Visits & medical services prices at Teton Valley Hospital

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

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

Compare against other hospitals interactively →

ProcedureCash priceGross charge× Medicare
Airway inhalation treatment (94640) $104.80 $131 0.5×
Analyze neurostim complex (95972) $100 $125 1.1×
Analyze neurostim simple (95971) $126.40 $158 1.3×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $43.20 $54 3.0×
Assessment of aphasia per hr (96105) $335.24 $419.05 3.4×
Bedside Swallowing Eval (92610) $232.80 $291 2.7×
Behavioral and qualitative analysis of voice and resonance (92524) $308.80 $386 2.8×
Biofeedback training any modality (90901) $36 $45 0.9×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $427.20 $534 1.2×
Canalith Repositioning Procedure (95992) $100 $125 2.5×
Cardiac Stress Tst,Tracing Only (93017) $895.20 $1,119 4.2×
Cardiopulmonary resuscitation (92950) $563.20 $704 2.6×
Cardioversion (92960) $914.80 $1,143.50 1.4×
Cbt 1st hour (94644) $140.40 $175.50 1.1×
Chemo Hormon Antineopl Sq/Im (96402) $96.04 $120.05 1.4×
Chemo IV push addl drug (96411) $186.66 $233.33 2.6×
Chemo prolong 8+ hrs infuse w/pump (96416) $536.80 $671 1.6×
Chemother, IV infusion, 1 hr (96413) $504.40 $630.50 1.5×
Chemother, IV infusion, ea add hr (96415) $157.60 $197 2.2×
Chemother,Non-Hormone Anti-Neopl, Sub-Q/Im (96401) $104.84 $131.05 1.5×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $192.84 $241.05 2.7×
Chemotx admn IV push tq 1/1st sbst/drug (96409) $313.77 $392.21 1.0×
Color/duplex Doppler, complete (93975) $900.80 $1,126 3.8×
Continuous Glucose Monitoring (95250) $211.04 $263.80 1.6×
Cpap/bipap (94660) $482.40 $603 2.2×
Critical care (99291) $476 $595 0.6×
Debridement Open Wound 20 Sq Cm< (97597) $180.40 $225.50 0.9×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $1,076 $1,345 4.6×
Dup-scan xtr veins unilateral/limited study (93971) $492.40 $615.50 4.8×
Duplex scan extracranial art compl bi study (93880) $549.60 $687 2.3×
Echo Heart Xthoracic,Limited (93308) $78.40 $98 0.3×
Echo transesophag congen probe plcmt only (93316) $57.60 $72 0.1×
Echo Transthoracic - Congenital Tte Limited (93304) $1,140 $1,425 2.1×
Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) $1,100 $1,375 2.0×
EEG awake and asleep (95819) $948.48 $1,185.60 4.4×
EEG awake drowsy (95816) $845.95 $1,057.44 4.0×
Electrocardiogram Tracing (93005) $203.20 $254 3.5×
EMG four extremities (95864) $462 $577.50 3.6×
EMG one extremity (95860) $179.60 $224.50 1.4×
EMG three extremities (95863) $450 $562.50 3.5×
EMG two extremities (95861) $318.80 $398.50 2.4×
Er level 1 (99281) $56 $70 0.7×
Er level ii (99282) $93.60 $117 0.6×
Er level iii (99283) $158.40 $198 0.6×
Er level IV (99284) $270.40 $338 0.7×
Er level v (99285) $392 $490 0.7×
Eval speech sound production (92522) $308.80 $386 2.8×
Evaluate Pt Use Of Inhaler (94664) $195.20 $244 0.9×
Evaluation for prescription for speech-generating augmentative and alternative communication device, face-to-face with… (92607) $428.52 $535.65 3.5×
Evaluation of speech fluency (92521) $273.60 $342 2.1×
External ECG rec>48hr<7d recording (93242) $41.60 $52 1.1×
External ECG rec>7d<15d recording (93246) $103.20 $129 2.8×
External Ecg Scanning Analysis Report (93226) $249.60 $312 4.3×
Group Therapeutic Procedures (97150) $28.80 $36 1.6×
Holter Monitor (93225) $318.40 $398 2.4×
Imm admn sarscov2 vaccine single dose (90480) $32 $40 0.8×
Immunization Admin (90471) $58.40 $73 0.8×
Initial hospital or birthing center care, per day, for evaluation and management of normal newborn infant admitted and… (99463) $190.96 $238.70 1.5×
Iontophoresis 15 min (97033) $71.20 $89 3.7×
Irrig drug delivery device (96523) $160.80 $201 2.8×
Ischemic limb exercise test (95875) $109.60 $137 0.9×
IV infusion hydration each additional hour (96361) $158.40 $198 3.4×
IV infusion hydration initial 31 min-1 hour (96360) $376.80 $471 1.8×
IV infusion ther proph addl sequential to 1 hr (96367) $204 $255 2.9×
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $490.40 $613 2.3×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $153.60 $192 3.3×
IV push ea addl new drug (96375) $179.20 $224 3.9×
IV push initial (96374) $179.20 $224 0.9×
Manual therapy 15 min (97140) $55.20 $69 2.0×
Massage 15 min (97124) $88.80 $111 3.0×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $44.80 $56 1.4×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $44.80 $56 1.2×
Motion Fluor Eval Swlng Funcj C/V Rec (92611) $365.60 $457 4.0×
Needle Electromyography Cranial Nrv Muscle Uni (95867) $505.20 $631.50 2.4×
Needle EMG lmtd std musc 1 xtr/non-limb uni/bi (95870) $36.80 $46 0.3×
Needle Emg Thrc Paraspi Musc Excluding T1/T12 (95869) $196.80 $246 0.9×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $156.80 $196 0.8×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $323.20 $404 0.8×
Nerve Conduction Studies 11-12 Studies (95912) $472.40 $590.50 1.3×
Nerve conduction studies 13/> studies (95913) $565.20 $706.50 1.5×
Nerve Conduction Studies 3-4 Studies (95908) $189.20 $236.50 0.9×
Nerve Conduction Studies 5-6 Studies (95909) $238.80 $298.50 1.1×
Nerve Conduction Studies 7-8 Studies (95910) $301.60 $377 0.8×
Nerve Conduction Studies 9-10 Studies (95911) $377.20 $471.50 1.0×
Nerve conduction studies; 1-2 studies (95907) $131.60 $164.50 0.6×
Non-Invas Physiologic Std Extremity Art 2 Level (93922) $544.80 $681 4.1×
Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) $278.40 $348 2.2×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $67.20 $84 1.5×
Osteopathic Manipulative Tx 1-2 Body Regions (98925) $43.20 $54 2.0×
Ot Community/Work Reintegration Trainj Ea 15 Min (97537) $63.20 $79 2.0×
Ot eval high complex 60 min (97167) $308.80 $386 3.1×
Ot eval low complex 30 min (97165) $196 $245 1.9×
Ot eval mod complex 45 min (97166) $228.80 $286 2.3×
Ot re-evaluation (97168) $61.60 $77 0.9×
Ot therapeutic activity 15 min (97530) $68 $85 1.9×
Paraffin bath pt (97018) $48 $60 8.0×
Phlebotomy therapeutic (99195) $175.20 $219 1.3×
Pm device eval in person (93288) $100.80 $126 2.7×
Pm device progr eval dual (93280) $136 $170 3.7×
Pm device progr eval sngl (93279) $86.18 $107.72 2.3×
Pt Aquatic Therapy/Exercises (97113) $93.60 $117 2.5×
Pt Electrical Stimulation (97032) $24.80 $31 1.7×
Pt eval high complex 45 min (97163) $181.60 $227 1.9×
Pt eval low complex 20 min (97161) $156.80 $196 1.6×
Pt eval mod complex 30 min (97162) $172.80 $216 1.8×
Pt gait training 15 min (97116) $45.60 $57 1.6×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $62.40 $78 1.9×
Pt re-evaluation (97164) $108 $135 1.6×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $69.60 $87 2.1×
Pulmonary stress test simple (94618) $239.60 $299.50 1.8×
Refill/Maint Portable Pump (96521) $220.82 $276.02 1.1×
Refill/Maint Pump/Resvr Syst (96522) $259.16 $323.95 1.2×
Remote 30 Day Ecg Rev/Report - Cardiac Event Monitor (93270) $247.20 $309 6.7×
Respiratory flow volume loop (94375) $222.40 $278 1.0×
Rfl&Main Implt Pmp/Rsvr Dlvr Spi/Brn Phy/Qhp (95991) $208 $260 0.7×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $127.20 $159 0.6×
Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) $209.44 $261.80 4.4×
Sensory Integration Ea 15 Min (97533) $49.60 $62 0.8×
Smoking cessation > 10 min (99407) $31.02 $38.78 0.8×
Speech sound lang comprehen (92523) $308.80 $386 1.4×
Spirometry (94010) $256 $320 1.2×
Standardized Cognitive Performance Testing (96125) $280 $350 2.7×
Stress echo (93350) $743.20 $929 1.4×
Temp transcutaneous pacing (92953) $481.60 $602 0.7×
Ther ivntj cog funcj cntct 1st 15 minutes (97129) $71.20 $89 3.2×
Ther Ivntj Cog Funcj Cntct Ea Addl 15 Minutes (97130) $35.20 $44 1.7×
Therapeutic prophylactic/dx injection subq/im (96372) $60.40 $75.50 0.8×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $19.42 $24.28 0.5×
Tte w/doppler, complete (93306) $155.20 $194 0.3×
Tte W/O Doppler Complete - Tte Complete No Doppler No Color (93307) $1,127.84 $1,409.80 4.8×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $193.60 $242 2.5×
Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) $215.20 $269 2.6×
Upr/lxtr art stdy 3+ lvls (93923) $250.40 $313 1.2×
Vasc Duplex Scan Extracranial,Limited (93882) $527.20 $659 5.1×
Vasc Non-Invasive Lower Extrem Art Stress/Rest, Complete,Bilateral (93924) $384 $480 1.8×
Vent mgmt inpat init day (94002) $1,202.40 $1,503 2.0×
Vital capacity, total (94150) $84.80 $106 0.7×
Wheelchair Mgmt Ea 15 Min (97542) $54.44 $68.05 1.8×
Xtrnl mobile cv telemetry w/technical support (93229) $876.80 $1,096 2.4×
Xtrnl Pt Activated Ecg Rec Dwnld 30 Days (93271) $314.44 $393.05 3.3×