute Cor Pulmonale	61	$52,271	-20%	$12,329
682 Renal Failure with MCC	60	$69,448	+5%	$15,296
392 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	58	$30,576	-24%	$6,968
640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	57	$58,022	-4%	$12,257
481 Hip and Femur Procedures except Major Joint with CC	56	$87,871	-13%	$17,569
330 Major Small and Large Bowel Procedures with CC	53	$138,927	+17%	$24,457
641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	52	$29,220	-21%	$6,966
377 Gastrointestinal Hemorrhage with MCC	49	$60,256	-29%	$14,582
267 Endovascular Cardiac Valve Replacement and Supplement...	47	$97,062	-56%	$35,676
689 Kidney and Urinary Tract Infections with MCC	44	$39,721	-23%	$9,314
522 Hip Replacement with Principal Diagnosis of Hip Fracture...	43	$103,663	+1%	$16,088
698 Other Kidney and Urinary Tract Diagnoses with MCC	42	$47,900	-35%	$12,935
480 Hip and Femur Procedures except Major Joint with MCC	41	$92,510	-33%	$21,044
391 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	39	$43,281	-29%	$10,967
690 Kidney and Urinary Tract Infections without MCC	39	$34,935	-8%	$6,893
281 Acute Myocardial Infarction, Discharged Alive with CC	36	$43,097	-15%	$7,303
329 Major Small and Large Bowel Procedures with MCC	35	$181,403	-16%	$36,639
309 Cardiac Arrhythmia and Conduction Disorders with CC	34	$36,041	0%	$6,409
470 Major Hip and Knee Joint Replacement or Reattachment of...	34	$91,134	-2%	$14,854
552 Medical Back Problems without MCC	34	$31,476	-36%	$8,491
603 Cellulitis without MCC	34	$32,011	-14%	$7,928
024 Craniotomy with Major Device Implant or Acute Complex Cns...	29	$130,299	-32%	$28,432
025 Craniotomy and Endovascular Intracranial Procedures with MCC	29	$205,552	-11%	$36,428
460 Spinal Fusion except Cervical without MCC	29	$179,344	+5%	$30,744
813 Coagulation Disorders	28	$46,141	-42%	$12,437
023 Craniotomy with Major Device Implant or Acute Complex Cns...	27	$158,947	-43%	$38,751
389 Gastrointestinal Obstruction with CC	27	$26,298	-32%	$7,554
390 Gastrointestinal Obstruction without CC/MCC	27	$18,489	-34%	$5,984
455 Combined Anterior and Posterior Spinal Fusion without CC/MCC	27	$173,157	-15%	$34,172
308 Cardiac Arrhythmia and Conduction Disorders with MCC	26	$47,457	-16%	$9,779
331 Major Small and Large Bowel Procedures without CC/MCC	26	$126,442	+47%	$18,264
394 Other Digestive System Diagnoses with CC	26	$26,499	-44%	$8,018
418 Laparoscopic Cholecystectomy without C.D.E. with CC	25	$94,600	+1%	$15,511
543 Pathological Fractures and Musculoskeletal and Connective...	25	$37,756	-23%	$8,855
542 Pathological Fractures and Musculoskeletal and Connective...	24	$50,605	-37%	$13,090
312 Syncope and Collapse	23	$37,423	-18%	$7,455
699 Other Kidney and Urinary Tract Diagnoses with CC	23	$35,669	-25%	$8,503
242 Permanent Cardiac Pacemaker Implant with MCC	22	$97,829	-39%	$26,388
243 Permanent Cardiac Pacemaker Implant with CC	22	$63,640	-43%	$17,430
027 Craniotomy and Endovascular Intracranial Procedures without...	21	$124,808	-11%	$18,906
066 Intracranial Hemorrhage or Cerebral Infarction without...	21	$40,889	-3%	$6,181
314 Other Circulatory System Diagnoses with MCC	21	$83,055	-12%	$15,029
321 Percutaneous Cardiovascular Procedures with Intraluminal...	21	$114,561	-30%	$21,532
393 Other Digestive System Diagnoses with MCC	21	$41,976	-45%	$12,825
432 Cirrhosis and Alcoholic Hepatitis with MCC	21	$76,836	-20%	$15,271
467 Revision of Hip or Knee Replacement with CC	21	$140,664	-11%	$25,887

Showing the 60 most frequent of 135 DRGs.

Outpatient services

Service (APC)	Services	Avg charge	Medicare allowed
Level 2 Urology and Related Services	1,228	$680	$615
Level 3 Urology and Related Services	633	$3,037	$1,776
Level 5 Musculoskeletal Procedures	496	$38,725	$11,156
Level 2 Excision/ Biopsy/ Incision and Drainage	487	$7,809	$1,413
Level 4 Musculoskeletal Procedures	268	$27,242	$5,737
Comprehensive Observation Services	250	$16,899	$2,448
Level 2 Upper GI Procedures	236	$9,809	$1,701
Level 5 Urology and Related Services	235	$18,701	$4,611
Level 3 Vascular Procedures	217	$17,335	$2,856
Level 4 Urology and Related Services	201	$12,301	$3,109
Level 3 Excision/ Biopsy/ Incision and Drainage	193	$14,420	$2,470
Level 1 Nerve Procedures	185	$12,801	$1,414
Level 1 Laparoscopy and Related Services	180	$21,358	$5,101
Level 2 Laparoscopy and Related Services	172	$51,752	$9,126
Level 1 Endovascular Procedures	165	$24,486	$2,900
Level 3 Electrophysiologic Procedures	141	$111,508	$21,179
Level 3 Pacemaker and Similar Procedures	125	$30,417	$9,476
Level 2 Musculoskeletal Procedures	113	$5,419	$1,101
Level 3 Musculoskeletal Procedures	113	$11,289	$2,369
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures	109	$12,631	$3,056
Level 2 Vascular Procedures	103	$7,141	$1,430
Level 2 Pacemaker and Similar Procedures	101	$15,150	$7,466
Level 3 Endovascular Procedures	93	$50,546	$9,626
Level 4 Vascular Procedures	92	$31,531	$3,655
Level 1 Breast/Lymphatic Surgery and Related Procedures	71	$20,836	$3,392

Against the Idaho average

For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), St Luke's Regional Medical Center charged $73,841 on average, 13% more than the Idaho average of $65,631, and was paid $15,547 against a state average of $16,189. For Heart Failure and Shock with MCC (DRG 291), St Luke's Regional Medical Center charged $49,188 on average, 5% more than the Idaho average of $47,013, and was paid $10,334 against a state average of $10,637. For Respiratory Infections and Inflammations with MCC (DRG 177), St Luke's Regional Medical Center charged $56,497 on average, 10% more than the Idaho average of $51,217, and was paid $12,459 against a state average of $13,035. For Percutaneous and Other Intracardiac Procedures without MCC (DRG 274), St Luke's Regional Medical Center charged $63,051 on average, 48% less than the Idaho average of $121,268, and was paid $24,089 against a state average of $24,800. For Level 2 Urology and Related Services (outpatient APC 5372), its average charge of $680 was 23% below the state average of $883. For Level 3 Urology and Related Services (outpatient APC 5373), its average charge of $3,037 was 33% below the state average of $4,503. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $38,725 was 25% below the state average of $51,453. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $7,809 was 5% 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.