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.

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ProcedureCash priceGross charge× Medicare
Ablation av node (93650) $36,851.77 $36,851.77 4.8×
Airway inhalation treatment (94640) $450.52 $450.52 2.1×
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×
Application of a modality to 1 or more areas; Hubbard tank, each 15 minutes Facility (97036) $96.03 $96.03 2.8×
Assessment of aphasia per hr (96105) $393.28 $393.28 4.0×
Bedside Swallowing Eval (92610) $466.46 $466.46 5.5×
Behavioral and qualitative analysis of voice and resonance (92524) $563.74 $563.74 5.1×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $816.85 $816.85 2.2×
C motor evoked upr&lwr limbs (95939) $2,797.30 $2,797.30 3.3×
Canalith Repositioning Procedure (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) $2,053.22 $2,053.22 3.1×
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 Hormon Antineopl Sq/Im (96402) $283.21 $283.21 4.0×
Chemo IV push addl drug (96411) $553.84 $553.84 7.8×
Chemo prolong 8+ hrs infuse w/pump (96416) $774.33 $774.33 2.4×
Chemother, IV infusion, 1 hr (96413) $1,076.23 $1,076.23 3.3×
Chemother, IV infusion, ea add hr (96415) $91.80 $91.80 1.3×
Chemother,Non-Hormone Anti-Neopl, Sub-Q/Im (96401) $283.21 $283.21 4.0×
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 push tq 1/1st sbst/drug (96409) $283.21 $283.21 0.9×
Color/duplex Doppler, complete (93975) $1,141.44 $1,141.44 4.8×
Color/duplex Doppler, limited (93976) $594.12 $594.12 5.8×
Cpap/bipap (94660) $2,553.53 $2,553.53 11.8×
Cpt initial (94667) $411.73 $411.73 3.1×
Critical care (99291) $6,725 $6,725 8.2×
Ctr Motor Ep Std Transcrnl Motor Stimj Upr Limbs (95928) $526.82 $526.82 0.6×
Debridement Open Wound 20 Sq Cm< (97597) $473.63 $473.63 2.4×
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) $1,813.12 $1,813.12 17.6×
Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) $1,580.45 $1,580.45 6.7×
Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) $1,056.55 $1,056.55 10.2×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $1,946.28 $1,946.28 8.3×
Dup-scan xtr veins unilateral/limited study (93971) $1,813.12 $1,813.12 17.6×
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 extracranial art compl bi study (93880) $2,754.08 $2,754.08 11.7×
Duplex Scan Hemodialysis Access (93990) $1,164.83 $1,164.83 11.3×
Echo Heart Xthoracic,Limited (93308) $1,749.28 $1,749.28 7.4×
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×
Echo Transthoracic - Congenital Tte Complete (93303) $4,218.61 $4,218.61 7.8×
Echo Transthoracic - Congenital Tte Limited (93304) $3,127.86 $3,127.86 5.8×
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 coma or sleep only (95822) $1,707.72 $1,707.72 8.0×
EEG cont rec w/video by tech min 8 channels (95700) $1,600.65 $1,600.65 7.5×
EEG greater than 1 hour (95813) $4,269.32 $4,269.32 20.0×
Eeg W/O Vid 2-12 Hr Unmntr (95705) $1,600.65 $1,600.65 7.5×
EEG w/o vid by tech ea incr 12-26hr unmonitored (95708) $3,071.06 $3,071.06 8.3×
EKG rhythm strip (93041) $358.13 $358.13 6.1×
Electrocardiogram Tracing (93005) $775.34 $775.34 13.3×
Electroconvulsive Therapy (90870) $3,321.68 $3,321.68 3.9×
Electroencephalogram Extend Monitoring 41-60 Min (95812) $3,676.35 $3,676.35 17.2×
EMG two extremities (95861) $1,009.71 $1,009.71 7.7×
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×
Ep Ephys Eval Pacg Cvdfb Prgrmg/Reprgrmg Parameters (93642) $7,410.68 $7,410.68 6.2×
Er level 1 (99281) $255 $255 3.1×
Er level ii (99282) $1,050 $1,050 6.9×
Er level iii (99283) $2,695 $2,695 10.0×
Er level IV (99284) $3,935 $3,935 9.5×
Er level v (99285) $5,238 $5,238 8.9×
Eval speech sound production (92522) $545.34 $545.34 4.9×
Evaluate Pt Use Of Inhaler (94664) $249.96 $249.96 1.2×
Evaluation of speech fluency (92521) $259.37 $259.37 1.9×
Exhaled Air Analysis (94690) $526.02 $526.02 9.0×
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×
Flexible Endoscopic Eval Swallow C/V Rec (92612) $720.49 $720.49 3.6×
Fluorescein Angrph W/Multiframe I&R Uni/Bi (92235) $1,497.04 $1,497.04 7.0×
Fundus photography w/interpretation & report (92250) $395.13 $395.13 3.0×
Group Therapeutic Procedures (97150) $198.79 $198.79 11.0×
Hemodialysis (90935) $2,300.63 $2,300.63 3.4×
Imaging of retina for detection or monitoring of disease; point-of-care autonomous analysis and report, unilateral or… (92229) $358.56 $358.56 6.2×
Immunization Admin (90471) $336.66 $336.66 4.7×
Interrog dev eval scrms phys/qhp in person (93291) $257.44 $257.44 9.0×
Interrog device eval heart (93289) $500.48 $500.48 13.6×
Intrapulmonary Surfactant Administj Phys/Qhp (94610) $823.41 $823.41 3.8×
Iontophoresis 15 min (97033) $251.89 $251.89 13.2×
Irrig drug delivery device (96523) $189.78 $189.78 3.3×
IV infusion hydration each additional hour (96361) $145.40 $145.40 3.1×
IV infusion hydration initial 31 min-1 hour (96360) $631.30 $631.30 3.0×
IV infusion ther proph addl sequential to 1 hr (96367) $234.33 $234.33 3.3×
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $786.66 $786.66 3.7×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $99.89 $99.89 2.2×
IV push ea addl new drug (96375) $286.42 $286.42 6.2×
IV push initial (96374) $375.75 $375.75 1.8×
Low frequency non-thermal us (97610) $693.33 $693.33 3.5×
Manual therapy 15 min (97140) $198.79 $198.79 7.2×
Massage 15 min (97124) $140.69 $140.69 4.7×
Maximum voluntary ventilation (94200) $285.92 $285.92 4.9×
Mechanical chest wall oscillation (94669) $350.69 $350.69 1.6×
Mechanical traction (97012) $224.63 $224.63 15.6×
Methacholine challenge (94070) $1,385.35 $1,385.35 3.8×
Motion Fluor Eval Swlng Funcj C/V Rec (92611) $589.90 $589.90 6.4×
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 press wound tx >50 cm (97608) $447.89 $447.89 1.1×
Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) $263.79 $263.79 0.7×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $284.89 $284.89 1.4×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $522.42 $522.42 1.3×
Newborn resuscitation (99465) $1,427.88 $1,427.88 2.2×
Non-Invas Physiologic Std Extremity Art 2 Level (93922) $626.84 $626.84 4.8×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $170.80 $170.80 3.7×
Ot Community/Work Reintegration Trainj Ea 15 Min (97537) $194.49 $194.49 6.1×
Ot Contrast Bath Ea 15 Min (97034) $182.29 $182.29 13.0×
Ot eval high complex 60 min (97167) $702.69 $702.69 7.0×
Ot eval low complex 30 min (97165) $468.46 $468.46 4.7×
Ot eval mod complex 45 min (97166) $585.59 $585.59 5.8×
Ot Orthotics/Prosth Mgmt &/Trainj Sbsq Enctr 15 Min (97763) $164.34 $164.34 3.3×
Ot Prosthetic Training, Each 15 Min (97761) $105.85 $105.85 2.6×
Ot re-evaluation (97168) $277 $277 4.0×
Ot therapeutic activity 15 min (97530) $198.79 $198.79 5.7×
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×
Paraffin bath pt (97018) $186.60 $186.60 31.0×
Peritoneal Dialysis (90945) $229.90 $229.90 0.6×
Phlebotomy therapeutic (99195) $471.01 $471.01 3.6×
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×
Prgrmg Eval Implantable Dfb - Cardiac Device Clinic Icd Biv Chamber (93284) $644.81 $644.81 17.5×
Programming device evaluation (in person) with iterative adjustment of the implantable device to test the function of… (93283) $644.81 $644.81 17.5×
Psych diag eval w/med srvcs (90792) $787.93 $787.93 4.5×
Psychiatric diagnostic evaluation (90791) $856.08 $856.08 4.9×
Psycl tst eval phys/qhp 1st (96130) $639.05 $639.05 3.0×
Pt Electrical Stimulation (97032) $198.79 $198.79 13.5×
Pt eval high complex 45 min (97163) $702.69 $702.69 7.2×
Pt eval low complex 20 min (97161) $468.46 $468.46 4.8×
Pt eval mod complex 30 min (97162) $585.59 $585.59 6.0×
Pt gait training 15 min (97116) $207.39 $207.39 7.1×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $186.60 $186.60 5.7×
Pt Physical Performance Test (97750) $164.34 $164.34 4.9×
Pt re-evaluation (97164) $277 $277 4.1×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $207.39 $207.39 6.4×
Pt Whirlpool Therapy (97022) $326.20 $326.20 20.8×
Pulmonary stress test simple (94618) $682.34 $682.34 5.2×
Refill/Maint Portable Pump (96521) $1,187.90 $1,187.90 5.7×
Remote 30 Day Ecg Rev/Report - Cardiac Event Monitor (93270) $1,095.38 $1,095.38 29.7×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $355.96 $355.96 1.8×
Rom meas&reprt hand w/wo comparison normal sid (95852) $71.28 $71.28 3.3×
Rt Chest Wall Manipulation,Subsequent (94668) $330.85 $330.85 2.5×
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×
Smoking cessation > 10 min (99407) $190.91 $190.91 5.2×
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 echo (93350) $3,868.96 $3,868.96 7.2×
Ther ivntj cog funcj cntct 1st 15 minutes (97129) $171.94 $171.94 7.7×
Ther Ivntj Cog Funcj Cntct Ea Addl 15 Minutes (97130) $171.94 $171.94 8.2×
Therapeutic prophylactic/dx injection subq/im (96372) $142.70 $142.70 2.0×
Tilt table evaluation (93660) $6,923.04 $6,923.04 18.8×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $178.96 $178.96 4.8×
Transcran Doppler Intracran Art - Transcranial Doppler (93886) $2,961.88 $2,961.88 12.6×
Transcranial Doppler Stdy Intracranial Art Lmtd (93888) $1,492.66 $1,492.66 14.5×
Tte w/doppler, complete (93306) $4,390.28 $4,390.28 8.1×
Tx atrial fib pulm vein isol (93656) $125,117.59 $125,117.59 4.8×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $439.19 $439.19 5.8×
Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) $198.79 $198.79 8.3×
Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) $439.19 $439.19 5.2×
Tympanometry (92567) $164.48 $164.48 4.5×
Unlisted Cardiovascular Service/Procedure (93799) $896.12 $896.12 7.0×
Upr/lxtr art stdy 3+ lvls (93923) $1,368.26 $1,368.26 6.4×
Vasc Duplex Scan Extracranial,Limited (93882) $692.20 $692.20 6.7×
Vasc Non-Invasive Lower Extrem Art Stress/Rest, Complete,Bilateral (93924) $421.18 $421.18 2.0×
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) $198.79 $198.79 6.4×