61/100
#932 nationally
St Joseph Regional Medical Center
415 Sixth Street, Lewiston, ID 83501 · (208) 799-5300
Charges well above the national norm
For every $1 of care Medicare actually paid for here, St Joseph Regional Medical Center billed $4.31 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
- 4.3x
- volume-weighted across all its priced work
- Procedures priced
- 45
- inpatient and outpatient combined
- Rank in ID
- #7
- lower markup ranks higher
- CMS quality stars
- 2/5
- 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 69% of U.S. hospitals.
Better than 56% of U.S. hospitals.
Better than 56% of U.S. hospitals.
Better than 60% 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 3 Vascular Procedures
APC 5183 · Hospital outpatient visit |
166 | $23,126 | $3,043 | +21% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
160 | $8,184 | $1,512 | -19% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
136 | $71,311 | $12,504 | +14% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
107 | $46,697 | $18,418 | -28% |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
102 | $15,785 | $2,618 | -19% |
|
Level 3 Excision/ Biopsy/ Incision and Drainage
APC 5073 · Hospital outpatient visit |
70 | $14,572 | $2,707 | -18% |
|
Level 2 Vascular Procedures
APC 5182 · Hospital outpatient visit |
70 | $9,166 | $1,533 | +7% |
|
Level 1 Endovascular Procedures
APC 5191 · Hospital outpatient visit |
66 | $19,850 | $3,146 | -21% |
|
Level 3 Endovascular Procedures
APC 5193 · Hospital outpatient visit |
66 | $48,156 | $10,593 | -29% |
|
Level 4 Musculoskeletal Procedures
APC 5114 · Hospital outpatient visit |
65 | $41,036 | $6,811 | about average |
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 1 Abdominal/peritoneal/biliary and Related Procedures
APC 5341 · Hospital outpatient visit |
$35,934 | $3,334 | +55% |
|
Level 1 Laparoscopy and Related Services
APC 5361 · Hospital outpatient visit |
$46,960 | $5,485 | +34% |
|
Level 1 Breast/lymphatic Surgery and Related Procedures
APC 5091 · Hospital outpatient visit |
$29,950 | $3,674 | +26% |
|
Level 3 Vascular Procedures
APC 5183 · Hospital outpatient visit |
$23,126 | $3,043 | +21% |
|
Level 3 Pacemaker and Similar Procedures
APC 5223 · Hospital outpatient visit |
$60,065 | $10,283 | +17% |
|
Level 2 Breast/lymphatic Surgery and Related Procedures
APC 5092 · Hospital outpatient visit |
$45,847 | $6,285 | +16% |
|
Kidney Failure (with complications)
MS-DRG 683 · Inpatient stay |
$37,953 | $8,343 | +15% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
$71,311 | $12,504 | +14% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Stroke (severe)
MS-DRG 064 · Inpatient stay |
$44,163 | $18,525 | -42% |
|
Heart Catheter Procedure (without major complications)
MS-DRG 322 · Inpatient stay |
$61,726 | $17,995 | -39% |
|
Heart Catheter Procedure (severe)
MS-DRG 321 · Inpatient stay |
$88,065 | $26,674 | -39% |
|
Respiratory Failure
MS-DRG 189 · Inpatient stay |
$29,985 | $11,465 | -38% |
|
Pneumonia (severe)
MS-DRG 193 · Inpatient stay |
$29,555 | $12,616 | -37% |
|
Fluid and Electrolyte Disorder (severe)
MS-DRG 640 · Inpatient stay |
$32,229 | $12,173 | -34% |
|
Heart Attack (severe)
MS-DRG 280 · Inpatient stay |
$42,396 | $14,757 | -31% |
|
Heart Attack (uncomplicated)
MS-DRG 282 · Inpatient stay |
$27,283 | $6,705 | -29% |
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.