Medical Procedure Costs in Idaho
Idaho Medicare physician rates are generally below the national average (-6.9%). One statewide locality, and the ZIP tool still maps you onto it.
Look up any CPT in Idaho
Featured table below is 66 procedures. Search covers 7,500+ fee-schedule codes.
What these numbers are
Every figure on this page is a 2026 Medicare allowed amount: the physician line comes from the Physician Fee Schedule adjusted by geographic practice-cost indices, and the facility totals come from the CMS hospital outpatient (OPPS) and ambulatory surgery center rates. None of them is a hospital chargemaster price, your insurer's contracted rate, or a quote. Anesthesia, pathology, imaging reads and follow-up care are billed under their own codes when they apply, and an inpatient stay is paid a different way again. These Idaho averages are unweighted means of the state’s localities, not population-weighted.
How Medicare prices Idaho
All of Idaho shares a single payment locality, and its geographic indices are among the lowest in the West, so Medicare-approved amounts here undercut those in neighboring Washington and Oregon metro localities. Boise's rapid growth has not changed the statewide pricing structure; the fee schedule treats the Treasure Valley the same as the Panhandle or the eastern farm counties. For patients, that uniformity makes the statewide figures on this site a reliable guide anywhere in Idaho. Cross-border care is where pricing gets more interesting, since adjacent metro localities price higher.
Boise anchors the state's largest medical market, while the Panhandle looks to Spokane, Washington for much of its specialty care and eastern Idaho leans on Idaho Falls, Pocatello, and sometimes Salt Lake City. That means many Idahoans actually receive care priced under another state's locality. Rural and mountain communities face long drives for anything beyond primary care.
Check your ZIP code for local context across Idaho, from Boise and the Treasure Valley to Coeur d'Alene, Idaho Falls, Pocatello, Twin Falls, and the remote central mountains.
Featured physician rates in Idaho
Office (non-facility) physician rates. Open a row for the locality table and ZIP tool.
Other states
Medical costs in Idaho: questions
Across the 66 featured procedures on this page, Idaho sits below the national average by about 7%. Examples: incision & drainage of abscess $120, skin biopsy (tangential) $89, skin biopsy (punch) $112. Search any other CPT in the box above; those codes are in the tool, not as extra Idaho articles.
Idaho is one Medicare locality, so the physician fee schedule is statewide. Site of service (office vs hospital) and hospital facility fees still change what a patient is billed.
The table shows Medicare physician allowed amounts in an office: the professional fee after GPCI, which for imaging and other tests done outside a hospital is the full global rate. It does not include hospital facility charges, anesthesia, or your plan’s contracted rate; each procedure page adds the full hospital or surgery center total where CMS pays one. Medicare patients typically owe 20% of the allowed amount after the Part B deductible, before Medigap.
Yes. The table is the featured set (66 procedures). The search box looks up 7,500+ payable codes from the 2026 fee schedule and applies Idaho’s locality when you enter a ZIP.