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Teton Valley Hospital
Driggs, ID · CMS ID: 131313
This hospital has pricing data for 44 procedures ranging from $4 to $4,114.
Procedures (44)
C-Section Delivery
59510Cash Price
(No Insurance)
$512
Gross Charge
$640
Medicare Rate
$2,419
Insurance Negotiated Rates
UnitedHealthcare$294
Chest X-Ray 1 View
71045Cash Price
(No Insurance)
$245
Gross Charge
$306
Medicare Rate
$24
Insurance Negotiated Rates
Blue Cross Blue Shield$8
Chest X-Ray 2 Views
71046Cash Price
(No Insurance)
$277
Gross Charge
$346
Medicare Rate
$31
Insurance Negotiated Rates
Blue Cross Blue Shield$9
Cash Price
(No Insurance)
$337
Gross Charge
$421
Medicare Rate
$356
Insurance Negotiated Rates
Medicare$154
Cash Price
(No Insurance)
$366
Gross Charge
$458
Medicare Rate
$450
Insurance Negotiated Rates
Humana$166
Cash Price
(No Insurance)
$464
Gross Charge
$580
Medicare Rate
$471
Insurance Negotiated Rates
Humana$210
Cash Price
(No Insurance)
$66
Gross Charge
$83
Insurance Negotiated Rates
Regence Blue Shield-All Other Plans$6
Cash Price
(No Insurance)
$103
Gross Charge
$129
Insurance Negotiated Rates
Blue Cross Blue Shield$10
Cash Price
(No Insurance)
$2,300
Gross Charge
$2,875
Medicare Rate
$280
Insurance Negotiated Rates
Blue Cross Blue Shield$76
Cash Price
(No Insurance)
$1,811
Gross Charge
$2,264
Medicare Rate
$172
Insurance Negotiated Rates
Blue Cross Blue Shield$72
CT Chest Low Dose
71271Cash Price
(No Insurance)
$4
Gross Charge
$5
Medicare Rate
$128
Insurance Negotiated Rates
UnitedHealthcare$2
Cash Price
(No Insurance)
$18
Gross Charge
$22
Medicare Rate
$156
Insurance Negotiated Rates
UnitedHealthcare$10
ER Visit Level 3
99283Cash Price
(No Insurance)
$158
Gross Charge
$198
Medicare Rate
$69
Insurance Negotiated Rates
Blue Cross Blue Shield$56
ER Visit Level 4
99284Cash Price
(No Insurance)
$270
Gross Charge
$338
Medicare Rate
$117
Insurance Negotiated Rates
Blue Cross Blue Shield$95
ER Visit Level 5
99285Cash Price
(No Insurance)
$392
Gross Charge
$490
Medicare Rate
$170
Insurance Negotiated Rates
Blue Cross Blue Shield$137
Cash Price
(No Insurance)
$194
Gross Charge
$243
Medicare Rate
$130
Insurance Negotiated Rates
UHC MEDICARE ADVANTAGE$25
Cash Price
(No Insurance)
$138
Gross Charge
$172
Medicare Rate
$91
Insurance Negotiated Rates
UHC MEDICARE ADVANTAGE$25
Cash Price
(No Insurance)
$400
Gross Charge
$500
Medicare Rate
$48
Insurance Negotiated Rates
UnitedHealthcare$230
Hemoglobin A1C
83036Cash Price
(No Insurance)
$55
Gross Charge
$69
Insurance Negotiated Rates
Regence Blue Shield-All Other Plans$7
Hip Replacement
27130Cash Price
(No Insurance)
$374
Gross Charge
$467
Medicare Rate
$1,129
Insurance Negotiated Rates
Blue Cross Blue Shield$467
Cash Price
(No Insurance)
$1,033
Gross Charge
$1,291
Medicare Rate
$192
Insurance Negotiated Rates
HUMANA-ALL PLANS$607
Knee Arthroscopy
29881Cash Price
(No Insurance)
$1,498
Gross Charge
$1,873
Medicare Rate
$495
Insurance Negotiated Rates
Blue Cross Blue Shield$423
Knee Replacement
27447Cash Price
(No Insurance)
$2,332
Gross Charge
$2,915
Medicare Rate
$1,127
Insurance Negotiated Rates
Blue Cross Blue Shield$987
Knee X-Ray
73560Cash Price
(No Insurance)
$169
Gross Charge
$211
Medicare Rate
$32
Insurance Negotiated Rates
Blue Cross Blue Shield$7
Cash Price
(No Insurance)
$1,190
Gross Charge
$1,487
Medicare Rate
$615
Insurance Negotiated Rates
Blue Cross Blue Shield$503
Lipid Panel
80061Cash Price
(No Insurance)
$84
Gross Charge
$105
Insurance Negotiated Rates
Blue Cross Blue Shield$12
Mammogram Diagnostic
77066Cash Price
(No Insurance)
$353
Gross Charge
$441
Medicare Rate
$146
Insurance Negotiated Rates
Blue Cross Blue Shield$0
Mammogram Screening
77067Cash Price
(No Insurance)
$304
Gross Charge
$380
Medicare Rate
$118
Insurance Negotiated Rates
Blue Cross Blue Shield$32
MRI Brain
70551Cash Price
(No Insurance)
$1,858
Gross Charge
$2,323
Medicare Rate
$183
Insurance Negotiated Rates
Blue Cross Blue Shield$10
Cash Price
(No Insurance)
$2,459
Gross Charge
$3,074
Medicare Rate
$296
Insurance Negotiated Rates
Blue Cross Blue Shield$95
MRI Cervical Spine
72141Cash Price
(No Insurance)
$1,426
Gross Charge
$1,783
Medicare Rate
$179
Insurance Negotiated Rates
Blue Cross Blue Shield$62
MRI Knee
73721Cash Price
(No Insurance)
$1,199
Gross Charge
$1,499
Medicare Rate
$191
Insurance Negotiated Rates
Blue Cross Blue Shield$57
MRI Lumbar Spine
72148Cash Price
(No Insurance)
$1,446
Gross Charge
$1,808
Medicare Rate
$180
Insurance Negotiated Rates
Blue Cross Blue Shield$62
MRI Shoulder
73221Cash Price
(No Insurance)
$1,362
Gross Charge
$1,703
Medicare Rate
$191
Insurance Negotiated Rates
Blue Cross Blue Shield$57
Cash Price
(No Insurance)
$4,114
Gross Charge
$5,142
Medicare Rate
$295
Insurance Negotiated Rates
BLUE CROSS MEDICAID$305
Cash Price
(No Insurance)
$33
Gross Charge
$41
Insurance Negotiated Rates
BLUE CROSS QHP$38
Shoulder X-Ray
73030Cash Price
(No Insurance)
$219
Gross Charge
$274
Medicare Rate
$33
Insurance Negotiated Rates
Blue Cross Blue Shield$8
TSH (Thyroid)
84443Cash Price
(No Insurance)
$88
Gross Charge
$110
Insurance Negotiated Rates
Blue Cross Blue Shield$15
Ultrasound Abdomen
76700Cash Price
(No Insurance)
$636
Gross Charge
$795
Medicare Rate
$107
Insurance Negotiated Rates
Blue Cross Blue Shield$34
Ultrasound Pelvis
76856Cash Price
(No Insurance)
$604
Gross Charge
$755
Medicare Rate
$98
Insurance Negotiated Rates
Blue Cross Blue Shield$29
Cash Price
(No Insurance)
$155
Gross Charge
$194
Medicare Rate
$109
Insurance Negotiated Rates
Blue Cross Blue Shield$29
Cash Price
(No Insurance)
$225
Gross Charge
$281
Medicare Rate
$301
Insurance Negotiated Rates
Humana$104
Cash Price
(No Insurance)
$254
Gross Charge
$317
Medicare Rate
$390
Insurance Negotiated Rates
Prime Health Services-All Other Plans$116
Urinalysis
81001Cash Price
(No Insurance)
$42
Gross Charge
$52
Insurance Negotiated Rates
Regence Blue Shield-All Other Plans$2