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Grove Creek Medical Center
Blackfoot, ID · CMS ID: 130073
This hospital has pricing data for 40 procedures ranging from $6 to $11,139.
Procedures (40)
Cataract Surgery
66984Cash Price
(No Insurance)
$1,776
Gross Charge
$2,537
Insurance Negotiated Rates
Blue Cross Blue Shield$922
Chest X-Ray 1 View
71045Cash Price
(No Insurance)
$169
Gross Charge
$242
Insurance Negotiated Rates
Blue Cross Blue Shield$43
Chest X-Ray 2 Views
71046Cash Price
(No Insurance)
$29
Gross Charge
$41
Insurance Negotiated Rates
Select Health Comm - All Other Plans$31
Cash Price
(No Insurance)
$2,379
Gross Charge
$3,399
Insurance Negotiated Rates
Select Health Comm - All Other Plans$77
Cash Price
(No Insurance)
$1,893
Gross Charge
$2,704
Insurance Negotiated Rates
Select Health Comm - All Other Plans$77
Cash Price
(No Insurance)
$1,857
Gross Charge
$2,652
Insurance Negotiated Rates
Ipn - All Plans$865
Cash Price
(No Insurance)
$17
Gross Charge
$24
Insurance Negotiated Rates
Pacificsource Mcr Adv - All Plans$8
Cash Price
(No Insurance)
$12
Gross Charge
$18
Insurance Negotiated Rates
Pacificsource Mcr Adv - All Plans$11
Cash Price
(No Insurance)
$947
Gross Charge
$1,353
Insurance Negotiated Rates
Pacificsource Mcr Adv - All Plans$115
Cash Price
(No Insurance)
$1,386
Gross Charge
$1,981
Insurance Negotiated Rates
Pacificsource Mcr Adv - All Plans$86
Cash Price
(No Insurance)
$1,367
Gross Charge
$1,953
Insurance Negotiated Rates
Pacificsource Mcr Adv - All Plans$173
ER Visit Level 3
99283Cash Price
(No Insurance)
$389
Gross Charge
$556
Insurance Negotiated Rates
Blue Cross Blue Shield$128
ER Visit Level 4
99284Cash Price
(No Insurance)
$29
Gross Charge
$41
Insurance Negotiated Rates
Select Health Comm - All Other Plans$31
ER Visit Level 5
99285Cash Price
(No Insurance)
$930
Gross Charge
$1,329
Insurance Negotiated Rates
Blue Cross Blue Shield$429
Cash Price
(No Insurance)
$29
Gross Charge
$41
Insurance Negotiated Rates
Ipn - All Plans$24
Hemoglobin A1C
83036Cash Price
(No Insurance)
$37
Gross Charge
$54
Insurance Negotiated Rates
Pacificsource Mcr Adv - All Plans$10
Hip Replacement
27130Cash Price
(No Insurance)
$6,000
Gross Charge
$8,572
Insurance Negotiated Rates
Blue Cross Blue Shield$3,534
Knee Arthroscopy
29881Cash Price
(No Insurance)
$5,552
Gross Charge
$7,931
Insurance Negotiated Rates
Ipn - All Plans$1,895
Knee Replacement
27447Cash Price
(No Insurance)
$11,139
Gross Charge
$15,914
Insurance Negotiated Rates
Blue Cross Blue Shield$3,774
Knee X-Ray
73560Cash Price
(No Insurance)
$29
Gross Charge
$41
Insurance Negotiated Rates
Select Health Comm - All Other Plans$31
Cash Price
(No Insurance)
$9,909
Gross Charge
$14,156
Insurance Negotiated Rates
Select Health Comm - All Other Plans$77
Lipid Panel
80061Cash Price
(No Insurance)
$31
Gross Charge
$44
Insurance Negotiated Rates
Pacificsource Mcr Adv - All Plans$13
Mammogram Diagnostic
77066Cash Price
(No Insurance)
$219
Gross Charge
$313
Insurance Negotiated Rates
Select Health Mcr Adv$146
Mammogram Screening
77067Cash Price
(No Insurance)
$112
Gross Charge
$160
Insurance Negotiated Rates
Select Health Comm - All Other Plans$108
MRI Brain
70551Cash Price
(No Insurance)
$1,040
Gross Charge
$1,485
Insurance Negotiated Rates
Pacificsource Mcr Adv - All Plans$236
Cash Price
(No Insurance)
$1,896
Gross Charge
$2,708
Insurance Negotiated Rates
Pacificsource Mcr Adv - All Plans$345
MRI Cervical Spine
72141Cash Price
(No Insurance)
$950
Gross Charge
$1,358
Insurance Negotiated Rates
Select Health Mcr Adv$236
MRI Knee
73721Cash Price
(No Insurance)
$1,047
Gross Charge
$1,496
Insurance Negotiated Rates
Select Health Mcr Adv$236
MRI Lumbar Spine
72148Cash Price
(No Insurance)
$72
Gross Charge
$103
Insurance Negotiated Rates
Select Health Comm - All Other Plans$77
MRI Shoulder
73221Cash Price
(No Insurance)
$957
Gross Charge
$1,367
Insurance Negotiated Rates
Pacificsource Mcr Adv - All Plans$236
Office Visit Level 3
99213Cash Price
(No Insurance)
$105
Gross Charge
$149
Insurance Negotiated Rates
Select Health Comm - All Other Plans$31
Office Visit Level 4
99214Cash Price
(No Insurance)
$142
Gross Charge
$203
Insurance Negotiated Rates
Select Health Comm - All Other Plans$31
Shoulder X-Ray
73030Cash Price
(No Insurance)
$29
Gross Charge
$41
Insurance Negotiated Rates
Select Health Comm - All Other Plans$31
TSH (Thyroid)
84443Cash Price
(No Insurance)
$19
Gross Charge
$27
Insurance Negotiated Rates
Pacificsource Mcr Adv - All Plans$17
Ultrasound Abdomen
76700Cash Price
(No Insurance)
$601
Gross Charge
$859
Insurance Negotiated Rates
Pacificsource Mcr Adv - All Plans$103
Ultrasound Pelvis
76856Cash Price
(No Insurance)
$495
Gross Charge
$708
Insurance Negotiated Rates
Pacificsource Mcr Adv - All Plans$103
Cash Price
(No Insurance)
$191
Gross Charge
$273
Insurance Negotiated Rates
Blue Cross Blue Shield$31
Cash Price
(No Insurance)
$3,245
Gross Charge
$4,635
Insurance Negotiated Rates
Ipn - All Plans$840
Cash Price
(No Insurance)
$1,500
Gross Charge
$2,143
Insurance Negotiated Rates
Select Health Comm - All Other Plans$77
Urinalysis
81001Cash Price
(No Insurance)
$6
Gross Charge
$8
Insurance Negotiated Rates
Pacificsource Mcr Adv - All Plans$3