72/100
#574 nationally
Kootenai Health
2003 Kootenai Health Way, Coeur D'alene, ID 83814 · (208) 625-4000
Charges moderately above what care is paid for
For every $1 of care Medicare actually paid for here, Kootenai Health billed $3.84 in list charges. That gap does not change a Medicare patient's bill — but it is where an uninsured or out-of-network bill starts.
- Charge-to-payment
- 3.8x
- volume-weighted across all its priced work
- Procedures priced
- 168
- inpatient and outpatient combined
- Rank in ID
- #3
- lower markup ranks higher
- CMS quality stars
- 4/5
- shown for context, not in the grade
How this grade was reached
Each component is scored against every other U.S. hospital in the same federal files, so the grade is a position in the country, not a pass mark we invented.
Better than 60% of U.S. hospitals.
Better than 75% of U.S. hospitals.
Better than 78% of U.S. hospitals.
Better than 91% of U.S. hospitals.
What this hospital treats most
The ten procedures it billed Medicare for most often, with its charge beside the national middle.
| Procedure | Patients | Charged | Actually paid | vs national |
|---|---|---|---|---|
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
1,028 | $14,166 | $2,579 | -27% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
412 | $6,098 | $1,523 | -40% |
|
Level 2 Upper GI Procedures
APC 5302 · Hospital outpatient visit |
373 | $6,080 | $1,765 | -48% |
|
Level 1 Endovascular Procedures
APC 5191 · Hospital outpatient visit |
347 | $21,582 | $3,065 | -14% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
327 | $46,866 | $14,770 | -28% |
|
Level 3 Electrophysiologic Procedures
APC 5213 · Hospital outpatient visit |
283 | $104,681 | $22,438 | -21% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
234 | $53,454 | $12,164 | -14% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
222 | $32,983 | $9,759 | -24% |
|
Level 3 Vascular Procedures
APC 5183 · Hospital outpatient visit |
211 | $14,739 | $2,983 | -23% |
|
Level 1 Laparoscopy and Related Services
APC 5361 · Hospital outpatient visit |
186 | $23,649 | $5,460 | -33% |
Where its charges run furthest above the national middle
Only procedures it performed at least eleven times, so a single unusual case cannot produce the headline.
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Psychoses
MS-DRG 885 · Inpatient stay |
$40,786 | $11,769 | +13% |
|
Level 1 Nerve Procedures
APC 5431 · Hospital outpatient visit |
$11,106 | $1,737 | about average |
|
Alcohol, Drug Abuse or Dependence, Left Ama
MS-DRG 894 · Inpatient stay |
$13,414 | $4,921 | -4% |
|
Cardiac Valve and Other Major Cardiothoracic Procedures without Cardiac Catheterization
MS-DRG 220 · Inpatient stay |
$222,530 | $49,593 | -5% |
|
Coronary Bypass without Cardiac Catheterization with Major Complications
MS-DRG 235 · Inpatient stay |
$219,382 | $55,586 | -9% |
|
Hip or Knee Replacement (without major complications)
MS-DRG 470 · Inpatient stay |
$72,763 | $14,458 | -9% |
|
Coronary Bypass with Cardiac Catheterization or Open Ablation with Major Complications
MS-DRG 233 · Inpatient stay |
$278,840 | $69,777 | -9% |
|
Coronary Bypass with Cardiac Catheterization or Open Ablation without Major Complications
MS-DRG 234 · Inpatient stay |
$196,861 | $40,044 | -10% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Level 4 ENT Procedures
APC 5164 · Hospital outpatient visit |
$7,019 | $1,530 | -63% |
|
Coagulation Disorders
MS-DRG 813 · Inpatient stay |
$25,126 | $12,036 | -62% |
|
Degenerative Nervous System Disorders without Major Complications
MS-DRG 057 · Inpatient stay |
$20,078 | $8,431 | -58% |
|
Malignancy of Hepatobiliary System or Pancreas with Major Complications
MS-DRG 435 · Inpatient stay |
$34,585 | $13,586 | -58% |
|
Other Kidney and Urinary Tract Procedures with Major Complications
MS-DRG 673 · Inpatient stay |
$67,584 | $30,084 | -56% |
|
Complications of Treatment with Major Complications
MS-DRG 919 · Inpatient stay |
$33,760 | $14,032 | -55% |
|
ECMO or Tracheostomy with Mechanical Ventilation >96 Hours or Principal Diagnosis Except
MS-DRG 003 · Inpatient stay |
$402,866 | $166,223 | -54% |
|
Disorders of Liver Except Malignancy, Cirrhosis or Alcoholic Hepatitis with Major
MS-DRG 441 · Inpatient stay |
$35,486 | $13,745 | -53% |
What this page cannot tell you
- It is not your bill. These are averages across Medicare patients. What you pay depends on your insurance, your plan's negotiated rate and your own case.
- It is not a quality rating. A hospital with a high markup may be excellent, and one with a low markup may not be. We checked: across every U.S. hospital, markup and the CMS quality star rating barely move together.
- A charge is not a cost. Hospitals do not collect their list charges from insured patients. The number matters because it is the opening figure on an uninsured or out-of-network bill.
- Ask for the real number. Every U.S. hospital must publish a machine-readable price file and give you a written good-faith estimate on request.