|
Boundary Community Hospital
Bonners Ferry, ID · CMS ID: 131301
This hospital has pricing data for 39 procedures ranging from $14 to $14,242.
Procedures (39)
Chest X-Ray 1 View
71045Cash Price
(No Insurance)
$18
Gross Charge
$23
Medicare Rate
$24
Insurance Negotiated Rates
UnitedHealthcare$6
Chest X-Ray 2 Views
71046Cash Price
(No Insurance)
$21
Gross Charge
$26
Medicare Rate
$31
Insurance Negotiated Rates
UnitedHealthcare$7
Cash Price
(No Insurance)
$2,236
Gross Charge
$2,795
Medicare Rate
$356
Insurance Negotiated Rates
Molina Comm/Mrketplce - All Other Plans$950
Cash Price
(No Insurance)
$1,468
Gross Charge
$1,835
Medicare Rate
$450
Insurance Negotiated Rates
Molina Mcr Adv$1,009
Cash Price
(No Insurance)
$2,306
Gross Charge
$2,882
Medicare Rate
$471
Insurance Negotiated Rates
Molina Comm/Mrketplce - All Other Plans$1,223
Cash Price
(No Insurance)
$34
Gross Charge
$43
Insurance Negotiated Rates
Regence Blue Shield - All Plans$3
Cash Price
(No Insurance)
$46
Gross Charge
$58
Insurance Negotiated Rates
Regence Blue Shield - All Plans$6
Cash Price
(No Insurance)
$242
Gross Charge
$303
Medicare Rate
$280
Insurance Negotiated Rates
UnitedHealthcare$56
Cash Price
(No Insurance)
$235
Gross Charge
$294
Medicare Rate
$172
Insurance Negotiated Rates
UnitedHealthcare$54
CT Chest Low Dose
71271Cash Price
(No Insurance)
$114
Gross Charge
$143
Medicare Rate
$128
Insurance Negotiated Rates
UnitedHealthcare$33
Cash Price
(No Insurance)
$122
Gross Charge
$153
Medicare Rate
$156
Insurance Negotiated Rates
UnitedHealthcare$36
ER Visit Level 3
99283Cash Price
(No Insurance)
$90
Gross Charge
$113
Medicare Rate
$69
Insurance Negotiated Rates
Molina Mcaid$56
ER Visit Level 4
99284Cash Price
(No Insurance)
$183
Gross Charge
$229
Medicare Rate
$117
Insurance Negotiated Rates
Molina Mcaid$95
ER Visit Level 5
99285Cash Price
(No Insurance)
$1,299
Gross Charge
$1,624
Medicare Rate
$170
Insurance Negotiated Rates
Molina Mcaid$137
Hemoglobin A1C
83036Cash Price
(No Insurance)
$30
Gross Charge
$38
Insurance Negotiated Rates
Regence Blue Shield - All Plans$4
Hip Replacement
27130Cash Price
(No Insurance)
$14,242
Gross Charge
$17,802
Medicare Rate
$1,129
Insurance Negotiated Rates
Pacificsource Comm - All Other Plans$511
Knee Arthroscopy
29881Cash Price
(No Insurance)
$4,792
Gross Charge
$5,990
Medicare Rate
$495
Insurance Negotiated Rates
Pacificsource Comm - All Other Plans$216
Knee Replacement
27447Cash Price
(No Insurance)
$13,684
Gross Charge
$17,105
Medicare Rate
$1,127
Insurance Negotiated Rates
Pacificsource Comm - All Other Plans$530
Knee X-Ray
73560Cash Price
(No Insurance)
$17
Gross Charge
$21
Medicare Rate
$32
Insurance Negotiated Rates
UnitedHealthcare$5
Lipid Panel
80061Cash Price
(No Insurance)
$50
Gross Charge
$62
Insurance Negotiated Rates
Regence Blue Shield - All Plans$8
Mammogram Diagnostic
77066Cash Price
(No Insurance)
$128
Gross Charge
$160
Medicare Rate
$146
Insurance Negotiated Rates
UnitedHealthcare$31
Mammogram Screening
77067Cash Price
(No Insurance)
$138
Gross Charge
$173
Medicare Rate
$118
Insurance Negotiated Rates
UnitedHealthcare$24
MRI Brain
70551Cash Price
(No Insurance)
$147
Gross Charge
$184
Medicare Rate
$183
Insurance Negotiated Rates
UnitedHealthcare$46
Cash Price
(No Insurance)
$234
Gross Charge
$293
Medicare Rate
$296
Insurance Negotiated Rates
UnitedHealthcare$71
MRI Cervical Spine
72141Cash Price
(No Insurance)
$159
Gross Charge
$199
Medicare Rate
$179
Insurance Negotiated Rates
UnitedHealthcare$46
MRI Knee
73721Cash Price
(No Insurance)
$134
Gross Charge
$167
Medicare Rate
$191
Insurance Negotiated Rates
UnitedHealthcare$42
MRI Lumbar Spine
72148Cash Price
(No Insurance)
$197
Gross Charge
$246
Medicare Rate
$180
Insurance Negotiated Rates
UnitedHealthcare$46
MRI Shoulder
73221Cash Price
(No Insurance)
$134
Gross Charge
$167
Medicare Rate
$191
Insurance Negotiated Rates
UnitedHealthcare$42
Office Visit Level 3
99213Cash Price
(No Insurance)
$109
Gross Charge
$136
Medicare Rate
$91
Insurance Negotiated Rates
UnitedHealthcare$55
Office Visit Level 4
99214Cash Price
(No Insurance)
$166
Gross Charge
$208
Medicare Rate
$130
Insurance Negotiated Rates
UnitedHealthcare$81
Shoulder X-Ray
73030Cash Price
(No Insurance)
$38
Gross Charge
$47
Medicare Rate
$33
Insurance Negotiated Rates
UnitedHealthcare$6
TSH (Thyroid)
84443Cash Price
(No Insurance)
$69
Gross Charge
$86
Insurance Negotiated Rates
Regence Blue Shield - All Plans$14
Ultrasound Abdomen
76700Cash Price
(No Insurance)
$379
Gross Charge
$474
Medicare Rate
$107
Insurance Negotiated Rates
UnitedHealthcare$25
Ultrasound Pelvis
76856Cash Price
(No Insurance)
$379
Gross Charge
$474
Medicare Rate
$98
Insurance Negotiated Rates
UnitedHealthcare$22
Cash Price
(No Insurance)
$379
Gross Charge
$474
Medicare Rate
$109
Insurance Negotiated Rates
UnitedHealthcare$22
Cash Price
(No Insurance)
$2,146
Gross Charge
$2,682
Medicare Rate
$301
Insurance Negotiated Rates
Molina Comm/Mrketplce - All Other Plans$927
Cash Price
(No Insurance)
$1,253
Gross Charge
$1,566
Medicare Rate
$390
Insurance Negotiated Rates
Molina Mcr Adv$861
Urinalysis
81001Cash Price
(No Insurance)
$14
Gross Charge
$17
Insurance Negotiated Rates
Regence Blue Shield - All Plans$1
Vaginal Delivery
59400Cash Price
(No Insurance)
$53
Gross Charge
$66
Medicare Rate
$2,163
Insurance Negotiated Rates
Molina Mcr Adv$28