Supplies, drugs & other prices at Idaho Falls Community Hospital

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

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

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ProcedureCash priceGross charge× Medicare
Ablation, malignant breast tumor(s), percutaneous, cryotherapy, including imaging guidance when performed, unilateral (0581T) $6,092 $6,092 1.6×
Abltj perc cryoabltj img gdn lxtr/perph nerve (0441T) $5,530 $5,530 2.9×
Abltj perc cryoabltj img gdn nrv plex/trncl nrv (0442T) $10,084 $10,084 1.2×
Abltj perc cryoabltj img gdn uxtr/perph nerve (0440T) $5,530 $5,530 2.9×
Colon ca scrn not hi rsk ind (G0121) $1,754 $1,754 1.9×
Colorectal scrn; hi risk ind (G0105) $1,472 $1,472 1.6×
Diab manage trn per indiv (G0108) $240 $240 4.3×
Direct refer hospital observ (G0379) $755 $755 1.3×
Drug test def 1-7 classes (G0480) $162 $162 1.4×
Drug test def 22+ classes (G0483) $150 $150 0.6×
Excision of rectal tumor, transanal endoscopic microsurgical approach (ie, TEMS), including muscularis propria (ie,… (0184T) $5,800 $5,800 1.0×
Facility svs dental rehab (G0330) $7,696 $7,696 2.3×
Hospital outpt clinic visit (G0463) $140 $140 1.1×
Iliac Atherectomy (0238T) $16,000 $16,000 0.9×
Impltj ant sgm io nbiodegradable rx eluting sys (0660T) $4,800 $4,800 1.2×
Injection(s), bone substitute material (eg, calcium phosphate) into subchondral bone defect (ie, bone marrow lesion,… (0707T) $6,550 $6,550 2.0×
Insertion of sinus tarsi implant (0335T) $7,000 $7,000 1.0×
Neuro csf prion prtn qual (0035U) $1,082 $1,082 2.0×
Njx pltlt plasma w/img harvest/preparation (0232T) $717 $717 1.6×
Onc merkel cell carc detcj antb serum reprtd +/- (0059U) $662.50 $662.50 2.1×
Onc Merkel Cll Carc Srm Quan (0058U) $683 $683 2.1×
Open insj/rplcmt integrated nstimj sys ptn subq (0816T)
unusually low: confirm this is the full procedure
$7,600 $7,600 0.4×
Perc d-e cor revasc chro sin (C9607) $18,000 $18,000 1.0×
Perc d-e cor revasc t cabg s (C9604) $18,000 $18,000 1.6×
Perc drug-el cor stent sing (C9600) $18,000 $18,000 1.6×
Percutaneous implantation or replacement of integrated single device neurostimulation system including electrode array… (0587T) $7,000 $7,000 1.1×
Perq Sacral Augmt Bilat Inj (0201T) $5,802 $5,802 0.8×
Perq Sacral Augmt Unilat Inj (0200T) $4,624 $4,624 0.6×
Prostate biopsy, any mthd (G0416) $669 $669 1.9×
Psa screening (G0103) $68 $68 3.5×
Rbc DNA hea 35 ag 11 bld grp whl bld cmn allel (0001U) $792 $792 1.1×
Revasc intravasc lithotripsy (C9764) $28,000 $28,000 2.5×
Revasc lithotrip-stent-ather (C9767) $25,000 $25,000 1.4×
Revision or removal of integrated single device neurostimulation system including electrode array and receiver or pulse… (0588T) $2,800 $2,800 0.8×
Spine device implant surgery (C9757) $15,000 $15,000 1.2×
Tcat insj perm 2chmbr ldls pm r ventr pm compnt (0797T) $22,000 $22,000 1.2×
Transluminal peripheral atherectomy, open or percutaneous, including radiological supervision and interpretation;… (0236T) $10,400 $10,400 0.9×
Trauma respons w/hosp criti (G0390) $11,500 $11,500 8.7×
Trluml periph athrc w/rs&i brchiocphl ea vsl (0237T) $10,400 $10,400 0.9×
Trluml Peripheral Atherectomy Renal Artery Ea (0234T) $10,400 $10,400 0.9×