Supplies, drugs & other prices at Treasure Valley Hospital

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

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

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ProcedureCash priceGross charge× Medicare
Cystoscopy prostatic imp 1-3 (C9739) $5,640.94 $6,958 1.0×
Excision of rectal tumor, transanal endoscopic microsurgical approach (ie, TEMS), including muscularis propria (ie,… (0184T)
unusually low: confirm this is the full procedure
$2,632.68 0.4×
Extracorporeal shock wave involving musculoskeletal system, not otherwise specified (0101T) $3,909.88 15.7×
Extracorporeal shock wave performed by a physician, requiring anesthesia other than local, and involving the lateral… (0102T) $3,909.88 1.2×
Iliac Atherectomy (0238T) $11,187.02 $66,715.05 0.6×
Injection(s), bone substitute material (eg, calcium phosphate) into subchondral bone defect (ie, bone marrow lesion,… (0707T) $6,325
Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that… (0216T) $671.54 0.8×
Insertion of anterior segment aqueous drainage device, without extraocular reservoir, internal approach, into the… (0253T) $4,551.69 1.1×
Insertion of sinus tarsi implant (0335T) $3,814.95 0.5×
Insj ocular telescope prosth (0308T)
likely a partial charge, not the full procedure
$4,551.69 0.3×
Insj/Rplc Car Modulj Sys Pls Gen Transvns Eltrd (0408T) $106,730.66
Intramuscular autologous bone marrow cell therapy, with preparation of harvested cells, multiple injections, one leg,… (0263T) $6,215.25 1.4×
Intramuscular autologous bone marrow cell therapy, with preparation of harvested cells, multiple injections, one leg,… (0264T) $6,215.25 1.4×
Intramuscular autologous bone marrow cell therapy, with preparation of harvested cells, multiple injections, one leg,… (0265T) $6,215.25 1.4×
Myocardial sympathetic innervation imaging, planar qualitative and quantitative assessment; (0331T) $3,037.30 2.3×
Njx dx/ther paraver fct jt w/us cer/thor 1 lvl (0213T) $671.54 0.8×
Njx pltlt plasma w/img harvest/preparation (0232T) $124.86 $726 0.3×
Perc d-e cor revasc chro sin (C9607) $10,196.91 $66,715.05 0.6×
Percutaneous laminotomy/laminectomy (interlaminar approach) for decompression of neural elements, (with or without… (0274T) $9,182.01 1.3×
Perq Sacral Augmt Bilat Inj (0201T) $5,926.35 0.8×
Perq Sacral Augmt Unilat Inj (0200T) $4,106.42 0.6×
Placement of a posterior intrafacet implant(s), unilateral or bilateral, including imaging and placement of bone… (0221T) $5,926.35 0.8×
Prgrmg Dev Eval Scrms Phys/Qhp Remote (0650T) $135.93
Repos Cardiac Modulj Transvenous Electrode (0415T) $3,340
Revasc intra lithotrip-stent (C9765) $40,530
Spine device implant surgery (C9757) $53,600
Therapeutic apheresis with selective HDL delipidation and plasma reinfusion (0342T) $5,812.23 1.3×
Transcatheter Renal Sympath Denervation Bilat (0339T) $4,884.70 0.8×
Transcatheter renal sympath denervation unilat (0338T) $4,884.70 0.8×
U/s trtmt, not leiomyomata (C9734)
likely a partial charge, not the full procedure
$3,843.99 0.3×