Idaho / Treasure Valley Hospital
CMS certification 130063 · Boise, ID · 5 entries in CMS's price-transparency list
Treasure Valley Hospital: charges and Medicare payments
Treasure Valley Hospital reported 126 Medicare inpatient stays across 5 DRGs in 2024. Across them it charged 4.16 times what it was paid — mid-range in Idaho, number 7 of 13 hospitals with at least 100 stays (state median 4.16×, national 4.15×). Its most frequent stay was DRG 274, Percutaneous and Other Intracardiac Procedures without MCC: 55 stays at an average charge of $88,726, 43% below the national average. It also billed 1,197 outpatient services, charging 6 times what Medicare paid.
- 1Medicare inpatient stays 126
- 2Charge ÷ paid, inpatient 4.16×
- 3Rank in ID (highest ratio = 1) 7 of 13
- 4CMS price-transparency actions 5
Inpatient stays
For the 5 DRGs that can be compared with the national average, Treasure Valley 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 |
|---|---|---|---|---|
| 274 Percutaneous and Other Intracardiac Procedures without MCC | 55 | $88,726 | -43% | $21,166 |
| 455 Combined Anterior and Posterior Spinal Fusion without CC/MCC | 31 | $107,439 | -47% | $29,636 |
| 473 Cervical Spinal Fusion without CC/MCC | 17 | $87,153 | -24% | $16,679 |
| 472 Cervical Spinal Fusion with CC | 12 | $97,379 | -32% | $19,622 |
| 460 Spinal Fusion except Cervical without MCC | 11 | $94,440 | -45% | $23,543 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Level 5 Musculoskeletal Procedures | 312 | $58,282 | $11,730 |
| Level 4 Musculoskeletal Procedures | 195 | $39,931 | $6,438 |
| Level 6 Musculoskeletal Procedures | 145 | $63,523 | $16,423 |
| Level 3 Electrophysiologic Procedures | 101 | $128,662 | $21,319 |
| Level 3 Musculoskeletal Procedures | 80 | $16,954 | $2,847 |
| Level 1 Nerve Procedures | 76 | $9,677 | $1,719 |
| Level 5 Urology and Related Services | 66 | $21,302 | $4,656 |
| Level 1 Endovascular Procedures | 41 | $15,847 | $2,901 |
| Level 2 Pacemaker and Similar Procedures | 35 | $50,257 | $7,645 |
| Level 2 Musculoskeletal Procedures | 34 | $8,078 | $1,447 |
| Level 4 Urology and Related Services | 30 | $13,799 | $3,137 |
| Level 3 Pacemaker and Similar Procedures | 25 | $65,475 | $9,219 |
| Level 2 Breast/Lymphatic Surgery and Related Procedures | 12 | $29,344 | $5,868 |
| Level 1 Abdominal/Peritoneal/Biliary and Related Procedures | 12 | $13,822 | $2,907 |
| Level 2 Endovascular Procedures | 11 | $30,851 | $4,771 |
| Level 3 Endovascular Procedures | 11 | $67,343 | $9,892 |
| Level 2 Laparoscopy and Related Services | 11 | $28,826 | $9,258 |
Against the Idaho average
For Percutaneous and Other Intracardiac Procedures without MCC (DRG 274), Treasure Valley Hospital charged $88,726 on average, 27% less than the Idaho average of $121,268, and was paid $21,166 against a state average of $24,800. For Combined Anterior and Posterior Spinal Fusion without CC/MCC (DRG 455), Treasure Valley Hospital charged $107,439 on average, 37% less than the Idaho average of $170,839, and was paid $29,636 against a state average of $35,816. For Cervical Spinal Fusion without CC/MCC (DRG 473), Treasure Valley Hospital charged $87,153 on average, 14% less than the Idaho average of $101,756, and was paid $16,679 against a state average of $18,298. For Cervical Spinal Fusion with CC (DRG 472), Treasure Valley Hospital charged $97,379 on average, 15% less than the Idaho average of $114,667, and was paid $19,622 against a state average of $23,008. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $58,282 was 13% above the state average of $51,453. For Level 4 Musculoskeletal Procedures (outpatient APC 5114), its average charge of $39,931 was 22% above the state average of $32,787. For Level 6 Musculoskeletal Procedures (outpatient APC 5116), its average charge of $63,523 was 10% below the state average of $70,217. For Level 3 Electrophysiologic Procedures (outpatient APC 5213), its average charge of $128,662 was 11% below the state average of $143,946.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Treasure Valley Hospital in Boise, ID, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- CAP Request — 2024-08-14 (CMS case 2509)
- CAP Request — 2024-10-03 (CMS case 2509)
- CAP Request — 2024-12-12 (CMS case 2509)
- Closure Notice — 2025-02-13 (CMS case 2509)
- Warning Notice — 2026-06-04 (CMS case 7942)
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.