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Teton Valley Hospital

Driggs, ID · CMS ID: 131313

This hospital has pricing data for 5 procedures ranging from $33 to $4,114.

Procedures (5)

Established patient office or other outpatient visit with low level of decision making, if using time, 20 minutes or more

99213
Cash Price
(No Insurance)
$44
Gross Charge
$55
Insurance Negotiated Rates
UHC MEDICARE ADVANTAGE$25

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more

99214
Cash Price
(No Insurance)
$44
Gross Charge
$55
Insurance Negotiated Rates
UHC MEDICARE ADVANTAGE$25

Injection of anesthetic agent into sacral nerve bundle

64517
Cash Price
(No Insurance)
$1,033
Gross Charge
$1,291
Insurance Negotiated Rates
HUMANA-ALL PLANS$736

Removal or revision of spinal neurostimulator generator or receiver

63688
Cash Price
(No Insurance)
$4,114
Gross Charge
$5,142
Insurance Negotiated Rates
BLUE CROSS MEDICAID$305

REV - FS-RURAL/CLINIC

0521
Cash Price
(No Insurance)
$33
Gross Charge
$41
Insurance Negotiated Rates
BLUE CROSS QHP$38