2026 Forecast Verified

Open Heart Surgery Cost in Idaho (2026)

Close to the national average · RPP 97.2 · ID

Idaho Average
$145,800
▼ -2.8% below national
Typical Range
$77,760 – $243,000
National avg: $150,000
Editorial view of Idaho
Regional Pricing Confidence
88% Confidence Index
The Idaho Market

What Drives Pricing Here

Three factors explain most of why open heart surgery costs what it does in Idaho.

Regional Price Parity

Idaho's cost-of-living index sits at 97.2 — meaningfully below the national benchmark (100). This directly scales facility and staffing overhead, which flow through to every procedure price.

Specialist Availability

Limited local facility options in Idaho can reduce price competition. Consider quotes from neighboring states if the travel is feasible.

Vs. National Benchmark

At -2.8% below the national average ($150,000), Idaho is a discount market. Often driven by lower overhead or less metro concentration — quality can still be excellent.

State Context

Open Heart Surgery in Idaho: What to Know

Idaho offers leading-edge open-heart surgery options. Saint Alphonsus Heart Institute in Boise excels in valve implanting, earning a three-star STS rating for isolated aortic valve replacement. Portneuf Medical Center in Pocatello provides traditional and robot-assisted surgery, and was an early adopter of the Evolut™ FX+ TAVR system. Eastern Idaho Regional Medical Center in Idaho Falls and Kootenai Heart Clinics in Coeur d'Alene also provide innovative TAVR procedures.

For potential savings, consider that Idaho has historically offered heart bypass surgery at costs below the national average. Boise serves as a medical hub for the region, offering specialized care with transportation support for out-of-area patients. Verify current pricing directly with providers.

Itemized Breakdown

Estimated Cost Breakdown in Idaho

Idaho sits near the middle of the pack for open heart surgery pricing. The cost components typically split like this.

Hospital Stay

Per-night inpatient cost

$35,721 - $66,339

Most significant cost

Surgeon Fee

Expertise and experience level

$20,412 - $37,908

Implants & Supplies

$15,308 - $28,431

Operating Room

OR and equipment time

$15,308 - $28,431

Anesthesia

Anesthesiologist or CRNA fee

$8,165 - $15,163

Post-Op Care

Recovery and aftercare

$7,144 - $13,268

Total Estimated Cost

Idaho all-in range

$77,760 – $243,000

Financing Options

Many Idaho clinics partner with CareCredit or Alphaeon. A typical 24-month, 0% APR term on $145,800 looks like:

$6,075/mo
Est. 24 months · 0% APR promo
  • Soft credit check — no hard pull
  • Instant approval decisions
  • HSA/FSA eligible for qualifying cases

Prices reflect regional cost-of-living adjustments. How we calculate these numbers →

Ranges adjusted for Idaho's regional price parity (97.2). See the national percentage breakdown →

Hospital-Level Data

Facility Costs in Idaho

Only a handful of Idaho facilities report significant open heart surgery volume to CMS. Patients may want to compare with neighboring states.

Facility City Negotiated Rate Medicare Volume
Kootenai Health Coeur D'alene $64,689 $63,108 18
Regional Comparison

Open Heart Surgery Cost in Nearby States

Open Heart Surgery pricing varies across the region. Here's how Idaho stacks up against its neighbors.

Wyoming
$141,750
-2.8% vs ID
Montana
$146,250
+0.3% vs ID
Utah
$148,800
+2.1% vs ID
Nevada
$150,750
+3.4% vs ID
Washington
$160,800
+10.3% vs ID
Oregon
$161,250
+10.6% vs ID
Common Questions

Expert Answers for Idaho Patients

Local regulations, insurance nuance, and surgical standards specific to Idaho.

Compare Idaho with any other state

See national pricing, all 50 state comparisons, and detailed cost factors in the main open heart surgery cost guide.

View full open heart surgery guide
What should I expect to pay for open heart surgery in Idaho?
In Idaho, open heart surgery runs about $145,800 on average. Most patients pay between $77,760 and $243,000, with the final price shaped by your choice of surgeon, facility type, and procedure complexity.
Does insurance cover open heart surgery?
For medically necessary cases, open heart surgery is usually covered. Your out-of-pocket cost in Idaho will depend on your plan's deductible, copay structure, and whether your provider is in-network. Always get a pre-authorization before the procedure.
When can I return to work after open heart surgery?
Expect 42 to 120 days before you're fully back to normal after open heart surgery. Recovery milestones vary by patient, but most people in Idaho find they can handle light errands by day 42 and resume exercise around day 120. Your surgeon's post-op protocol will give you a more personalized timeline.
Are payment plans available for open heart surgery in Idaho?
Most Idaho surgeons work with financing companies that offer monthly payment plans. CareCredit and Prosper are the most common. You might also ask about cash-pay pricing — some providers knock 10-20% off the $145,800 sticker price when you pay upfront.
Can I save by getting open heart surgery in a neighboring state?
Yes — Wyoming offers open heart surgery at an average of $141,750, which is $4,050 less than Idaho. Factor in travel costs, follow-up visit logistics, and whether your insurance network covers out-of-state providers before making the trip.
Does Idaho Medicaid cover open heart surgery?
Medicaid in Idaho can cover open heart surgery when there's a documented medical need. The key is pre-authorization — your physician will need to submit clinical justification to your managed care organization before the procedure is approved.
Is open heart surgery eligible for HSA/FSA funds?
Yes — open heart surgery is generally eligible for HSA and FSA reimbursement when medically necessary. At $145,800 in Idaho, using pre-tax dollars can save you 20-35% compared to paying with after-tax income. Keep all receipts and get an itemized bill from your provider.
Data Sources & References

How we calculate open heart surgery costs in Idaho

Cost estimates combine procedure-specific pricing data with regional cost-of-living and provider-supply adjustments. Primary sources:

  • •
    Hospital pricing transparency files — CMS-required machine-readable data published by hospitals under the CMS Hospital Price Transparency rule (effective January 2021). Provides actual negotiated rates between hospitals and insurers.
  • •
    HCUP (Healthcare Cost & Utilization Project) — AHRQ's HCUP databases provide nationally-representative procedure cost data by state, payer, and patient demographics.
  • •
    Bureau of Labor Statistics — Healthcare Practitioner Occupational Wages — BLS OEWS data on surgeon, anesthesiologist, and surgical staff wages by state, used to model regional labor-cost differences in procedure pricing.
  • •
    BEA Regional Price Parities (RPP) — U.S. Bureau of Economic Analysis state-level price-level indices, used to adjust national procedure averages for Idaho's cost-of-living relative to the national mean.
  • •
    FAIR Health Consumer Cost Lookup — the FAIR Health database aggregates billed and allowed amounts from over 36 billion claim records, providing a check on procedure-cost ranges by ZIP code.
  • •
    Medicare Provider Utilization & Payment Data — CMS public-use files on Medicare-allowed amounts and submitted charges by HCPCS/CPT code and state, used as a baseline for procedure-cost ranges.

Estimates are illustrative and reflect typical pricing ranges; actual costs depend on insurance coverage, surgical complexity, anesthesia type, hospital vs. ambulatory setting, and individual patient factors. Always confirm pricing directly with providers and your insurance carrier. See our methodology page for full calculation details.

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