Does Cassia Regional Hospital have an emergency room?

Yes. Medicare (CMS) data lists emergency services at Cassia Regional Hospital. In a medical emergency, call 911.

Where is Cassia Regional Hospital?

1501 Hiland Avenue, Burley, ID 83318, in Cassia County, Idaho.

What is the phone number of Cassia Regional Hospital?

(208) 678-4444, as listed by Medicare (CMS).

What is the Medicare star rating of Cassia Regional Hospital?

3 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-07-22).

Cassia Regional Hospital — Burley, ID

Quick answers

Does Cassia Regional Hospital have an emergency room?: Yes. Medicare (CMS) data lists emergency services at Cassia Regional Hospital. In a medical emergency, call 911.
Where is Cassia Regional Hospital?: 1501 Hiland Avenue, Burley, ID 83318, in Cassia County, Idaho.
What is the phone number of Cassia Regional Hospital?: (208) 678-4444, as listed by Medicare (CMS).
What is the Medicare star rating of Cassia Regional Hospital?: 3 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-07-22).

Specialties and care areas^[4][5][6]

Emergency care
Cancer care
Orthopedics and sports medicine
Primary care
Critical care/ICU
Heart care
Imaging
Neurosciences/EEG
OB-GYN
Labor and delivery
General surgery
Urology
Physical therapy and rehabilitation
Nutrition services
Sleep testing
Wound care
Laboratory services

Treatments^[4][6]

Infusion therapy

Procedures^[6]

Mammography
Surgical weight loss
Surgical services

Emergency care (hospital website)^[4][5][6]

Emergency room	Yes
Open 24/7	Yes
Trauma designation	Level IV
Stroke designation	Stroke Level III

Visiting and practical information

Visiting	Visiting hours 9 a.m.-9 p.m^[4]
Patient portal	MyChart (Intermountain Health)

Recognition^[5]

Critical Access Hospital
Joint Commission Accredited
STEMI Level II

Doctors and clinicians (136)

136 doctors and other clinicians list Cassia Regional Hospital as a hospital where they work, in Medicare's official clinician data (updated 2026-10-02). It is not a complete staff list.

Main specialties

And 112 more: the button below opens the full list.

Other emergency rooms nearby

Hospitals that list emergency services, by straight-line distance (not driving distance).

Minidoka Memorial Hospital7.7 mi · Rupert, ID · Critical Access Hospital
St Lukes Magic Valley Medical Center35 mi · Twin Falls, ID · Acute Care Hospital
St Luke's Jerome40 mi · Jerome, ID · Critical Access Hospital
Power County Hospital District50 mi · American Falls, ID · Critical Access Hospital
North Canyon Medical Center54 mi · Gooding, ID · Critical Access Hospital

Other hospitals nearby

Portneuf Medical Center73 mi · Pocatello, ID · Acute Care Hospital

Nursing homes, hospice, home health and dialysis nearby

Medicare-certified providers within 25 miles, by straight-line distance. Hospice and home health care is given at home: their address is the office.

Nursing homes

Mini-Cassia Care Center0.9 mi · Burley, ID · 3 of 5 stars
Parke View Rehabilitation & Care Center1.1 mi · Burley, ID · 5 of 5 stars
Countryside Care & Rehabilitation7.8 mi · Rupert, ID · 3 of 5 stars

All nursing homes in the state →

Hospice providers

Intermountain Homecare Hospice - Cassia6.9 mi · Burley, ID

All hospice providers in the state →

Home health agencies

Intermountain Home Care of Cassia6.9 mi · Burley, ID · 4 of 5 stars

All home health agencies in the state →

Dialysis facilities

DaVita Burley Dialysis Center6.9 mi · Burley, ID · 3 of 5 stars

All dialysis facilities in the state →

Outpatient surgery centers nearby

Medicare-certified ambulatory surgery centers within 25 miles, by straight-line distance.

Ambulatory Surgery Center of Burley6.9 mi · Burley, ID

All outpatient surgery centers in the state →

Community care nearby

Health centers, clinics, urgent care and pharmacies closest to this hospital, by straight-line distance, from official HRSA, Medicare and NPI Registry data. In a medical emergency, call 911.

Community health centers

Family Health Services - Burley Medical, Dental & Behavioral Health Clinic0.2 mi · Burley, ID · Community health center
Family Health Services - Burley Junior High School0.9 mi · Burley, ID · Community health center
Family Health Services - Cassia High School1.1 mi · Burley, ID · Community health center

Clinics and urgent care

Sterling Provider Group6.9 mi · Burley, ID · Rural health clinic
Urgent Care of Idaho, LLC6.9 mi · Burley, ID · Urgent care center
Minidoka Memorial Hospital RHC15 mi · Rupert, ID · Rural health clinic

Pharmacies

Family Health Services Corporation6.9 mi · Burley, ID · Community/retail pharmacy
Hiland's Thirteen Inc.6.9 mi · Burley, ID · Community/retail pharmacy
Walgreen Co6.9 mi · Burley, ID · Pharmacy

Assisted living nearby

Licensed homes from the official state licence list, by straight-line distance.

Highland Estates6.9 mi · Burley, ID
Home & Heart Assisted Living LLC6.9 mi · Burley, ID
Pomerelle Place6.9 mi · Burley, ID
Rosetta of Burley6.9 mi · Burley, ID

About the Medicare star rating

CMS (the federal Medicare agency) gives many hospitals an overall rating from 1 to 5 stars, based on measures of mortality, safety, readmissions, patient experience and timely care. It is one piece of information: ask your doctor what matters for your care. See the full Medicare profile →

Medicare quality data

What Cassia Regional Hospital reported to Medicare (CMS), the federal agency that publishes these results for hospitals nationwide. These are averages for many patients, not a prediction for any one person: ask your doctor what matters for your care. In a medical emergency, call 911.

What patients said (patient survey)

What this means: Patients who stayed overnight answered a national survey (HCAHPS) about their stay. More stars mean patients reported a better experience than at other hospitals. The percentages show how often patients gave the best answer, next to the national average.

Summary star rating (all survey topics)	4 of 5 stars
Overall rating of the hospital	4 of 5 stars
Would recommend the hospital	4 of 5 stars
Nurses communicated well	4 of 5 stars
Doctors communicated well	4 of 5 stars
Staff explained medicines	4 of 5 stars
Information about recovery at home	4 of 5 stars
Room and bathroom kept clean	4 of 5 stars
Quiet at night	4 of 5 stars
Rated the hospital 9 or 10 out of 10	78%National average: 72%
Would definitely recommend the hospital	67%National average: 71%
Nurses “always” communicated well	82%National average: 80%
Doctors “always” communicated well	84%National average: 80%
Staff “always” explained medicines before giving them	65%National average: 62%
Were given information about recovery at home	89%National average: 86%
Room and bathroom “always” clean	82%National average: 74%
Area around the room “always” quiet at night	63%National average: 60%
Completed surveys	232Response rate: 21%

Source: Patient survey (HCAHPS) - Hospital — CMS, released July 22, 2026; patients discharged October 2024 to September 2025.

Infections caught in the hospital

What this means: CMS compares the number of infections patients caught in this hospital with the number expected for a hospital like it. The number shown is that ratio: below 1 means fewer infections than expected, above 1 means more. “Better” or “worse” is shown only when the difference is clear in the data.

Central line bloodstream infections (CLABSI)	Not reported to Medicare
Catheter-associated urinary tract infections (CAUTI)	Not reported to Medicare
Surgical site infections after colon surgery	Not reported to Medicare
Surgical site infections after abdominal hysterectomy	Not reported to Medicare
MRSA bloodstream infections	Not reported to Medicare
Clostridioides difficile (C. diff) intestinal infections	0No different from the national benchmark

Source: Healthcare Associated Infections - Hospital — CMS, released July 22, 2026; data from October 2024 to September 2025.

Complications and deaths

What this means: Death rates are the share of patients who died within 30 days of going into the hospital for that condition, adjusted for how sick they were. PSI-90 combines several serious complications (a lower number is better). “No different from the national rate” is the most common result and means the hospital is in line with hospitals nationwide.

Deaths within 30 days: heart attack patients	Too few cases to report
Deaths within 30 days: heart failure patients	12.3%
Deaths within 30 days: pneumonia patients	16.5%
Deaths within 30 days: COPD patients	Too few cases to report
Deaths within 30 days: stroke patients	Too few cases to report
Deaths within 30 days: coronary bypass surgery (CABG)	Not reported to Medicare
Serious complications (patient safety indicator PSI-90)	Not reported to Medicare
Complications after hip or knee replacement	Too few cases to report

Source: Complications and Deaths - Hospital — CMS, released September 10, 2026; data from July 2022 to June 2025.

Return visits to the hospital (readmissions)

What this means: The share of patients who had to be admitted to a hospital again within 30 days after going home, adjusted for how sick they were. A lower percentage is better.

Returned to any hospital within 30 days (all patients)	Not reported to Medicare
Readmitted within 30 days: heart attack	Too few cases to report
Readmitted within 30 days: heart failure	21.8%
Readmitted within 30 days: pneumonia	16.6%
Readmitted within 30 days: COPD	Too few cases to report
Readmitted within 30 days: coronary bypass surgery	Not reported to Medicare
Readmitted within 30 days: hip or knee replacement	Too few cases to report

Source: Unplanned Hospital Visits - Hospital — CMS, released September 10, 2026; data from July 2023 to June 2025.

Emergency room times and sepsis care

What this means: ER time is the middle (median) time from arriving at the emergency room to leaving it; busier ERs usually have longer times, so the ER volume is shown too. Leaving before being seen: a lower percentage is better. Sepsis is a life-threatening reaction to an infection; a higher percentage means more patients got every recommended early step.

Emergency room volume (patients per year)	Low (under 20,000)
Average (median) time patients spent in the emergency room before leaving (OP-18b)	120 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)	1%National average: 2%
Sepsis patients who got all the recommended early care (SEP-1)	57%National average: 65%

Source: Timely and Effective Care - Hospital — CMS, released July 22, 2026; data from January 2024 to December 2024.

See every measure on Medicare Care Compare →

ER wait times and Medicare ratings nearby

How this hospital compares with others in the area, ranked only by official Medicare (CMS) numbers.

ER wait times in Idaho Best hospitals in Idaho

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 80 common services exactly as Cassia Regional Hospital lists them in its file. This is not a quote: what you pay depends on your insurance and plan, the doctors involved and the care you actually receive. Prices change: ask the hospital for an estimate before you schedule care (if you are uninsured or paying yourself, you have the right to a written “good faith estimate”). In a medical emergency, call 911.

What the prices mean

Hospital charge: The hospital’s list price (“gross charge”) before any discount or insurance. Few people pay this amount.
Cash price: The price the hospital offers if you pay yourself, without insurance (“discounted cash price”).
Insurance rates: The lowest and highest amounts the hospital has agreed with any insurance plan for the service (“de-identified minimum and maximum”), and some of the rates it lists by insurer and plan. Your share depends on your deductible, copay and coinsurance.
Hospital and doctor fees: A service can have a hospital (facility) fee and a separate doctor (professional) fee; the total for your care can include both, plus other services.

How to use hospital prices: estimates, financial assistance and your rights →

Office and emergency visits

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC OFFICE/OUTPATIENT VISIT NEW LEVEL 3	$334.01	$250.51	$100.20 – $317.31
New patient office visit (about 30–44 minutes): 10 of 61 insurance plan rates Aetna — Medicare Adv HMO: $100.20 Aetna — Medicare Adv PPO: $100.20 Aetna — Standard: $317.31 American Health — Medicare Adv UT HMO I-SNP: $100.20 Blue Cross of Idaho — Exchange: $301.44 Blue Cross of Idaho — Medicare ID True Blue: $100.20 Blue Cross of Idaho — Traditional/PPO: $317.31 BYU Athletics — Commercial: $317.31 Campbell Scientific — Commercial: $317.31 Cigna — HMO: $317.31
New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC OFFICE/OUTPATIENT VISIT NEW LEVEL 3	$334.01	$250.51	$253.85 – $317.31
New patient office visit (about 30–44 minutes): 10 of 48 insurance plan rates Aetna — Standard: $317.31 Blue Cross of Idaho — Exchange: $253.85 Blue Cross of Idaho — Traditional/PPO: $267.21 BYU Athletics — Commercial: $317.31 Campbell Scientific — Commercial: $317.31 Cigna — HMO: $317.31 Cigna — PPO/EPO: $317.31 Corporation of the President — Workers Comp: $283.91 CorVel Corporation — Workers Comp: $283.91 Deseret Mutual — All Other: $317.31
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Office o/p new low 30 min	Not listed in the file	Not listed in the file	$80.54
New patient office visit (about 30–44 minutes): 10 of 13 insurance plan rates Aetna — Medicare Adv HMO: $80.54 Aetna — Medicare Adv PPO: $80.54 American Health — Medicare Adv UT HMO I-SNP: $80.54 Blue Cross of Idaho — Medicare ID True Blue: $80.54 Health Partners of Nevada — Medicare Advantage: $80.54 Humana — Medicare Choice PPO: $80.54 Molina — Medicare Choice Care HMO: $80.54 Molina — Medicare Complete Care HMO SNP: $80.54 Regence BCBS — Idaho UT Svc: $80.54 SelectHealth — Medicare Advantage: $80.54
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC OFFICE/OUTPATIENT VISIT NEW LEVEL 4	$334.01	$250.51	$100.20 – $317.31
New patient office visit (about 45–59 minutes): 10 of 61 insurance plan rates Aetna — Medicare Adv HMO: $100.20 Aetna — Medicare Adv PPO: $100.20 Aetna — Standard: $317.31 American Health — Medicare Adv UT HMO I-SNP: $100.20 Blue Cross of Idaho — Exchange: $301.44 Blue Cross of Idaho — Medicare ID True Blue: $100.20 Blue Cross of Idaho — Traditional/PPO: $317.31 BYU Athletics — Commercial: $317.31 Campbell Scientific — Commercial: $317.31 Cigna — HMO: $317.31
New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC OFFICE/OUTPATIENT VISIT NEW LEVEL 4	$334.01	$250.51	$253.85 – $317.31
New patient office visit (about 45–59 minutes): 10 of 48 insurance plan rates Aetna — Standard: $317.31 Blue Cross of Idaho — Exchange: $253.85 Blue Cross of Idaho — Traditional/PPO: $267.21 BYU Athletics — Commercial: $317.31 Campbell Scientific — Commercial: $317.31 Cigna — HMO: $317.31 Cigna — PPO/EPO: $317.31 Corporation of the President — Workers Comp: $283.91 CorVel Corporation — Workers Comp: $283.91 Deseret Mutual — All Other: $317.31
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Office o/p new mod 45 min	Not listed in the file	Not listed in the file	$129.68
New patient office visit (about 45–59 minutes): 10 of 13 insurance plan rates Aetna — Medicare Adv HMO: $129.68 Aetna — Medicare Adv PPO: $129.68 American Health — Medicare Adv UT HMO I-SNP: $129.68 Blue Cross of Idaho — Medicare ID True Blue: $129.68 Health Partners of Nevada — Medicare Advantage: $129.68 Humana — Medicare Choice PPO: $129.68 Molina — Medicare Choice Care HMO: $129.68 Molina — Medicare Complete Care HMO SNP: $129.68 Regence BCBS — Idaho UT Svc: $129.68 SelectHealth — Medicare Advantage: $129.68
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC OFFICE/OUTPATIENT VISIT NEW LEVEL 5	$334.01	$250.51	$100.20 – $317.31
New patient office visit (about 60–74 minutes): 10 of 61 insurance plan rates Aetna — Medicare Adv HMO: $100.20 Aetna — Medicare Adv PPO: $100.20 Aetna — Standard: $317.31 American Health — Medicare Adv UT HMO I-SNP: $100.20 Blue Cross of Idaho — Exchange: $301.44 Blue Cross of Idaho — Medicare ID True Blue: $100.20 Blue Cross of Idaho — Traditional/PPO: $317.31 BYU Athletics — Commercial: $317.31 Campbell Scientific — Commercial: $317.31 Cigna — HMO: $317.31
New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC OFFICE/OUTPATIENT VISIT NEW LEVEL 5	$334.01	$250.51	$253.85 – $317.31
New patient office visit (about 60–74 minutes): 10 of 48 insurance plan rates Aetna — Standard: $317.31 Blue Cross of Idaho — Exchange: $253.85 Blue Cross of Idaho — Traditional/PPO: $267.21 BYU Athletics — Commercial: $317.31 Campbell Scientific — Commercial: $317.31 Cigna — HMO: $317.31 Cigna — PPO/EPO: $317.31 Corporation of the President — Workers Comp: $283.91 CorVel Corporation — Workers Comp: $283.91 Deseret Mutual — All Other: $317.31
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Office o/p new hi 60 min	Not listed in the file	Not listed in the file	$176.02
New patient office visit (about 60–74 minutes): 10 of 13 insurance plan rates Aetna — Medicare Adv HMO: $176.02 Aetna — Medicare Adv PPO: $176.02 American Health — Medicare Adv UT HMO I-SNP: $176.02 Blue Cross of Idaho — Medicare ID True Blue: $176.02 Health Partners of Nevada — Medicare Advantage: $176.02 Humana — Medicare Choice PPO: $176.02 Molina — Medicare Choice Care HMO: $176.02 Molina — Medicare Complete Care HMO SNP: $176.02 Regence BCBS — Idaho UT Svc: $176.02 SelectHealth — Medicare Advantage: $176.02
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC OFFICE/OUTPATIENT VISIT EST LEVEL 3	$229.04	$171.78	$68.71 – $217.59
Established patient office visit (about 20–29 minutes): 10 of 61 insurance plan rates Aetna — Medicare Adv HMO: $68.71 Aetna — Medicare Adv PPO: $68.71 Aetna — Standard: $217.59 American Health — Medicare Adv UT HMO I-SNP: $68.71 Blue Cross of Idaho — Exchange: $206.71 Blue Cross of Idaho — Medicare ID True Blue: $68.71 Blue Cross of Idaho — Traditional/PPO: $217.59 BYU Athletics — Commercial: $217.59 Campbell Scientific — Commercial: $217.59 Cigna — HMO: $217.59
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC OFFICE/OUTPATIENT VISIT EST LEVEL 3	$229.04	$171.78	$174.07 – $217.59
Established patient office visit (about 20–29 minutes): 10 of 48 insurance plan rates Aetna — Standard: $217.59 Blue Cross of Idaho — Exchange: $174.07 Blue Cross of Idaho — Traditional/PPO: $183.23 BYU Athletics — Commercial: $217.59 Campbell Scientific — Commercial: $217.59 Cigna — HMO: $217.59 Cigna — PPO/EPO: $217.59 Corporation of the President — Workers Comp: $194.68 CorVel Corporation — Workers Comp: $194.68 Deseret Mutual — All Other: $217.59
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Office o/p est low 20 min	Not listed in the file	Not listed in the file	$64.24
Established patient office visit (about 20–29 minutes): 10 of 13 insurance plan rates Aetna — Medicare Adv HMO: $64.24 Aetna — Medicare Adv PPO: $64.24 American Health — Medicare Adv UT HMO I-SNP: $64.24 Blue Cross of Idaho — Medicare ID True Blue: $64.24 Health Partners of Nevada — Medicare Advantage: $64.24 Humana — Medicare Choice PPO: $64.24 Molina — Medicare Choice Care HMO: $64.24 Molina — Medicare Complete Care HMO SNP: $64.24 Regence BCBS — Idaho UT Svc: $64.24 SelectHealth — Medicare Advantage: $64.24
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC OFFICE/OUTPATIENT VISIT EST LEVEL 4	$334.01	$250.51	$100.20 – $317.31
Established patient office visit (about 30–39 minutes): 10 of 61 insurance plan rates Aetna — Medicare Adv HMO: $100.20 Aetna — Medicare Adv PPO: $100.20 Aetna — Standard: $317.31 American Health — Medicare Adv UT HMO I-SNP: $100.20 Blue Cross of Idaho — Exchange: $301.44 Blue Cross of Idaho — Medicare ID True Blue: $100.20 Blue Cross of Idaho — Traditional/PPO: $317.31 BYU Athletics — Commercial: $317.31 Campbell Scientific — Commercial: $317.31 Cigna — HMO: $317.31
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC OFFICE/OUTPATIENT VISIT EST LEVEL 4	$334.01	$250.51	$253.85 – $317.31
Established patient office visit (about 30–39 minutes): 10 of 48 insurance plan rates Aetna — Standard: $317.31 Blue Cross of Idaho — Exchange: $253.85 Blue Cross of Idaho — Traditional/PPO: $267.21 BYU Athletics — Commercial: $317.31 Campbell Scientific — Commercial: $317.31 Cigna — HMO: $317.31 Cigna — PPO/EPO: $317.31 Corporation of the President — Workers Comp: $283.91 CorVel Corporation — Workers Comp: $283.91 Deseret Mutual — All Other: $317.31
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Office o/p est mod 30 min	Not listed in the file	Not listed in the file	$94.90
Established patient office visit (about 30–39 minutes): 10 of 13 insurance plan rates Aetna — Medicare Adv HMO: $94.90 Aetna — Medicare Adv PPO: $94.90 American Health — Medicare Adv UT HMO I-SNP: $94.90 Blue Cross of Idaho — Medicare ID True Blue: $94.90 Health Partners of Nevada — Medicare Advantage: $94.90 Humana — Medicare Choice PPO: $94.90 Molina — Medicare Choice Care HMO: $94.90 Molina — Medicare Complete Care HMO SNP: $94.90 Regence BCBS — Idaho UT Svc: $94.90 SelectHealth — Medicare Advantage: $94.90
Preventive checkup, new patient, age 18–39 CPT 99385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PREVENTIVE VISIT,NEW,18-39	$262.71	$197.03	$78.81 – $249.57
Preventive checkup, new patient, age 18–39: 10 of 61 insurance plan rates Aetna — Medicare Adv HMO: $78.81 Aetna — Medicare Adv PPO: $78.81 Aetna — Standard: $249.57 American Health — Medicare Adv UT HMO I-SNP: $78.81 Blue Cross of Idaho — Exchange: $237.10 Blue Cross of Idaho — Medicare ID True Blue: $78.81 Blue Cross of Idaho — Traditional/PPO: $249.57 BYU Athletics — Commercial: $249.57 Campbell Scientific — Commercial: $249.57 Cigna — HMO: $249.57
Preventive checkup, new patient, age 18–39 CPT 99385 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC PREVENTIVE VISIT,NEW,18-39	$262.71	$197.03	$199.66 – $249.57
Preventive checkup, new patient, age 18–39: 10 of 48 insurance plan rates Aetna — Standard: $249.57 Blue Cross of Idaho — Exchange: $199.66 Blue Cross of Idaho — Traditional/PPO: $210.17 BYU Athletics — Commercial: $249.57 Campbell Scientific — Commercial: $249.57 Cigna — HMO: $249.57 Cigna — PPO/EPO: $249.57 Corporation of the President — Workers Comp: $223.30 CorVel Corporation — Workers Comp: $223.30 Deseret Mutual — All Other: $249.57
Preventive checkup, new patient, age 40–64 CPT 99386 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PREVENTIVE VISIT,NEW,40-64	$152.46	$114.34	$45.74 – $144.84
Preventive checkup, new patient, age 40–64: 10 of 61 insurance plan rates Aetna — Medicare Adv HMO: $45.74 Aetna — Medicare Adv PPO: $45.74 Aetna — Standard: $144.84 American Health — Medicare Adv UT HMO I-SNP: $45.74 Blue Cross of Idaho — Exchange: $137.60 Blue Cross of Idaho — Medicare ID True Blue: $45.74 Blue Cross of Idaho — Traditional/PPO: $144.84 BYU Athletics — Commercial: $144.84 Campbell Scientific — Commercial: $144.84 Cigna — HMO: $144.84
Preventive checkup, new patient, age 40–64 CPT 99386 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC PREVENTIVE VISIT,NEW,40-64	$152.46	$114.34	$115.87 – $144.84
Preventive checkup, new patient, age 40–64: 10 of 48 insurance plan rates Aetna — Standard: $144.84 Blue Cross of Idaho — Exchange: $115.87 Blue Cross of Idaho — Traditional/PPO: $121.97 BYU Athletics — Commercial: $144.84 Campbell Scientific — Commercial: $144.84 Cigna — HMO: $144.84 Cigna — PPO/EPO: $144.84 Corporation of the President — Workers Comp: $129.59 CorVel Corporation — Workers Comp: $129.59 Deseret Mutual — All Other: $144.84
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC EMERGENCY ROOM - LEVEL 3 W/MOD	$1,659.54	$1,244.66	$497.86 – $1,576.56
Emergency room visit (moderate): 10 of 61 insurance plan rates Aetna — Medicare Adv HMO: $497.86 Aetna — Medicare Adv PPO: $497.86 Aetna — Standard: $1,576.56 American Health — Medicare Adv UT HMO I-SNP: $497.86 Blue Cross of Idaho — Exchange: $1,497.73 Blue Cross of Idaho — Medicare ID True Blue: $497.86 Blue Cross of Idaho — Traditional/PPO: $1,576.56 BYU Athletics — Commercial: $1,576.56 Campbell Scientific — Commercial: $1,576.56 Cigna — HMO: $1,576.56
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC EMERGENCY ROOM-LEVEL 3	$1,659.54	$1,244.66	$497.86 – $1,576.56
Emergency room visit (moderate): 10 of 61 insurance plan rates Aetna — Medicare Adv HMO: $497.86 Aetna — Medicare Adv PPO: $497.86 Aetna — Standard: $1,576.56 American Health — Medicare Adv UT HMO I-SNP: $497.86 Blue Cross of Idaho — Exchange: $1,497.73 Blue Cross of Idaho — Medicare ID True Blue: $497.86 Blue Cross of Idaho — Traditional/PPO: $1,576.56 BYU Athletics — Commercial: $1,576.56 Campbell Scientific — Commercial: $1,576.56 Cigna — HMO: $1,576.56
Emergency room visit (moderate) CPT 99283 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC EMERGENCY ROOM - LEVEL 3 W/MOD	$1,659.54	$1,244.66	$1,261.25 – $1,576.56
Emergency room visit (moderate): 10 of 48 insurance plan rates Aetna — Standard: $1,576.56 Blue Cross of Idaho — Exchange: $1,261.25 Blue Cross of Idaho — Traditional/PPO: $1,327.63 BYU Athletics — Commercial: $1,576.56 Campbell Scientific — Commercial: $1,576.56 Cigna — HMO: $1,576.56 Cigna — PPO/EPO: $1,576.56 Corporation of the President — Workers Comp: $1,410.61 CorVel Corporation — Workers Comp: $1,410.61 Deseret Mutual — All Other: $1,576.56
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC EMERGENCY ROOM - LEVEL 4 W/MOD	$2,489.16	$1,866.87	$746.75 – $2,364.70
Emergency room visit (moderately high): 10 of 61 insurance plan rates Aetna — Medicare Adv HMO: $746.75 Aetna — Medicare Adv PPO: $746.75 Aetna — Standard: $2,364.70 American Health — Medicare Adv UT HMO I-SNP: $746.75 Blue Cross of Idaho — Exchange: $2,246.47 Blue Cross of Idaho — Medicare ID True Blue: $746.75 Blue Cross of Idaho — Traditional/PPO: $2,364.70 BYU Athletics — Commercial: $2,364.70 Campbell Scientific — Commercial: $2,364.70 Cigna — HMO: $2,364.70
Emergency room visit (moderately high) CPT 99284 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC EMERGENCY ROOM - LEVEL 4 W/MOD	$2,489.16	$1,866.87	$1,891.76 – $2,364.70
Emergency room visit (moderately high): 10 of 48 insurance plan rates Aetna — Standard: $2,364.70 Blue Cross of Idaho — Exchange: $1,891.76 Blue Cross of Idaho — Traditional/PPO: $1,991.33 BYU Athletics — Commercial: $2,364.70 Campbell Scientific — Commercial: $2,364.70 Cigna — HMO: $2,364.70 Cigna — PPO/EPO: $2,364.70 Corporation of the President — Workers Comp: $2,115.79 CorVel Corporation — Workers Comp: $2,115.79 Deseret Mutual — All Other: $2,364.70
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Emergency dept visit mod mdm	Not listed in the file	Not listed in the file	$118.65
Emergency room visit (moderately high): 10 of 13 insurance plan rates Aetna — Medicare Adv HMO: $118.65 Aetna — Medicare Adv PPO: $118.65 American Health — Medicare Adv UT HMO I-SNP: $118.65 Blue Cross of Idaho — Medicare ID True Blue: $118.65 Health Partners of Nevada — Medicare Advantage: $118.65 Humana — Medicare Choice PPO: $118.65 Molina — Medicare Choice Care HMO: $118.65 Molina — Medicare Complete Care HMO SNP: $118.65 Regence BCBS — Idaho UT Svc: $118.65 SelectHealth — Medicare Advantage: $118.65
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC EMERGENCY ROOM - LEVEL 5 W/MOD	$3,836.74	$2,877.56	$1,151.02 – $3,644.90
Emergency room visit (high): 10 of 61 insurance plan rates Aetna — Medicare Adv HMO: $1,151.02 Aetna — Medicare Adv PPO: $1,151.02 Aetna — Standard: $3,644.90 American Health — Medicare Adv UT HMO I-SNP: $1,151.02 Blue Cross of Idaho — Exchange: $3,462.66 Blue Cross of Idaho — Medicare ID True Blue: $1,151.02 Blue Cross of Idaho — Traditional/PPO: $3,644.90 BYU Athletics — Commercial: $3,644.90 Campbell Scientific — Commercial: $3,644.90 Cigna — HMO: $3,644.90
Emergency room visit (high) CPT 99285 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC EMERGENCY ROOM - LEVEL 5 W/MOD	$3,836.74	$2,877.56	$2,915.92 – $3,644.90
Emergency room visit (high): 10 of 48 insurance plan rates Aetna — Standard: $3,644.90 Blue Cross of Idaho — Exchange: $2,915.92 Blue Cross of Idaho — Traditional/PPO: $3,069.39 BYU Athletics — Commercial: $3,644.90 Campbell Scientific — Commercial: $3,644.90 Cigna — HMO: $3,644.90 Cigna — PPO/EPO: $3,644.90 Corporation of the President — Workers Comp: $3,261.23 CorVel Corporation — Workers Comp: $3,261.23 Deseret Mutual — All Other: $3,644.90
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Emergency dept visit hi mdm	Not listed in the file	Not listed in the file	$172.65
Emergency room visit (high): 10 of 13 insurance plan rates Aetna — Medicare Adv HMO: $172.65 Aetna — Medicare Adv PPO: $172.65 American Health — Medicare Adv UT HMO I-SNP: $172.65 Blue Cross of Idaho — Medicare ID True Blue: $172.65 Health Partners of Nevada — Medicare Advantage: $172.65 Humana — Medicare Choice PPO: $172.65 Molina — Medicare Choice Care HMO: $172.65 Molina — Medicare Complete Care HMO SNP: $172.65 Regence BCBS — Idaho UT Svc: $172.65 SelectHealth — Medicare Advantage: $172.65

Lab tests

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC BASIC METABOLIC PANEL	$55.02	$41.26	$16.51 – $52.27
Basic metabolic panel (blood test): 10 of 61 insurance plan rates Aetna — Medicare Adv HMO: $16.51 Aetna — Medicare Adv PPO: $16.51 Aetna — Standard: $52.27 American Health — Medicare Adv UT HMO I-SNP: $16.51 Blue Cross of Idaho — Exchange: $49.66 Blue Cross of Idaho — Medicare ID True Blue: $16.51 Blue Cross of Idaho — Traditional/PPO: $52.27 BYU Athletics — Commercial: $52.27 Campbell Scientific — Commercial: $52.27 Cigna — HMO: $52.27
Basic metabolic panel (blood test) CPT 80048 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC BASIC METABOLIC PANEL	$55.02	$41.26	$41.82 – $52.27
Basic metabolic panel (blood test): 10 of 48 insurance plan rates Aetna — Standard: $52.27 Blue Cross of Idaho — Exchange: $41.82 Blue Cross of Idaho — Traditional/PPO: $44.02 BYU Athletics — Commercial: $52.27 Campbell Scientific — Commercial: $52.27 Cigna — HMO: $52.27 Cigna — PPO/EPO: $52.27 Corporation of the President — Workers Comp: $46.77 CorVel Corporation — Workers Comp: $46.77 Deseret Mutual — All Other: $52.27
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Basic metabolic pnl total ca	Not listed in the file	Not listed in the file	$8.46 – $67
Basic metabolic panel (blood test): 10 of 27 insurance plan rates Aetna — Medicare Adv HMO: $8.46 Aetna — Medicare Adv PPO: $9.31 American Health — Medicare Adv UT HMO I-SNP: $8.80 Blue Cross of Idaho — Exchange: $36.24 Blue Cross of Idaho — Medicare ID True Blue: $8.63 Blue Cross of Idaho — Traditional/PPO: $39.68 BYU Athletics — Commercial: $67 Deseret Mutual — All Other: $67 Deseret Mutual — Select: $67 Health Partners of Nevada — Medicare Advantage: $8.46
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC COMPREHENSIVE METABOLIC PANEL	$81.45	$61.09	$24.44 – $77.38
Comprehensive metabolic panel (blood test): 10 of 61 insurance plan rates Aetna — Medicare Adv HMO: $24.44 Aetna — Medicare Adv PPO: $24.44 Aetna — Standard: $77.38 American Health — Medicare Adv UT HMO I-SNP: $24.44 Blue Cross of Idaho — Exchange: $73.51 Blue Cross of Idaho — Medicare ID True Blue: $24.44 Blue Cross of Idaho — Traditional/PPO: $77.38 BYU Athletics — Commercial: $77.38 Campbell Scientific — Commercial: $77.38 Cigna — HMO: $77.38
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC COMPREHENSIVE METABOLIC PANEL	$81.45	$61.09	$61.90 – $77.38
Comprehensive metabolic panel (blood test): 10 of 48 insurance plan rates Aetna — Standard: $77.38 Blue Cross of Idaho — Exchange: $61.90 Blue Cross of Idaho — Traditional/PPO: $65.16 BYU Athletics — Commercial: $77.38 Campbell Scientific — Commercial: $77.38 Cigna — HMO: $77.38 Cigna — PPO/EPO: $77.38 Corporation of the President — Workers Comp: $69.23 CorVel Corporation — Workers Comp: $69.23 Deseret Mutual — All Other: $77.38
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Comprehen metabolic panel	Not listed in the file	Not listed in the file	$10.56 – $95
Comprehensive metabolic panel (blood test): 10 of 27 insurance plan rates Aetna — Medicare Adv HMO: $10.56 Aetna — Medicare Adv PPO: $11.62 American Health — Medicare Adv UT HMO I-SNP: $10.98 Blue Cross of Idaho — Exchange: $64.96 Blue Cross of Idaho — Medicare ID True Blue: $10.77 Blue Cross of Idaho — Traditional/PPO: $71.12 BYU Athletics — Commercial: $95 Deseret Mutual — All Other: $95 Deseret Mutual — Select: $95 Health Partners of Nevada — Medicare Advantage: $10.56
Obstetric blood test panel CPT 80055 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC OBSTETRIC PANEL	$274.04	$205.53	$82.21 – $260.34
Obstetric blood test panel: 10 of 61 insurance plan rates Aetna — Medicare Adv HMO: $82.21 Aetna — Medicare Adv PPO: $82.21 Aetna — Standard: $260.34 American Health — Medicare Adv UT HMO I-SNP: $82.21 Blue Cross of Idaho — Exchange: $247.32 Blue Cross of Idaho — Medicare ID True Blue: $82.21 Blue Cross of Idaho — Traditional/PPO: $260.34 BYU Athletics — Commercial: $260.34 Campbell Scientific — Commercial: $260.34 Cigna — HMO: $260.34
Obstetric blood test panel CPT 80055 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC OBSTETRIC PANEL	$274.04	$205.53	$208.27 – $260.34
Obstetric blood test panel: 10 of 48 insurance plan rates Aetna — Standard: $260.34 Blue Cross of Idaho — Exchange: $208.27 Blue Cross of Idaho — Traditional/PPO: $219.23 BYU Athletics — Commercial: $260.34 Campbell Scientific — Commercial: $260.34 Cigna — HMO: $260.34 Cigna — PPO/EPO: $260.34 Corporation of the President — Workers Comp: $232.93 CorVel Corporation — Workers Comp: $232.93 Deseret Mutual — All Other: $260.34
Obstetric blood test panel CPT 80055 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Obstetric panel	Not listed in the file	Not listed in the file	$47.81 – $186.78
Obstetric blood test panel: 10 of 27 insurance plan rates Aetna — Medicare Adv HMO: $47.81 Aetna — Medicare Adv PPO: $52.59 American Health — Medicare Adv UT HMO I-SNP: $49.72 Blue Cross of Idaho — Exchange: $170.62 Blue Cross of Idaho — Medicare ID True Blue: $48.77 Blue Cross of Idaho — Traditional/PPO: $186.78 BYU Athletics — Commercial: $129 Deseret Mutual — All Other: $129 Deseret Mutual — Select: $129 Health Partners of Nevada — Medicare Advantage: $47.81
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC LIPID PANEL	$80.38	$60.28	$24.11 – $76.36
Cholesterol panel (lipid panel): 10 of 61 insurance plan rates Aetna — Medicare Adv HMO: $24.11 Aetna — Medicare Adv PPO: $24.11 Aetna — Standard: $76.36 American Health — Medicare Adv UT HMO I-SNP: $24.11 Blue Cross of Idaho — Exchange: $72.54 Blue Cross of Idaho — Medicare ID True Blue: $24.11 Blue Cross of Idaho — Traditional/PPO: $76.36 BYU Athletics — Commercial: $76.36 Campbell Scientific — Commercial: $76.36 Cigna — HMO: $76.36
Cholesterol panel (lipid panel) CPT 80061 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC LIPID PANEL	$80.38	$60.28	$61.09 – $76.36
Cholesterol panel (lipid panel): 10 of 48 insurance plan rates Aetna — Standard: $76.36 Blue Cross of Idaho — Exchange: $61.09 Blue Cross of Idaho — Traditional/PPO: $64.30 BYU Athletics — Commercial: $76.36 Campbell Scientific — Commercial: $76.36 Cigna — HMO: $76.36 Cigna — PPO/EPO: $76.36 Corporation of the President — Workers Comp: $68.32 CorVel Corporation — Workers Comp: $68.32 Deseret Mutual — All Other: $76.36
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Lipid panel	Not listed in the file	Not listed in the file	$13.39 – $95
Cholesterol panel (lipid panel): 10 of 27 insurance plan rates Aetna — Medicare Adv HMO: $13.39 Aetna — Medicare Adv PPO: $14.73 American Health — Medicare Adv UT HMO I-SNP: $13.93 Blue Cross of Idaho — Exchange: $69.74 Blue Cross of Idaho — Medicare ID True Blue: $13.66 Blue Cross of Idaho — Traditional/PPO: $76.35 BYU Athletics — Commercial: $95 Deseret Mutual — All Other: $95 Deseret Mutual — Select: $95 Health Partners of Nevada — Medicare Advantage: $13.39
Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC RENAL FUNCTION PANEL	$57.42	$43.06	$17.23 – $54.55
Kidney function panel: 10 of 61 insurance plan rates Aetna — Medicare Adv HMO: $17.23 Aetna — Medicare Adv PPO: $17.23 Aetna — Standard: $54.55 American Health — Medicare Adv UT HMO I-SNP: $17.23 Blue Cross of Idaho — Exchange: $51.82 Blue Cross of Idaho — Medicare ID True Blue: $17.23 Blue Cross of Idaho — Traditional/PPO: $54.55 BYU Athletics — Commercial: $54.55 Campbell Scientific — Commercial: $54.55 Cigna — HMO: $54.55
Kidney function panel CPT 80069 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC RENAL FUNCTION PANEL	$57.42	$43.06	$43.64 – $54.55
Kidney function panel: 10 of 48 insurance plan rates Aetna — Standard: $54.55 Blue Cross of Idaho — Exchange: $43.64 Blue Cross of Idaho — Traditional/PPO: $45.94 BYU Athletics — Commercial: $54.55 Campbell Scientific — Commercial: $54.55 Cigna — HMO: $54.55 Cigna — PPO/EPO: $54.55 Corporation of the President — Workers Comp: $48.81 CorVel Corporation — Workers Comp: $48.81 Deseret Mutual — All Other: $54.55
Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Renal function panel	Not listed in the file	Not listed in the file	$8.68 – $53
Kidney function panel: 10 of 27 insurance plan rates Aetna — Medicare Adv HMO: $8.68 Aetna — Medicare Adv PPO: $9.55 American Health — Medicare Adv UT HMO I-SNP: $9.03 Blue Cross of Idaho — Exchange: $34.58 Blue Cross of Idaho — Medicare ID True Blue: $8.85 Blue Cross of Idaho — Traditional/PPO: $37.86 BYU Athletics — Commercial: $53 Deseret Mutual — All Other: $53 Deseret Mutual — Select: $53 Health Partners of Nevada — Medicare Advantage: $8.68
Liver function panel CPT 80076 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC HEPATIC FUNCTION PANEL	$53.46	$40.10	$16.04 – $50.79
Liver function panel: 10 of 61 insurance plan rates Aetna — Medicare Adv HMO: $16.04 Aetna — Medicare Adv PPO: $16.04 Aetna — Standard: $50.79 American Health — Medicare Adv UT HMO I-SNP: $16.04 Blue Cross of Idaho — Exchange: $48.25 Blue Cross of Idaho — Medicare ID True Blue: $16.04 Blue Cross of Idaho — Traditional/PPO: $50.79 BYU Athletics — Commercial: $50.79 Campbell Scientific — Commercial: $50.79 Cigna — HMO: $50.79
Liver function panel CPT 80076 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC HEPATIC FUNCTION PANEL	$53.46	$40.10	$40.63 – $50.79
Liver function panel: 10 of 48 insurance plan rates Aetna — Standard: $50.79 Blue Cross of Idaho — Exchange: $40.63 Blue Cross of Idaho — Traditional/PPO: $42.77 BYU Athletics — Commercial: $50.79 Campbell Scientific — Commercial: $50.79 Cigna — HMO: $50.79 Cigna — PPO/EPO: $50.79 Corporation of the President — Workers Comp: $45.44 CorVel Corporation — Workers Comp: $45.44 Deseret Mutual — All Other: $50.79
Liver function panel CPT 80076 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Hepatic function panel	Not listed in the file	Not listed in the file	$8.17 – $55
Liver function panel: 10 of 27 insurance plan rates Aetna — Medicare Adv HMO: $8.17 Aetna — Medicare Adv PPO: $8.99 American Health — Medicare Adv UT HMO I-SNP: $8.50 Blue Cross of Idaho — Exchange: $32.99 Blue Cross of Idaho — Medicare ID True Blue: $8.33 Blue Cross of Idaho — Traditional/PPO: $36.12 BYU Athletics — Commercial: $55 Deseret Mutual — All Other: $55 Deseret Mutual — Select: $55 Health Partners of Nevada — Medicare Advantage: $8.17
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC URINALYSIS W/MICROSCOPY	$37.12	$27.84	$11.14 – $35.26
Urine test (automated, with microscope): 10 of 61 insurance plan rates Aetna — Medicare Adv HMO: $11.14 Aetna — Medicare Adv PPO: $11.14 Aetna — Standard: $35.26 American Health — Medicare Adv UT HMO I-SNP: $11.14 Blue Cross of Idaho — Exchange: $33.50 Blue Cross of Idaho — Medicare ID True Blue: $11.14 Blue Cross of Idaho — Traditional/PPO: $35.26 BYU Athletics — Commercial: $35.26 Campbell Scientific — Commercial: $35.26 Cigna — HMO: $35.26
Urine test (automated, with microscope) CPT 81001 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC URINALYSIS W/MICROSCOPY	$37.12	$27.84	$28.21 – $35.26
Urine test (automated, with microscope): 10 of 48 insurance plan rates Aetna — Standard: $35.26 Blue Cross of Idaho — Exchange: $28.21 Blue Cross of Idaho — Traditional/PPO: $29.70 BYU Athletics — Commercial: $35.26 Campbell Scientific — Commercial: $35.26 Cigna — HMO: $35.26 Cigna — PPO/EPO: $35.26 Corporation of the President — Workers Comp: $31.55 CorVel Corporation — Workers Comp: $31.55 Deseret Mutual — All Other: $35.26
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Urinalysis auto w/scope	Not listed in the file	Not listed in the file	$3.17 – $52
Urine test (automated, with microscope): 10 of 27 insurance plan rates Aetna — Medicare Adv HMO: $3.17 Aetna — Medicare Adv PPO: $3.49 American Health — Medicare Adv UT HMO I-SNP: $3.30 Blue Cross of Idaho — Exchange: $28.44 Blue Cross of Idaho — Medicare ID True Blue: $3.23 Blue Cross of Idaho — Traditional/PPO: $31.14 BYU Athletics — Commercial: $52 Deseret Mutual — All Other: $52 Deseret Mutual — Select: $52 Health Partners of Nevada — Medicare Advantage: $3.17
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC N-AUTOM URINALYS WO MICRO	$23.76	$17.82	$7.13 – $22.57
Urine test (manual, without microscope): 10 of 61 insurance plan rates Aetna — Medicare Adv HMO: $7.13 Aetna — Medicare Adv PPO: $7.13 Aetna — Standard: $22.57 American Health — Medicare Adv UT HMO I-SNP: $7.13 Blue Cross of Idaho — Exchange: $21.44 Blue Cross of Idaho — Medicare ID True Blue: $7.13 Blue Cross of Idaho — Traditional/PPO: $22.57 BYU Athletics — Commercial: $22.57 Campbell Scientific — Commercial: $22.57 Cigna — HMO: $22.57
Urine test (manual, without microscope) CPT 81002 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC N-AUTOM URINALYS WO MICRO	$23.76	$17.82	$18.06 – $22.57
Urine test (manual, without microscope): 10 of 48 insurance plan rates Aetna — Standard: $22.57 Blue Cross of Idaho — Exchange: $18.06 Blue Cross of Idaho — Traditional/PPO: $19.01 BYU Athletics — Commercial: $22.57 Campbell Scientific — Commercial: $22.57 Cigna — HMO: $22.57 Cigna — PPO/EPO: $22.57 Corporation of the President — Workers Comp: $20.20 CorVel Corporation — Workers Comp: $20.20 Deseret Mutual — All Other: $22.57
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Urinalysis nonauto w/o scope	Not listed in the file	Not listed in the file	$3.48 – $52
Urine test (manual, without microscope): 10 of 27 insurance plan rates Aetna — Medicare Adv HMO: $3.48 Aetna — Medicare Adv PPO: $3.83 American Health — Medicare Adv UT HMO I-SNP: $3.62 Blue Cross of Idaho — Exchange: $10.07 Blue Cross of Idaho — Medicare ID True Blue: $3.55 Blue Cross of Idaho — Traditional/PPO: $11.02 BYU Athletics — Commercial: $52 Deseret Mutual — All Other: $52 Deseret Mutual — Select: $52 Health Partners of Nevada — Medicare Advantage: $3.48
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC URINALYSIS W/O MICRO AUTOMATED POCL/POCBS	$52.53	$39.40	$15.76 – $49.90
Urine test (automated, without microscope): 10 of 61 insurance plan rates Aetna — Medicare Adv HMO: $15.76 Aetna — Medicare Adv PPO: $15.76 Aetna — Standard: $49.90 American Health — Medicare Adv UT HMO I-SNP: $15.76 Blue Cross of Idaho — Exchange: $47.41 Blue Cross of Idaho — Medicare ID True Blue: $15.76 Blue Cross of Idaho — Traditional/PPO: $49.90 BYU Athletics — Commercial: $49.90 Campbell Scientific — Commercial: $49.90 Cigna — HMO: $49.90
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC URINALYSIS W/O MICRO AUTOMATED	$16.73	$12.55	$5.02 – $15.89
Urine test (automated, without microscope): 10 of 61 insurance plan rates Aetna — Medicare Adv HMO: $5.02 Aetna — Medicare Adv PPO: $5.02 Aetna — Standard: $15.89 American Health — Medicare Adv UT HMO I-SNP: $5.02 Blue Cross of Idaho — Exchange: $15.10 Blue Cross of Idaho — Medicare ID True Blue: $5.02 Blue Cross of Idaho — Traditional/PPO: $15.89 BYU Athletics — Commercial: $15.89 Campbell Scientific — Commercial: $15.89 Cigna — HMO: $15.89
Urine test (automated, without microscope) CPT 81003 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC URINALYSIS W/O MICRO AUTOMATED POCL/POCBS	$52.53	$39.40	$39.92 – $49.90
Urine test (automated, without microscope): 10 of 48 insurance plan rates Aetna — Standard: $49.90 Blue Cross of Idaho — Exchange: $39.92 Blue Cross of Idaho — Traditional/PPO: $42.02 BYU Athletics — Commercial: $49.90 Campbell Scientific — Commercial: $49.90 Cigna — HMO: $49.90 Cigna — PPO/EPO: $49.90 Corporation of the President — Workers Comp: $44.65 CorVel Corporation — Workers Comp: $44.65 Deseret Mutual — All Other: $49.90
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PROSTATIC SPECIFIC ANTIGEN TOTAL	$108.92	$81.69	$32.68 – $103.47
PSA (prostate specific antigen) blood test: 10 of 61 insurance plan rates Aetna — Medicare Adv HMO: $32.68 Aetna — Medicare Adv PPO: $32.68 Aetna — Standard: $103.47 American Health — Medicare Adv UT HMO I-SNP: $32.68 Blue Cross of Idaho — Exchange: $98.30 Blue Cross of Idaho — Medicare ID True Blue: $32.68 Blue Cross of Idaho — Traditional/PPO: $103.47 BYU Athletics — Commercial: $103.47 Campbell Scientific — Commercial: $103.47 Cigna — HMO: $103.47
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PROSTATE SPECIFIC ANTIGEN COMPLEX	$108.92	$81.69	$32.68 – $103.47
PSA (prostate specific antigen) blood test: 10 of 61 insurance plan rates Aetna — Medicare Adv HMO: $32.68 Aetna — Medicare Adv PPO: $32.68 Aetna — Standard: $103.47 American Health — Medicare Adv UT HMO I-SNP: $32.68 Blue Cross of Idaho — Exchange: $98.30 Blue Cross of Idaho — Medicare ID True Blue: $32.68 Blue Cross of Idaho — Traditional/PPO: $103.47 BYU Athletics — Commercial: $103.47 Campbell Scientific — Commercial: $103.47 Cigna — HMO: $103.47
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC PROSTATIC SPECIFIC ANTIGEN TOTAL	$108.92	$81.69	$82.78 – $103.47
PSA (prostate specific antigen) blood test: 10 of 48 insurance plan rates Aetna — Standard: $103.47 Blue Cross of Idaho — Exchange: $82.78 Blue Cross of Idaho — Traditional/PPO: $87.14 BYU Athletics — Commercial: $103.47 Campbell Scientific — Commercial: $103.47 Cigna — HMO: $103.47 Cigna — PPO/EPO: $103.47 Corporation of the President — Workers Comp: $92.58 CorVel Corporation — Workers Comp: $92.58 Deseret Mutual — All Other: $103.47
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC THYROID STIMULATING HORMONE	$99.89	$74.92	$29.97 – $94.90
Thyroid stimulating hormone (TSH) test: 10 of 61 insurance plan rates Aetna — Medicare Adv HMO: $29.97 Aetna — Medicare Adv PPO: $29.97 Aetna — Standard: $94.90 American Health — Medicare Adv UT HMO I-SNP: $29.97 Blue Cross of Idaho — Exchange: $90.15 Blue Cross of Idaho — Medicare ID True Blue: $29.97 Blue Cross of Idaho — Traditional/PPO: $94.90 BYU Athletics — Commercial: $94.90 Campbell Scientific — Commercial: $94.90 Cigna — HMO: $94.90
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC THYROID STIMULATING HORMONE	$99.89	$74.92	$75.92 – $94.90
Thyroid stimulating hormone (TSH) test: 10 of 48 insurance plan rates Aetna — Standard: $94.90 Blue Cross of Idaho — Exchange: $75.92 Blue Cross of Idaho — Traditional/PPO: $79.91 BYU Athletics — Commercial: $94.90 Campbell Scientific — Commercial: $94.90 Cigna — HMO: $94.90 Cigna — PPO/EPO: $94.90 Corporation of the President — Workers Comp: $84.91 CorVel Corporation — Workers Comp: $84.91 Deseret Mutual — All Other: $94.90
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Assay thyroid stim hormone	Not listed in the file	Not listed in the file	$16.80 – $105.85
Thyroid stimulating hormone (TSH) test: 10 of 27 insurance plan rates Aetna — Medicare Adv HMO: $16.80 Aetna — Medicare Adv PPO: $18.48 American Health — Medicare Adv UT HMO I-SNP: $17.47 Blue Cross of Idaho — Exchange: $96.69 Blue Cross of Idaho — Medicare ID True Blue: $17.14 Blue Cross of Idaho — Traditional/PPO: $105.85 BYU Athletics — Commercial: $78 Deseret Mutual — All Other: $78 Deseret Mutual — Select: $78 Health Partners of Nevada — Medicare Advantage: $16.80
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC CBC/PLT AUTO DIFFERENTIAL POC	$77.73	$58.30	$23.32 – $73.84
Complete blood count (CBC) with differential: 10 of 61 insurance plan rates Aetna — Medicare Adv HMO: $23.32 Aetna — Medicare Adv PPO: $23.32 Aetna — Standard: $73.84 American Health — Medicare Adv UT HMO I-SNP: $23.32 Blue Cross of Idaho — Exchange: $70.15 Blue Cross of Idaho — Medicare ID True Blue: $23.32 Blue Cross of Idaho — Traditional/PPO: $73.84 BYU Athletics — Commercial: $73.84 Campbell Scientific — Commercial: $73.84 Cigna — HMO: $73.84
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC CBC/PLT AUTO DIFFERENTIAL	$77.73	$58.30	$23.32 – $73.84
Complete blood count (CBC) with differential: 10 of 61 insurance plan rates Aetna — Medicare Adv HMO: $23.32 Aetna — Medicare Adv PPO: $23.32 Aetna — Standard: $73.84 American Health — Medicare Adv UT HMO I-SNP: $23.32 Blue Cross of Idaho — Exchange: $70.15 Blue Cross of Idaho — Medicare ID True Blue: $23.32 Blue Cross of Idaho — Traditional/PPO: $73.84 BYU Athletics — Commercial: $73.84 Campbell Scientific — Commercial: $73.84 Cigna — HMO: $73.84
Complete blood count (CBC) with differential CPT 85025 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC CBC/PLT AUTO DIFFERENTIAL POC	$77.73	$58.30	$59.07 – $73.84
Complete blood count (CBC) with differential: 10 of 48 insurance plan rates Aetna — Standard: $73.84 Blue Cross of Idaho — Exchange: $59.07 Blue Cross of Idaho — Traditional/PPO: $62.18 BYU Athletics — Commercial: $73.84 Campbell Scientific — Commercial: $73.84 Cigna — HMO: $73.84 Cigna — PPO/EPO: $73.84 Corporation of the President — Workers Comp: $66.07 CorVel Corporation — Workers Comp: $66.07 Deseret Mutual — All Other: $73.84
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC CBC W/O DIFFERENTIAL	$58.37	$43.78	$17.51 – $55.45
Complete blood count (CBC), automated: 10 of 61 insurance plan rates Aetna — Medicare Adv HMO: $17.51 Aetna — Medicare Adv PPO: $17.51 Aetna — Standard: $55.45 American Health — Medicare Adv UT HMO I-SNP: $17.51 Blue Cross of Idaho — Exchange: $52.68 Blue Cross of Idaho — Medicare ID True Blue: $17.51 Blue Cross of Idaho — Traditional/PPO: $55.45 BYU Athletics — Commercial: $55.45 Campbell Scientific — Commercial: $55.45 Cigna — HMO: $55.45
Complete blood count (CBC), automated CPT 85027 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC CBC W/O DIFFERENTIAL	$58.37	$43.78	$44.36 – $55.45
Complete blood count (CBC), automated: 10 of 48 insurance plan rates Aetna — Standard: $55.45 Blue Cross of Idaho — Exchange: $44.36 Blue Cross of Idaho — Traditional/PPO: $46.70 BYU Athletics — Commercial: $55.45 Campbell Scientific — Commercial: $55.45 Cigna — HMO: $55.45 Cigna — PPO/EPO: $55.45 Corporation of the President — Workers Comp: $49.61 CorVel Corporation — Workers Comp: $49.61 Deseret Mutual — All Other: $55.45
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Complete cbc automated	Not listed in the file	Not listed in the file	$6.47 – $55
Complete blood count (CBC), automated: 10 of 27 insurance plan rates Aetna — Medicare Adv HMO: $6.47 Aetna — Medicare Adv PPO: $7.12 American Health — Medicare Adv UT HMO I-SNP: $6.73 Blue Cross of Idaho — Exchange: $27.69 Blue Cross of Idaho — Medicare ID True Blue: $6.60 Blue Cross of Idaho — Traditional/PPO: $30.32 BYU Athletics — Commercial: $55 Deseret Mutual — All Other: $55 Deseret Mutual — Select: $55 Health Partners of Nevada — Medicare Advantage: $6.47
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PROTHROMBIN TIME POCL/POCBS	$100.05	$75.04	$30.01 – $95.05
Blood clotting time test (prothrombin time, PT): 10 of 61 insurance plan rates Aetna — Medicare Adv HMO: $30.01 Aetna — Medicare Adv PPO: $30.01 Aetna — Standard: $95.05 American Health — Medicare Adv UT HMO I-SNP: $30.01 Blue Cross of Idaho — Exchange: $90.30 Blue Cross of Idaho — Medicare ID True Blue: $30.01 Blue Cross of Idaho — Traditional/PPO: $95.05 BYU Athletics — Commercial: $95.05 Campbell Scientific — Commercial: $95.05 Cigna — HMO: $95.05
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PROTHROMBIN TIME	$26.06	$19.55	$7.82 – $24.76
Blood clotting time test (prothrombin time, PT): 10 of 61 insurance plan rates Aetna — Medicare Adv HMO: $7.82 Aetna — Medicare Adv PPO: $7.82 Aetna — Standard: $24.76 American Health — Medicare Adv UT HMO I-SNP: $7.82 Blue Cross of Idaho — Exchange: $23.52 Blue Cross of Idaho — Medicare ID True Blue: $7.82 Blue Cross of Idaho — Traditional/PPO: $24.76 BYU Athletics — Commercial: $24.76 Campbell Scientific — Commercial: $24.76 Cigna — HMO: $24.76
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC PROTHROMBIN TIME POCL/POCBS	$100.05	$75.04	$76.04 – $95.05
Blood clotting time test (prothrombin time, PT): 10 of 48 insurance plan rates Aetna — Standard: $95.05 Blue Cross of Idaho — Exchange: $76.04 Blue Cross of Idaho — Traditional/PPO: $80.04 BYU Athletics — Commercial: $95.05 Campbell Scientific — Commercial: $95.05 Cigna — HMO: $95.05 Cigna — PPO/EPO: $95.05 Corporation of the President — Workers Comp: $85.04 CorVel Corporation — Workers Comp: $85.04 Deseret Mutual — All Other: $95.05
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PARTIAL THROMBOPLASTIN TIME	$26.06	$19.55	$7.82 – $24.76
Blood clotting test (partial thromboplastin time, PTT): 10 of 61 insurance plan rates Aetna — Medicare Adv HMO: $7.82 Aetna — Medicare Adv PPO: $7.82 Aetna — Standard: $24.76 American Health — Medicare Adv UT HMO I-SNP: $7.82 Blue Cross of Idaho — Exchange: $23.52 Blue Cross of Idaho — Medicare ID True Blue: $7.82 Blue Cross of Idaho — Traditional/PPO: $24.76 BYU Athletics — Commercial: $24.76 Campbell Scientific — Commercial: $24.76 Cigna — HMO: $24.76
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC PARTIAL THROMBOPLASTIN TIME	$26.06	$19.55	$19.81 – $24.76
Blood clotting test (partial thromboplastin time, PTT): 10 of 48 insurance plan rates Aetna — Standard: $24.76 Blue Cross of Idaho — Exchange: $19.81 Blue Cross of Idaho — Traditional/PPO: $20.85 BYU Athletics — Commercial: $24.76 Campbell Scientific — Commercial: $24.76 Cigna — HMO: $24.76 Cigna — PPO/EPO: $24.76 Corporation of the President — Workers Comp: $22.15 CorVel Corporation — Workers Comp: $22.15 Deseret Mutual — All Other: $24.76
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Thromboplastin time partial	Not listed in the file	Not listed in the file	$6.01 – $37
Blood clotting test (partial thromboplastin time, PTT): 10 of 27 insurance plan rates Aetna — Medicare Adv HMO: $6.01 Aetna — Medicare Adv PPO: $6.61 American Health — Medicare Adv UT HMO I-SNP: $6.25 Blue Cross of Idaho — Exchange: $24.48 Blue Cross of Idaho — Medicare ID True Blue: $6.13 Blue Cross of Idaho — Traditional/PPO: $26.80 BYU Athletics — Commercial: $37 Deseret Mutual — All Other: $37 Deseret Mutual — Select: $37 Health Partners of Nevada — Medicare Advantage: $6.01

Imaging (X-ray, CT, MRI, ultrasound, mammogram)

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC CT HEAD/BRAIN W/O CONTRAST	$1,806.74	$1,355.06	$542.02 – $1,716.40
CT scan of the head or brain, without contrast: 10 of 61 insurance plan rates Aetna — Medicare Adv HMO: $542.02 Aetna — Medicare Adv PPO: $542.02 Aetna — Standard: $1,716.40 American Health — Medicare Adv UT HMO I-SNP: $542.02 Blue Cross of Idaho — Exchange: $1,630.58 Blue Cross of Idaho — Medicare ID True Blue: $542.02 Blue Cross of Idaho — Traditional/PPO: $1,716.40 BYU Athletics — Commercial: $1,716.40 Campbell Scientific — Commercial: $1,716.40 Cigna — HMO: $1,716.40
CT scan of the head or brain, without contrast CPT 70450 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC CT HEAD/BRAIN W/O CONTRAST	$1,806.74	$1,355.06	$1,373.12 – $1,716.40
CT scan of the head or brain, without contrast: 10 of 48 insurance plan rates Aetna — Standard: $1,716.40 Blue Cross of Idaho — Exchange: $1,373.12 Blue Cross of Idaho — Traditional/PPO: $1,445.39 BYU Athletics — Commercial: $1,716.40 Campbell Scientific — Commercial: $1,716.40 Cigna — HMO: $1,716.40 Cigna — PPO/EPO: $1,716.40 Corporation of the President — Workers Comp: $1,535.73 CorVel Corporation — Workers Comp: $1,535.73 Deseret Mutual — All Other: $1,716.40
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Ct head/brain w/o dye	Not listed in the file	Not listed in the file	$533 – $742.70
CT scan of the head or brain, without contrast: 10 of 13 insurance plan rates Blue Cross of Idaho — Exchange: $665.12 Blue Cross of Idaho — Traditional/PPO: $742.70 BYU Athletics — Commercial: $533 Deseret Mutual — All Other: $533 Deseret Mutual — Select: $533 PEHP — All Plans: $533 PEHP — Capital Care: $533 PEHP — Summit Exclusive: $533 Regence — Blue Shield ID: $533 SelectHealth — All Plans: $533
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC MRI IAC'S W AND W/O CONTRAST LIMITED	$4,958.07	$3,718.55	$1,487.42 – $4,710.17
MRI of the brain, before and after contrast: 10 of 61 insurance plan rates Aetna — Medicare Adv HMO: $1,487.42 Aetna — Medicare Adv PPO: $1,487.42 Aetna — Standard: $4,710.17 American Health — Medicare Adv UT HMO I-SNP: $1,487.42 Blue Cross of Idaho — Exchange: $4,474.66 Blue Cross of Idaho — Medicare ID True Blue: $1,487.42 Blue Cross of Idaho — Traditional/PPO: $4,710.17 BYU Athletics — Commercial: $4,710.17 Campbell Scientific — Commercial: $4,710.17 Cigna — HMO: $4,710.17
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC MRI BRAIN W/WO CONTRAST	$4,958.07	$3,718.55	$1,487.42 – $4,710.17
MRI of the brain, before and after contrast: 10 of 61 insurance plan rates Aetna — Medicare Adv HMO: $1,487.42 Aetna — Medicare Adv PPO: $1,487.42 Aetna — Standard: $4,710.17 American Health — Medicare Adv UT HMO I-SNP: $1,487.42 Blue Cross of Idaho — Exchange: $4,474.66 Blue Cross of Idaho — Medicare ID True Blue: $1,487.42 Blue Cross of Idaho — Traditional/PPO: $4,710.17 BYU Athletics — Commercial: $4,710.17 Campbell Scientific — Commercial: $4,710.17 Cigna — HMO: $4,710.17
MRI of the brain, before and after contrast CPT 70553 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC MRI IAC'S W AND W/O CONTRAST LIMITED	$4,958.07	$3,718.55	$3,768.13 – $4,710.17
MRI of the brain, before and after contrast: 10 of 48 insurance plan rates Aetna — Standard: $4,710.17 Blue Cross of Idaho — Exchange: $3,768.13 Blue Cross of Idaho — Traditional/PPO: $3,966.46 BYU Athletics — Commercial: $4,710.17 Campbell Scientific — Commercial: $4,710.17 Cigna — HMO: $4,710.17 Cigna — PPO/EPO: $4,710.17 Corporation of the President — Workers Comp: $4,214.36 CorVel Corporation — Workers Comp: $4,214.36 Deseret Mutual — All Other: $4,710.17
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC DI CHEST 2 VIEWS	$429.41	$322.06	$128.82 – $407.94
Chest X-ray, 2 views: 10 of 61 insurance plan rates Aetna — Medicare Adv HMO: $128.82 Aetna — Medicare Adv PPO: $128.82 Aetna — Standard: $407.94 American Health — Medicare Adv UT HMO I-SNP: $128.82 Blue Cross of Idaho — Exchange: $387.54 Blue Cross of Idaho — Medicare ID True Blue: $128.82 Blue Cross of Idaho — Traditional/PPO: $407.94 BYU Athletics — Commercial: $407.94 Campbell Scientific — Commercial: $407.94 Cigna — HMO: $407.94
Chest X-ray, 2 views CPT 71046 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC DI CHEST 2 VIEWS	$429.41	$322.06	$326.35 – $407.94
Chest X-ray, 2 views: 10 of 48 insurance plan rates Aetna — Standard: $407.94 Blue Cross of Idaho — Exchange: $326.35 Blue Cross of Idaho — Traditional/PPO: $343.53 BYU Athletics — Commercial: $407.94 Campbell Scientific — Commercial: $407.94 Cigna — HMO: $407.94 Cigna — PPO/EPO: $407.94 Corporation of the President — Workers Comp: $365 CorVel Corporation — Workers Comp: $365 Deseret Mutual — All Other: $407.94
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: X-ray exam chest 2 views	Not listed in the file	Not listed in the file	$37 – $261.87
Chest X-ray, 2 views: 10 of 14 insurance plan rates Blue Cross of Idaho — Exchange: $234.52 Blue Cross of Idaho — Traditional/PPO: $261.87 BYU Athletics — Commercial: $197 Deseret Mutual — All Other: $197 Deseret Mutual — Select: $197 PEHP — All Plans: $185 PEHP — Capital Care: $197 PEHP — Summit Exclusive: $197 Regence — Blue Shield ID: $185 SelectHealth — All Plans: $197
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC DI L SPINE AP/LAT/OBL/OR FLEX/EXT	$617.99	$463.49	$185.40 – $587.09
X-ray of the lower spine, at least 4 views: 10 of 61 insurance plan rates Aetna — Medicare Adv HMO: $185.40 Aetna — Medicare Adv PPO: $185.40 Aetna — Standard: $587.09 American Health — Medicare Adv UT HMO I-SNP: $185.40 Blue Cross of Idaho — Exchange: $557.74 Blue Cross of Idaho — Medicare ID True Blue: $185.40 Blue Cross of Idaho — Traditional/PPO: $587.09 BYU Athletics — Commercial: $587.09 Campbell Scientific — Commercial: $587.09 Cigna — HMO: $587.09
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC DI L SPINE AP/LAT/OBL/OR FLEX/EXT	$617.99	$463.49	$469.67 – $587.09
X-ray of the lower spine, at least 4 views: 10 of 48 insurance plan rates Aetna — Standard: $587.09 Blue Cross of Idaho — Exchange: $469.67 Blue Cross of Idaho — Traditional/PPO: $494.39 BYU Athletics — Commercial: $587.09 Campbell Scientific — Commercial: $587.09 Cigna — HMO: $587.09 Cigna — PPO/EPO: $587.09 Corporation of the President — Workers Comp: $525.29 CorVel Corporation — Workers Comp: $525.29 Deseret Mutual — All Other: $587.09
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: X-ray exam l-2 spine 4/>vws	Not listed in the file	Not listed in the file	$62 – $377.61
X-ray of the lower spine, at least 4 views: rates for 8 insurance plans Blue Cross of Idaho — Exchange: $338.17 Blue Cross of Idaho — Traditional/PPO: $377.61 BYU Athletics — Commercial: $328 Deseret Mutual — All Other: $328 Deseret Mutual — Select: $328 PEHP — Capital Care: $328 PEHP — Summit Exclusive: $328 St Lukes HP — Commercial: $62
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC MRI LUMBAR SPINE W/O CONTRAST	$3,507.61	$2,630.71	$1,052.28 – $3,332.23
MRI of the lower back (lumbar spine), without contrast: 10 of 61 insurance plan rates Aetna — Medicare Adv HMO: $1,052.28 Aetna — Medicare Adv PPO: $1,052.28 Aetna — Standard: $3,332.23 American Health — Medicare Adv UT HMO I-SNP: $1,052.28 Blue Cross of Idaho — Exchange: $3,165.62 Blue Cross of Idaho — Medicare ID True Blue: $1,052.28 Blue Cross of Idaho — Traditional/PPO: $3,332.23 BYU Athletics — Commercial: $3,332.23 Campbell Scientific — Commercial: $3,332.23 Cigna — HMO: $3,332.23
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC MRI LUMBAR SPINE W/O CONTRAST	$3,507.61	$2,630.71	$2,665.78 – $3,332.23
MRI of the lower back (lumbar spine), without contrast: 10 of 48 insurance plan rates Aetna — Standard: $3,332.23 Blue Cross of Idaho — Exchange: $2,665.78 Blue Cross of Idaho — Traditional/PPO: $2,806.09 BYU Athletics — Commercial: $3,332.23 Campbell Scientific — Commercial: $3,332.23 Cigna — HMO: $3,332.23 Cigna — PPO/EPO: $3,332.23 Corporation of the President — Workers Comp: $2,981.47 CorVel Corporation — Workers Comp: $2,981.47 Deseret Mutual — All Other: $3,332.23
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Mri lumbar spine w/o dye	Not listed in the file	Not listed in the file	$1,064 – $1,950.43
MRI of the lower back (lumbar spine), without contrast: 10 of 13 insurance plan rates Blue Cross of Idaho — Exchange: $1,746.71 Blue Cross of Idaho — Traditional/PPO: $1,950.43 BYU Athletics — Commercial: $1,064 Deseret Mutual — All Other: $1,064 Deseret Mutual — Select: $1,064 PEHP — All Plans: $1,064 PEHP — Capital Care: $1,064 PEHP — Summit Exclusive: $1,064 Regence — Blue Shield ID: $1,064 SelectHealth — All Plans: $1,064
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC CT PELVIS W/CONTRAST	$3,141.76	$2,356.32	$942.53 – $2,984.67
CT scan of the pelvis, with contrast: 10 of 61 insurance plan rates Aetna — Medicare Adv HMO: $942.53 Aetna — Medicare Adv PPO: $942.53 Aetna — Standard: $2,984.67 American Health — Medicare Adv UT HMO I-SNP: $942.53 Blue Cross of Idaho — Exchange: $2,835.44 Blue Cross of Idaho — Medicare ID True Blue: $942.53 Blue Cross of Idaho — Traditional/PPO: $2,984.67 BYU Athletics — Commercial: $2,984.67 Campbell Scientific — Commercial: $2,984.67 Cigna — HMO: $2,984.67
CT scan of the pelvis, with contrast CPT 72193 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC CT PELVIS W/CONTRAST	$3,141.76	$2,356.32	$2,387.74 – $2,984.67
CT scan of the pelvis, with contrast: 10 of 48 insurance plan rates Aetna — Standard: $2,984.67 Blue Cross of Idaho — Exchange: $2,387.74 Blue Cross of Idaho — Traditional/PPO: $2,513.41 BYU Athletics — Commercial: $2,984.67 Campbell Scientific — Commercial: $2,984.67 Cigna — HMO: $2,984.67 Cigna — PPO/EPO: $2,984.67 Corporation of the President — Workers Comp: $2,670.50 CorVel Corporation — Workers Comp: $2,670.50 Deseret Mutual — All Other: $2,984.67
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Ct pelvis w/dye	Not listed in the file	Not listed in the file	$805 – $1,510.92
CT scan of the pelvis, with contrast: 10 of 13 insurance plan rates Blue Cross of Idaho — Exchange: $1,353.10 Blue Cross of Idaho — Traditional/PPO: $1,510.92 BYU Athletics — Commercial: $805 Deseret Mutual — All Other: $805 Deseret Mutual — Select: $805 PEHP — All Plans: $805 PEHP — Capital Care: $805 PEHP — Summit Exclusive: $805 Regence — Blue Shield ID: $805 SelectHealth — All Plans: $805
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC MRI LOWER JOINT UNILATERAL W/O CONTRAST	$3,117.90	$2,338.43	$935.37 – $2,962
MRI of a leg joint (such as the knee), without contrast: 10 of 61 insurance plan rates Aetna — Medicare Adv HMO: $935.37 Aetna — Medicare Adv PPO: $935.37 Aetna — Standard: $2,962 American Health — Medicare Adv UT HMO I-SNP: $935.37 Blue Cross of Idaho — Exchange: $2,813.90 Blue Cross of Idaho — Medicare ID True Blue: $935.37 Blue Cross of Idaho — Traditional/PPO: $2,962 BYU Athletics — Commercial: $2,962 Campbell Scientific — Commercial: $2,962 Cigna — HMO: $2,962
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC MRI LOWER JOINT UNILATERAL W/O CONTRAST	$3,117.90	$2,338.43	$2,369.60 – $2,962
MRI of a leg joint (such as the knee), without contrast: 10 of 48 insurance plan rates Aetna — Standard: $2,962 Blue Cross of Idaho — Exchange: $2,369.60 Blue Cross of Idaho — Traditional/PPO: $2,494.32 BYU Athletics — Commercial: $2,962 Campbell Scientific — Commercial: $2,962 Cigna — HMO: $2,962 Cigna — PPO/EPO: $2,962 Corporation of the President — Workers Comp: $2,650.22 CorVel Corporation — Workers Comp: $2,650.22 Deseret Mutual — All Other: $2,962
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Mri jnt of lwr extre w/o dye	Not listed in the file	Not listed in the file	$1,064 – $1,950.43
MRI of a leg joint (such as the knee), without contrast: 10 of 13 insurance plan rates Blue Cross of Idaho — Exchange: $1,746.71 Blue Cross of Idaho — Traditional/PPO: $1,950.43 BYU Athletics — Commercial: $1,064 Deseret Mutual — All Other: $1,064 Deseret Mutual — Select: $1,064 PEHP — All Plans: $1,064 PEHP — Capital Care: $1,064 PEHP — Summit Exclusive: $1,064 Regence — Blue Shield ID: $1,064 SelectHealth — All Plans: $1,064
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC CT ABDOMEN & PELVIS W/CONTRAST	$4,285.64	$3,214.23	$1,285.69 – $4,071.36
CT scan of the abdomen and pelvis, with contrast: 10 of 61 insurance plan rates Aetna — Medicare Adv HMO: $1,285.69 Aetna — Medicare Adv PPO: $1,285.69 Aetna — Standard: $4,071.36 American Health — Medicare Adv UT HMO I-SNP: $1,285.69 Blue Cross of Idaho — Exchange: $3,867.79 Blue Cross of Idaho — Medicare ID True Blue: $1,285.69 Blue Cross of Idaho — Traditional/PPO: $4,071.36 BYU Athletics — Commercial: $4,071.36 Campbell Scientific — Commercial: $4,071.36 Cigna — HMO: $4,071.36
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC CT ABDOMEN & PELVIS W/CONTRAST	$4,285.64	$3,214.23	$3,257.09 – $4,071.36
CT scan of the abdomen and pelvis, with contrast: 10 of 48 insurance plan rates Aetna — Standard: $4,071.36 Blue Cross of Idaho — Exchange: $3,257.09 Blue Cross of Idaho — Traditional/PPO: $3,428.51 BYU Athletics — Commercial: $4,071.36 Campbell Scientific — Commercial: $4,071.36 Cigna — HMO: $4,071.36 Cigna — PPO/EPO: $4,071.36 Corporation of the President — Workers Comp: $3,642.79 CorVel Corporation — Workers Comp: $3,642.79 Deseret Mutual — All Other: $4,071.36
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Ct abd & pelvis w/contrast	Not listed in the file	Not listed in the file	$1,206 – $2,554.16
CT scan of the abdomen and pelvis, with contrast: 10 of 13 insurance plan rates Blue Cross of Idaho — Exchange: $2,287.37 Blue Cross of Idaho — Traditional/PPO: $2,554.16 BYU Athletics — Commercial: $1,206 Deseret Mutual — All Other: $1,206 Deseret Mutual — Select: $1,206 PEHP — All Plans: $1,206 PEHP — Capital Care: $1,206 PEHP — Summit Exclusive: $1,206 Regence — Blue Shield ID: $1,206 SelectHealth — All Plans: $1,206
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC ULTRASOUND ABDOMEN COMPLETE	$929.33	$697	$278.80 – $882.86
Ultrasound of the abdomen, complete: 10 of 61 insurance plan rates Aetna — Medicare Adv HMO: $278.80 Aetna — Medicare Adv PPO: $278.80 Aetna — Standard: $882.86 American Health — Medicare Adv UT HMO I-SNP: $278.80 Blue Cross of Idaho — Exchange: $838.72 Blue Cross of Idaho — Medicare ID True Blue: $278.80 Blue Cross of Idaho — Traditional/PPO: $882.86 BYU Athletics — Commercial: $882.86 Campbell Scientific — Commercial: $882.86 Cigna — HMO: $882.86
Ultrasound of the abdomen, complete CPT 76700 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC ULTRASOUND ABDOMEN COMPLETE	$929.33	$697	$706.29 – $882.86
Ultrasound of the abdomen, complete: 10 of 48 insurance plan rates Aetna — Standard: $882.86 Blue Cross of Idaho — Exchange: $706.29 Blue Cross of Idaho — Traditional/PPO: $743.46 BYU Athletics — Commercial: $882.86 Campbell Scientific — Commercial: $882.86 Cigna — HMO: $882.86 Cigna — PPO/EPO: $882.86 Corporation of the President — Workers Comp: $789.93 CorVel Corporation — Workers Comp: $789.93 Deseret Mutual — All Other: $882.86
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Us exam abdom complete	Not listed in the file	Not listed in the file	$122 – $571.41
Ultrasound of the abdomen, complete: 10 of 14 insurance plan rates Blue Cross of Idaho — Exchange: $511.73 Blue Cross of Idaho — Traditional/PPO: $571.41 BYU Athletics — Commercial: $339 Deseret Mutual — All Other: $339 Deseret Mutual — Select: $339 PEHP — All Plans: $339 PEHP — Capital Care: $339 PEHP — Summit Exclusive: $339 Regence — Blue Shield ID: $339 SelectHealth — All Plans: $339
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC US PREG 2ND/3RD TRIMESTER	$854.79	$641.09	$256.44 – $812.05
Pregnancy ultrasound (after the first trimester): 10 of 61 insurance plan rates Aetna — Medicare Adv HMO: $256.44 Aetna — Medicare Adv PPO: $256.44 Aetna — Standard: $812.05 American Health — Medicare Adv UT HMO I-SNP: $256.44 Blue Cross of Idaho — Exchange: $771.45 Blue Cross of Idaho — Medicare ID True Blue: $256.44 Blue Cross of Idaho — Traditional/PPO: $812.05 BYU Athletics — Commercial: $812.05 Campbell Scientific — Commercial: $812.05 Cigna — HMO: $812.05
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC US PREG 2ND/3RD TRIMESTER	$854.79	$641.09	$649.64 – $812.05
Pregnancy ultrasound (after the first trimester): 10 of 48 insurance plan rates Aetna — Standard: $812.05 Blue Cross of Idaho — Exchange: $649.64 Blue Cross of Idaho — Traditional/PPO: $683.83 BYU Athletics — Commercial: $812.05 Campbell Scientific — Commercial: $812.05 Cigna — HMO: $812.05 Cigna — PPO/EPO: $812.05 Corporation of the President — Workers Comp: $726.57 CorVel Corporation — Workers Comp: $726.57 Deseret Mutual — All Other: $812.05
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Ob us >/ 14 wks sngl fetus	Not listed in the file	Not listed in the file	$137 – $621.38
Pregnancy ultrasound (after the first trimester): rates for 8 insurance plans Blue Cross of Idaho — Exchange: $556.47 Blue Cross of Idaho — Traditional/PPO: $621.38 BYU Athletics — Commercial: $356 Deseret Mutual — All Other: $356 Deseret Mutual — Select: $356 PEHP — Capital Care: $356 PEHP — Summit Exclusive: $356 St Lukes HP — Commercial: $137
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC US TRANSVAGINAL NON-OB S&I	$767.30	$575.48	$230.19 – $728.94
Transvaginal ultrasound: 10 of 61 insurance plan rates Aetna — Medicare Adv HMO: $230.19 Aetna — Medicare Adv PPO: $230.19 Aetna — Standard: $728.94 American Health — Medicare Adv UT HMO I-SNP: $230.19 Blue Cross of Idaho — Exchange: $692.49 Blue Cross of Idaho — Medicare ID True Blue: $230.19 Blue Cross of Idaho — Traditional/PPO: $728.94 BYU Athletics — Commercial: $728.94 Campbell Scientific — Commercial: $728.94 Cigna — HMO: $728.94
Transvaginal ultrasound CPT 76830 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC US TRANSVAGINAL NON-OB S&I	$767.30	$575.48	$583.15 – $728.94
Transvaginal ultrasound: 10 of 48 insurance plan rates Aetna — Standard: $728.94 Blue Cross of Idaho — Exchange: $583.15 Blue Cross of Idaho — Traditional/PPO: $613.84 BYU Athletics — Commercial: $728.94 Campbell Scientific — Commercial: $728.94 Cigna — HMO: $728.94 Cigna — PPO/EPO: $728.94 Corporation of the President — Workers Comp: $652.20 CorVel Corporation — Workers Comp: $652.20 Deseret Mutual — All Other: $728.94
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Transvaginal us non-ob	Not listed in the file	Not listed in the file	$134 – $449.20
Transvaginal ultrasound: 10 of 14 insurance plan rates Blue Cross of Idaho — Exchange: $402.28 Blue Cross of Idaho — Traditional/PPO: $449.20 BYU Athletics — Commercial: $339 Deseret Mutual — All Other: $339 Deseret Mutual — Select: $339 PEHP — All Plans: $339 PEHP — Capital Care: $339 PEHP — Summit Exclusive: $339 Regence — Blue Shield ID: $339 SelectHealth — All Plans: $339
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC DIAG MAMMO, UNILATERAL INCL CAD WHEN PERFORMED	$687.34	$515.50	$206.20 – $652.97
Diagnostic mammogram, one breast: 10 of 61 insurance plan rates Aetna — Medicare Adv HMO: $206.20 Aetna — Medicare Adv PPO: $206.20 Aetna — Standard: $652.97 American Health — Medicare Adv UT HMO I-SNP: $206.20 Blue Cross of Idaho — Exchange: $620.32 Blue Cross of Idaho — Medicare ID True Blue: $206.20 Blue Cross of Idaho — Traditional/PPO: $652.97 BYU Athletics — Commercial: $652.97 Campbell Scientific — Commercial: $652.97 Cigna — HMO: $652.97
Diagnostic mammogram, one breast CPT 77065 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC DIAG MAMMO, UNILATERAL INCL CAD WHEN PERFORMED	$687.34	$515.50	$522.38 – $652.97
Diagnostic mammogram, one breast: 10 of 48 insurance plan rates Aetna — Standard: $652.97 Blue Cross of Idaho — Exchange: $522.38 Blue Cross of Idaho — Traditional/PPO: $549.87 BYU Athletics — Commercial: $652.97 Campbell Scientific — Commercial: $652.97 Cigna — HMO: $652.97 Cigna — PPO/EPO: $652.97 Corporation of the President — Workers Comp: $584.24 CorVel Corporation — Workers Comp: $584.24 Deseret Mutual — All Other: $652.97
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Dx mammo incl cad uni	Not listed in the file	Not listed in the file	$116.76 – $339
Diagnostic mammogram, one breast: 10 of 16 insurance plan rates Blue Cross of Idaho — Exchange: $244.75 Blue Cross of Idaho — Traditional/PPO: $273.29 BYU Athletics — Commercial: $339 Deseret Mutual — All Other: $339 Deseret Mutual — Select: $339 ID Womens Health Check — Other: $116.76 PEHP — All Plans: $339 PEHP — Capital Care: $339 PEHP — Summit Exclusive: $339 Regence — Blue Shield ID: $339
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC DIAG MAMMO, BILATERAL INCL CAD WHEN PERFORMED	$827.41	$620.56	$248.22 – $786.04
Diagnostic mammogram, both breasts: 10 of 61 insurance plan rates Aetna — Medicare Adv HMO: $248.22 Aetna — Medicare Adv PPO: $248.22 Aetna — Standard: $786.04 American Health — Medicare Adv UT HMO I-SNP: $248.22 Blue Cross of Idaho — Exchange: $746.74 Blue Cross of Idaho — Medicare ID True Blue: $248.22 Blue Cross of Idaho — Traditional/PPO: $786.04 BYU Athletics — Commercial: $786.04 Campbell Scientific — Commercial: $786.04 Cigna — HMO: $786.04
Diagnostic mammogram, both breasts CPT 77066 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC DIAG MAMMO, BILATERAL INCL CAD WHEN PERFORMED	$827.41	$620.56	$628.83 – $786.04
Diagnostic mammogram, both breasts: 10 of 48 insurance plan rates Aetna — Standard: $786.04 Blue Cross of Idaho — Exchange: $628.83 Blue Cross of Idaho — Traditional/PPO: $661.93 BYU Athletics — Commercial: $786.04 Campbell Scientific — Commercial: $786.04 Cigna — HMO: $786.04 Cigna — PPO/EPO: $786.04 Corporation of the President — Workers Comp: $703.30 CorVel Corporation — Workers Comp: $703.30 Deseret Mutual — All Other: $786.04
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Dx mammo incl cad bi	Not listed in the file	Not listed in the file	$147.46 – $341.15
Diagnostic mammogram, both breasts: 10 of 16 insurance plan rates Blue Cross of Idaho — Exchange: $305.52 Blue Cross of Idaho — Traditional/PPO: $341.15 BYU Athletics — Commercial: $339 Deseret Mutual — All Other: $339 Deseret Mutual — Select: $339 ID Womens Health Check — Other: $147.46 PEHP — All Plans: $339 PEHP — Capital Care: $339 PEHP — Summit Exclusive: $339 Regence — Blue Shield ID: $339
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC SCREEN MAMMO, UNILATERAL INCL CAD WHEN PERFORMED	$651.11	$488.33	$195.33 – $618.55
Screening mammogram, both breasts: 10 of 61 insurance plan rates Aetna — Medicare Adv HMO: $195.33 Aetna — Medicare Adv PPO: $195.33 Aetna — Standard: $618.55 American Health — Medicare Adv UT HMO I-SNP: $195.33 Blue Cross of Idaho — Exchange: $587.63 Blue Cross of Idaho — Medicare ID True Blue: $195.33 Blue Cross of Idaho — Traditional/PPO: $618.55 BYU Athletics — Commercial: $618.55 Campbell Scientific — Commercial: $618.55 Cigna — HMO: $618.55
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC SCREEN MAMMO, BILATERAL INCL CAD WHEN PERFORMED	$1,202.42	$901.82	$360.73 – $1,142.30
Screening mammogram, both breasts: 10 of 61 insurance plan rates Aetna — Medicare Adv HMO: $360.73 Aetna — Medicare Adv PPO: $360.73 Aetna — Standard: $1,142.30 American Health — Medicare Adv UT HMO I-SNP: $360.73 Blue Cross of Idaho — Exchange: $1,085.18 Blue Cross of Idaho — Medicare ID True Blue: $360.73 Blue Cross of Idaho — Traditional/PPO: $1,142.30 BYU Athletics — Commercial: $1,142.30 Campbell Scientific — Commercial: $1,142.30 Cigna — HMO: $1,142.30
Screening mammogram, both breasts CPT 77067 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC SCREEN MAMMO, UNILATERAL INCL CAD WHEN PERFORMED	$651.11	$488.33	$494.84 – $618.55
Screening mammogram, both breasts: 10 of 48 insurance plan rates Aetna — Standard: $618.55 Blue Cross of Idaho — Exchange: $494.84 Blue Cross of Idaho — Traditional/PPO: $520.89 BYU Athletics — Commercial: $618.55 Campbell Scientific — Commercial: $618.55 Cigna — HMO: $618.55 Cigna — PPO/EPO: $618.55 Corporation of the President — Workers Comp: $553.44 CorVel Corporation — Workers Comp: $553.44 Deseret Mutual — All Other: $618.55

Heart tests and sleep study

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Electrocardiogram (ECG/EKG) with reading CPT 93000 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC EKG W/READ	$59.57	$44.68	$17.87 – $56.59
Electrocardiogram (ECG/EKG) with reading: 10 of 61 insurance plan rates Aetna — Medicare Adv HMO: $17.87 Aetna — Medicare Adv PPO: $17.87 Aetna — Standard: $56.59 American Health — Medicare Adv UT HMO I-SNP: $17.87 Blue Cross of Idaho — Exchange: $53.76 Blue Cross of Idaho — Medicare ID True Blue: $17.87 Blue Cross of Idaho — Traditional/PPO: $56.59 BYU Athletics — Commercial: $56.59 Campbell Scientific — Commercial: $56.59 Cigna — HMO: $56.59
Electrocardiogram (ECG/EKG) with reading CPT 93000 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC EKG W/READ	$59.57	$44.68	$45.27 – $56.59
Electrocardiogram (ECG/EKG) with reading: 10 of 48 insurance plan rates Aetna — Standard: $56.59 Blue Cross of Idaho — Exchange: $45.27 Blue Cross of Idaho — Traditional/PPO: $47.66 BYU Athletics — Commercial: $56.59 Campbell Scientific — Commercial: $56.59 Cigna — HMO: $56.59 Cigna — PPO/EPO: $56.59 Corporation of the President — Workers Comp: $50.63 CorVel Corporation — Workers Comp: $50.63 Deseret Mutual — All Other: $56.59
Electrocardiogram (ECG/EKG) with reading CPT 93000 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Electrocardiogram complete	Not listed in the file	Not listed in the file	$13.88
Electrocardiogram (ECG/EKG) with reading: 10 of 13 insurance plan rates Aetna — Medicare Adv HMO: $13.88 Aetna — Medicare Adv PPO: $13.88 American Health — Medicare Adv UT HMO I-SNP: $13.88 Blue Cross of Idaho — Medicare ID True Blue: $13.88 Health Partners of Nevada — Medicare Advantage: $13.88 Humana — Medicare Choice PPO: $13.88 Molina — Medicare Choice Care HMO: $13.88 Molina — Medicare Complete Care HMO SNP: $13.88 Regence BCBS — Idaho UT Svc: $13.88 SelectHealth — Medicare Advantage: $13.88
Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC LT HEART CATH W/VGRAM	$8,869.15	$6,651.86	$2,660.74 – $8,425.69
Left heart catheterization (diagnostic): 10 of 61 insurance plan rates Aetna — Medicare Adv HMO: $2,660.74 Aetna — Medicare Adv PPO: $2,660.74 Aetna — Standard: $8,425.69 American Health — Medicare Adv UT HMO I-SNP: $2,660.74 Blue Cross of Idaho — Exchange: $8,004.41 Blue Cross of Idaho — Medicare ID True Blue: $2,660.74 Blue Cross of Idaho — Traditional/PPO: $8,425.69 BYU Athletics — Commercial: $8,425.69 Campbell Scientific — Commercial: $8,425.69 Cigna — HMO: $8,425.69
Left heart catheterization (diagnostic) CPT 93452 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC LT HEART CATH W/VGRAM	$8,869.15	$6,651.86	$6,740.55 – $8,425.69
Left heart catheterization (diagnostic): 10 of 48 insurance plan rates Aetna — Standard: $8,425.69 Blue Cross of Idaho — Exchange: $6,740.55 Blue Cross of Idaho — Traditional/PPO: $7,095.32 BYU Athletics — Commercial: $8,425.69 Campbell Scientific — Commercial: $8,425.69 Cigna — HMO: $8,425.69 Cigna — PPO/EPO: $8,425.69 Corporation of the President — Workers Comp: $7,538.78 CorVel Corporation — Workers Comp: $7,538.78 Deseret Mutual — All Other: $8,425.69
Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) · Doctor (professional) fee · modifier 26 In the file: Left hrt cath w/ventrclgrphy	Not listed in the file	Not listed in the file	$224.89
Left heart catheterization (diagnostic): 10 of 13 insurance plan rates Aetna — Medicare Adv HMO: $224.89 Aetna — Medicare Adv PPO: $224.89 American Health — Medicare Adv UT HMO I-SNP: $224.89 Blue Cross of Idaho — Medicare ID True Blue: $224.89 Health Partners of Nevada — Medicare Advantage: $224.89 Humana — Medicare Choice PPO: $224.89 Molina — Medicare Choice Care HMO: $224.89 Molina — Medicare Complete Care HMO SNP: $224.89 Regence BCBS — Idaho UT Svc: $224.89 SelectHealth — Medicare Advantage: $224.89
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Outpatient (no overnight stay) · Doctor (professional) fee · modifier 26 In the file: Comprehensive ep evaluation	Not listed in the file	Not listed in the file	$369.33
Heart rhythm study (electrophysiology evaluation): 10 of 13 insurance plan rates Aetna — Medicare Adv HMO: $369.33 Aetna — Medicare Adv PPO: $369.33 American Health — Medicare Adv UT HMO I-SNP: $369.33 Blue Cross of Idaho — Medicare ID True Blue: $369.33 Health Partners of Nevada — Medicare Advantage: $369.33 Humana — Medicare Choice PPO: $369.33 Molina — Medicare Choice Care HMO: $369.33 Molina — Medicare Complete Care HMO SNP: $369.33 Regence BCBS — Idaho UT Svc: $369.33 SelectHealth — Medicare Advantage: $369.33
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Compre ep eval abltj atr fib	Not listed in the file	Not listed in the file	$913.76
Heart rhythm study with ablation for atrial fibrillation: 10 of 13 insurance plan rates Aetna — Medicare Adv HMO: $913.76 Aetna — Medicare Adv PPO: $913.76 American Health — Medicare Adv UT HMO I-SNP: $913.76 Blue Cross of Idaho — Medicare ID True Blue: $913.76 Health Partners of Nevada — Medicare Advantage: $913.76 Humana — Medicare Choice PPO: $913.76 Molina — Medicare Choice Care HMO: $913.76 Molina — Medicare Complete Care HMO SNP: $913.76 Regence BCBS — Idaho UT Svc: $913.76 SelectHealth — Medicare Advantage: $913.76
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC BASELINE SLEEP STUDY	$3,950.37	$2,962.78	$1,185.11 – $3,752.85
Sleep study (overnight, in a sleep lab): 10 of 61 insurance plan rates Aetna — Medicare Adv HMO: $1,185.11 Aetna — Medicare Adv PPO: $1,185.11 Aetna — Standard: $3,752.85 American Health — Medicare Adv UT HMO I-SNP: $1,185.11 Blue Cross of Idaho — Exchange: $3,565.21 Blue Cross of Idaho — Medicare ID True Blue: $1,185.11 Blue Cross of Idaho — Traditional/PPO: $3,752.85 BYU Athletics — Commercial: $3,752.85 Campbell Scientific — Commercial: $3,752.85 Cigna — HMO: $3,752.85
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC BASELINE SLEEP STUDY	$3,950.37	$2,962.78	$3,002.28 – $3,752.85
Sleep study (overnight, in a sleep lab): 10 of 48 insurance plan rates Aetna — Standard: $3,752.85 Blue Cross of Idaho — Exchange: $3,002.28 Blue Cross of Idaho — Traditional/PPO: $3,160.30 BYU Athletics — Commercial: $3,752.85 Campbell Scientific — Commercial: $3,752.85 Cigna — HMO: $3,752.85 Cigna — PPO/EPO: $3,752.85 Corporation of the President — Workers Comp: $3,357.81 CorVel Corporation — Workers Comp: $3,357.81 Deseret Mutual — All Other: $3,752.85
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Polysom 6/> yrs 4/> param	Not listed in the file	Not listed in the file	$1,942 – $2,320.59
Sleep study (overnight, in a sleep lab): 10 of 13 insurance plan rates Blue Cross of Idaho — Exchange: $1,999.79 Blue Cross of Idaho — Traditional/PPO: $2,320.59 BYU Athletics — Commercial: $1,942 Deseret Mutual — All Other: $1,942 Deseret Mutual — Select: $1,942 PEHP — All Plans: $1,942 PEHP — Capital Care: $1,942 PEHP — Summit Exclusive: $1,942 Regence — Blue Shield ID: $1,942 SelectHealth — All Plans: $1,942

Physical therapy and mental health

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC ST THERAPEUTIC EXERCISE/15 MIN	$118.55	$88.91	$35.56 – $112.62
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 61 insurance plan rates Aetna — Medicare Adv HMO: $35.56 Aetna — Medicare Adv PPO: $35.56 Aetna — Standard: $112.62 American Health — Medicare Adv UT HMO I-SNP: $35.56 Blue Cross of Idaho — Exchange: $106.99 Blue Cross of Idaho — Medicare ID True Blue: $35.56 Blue Cross of Idaho — Traditional/PPO: $112.62 BYU Athletics — Commercial: $112.62 Campbell Scientific — Commercial: $112.62 Cigna — HMO: $112.62
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PT THERAPEUTIC EX PER 15 MIN	$109.46	$82.10	$32.84 – $103.99
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 61 insurance plan rates Aetna — Medicare Adv HMO: $32.84 Aetna — Medicare Adv PPO: $32.84 Aetna — Standard: $103.99 American Health — Medicare Adv UT HMO I-SNP: $32.84 Blue Cross of Idaho — Exchange: $98.79 Blue Cross of Idaho — Medicare ID True Blue: $32.84 Blue Cross of Idaho — Traditional/PPO: $103.99 BYU Athletics — Commercial: $103.99 Campbell Scientific — Commercial: $103.99 Cigna — HMO: $103.99
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC OT THERAPEUTIC EX PER 15 MIN	$117.49	$88.12	$35.25 – $111.62
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 61 insurance plan rates Aetna — Medicare Adv HMO: $35.25 Aetna — Medicare Adv PPO: $35.25 Aetna — Standard: $111.62 American Health — Medicare Adv UT HMO I-SNP: $35.25 Blue Cross of Idaho — Exchange: $106.03 Blue Cross of Idaho — Medicare ID True Blue: $35.25 Blue Cross of Idaho — Traditional/PPO: $111.62 BYU Athletics — Commercial: $111.62 Campbell Scientific — Commercial: $111.62 Cigna — HMO: $111.62
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PT EVAL LOW COMPLEXITY	$283.90	$212.92	$85.17 – $269.70
Physical therapy evaluation (low complexity): 10 of 61 insurance plan rates Aetna — Medicare Adv HMO: $85.17 Aetna — Medicare Adv PPO: $85.17 Aetna — Standard: $269.70 American Health — Medicare Adv UT HMO I-SNP: $85.17 Blue Cross of Idaho — Exchange: $256.22 Blue Cross of Idaho — Medicare ID True Blue: $85.17 Blue Cross of Idaho — Traditional/PPO: $269.70 BYU Athletics — Commercial: $269.70 Campbell Scientific — Commercial: $269.70 Cigna — HMO: $269.70
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC PT EVAL LOW COMPLEXITY	$283.90	$212.92	$215.76 – $269.70
Physical therapy evaluation (low complexity): 10 of 48 insurance plan rates Aetna — Standard: $269.70 Blue Cross of Idaho — Exchange: $215.76 Blue Cross of Idaho — Traditional/PPO: $227.12 BYU Athletics — Commercial: $269.70 Campbell Scientific — Commercial: $269.70 Cigna — HMO: $269.70 Cigna — PPO/EPO: $269.70 Corporation of the President — Workers Comp: $241.31 CorVel Corporation — Workers Comp: $241.31 Deseret Mutual — All Other: $269.70
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Pt eval low complex 20 min	Not listed in the file	Not listed in the file	$97.92
Physical therapy evaluation (low complexity): 10 of 13 insurance plan rates Aetna — Medicare Adv HMO: $97.92 Aetna — Medicare Adv PPO: $97.92 American Health — Medicare Adv UT HMO I-SNP: $97.92 Blue Cross of Idaho — Medicare ID True Blue: $97.92 Health Partners of Nevada — Medicare Advantage: $97.92 Humana — Medicare Choice PPO: $97.92 Molina — Medicare Choice Care HMO: $97.92 Molina — Medicare Complete Care HMO SNP: $97.92 Regence BCBS — Idaho UT Svc: $97.92 SelectHealth — Medicare Advantage: $97.92
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PT EVAL MODERATE COMPLEXITY	$355.31	$266.48	$106.59 – $337.54
Physical therapy evaluation (moderate complexity): 10 of 61 insurance plan rates Aetna — Medicare Adv HMO: $106.59 Aetna — Medicare Adv PPO: $106.59 Aetna — Standard: $337.54 American Health — Medicare Adv UT HMO I-SNP: $106.59 Blue Cross of Idaho — Exchange: $320.67 Blue Cross of Idaho — Medicare ID True Blue: $106.59 Blue Cross of Idaho — Traditional/PPO: $337.54 BYU Athletics — Commercial: $337.54 Campbell Scientific — Commercial: $337.54 Cigna — HMO: $337.54
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC CLIENT ONLY HRH PHYSICAL THERAPY EVALUATION PER SESSION	$355.31	$266.48	$106.59 – $337.54
Physical therapy evaluation (moderate complexity): 10 of 61 insurance plan rates Aetna — Medicare Adv HMO: $106.59 Aetna — Medicare Adv PPO: $106.59 Aetna — Standard: $337.54 American Health — Medicare Adv UT HMO I-SNP: $106.59 Blue Cross of Idaho — Exchange: $320.67 Blue Cross of Idaho — Medicare ID True Blue: $106.59 Blue Cross of Idaho — Traditional/PPO: $337.54 BYU Athletics — Commercial: $337.54 Campbell Scientific — Commercial: $337.54 Cigna — HMO: $337.54
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC PT EVAL MODERATE COMPLEXITY	$355.31	$266.48	$270.04 – $337.54
Physical therapy evaluation (moderate complexity): 10 of 48 insurance plan rates Aetna — Standard: $337.54 Blue Cross of Idaho — Exchange: $270.04 Blue Cross of Idaho — Traditional/PPO: $284.25 BYU Athletics — Commercial: $337.54 Campbell Scientific — Commercial: $337.54 Cigna — HMO: $337.54 Cigna — PPO/EPO: $337.54 Corporation of the President — Workers Comp: $302.01 CorVel Corporation — Workers Comp: $302.01 Deseret Mutual — All Other: $337.54
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PT EVAL HIGH COMPLEXITY	$428.66	$321.50	$128.60 – $407.23
Physical therapy evaluation (high complexity): 10 of 61 insurance plan rates Aetna — Medicare Adv HMO: $128.60 Aetna — Medicare Adv PPO: $128.60 Aetna — Standard: $407.23 American Health — Medicare Adv UT HMO I-SNP: $128.60 Blue Cross of Idaho — Exchange: $386.87 Blue Cross of Idaho — Medicare ID True Blue: $128.60 Blue Cross of Idaho — Traditional/PPO: $407.23 BYU Athletics — Commercial: $407.23 Campbell Scientific — Commercial: $407.23 Cigna — HMO: $407.23
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC PT EVAL HIGH COMPLEXITY	$428.66	$321.50	$325.78 – $407.23
Physical therapy evaluation (high complexity): 10 of 48 insurance plan rates Aetna — Standard: $407.23 Blue Cross of Idaho — Exchange: $325.78 Blue Cross of Idaho — Traditional/PPO: $342.93 BYU Athletics — Commercial: $407.23 Campbell Scientific — Commercial: $407.23 Cigna — HMO: $407.23 Cigna — PPO/EPO: $407.23 Corporation of the President — Workers Comp: $364.36 CorVel Corporation — Workers Comp: $364.36 Deseret Mutual — All Other: $407.23
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Pt eval high complex 45 min	Not listed in the file	Not listed in the file	$97.92
Physical therapy evaluation (high complexity): 10 of 13 insurance plan rates Aetna — Medicare Adv HMO: $97.92 Aetna — Medicare Adv PPO: $97.92 American Health — Medicare Adv UT HMO I-SNP: $97.92 Blue Cross of Idaho — Medicare ID True Blue: $97.92 Health Partners of Nevada — Medicare Advantage: $97.92 Humana — Medicare Choice PPO: $97.92 Molina — Medicare Choice Care HMO: $97.92 Molina — Medicare Complete Care HMO SNP: $97.92 Regence BCBS — Idaho UT Svc: $97.92 SelectHealth — Medicare Advantage: $97.92
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PSYTX PT&/FAMILY 30 MINUTES	$126.87	$95.15	$38.06 – $120.53
Psychotherapy, 30 minutes: 10 of 61 insurance plan rates Aetna — Medicare Adv HMO: $38.06 Aetna — Medicare Adv PPO: $38.06 Aetna — Standard: $120.53 American Health — Medicare Adv UT HMO I-SNP: $38.06 Blue Cross of Idaho — Exchange: $114.50 Blue Cross of Idaho — Medicare ID True Blue: $38.06 Blue Cross of Idaho — Traditional/PPO: $120.53 BYU Athletics — Commercial: $120.53 Campbell Scientific — Commercial: $120.53 Cigna — HMO: $120.53
Psychotherapy, 30 minutes CPT 90832 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC PSYTX PT&/FAMILY 30 MINUTES	$126.87	$95.15	$96.42 – $120.53
Psychotherapy, 30 minutes: 10 of 48 insurance plan rates Aetna — Standard: $120.53 Blue Cross of Idaho — Exchange: $96.42 Blue Cross of Idaho — Traditional/PPO: $101.50 BYU Athletics — Commercial: $120.53 Campbell Scientific — Commercial: $120.53 Cigna — HMO: $120.53 Cigna — PPO/EPO: $120.53 Corporation of the President — Workers Comp: $107.84 CorVel Corporation — Workers Comp: $107.84 Deseret Mutual — All Other: $120.53
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Psytx w pt 30 minutes	Not listed in the file	Not listed in the file	$65.68
Psychotherapy, 30 minutes: 10 of 13 insurance plan rates Aetna — Medicare Adv HMO: $65.68 Aetna — Medicare Adv PPO: $65.68 American Health — Medicare Adv UT HMO I-SNP: $65.68 Blue Cross of Idaho — Medicare ID True Blue: $65.68 Health Partners of Nevada — Medicare Advantage: $65.68 Humana — Medicare Choice PPO: $65.68 Molina — Medicare Choice Care HMO: $65.68 Molina — Medicare Complete Care HMO SNP: $65.68 Regence BCBS — Idaho UT Svc: $65.68 SelectHealth — Medicare Advantage: $65.68
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PSYTX, 45 MIN WITH PATIENT	$315.45	$236.59	$94.64 – $299.68
Psychotherapy, 45 minutes: 10 of 61 insurance plan rates Aetna — Medicare Adv HMO: $94.64 Aetna — Medicare Adv PPO: $94.64 Aetna — Standard: $299.68 American Health — Medicare Adv UT HMO I-SNP: $94.64 Blue Cross of Idaho — Exchange: $284.69 Blue Cross of Idaho — Medicare ID True Blue: $94.64 Blue Cross of Idaho — Traditional/PPO: $299.68 BYU Athletics — Commercial: $299.68 Campbell Scientific — Commercial: $299.68 Cigna — HMO: $299.68
Psychotherapy, 45 minutes CPT 90834 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC PSYTX, 45 MIN WITH PATIENT	$315.45	$236.59	$239.74 – $299.68
Psychotherapy, 45 minutes: 10 of 48 insurance plan rates Aetna — Standard: $299.68 Blue Cross of Idaho — Exchange: $239.74 Blue Cross of Idaho — Traditional/PPO: $252.36 BYU Athletics — Commercial: $299.68 Campbell Scientific — Commercial: $299.68 Cigna — HMO: $299.68 Cigna — PPO/EPO: $299.68 Corporation of the President — Workers Comp: $268.13 CorVel Corporation — Workers Comp: $268.13 Deseret Mutual — All Other: $299.68
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Psytx w pt 45 minutes	Not listed in the file	Not listed in the file	$87.08
Psychotherapy, 45 minutes: 10 of 13 insurance plan rates Aetna — Medicare Adv HMO: $87.08 Aetna — Medicare Adv PPO: $87.08 American Health — Medicare Adv UT HMO I-SNP: $87.08 Blue Cross of Idaho — Medicare ID True Blue: $87.08 Health Partners of Nevada — Medicare Advantage: $87.08 Humana — Medicare Choice PPO: $87.08 Molina — Medicare Choice Care HMO: $87.08 Molina — Medicare Complete Care HMO SNP: $87.08 Regence BCBS — Idaho UT Svc: $87.08 SelectHealth — Medicare Advantage: $87.08
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Psytx w pt 60 minutes	Not listed in the file	Not listed in the file	$128
Psychotherapy, 60 minutes: 10 of 13 insurance plan rates Aetna — Medicare Adv HMO: $128 Aetna — Medicare Adv PPO: $128 American Health — Medicare Adv UT HMO I-SNP: $128 Blue Cross of Idaho — Medicare ID True Blue: $128 Health Partners of Nevada — Medicare Advantage: $128 Humana — Medicare Choice PPO: $128 Molina — Medicare Choice Care HMO: $128 Molina — Medicare Complete Care HMO SNP: $128 Regence BCBS — Idaho UT Svc: $128 SelectHealth — Medicare Advantage: $128
Family psychotherapy, without the patient CPT 90846 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Family psytx w/o pt 50 min	Not listed in the file	Not listed in the file	$94.05
Family psychotherapy, without the patient: 10 of 13 insurance plan rates Aetna — Medicare Adv HMO: $94.05 Aetna — Medicare Adv PPO: $94.05 American Health — Medicare Adv UT HMO I-SNP: $94.05 Blue Cross of Idaho — Medicare ID True Blue: $94.05 Health Partners of Nevada — Medicare Advantage: $94.05 Humana — Medicare Choice PPO: $94.05 Molina — Medicare Choice Care HMO: $94.05 Molina — Medicare Complete Care HMO SNP: $94.05 Regence BCBS — Idaho UT Svc: $94.05 SelectHealth — Medicare Advantage: $94.05
Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Family psytx w/pt 50 min	Not listed in the file	Not listed in the file	$98.07
Family psychotherapy, with the patient: 10 of 13 insurance plan rates Aetna — Medicare Adv HMO: $98.07 Aetna — Medicare Adv PPO: $98.07 American Health — Medicare Adv UT HMO I-SNP: $98.07 Blue Cross of Idaho — Medicare ID True Blue: $98.07 Health Partners of Nevada — Medicare Advantage: $98.07 Humana — Medicare Choice PPO: $98.07 Molina — Medicare Choice Care HMO: $98.07 Molina — Medicare Complete Care HMO SNP: $98.07 Regence BCBS — Idaho UT Svc: $98.07 SelectHealth — Medicare Advantage: $98.07
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC GROUP THERAPY	$110.94	$83.20	$33.28 – $105.39
Group psychotherapy: 10 of 61 insurance plan rates Aetna — Medicare Adv HMO: $33.28 Aetna — Medicare Adv PPO: $33.28 Aetna — Standard: $105.39 American Health — Medicare Adv UT HMO I-SNP: $33.28 Blue Cross of Idaho — Exchange: $100.12 Blue Cross of Idaho — Medicare ID True Blue: $33.28 Blue Cross of Idaho — Traditional/PPO: $105.39 BYU Athletics — Commercial: $105.39 Campbell Scientific — Commercial: $105.39 Cigna — HMO: $105.39
Group psychotherapy CPT 90853 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC GROUP THERAPY	$110.94	$83.20	$84.31 – $105.39
Group psychotherapy: 10 of 48 insurance plan rates Aetna — Standard: $105.39 Blue Cross of Idaho — Exchange: $84.31 Blue Cross of Idaho — Traditional/PPO: $88.75 BYU Athletics — Commercial: $105.39 Campbell Scientific — Commercial: $105.39 Cigna — HMO: $105.39 Cigna — PPO/EPO: $105.39 Corporation of the President — Workers Comp: $94.30 CorVel Corporation — Workers Comp: $94.30 Deseret Mutual — All Other: $105.39
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Group psychotherapy	Not listed in the file	Not listed in the file	$23.09
Group psychotherapy: 10 of 13 insurance plan rates Aetna — Medicare Adv HMO: $23.09 Aetna — Medicare Adv PPO: $23.09 American Health — Medicare Adv UT HMO I-SNP: $23.09 Blue Cross of Idaho — Medicare ID True Blue: $23.09 Health Partners of Nevada — Medicare Advantage: $23.09 Humana — Medicare Choice PPO: $23.09 Molina — Medicare Choice Care HMO: $23.09 Molina — Medicare Complete Care HMO SNP: $23.09 Regence BCBS — Idaho UT Svc: $23.09 SelectHealth — Medicare Advantage: $23.09

Procedures and surgery

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Removal of breast lesion	Not listed in the file	Not listed in the file	$474.02 – $3,106.33
Removal of breast growth (open surgery): rates for 4 insurance plans Blue Cross of Idaho — Exchange: $2,676.90 Blue Cross of Idaho — Traditional/PPO: $3,106.33 ID Womens Health Check — Other: $474.02 UT Cancer Control — Other: $1,250
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) · Doctor (professional) fee · modifier 50 In the file: Removal of breast lesion	Not listed in the file	Not listed in the file	$608.06
Removal of breast growth (open surgery): 10 of 13 insurance plan rates Aetna — Medicare Adv HMO: $608.06 Aetna — Medicare Adv PPO: $608.06 American Health — Medicare Adv UT HMO I-SNP: $608.06 Blue Cross of Idaho — Medicare ID True Blue: $608.06 Health Partners of Nevada — Medicare Advantage: $608.06 Humana — Medicare Choice PPO: $608.06 Molina — Medicare Choice Care HMO: $608.06 Molina — Medicare Complete Care HMO SNP: $608.06 Regence BCBS — Idaho UT Svc: $608.06 SelectHealth — Medicare Advantage: $608.06
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) · Doctor (professional) fee · modifier 78 In the file: Removal of breast lesion	Not listed in the file	Not listed in the file	$287.81
Removal of breast growth (open surgery): 10 of 13 insurance plan rates Aetna — Medicare Adv HMO: $287.81 Aetna — Medicare Adv PPO: $287.81 American Health — Medicare Adv UT HMO I-SNP: $287.81 Blue Cross of Idaho — Medicare ID True Blue: $287.81 Health Partners of Nevada — Medicare Advantage: $287.81 Humana — Medicare Choice PPO: $287.81 Molina — Medicare Choice Care HMO: $287.81 Molina — Medicare Complete Care HMO SNP: $287.81 Regence BCBS — Idaho UT Svc: $287.81 SelectHealth — Medicare Advantage: $287.81
Total hip replacement CPT 27130 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Total hip arthroplasty	Not listed in the file	Not listed in the file	$19,214
Total hip replacement: rates for 1 insurance plan St Lukes HP — Commercial: $19,214
Total hip replacement CPT 27130 · Outpatient (no overnight stay) · Doctor (professional) fee · modifier 50 In the file: Total hip arthroplasty	Not listed in the file	Not listed in the file	$1,868.51
Total hip replacement: 10 of 13 insurance plan rates Aetna — Medicare Adv HMO: $1,868.51 Aetna — Medicare Adv PPO: $1,868.51 American Health — Medicare Adv UT HMO I-SNP: $1,868.51 Blue Cross of Idaho — Medicare ID True Blue: $1,868.51 Health Partners of Nevada — Medicare Advantage: $1,868.51 Humana — Medicare Choice PPO: $1,868.51 Molina — Medicare Choice Care HMO: $1,868.51 Molina — Medicare Complete Care HMO SNP: $1,868.51 Regence BCBS — Idaho UT Svc: $1,868.51 SelectHealth — Medicare Advantage: $1,868.51
Total hip replacement CPT 27130 · Outpatient (no overnight stay) · Doctor (professional) fee · modifier 78 In the file: Total hip arthroplasty	Not listed in the file	Not listed in the file	$859.51
Total hip replacement: 10 of 13 insurance plan rates Aetna — Medicare Adv HMO: $859.51 Aetna — Medicare Adv PPO: $859.51 American Health — Medicare Adv UT HMO I-SNP: $859.51 Blue Cross of Idaho — Medicare ID True Blue: $859.51 Health Partners of Nevada — Medicare Advantage: $859.51 Humana — Medicare Choice PPO: $859.51 Molina — Medicare Choice Care HMO: $859.51 Molina — Medicare Complete Care HMO SNP: $859.51 Regence BCBS — Idaho UT Svc: $859.51 SelectHealth — Medicare Advantage: $859.51
Total knee replacement CPT 27447 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Total knee arthroplasty	Not listed in the file	Not listed in the file	$9,943.19 – $18,821
Total knee replacement: rates for 3 insurance plans Blue Cross of Idaho — Exchange: $9,943.19 Blue Cross of Idaho — Traditional/PPO: $12,244.35 St Lukes HP — Commercial: $18,821
Total knee replacement CPT 27447 · Outpatient (no overnight stay) · Doctor (professional) fee · modifier 50 In the file: Total knee arthroplasty	Not listed in the file	Not listed in the file	$1,866.65
Total knee replacement: 10 of 13 insurance plan rates Aetna — Medicare Adv HMO: $1,866.65 Aetna — Medicare Adv PPO: $1,866.65 American Health — Medicare Adv UT HMO I-SNP: $1,866.65 Blue Cross of Idaho — Medicare ID True Blue: $1,866.65 Health Partners of Nevada — Medicare Advantage: $1,866.65 Humana — Medicare Choice PPO: $1,866.65 Molina — Medicare Choice Care HMO: $1,866.65 Molina — Medicare Complete Care HMO SNP: $1,866.65 Regence BCBS — Idaho UT Svc: $1,866.65 SelectHealth — Medicare Advantage: $1,866.65
Total knee replacement CPT 27447 · Outpatient (no overnight stay) · Doctor (professional) fee · modifier 78 In the file: Total knee arthroplasty	Not listed in the file	Not listed in the file	$858.66
Total knee replacement: 10 of 13 insurance plan rates Aetna — Medicare Adv HMO: $858.66 Aetna — Medicare Adv PPO: $858.66 American Health — Medicare Adv UT HMO I-SNP: $858.66 Blue Cross of Idaho — Medicare ID True Blue: $858.66 Health Partners of Nevada — Medicare Advantage: $858.66 Humana — Medicare Choice PPO: $858.66 Molina — Medicare Choice Care HMO: $858.66 Molina — Medicare Complete Care HMO SNP: $858.66 Regence BCBS — Idaho UT Svc: $858.66 SelectHealth — Medicare Advantage: $858.66
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Sho arthrs srg decompression	Not listed in the file	Not listed in the file	$4,043.78 – $9,729
Shoulder arthroscopy: shaving of shoulder bone: 10 of 13 insurance plan rates Blue Cross of Idaho — Exchange: $4,043.78 Blue Cross of Idaho — Traditional/PPO: $4,692.49 BYU Athletics — Commercial: $9,729 Deseret Mutual — All Other: $9,729 Deseret Mutual — Select: $9,729 PEHP — All Plans: $9,135 PEHP — Capital Care: $9,729 PEHP — Summit Exclusive: $9,729 Regence — Blue Shield ID: $9,135 SelectHealth — All Plans: $9,729
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) · Doctor (professional) fee · modifier 50 In the file: Sho arthrs srg decompression	Not listed in the file	Not listed in the file	$250.01
Shoulder arthroscopy: shaving of shoulder bone: 10 of 13 insurance plan rates Aetna — Medicare Adv HMO: $250.01 Aetna — Medicare Adv PPO: $250.01 American Health — Medicare Adv UT HMO I-SNP: $250.01 Blue Cross of Idaho — Medicare ID True Blue: $250.01 Health Partners of Nevada — Medicare Advantage: $250.01 Humana — Medicare Choice PPO: $250.01 Molina — Medicare Choice Care HMO: $250.01 Molina — Medicare Complete Care HMO SNP: $250.01 Regence BCBS — Idaho UT Svc: $250.01 SelectHealth — Medicare Advantage: $250.01
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) · Doctor (professional) fee · modifier 80\|81\|82 In the file: Sho arthrs srg decompression	Not listed in the file	Not listed in the file	$26.67
Shoulder arthroscopy: shaving of shoulder bone: 10 of 13 insurance plan rates Aetna — Medicare Adv HMO: $26.67 Aetna — Medicare Adv PPO: $26.67 American Health — Medicare Adv UT HMO I-SNP: $26.67 Blue Cross of Idaho — Medicare ID True Blue: $26.67 Health Partners of Nevada — Medicare Advantage: $26.67 Humana — Medicare Choice PPO: $26.67 Molina — Medicare Choice Care HMO: $26.67 Molina — Medicare Complete Care HMO SNP: $26.67 Regence BCBS — Idaho UT Svc: $26.67 SelectHealth — Medicare Advantage: $26.67
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Arthrs kne srg mnisectmy m/l	Not listed in the file	Not listed in the file	$3,159 – $6,225
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 14 insurance plan rates Blue Cross of Idaho — Exchange: $4,097.26 Blue Cross of Idaho — Traditional/PPO: $4,754.54 BYU Athletics — Commercial: $6,225 Deseret Mutual — All Other: $6,225 Deseret Mutual — Select: $6,225 PEHP — All Plans: $6,225 PEHP — Capital Care: $6,225 PEHP — Summit Exclusive: $6,225 Regence — Blue Shield ID: $6,225 St Lukes HP — Commercial: $3,159
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) · Doctor (professional) fee · modifier 50 In the file: Arthrs kne srg mnisectmy m/l	Not listed in the file	Not listed in the file	$790.88
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 13 insurance plan rates Aetna — Medicare Adv HMO: $790.88 Aetna — Medicare Adv PPO: $790.88 American Health — Medicare Adv UT HMO I-SNP: $790.88 Blue Cross of Idaho — Medicare ID True Blue: $790.88 Health Partners of Nevada — Medicare Advantage: $790.88 Humana — Medicare Choice PPO: $790.88 Molina — Medicare Choice Care HMO: $790.88 Molina — Medicare Complete Care HMO SNP: $790.88 Regence BCBS — Idaho UT Svc: $790.88 SelectHealth — Medicare Advantage: $790.88
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) · Doctor (professional) fee · modifier 78 In the file: Arthrs kne srg mnisectmy m/l	Not listed in the file	Not listed in the file	$363.80
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 13 insurance plan rates Aetna — Medicare Adv HMO: $363.80 Aetna — Medicare Adv PPO: $363.80 American Health — Medicare Adv UT HMO I-SNP: $363.80 Blue Cross of Idaho — Medicare ID True Blue: $363.80 Health Partners of Nevada — Medicare Advantage: $363.80 Humana — Medicare Choice PPO: $363.80 Molina — Medicare Choice Care HMO: $363.80 Molina — Medicare Complete Care HMO SNP: $363.80 Regence BCBS — Idaho UT Svc: $363.80 SelectHealth — Medicare Advantage: $363.80
Removal of tonsils and adenoids (under age 12) CPT 42820 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Remove tonsils and adenoids	Not listed in the file	Not listed in the file	$4,247 – $5,742
Removal of tonsils and adenoids (under age 12): 10 of 14 insurance plan rates Blue Cross of Idaho — Exchange: $4,350.98 Blue Cross of Idaho — Traditional/PPO: $5,357.93 BYU Athletics — Commercial: $4,523 Deseret Mutual — All Other: $4,523 Deseret Mutual — Select: $4,523 PEHP — All Plans: $4,247 PEHP — Capital Care: $4,523 PEHP — Summit Exclusive: $4,523 Regence — Blue Shield ID: $4,247 St Lukes HP — Commercial: $5,742
Removal of tonsils and adenoids (under age 12) CPT 42820 · Outpatient (no overnight stay) · Doctor (professional) fee · modifier 78 In the file: Remove tonsils and adenoids	Not listed in the file	Not listed in the file	$230.24
Removal of tonsils and adenoids (under age 12): 10 of 13 insurance plan rates Aetna — Medicare Adv HMO: $230.24 Aetna — Medicare Adv PPO: $230.24 American Health — Medicare Adv UT HMO I-SNP: $230.24 Blue Cross of Idaho — Medicare ID True Blue: $230.24 Health Partners of Nevada — Medicare Advantage: $230.24 Humana — Medicare Choice PPO: $230.24 Molina — Medicare Choice Care HMO: $230.24 Molina — Medicare Complete Care HMO SNP: $230.24 Regence BCBS — Idaho UT Svc: $230.24 SelectHealth — Medicare Advantage: $230.24
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Egd diagnostic brush wash	Not listed in the file	Not listed in the file	$978 – $1,770.65
Upper GI endoscopy (diagnostic): 10 of 14 insurance plan rates Blue Cross of Idaho — Exchange: $1,437.89 Blue Cross of Idaho — Traditional/PPO: $1,770.65 BYU Athletics — Commercial: $1,589 Deseret Mutual — All Other: $1,589 Deseret Mutual — Select: $1,589 PEHP — All Plans: $1,471 PEHP — Capital Care: $1,589 PEHP — Summit Exclusive: $1,589 Regence — Blue Shield ID: $1,471 SelectHealth — All Plans: $1,589
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Egd diagnostic brush wash	Not listed in the file	Not listed in the file	$117.67
Upper GI endoscopy (diagnostic): 10 of 13 insurance plan rates Aetna — Medicare Adv HMO: $117.67 Aetna — Medicare Adv PPO: $117.67 American Health — Medicare Adv UT HMO I-SNP: $117.67 Blue Cross of Idaho — Medicare ID True Blue: $117.67 Health Partners of Nevada — Medicare Advantage: $117.67 Humana — Medicare Choice PPO: $117.67 Molina — Medicare Choice Care HMO: $117.67 Molina — Medicare Complete Care HMO SNP: $117.67 Regence BCBS — Idaho UT Svc: $117.67 SelectHealth — Medicare Advantage: $117.67
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Egd biopsy single/multiple	Not listed in the file	Not listed in the file	$1,060 – $1,930
Upper GI endoscopy with biopsy: 10 of 14 insurance plan rates Blue Cross of Idaho — Exchange: $1,355.94 Blue Cross of Idaho — Traditional/PPO: $1,669.75 BYU Athletics — Commercial: $1,930 Deseret Mutual — All Other: $1,930 Deseret Mutual — Select: $1,930 PEHP — All Plans: $1,787 PEHP — Capital Care: $1,930 PEHP — Summit Exclusive: $1,930 Regence — Blue Shield ID: $1,787 SelectHealth — All Plans: $1,930
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Egd biopsy single/multiple	Not listed in the file	Not listed in the file	$132.79
Upper GI endoscopy with biopsy: 10 of 13 insurance plan rates Aetna — Medicare Adv HMO: $132.79 Aetna — Medicare Adv PPO: $132.79 American Health — Medicare Adv UT HMO I-SNP: $132.79 Blue Cross of Idaho — Medicare ID True Blue: $132.79 Health Partners of Nevada — Medicare Advantage: $132.79 Humana — Medicare Choice PPO: $132.79 Molina — Medicare Choice Care HMO: $132.79 Molina — Medicare Complete Care HMO SNP: $132.79 Regence BCBS — Idaho UT Svc: $132.79 SelectHealth — Medicare Advantage: $132.79
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC DIAGNOSTIC COLONOSCOPY	$2,391.97	$1,793.98	$717.59 – $2,272.37
Colonoscopy (diagnostic): 10 of 61 insurance plan rates Aetna — Medicare Adv HMO: $717.59 Aetna — Medicare Adv PPO: $717.59 Aetna — Standard: $2,272.37 American Health — Medicare Adv UT HMO I-SNP: $717.59 Blue Cross of Idaho — Exchange: $2,158.75 Blue Cross of Idaho — Medicare ID True Blue: $717.59 Blue Cross of Idaho — Traditional/PPO: $2,272.37 BYU Athletics — Commercial: $2,272.37 Campbell Scientific — Commercial: $2,272.37 Cigna — HMO: $2,272.37
Colonoscopy (diagnostic) CPT 45378 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC DIAGNOSTIC COLONOSCOPY	$2,391.97	$1,793.98	$1,817.90 – $2,272.37
Colonoscopy (diagnostic): 10 of 48 insurance plan rates Aetna — Standard: $2,272.37 Blue Cross of Idaho — Exchange: $1,817.90 Blue Cross of Idaho — Traditional/PPO: $1,913.58 BYU Athletics — Commercial: $2,272.37 Campbell Scientific — Commercial: $2,272.37 Cigna — HMO: $2,272.37 Cigna — PPO/EPO: $2,272.37 Corporation of the President — Workers Comp: $2,033.17 CorVel Corporation — Workers Comp: $2,033.17 Deseret Mutual — All Other: $2,272.37
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Diagnostic colonoscopy	Not listed in the file	Not listed in the file	$1,185 – $1,819.10
Colonoscopy (diagnostic): 10 of 14 insurance plan rates Blue Cross of Idaho — Exchange: $1,477.22 Blue Cross of Idaho — Traditional/PPO: $1,819.10 BYU Athletics — Commercial: $1,453 Deseret Mutual — All Other: $1,453 Deseret Mutual — Select: $1,453 PEHP — All Plans: $1,345 PEHP — Capital Care: $1,453 PEHP — Summit Exclusive: $1,453 Regence — Blue Shield ID: $1,345 St Lukes HP — Commercial: $1,185
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Colonoscopy and biopsy	Not listed in the file	Not listed in the file	$1,228 – $1,953.29
Colonoscopy with biopsy: 10 of 14 insurance plan rates Blue Cross of Idaho — Exchange: $1,586.19 Blue Cross of Idaho — Traditional/PPO: $1,953.29 BYU Athletics — Commercial: $1,589 Deseret Mutual — All Other: $1,589 Deseret Mutual — Select: $1,589 PEHP — All Plans: $1,499 PEHP — Capital Care: $1,589 PEHP — Summit Exclusive: $1,589 Regence — Blue Shield ID: $1,499 SelectHealth — All Plans: $1,619
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Colonoscopy and biopsy	Not listed in the file	Not listed in the file	$192.84
Colonoscopy with biopsy: 10 of 13 insurance plan rates Aetna — Medicare Adv HMO: $192.84 Aetna — Medicare Adv PPO: $192.84 American Health — Medicare Adv UT HMO I-SNP: $192.84 Blue Cross of Idaho — Medicare ID True Blue: $192.84 Health Partners of Nevada — Medicare Advantage: $192.84 Humana — Medicare Choice PPO: $192.84 Molina — Medicare Choice Care HMO: $192.84 Molina — Medicare Complete Care HMO SNP: $192.84 Regence BCBS — Idaho UT Svc: $192.84 SelectHealth — Medicare Advantage: $192.84
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Colonoscopy w/lesion removal	Not listed in the file	Not listed in the file	$1,345 – $1,985.04
Colonoscopy with removal of polyps (snare): 10 of 14 insurance plan rates Blue Cross of Idaho — Exchange: $1,611.98 Blue Cross of Idaho — Traditional/PPO: $1,985.04 BYU Athletics — Commercial: $1,453 Deseret Mutual — All Other: $1,453 Deseret Mutual — Select: $1,453 PEHP — All Plans: $1,345 PEHP — Capital Care: $1,453 PEHP — Summit Exclusive: $1,453 Regence — Blue Shield ID: $1,345 St Lukes HP — Commercial: $1,379
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Colonoscopy w/lesion removal	Not listed in the file	Not listed in the file	$244.10
Colonoscopy with removal of polyps (snare): 10 of 13 insurance plan rates Aetna — Medicare Adv HMO: $244.10 Aetna — Medicare Adv PPO: $244.10 American Health — Medicare Adv UT HMO I-SNP: $244.10 Blue Cross of Idaho — Medicare ID True Blue: $244.10 Health Partners of Nevada — Medicare Advantage: $244.10 Humana — Medicare Choice PPO: $244.10 Molina — Medicare Choice Care HMO: $244.10 Molina — Medicare Complete Care HMO SNP: $244.10 Regence BCBS — Idaho UT Svc: $244.10 SelectHealth — Medicare Advantage: $244.10
Ultrasound of the lower bowel by endoscope CPT 45391 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Colonoscopy w/endoscope us	Not listed in the file	Not listed in the file	$247.75
Ultrasound of the lower bowel by endoscope: 10 of 13 insurance plan rates Aetna — Medicare Adv HMO: $247.75 Aetna — Medicare Adv PPO: $247.75 American Health — Medicare Adv UT HMO I-SNP: $247.75 Blue Cross of Idaho — Medicare ID True Blue: $247.75 Health Partners of Nevada — Medicare Advantage: $247.75 Humana — Medicare Choice PPO: $247.75 Molina — Medicare Choice Care HMO: $247.75 Molina — Medicare Complete Care HMO SNP: $247.75 Regence BCBS — Idaho UT Svc: $247.75 SelectHealth — Medicare Advantage: $247.75
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC SCREENING COLONOSCOPY LOW RISK	$2,872.40	$2,154.30	$861.72 – $2,728.78
Screening colonoscopy (not high risk): 10 of 61 insurance plan rates Aetna — Medicare Adv HMO: $861.72 Aetna — Medicare Adv PPO: $861.72 Aetna — Standard: $2,728.78 American Health — Medicare Adv UT HMO I-SNP: $861.72 Blue Cross of Idaho — Exchange: $2,592.34 Blue Cross of Idaho — Medicare ID True Blue: $861.72 Blue Cross of Idaho — Traditional/PPO: $2,728.78 BYU Athletics — Commercial: $2,728.78 Campbell Scientific — Commercial: $2,728.78 Cigna — HMO: $2,728.78
Screening colonoscopy (not high risk) HCPCS G0121 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC SCREENING COLONOSCOPY LOW RISK	$2,872.40	$2,154.30	$2,183.02 – $2,728.78
Screening colonoscopy (not high risk): 10 of 48 insurance plan rates Aetna — Standard: $2,728.78 Blue Cross of Idaho — Exchange: $2,183.02 Blue Cross of Idaho — Traditional/PPO: $2,297.92 BYU Athletics — Commercial: $2,728.78 Campbell Scientific — Commercial: $2,728.78 Cigna — HMO: $2,728.78 Cigna — PPO/EPO: $2,728.78 Corporation of the President — Workers Comp: $2,441.54 CorVel Corporation — Workers Comp: $2,441.54 Deseret Mutual — All Other: $2,728.78
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Colon ca scrn not hi rsk ind	Not listed in the file	Not listed in the file	$986
Screening colonoscopy (not high risk): rates for 1 insurance plan St Lukes HP — Commercial: $986
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Laparoscopic cholecystectomy	Not listed in the file	Not listed in the file	$6,763.33 – $8,709
Gallbladder removal by laparoscope: 10 of 13 insurance plan rates Blue Cross of Idaho — Exchange: $6,763.33 Blue Cross of Idaho — Traditional/PPO: $8,328.56 BYU Athletics — Commercial: $8,709 Deseret Mutual — All Other: $8,709 Deseret Mutual — Select: $8,709 PEHP — All Plans: $8,177 PEHP — Capital Care: $8,709 PEHP — Summit Exclusive: $8,709 Regence — Blue Shield ID: $8,177 SelectHealth — All Plans: $8,709
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) · Doctor (professional) fee · modifier 78 In the file: Laparoscopic cholecystectomy	Not listed in the file	Not listed in the file	$519.23
Gallbladder removal by laparoscope: 10 of 13 insurance plan rates Aetna — Medicare Adv HMO: $519.23 Aetna — Medicare Adv PPO: $519.23 American Health — Medicare Adv UT HMO I-SNP: $519.23 Blue Cross of Idaho — Medicare ID True Blue: $519.23 Health Partners of Nevada — Medicare Advantage: $519.23 Humana — Medicare Choice PPO: $519.23 Molina — Medicare Choice Care HMO: $519.23 Molina — Medicare Complete Care HMO SNP: $519.23 Regence BCBS — Idaho UT Svc: $519.23 SelectHealth — Medicare Advantage: $519.23
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) · Doctor (professional) fee · modifier 80\|81\|82 In the file: Laparoscopic cholecystectomy	Not listed in the file	Not listed in the file	$102.56
Gallbladder removal by laparoscope: 10 of 13 insurance plan rates Aetna — Medicare Adv HMO: $102.56 Aetna — Medicare Adv PPO: $102.56 American Health — Medicare Adv UT HMO I-SNP: $102.56 Blue Cross of Idaho — Medicare ID True Blue: $102.56 Health Partners of Nevada — Medicare Advantage: $102.56 Humana — Medicare Choice PPO: $102.56 Molina — Medicare Choice Care HMO: $102.56 Molina — Medicare Complete Care HMO SNP: $102.56 Regence BCBS — Idaho UT Svc: $102.56 SelectHealth — Medicare Advantage: $102.56
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Prp i/hern init reduc >5 yr	Not listed in the file	Not listed in the file	$3,373 – $5,001.60
Groin (inguinal) hernia repair, age 5 or older: rates for 3 insurance plans Blue Cross of Idaho — Exchange: $4,310.16 Blue Cross of Idaho — Traditional/PPO: $5,001.60 St Lukes HP — Commercial: $3,373
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) · Doctor (professional) fee · modifier 50 In the file: Prp i/hern init reduc >5 yr	Not listed in the file	Not listed in the file	$763.29
Groin (inguinal) hernia repair, age 5 or older: 10 of 13 insurance plan rates Aetna — Medicare Adv HMO: $763.29 Aetna — Medicare Adv PPO: $763.29 American Health — Medicare Adv UT HMO I-SNP: $763.29 Blue Cross of Idaho — Medicare ID True Blue: $763.29 Health Partners of Nevada — Medicare Advantage: $763.29 Humana — Medicare Choice PPO: $763.29 Molina — Medicare Choice Care HMO: $763.29 Molina — Medicare Complete Care HMO SNP: $763.29 Regence BCBS — Idaho UT Svc: $763.29 SelectHealth — Medicare Advantage: $763.29
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) · Doctor (professional) fee · modifier 78 In the file: Prp i/hern init reduc >5 yr	Not listed in the file	Not listed in the file	$412.18
Groin (inguinal) hernia repair, age 5 or older: 10 of 13 insurance plan rates Aetna — Medicare Adv HMO: $412.18 Aetna — Medicare Adv PPO: $412.18 American Health — Medicare Adv UT HMO I-SNP: $412.18 Blue Cross of Idaho — Medicare ID True Blue: $412.18 Health Partners of Nevada — Medicare Advantage: $412.18 Humana — Medicare Choice PPO: $412.18 Molina — Medicare Choice Care HMO: $412.18 Molina — Medicare Complete Care HMO SNP: $412.18 Regence BCBS — Idaho UT Svc: $412.18 SelectHealth — Medicare Advantage: $412.18
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCD PROSTATE BIOPSY NEEDLE	$857.69	$643.27	$257.31 – $814.81
Prostate biopsy: 10 of 61 insurance plan rates Aetna — Medicare Adv HMO: $257.31 Aetna — Medicare Adv PPO: $257.31 Aetna — Standard: $814.81 American Health — Medicare Adv UT HMO I-SNP: $257.31 Blue Cross of Idaho — Exchange: $774.07 Blue Cross of Idaho — Medicare ID True Blue: $257.31 Blue Cross of Idaho — Traditional/PPO: $814.81 BYU Athletics — Commercial: $814.81 Campbell Scientific — Commercial: $814.81 Cigna — HMO: $814.81
Prostate biopsy CPT 55700 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HCD PROSTATE BIOPSY NEEDLE	$857.69	$643.27	$651.84 – $814.81
Prostate biopsy: 10 of 48 insurance plan rates Aetna — Standard: $814.81 Blue Cross of Idaho — Exchange: $651.84 Blue Cross of Idaho — Traditional/PPO: $686.15 BYU Athletics — Commercial: $814.81 Campbell Scientific — Commercial: $814.81 Cigna — HMO: $814.81 Cigna — PPO/EPO: $814.81 Corporation of the President — Workers Comp: $729.04 CorVel Corporation — Workers Comp: $729.04 Deseret Mutual — All Other: $814.81
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Biopsy of prostate	Not listed in the file	Not listed in the file	$125.21
Prostate biopsy: 10 of 13 insurance plan rates Aetna — Medicare Adv HMO: $125.21 Aetna — Medicare Adv PPO: $125.21 American Health — Medicare Adv UT HMO I-SNP: $125.21 Blue Cross of Idaho — Medicare ID True Blue: $125.21 Health Partners of Nevada — Medicare Advantage: $125.21 Humana — Medicare Choice PPO: $125.21 Molina — Medicare Choice Care HMO: $125.21 Molina — Medicare Complete Care HMO SNP: $125.21 Regence BCBS — Idaho UT Svc: $125.21 SelectHealth — Medicare Advantage: $125.21
Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Outpatient (no overnight stay) · Doctor (professional) fee · modifier 78 In the file: Laps surg prst8ect rpbic rad	Not listed in the file	Not listed in the file	$958.41
Prostate removal by laparoscope (radical prostatectomy): 10 of 13 insurance plan rates Aetna — Medicare Adv HMO: $958.41 Aetna — Medicare Adv PPO: $958.41 American Health — Medicare Adv UT HMO I-SNP: $958.41 Blue Cross of Idaho — Medicare ID True Blue: $958.41 Health Partners of Nevada — Medicare Advantage: $958.41 Humana — Medicare Choice PPO: $958.41 Molina — Medicare Choice Care HMO: $958.41 Molina — Medicare Complete Care HMO SNP: $958.41 Regence BCBS — Idaho UT Svc: $958.41 SelectHealth — Medicare Advantage: $958.41
Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Outpatient (no overnight stay) · Doctor (professional) fee · modifier 80\|81\|82 In the file: Laps surg prst8ect rpbic rad	Not listed in the file	Not listed in the file	$184.75
Prostate removal by laparoscope (radical prostatectomy): 10 of 13 insurance plan rates Aetna — Medicare Adv HMO: $184.75 Aetna — Medicare Adv PPO: $184.75 American Health — Medicare Adv UT HMO I-SNP: $184.75 Blue Cross of Idaho — Medicare ID True Blue: $184.75 Health Partners of Nevada — Medicare Advantage: $184.75 Humana — Medicare Choice PPO: $184.75 Molina — Medicare Choice Care HMO: $184.75 Molina — Medicare Complete Care HMO SNP: $184.75 Regence BCBS — Idaho UT Svc: $184.75 SelectHealth — Medicare Advantage: $184.75
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Hysteroscopy biopsy	Not listed in the file	Not listed in the file	$2,932.81 – $6,290
Hysteroscopy with biopsy of the uterus lining: 10 of 13 insurance plan rates Blue Cross of Idaho — Exchange: $2,932.81 Blue Cross of Idaho — Traditional/PPO: $3,611.56 BYU Athletics — Commercial: $6,290 Deseret Mutual — All Other: $6,290 Deseret Mutual — Select: $6,290 PEHP — All Plans: $5,824 PEHP — Capital Care: $6,290 PEHP — Summit Exclusive: $6,290 Regence — Blue Shield ID: $5,824 SelectHealth — All Plans: $6,290
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) · Doctor (professional) fee · modifier 62 In the file: Hysteroscopy biopsy	Not listed in the file	Not listed in the file	$139.65
Hysteroscopy with biopsy of the uterus lining: 10 of 13 insurance plan rates Aetna — Medicare Adv HMO: $139.65 Aetna — Medicare Adv PPO: $139.65 American Health — Medicare Adv UT HMO I-SNP: $139.65 Blue Cross of Idaho — Medicare ID True Blue: $139.65 Health Partners of Nevada — Medicare Advantage: $139.65 Humana — Medicare Choice PPO: $139.65 Molina — Medicare Choice Care HMO: $139.65 Molina — Medicare Complete Care HMO SNP: $139.65 Regence BCBS — Idaho UT Svc: $139.65 SelectHealth — Medicare Advantage: $139.65
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC INJ DX/THER INTRALAMINAR LUMBAR/SACRAL W/IMAGING	$2,367.38	$1,775.54	$710.21 – $2,249.01
Spinal injection, lower back (epidural), with imaging guidance: 10 of 61 insurance plan rates Aetna — Medicare Adv HMO: $710.21 Aetna — Medicare Adv PPO: $710.21 Aetna — Standard: $2,249.01 American Health — Medicare Adv UT HMO I-SNP: $710.21 Blue Cross of Idaho — Exchange: $2,136.56 Blue Cross of Idaho — Medicare ID True Blue: $710.21 Blue Cross of Idaho — Traditional/PPO: $2,249.01 BYU Athletics — Commercial: $2,249.01 Campbell Scientific — Commercial: $2,249.01 Cigna — HMO: $2,249.01
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC INJ DX/THER INTRALAMINAR LUMBAR/SACRAL W/IMAGING	$2,367.38	$1,775.54	$1,799.21 – $2,249.01
Spinal injection, lower back (epidural), with imaging guidance: 10 of 48 insurance plan rates Aetna — Standard: $2,249.01 Blue Cross of Idaho — Exchange: $1,799.21 Blue Cross of Idaho — Traditional/PPO: $1,893.90 BYU Athletics — Commercial: $2,249.01 Campbell Scientific — Commercial: $2,249.01 Cigna — HMO: $2,249.01 Cigna — PPO/EPO: $2,249.01 Corporation of the President — Workers Comp: $2,012.27 CorVel Corporation — Workers Comp: $2,012.27 Deseret Mutual — All Other: $2,249.01
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Njx interlaminar lmbr/sac	Not listed in the file	Not listed in the file	$95.77
Spinal injection, lower back (epidural), with imaging guidance: 10 of 13 insurance plan rates Aetna — Medicare Adv HMO: $95.77 Aetna — Medicare Adv PPO: $95.77 American Health — Medicare Adv UT HMO I-SNP: $95.77 Blue Cross of Idaho — Medicare ID True Blue: $95.77 Health Partners of Nevada — Medicare Advantage: $95.77 Humana — Medicare Choice PPO: $95.77 Molina — Medicare Choice Care HMO: $95.77 Molina — Medicare Complete Care HMO SNP: $95.77 Regence BCBS — Idaho UT Svc: $95.77 SelectHealth — Medicare Advantage: $95.77
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC INJ ANES/STRD W/IMG TFRML EDRL LMBR/SAC 1 LVL	$1,623.39	$1,217.54	$487.02 – $1,542.22
Nerve root injection, lower back, with imaging guidance: 10 of 61 insurance plan rates Aetna — Medicare Adv HMO: $487.02 Aetna — Medicare Adv PPO: $487.02 Aetna — Standard: $1,542.22 American Health — Medicare Adv UT HMO I-SNP: $487.02 Blue Cross of Idaho — Exchange: $1,465.11 Blue Cross of Idaho — Medicare ID True Blue: $487.02 Blue Cross of Idaho — Traditional/PPO: $1,542.22 BYU Athletics — Commercial: $1,542.22 Campbell Scientific — Commercial: $1,542.22 Cigna — HMO: $1,542.22
Nerve root injection, lower back, with imaging guidance CPT 64483 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC INJ ANES/STRD W/IMG TFRML EDRL LMBR/SAC 1 LVL	$1,623.39	$1,217.54	$1,233.78 – $1,542.22
Nerve root injection, lower back, with imaging guidance: 10 of 48 insurance plan rates Aetna — Standard: $1,542.22 Blue Cross of Idaho — Exchange: $1,233.78 Blue Cross of Idaho — Traditional/PPO: $1,298.71 BYU Athletics — Commercial: $1,542.22 Campbell Scientific — Commercial: $1,542.22 Cigna — HMO: $1,542.22 Cigna — PPO/EPO: $1,542.22 Corporation of the President — Workers Comp: $1,379.88 CorVel Corporation — Workers Comp: $1,379.88 Deseret Mutual — All Other: $1,542.22
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Njx aa&/strd tfrm epi l/s 1	Not listed in the file	Not listed in the file	$983
Nerve root injection, lower back, with imaging guidance: rates for 1 insurance plan St Lukes HP — Commercial: $983
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Carpal tunnel surgery	Not listed in the file	Not listed in the file	$1,867 – $2,419.85
Carpal tunnel release: rates for 3 insurance plans Blue Cross of Idaho — Exchange: $2,210.44 Blue Cross of Idaho — Traditional/PPO: $2,419.85 St Lukes HP — Commercial: $1,867
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) · Doctor (professional) fee · modifier 50 In the file: Carpal tunnel surgery	Not listed in the file	Not listed in the file	$637.01
Carpal tunnel release: 10 of 13 insurance plan rates Aetna — Medicare Adv HMO: $637.01 Aetna — Medicare Adv PPO: $637.01 American Health — Medicare Adv UT HMO I-SNP: $637.01 Blue Cross of Idaho — Medicare ID True Blue: $637.01 Health Partners of Nevada — Medicare Advantage: $637.01 Humana — Medicare Choice PPO: $637.01 Molina — Medicare Choice Care HMO: $637.01 Molina — Medicare Complete Care HMO SNP: $637.01 Regence BCBS — Idaho UT Svc: $637.01 SelectHealth — Medicare Advantage: $637.01
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) · Doctor (professional) fee · modifier 78 In the file: Carpal tunnel surgery	Not listed in the file	Not listed in the file	$322.75
Carpal tunnel release: 10 of 13 insurance plan rates Aetna — Medicare Adv HMO: $322.75 Aetna — Medicare Adv PPO: $322.75 American Health — Medicare Adv UT HMO I-SNP: $322.75 Blue Cross of Idaho — Medicare ID True Blue: $322.75 Health Partners of Nevada — Medicare Advantage: $322.75 Humana — Medicare Choice PPO: $322.75 Molina — Medicare Choice Care HMO: $322.75 Molina — Medicare Complete Care HMO SNP: $322.75 Regence BCBS — Idaho UT Svc: $322.75 SelectHealth — Medicare Advantage: $322.75
Laser treatment of clouding after cataract surgery CPT 66821 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC AFTER CATARACT LASER SURGERY	$1,312.17	$984.13	$393.65 – $1,246.56
Laser treatment of clouding after cataract surgery: 10 of 61 insurance plan rates Aetna — Medicare Adv HMO: $393.65 Aetna — Medicare Adv PPO: $393.65 Aetna — Standard: $1,246.56 American Health — Medicare Adv UT HMO I-SNP: $393.65 Blue Cross of Idaho — Exchange: $1,184.23 Blue Cross of Idaho — Medicare ID True Blue: $393.65 Blue Cross of Idaho — Traditional/PPO: $1,246.56 BYU Athletics — Commercial: $1,246.56 Campbell Scientific — Commercial: $1,246.56 Cigna — HMO: $1,246.56
Laser treatment of clouding after cataract surgery CPT 66821 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC AFTER CATARACT LASER SURGERY	$1,312.17	$984.13	$997.25 – $1,246.56
Laser treatment of clouding after cataract surgery: 10 of 48 insurance plan rates Aetna — Standard: $1,246.56 Blue Cross of Idaho — Exchange: $997.25 Blue Cross of Idaho — Traditional/PPO: $1,049.74 BYU Athletics — Commercial: $1,246.56 Campbell Scientific — Commercial: $1,246.56 Cigna — HMO: $1,246.56 Cigna — PPO/EPO: $1,246.56 Corporation of the President — Workers Comp: $1,115.34 CorVel Corporation — Workers Comp: $1,115.34 Deseret Mutual — All Other: $1,246.56
Laser treatment of clouding after cataract surgery CPT 66821 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: After cataract laser surgery	Not listed in the file	Not listed in the file	$627
Laser treatment of clouding after cataract surgery: rates for 1 insurance plan St Lukes HP — Commercial: $627
Cataract removal with lens implant CPT 66984 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Xcapsl ctrc rmvl w/o ecp	Not listed in the file	Not listed in the file	$2,462 – $4,182
Cataract removal with lens implant: 10 of 12 insurance plan rates BYU Athletics — Commercial: $4,182 Deseret Mutual — All Other: $4,182 Deseret Mutual — Select: $4,182 PEHP — All Plans: $3,819 PEHP — Capital Care: $4,182 PEHP — Summit Exclusive: $4,182 Regence — Blue Shield ID: $3,819 St Lukes HP — Commercial: $2,462 UHC — Charter: $4,182 UHC — Non-Options PPO: $4,182
Cataract removal with lens implant CPT 66984 · Outpatient (no overnight stay) · Doctor (professional) fee · modifier 50 In the file: Xcapsl ctrc rmvl w/o ecp	Not listed in the file	Not listed in the file	$778.58
Cataract removal with lens implant: 10 of 13 insurance plan rates Aetna — Medicare Adv HMO: $778.58 Aetna — Medicare Adv PPO: $778.58 American Health — Medicare Adv UT HMO I-SNP: $778.58 Blue Cross of Idaho — Medicare ID True Blue: $778.58 Health Partners of Nevada — Medicare Advantage: $778.58 Humana — Medicare Choice PPO: $778.58 Molina — Medicare Choice Care HMO: $778.58 Molina — Medicare Complete Care HMO SNP: $778.58 Regence BCBS — Idaho UT Svc: $778.58 SelectHealth — Medicare Advantage: $778.58
Cataract removal with lens implant CPT 66984 · Outpatient (no overnight stay) · Doctor (professional) fee · modifier 78 In the file: Xcapsl ctrc rmvl w/o ecp	Not listed in the file	Not listed in the file	$363.34
Cataract removal with lens implant: 10 of 13 insurance plan rates Aetna — Medicare Adv HMO: $363.34 Aetna — Medicare Adv PPO: $363.34 American Health — Medicare Adv UT HMO I-SNP: $363.34 Blue Cross of Idaho — Medicare ID True Blue: $363.34 Health Partners of Nevada — Medicare Advantage: $363.34 Humana — Medicare Choice PPO: $363.34 Molina — Medicare Choice Care HMO: $363.34 Molina — Medicare Complete Care HMO SNP: $363.34 Regence BCBS — Idaho UT Svc: $363.34 SelectHealth — Medicare Advantage: $363.34

Pregnancy and childbirth

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Vaginal delivery, with care before and after CPT 59400 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Obstetrical care	Not listed in the file	Not listed in the file	$2,326.99
Vaginal delivery, with care before and after: 10 of 13 insurance plan rates Aetna — Medicare Adv HMO: $2,326.99 Aetna — Medicare Adv PPO: $2,326.99 American Health — Medicare Adv UT HMO I-SNP: $2,326.99 Blue Cross of Idaho — Medicare ID True Blue: $2,326.99 Health Partners of Nevada — Medicare Advantage: $2,326.99 Humana — Medicare Choice PPO: $2,326.99 Molina — Medicare Choice Care HMO: $2,326.99 Molina — Medicare Complete Care HMO SNP: $2,326.99 Regence BCBS — Idaho UT Svc: $2,326.99 SelectHealth — Medicare Advantage: $2,326.99
Cesarean delivery (C-section), with care before and after CPT 59510 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Cesarean delivery	Not listed in the file	Not listed in the file	$2,572.16
Cesarean delivery (C-section), with care before and after: 10 of 13 insurance plan rates Aetna — Medicare Adv HMO: $2,572.16 Aetna — Medicare Adv PPO: $2,572.16 American Health — Medicare Adv UT HMO I-SNP: $2,572.16 Blue Cross of Idaho — Medicare ID True Blue: $2,572.16 Health Partners of Nevada — Medicare Advantage: $2,572.16 Humana — Medicare Choice PPO: $2,572.16 Molina — Medicare Choice Care HMO: $2,572.16 Molina — Medicare Complete Care HMO SNP: $2,572.16 Regence BCBS — Idaho UT Svc: $2,572.16 SelectHealth — Medicare Advantage: $2,572.16
Vaginal delivery after a previous C-section, with care before and after CPT 59610 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Vbac delivery	Not listed in the file	Not listed in the file	$2,434.98
Vaginal delivery after a previous C-section, with care before and after: 10 of 13 insurance plan rates Aetna — Medicare Adv HMO: $2,434.98 Aetna — Medicare Adv PPO: $2,434.98 American Health — Medicare Adv UT HMO I-SNP: $2,434.98 Blue Cross of Idaho — Medicare ID True Blue: $2,434.98 Health Partners of Nevada — Medicare Advantage: $2,434.98 Humana — Medicare Choice PPO: $2,434.98 Molina — Medicare Choice Care HMO: $2,434.98 Molina — Medicare Complete Care HMO SNP: $2,434.98 Regence BCBS — Idaho UT Svc: $2,434.98 SelectHealth — Medicare Advantage: $2,434.98

Source: Cassia Regional Hospital’s standard charges file (intermountainhealthcare.org, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on August 5, 2026; retrieved November 5, 2026. The hospital’s price transparency page →

Found through the hospital’s cms-hpt.txt file, as required by the federal hospital price transparency rule (CMS). We show a selection of common services; the file has every item and service.

Hospital information

Hospital type	Critical Access Hospital
Address	1501 Hiland Avenue, Burley, ID 83318
County	Cassia County
State	Idaho
Phone	(208) 678‑4444
Emergency services	Yes
Ownership	Voluntary non-profit - Private
Medicare overall rating	3 of 5 stars
Birthing-friendly designation	Yes (meets CMS criteria)
CMS Certification Number	131326
Name in Medicare records	CASSIA REGIONAL HOSPITAL
Profile level	Medicare data + hospital website
Official website	intermountainhealth.org
Corrections	Report an error or suggest an update →

Sources

Hospital General Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-07-22, retrieved 2026-10-29
Medicare Care Compare — official Medicare profile of this hospital
U.S. Census Bureau Geocoder — map position used for distances

From the hospital’s website

Numbers match the citations above. Checked 2026-11-02.

Cassia Regional Hospital | Intermountain Health – Burley, Idaho — intermountainhealth.org
About Cassia Regional Hospital — intermountainhealth.org
Cassia Regional Hospital - Medical Services — intermountainhealth.org

Cassia Regional Hospital

Summary

Profile from official sources

At a glance