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Heart valve surgery (open) in Idaho: what insurers pay

Posted commercial rates at 14 Idaho hospitals, each next to its own Medicare base rate.

Open in the explorerAll statesEvery bill for the whole procedure

MS-DRG 220

HospitalMedian across insurers× MedicareInsurersFile date
Northwest Specialty Hospital Post Falls$55,0251.4×12026-03-05
Treasure Valley Hospital Boise$55,9941.5×52026-09-02
Idaho Falls Community Hospital, Llc Idaho Falls$80,7242.1×22026-03-16
West Valley Medical Center Caldwell$83,9322.2×82026-09-01
Mountain View Hospital Idaho Falls$87,4182.3×22026-03-16
Kootenai Health Coeur D'Alene$98,1442.6×42026-03-27
St Joseph Regional Medical Center Lewiston$98,5032.6×12026-04-01
Saint Alphonsus Regional Medical Center Boise$106,1312.8×172026-03-31
Intermountain Health Cassia Regional Hospital Burley$117,6583.1×12026-08-05
St Luke'S Regional Medical Center Boise$132,4703.5×32026-03-25
St Luke'S Nampa Medical Center Nampa$132,4703.5×32026-03-25
St Luke'S Jerome Jerome$132,4703.5×32026-03-25
St Luke'S Elmore Medical Center Mountain Home$132,4703.5×32026-03-25
St Luke'S Wood River Medical Center Ketchum$145,5493.9×22026-03-25

MS-DRG 219

HospitalMedian across insurers× MedicareInsurersFile date
Northwest Specialty Hospital Post Falls$79,2261.4×12026-03-05
Treasure Valley Hospital Boise$80,6221.5×52026-09-02
West Valley Medical Center Caldwell$114,6822.1×82026-09-01
Idaho Falls Community Hospital, Llc Idaho Falls$119,6322.2×22026-03-16
Mountain View Hospital Idaho Falls$130,5242.4×22026-03-16
St Joseph Regional Medical Center Lewiston$132,8982.5×12026-04-01
Saint Alphonsus Regional Medical Center Boise$141,1462.6×172026-03-31
Kootenai Health Coeur D'Alene$141,4702.6×42026-03-27
Intermountain Health Cassia Regional Hospital Burley$156,4772.9×12026-08-05
St Luke'S Regional Medical Center Boise$193,5153.5×32026-03-25
St Luke'S Nampa Medical Center Nampa$193,5153.5×32026-03-25
St Luke'S Jerome Jerome$193,5153.6×32026-03-25
St Luke'S Elmore Medical Center Mountain Home$193,5153.6×32026-03-25
St Luke'S Wood River Medical Center Ketchum$193,5693.6×22026-03-25

MS-DRG 216

HospitalMedian across insurers× MedicareInsurersFile date
Northwest Specialty Hospital Post Falls$100,9411.4×12026-03-05
Treasure Valley Hospital Boise$102,7191.5×52026-09-02
West Valley Medical Center Caldwell$142,6692.0×82026-09-01
Idaho Falls Community Hospital, Llc Idaho Falls$149,7022.2×22026-03-16
St Joseph Regional Medical Center Lewiston$156,0362.3×12026-04-01
Mountain View Hospital Idaho Falls$159,4562.3×22026-03-16
Saint Alphonsus Regional Medical Center Boise$165,7212.4×172026-03-31
Kootenai Health Coeur D'Alene$167,7242.4×42026-03-27
Intermountain Health Cassia Regional Hospital Burley$183,7212.7×12026-08-05
St Luke'S Elmore Medical Center Mountain Home$209,4293.0×82026-03-25
St Luke'S Wood River Medical Center Ketchum$227,2713.3×22026-03-25
St Luke'S Regional Medical Center Boise$235,3403.3×32026-03-25
St Luke'S Nampa Medical Center Nampa$235,3403.3×32026-03-25
St Luke'S Jerome Jerome$235,3403.4×32026-03-25

MS-DRG 217

HospitalMedian across insurers× MedicareInsurersFile date
Northwest Specialty Hospital Post Falls$67,8451.4×12026-03-05
Treasure Valley Hospital Boise$69,0411.5×52026-09-02
Idaho Falls Community Hospital, Llc Idaho Falls$97,3102.1×22026-03-16
West Valley Medical Center Caldwell$101,6602.1×82026-09-01
Mountain View Hospital Idaho Falls$103,4492.2×22026-03-16
Kootenai Health Coeur D'Alene$117,8612.5×42026-03-27
St Joseph Regional Medical Center Lewiston$123,6362.7×12026-04-01
Saint Alphonsus Regional Medical Center Boise$135,7522.9×172026-03-31
Intermountain Health Cassia Regional Hospital Burley$150,4973.3×12026-08-05
St Luke'S Nampa Medical Center Nampa$157,4743.3×52026-03-25
St Luke'S Jerome Jerome$157,4743.4×52026-03-25
St Luke'S Elmore Medical Center Mountain Home$157,4743.4×52026-03-25
St Luke'S Regional Medical Center Boise$161,5123.4×32026-03-25
St Luke'S Wood River Medical Center Ketchum$186,1724.0×22026-03-25

Questions

How much do insurers pay for heart valve surgery (open) in Idaho?

14 Idaho hospitals post usable commercial rates for heart valve surgery (open) in their federal price-transparency files. For inpatient stay (MS-DRG 220), the median across 14 hospitals is $102,317, 2.7× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.