Teton Valley Hospital
Driggs, ID · Critical Access Hospital
Posts prices for 47 of the 66 common shoppable procedures we track. Price file retrieved 2026-08-28.
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| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Breast lesion removal (open) (19120) | $757.60 | $947 | 0.2× |
| Shoulder arthroscopy with decompression (29826) | $309.60 | $387 | — |
| Knee arthroscopy with meniscectomy (29881) range across 2 matching MRF lines |
$999.20–$1,498.40 | $1,249–$1,873 | varies |
| Upper GI endoscopy (EGD), diagnostic (43235) | $224.80 | $281 | 0.3× |
| Upper GI endoscopy (EGD) with biopsy (43239) | $253.60 | $317 | 0.3× |
| Diagnostic colonoscopy (45378) | $336.80 | $421 | 0.4× |
| Colonoscopy with biopsy (45380) | $366.40 | $458 | 0.3× |
| Colonoscopy with lesion removal (45385) | $464 | $580 | 0.4× |
| Laparoscopic gallbladder removal (47562) likely a partial charge, not the full procedure |
$1,189.60 | $1,487 | 0.2× |
| Inguinal hernia repair (age 5+) (49505) range across 3 matching MRF lines |
$942.28–$2,136 | $1,177.85–$2,670 | varies |
| Epidural injection, lumbar/sacral (with imaging) (62322) range across 2 matching MRF lines |
$147.20–$796.80 | $184–$996 | varies |
| Transforaminal epidural injection, lumbar/sacral (64483) range across 5 matching MRF lines |
$207.20–$5,278.40 | $259–$6,598 | varies |
| CT head/brain without contrast (70450) | $1,089.60 | $1,362 | 10.5× |
| MRI brain without contrast (70551) | $1,858.40 | $2,323 | 7.9× |
| MRI brain with contrast (70552) | $2,289.60 | $2,862 | 6.6× |
| MRI brain without and with contrast (70553) | $2,459.20 | $3,074 | 7.1× |
| X-ray lower spine, 4+ views (72110) | $421.60 | $527 | 4.1× |
| MRI lumbar spine without contrast (72148) | $1,446.40 | $1,808 | 6.1× |
| CT pelvis with contrast (72193) | $1,494.40 | $1,868 | 8.6× |
| MRI lower-extremity joint without contrast (73721) | $1,199.20 | $1,499 | 5.1× |
| CT abdomen and pelvis with contrast (74177) | $2,300 | $2,875 | 6.7× |
| Ultrasound, abdomen complete (76700) | $636 | $795 | 6.2× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) | $356.80 | $446 | 3.5× |
| Ultrasound, transvaginal (76830) | $155.20 | $194 | 1.5× |
| Mammography, one breast (diagnostic) (77065) | $271.20 | $339 | 3.1× |
| Mammography, both breasts (diagnostic) (77066) | $352.80 | $441 | 3.2× |
| Mammography, screening (bilateral) (77067) | $304 | $380 | 3.3× |
| Basic metabolic panel (80048) | $83.20 | $104 | 9.8× |
| Comprehensive metabolic panel (80053) | $103.20 | $129 | 9.8× |
| Obstetric panel (80055) | $196 | $245 | 4.1× |
| Lipid panel (80061) range across 2 matching MRF lines |
$78.40–$84 | $98–$105 | varies |
| Renal function panel (80069) | $77.60 | $97 | 8.9× |
| Hepatic function panel (80076) | $72.80 | $91 | 8.9× |
| Urinalysis, non-automated, with microscopy (81000) | $36.80 | $46 | 9.2× |
| Urinalysis, non-automated, without microscopy (81002) | $26.40 | $33 | 7.6× |
| PSA, total (84153) range across 2 matching MRF lines |
$103.20–$276.80 | $129–$346 | varies |
| Thyroid stimulating hormone (TSH) (84443) | $88 | $110 | 5.2× |
| CBC with automated differential (85025) | $66.40 | $83 | 8.5× |
| CBC, automated (85027) | $59.20 | $74 | 9.1× |
| Prothrombin time (PT) (85610) range across 3 matching MRF lines |
$31.20–$40.80 | $39–$51 | varies |
| Partial thromboplastin time (PTT) (85730) range across 2 matching MRF lines |
$64–$70.40 | $80–$88 | varies |
| Physical therapy, therapeutic exercise (per 15 min) (97110) range across 2 matching MRF lines |
$45.60–$79.20 | $57–$99 | varies |
| Office visit, new patient (low complexity, ~30 min) (99203) | $101.60 | $127 | 0.8× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) | $160.80 | $201 | 1.2× |
| Office visit, new patient (high complexity, ~60 min) (99205) | $218.40 | $273 | 1.7× |
| Office consultation (low complexity, ~30 min) (99243) | $205.60 | $257 | 1.6× |
| Office consultation (moderate complexity, ~40 min) (99244) | $300 | $375 | 2.3× |
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.
As a Critical Access Hospital, Medicare pays this facility about 101% of its own costs. The × Medicare column compares the cash price against that cost-based benchmark, not a standard rate.
More prices at this hospital
- Imaging: 215 codes with posted prices and Medicare benchmarks
- Lab & pathology: 563 codes with posted prices and Medicare benchmarks
- Visits & medical services: 140 codes with posted prices and Medicare benchmarks
- Procedures & surgery: 681 codes with posted prices and Medicare benchmarks
- Supplies, drugs & other: 27 codes with posted prices and Medicare benchmarks
Get the raw price file
Download the machine-readable file (CSV, 49.9 MB) ↓ — captured 2026-08-28
File links point at the hospital's own hosting and sometimes rotate — if the download fails, use the hospital's transparency page.