Visits & medical services prices at Bear Lake Memorial Hospital
Montpelier, ID · every code in this section with a posted price and a Medicare benchmark.
116 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Admn Sarscov2 Vacc 1 Dose (90480) | $48.03 | $56.50 | 1.2× |
| Airway Inhalation Treatment (94640) | $133.45 | $157 | 0.6× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) range across 3 matching MRF lines |
$53.55–$90.53 | $63–$106.50 | varies |
| Assessment of aphasia per hr (96105) | $283.05 | $333 | 2.9× |
| Behavral qualit analys voice (92524) | $261.38 | $307.50 | 2.4× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) | $295.38 | $347.50 | 0.8× |
| Canalith repositioning proc (95992) | $150.45 | $177 | 3.7× |
| Cardiac Stress Tst,Tracing Only (93017) | $128.78 | $151.50 | 0.6× |
| Cardiopulmonary resuscitation (92950) | $907.80 | $1,068 | 4.3× |
| Cardioversion (92960) range across 3 matching MRF lines |
$578–$811.33 | $680–$954.50 | varies |
| Chemo Anti-Neopl Sq/Im (96401) | $218.88 | $257.50 | 3.1× |
| Chemo Hormon Antineopl Sq/Im (96402) | $184.45 | $217 | 2.6× |
| Chemo IV infusion addl hr (96415) | $194.23 | $228.50 | 2.7× |
| Chemo IV push addl drug (96411) range across 2 matching MRF lines |
$238–$257.13 | $280–$302.50 | varies |
| Chemotherapy Unspecified (96549) | $115.60 | $136 | 2.5× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) | $253.73 | $298.50 | 3.6× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) | $601.80 | $708 | 1.8× |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) | $343.83 | $404.50 | 1.1× |
| Chest Wall Manipulation (94668) | $133.45 | $157 | 1.0× |
| Community/Work Reintegration Trainj Ea 15 Min (97537) | $94.35 | $111 | 2.9× |
| Continuous Pulse Ox (94762) | $141.95 | $167 | 1.1× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) | $437.33 | $514.50 | 2.0× |
| Cpt initial (94667) | $102.85 | $121 | 0.8× |
| Critical care first hour (99291) range across 2 matching MRF lines |
$535.50–$1,707.65 | $630–$2,009 | varies |
| Debridement Open Wound 20 Sq Cm< (97597) | $74.38 | $87.50 | 0.4× |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) | $723.78 | $851.50 | 3.1× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) | $969.43 | $1,140.50 | 4.1× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) | $670.65 | $789 | 6.5× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) range across 2 matching MRF lines |
$801.13–$1,201.48 | $942.50–$1,413.50 | varies |
| Dup-scan xtr veins unilateral/limited study (93971) range across 4 matching MRF lines |
$160.23–$773.93 | $188.50–$910.50 | varies |
| Duplex up extrem art bilat (93930) | $988.13 | $1,162.50 | 4.2× |
| Duplex up extrem art unilat/ltd (93931) | $688.93 | $810.50 | 6.7× |
| Echo Heart Xthoracic,Limited (93308) | $709.75 | $835 | 3.0× |
| Electrocardiogram Tracing (93005) | $194.65 | $229 | 3.3× |
| Emergency Dept Visit Level 2 (99282) range across 2 matching MRF lines |
$141.10–$438.60 | $166–$516 | varies |
| Emergency Dept Visit Level 3 (99283) range across 2 matching MRF lines |
$179.78–$649.83 | $211.50–$764.50 | varies |
| Emergency Dept Visit Level 4 (99284) range across 2 matching MRF lines |
$265.20–$1,105.85 | $312–$1,301 | varies |
| Er level 1 (99281) range across 2 matching MRF lines |
$107.95–$153.43 | $127–$180.50 | varies |
| Er level v (99285) range across 2 matching MRF lines |
$310.68–$1,434.80 | $365.50–$1,688 | varies |
| Evaluate pt use of inhaler (94664) | $115.60 | $136 | 0.5× |
| Evaluate Speech Production (92522) | $252.88 | $297.50 | 2.3× |
| Evaluate Swallowing Function (92610) | $283.05 | $333 | 3.3× |
| Evaluation of speech fluency (92521) | $304.30 | $358 | 2.3× |
| Evoked Auditory Test,Limited (92587) | $243.53 | $286.50 | 1.1× |
| External ECG rec>48hr<7d recording (93242) | $54.40 | $64 | 1.5× |
| External ECG rec>7d<15d recording (93246) | $104.98 | $123.50 | 2.8× |
| Extracranial Bilat Study (93880) | $1,008.10 | $1,186 | 4.3× |
| Extracranial Uni/Ltd Study (93882) | $799.85 | $941 | 7.7× |
| Holter monitor recording (93225) | $103.28 | $121.50 | 0.8× |
| Immunization administration (90471) | $99.03 | $116.50 | 1.4× |
| Iontophoresis 15 min (97033) range across 3 matching MRF lines |
$193.38–$198.48 | $227.50–$233.50 | varies |
| Irrig Drug Delivery Device (96523) | $224.83 | $264.50 | 3.9× |
| IV infusion hydration each additional hour (96361) | $119.43 | $140.50 | 2.6× |
| IV infusion hydration initial 31 min-1 hour (96360) | $480.25 | $565 | 2.3× |
| IV infusion ther proph addl sequential to 1 hr (96367) | $250.33 | $294.50 | 3.5× |
| IV infusion therapy prophylaxis/dx ea hour (96366) | $110.50 | $130 | 2.4× |
| IV push initial (96374) | $229.50 | $270 | 1.1× |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) | $622.63 | $732.50 | 1.6× |
| Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) | $607.75 | $715 | 1.5× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) | $54.83 | $64.50 | 0.3× |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) | $259.68 | $305.50 | 0.6× |
| Neuromuscular Reeducation (97112) range across 2 matching MRF lines |
$115.60–$117.73 | $136–$138.50 | varies |
| Newborn resuscitation (99465) | $592.88 | $697.50 | 0.9× |
| Oral Function Therapy (92526) | $283.05 | $333 | 3.4× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) range across 2 matching MRF lines |
$107.10–$112.63 | $126–$132.50 | varies |
| Osteopathic Manipulative Tx 1-2 Body Regions (98925) | $70.98 | $83.50 | 3.3× |
| Ot Contrast Bath Ea 15 Min (97034) | $74.38 | $87.50 | 5.3× |
| Ot eval high complexity (97167) | $284.33 | $334.50 | 2.8× |
| Ot Eval Low Complex (97165) | $227.38 | $267.50 | 2.3× |
| Ot Eval Moderate Complexity (97166) | $253.30 | $298 | 2.5× |
| Ot manual therapy 15 min (97140) range across 2 matching MRF lines |
$106.68–$117.73 | $125.50–$138.50 | varies |
| Ot paraffin bath (97018) range across 2 matching MRF lines |
$68.43–$71.83 | $80.50–$84.50 | varies |
| Ot Re-Eval Est Plan Care (97168) | $227.38 | $267.50 | 3.3× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) | $166.18 | $195.50 | 1.3× |
| Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) | $181.90 | $214 | 0.8× |
| Phlebotomy therapeutic (99195) range across 2 matching MRF lines |
$145.78–$221.85 | $171.50–$261 | varies |
| Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) | $58.34 | $68.63 | 1.0× |
| Physical Performance Test (97750) range across 2 matching MRF lines |
$141.53–$146.20 | $166.50–$172 | varies |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) | $3,189.63 | $3,752.50 | 3.8× |
| Psytx Crisis Initial 60 Min (90839) | $226.95 | $267 | 1.3× |
| Pt Asstv Technol Assmt Dir Cntct W/Reprt Ea 15 Min (97755) | $61.20 | $72 | 1.6× |
| Pt Eval High Complex (97163) | $249.05 | $293 | 2.5× |
| Pt eval low complex 20 min (97161) | $197.63 | $232.50 | 2.0× |
| Pt Eval Mod Complex (97162) | $223.55 | $263 | 2.3× |
| Pt gait training 15 min (97116) | $104.98 | $123.50 | 3.6× |
| Pt mechanical traction (97012) | $70.55 | $83 | 4.9× |
| Pt Re-Eval Est Plan Care (97164) | $213.35 | $251 | 3.2× |
| Refill/Maint Portable Pump (96521) | $376.55 | $443 | 1.8× |
| Refill/Maint Pump/Resvr Syst (96522) | $391.85 | $461 | 1.9× |
| Remote 30 Day Ecg Rev/Report (93270) | $103.28 | $121.50 | 2.8× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) | $181.48 | $213.50 | 0.9× |
| Self Care Mngment Training (97535) | $28.05 | $33 | 0.9× |
| Sensory Integration Ea 15 Min (97533) | $81.60 | $96 | 1.3× |
| Sleep study unattended (95806) | $675.33 | $794.50 | 3.2× |
| Speech sound lang comprehen (92523) | $514.25 | $605 | 2.3× |
| Spirometry (94010) | $110.50 | $130 | 0.5× |
| Standardized Cognitive Performance Testing (96125) | $287.73 | $338.50 | 2.8× |
| Stress Tte Only (93350) | $1,055.28 | $1,241.50 | 2.0× |
| Subcutaneous Infusion Each Additional Hour (96370) | $128.35 | $151 | 2.8× |
| Subcutaneous infusion initial 1 hr w/pump set-up (96369) | $320.45 | $377 | 1.5× |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) | $37.40 | $44 | 1.7× |
| Ther Ivntj Ea Addl 15 Min (97130) | $35.70 | $42 | 1.7× |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) | $104.98 | $123.50 | 3.5× |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) | $106.25 | $125 | 1.0× |
| Ther/Proph/Diag Inj Sc/Im (96372) | $76.93 | $90.50 | 1.1× |
| Ther/Proph/Diag Iv Inf Init (96365) | $447.95 | $527 | 2.1× |
| Therapeutic Activities (97530) range across 3 matching MRF lines |
$119.85–$136.85 | $141–$161 | varies |
| Tte w/doppler, complete (93306) | $1,340.03 | $1,576.50 | 2.5× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) | $245.65 | $289 | 3.2× |
| Tx/Pro/Dx Inj New Drug Addon (96375) | $229.50 | $270 | 5.0× |
| Upr/L Xtremity Art 2 Levels (93922) | $410.13 | $482.50 | 3.1× |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) | $935 | $1,100 | 4.4× |
| Vasopneumatic device (97016) | $102.85 | $121 | 8.6× |
| Vent Mgmt Inpat Init Day (94002) | $1,272.03 | $1,496.50 | 2.1× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) | $915.45 | $1,077 | 1.5× |
| Wheelchair Mgmt Ea 15 Min (97542) range across 2 matching MRF lines |
$91.38–$95.63 | $107.50–$112.50 | varies |
A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.