Visits & medical services prices at Madison Memorial Hospital
Rexburg, ID · every code in this section with a posted price and a Medicare benchmark.
159 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Admn Sarscov2 Vacc 1 Dose (90480) | $39.75 | $53 | 1.0× |
| Airway Inhalation Treatment (94640) range across 5 matching MRF lines |
$269.25–$306.75 | $359–$409 | varies |
| Analyze neurostim complex (95972) range across 2 matching MRF lines |
$354.75–$369 | $473–$492 | varies |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) range across 3 matching MRF lines |
$43.50–$58.50 | $58–$78 | varies |
| Application Modality 1/> Areas Infrared (97026) range across 2 matching MRF lines |
$48.75–$50.25 | $65–$67 | varies |
| Assessment of aphasia per hr (96105) | $147 | $196 | 1.5× |
| Behavral qualit analys voice (92524) | $245.25 | $327 | 2.2× |
| Biofeedback training any modality (90901) | $69.75 | $93 | 1.7× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) range across 2 matching MRF lines |
$454.50–$472.50 | $606–$630 | varies |
| C motor evoked upr&lwr limbs (95939) range across 2 matching MRF lines |
$796.50–$2,145 | $1,062–$2,860 | varies |
| Canalith repositioning proc (95992) | $61.50 | $82 | 1.5× |
| Car seat/bed test 60 min (94780) | $60 | $80 | 1.6× |
| Cardiac Stress Tst,Tracing Only (93017) range across 4 matching MRF lines |
$662.25–$715.50 | $883–$954 | varies |
| Cardiopulmonary resuscitation (92950) | $396.75 | $529 | 1.9× |
| Cardioversion (92960) range across 2 matching MRF lines |
$1,398.75–$1,455.75 | $1,865–$1,941 | varies |
| Chemo Anti-Neopl Sq/Im (96401) range across 2 matching MRF lines |
$325.50–$338.25 | $434–$451 | varies |
| Chemo Hormon Antineopl Sq/Im (96402) range across 4 matching MRF lines |
$170.25–$185.25 | $227–$247 | varies |
| Chemo IV infusion addl hr (96415) range across 2 matching MRF lines |
$186.75–$540 | $249–$720 | varies |
| Chemo IV push addl drug (96411) range across 2 matching MRF lines |
$180–$186.75 | $240–$249 | varies |
| Chemother Prolong Infuse W/Pump (96416) | $879 | $1,172 | 2.7× |
| Chemotherapy Into Cns (96450) | $518.25 | $691 | 1.6× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) range across 2 matching MRF lines |
$177–$340.50 | $236–$454 | varies |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) range across 2 matching MRF lines |
$450–$468 | $600–$624 | varies |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) range across 2 matching MRF lines |
$513.75–$534.75 | $685–$713 | varies |
| Chest Wall Manipulation (94668) range across 2 matching MRF lines |
$56.25–$177 | $75–$236 | varies |
| Color/duplex Doppler, complete (93975) range across 2 matching MRF lines |
$720–$749.25 | $960–$999 | varies |
| Color/duplex Doppler, limited (93976) range across 2 matching MRF lines |
$243.75–$253.50 | $325–$338 | varies |
| Continuous Pulse Ox (94762) range across 3 matching MRF lines |
$214.50–$245.25 | $286–$327 | varies |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) range across 2 matching MRF lines |
$284.25–$295.50 | $379–$394 | varies |
| Cpt initial (94667) | $177 | $236 | 1.3× |
| Critical care first hour (99291) | $1,848 | $2,464 | 2.3× |
| Debridement Open Wound 20 Sq Cm< (97597) range across 6 matching MRF lines |
$108–$234.75 | $144–$313 | varies |
| Dialysis One Evaluation (90945) | $467.25 | $623 | 1.1× |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) range across 2 matching MRF lines |
$341.25–$354.75 | $455–$473 | varies |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) range across 3 matching MRF lines |
$771–$802.50 | $1,028–$1,070 | varies |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) range across 2 matching MRF lines |
$341.25–$354.75 | $455–$473 | varies |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) range across 3 matching MRF lines |
$749.25–$1,125 | $999–$1,500 | varies |
| Dup-scan xtr veins unilateral/limited study (93971) range across 3 matching MRF lines |
$336.75–$354.75 | $449–$473 | varies |
| Duplex up extrem art bilat (93930) | $1,125 | $1,500 | 4.8× |
| Duplex up extrem art unilat/ltd (93931) range across 3 matching MRF lines |
$134.25–$354.75 | $179–$473 | varies |
| Ear and throat examination (92502) | $424.50 | $566 | 0.8× |
| ECG/monitoring and analysis (93271) | $309 | $412 | 3.3× |
| Echo Congenital Complete (93303) range across 2 matching MRF lines |
$1,538.25–$1,601.25 | $2,051–$2,135 | varies |
| Echo Heart Xthoracic,Limited (93308) range across 2 matching MRF lines |
$723.75–$753 | $965–$1,004 | varies |
| Echo transesophag montr cardiac pump functj (93318) | $683.25 | $911 | 1.3× |
| Echo transesophageal (93312) | $1,653 | $2,204 | 3.1× |
| Eeg 41-60 Minutes (95812) range across 2 matching MRF lines |
$666–$693 | $888–$924 | varies |
| EEG awake drowsy (95816) | $396.75 | $529 | 1.9× |
| EEG extended monitoring 61-119 minutes (95813) | $805.50 | $1,074 | 3.8× |
| Electrical Stimulation Ea 15 Min (97032) range across 2 matching MRF lines |
$56.25–$58.50 | $75–$78 | varies |
| Electrocardiogram Tracing (93005) range across 5 matching MRF lines |
$186–$201 | $248–$268 | varies |
| Emergency Dept Visit Level 2 (99282) range across 2 matching MRF lines |
$416.25–$449.25 | $555–$599 | varies |
| Emergency Dept Visit Level 3 (99283) range across 2 matching MRF lines |
$732.75–$791.25 | $977–$1,055 | varies |
| Emergency Dept Visit Level 4 (99284) range across 2 matching MRF lines |
$1,153.50–$1,245.75 | $1,538–$1,661 | varies |
| Er level 1 (99281) | $228.75 | $305 | 2.7× |
| Er level v (99285) range across 2 matching MRF lines |
$1,655.25–$1,788 | $2,207–$2,384 | varies |
| Evaluate Speech Production (92522) | $245.25 | $327 | 2.2× |
| Evaluate Swallowing Function (92610) range across 3 matching MRF lines |
$244.50–$270.75 | $326–$361 | varies |
| Evaluation of speech fluency (92521) | $245.25 | $327 | 1.8× |
| External ECG rec>48hr<7d recording (93242) range across 2 matching MRF lines |
$100.50–$104.25 | $134–$139 | varies |
| External ECG rec>48hr<7d scanning alys w/report (93243) | $185.25 | $247 | 1.4× |
| External ECG rec>7d<15d recording (93246) range across 2 matching MRF lines |
$100.50–$104.25 | $134–$139 | varies |
| External Ecg Scanning Analysis Report (93226) | $336 | $448 | 5.8× |
| Extracranial Bilat Study (93880) range across 2 matching MRF lines |
$1,025.25–$1,067.25 | $1,367–$1,423 | varies |
| Extracranial Uni/Ltd Study (93882) | $354.75 | $473 | 3.4× |
| Eye exam w anesth; complete (92018) | $2,885.25 | $3,847 | 1.2× |
| F-up/limited tthrc echo congenital car anomaly (93304) range across 2 matching MRF lines |
$840–$873.75 | $1,120–$1,165 | varies |
| Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) | $1,119.75 | $1,493 | 1.7× |
| Holter monitor recording (93225) | $336 | $448 | 2.6× |
| Immunization administration (90471) range across 3 matching MRF lines |
$51–$57.75 | $68–$77 | varies |
| Iontophoresis 15 min (97033) | $62.25 | $83 | 3.3× |
| Irrig Drug Delivery Device (96523) range across 2 matching MRF lines |
$150–$156 | $200–$208 | varies |
| IV infusion hydration each additional hour (96361) range across 7 matching MRF lines |
$94.50–$945 | $126–$1,260 | varies |
| IV infusion hydration initial 31 min-1 hour (96360) range across 5 matching MRF lines |
$277.50–$627 | $370–$836 | varies |
| IV infusion ther proph addl sequential to 1 hr (96367) range across 3 matching MRF lines |
$131.25–$262.50 | $175–$350 | varies |
| IV infusion therapy prophylaxis/dx ea hour (96366) range across 7 matching MRF lines |
$90–$450 | $120–$600 | varies |
| IV push initial (96374) range across 5 matching MRF lines |
$438–$946.50 | $584–$1,262 | varies |
| Lung Function Test (Mbc/Mvv) (94200) | $98.25 | $131 | 1.7× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) | $42.75 | $57 | 1.2× |
| Medical nutrition therapy grp2/ indiv ea 30 mi (97804) | $67.50 | $90 | 4.0× |
| Methacholine challenge (94070) range across 3 matching MRF lines |
$443.25–$611.25 | $591–$815 | varies |
| Motion Fluoroscopy/Swallow (92611) range across 2 matching MRF lines |
$255.75–$265.50 | $341–$354 | varies |
| Multiple Sleep Latency Test (95805) range across 2 matching MRF lines |
$1,623.75–$1,689.75 | $2,165–$2,253 | varies |
| Muscle Test 2 Limbs (95861) range across 2 matching MRF lines |
$240–$650.48 | $320–$867.30 | varies |
| Nasopharyngoscopy (92511) | $173.25 | $231 | 0.9× |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) range across 2 matching MRF lines |
$432–$449.25 | $576–$599 | varies |
| Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) | $996.75 | $1,329 | 2.5× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) range across 6 matching MRF lines |
$259.50–$573 | $346–$764 | varies |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) range across 5 matching MRF lines |
$280.50–$310.50 | $374–$414 | varies |
| Nerve Conduction Studies 3-4 Studies (95908) | $531.75 | $709 | 2.5× |
| Neuromuscular Reeducation (97112) range across 6 matching MRF lines |
$46.50–$240 | $62–$320 | varies |
| Newborn resuscitation (99465) | $296.25 | $395 | 0.5× |
| Oral Function Therapy (92526) range across 4 matching MRF lines |
$249–$276 | $332–$368 | varies |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) range across 2 matching MRF lines |
$60–$62.25 | $80–$83 | varies |
| Osteopathic Manipulative Tx 1-2 Body Regions (98925) | $116.25 | $155 | 5.5× |
| Osteopathic manipulative tx 3-4 body regions (98926) | $168.75 | $225 | 7.9× |
| Ot eval high complexity (97167) range across 2 matching MRF lines |
$123–$135.75 | $164–$181 | varies |
| Ot Eval Low Complex (97165) range across 3 matching MRF lines |
$150–$162 | $200–$216 | varies |
| Ot Eval Moderate Complexity (97166) range across 2 matching MRF lines |
$161.25–$167.25 | $215–$223 | varies |
| Ot manual therapy 15 min (97140) range across 8 matching MRF lines |
$60–$191.25 | $80–$255 | varies |
| Ot Re-Eval Est Plan Care (97168) | $73.50 | $98 | 1.1× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) range across 2 matching MRF lines |
$183–$198 | $244–$264 | varies |
| Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) | $183 | $244 | 1.4× |
| Phlebotomy therapeutic (99195) | $154.50 | $206 | 1.2× |
| Plethysmography (94726) range across 2 matching MRF lines |
$443.25–$461.25 | $591–$615 | varies |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) range across 2 matching MRF lines |
$3,050.25–$3,174.75 | $4,067–$4,233 | varies |
| Polysom <6 yrs 4/> paramtrs (95782) | $2,967.75 | $3,957 | 3.5× |
| Polysom <6 Yrs Sleep W/Cpap/Bilvl Vent 4/> Param (95783) | $2,967.75 | $3,957 | 3.5× |
| Polysom Any Age Sleep Stage 1-3 Addl Param Attnd (95808) | $3,174.75 | $4,233 | 3.7× |
| Pt Eval High Complex (97163) range across 2 matching MRF lines |
$172.50–$179.25 | $230–$239 | varies |
| Pt eval low complex 20 min (97161) range across 4 matching MRF lines |
$150–$174.75 | $200–$233 | varies |
| Pt Eval Mod Complex (97162) range across 2 matching MRF lines |
$161.25–$167.25 | $215–$223 | varies |
| Pt gait training 15 min (97116) range across 3 matching MRF lines |
$60–$64.50 | $80–$86 | varies |
| Pt mechanical traction (97012) range across 3 matching MRF lines |
$37.50–$58.50 | $50–$78 | varies |
| Pt Re-Eval Est Plan Care (97164) | $98.25 | $131 | 1.5× |
| Pt ultraviolet (97028) range across 2 matching MRF lines |
$56.25–$63 | $75–$84 | varies |
| Pulmonary service/procedure (94799) range across 2 matching MRF lines |
$243–$252.75 | $324–$337 | varies |
| Pulmonary Stress Testing (94618) range across 2 matching MRF lines |
$180–$186.75 | $240–$249 | varies |
| Remote 30 Day Ecg Rev/Report (93270) | $126.75 | $169 | 3.4× |
| Remote 30 Day Ecg Tech Supp (93229) range across 2 matching MRF lines |
$242.25–$252 | $323–$336 | varies |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) range across 3 matching MRF lines |
$107.25–$111.75 | $143–$149 | varies |
| Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) | $249 | $332 | 2.0× |
| Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) | $53.25 | $71 | 1.1× |
| Self Care Mngment Training (97535) range across 3 matching MRF lines |
$51–$120 | $68–$160 | varies |
| Sensory Integration Ea 15 Min (97533) | $61.50 | $82 | 1.0× |
| Sleep study attended (95807) | $1,609.50 | $2,146 | 4.4× |
| Sleep study unattended (95806) range across 2 matching MRF lines |
$462–$480.75 | $616–$641 | varies |
| Somatosensory Testing (95938) range across 2 matching MRF lines |
$796.50–$1,130.25 | $1,062–$1,507 | varies |
| Speech sound lang comprehen (92523) range across 2 matching MRF lines |
$236.25–$245.25 | $315–$327 | varies |
| Spirometry (94010) range across 2 matching MRF lines |
$231–$245.25 | $308–$327 | varies |
| Standardized Cognitive Performance Testing (96125) | $204 | $272 | 2.0× |
| Stress Tte Only (93350) | $1,240.50 | $1,654 | 2.3× |
| Subcutaneous Infusion Each Additional Hour (96370) range across 2 matching MRF lines |
$55.50–$63 | $74–$84 | varies |
| Subcutaneous infusion initial 1 hr w/pump set-up (96369) range across 2 matching MRF lines |
$141.75–$165 | $189–$220 | varies |
| Subq Infusion Additional Pump Infusion Site (96371) range across 2 matching MRF lines |
$48–$54 | $64–$72 | varies |
| Surfactant Admin Thru Tube (94610) | $185.25 | $247 | 0.9× |
| Temp transcutaneous pacing (92953) | $879.75 | $1,173 | 1.3× |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) range across 2 matching MRF lines |
$57–$59.25 | $76–$79 | varies |
| Ther Ivntj Ea Addl 15 Min (97130) range across 2 matching MRF lines |
$45–$130.50 | $60–$174 | varies |
| Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) | $84 | $112 | 2.3× |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) range across 2 matching MRF lines |
$33–$64.50 | $44–$86 | varies |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) | $245.25 | $327 | 2.4× |
| Ther/Prop/Diag Inj/Inf Proc (96379) | $66.75 | $89 | 1.4× |
| Ther/Proph/Diag Inj Ia (96373) range across 3 matching MRF lines |
$55.50–$507 | $74–$676 | varies |
| Ther/Proph/Diag Inj Sc/Im (96372) range across 10 matching MRF lines |
$140.25–$432 | $187–$576 | varies |
| Ther/Proph/Diag Iv Inf Init (96365) range across 8 matching MRF lines |
$391.50–$822 | $522–$1,096 | varies |
| Therapeutic Activities (97530) range across 9 matching MRF lines |
$62.25–$255 | $83–$340 | varies |
| Tte w/doppler, complete (93306) range across 2 matching MRF lines |
$1,575–$1,639.50 | $2,100–$2,186 | varies |
| Tte W/O Doppler Complete (93307) range across 2 matching MRF lines |
$281.25–$1,716 | $375–$2,288 | varies |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) range across 2 matching MRF lines |
$242.25–$252 | $323–$336 | varies |
| Tx/Pro/Dx Inj New Drug Addon (96375) range across 7 matching MRF lines |
$160.50–$492.75 | $214–$657 | varies |
| Unlisted ophthalmological service/procedure (92499) range across 2 matching MRF lines |
$18.75–$20.25 | $25–$27 | varies |
| Upr/L Xtremity Art 2 Levels (93922) range across 2 matching MRF lines |
$350.25–$364.50 | $467–$486 | varies |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) | $177.75 | $237 | 0.8× |
| Vasopneumatic device (97016) range across 3 matching MRF lines |
$56.25–$112.50 | $75–$150 | varies |
| Vent Mgmt Inpat Init Day (94002) | $741 | $988 | 1.2× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) | $702.75 | $937 | 1.2× |
| Wheelchair Mgmt Ea 15 Min (97542) range across 2 matching MRF lines |
$42.75–$45 | $57–$60 | varies |
| Whirlpool Therapy (97022) | $47.25 | $63 | 3.0× |
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.