90/100
#89 nationally
Madison Memorial Hospital
450 East Main Street, Rexburg, ID 83440 · (208) 359-6488
Charges close to what care is actually paid for
For every $1 of care Medicare actually paid for here, Madison Memorial Hospital billed $3.22 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
- 3.2x
- volume-weighted across all its priced work
- Procedures priced
- 13
- inpatient and outpatient combined
- Rank in ID
- #1
- lower markup ranks higher
- CMS quality stars
- Not rated
- 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 87% of U.S. hospitals.
Better than 91% of U.S. hospitals.
Better than 92% 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 |
|---|---|---|---|---|
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
62 | $39,952 | $11,865 | -36% |
|
Level 3 Musculoskeletal Procedures
APC 5113 · Hospital outpatient visit |
48 | $8,832 | $2,922 | -57% |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
29 | $12,536 | $2,471 | -35% |
|
Level 2 Musculoskeletal Procedures
APC 5112 · Hospital outpatient visit |
28 | $3,935 | $1,451 | -65% |
|
Level 4 Musculoskeletal Procedures
APC 5114 · Hospital outpatient visit |
27 | $24,753 | $6,458 | -38% |
|
Level 1 Laparoscopy and Related Services
APC 5361 · Hospital outpatient visit |
27 | $17,158 | $5,209 | -51% |
|
Level 6 Musculoskeletal Procedures
APC 5116 · Hospital outpatient visit |
21 | $62,932 | $16,788 | -24% |
|
Level 1 Nerve Procedures
APC 5431 · Hospital outpatient visit |
18 | $4,033 | $1,743 | -64% |
|
Level 1 Abdominal/peritoneal/biliary and Related Procedures
APC 5341 · Hospital outpatient visit |
16 | $9,971 | $3,123 | -57% |
|
Respiratory Failure
MS-DRG 189 · Inpatient stay |
15 | $24,640 | $10,839 | -49% |
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 |
|---|---|---|---|
|
Level 6 Musculoskeletal Procedures
APC 5116 · Hospital outpatient visit |
$62,932 | $16,788 | -24% |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
$12,536 | $2,471 | -35% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
$39,952 | $11,865 | -36% |
|
Level 4 Musculoskeletal Procedures
APC 5114 · Hospital outpatient visit |
$24,753 | $6,458 | -38% |
|
Respiratory Failure
MS-DRG 189 · Inpatient stay |
$24,640 | $10,839 | -49% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
$32,884 | $16,013 | -50% |
|
Level 1 Laparoscopy and Related Services
APC 5361 · Hospital outpatient visit |
$17,158 | $5,209 | -51% |
|
Level 3 Vascular Procedures
APC 5183 · Hospital outpatient visit |
$8,923 | $2,877 | -53% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Level 2 Musculoskeletal Procedures
APC 5112 · Hospital outpatient visit |
$3,935 | $1,451 | -65% |
|
Level 1 Nerve Procedures
APC 5431 · Hospital outpatient visit |
$4,033 | $1,743 | -64% |
|
Level 3 Excision/ Biopsy/ Incision and Drainage
APC 5073 · Hospital outpatient visit |
$6,488 | $2,565 | -63% |
|
Level 1 Abdominal/peritoneal/biliary and Related Procedures
APC 5341 · Hospital outpatient visit |
$9,971 | $3,123 | -57% |
|
Level 3 Musculoskeletal Procedures
APC 5113 · Hospital outpatient visit |
$8,832 | $2,922 | -57% |
|
Level 3 Vascular Procedures
APC 5183 · Hospital outpatient visit |
$8,923 | $2,877 | -53% |
|
Level 1 Laparoscopy and Related Services
APC 5361 · Hospital outpatient visit |
$17,158 | $5,209 | -51% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
$32,884 | $16,013 | -50% |
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.