CostGrade
A

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.

Inpatient charge markup 30.4/35

Better than 87% of U.S. hospitals.

Outpatient charge markup 22.7/25

Better than 91% of U.S. hospitals.

Price level vs national median 27.5/30

Better than 92% of U.S. hospitals.

Price consistency 9.1/10

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.