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Prostate laser surgery (PVP/HoLEP) in Idaho: what insurers pay

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

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CPT 52648

HospitalMedian across insurers× MedicareInsurersFile date
St Joseph Regional Medical Center Lewiston$4,7020.9×12026-04-01
North Canyon Medical Center Gooding$5,0841.0×12026-04-13
Treasure Valley Hospital Boise$5,4171.0×32026-09-02
Kootenai Health Coeur D'Alene$7,5411.4×32026-03-27
St Luke'S Nampa Medical Center Nampa$12,9122.4×72026-03-25
St Luke'S Jerome Jerome$12,9122.4×82026-03-25
St Luke'S Elmore Medical Center Mountain Home$12,9122.4×82026-03-25
West Valley Medical Center Caldwell$13,4052.5×32026-09-01
St Luke'S Regional Medical Center Boise$15,6782.9×32026-03-25

CPT 52649

HospitalMedian across insurers× MedicareInsurersFile date
St Joseph Regional Medical Center Lewiston$4,7020.9×12026-04-01
North Canyon Medical Center Gooding$5,0841.0×12026-04-13
Treasure Valley Hospital Boise$9,1981.7×32026-09-02
Kootenai Health Coeur D'Alene$12,4402.3×22026-03-27
St Luke'S Nampa Medical Center Nampa$12,9122.4×72026-03-25
St Luke'S Jerome Jerome$12,9122.4×82026-03-25
St Luke'S Elmore Medical Center Mountain Home$12,9122.4×82026-03-25
West Valley Medical Center Caldwell$13,4052.5×32026-09-01
St Luke'S Regional Medical Center Boise$15,6782.9×32026-03-25

MS-DRG 714

HospitalMedian across insurers× MedicareInsurersFile date
Northwest Specialty Hospital Post Falls$10,9101.4×12026-03-05
Treasure Valley Hospital Boise$11,1031.5×52026-09-02
Idaho Falls Community Hospital, Llc Idaho Falls$14,2441.9×22026-03-16
Mountain View Hospital Idaho Falls$15,2222.0×22026-03-16
St Joseph Regional Medical Center Lewiston$15,4652.1×12026-04-01
Kootenai Health Coeur D'Alene$16,5642.2×42026-03-27
West Valley Medical Center Caldwell$17,1762.3×82026-09-01
Intermountain Health Cassia Regional Hospital Burley$18,2092.5×12026-08-05
St Luke'S Wood River Medical Center Ketchum$22,5253.0×22026-03-25
St Luke'S Regional Medical Center Boise$22,9143.0×32026-03-25
St Luke'S Nampa Medical Center Nampa$22,9143.0×32026-03-25
St Luke'S Jerome Jerome$22,9143.1×32026-03-25
St Luke'S Elmore Medical Center Mountain Home$22,9143.1×32026-03-25

MS-DRG 713

HospitalMedian across insurers× MedicareInsurersFile date
Northwest Specialty Hospital Post Falls$15,5121.4×12026-03-05
Treasure Valley Hospital Boise$15,7861.5×52026-09-02
West Valley Medical Center Caldwell$21,5902.0×82026-09-01
Idaho Falls Community Hospital, Llc Idaho Falls$22,3102.1×22026-03-16
Mountain View Hospital Idaho Falls$23,9862.3×22026-03-16
St Joseph Regional Medical Center Lewiston$25,5322.4×12026-04-01
Kootenai Health Coeur D'Alene$26,5272.5×42026-03-27
Intermountain Health Cassia Regional Hospital Burley$30,0622.9×12026-08-05
St Luke'S Regional Medical Center Boise$36,1643.3×32026-03-25
St Luke'S Nampa Medical Center Nampa$36,1643.3×32026-03-25
St Luke'S Jerome Jerome$36,1643.4×32026-03-25
St Luke'S Elmore Medical Center Mountain Home$36,1643.4×32026-03-25
St Luke'S Wood River Medical Center Ketchum$37,1883.5×22026-03-25

Questions

How much do insurers pay for prostate laser surgery (pvp/holep) in Idaho?

14 Idaho hospitals post usable commercial rates for prostate laser surgery (pvp/holep) in their federal price-transparency files. For CPT 52648, hospital outpatient, the median across 9 hospitals is $12,912, 2.4× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.