Visits & medical services prices at Eastern Idaho Regional Medical Center
Idaho Falls, ID · every code in this section with a posted price and a Medicare benchmark.
189 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Ablate Heart Dysrhythm Focus (93650) | $36,851.77 | $36,851.77 | 4.8× |
| Airway Inhalation Treatment (94640) range across 2 matching MRF lines |
$211.59–$689.46 | $211.59–$689.46 | varies |
| Analyze Neurostim Simple (95971) | $640.52 | $640.52 | 6.8× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) | $170.80 | $170.80 | 11.9× |
| Assessment of aphasia per hr (96105) | $393.28 | $393.28 | 4.0× |
| Behavral qualit analys voice (92524) | $563.74 | $563.74 | 5.1× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) | $816.85 | $816.85 | 2.2× |
| C motor evoked uppr limbs (95928) | $526.82 | $526.82 | 0.6× |
| C motor evoked upr&lwr limbs (95939) | $2,797.30 | $2,797.30 | 3.3× |
| Canalith repositioning proc (95992) | $182.29 | $182.29 | 4.5× |
| Car seat/bed test 60 min (94780) | $463.88 | $463.88 | 12.6× |
| Cardiac Stress Tst,Tracing Only (93017) | $2,739.68 | $2,739.68 | 12.8× |
| Cardiopulmonary exercise testing (94621) | $803.79 | $803.79 | 2.2× |
| Cardioversion (92960) range across 3 matching MRF lines |
$2,021.10–$3,593.02 | $2,021.10–$3,593.02 | varies |
| Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) | $69.59 | $69.59 | 2.7× |
| Cbt 1st hour (94644) | $385.55 | $385.55 | 2.9× |
| Chemo Anti-Neopl Sq/Im (96401) | $283.21 | $283.21 | 4.0× |
| Chemo Hormon Antineopl Sq/Im (96402) | $283.21 | $283.21 | 4.0× |
| Chemo IV infusion addl hr (96415) | $91.80 | $91.80 | 1.3× |
| Chemo IV push addl drug (96411) | $553.84 | $553.84 | 7.8× |
| Chemother Prolong Infuse W/Pump (96416) | $774.33 | $774.33 | 2.4× |
| Chemotherapy Into Cns (96450) | $1,090.88 | $1,090.88 | 3.3× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) | $279 | $279 | 3.9× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) | $1,076.23 | $1,076.23 | 3.3× |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) | $283.21 | $283.21 | 0.9× |
| Chest Wall Manipulation (94668) | $330.85 | $330.85 | 2.5× |
| Color/duplex Doppler, complete (93975) | $1,141.44 | $1,141.44 | 4.8× |
| Color/duplex Doppler, limited (93976) | $594.12 | $594.12 | 5.8× |
| Community/Work Reintegration Trainj Ea 15 Min (97537) | $194.49 | $194.49 | 6.1× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) range across 2 matching MRF lines |
$1,672.94–$3,434.12 | $1,672.94–$3,434.12 | varies |
| Cpt initial (94667) | $411.73 | $411.73 | 3.1× |
| Critical care first hour (99291) | $6,725 | $6,725 | 8.2× |
| Debridement Open Wound 20 Sq Cm< (97597) range across 4 matching MRF lines |
$435.18–$1,238.18 | $435.18–$1,238.18 | varies |
| Dialysis One Evaluation (90945) range across 4 matching MRF lines |
$229.90–$1,171.50 | $229.90–$1,171.50 | varies |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) | $1,156.05 | $1,156.05 | 4.9× |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) | $734.59 | $734.59 | 7.1× |
| Dup-Scan Artl Infl&Ven O/F Pen Vsl Compl (93980) | $1,741.42 | $1,741.42 | 16.9× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) | $2,066.28 | $2,066.28 | 8.8× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) range across 2 matching MRF lines |
$1,398.98–$2,227.26 | $1,398.98–$2,227.26 | varies |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) range across 2 matching MRF lines |
$1,472.13–$2,420.44 | $1,472.13–$2,420.44 | varies |
| Dup-scan xtr veins unilateral/limited study (93971) range across 2 matching MRF lines |
$916.08–$2,710.17 | $916.08–$2,710.17 | varies |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Bi Std (93985) | $1,562.72 | $1,562.72 | 6.6× |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Uni Std (93986) | $751.62 | $751.62 | 7.3× |
| Duplex Scan Hemodialysis Access (93990) | $1,164.83 | $1,164.83 | 11.3× |
| Duplex up extrem art bilat (93930) | $1,580.45 | $1,580.45 | 6.7× |
| Duplex up extrem art unilat/ltd (93931) | $1,056.55 | $1,056.55 | 10.2× |
| Echo Congenital Complete (93303) | $4,218.61 | $4,218.61 | 7.8× |
| Echo Heart Xthoracic,Limited (93308) range across 2 matching MRF lines |
$1,413.27–$2,085.28 | $1,413.27–$2,085.28 | varies |
| Echo r-t 2d w/probe placement only (93313) | $3,127.86 | $3,127.86 | 5.8× |
| Echo transesophageal (93312) | $9,771.81 | $9,771.81 | 18.1× |
| Echo Transesophageal - Congenital Tee Complete (93315) | $8,624.88 | $8,624.88 | 16.0× |
| Eeg 41-60 Minutes (95812) | $3,676.35 | $3,676.35 | 17.2× |
| EEG awake and asleep (95819) | $3,415.46 | $3,415.46 | 16.0× |
| EEG awake drowsy (95816) | $2,157.68 | $2,157.68 | 10.1× |
| EEG cont rec w/video by tech min 8 channels (95700) | $1,600.65 | $1,600.65 | 7.5× |
| EEG extended monitoring 61-119 minutes (95813) | $4,269.32 | $4,269.32 | 20.0× |
| Eeg Sleep Only (95822) | $1,707.72 | $1,707.72 | 8.0× |
| Eeg W/O Vid 2-12 Hr Unmntr (95705) | $1,600.65 | $1,600.65 | 7.5× |
| EEG wo vid ea 12-26hr unmntr (95708) | $3,071.06 | $3,071.06 | 8.3× |
| Electrical Stimulation Ea 15 Min (97032) | $198.79 | $198.79 | 13.5× |
| Electrocardiogram Tracing (93005) | $775.34 | $775.34 | 13.3× |
| Electroconvulsive Therapy (90870) | $3,321.68 | $3,321.68 | 3.9× |
| Electrophysiology Evaluation (93642) | $7,410.68 | $7,410.68 | 6.2× |
| Emergency Dept Visit Level 2 (99282) | $1,050 | $1,050 | 6.9× |
| Emergency Dept Visit Level 3 (99283) | $2,695 | $2,695 | 10.0× |
| Emergency Dept Visit Level 4 (99284) | $3,935 | $3,935 | 9.5× |
| Ep & ablate supravent arrhyt (93653) | $122,842.72 | $122,842.72 | 4.8× |
| Ep & ablate ventric tachy (93654) | $116,263.27 | $116,263.27 | 4.5× |
| Ep Compre Electrophysiologic Arrhythmia Induction (93620) | $36,851.77 | $36,851.77 | 4.8× |
| Er level 1 (99281) range across 2 matching MRF lines |
$65–$445 | $65–$445 | varies |
| Er level v (99285) | $5,238 | $5,238 | 8.9× |
| Evaluate pt use of inhaler (94664) | $249.96 | $249.96 | 1.2× |
| Evaluate Speech Production (92522) | $545.34 | $545.34 | 4.9× |
| Evaluate Swallowing Function (92610) range across 2 matching MRF lines |
$298.51–$634.40 | $298.51–$634.40 | varies |
| Evaluation of speech fluency (92521) | $259.37 | $259.37 | 1.9× |
| Exhaled Air Analysis O2 (94680) | $960.60 | $960.60 | 7.6× |
| External ECG rec>48hr<7d recording (93242) | $194.58 | $194.58 | 5.3× |
| External ECG rec>7d<15d recording (93246) | $320.05 | $320.05 | 8.7× |
| Extracranial Bilat Study (93880) range across 2 matching MRF lines |
$2,578.46–$2,929.71 | $2,578.46–$2,929.71 | varies |
| Extracranial Uni/Ltd Study (93882) | $692.20 | $692.20 | 6.7× |
| F-up/limited tthrc echo congenital car anomaly (93304) | $3,127.86 | $3,127.86 | 5.8× |
| Flexible endoscopic eval swallow c/v rec (92612) | $720.49 | $720.49 | 3.6× |
| Fluorescein angiography (92235) | $1,497.04 | $1,497.04 | 7.0× |
| Fundus photography (92250) | $395.13 | $395.13 | 3.0× |
| Group Therapeutic Procedures (97150) range across 3 matching MRF lines |
$180.72–$198.79 | $180.72–$198.79 | varies |
| Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) | $2,300.63 | $2,300.63 | 3.4× |
| Hubbard tank 15 min (97036) | $96.03 | $96.03 | 2.8× |
| Icd Device Interrogate (93289) | $500.48 | $500.48 | 13.6× |
| Icd device progr eval dual (93283) | $644.81 | $644.81 | 17.5× |
| Icd Device Progr Eval Mult (93284) | $644.81 | $644.81 | 17.5× |
| Ilr Device Interrogate (93291) | $257.44 | $257.44 | 9.0× |
| Img retina detcj/mntr ds poc auton a/r uni/bi (92229) | $358.56 | $358.56 | 6.2× |
| Immunization administration (90471) range across 2 matching MRF lines |
$316.09–$357.24 | $316.09–$357.24 | varies |
| Intracranial Complete Study (93886) | $2,961.88 | $2,961.88 | 12.6× |
| Iontophoresis 15 min (97033) | $251.89 | $251.89 | 13.2× |
| Irrig Drug Delivery Device (96523) range across 2 matching MRF lines |
$170.38–$209.18 | $170.38–$209.18 | varies |
| IV infusion hydration each additional hour (96361) range across 4 matching MRF lines |
$137.26–$167.66 | $137.26–$167.66 | varies |
| IV infusion hydration initial 31 min-1 hour (96360) range across 4 matching MRF lines |
$624.88–$663.33 | $624.88–$663.33 | varies |
| IV infusion ther proph addl sequential to 1 hr (96367) range across 3 matching MRF lines |
$143.77–$326.18 | $143.77–$326.18 | varies |
| IV infusion therapy prophylaxis/dx ea hour (96366) range across 5 matching MRF lines |
$83.84–$156.12 | $83.84–$156.12 | varies |
| IV push initial (96374) range across 6 matching MRF lines |
$275.67–$756.32 | $275.67–$756.32 | varies |
| Low frequency non-thermal us (97610) | $693.33 | $693.33 | 3.5× |
| Lung Function Test (Mbc/Mvv) (94200) | $285.92 | $285.92 | 4.9× |
| Lwr Xtr Vasc Stdy Bilat (93924) | $421.18 | $421.18 | 2.0× |
| Mechanical chest wall oscillation per session (94669) | $350.69 | $350.69 | 1.6× |
| Methacholine challenge (94070) | $1,385.35 | $1,385.35 | 3.8× |
| Motion Fluoroscopy/Swallow (92611) range across 2 matching MRF lines |
$459.31–$720.49 | $459.31–$720.49 | varies |
| Muscle Test 2 Limbs (95861) | $1,009.71 | $1,009.71 | 7.7× |
| Needle Electromyography Cranial Nrv Muscle Bi (95868) | $338.88 | $338.88 | 1.6× |
| Needle Electromyography Cranial Nrv Muscle Uni (95867) | $147.61 | $147.61 | 0.7× |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) | $263.79 | $263.79 | 0.7× |
| Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) | $447.89 | $447.89 | 1.1× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) range across 3 matching MRF lines |
$241.89–$284.89 | $241.89–$284.89 | varies |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) range across 3 matching MRF lines |
$443.94–$522.42 | $443.94–$522.42 | varies |
| Neuromuscular Reeducation (97112) | $186.60 | $186.60 | 5.7× |
| Newborn resuscitation (99465) | $1,427.88 | $1,427.88 | 2.2× |
| Oral Function Therapy (92526) range across 4 matching MRF lines |
$177.25–$688.94 | $177.25–$688.94 | varies |
| Orthc/Prostc Mgmt Sbsq Enc (97763) | $164.34 | $164.34 | 3.3× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) | $170.80 | $170.80 | 3.7× |
| Ot Contrast Bath Ea 15 Min (97034) | $182.29 | $182.29 | 13.0× |
| Ot eval high complexity (97167) | $702.69 | $702.69 | 7.0× |
| Ot Eval Low Complex (97165) | $468.46 | $468.46 | 4.7× |
| Ot Eval Moderate Complexity (97166) | $585.59 | $585.59 | 5.8× |
| Ot manual therapy 15 min (97140) | $198.79 | $198.79 | 7.2× |
| Ot paraffin bath (97018) | $186.60 | $186.60 | 31.0× |
| Ot Prosthetic Training, Each 15 Min (97761) | $105.85 | $105.85 | 2.6× |
| Ot Re-Eval Est Plan Care (97168) | $277 | $277 | 4.0× |
| Ot rom hand (95852) | $71.28 | $71.28 | 3.3× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) | $569.40 | $569.40 | 4.5× |
| Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) | $569.40 | $569.40 | 4.5× |
| Oxygen Uptake Rest Indirect (94690) | $526.02 | $526.02 | 9.0× |
| Phlebotomy therapeutic (99195) | $471.01 | $471.01 | 3.6× |
| Physical Performance Test (97750) | $164.34 | $164.34 | 4.9× |
| Plethysmography (94726) | $558.72 | $558.72 | 1.5× |
| Pm device eval in person (93288) | $500.48 | $500.48 | 13.6× |
| Pm device progr eval dual (93280) | $593.53 | $593.53 | 16.1× |
| Pm Device Progr Eval Sngl (93279) | $436.29 | $436.29 | 11.8× |
| Psych diag eval w/med srvcs (90792) | $787.93 | $787.93 | 4.5× |
| Psychiatric diagnostic evaluation (90791) range across 2 matching MRF lines |
$787.93–$924.24 | $787.93–$924.24 | varies |
| Psychological tst eval svc phys/qhp first hour (96130) | $639.05 | $639.05 | 3.0× |
| Pt Eval High Complex (97163) | $702.69 | $702.69 | 7.2× |
| Pt eval low complex 20 min (97161) | $468.46 | $468.46 | 4.8× |
| Pt Eval Mod Complex (97162) | $585.59 | $585.59 | 6.0× |
| Pt gait training 15 min (97116) | $207.39 | $207.39 | 7.1× |
| Pt mechanical traction (97012) | $224.63 | $224.63 | 15.6× |
| Pt Re-Eval Est Plan Care (97164) | $277 | $277 | 4.1× |
| Pulmonary Stress Testing (94618) range across 2 matching MRF lines |
$675.07–$689.60 | $675.07–$689.60 | varies |
| Refill/Maint Portable Pump (96521) | $1,187.90 | $1,187.90 | 5.7× |
| Remote 30 Day Ecg Rev/Report (93270) | $1,095.38 | $1,095.38 | 29.7× |
| Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) | $358.13 | $358.13 | 6.1× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) range across 3 matching MRF lines |
$301.61–$355.96 | $301.61–$355.96 | varies |
| Self Care Mngment Training (97535) | $207.39 | $207.39 | 6.4× |
| Sensory Integration Ea 15 Min (97533) | $182.29 | $182.29 | 3.0× |
| Short-latency somatosens ep std upr limbs (95925) | $2,247.74 | $2,247.74 | 10.5× |
| Slp caregiver training 1st 30 min (97550) | $128.92 | $128.92 | 2.4× |
| Somatosensory Testing (95938) | $1,770.69 | $1,770.69 | 2.1× |
| Speech sound lang comprehen (92523) | $1,130.35 | $1,130.35 | 5.0× |
| Spirometry (94010) | $552.20 | $552.20 | 2.6× |
| Standardized Cognitive Performance Testing (96125) | $393.28 | $393.28 | 3.8× |
| Stress Tte Only (93350) | $3,868.96 | $3,868.96 | 7.2× |
| Surfactant Admin Thru Tube (94610) | $823.41 | $823.41 | 3.8× |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) range across 3 matching MRF lines |
$129.18–$171.94 | $129.18–$171.94 | varies |
| Ther Ivntj Ea Addl 15 Min (97130) range across 3 matching MRF lines |
$129.18–$171.94 | $129.18–$171.94 | varies |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) range across 3 matching MRF lines |
$68.81–$140.69 | $68.81–$140.69 | varies |
| Ther/Proph/Diag Inj Sc/Im (96372) range across 10 matching MRF lines |
$96.53–$284.43 | $96.53–$284.43 | varies |
| Ther/Proph/Diag Iv Inf Init (96365) range across 6 matching MRF lines |
$669.48–$1,161.84 | $669.48–$1,161.84 | varies |
| Therapeutic Activities (97530) | $198.79 | $198.79 | 5.7× |
| Tilt table test with heart rhythm and blood pressure monitoring (93660) | $6,923.04 | $6,923.04 | 18.8× |
| Tobacco Use Cessation Intensive >10 Minutes (99407) | $190.91 | $190.91 | 5.2× |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) | $178.96 | $178.96 | 4.8× |
| Transcranial Doppler Stdy Intracranial Art Lmtd (93888) | $1,492.66 | $1,492.66 | 14.5× |
| Tte w/doppler, complete (93306) range across 2 matching MRF lines |
$3,779.13–$5,001.43 | $3,779.13–$5,001.43 | varies |
| Tx atrial fib pulm vein isol (93656) | $125,117.59 | $125,117.59 | 4.8× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) range across 4 matching MRF lines |
$177.25–$688.94 | $177.25–$688.94 | varies |
| Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) | $198.79 | $198.79 | 8.3× |
| Tx/Pro/Dx Inj New Drug Addon (96375) range across 5 matching MRF lines |
$191.15–$475.33 | $191.15–$475.33 | varies |
| Tympanometry (92567) | $164.48 | $164.48 | 4.5× |
| Unlisted cardiovascular service/procedure (93799) | $896.12 | $896.12 | 7.0× |
| Upr/L Xtremity Art 2 Levels (93922) range across 2 matching MRF lines |
$560.05–$693.63 | $560.05–$693.63 | varies |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) range across 2 matching MRF lines |
$869.26–$1,867.26 | $869.26–$1,867.26 | varies |
| Vasopneumatic device (97016) | $277.72 | $277.72 | 23.1× |
| Veeg 2-12 hr unmonitored (95711) | $1,600.83 | $1,600.83 | 7.5× |
| Veeg Ea 12-26 Hr Unmntr (95714) | $3,071.43 | $3,071.43 | 8.3× |
| Vent Mgmt Inpat Init Day (94002) | $8,890.83 | $8,890.83 | 14.6× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) | $7,763.58 | $7,763.58 | 12.7× |
| Visual Evoked Potential Test (95930) | $3,157.97 | $3,157.97 | 14.8× |
| Vital capacity, total (94150) | $825.72 | $825.72 | 6.5× |
| Wheelchair Mgmt Ea 15 Min (97542) range across 3 matching MRF lines |
$198.79–$199.05 | $198.79–$199.05 | varies |
| Whirlpool Therapy (97022) range across 2 matching MRF lines |
$313.64–$338.75 | $313.64–$338.75 | 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.