Visits & medical services prices at Caribou Medical Center
Soda Springs, ID · every code in this section with a posted price and a Medicare benchmark.
134 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Airway Inhalation Treatment (94640) range across 3 matching MRF lines |
$55.20–$169.40 | $78.86–$242 | varies |
| Allg test perq & ic drug/biol immed react w/ i&r (95018) | $70.46 | $100.66 | 1.9× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) | $55.30 | $79 | 3.9× |
| Application Modality 1/> Areas Infrared (97026) | $22.16 | $31.66 | 3.3× |
| Bfb traing w/EMG &/manometry 1st 15 min cntct (90912) | $80.50 | $115 | 1.0× |
| Brief Emotional/Behav Assmt (96127) range across 2 matching MRF lines |
$12.52–$13.14 | $17.88–$18.77 | varies |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) | $512.30 | $731.85 | 1.4× |
| Canalith repositioning proc (95992) | $63 | $90 | 1.5× |
| Car seat/bed test 60 min (94780) | $55.13 | $78.75 | 1.5× |
| Cardiac Stress Tst,Tracing Only (93017) range across 3 matching MRF lines |
$48.44–$951.29 | $69.20–$1,358.98 | varies |
| Cardiopulmonary exercise testing (94621) | $1,030.47 | $1,472.10 | 2.8× |
| Cardiopulmonary resuscitation (92950) range across 3 matching MRF lines |
$573.83–$1,152.90 | $819.75–$1,647 | varies |
| Cardioversion (92960) | $490.22 | $700.32 | 0.8× |
| Cbt 1st hour (94644) | $242.20 | $346 | 1.8× |
| Chemo Anti-Neopl Sq/Im (96401) | $222.60 | $318 | 3.1× |
| Chemo Hormon Antineopl Sq/Im (96402) | $197.40 | $282 | 2.8× |
| Chemo IV infusion addl hr (96415) | $214.90 | $307 | 3.0× |
| Chemo IV push addl drug (96411) | $246.40 | $352 | 3.5× |
| Chemother Prolong Infuse W/Pump (96416) | $632.80 | $904 | 1.9× |
| Chemotherapy Admin Intra-Arterial Infus </1 Hr (96422) | $519.02 | $741.46 | 1.6× |
| Chemotherapy Admn Intraarterial Infusion Ea Hr (96423) | $55.35 | $79.07 | 1.2× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) | $280.70 | $401 | 3.9× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) | $716.80 | $1,024 | 2.2× |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) | $424.90 | $607 | 1.3× |
| Chest Wall Manipulation (94668) | $119.70 | $171 | 0.9× |
| Chron Care Mgmt Srvc 20 Min (99490) | $117.45 | $167.78 | 1.2× |
| Color/duplex Doppler, complete (93975) range across 2 matching MRF lines |
$867.20–$927.50 | $1,238.86–$1,325 | varies |
| Color/duplex Doppler, limited (93976) | $527.80 | $754 | 5.1× |
| Community/Work Reintegration Trainj Ea 15 Min (97537) | $74.31 | $106.16 | 2.3× |
| Complex chronic care mgmt svc 1st 60 min cal mo (99487) | $158.75 | $226.78 | 0.9× |
| Cont gluc mntr physician/qhp provided equiptment (95250) | $264.60 | $378 | 2.0× |
| Cont Gluc Mntr Pt Prov Eqp (95249) | $121.10 | $173 | 2.1× |
| Continuous Pulse Ox (94762) | $211.40 | $302 | 1.7× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) | $644.70 | $921 | 3.0× |
| Cpt initial (94667) | $136.20 | $194.57 | 1.0× |
| Critical care first hour (99291) | $591.93 | $845.62 | 0.7× |
| Debridement Open Wound 20 Sq Cm< (97597) range across 3 matching MRF lines |
$99.60–$253.40 | $142.28–$362 | varies |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) | $709.80 | $1,014 | 3.0× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) | $770.70 | $1,101 | 3.3× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) | $552.30 | $789 | 5.3× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) | $834.40 | $1,192 | 3.5× |
| Dup-scan xtr veins unilateral/limited study (93971) | $548.10 | $783 | 5.3× |
| Duplex up extrem art unilat/ltd (93931) | $525.70 | $751 | 5.1× |
| Echo Heart Xthoracic,Limited (93308) | $683.20 | $976 | 2.9× |
| Electrical Stimulation Ea 15 Min (97032) | $68.60 | $98 | 4.7× |
| Electrocardiogram Tracing (93005) range across 3 matching MRF lines |
$27.78–$193.90 | $39.69–$277 | varies |
| Emergency Dept Visit Level 2 (99282) | $134.44 | $192.05 | 0.9× |
| Emergency Dept Visit Level 3 (99283) | $204.22 | $291.74 | 0.8× |
| Emergency Dept Visit Level 4 (99284) | $295.29 | $421.84 | 0.7× |
| Er level 1 (99281) | $80.89 | $115.55 | 1.0× |
| Er level v (99285) | $450.93 | $644.18 | 0.8× |
| Evaluate Speech Production (92522) | $141.40 | $202 | 1.3× |
| Evaluate Swallowing Function (92610) | $144.20 | $206 | 1.7× |
| Evaluation of speech fluency (92521) | $132.47 | $189.24 | 1.0× |
| Exercise test for bronchospasm (94617) | $374.12 | $534.45 | 2.8× |
| External ECG rec>48hr<7d recording (93242) | $274.01 | $391.44 | 7.4× |
| External ECG rec>7d<15d recording (93246) | $274.01 | $391.44 | 7.4× |
| Extracranial Bilat Study (93880) | $807.80 | $1,154 | 3.4× |
| Fluorescein Icg Angrph W/Multiframe I&R Uni/Bi (92242) | $355.50 | $507.86 | 1.7× |
| Holter monitor recording (93225) | $349.30 | $499 | 2.7× |
| Im Adm Intransl/Oral 1 Vaccine (90473) range across 2 matching MRF lines |
$48.55–$51.10 | $69.35–$73 | varies |
| Immunization administration (90471) range across 3 matching MRF lines |
$47.95–$62.30 | $68.50–$89 | varies |
| Inital newborn e/m (99460) | $238.66 | $340.94 | 1.8× |
| Iontophoresis 15 min (97033) | $86.41 | $123.44 | 4.5× |
| Irrig Drug Delivery Device (96523) | $174.30 | $249 | 3.0× |
| IV infusion hydration each additional hour (96361) | $137.90 | $197 | 3.0× |
| IV infusion hydration initial 31 min-1 hour (96360) | $372.40 | $532 | 1.8× |
| IV infusion ther proph addl sequential to 1 hr (96367) | $180.60 | $258 | 2.5× |
| IV infusion therapy prophylaxis/dx ea hour (96366) | $147 | $210 | 3.2× |
| IV push initial (96374) | $211.40 | $302 | 1.0× |
| Lung Function Test (Mbc/Mvv) (94200) | $176.40 | $252 | 3.0× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) range across 2 matching MRF lines |
$69.76–$75.85 | $99.65–$108.36 | varies |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) range across 2 matching MRF lines |
$53.44–$74.90 | $76.34–$107 | varies |
| Medical nutrition therapy grp2/ indiv ea 30 mi (97804) | $70.71 | $101.01 | 4.2× |
| Multiple Sleep Latency Test (95805) | $2,935.80 | $4,194 | 3.5× |
| Nasopharyngoscopy (92511) | $396.20 | $566 | 2.0× |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) | $558.89 | $798.42 | 1.4× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) | $244.30 | $349 | 1.2× |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) range across 2 matching MRF lines |
$467.63–$543.20 | $668.04–$776 | varies |
| Neuromuscular Reeducation (97112) | $87.50 | $125 | 2.7× |
| Newborn resuscitation (99465) range across 2 matching MRF lines |
$370.93–$471.80 | $529.90–$674 | varies |
| Oral Function Therapy (92526) | $145.60 | $208 | 1.7× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) | $93.05 | $132.93 | 2.0× |
| Ot Contrast Bath Ea 15 Min (97034) | $47.60 | $68 | 3.4× |
| Ot eval high complexity (97167) | $240.10 | $343 | 2.4× |
| Ot Eval Low Complex (97165) | $158.20 | $226 | 1.6× |
| Ot Eval Moderate Complexity (97166) | $199.50 | $285 | 2.0× |
| Ot manual therapy 15 min (97140) | $77 | $110 | 2.8× |
| Ot Re-Eval Est Plan Care (97168) | $112 | $160 | 1.6× |
| Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) | $326.90 | $467 | 1.5× |
| Phlebotomy therapeutic (99195) | $227.50 | $325 | 1.7× |
| Plethysmography (94726) | $224.70 | $321 | 0.6× |
| Pm device eval in person (93288) | $105 | $150 | 2.8× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) | $3,756.12 | $5,365.88 | 4.4× |
| Principal care management services, for a single high-risk disease, with the following required elements: one complex… (99426) | $60.27 | $86.10 | 0.6× |
| Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) range across 2 matching MRF lines |
$23.85–$26.36 | $34.07–$37.65 | varies |
| Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) | $33.81 | $48.30 | 0.7× |
| Psych diag eval w/med srvcs (90792) range across 2 matching MRF lines |
$282.91–$308.36 | $404.15–$440.52 | varies |
| Psychiatric diagnostic evaluation (90791) | $222.12 | $317.31 | 1.3× |
| Pt Eval High Complex (97163) | $214.20 | $306 | 2.2× |
| Pt eval low complex 20 min (97161) | $141.40 | $202 | 1.4× |
| Pt Eval Mod Complex (97162) | $178.50 | $255 | 1.8× |
| Pt gait training 15 min (97116) | $77.70 | $111 | 2.7× |
| Pt mechanical traction (97012) | $60.20 | $86 | 4.2× |
| Pt Re-Eval Est Plan Care (97164) | $105.70 | $151 | 1.6× |
| Pulmonary service/procedure (94799) | $154 | $220 | 1.2× |
| Pulmonary Stress Testing (94618) | $284.20 | $406 | 2.2× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) range across 3 matching MRF lines |
$79.92–$203 | $114.17–$290 | varies |
| Same day nb discharge (99463) | $267.10 | $381.57 | 2.0× |
| Self Care Mngment Training (97535) | $85.40 | $122 | 2.6× |
| Sleep study attended (95807) | $1,381.35 | $1,973.35 | 3.7× |
| Sleep study unattended (95806) | $606.90 | $867 | 2.8× |
| Speech sound lang comprehen (92523) | $220.50 | $315 | 1.0× |
| Spirometry (94010) range across 2 matching MRF lines |
$25.73–$279.30 | $36.75–$399 | varies |
| Standardized Cognitive Performance Testing (96125) | $298.20 | $426 | 2.9× |
| Surfactant Admin Thru Tube (94610) | $146.30 | $209 | 0.7× |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) | $114.56 | $163.66 | 5.1× |
| Ther/Proph/Diag Inj Sc/Im (96372) range across 2 matching MRF lines |
$60.17–$102.90 | $85.95–$147 | varies |
| Ther/Proph/Diag Iv Inf Init (96365) range across 2 matching MRF lines |
$146.69–$462 | $209.56–$660 | varies |
| Therapeutic Activities (97530) | $89.29 | $127.55 | 2.5× |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) | $27.24 | $38.91 | 0.7× |
| Trans Care Mgmt 14 Day Disch (99495) | $271.47 | $387.82 | 2.1× |
| Trans Care Mgmt 7 Day Disch (99496) | $398.22 | $568.88 | 3.0× |
| Tte w/doppler, complete (93306) | $1,486.54 | $2,123.63 | 2.8× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) | $121.80 | $174 | 1.6× |
| Tx/Pro/Dx Inj New Drug Addon (96375) | $159.60 | $228 | 3.5× |
| Tympanometry (92567) | $30.10 | $43 | 0.8× |
| Tympanometry and reflex threshold measurements (92550) | $42 | $60 | 0.2× |
| Unlisted otorhinolaryngological service (92700) | $14.70 | $21 | 0.5× |
| Upr/L Xtremity Art 2 Levels (93922) | $354.20 | $506 | 2.7× |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) | $580.30 | $829 | 2.7× |
| Vent Mgmt Inpat Init Day (94002) | $1,620.50 | $2,315 | 2.7× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) | $980.36 | $1,400.52 | 1.6× |
| Vital capacity, total (94150) | $195.30 | $279 | 1.5× |
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.