Supplies, drugs & other prices at Mountain View Hospital
Idaho Falls, ID · every code in this section with a posted price and a Medicare benchmark.
50 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × 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× |
| Admin influenza virus vac (G0008) | $48 | $48 | 1.0× |
| Admin pneumococcal vaccine (G0009) | $48 | $48 | 1.0× |
| Ca screen;flexi sigmoidscope (G0104) | $773 | $773 | 0.8× |
| Ca screen;pelvic/breast exam (G0101) | $217 | $217 | 2.2× |
| Colon ca scrn not hi rsk ind (G0121) range across 2 matching MRF lines |
$1,754–$2,703 | $1,754–$2,703 | varies |
| Colorectal scrn; hi risk ind (G0105) | $1,472 | $1,472 | 1.6× |
| Cysto impl 4 or more (C9740) | $24,000 | $24,000 | 2.6× |
| Cysto, litho, vacuum kidney (C9761) range across 2 matching MRF lines |
$15,000–$22,900 | $15,000–$22,900 | varies |
| Depression screen annual (G0444) | $33 | $33 | 0.9× |
| Drug test def 1-7 classes (G0480) range across 4 matching MRF lines |
$27–$162 | $27–$162 | varies |
| Drug test def 22+ classes (G0483) range across 2 matching MRF lines |
$125–$150 | $125–$150 | varies |
| Drug test def 8-14 classes (G0481) | $499 | $499 | 3.2× |
| Elec stim other than wound (G0283) | $30 | $30 | 2.4× |
| Esophag muc integ w/eso egd (C9777) | $8,500 | $8,500 | 2.2× |
| Excision of rectal tumor, transanal endoscopic microsurgical approach (ie, TEMS), including muscularis propria (ie,… (0184T) | $5,800 | $5,800 | 1.0× |
| Hbot, full body chamber, 30m (G0277) | $1,717.50 | $1,717.50 | 12.6× |
| Home sleep test/type 3 porta (G0399) | $450 | $450 | 2.1× |
| Hospital outpt clinic visit (G0463) range across 9 matching MRF lines |
$82–$280 | $82–$280 | varies |
| Impltj ant sgm io nbiodegradable rx eluting sys (0660T) | $4,800 | $4,800 | 1.2× |
| Initial preventive exam (G0402) | $112 | $112 | 0.9× |
| Inj for sacroiliac jt anesth (G0260) range across 4 matching MRF lines |
$725–$2,014 | $725–$2,014 | varies |
| Insertion of sinus tarsi implant (0335T) | $7,000 | $7,000 | 1.0× |
| Ncntc R-T Fluor Wnd Img 1st (0598T) | $600 | $600 | 2.8× |
| Neuro csf prion prtn qual (0035U) | $1,082 | $1,082 | 2.0× |
| Njx bone sub matrl into subchondral bone defect (0707T) | $6,550 | $6,550 | 2.0× |
| Njx platelet plasma (0232T) range across 4 matching MRF lines |
$235–$1,082 | $235–$1,082 | varies |
| Onc merkel cell carc detcj antb serum reprtd +/- (0059U) range across 2 matching MRF lines |
$662–$663 | $662–$663 | varies |
| 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× |
| 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× |
| Prolonged iv inf, req pump (C8957) | $650 | $650 | 3.1× |
| Prostate biopsy, any mthd (G0416) range across 2 matching MRF lines |
$669–$1,338 | $669–$1,338 | varies |
| Psa screening (G0103) range across 2 matching MRF lines |
$30–$68 | $30–$68 | varies |
| Rbc DNA hea 35 ag 11 bld grp whl bld cmn allel (0001U) | $792 | $792 | 1.1× |
| 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) | $34,000 | $34,000 | 2.7× |
| Tcat insj perm 2chmbr ldls pm r ventr pm compnt (0797T) | $22,000 | $22,000 | 1.2× |
| Tomosynthesis, mammo (G0279) | $87 | $87 | 6.9× |
| Trim nail(s) (G0127) | $28 | $28 | 0.5× |
| Trluml perip athrc abd aorta (0236T) | $10,400 | $10,400 | 0.9× |
| Trluml Perip Athrc Brchiocph (0237T) | $10,400 | $10,400 | 0.9× |
| Trluml Perip Athrc Iliac Art (0238T) | $16,000 | $16,000 | 0.9× |
| Trluml Peripheral Atherectomy Renal Artery Ea (0234T) | $10,400 | $10,400 | 0.9× |
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.