Supplies, drugs & other prices at Eastern Idaho Regional Medical Center

Idaho Falls, ID · every code in this section with a posted price and a Medicare benchmark.

36 codes. Prices are the hospital's own posted facility charges.

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ProcedureCash priceGross charge× Medicare
2d tee w or w/o fol w/con,in (C8925) $3,470.08 $3,470.08 4.5×
2d tte w or w/o fol w/con,fu (C8924) $5,001.43 $5,001.43 14.5×
Adm tocilizu covid-19 1st (M0249) $668.25 $668.25 1.5×
Adm tocilizu covid-19 2nd (M0250) $1,284.28 $1,284.28 2.9×
Admin hepatitis b vaccine (G0010) $130.70 $130.70 2.8×
Admin influenza virus vac (G0008) $130.70 $130.70 2.8×
Admin pneumococcal vaccine (G0009) $130.70 $130.70 2.8×
Catheterize for urine spec (P9612) $81.17 $81.17 8.7×
Chemo extend iv infus w/pump (G0498) $774.33 $774.33 2.4×
Covid-19 lab test non-cdc (U0002) $161.05 $161.05 3.1×
Direct refer hospital observ (G0379) $1,270 $1,270 2.2×
Drug test def 1-7 classes (G0480) $593.23 $593.23 5.2×
Elec stim other than wound (G0283) $168.66 $168.66 13.3×
Elec stim unattend for press (G0281) $198.79 $198.79 17.0×
Hbot, full body chamber, 30m (G0277) $1,422.52 $1,422.52 10.5×
Lev 1 hosp type b ed visit (G0380) $331.66 $331.66 4.5×
Lev 2 hosp type b ed visit (G0381) $363.96 $363.96 4.0×
Lev 3 hosp type b ed visit (G0382) $525.47 $525.47 3.1×
Lev 4 hosp type b ed visit (G0383) $590.09 $590.09 2.3×
Lev 5 hosp type b ed visit (G0384) $656.87 $656.87 1.6×
Mra w/o cont, abd (C8901) $2,499.75 $2,499.75 10.6×
Mra w/o fol w/cont, abd (C8902) $3,342.13 $3,342.13 9.7×
Mra w/o fol w/cont, chest (C8911) $2,499.75 $2,499.75 7.3×
Mra w/o fol w/cont, pelvis (C8920) $2,499.75 $2,499.75 7.3×
Mri w/o fol w/cont, breast, (C8908) $4,647.96 $4,647.96 13.5×
Oth resp proc, group (G0239) $341.47 $341.47 9.3×
Oth resp proc, indiv (G0238) $258.12 $258.12 9.0×
Psa screening (G0103) $327.87 $327.87 17.0×
Therapeutic procd strg endur (G0237) $258.12 $258.12 9.0×
Tomosynthesis, mammo (G0279) $9.17 $9.17 0.7×
Trauma respons w/hosp criti (G0390) $26,378.35 $26,378.35 20.0×
Tte w or w/o fol w/con,stres (C8928) $3,470.08 $3,470.08 4.5×
Tte w or w/o fol w/cont, com (C8921) $5,001.43 $5,001.43 6.5×
Tte w or w/o fol w/cont, f/u (C8922) $5,001.43 $5,001.43 6.5×
Tte w or wo fol wcon,doppler (C8929) $5,001.43 $5,001.43 6.5×
Unsched dialysis esrd pt hos (G0257) $3,820.81 $3,820.81 5.6×