Idaho / West Valley Medical Center
CMS certification 130014 · Caldwell, ID · 3 entries in CMS's price-transparency list
West Valley Medical Center: charges and Medicare payments
West Valley Medical Center reported 193 Medicare inpatient stays across 6 DRGs in 2024. Across them it charged 3.97 times what it was paid — mid-range in Idaho, number 8 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: 78 stays at an average charge of $54,000, 40% below the national average. It also billed 593 outpatient services, charging 13.05 times what Medicare paid.
- 1Medicare inpatient stays 193
- 2Charge ÷ paid, inpatient 3.97×
- 3Rank in ID (highest ratio = 1) 8 of 13
- 4CMS price-transparency actions 3
Inpatient stays
For the 6 DRGs that can be compared with the national average, West Valley Medical Center charged more than the national average in 1 (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 | 78 | $54,000 | -40% | $14,218 |
| 885 Psychoses | 49 | $46,487 | +6% | $11,937 |
| 291 Heart Failure and Shock with MCC | 30 | $49,747 | -12% | $10,482 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 13 | $37,288 | -24% | $8,950 |
| 189 Pulmonary Edema and Respiratory Failure | 12 | $42,521 | -26% | $10,807 |
| 682 Renal Failure with MCC | 11 | $46,237 | -30% | $12,447 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Level 1 Intraocular Procedures | 123 | $15,628 | $2,084 |
| Comprehensive Observation Services | 76 | $26,181 | $2,438 |
| Level 5 Musculoskeletal Procedures | 63 | $103,795 | $11,828 |
| Level 1 Laparoscopy and Related Services | 38 | $53,809 | $5,084 |
| Level 3 Musculoskeletal Procedures | 36 | $24,696 | $2,913 |
| Level 4 Musculoskeletal Procedures | 35 | $63,828 | $6,438 |
| Level 3 Electrophysiologic Procedures | 25 | $341,038 | $21,319 |
| Level 1 Endovascular Procedures | 24 | $48,724 | $2,937 |
| Level 2 Musculoskeletal Procedures | 23 | $14,855 | $1,446 |
| Level 2 Excision/ Biopsy/ Incision and Drainage | 21 | $14,640 | $1,404 |
| Level 3 Excision/ Biopsy/ Incision and Drainage | 18 | $20,095 | $2,557 |
| Level 3 Vascular Procedures | 18 | $38,859 | $2,868 |
| Level 5 Urology and Related Services | 18 | $70,953 | $4,656 |
| Level 6 Musculoskeletal Procedures | 17 | $202,080 | $15,847 |
| Level 1 Nerve Procedures | 16 | $13,894 | $1,738 |
| Level 3 Pacemaker and Similar Procedures | 15 | $63,126 | $9,603 |
| Level 3 Intraocular Procedures | 14 | $46,676 | $4,704 |
| Level 2 Intraocular Procedures | 13 | $47,788 | $3,659 |
Against the Idaho average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), West Valley Medical Center charged $54,000 on average, 18% less than the Idaho average of $65,631, and was paid $14,218 against a state average of $16,189. For Psychoses (DRG 885), West Valley Medical Center charged $46,487 on average, 14% less than the Idaho average of $54,051, and was paid $11,937 against a state average of $12,661. For Heart Failure and Shock with MCC (DRG 291), West Valley Medical Center charged $49,747 on average, 6% more than the Idaho average of $47,013, and was paid $10,482 against a state average of $10,637. For Septicemia or Severe Sepsis without MV >96 Hours without MCC (DRG 872), West Valley Medical Center charged $37,288 on average, 9% less than the Idaho average of $41,154, and was paid $8,950 against a state average of $9,365. For Level 1 Intraocular Procedures (outpatient APC 5491), its average charge of $15,628 was 14% below the state average of $18,092. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $26,181 was 62% above the state average of $16,143. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $103,795 was 102% above the state average of $51,453. For Level 1 Laparoscopy and Related Services (outpatient APC 5361), its average charge of $53,809 was 90% above the state average of $28,349.
Price-transparency record
CMS's enforcement list records these actions for a hospital named West Valley Medical Center in Caldwell, ID, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Met Requirements — 2023-11-28 (CMS case 1984)
- Met Requirements — 2025-04-14 (CMS case 3820)
- Met Requirements — 2025-05-09 (CMS case 4359)
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.