Does St Luke's Wood River Medical Center have an emergency room?

Yes. Medicare (CMS) data lists emergency services at St Luke's Wood River Medical Center. In a medical emergency, call 911.

Where is St Luke's Wood River Medical Center?

100 Hospital Drive, Ketchum, ID 83340, in Blaine County, Idaho.

What is the phone number of St Luke's Wood River Medical Center?

(208) 727-8800, as listed by Medicare (CMS).

What is the Medicare star rating of St Luke's Wood River Medical Center?

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

St Luke's Wood River Medical Center

Quick answers

Does St Luke's Wood River Medical Center have an emergency room?: Yes. Medicare (CMS) data lists emergency services at St Luke's Wood River Medical Center. In a medical emergency, call 911.
Where is St Luke's Wood River Medical Center?: 100 Hospital Drive, Ketchum, ID 83340, in Blaine County, Idaho.
What is the phone number of St Luke's Wood River Medical Center?: (208) 727-8800, as listed by Medicare (CMS).
What is the Medicare star rating of St Luke's Wood River Medical Center?: 4 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-07-22).

Specialties and care areas^[4][6]

Emergency medicine
Surgery (inpatient and outpatient)
Diagnostic imaging
Maternity services
Physical therapy
Occupational therapy
Critical care (intensive care)
Orthopedics (on call to the ED)

Treatments^[4][6]

Physical therapy
Occupational therapy
Infusion services
Emergency care
Sexual assault evidence collection

Procedures^[4]

Inpatient and outpatient surgery
Diagnostic imaging
Screening mammography

Programs and centers^[4][5][6]

Maternity services
Intensive care
Medical/surgical units
Emergency department
24-hour emergency department
Virtual specialist support for the emergency department
Sliding fee schedule (National Health Service Corps)

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

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

Visiting and practical information

Visiting	Unlimited visitors permitted, but two to three at a time preferred; two recommended in inpatient, OB and ED areas. Masks optional unless noted^[8]
Parking	A campus and parking map (PDF) is linked from the hospital page; no parking fee or hours are stated^[4]
Interpreters and languages	Qualified ASL and spoken-language interpreters available 24/7 at no cost, by video, phone or in person (system-wide page)^[7]
Patient portal	MyChart

Recognition^[6]

Level IV Trauma Center (Idaho State Time Sensitive Emergencies Council)
National Health Service Corps (NHSC) member

Doctors and clinicians (317)

317 doctors and other clinicians list St Luke's Wood River Medical Center 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

Doctors with a page on this site (317)

Aaron J. Moos, MDObstetrics/Gynecology
Abigail Allman, MDFamily Practice
Abigail M. MalloryRegistered Dietitian or Nutrition Professional
Adam C. Matthews, DPMPodiatry
Adam M. Robison, MDHospitalist
Adam S. Maxfield, MDDiagnostic Radiology
Alec Meyerhoeffer, PAPhysician Assistant
Alexander B. Griffin, MDDiagnostic Radiology
Alexis E. Shanahan, MDHospitalist
Alice E. Winter, PAPhysician Assistant
Alisa Barnes, PAPhysician Assistant
Alison J. Burpee, CSWClinical Social Worker
Alison R. Kinsler, MDOrthopedic Surgery
Amanda J. Allaire, NPNurse Practitioner
Amanda J. Prestigiacomo, NPNurse Practitioner
Amber Vanderbeek, CSWClinical Social Worker
Amra Suljevic, NPNurse Practitioner
Amy C. Drumm, MDFamily Practice
Amy M. Klingler, PAPhysician Assistant
Andrew A. Peterson, MDInterventional Radiology
Andrew D. Reger, DOPulmonary Disease
Anna Vertkin, MDGastroenterology
Anthony M. Buoncristiani, MDOrthopedic Surgery
Ariel M. Geffen, CNACertified Registered Nurse Anesthetist (CRNA)

And 293 more: the button below opens the full list.

Other emergency rooms nearby

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

North Canyon Medical Center52 mi · Gooding, ID · Critical Access Hospital
Lost Rivers Medical Center53 mi · Arco, ID · Critical Access Hospital
St Luke's Jerome64 mi · Jerome, ID · Critical Access Hospital
St Lukes Magic Valley Medical Center73 mi · Twin Falls, ID · Acute Care Hospital
St Luke's Elmore Medical Center76 mi · Mountain Home, ID · Critical Access Hospital

Other hospitals nearby

Minidoka Memorial Hospital79 mi · Rupert, ID · Critical Access 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

The Cove of Cascadia13 mi · Bellevue, ID · 4 of 5 stars

All nursing homes 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 - Bellevue Medical, Dental Clinic & Behavioral Health Clinic13 mi · Bellevue, ID · Community health center
FHS Bellevue Co. Response Office13 mi · Bellevue, ID · Community health center

Clinics and urgent care

Sterling Provider Group7.7 mi · Hailey, ID · Rural health clinic

Pharmacies

Albertsons LLC7.7 mi · Hailey, ID · Community/retail pharmacy
Atkinsons Market, Inc7.7 mi · Hailey, ID · Community/retail pharmacy
Luke Family Pharmacy LLC7.7 mi · Hailey, ID · Pharmacy

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 St Luke's Wood River Medical Center 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)	5 of 5 stars
Overall rating of the hospital	4 of 5 stars
Would recommend the hospital	5 of 5 stars
Nurses communicated well	5 of 5 stars
Doctors communicated well	5 of 5 stars
Staff explained medicines	4 of 5 stars
Information about recovery at home	5 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	84%National average: 72%
Would definitely recommend the hospital	81%National average: 71%
Nurses “always” communicated well	85%National average: 80%
Doctors “always” communicated well	87%National average: 80%
Staff “always” explained medicines before giving them	67%National average: 62%
Were given information about recovery at home	92%National average: 86%
Room and bathroom “always” clean	79%National average: 74%
Area around the room “always” quiet at night	66%National average: 60%
Completed surveys	205Response rate: 30%

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	1.61No 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	10.4%
Deaths within 30 days: pneumonia patients	15%
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	20.9%
Readmitted within 30 days: pneumonia	17.6%
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)	140 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)	Not reported to Medicare

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 74 common services exactly as St Luke's Wood River Medical Center 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)
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient or outpatient In the file: Established patient office or other outpatient visit, 20-29 minutes	$322	$322	$183.54 – $312.34
Established patient office visit (about 20–29 minutes): 10 of 32 insurance plan rates AETNA [1021] — HB WR BP AETNA: $305.90 BLUE CROSS/MEDICARE ADVANTAGE [1009] — HB WR BCI TRUE & SECURE MED ADV: $185.38 COMMERCIAL [1028] — HB WR AMPS: $273.70 COMMERCIAL [1028] — HB WR BP AETNA: $305.90 COMMERCIAL [1028] — HB WR CCN FIRST HEALTH: $312.34 COMMERCIAL [1028] — HB WR CHRISTIAN HEALTH AID: $273.70 COMMERCIAL [1028] — HB WR FIRST CHOICE HEALTH: $305.90 COMMERCIAL [1028] — HB WR MODA COMMERCIAL: $283.36 COMMERCIAL [1028] — HB WR MULTIPLAN PRIMARY NETWORK: $257.60 COMMERCIAL [1028] — HB WR NORTHERN NEVADA LABORERS TRUST: $289.80
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient or outpatient · modifier 50 In the file: Established patient office or other outpatient visit, 20-29 minutes\|BILATERAL PROCEDURE	$644	$644	$367.08 – $624.68
Established patient office visit (about 20–29 minutes): 10 of 32 insurance plan rates AETNA [1021] — HB WR BP AETNA: $611.80 BLUE CROSS/MEDICARE ADVANTAGE [1009] — HB WR BCI TRUE & SECURE MED ADV: $370.75 COMMERCIAL [1028] — HB WR AMPS: $547.40 COMMERCIAL [1028] — HB WR BP AETNA: $611.80 COMMERCIAL [1028] — HB WR CCN FIRST HEALTH: $624.68 COMMERCIAL [1028] — HB WR CHRISTIAN HEALTH AID: $547.40 COMMERCIAL [1028] — HB WR FIRST CHOICE HEALTH: $611.80 COMMERCIAL [1028] — HB WR MODA COMMERCIAL: $566.72 COMMERCIAL [1028] — HB WR MULTIPLAN PRIMARY NETWORK: $515.20 COMMERCIAL [1028] — HB WR NORTHERN NEVADA LABORERS TRUST: $579.60
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient or outpatient In the file: Established patient office or other outpatient visit, 30-39 minutes	$354	$354	$201.78 – $343.38
Established patient office visit (about 30–39 minutes): 10 of 32 insurance plan rates AETNA [1021] — HB WR BP AETNA: $336.30 BLUE CROSS/MEDICARE ADVANTAGE [1009] — HB WR BCI TRUE & SECURE MED ADV: $203.80 COMMERCIAL [1028] — HB WR AMPS: $300.90 COMMERCIAL [1028] — HB WR BP AETNA: $336.30 COMMERCIAL [1028] — HB WR CCN FIRST HEALTH: $343.38 COMMERCIAL [1028] — HB WR CHRISTIAN HEALTH AID: $300.90 COMMERCIAL [1028] — HB WR FIRST CHOICE HEALTH: $336.30 COMMERCIAL [1028] — HB WR MODA COMMERCIAL: $311.52 COMMERCIAL [1028] — HB WR MULTIPLAN PRIMARY NETWORK: $283.20 COMMERCIAL [1028] — HB WR NORTHERN NEVADA LABORERS TRUST: $318.60
Preventive checkup, new patient, age 18–39 CPT 99385 · Inpatient or outpatient In the file: Initial new patient preventive medicine evaluation (18-39 years)	$428	$428	$243.96 – $415.16
Preventive checkup, new patient, age 18–39: 10 of 36 insurance plan rates AETNA [1021] — HB WR AETNA TRINITY HEALTH (ST AL'S): $385.20 AETNA [1021] — HB WR BP AETNA: $406.60 BLUE CROSS/MEDICARE ADVANTAGE [1009] — HB WR BCI TRUE & SECURE MED ADV: $246.40 CIGNA [1062] — HB WR CIGNA: $398.04 COMMERCIAL [1028] — HB WR AMPS: $363.80 COMMERCIAL [1028] — HB WR BP AETNA: $406.60 COMMERCIAL [1028] — HB WR CCN FIRST HEALTH: $415.16 COMMERCIAL [1028] — HB WR CHRISTIAN HEALTH AID: $363.80 COMMERCIAL [1028] — HB WR CIGNA: $398.04 COMMERCIAL [1028] — HB WR FIRST CHOICE HEALTH: $406.60
Preventive checkup, new patient, age 18–39 CPT 99385 · Inpatient (hospital stay) In the file: Initial new patient preventive medicine evaluation (18-39 years)	$428	$428	$365.94
Preventive checkup, new patient, age 18–39: rates for 3 insurance plans BLUE CROSS FEDERAL [1008] — HB WR BCI PPO FEP: $365.94 BLUE CROSS IDAHO [1007] — HB WR BCI PPO FEP: $365.94 BLUE CROSS OUT OF STATE [1041] — HB WR BCI PPO FEP: $365.94
Preventive checkup, new patient, age 18–39 CPT 99385 · Outpatient (no overnight stay) In the file: Initial new patient preventive medicine evaluation (18-39 years)	$428	$428	$408
Preventive checkup, new patient, age 18–39: rates for 3 insurance plans BLUE CROSS FEDERAL [1008] — HB WR BCI PPO FEP: $408 BLUE CROSS IDAHO [1007] — HB WR BCI PPO FEP: $408 BLUE CROSS OUT OF STATE [1041] — HB WR BCI PPO FEP: $408
Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient In the file: HC Emergency Rm- Advanced	$1,204	$1,204	$686.28 – $1,167.88
Emergency room visit (moderate): 10 of 36 insurance plan rates AETNA [1021] — HB WR AETNA TRINITY HEALTH (ST AL'S): $1,083.60 AETNA [1021] — HB WR BP AETNA: $1,143.80 BLUE CROSS/MEDICARE ADVANTAGE [1009] — HB WR BCI TRUE & SECURE MED ADV: $693.14 CIGNA [1062] — HB WR CIGNA: $1,119.72 COMMERCIAL [1028] — HB WR AMPS: $1,023.40 COMMERCIAL [1028] — HB WR BP AETNA: $1,143.80 COMMERCIAL [1028] — HB WR CCN FIRST HEALTH: $1,167.88 COMMERCIAL [1028] — HB WR CHRISTIAN HEALTH AID: $1,023.40 COMMERCIAL [1028] — HB WR CIGNA: $1,119.72 COMMERCIAL [1028] — HB WR FIRST CHOICE HEALTH: $1,143.80
Emergency room visit (moderate) CPT 99283 · Inpatient (hospital stay) In the file: HC Emergency Rm- Advanced	$1,204	$1,204	$1,029.42
Emergency room visit (moderate): rates for 3 insurance plans BLUE CROSS FEDERAL [1008] — HB WR BCI PPO FEP: $1,029.42 BLUE CROSS IDAHO [1007] — HB WR BCI PPO FEP: $1,029.42 BLUE CROSS OUT OF STATE [1041] — HB WR BCI PPO FEP: $1,029.42
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) In the file: HC Emergency Rm- Advanced	$1,204	$1,204	$968.34
Emergency room visit (moderate): rates for 3 insurance plans BLUE CROSS FEDERAL [1008] — HB WR BCI PPO FEP: $968.34 BLUE CROSS IDAHO [1007] — HB WR BCI PPO FEP: $968.34 BLUE CROSS OUT OF STATE [1041] — HB WR BCI PPO FEP: $968.34
Emergency room visit (moderately high) CPT 99284 · Inpatient or outpatient In the file: HC Emergency Rm - Comprehensive	$1,851	$1,851	$1,055.07 – $1,795.47
Emergency room visit (moderately high): 10 of 36 insurance plan rates AETNA [1021] — HB WR AETNA TRINITY HEALTH (ST AL'S): $1,665.90 AETNA [1021] — HB WR BP AETNA: $1,758.45 BLUE CROSS/MEDICARE ADVANTAGE [1009] — HB WR BCI TRUE & SECURE MED ADV: $1,065.62 CIGNA [1062] — HB WR CIGNA: $1,721.43 COMMERCIAL [1028] — HB WR AMPS: $1,573.35 COMMERCIAL [1028] — HB WR BP AETNA: $1,758.45 COMMERCIAL [1028] — HB WR CCN FIRST HEALTH: $1,795.47 COMMERCIAL [1028] — HB WR CHRISTIAN HEALTH AID: $1,573.35 COMMERCIAL [1028] — HB WR CIGNA: $1,721.43 COMMERCIAL [1028] — HB WR FIRST CHOICE HEALTH: $1,758.45
Emergency room visit (moderately high) CPT 99284 · Inpatient (hospital stay) In the file: HC Emergency Rm - Comprehensive	$1,851	$1,851	$1,582.61
Emergency room visit (moderately high): rates for 3 insurance plans BLUE CROSS FEDERAL [1008] — HB WR BCI PPO FEP: $1,582.61 BLUE CROSS IDAHO [1007] — HB WR BCI PPO FEP: $1,582.61 BLUE CROSS OUT OF STATE [1041] — HB WR BCI PPO FEP: $1,582.61
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) In the file: HC Emergency Rm - Comprehensive	$1,851	$1,851	$1,489.63
Emergency room visit (moderately high): rates for 3 insurance plans BLUE CROSS FEDERAL [1008] — HB WR BCI PPO FEP: $1,489.63 BLUE CROSS IDAHO [1007] — HB WR BCI PPO FEP: $1,489.63 BLUE CROSS OUT OF STATE [1041] — HB WR BCI PPO FEP: $1,489.63
Emergency room visit (high) CPT 99285 · Inpatient or outpatient In the file: HC Emergency Rm - Complex	$2,665	$2,665	$1,519.05 – $2,585.05
Emergency room visit (high): 10 of 36 insurance plan rates AETNA [1021] — HB WR AETNA TRINITY HEALTH (ST AL'S): $2,398.50 AETNA [1021] — HB WR BP AETNA: $2,531.75 BLUE CROSS/MEDICARE ADVANTAGE [1009] — HB WR BCI TRUE & SECURE MED ADV: $1,534.24 CIGNA [1062] — HB WR CIGNA: $2,478.45 COMMERCIAL [1028] — HB WR AMPS: $2,265.25 COMMERCIAL [1028] — HB WR BP AETNA: $2,531.75 COMMERCIAL [1028] — HB WR CCN FIRST HEALTH: $2,585.05 COMMERCIAL [1028] — HB WR CHRISTIAN HEALTH AID: $2,265.25 COMMERCIAL [1028] — HB WR CIGNA: $2,478.45 COMMERCIAL [1028] — HB WR FIRST CHOICE HEALTH: $2,531.75
Emergency room visit (high) CPT 99285 · Inpatient (hospital stay) In the file: HC Emergency Rm - Complex	$2,665	$2,665	$2,278.58
Emergency room visit (high): rates for 3 insurance plans BLUE CROSS FEDERAL [1008] — HB WR BCI PPO FEP: $2,278.58 BLUE CROSS IDAHO [1007] — HB WR BCI PPO FEP: $2,278.58 BLUE CROSS OUT OF STATE [1041] — HB WR BCI PPO FEP: $2,278.58
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) In the file: HC Emergency Rm - Complex	$2,665	$2,665	$2,144.35
Emergency room visit (high): rates for 3 insurance plans BLUE CROSS FEDERAL [1008] — HB WR BCI PPO FEP: $2,144.35 BLUE CROSS IDAHO [1007] — HB WR BCI PPO FEP: $2,144.35 BLUE CROSS OUT OF STATE [1041] — HB WR BCI PPO FEP: $2,144.35

Lab tests

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Inpatient (hospital stay) In the file: Blood test, basic group of blood chemicals (Calcium, total)	$65	$65	$37.05 – $63.05
Basic metabolic panel (blood test): 10 of 39 insurance plan rates AETNA [1021] — HB WR AETNA TRINITY HEALTH (ST AL'S): $58.50 AETNA [1021] — HB WR BP AETNA: $61.75 BLUE CROSS FEDERAL [1008] — HB WR BCI PPO FEP: $55.58 BLUE CROSS IDAHO [1007] — HB WR BCI PPO FEP: $55.58 BLUE CROSS OUT OF STATE [1041] — HB WR BCI PPO FEP: $55.58 BLUE CROSS/MEDICARE ADVANTAGE [1009] — HB WR BCI TRUE & SECURE MED ADV: $37.42 CIGNA [1062] — HB WR CIGNA: $60.45 COMMERCIAL [1028] — HB WR AMPS: $55.25 COMMERCIAL [1028] — HB WR BP AETNA: $61.75 COMMERCIAL [1028] — HB WR CCN FIRST HEALTH: $63.05
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) In the file: Blood test, basic group of blood chemicals (Calcium, total)	$38	$38	$21.66 – $36.86
Basic metabolic panel (blood test): 10 of 39 insurance plan rates AETNA [1021] — HB WR AETNA TRINITY HEALTH (ST AL'S): $34.20 AETNA [1021] — HB WR BP AETNA: $36.10 BLUE CROSS FEDERAL [1008] — HB WR BCI PPO FEP: $32 BLUE CROSS IDAHO [1007] — HB WR BCI PPO FEP: $32 BLUE CROSS OUT OF STATE [1041] — HB WR BCI PPO FEP: $32 BLUE CROSS/MEDICARE ADVANTAGE [1009] — HB WR BCI TRUE & SECURE MED ADV: $21.88 CIGNA [1062] — HB WR CIGNA: $35.34 COMMERCIAL [1028] — HB WR AMPS: $32.30 COMMERCIAL [1028] — HB WR BP AETNA: $36.10 COMMERCIAL [1028] — HB WR CCN FIRST HEALTH: $36.86
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient (hospital stay) In the file: Blood test, comprehensive group of blood chemicals	$81	$81	$46.17 – $78.57
Comprehensive metabolic panel (blood test): 10 of 39 insurance plan rates AETNA [1021] — HB WR AETNA TRINITY HEALTH (ST AL'S): $72.90 AETNA [1021] — HB WR BP AETNA: $76.95 BLUE CROSS FEDERAL [1008] — HB WR BCI PPO FEP: $69.26 BLUE CROSS IDAHO [1007] — HB WR BCI PPO FEP: $69.26 BLUE CROSS OUT OF STATE [1041] — HB WR BCI PPO FEP: $69.26 BLUE CROSS/MEDICARE ADVANTAGE [1009] — HB WR BCI TRUE & SECURE MED ADV: $46.63 CIGNA [1062] — HB WR CIGNA: $75.33 COMMERCIAL [1028] — HB WR AMPS: $68.85 COMMERCIAL [1028] — HB WR BP AETNA: $76.95 COMMERCIAL [1028] — HB WR CCN FIRST HEALTH: $78.57
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) In the file: Blood test, comprehensive group of blood chemicals	$47	$47	$26.79 – $45.59
Comprehensive metabolic panel (blood test): 10 of 39 insurance plan rates AETNA [1021] — HB WR AETNA TRINITY HEALTH (ST AL'S): $42.30 AETNA [1021] — HB WR BP AETNA: $44.65 BLUE CROSS FEDERAL [1008] — HB WR BCI PPO FEP: $40 BLUE CROSS IDAHO [1007] — HB WR BCI PPO FEP: $40 BLUE CROSS OUT OF STATE [1041] — HB WR BCI PPO FEP: $40 BLUE CROSS/MEDICARE ADVANTAGE [1009] — HB WR BCI TRUE & SECURE MED ADV: $27.06 CIGNA [1062] — HB WR CIGNA: $43.71 COMMERCIAL [1028] — HB WR AMPS: $39.95 COMMERCIAL [1028] — HB WR BP AETNA: $44.65 COMMERCIAL [1028] — HB WR CCN FIRST HEALTH: $45.59
Cholesterol panel (lipid panel) CPT 80061 · Inpatient (hospital stay) In the file: Blood test, lipids (cholesterol and triglycerides)	$103	$103	$58.71 – $99.91
Cholesterol panel (lipid panel): 10 of 39 insurance plan rates AETNA [1021] — HB WR AETNA TRINITY HEALTH (ST AL'S): $92.70 AETNA [1021] — HB WR BP AETNA: $97.85 BLUE CROSS FEDERAL [1008] — HB WR BCI PPO FEP: $88.07 BLUE CROSS IDAHO [1007] — HB WR BCI PPO FEP: $88.07 BLUE CROSS OUT OF STATE [1041] — HB WR BCI PPO FEP: $88.07 BLUE CROSS/MEDICARE ADVANTAGE [1009] — HB WR BCI TRUE & SECURE MED ADV: $59.30 CIGNA [1062] — HB WR CIGNA: $95.79 COMMERCIAL [1028] — HB WR AMPS: $87.55 COMMERCIAL [1028] — HB WR BP AETNA: $97.85 COMMERCIAL [1028] — HB WR CCN FIRST HEALTH: $99.91
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) In the file: Blood test, lipids (cholesterol and triglycerides)	$60	$60	$34.20 – $58.20
Cholesterol panel (lipid panel): 10 of 39 insurance plan rates AETNA [1021] — HB WR AETNA TRINITY HEALTH (ST AL'S): $54 AETNA [1021] — HB WR BP AETNA: $57 BLUE CROSS FEDERAL [1008] — HB WR BCI PPO FEP: $50 BLUE CROSS IDAHO [1007] — HB WR BCI PPO FEP: $50 BLUE CROSS OUT OF STATE [1041] — HB WR BCI PPO FEP: $50 BLUE CROSS/MEDICARE ADVANTAGE [1009] — HB WR BCI TRUE & SECURE MED ADV: $34.54 CIGNA [1062] — HB WR CIGNA: $55.80 COMMERCIAL [1028] — HB WR AMPS: $51 COMMERCIAL [1028] — HB WR BP AETNA: $57 COMMERCIAL [1028] — HB WR CCN FIRST HEALTH: $58.20
Cholesterol panel (lipid panel) CPT 80061 · Inpatient or outpatient In the file: HC Arup Panel Lipid Panel	$21.25	$21.25	$12.11 – $20.61
Cholesterol panel (lipid panel): 10 of 36 insurance plan rates AETNA [1021] — HB WR AETNA TRINITY HEALTH (ST AL'S): $19.13 AETNA [1021] — HB WR BP AETNA: $20.19 BLUE CROSS/MEDICARE ADVANTAGE [1009] — HB WR BCI TRUE & SECURE MED ADV: $12.23 CIGNA [1062] — HB WR CIGNA: $19.76 COMMERCIAL [1028] — HB WR AMPS: $18.06 COMMERCIAL [1028] — HB WR BP AETNA: $20.19 COMMERCIAL [1028] — HB WR CCN FIRST HEALTH: $20.61 COMMERCIAL [1028] — HB WR CHRISTIAN HEALTH AID: $18.06 COMMERCIAL [1028] — HB WR CIGNA: $19.76 COMMERCIAL [1028] — HB WR FIRST CHOICE HEALTH: $20.19
Kidney function panel CPT 80069 · Inpatient (hospital stay) In the file: Kidney function blood test panel	$67	$67	$38.19 – $64.99
Kidney function panel: 10 of 39 insurance plan rates AETNA [1021] — HB WR AETNA TRINITY HEALTH (ST AL'S): $60.30 AETNA [1021] — HB WR BP AETNA: $63.65 BLUE CROSS FEDERAL [1008] — HB WR BCI PPO FEP: $57.29 BLUE CROSS IDAHO [1007] — HB WR BCI PPO FEP: $57.29 BLUE CROSS OUT OF STATE [1041] — HB WR BCI PPO FEP: $57.29 BLUE CROSS/MEDICARE ADVANTAGE [1009] — HB WR BCI TRUE & SECURE MED ADV: $38.57 CIGNA [1062] — HB WR CIGNA: $62.31 COMMERCIAL [1028] — HB WR AMPS: $56.95 COMMERCIAL [1028] — HB WR BP AETNA: $63.65 COMMERCIAL [1028] — HB WR CCN FIRST HEALTH: $64.99
Kidney function panel CPT 80069 · Outpatient (no overnight stay) In the file: Kidney function blood test panel	$39	$39	$22.23 – $37.83
Kidney function panel: 10 of 39 insurance plan rates AETNA [1021] — HB WR AETNA TRINITY HEALTH (ST AL'S): $35.10 AETNA [1021] — HB WR BP AETNA: $37.05 BLUE CROSS FEDERAL [1008] — HB WR BCI PPO FEP: $33 BLUE CROSS IDAHO [1007] — HB WR BCI PPO FEP: $33 BLUE CROSS OUT OF STATE [1041] — HB WR BCI PPO FEP: $33 BLUE CROSS/MEDICARE ADVANTAGE [1009] — HB WR BCI TRUE & SECURE MED ADV: $22.45 CIGNA [1062] — HB WR CIGNA: $36.27 COMMERCIAL [1028] — HB WR AMPS: $33.15 COMMERCIAL [1028] — HB WR BP AETNA: $37.05 COMMERCIAL [1028] — HB WR CCN FIRST HEALTH: $37.83
Kidney function panel CPT 80069 · Outpatient (no overnight stay) · modifier PO In the file: Kidney function blood test panel\|SERV/PROC OFF CAMPUS PBD	$39	$39	$9.11
Kidney function panel: rates for 1 insurance plan MEDICARE ADVANTAGE UHC [1013] — HB WR AARP MED ADV: $9.11
Liver function panel CPT 80076 · Inpatient (hospital stay) In the file: Liver function blood test panel	$63	$63	$35.91 – $61.11
Liver function panel: 10 of 39 insurance plan rates AETNA [1021] — HB WR AETNA TRINITY HEALTH (ST AL'S): $56.70 AETNA [1021] — HB WR BP AETNA: $59.85 BLUE CROSS FEDERAL [1008] — HB WR BCI PPO FEP: $53.87 BLUE CROSS IDAHO [1007] — HB WR BCI PPO FEP: $53.87 BLUE CROSS OUT OF STATE [1041] — HB WR BCI PPO FEP: $53.87 BLUE CROSS/MEDICARE ADVANTAGE [1009] — HB WR BCI TRUE & SECURE MED ADV: $36.27 CIGNA [1062] — HB WR CIGNA: $58.59 COMMERCIAL [1028] — HB WR AMPS: $53.55 COMMERCIAL [1028] — HB WR BP AETNA: $59.85 COMMERCIAL [1028] — HB WR CCN FIRST HEALTH: $61.11
Liver function panel CPT 80076 · Outpatient (no overnight stay) In the file: Liver function blood test panel	$36	$36	$20.52 – $34.92
Liver function panel: 10 of 39 insurance plan rates AETNA [1021] — HB WR AETNA TRINITY HEALTH (ST AL'S): $32.40 AETNA [1021] — HB WR BP AETNA: $34.20 BLUE CROSS FEDERAL [1008] — HB WR BCI PPO FEP: $31 BLUE CROSS IDAHO [1007] — HB WR BCI PPO FEP: $31 BLUE CROSS OUT OF STATE [1041] — HB WR BCI PPO FEP: $31 BLUE CROSS/MEDICARE ADVANTAGE [1009] — HB WR BCI TRUE & SECURE MED ADV: $20.73 CIGNA [1062] — HB WR CIGNA: $33.48 COMMERCIAL [1028] — HB WR AMPS: $30.60 COMMERCIAL [1028] — HB WR BP AETNA: $34.20 COMMERCIAL [1028] — HB WR CCN FIRST HEALTH: $34.92
Liver function panel CPT 80076 · Outpatient (no overnight stay) · modifier PO In the file: Liver function blood test panel\|SERV/PROC OFF CAMPUS PBD	$36	$36	$8.58
Liver function panel: rates for 1 insurance plan MEDICARE ADVANTAGE UHC [1013] — HB WR AARP MED ADV: $8.58
Urine test (automated, with microscope) CPT 81001 · Inpatient (hospital stay) In the file: Manual urinalysis test with examination using microscope, automated	$24	$24	$13.68 – $23.28
Urine test (automated, with microscope): 10 of 39 insurance plan rates AETNA [1021] — HB WR AETNA TRINITY HEALTH (ST AL'S): $21.60 AETNA [1021] — HB WR BP AETNA: $22.80 BLUE CROSS FEDERAL [1008] — HB WR BCI PPO FEP: $20.52 BLUE CROSS IDAHO [1007] — HB WR BCI PPO FEP: $20.52 BLUE CROSS OUT OF STATE [1041] — HB WR BCI PPO FEP: $20.52 BLUE CROSS/MEDICARE ADVANTAGE [1009] — HB WR BCI TRUE & SECURE MED ADV: $13.82 CIGNA [1062] — HB WR CIGNA: $22.32 COMMERCIAL [1028] — HB WR AMPS: $20.40 COMMERCIAL [1028] — HB WR BP AETNA: $22.80 COMMERCIAL [1028] — HB WR CCN FIRST HEALTH: $23.28
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) In the file: Manual urinalysis test with examination using microscope, automated	$14	$14	$7.98 – $13.58
Urine test (automated, with microscope): 10 of 39 insurance plan rates AETNA [1021] — HB WR AETNA TRINITY HEALTH (ST AL'S): $12.60 AETNA [1021] — HB WR BP AETNA: $13.30 BLUE CROSS FEDERAL [1008] — HB WR BCI PPO FEP: $12 BLUE CROSS IDAHO [1007] — HB WR BCI PPO FEP: $12 BLUE CROSS OUT OF STATE [1041] — HB WR BCI PPO FEP: $12 BLUE CROSS/MEDICARE ADVANTAGE [1009] — HB WR BCI TRUE & SECURE MED ADV: $8.06 CIGNA [1062] — HB WR CIGNA: $13.02 COMMERCIAL [1028] — HB WR AMPS: $11.90 COMMERCIAL [1028] — HB WR BP AETNA: $13.30 COMMERCIAL [1028] — HB WR CCN FIRST HEALTH: $13.58
Urine test (manual, without microscope) CPT 81002 · Inpatient or outpatient In the file: Urinalysis, manual test	$27	$27	$15.39 – $26.19
Urine test (manual, without microscope): 10 of 36 insurance plan rates AETNA [1021] — HB WR AETNA TRINITY HEALTH (ST AL'S): $24.30 AETNA [1021] — HB WR BP AETNA: $25.65 BLUE CROSS/MEDICARE ADVANTAGE [1009] — HB WR BCI TRUE & SECURE MED ADV: $15.54 CIGNA [1062] — HB WR CIGNA: $25.11 COMMERCIAL [1028] — HB WR AMPS: $22.95 COMMERCIAL [1028] — HB WR BP AETNA: $25.65 COMMERCIAL [1028] — HB WR CCN FIRST HEALTH: $26.19 COMMERCIAL [1028] — HB WR CHRISTIAN HEALTH AID: $22.95 COMMERCIAL [1028] — HB WR CIGNA: $25.11 COMMERCIAL [1028] — HB WR FIRST CHOICE HEALTH: $25.65
Urine test (manual, without microscope) CPT 81002 · Inpatient (hospital stay) In the file: Urinalysis, manual test	$27	$27	$23.09
Urine test (manual, without microscope): rates for 3 insurance plans BLUE CROSS FEDERAL [1008] — HB WR BCI PPO FEP: $23.09 BLUE CROSS IDAHO [1007] — HB WR BCI PPO FEP: $23.09 BLUE CROSS OUT OF STATE [1041] — HB WR BCI PPO FEP: $23.09
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) In the file: Urinalysis, manual test	$27	$27	$13
Urine test (manual, without microscope): rates for 3 insurance plans BLUE CROSS FEDERAL [1008] — HB WR BCI PPO FEP: $13 BLUE CROSS IDAHO [1007] — HB WR BCI PPO FEP: $13 BLUE CROSS OUT OF STATE [1041] — HB WR BCI PPO FEP: $13
Urine test (automated, without microscope) CPT 81003 · Inpatient (hospital stay) In the file: Automated urinalysis test	$17	$17	$9.69 – $16.49
Urine test (automated, without microscope): 10 of 39 insurance plan rates AETNA [1021] — HB WR AETNA TRINITY HEALTH (ST AL'S): $15.30 AETNA [1021] — HB WR BP AETNA: $16.15 BLUE CROSS FEDERAL [1008] — HB WR BCI PPO FEP: $14.54 BLUE CROSS IDAHO [1007] — HB WR BCI PPO FEP: $14.54 BLUE CROSS OUT OF STATE [1041] — HB WR BCI PPO FEP: $14.54 BLUE CROSS/MEDICARE ADVANTAGE [1009] — HB WR BCI TRUE & SECURE MED ADV: $9.79 CIGNA [1062] — HB WR CIGNA: $15.81 COMMERCIAL [1028] — HB WR AMPS: $14.45 COMMERCIAL [1028] — HB WR BP AETNA: $16.15 COMMERCIAL [1028] — HB WR CCN FIRST HEALTH: $16.49
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) In the file: Automated urinalysis test	$10	$10	$5.70 – $9.70
Urine test (automated, without microscope): 10 of 39 insurance plan rates AETNA [1021] — HB WR AETNA TRINITY HEALTH (ST AL'S): $9 AETNA [1021] — HB WR BP AETNA: $9.50 BLUE CROSS FEDERAL [1008] — HB WR BCI PPO FEP: $8.44 BLUE CROSS IDAHO [1007] — HB WR BCI PPO FEP: $8.44 BLUE CROSS OUT OF STATE [1041] — HB WR BCI PPO FEP: $8.44 BLUE CROSS/MEDICARE ADVANTAGE [1009] — HB WR BCI TRUE & SECURE MED ADV: $5.76 CIGNA [1062] — HB WR CIGNA: $9.30 COMMERCIAL [1028] — HB WR AMPS: $8.50 COMMERCIAL [1028] — HB WR BP AETNA: $9.50 COMMERCIAL [1028] — HB WR CCN FIRST HEALTH: $9.70
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient (hospital stay) In the file: PSA (prostate specific antigen) measurement, total	$142	$142	$80.94 – $137.74
PSA (prostate specific antigen) blood test: 10 of 39 insurance plan rates AETNA [1021] — HB WR AETNA TRINITY HEALTH (ST AL'S): $127.80 AETNA [1021] — HB WR BP AETNA: $134.90 BLUE CROSS FEDERAL [1008] — HB WR BCI PPO FEP: $121.41 BLUE CROSS IDAHO [1007] — HB WR BCI PPO FEP: $121.41 BLUE CROSS OUT OF STATE [1041] — HB WR BCI PPO FEP: $121.41 BLUE CROSS/MEDICARE ADVANTAGE [1009] — HB WR BCI TRUE & SECURE MED ADV: $81.75 CIGNA [1062] — HB WR CIGNA: $132.06 COMMERCIAL [1028] — HB WR AMPS: $120.70 COMMERCIAL [1028] — HB WR BP AETNA: $134.90 COMMERCIAL [1028] — HB WR CCN FIRST HEALTH: $137.74
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) In the file: PSA (prostate specific antigen) measurement, total	$82	$82	$46.74 – $79.54
PSA (prostate specific antigen) blood test: 10 of 39 insurance plan rates AETNA [1021] — HB WR AETNA TRINITY HEALTH (ST AL'S): $73.80 AETNA [1021] — HB WR BP AETNA: $77.90 BLUE CROSS FEDERAL [1008] — HB WR BCI PPO FEP: $69 BLUE CROSS IDAHO [1007] — HB WR BCI PPO FEP: $69 BLUE CROSS OUT OF STATE [1041] — HB WR BCI PPO FEP: $69 BLUE CROSS/MEDICARE ADVANTAGE [1009] — HB WR BCI TRUE & SECURE MED ADV: $47.21 CIGNA [1062] — HB WR CIGNA: $76.26 COMMERCIAL [1028] — HB WR AMPS: $69.70 COMMERCIAL [1028] — HB WR BP AETNA: $77.90 COMMERCIAL [1028] — HB WR CCN FIRST HEALTH: $79.54
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient In the file: HC Arup Psa Ultra Sensitive	$25.65	$25.65	$14.62 – $24.88
PSA (prostate specific antigen) blood test: 10 of 36 insurance plan rates AETNA [1021] — HB WR AETNA TRINITY HEALTH (ST AL'S): $23.09 AETNA [1021] — HB WR BP AETNA: $24.37 BLUE CROSS/MEDICARE ADVANTAGE [1009] — HB WR BCI TRUE & SECURE MED ADV: $14.77 CIGNA [1062] — HB WR CIGNA: $23.85 COMMERCIAL [1028] — HB WR AMPS: $21.80 COMMERCIAL [1028] — HB WR BP AETNA: $24.37 COMMERCIAL [1028] — HB WR CCN FIRST HEALTH: $24.88 COMMERCIAL [1028] — HB WR CHRISTIAN HEALTH AID: $21.80 COMMERCIAL [1028] — HB WR CIGNA: $23.85 COMMERCIAL [1028] — HB WR FIRST CHOICE HEALTH: $24.37
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient (hospital stay) In the file: Blood test, thyroid stimulating hormone (TSH)	$129	$129	$73.53 – $125.13
Thyroid stimulating hormone (TSH) test: 10 of 39 insurance plan rates AETNA [1021] — HB WR AETNA TRINITY HEALTH (ST AL'S): $116.10 AETNA [1021] — HB WR BP AETNA: $122.55 BLUE CROSS FEDERAL [1008] — HB WR BCI PPO FEP: $110.30 BLUE CROSS IDAHO [1007] — HB WR BCI PPO FEP: $110.30 BLUE CROSS OUT OF STATE [1041] — HB WR BCI PPO FEP: $110.30 BLUE CROSS/MEDICARE ADVANTAGE [1009] — HB WR BCI TRUE & SECURE MED ADV: $74.27 CIGNA [1062] — HB WR CIGNA: $119.97 COMMERCIAL [1028] — HB WR AMPS: $109.65 COMMERCIAL [1028] — HB WR BP AETNA: $122.55 COMMERCIAL [1028] — HB WR CCN FIRST HEALTH: $125.13
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) In the file: Blood test, thyroid stimulating hormone (TSH)	$75	$75	$42.75 – $72.75
Thyroid stimulating hormone (TSH) test: 10 of 39 insurance plan rates AETNA [1021] — HB WR AETNA TRINITY HEALTH (ST AL'S): $67.50 AETNA [1021] — HB WR BP AETNA: $71.25 BLUE CROSS FEDERAL [1008] — HB WR BCI PPO FEP: $63 BLUE CROSS IDAHO [1007] — HB WR BCI PPO FEP: $63 BLUE CROSS OUT OF STATE [1041] — HB WR BCI PPO FEP: $63 BLUE CROSS/MEDICARE ADVANTAGE [1009] — HB WR BCI TRUE & SECURE MED ADV: $43.18 CIGNA [1062] — HB WR CIGNA: $69.75 COMMERCIAL [1028] — HB WR AMPS: $63.75 COMMERCIAL [1028] — HB WR BP AETNA: $71.25 COMMERCIAL [1028] — HB WR CCN FIRST HEALTH: $72.75
Complete blood count (CBC) with differential CPT 85025 · Inpatient (hospital stay) In the file: Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	$60	$60	$34.20 – $58.20
Complete blood count (CBC) with differential: 10 of 39 insurance plan rates AETNA [1021] — HB WR AETNA TRINITY HEALTH (ST AL'S): $54 AETNA [1021] — HB WR BP AETNA: $57 BLUE CROSS FEDERAL [1008] — HB WR BCI PPO FEP: $51.30 BLUE CROSS IDAHO [1007] — HB WR BCI PPO FEP: $51.30 BLUE CROSS OUT OF STATE [1041] — HB WR BCI PPO FEP: $51.30 BLUE CROSS/MEDICARE ADVANTAGE [1009] — HB WR BCI TRUE & SECURE MED ADV: $34.54 CIGNA [1062] — HB WR CIGNA: $55.80 COMMERCIAL [1028] — HB WR AMPS: $51 COMMERCIAL [1028] — HB WR BP AETNA: $57 COMMERCIAL [1028] — HB WR CCN FIRST HEALTH: $58.20
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) In the file: Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	$35	$35	$19.95 – $33.95
Complete blood count (CBC) with differential: 10 of 39 insurance plan rates AETNA [1021] — HB WR AETNA TRINITY HEALTH (ST AL'S): $31.50 AETNA [1021] — HB WR BP AETNA: $33.25 BLUE CROSS FEDERAL [1008] — HB WR BCI PPO FEP: $29 BLUE CROSS IDAHO [1007] — HB WR BCI PPO FEP: $29 BLUE CROSS OUT OF STATE [1041] — HB WR BCI PPO FEP: $29 BLUE CROSS/MEDICARE ADVANTAGE [1009] — HB WR BCI TRUE & SECURE MED ADV: $20.15 CIGNA [1062] — HB WR CIGNA: $32.55 COMMERCIAL [1028] — HB WR AMPS: $29.75 COMMERCIAL [1028] — HB WR BP AETNA: $33.25 COMMERCIAL [1028] — HB WR CCN FIRST HEALTH: $33.95
Complete blood count (CBC), automated CPT 85027 · Inpatient (hospital stay) In the file: Complete blood cell count (red cells, white blood cell, platelets), automated test	$50	$50	$28.50 – $48.50
Complete blood count (CBC), automated: 10 of 39 insurance plan rates AETNA [1021] — HB WR AETNA TRINITY HEALTH (ST AL'S): $45 AETNA [1021] — HB WR BP AETNA: $47.50 BLUE CROSS FEDERAL [1008] — HB WR BCI PPO FEP: $42.75 BLUE CROSS IDAHO [1007] — HB WR BCI PPO FEP: $42.75 BLUE CROSS OUT OF STATE [1041] — HB WR BCI PPO FEP: $42.75 BLUE CROSS/MEDICARE ADVANTAGE [1009] — HB WR BCI TRUE & SECURE MED ADV: $28.79 CIGNA [1062] — HB WR CIGNA: $46.50 COMMERCIAL [1028] — HB WR AMPS: $42.50 COMMERCIAL [1028] — HB WR BP AETNA: $47.50 COMMERCIAL [1028] — HB WR CCN FIRST HEALTH: $48.50
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) In the file: Complete blood cell count (red cells, white blood cell, platelets), automated test	$29	$29	$16.53 – $28.13
Complete blood count (CBC), automated: 10 of 39 insurance plan rates AETNA [1021] — HB WR AETNA TRINITY HEALTH (ST AL'S): $26.10 AETNA [1021] — HB WR BP AETNA: $27.55 BLUE CROSS FEDERAL [1008] — HB WR BCI PPO FEP: $24 BLUE CROSS IDAHO [1007] — HB WR BCI PPO FEP: $24 BLUE CROSS OUT OF STATE [1041] — HB WR BCI PPO FEP: $24 BLUE CROSS/MEDICARE ADVANTAGE [1009] — HB WR BCI TRUE & SECURE MED ADV: $16.70 CIGNA [1062] — HB WR CIGNA: $26.97 COMMERCIAL [1028] — HB WR AMPS: $24.65 COMMERCIAL [1028] — HB WR BP AETNA: $27.55 COMMERCIAL [1028] — HB WR CCN FIRST HEALTH: $28.13
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · modifier PO In the file: Complete blood cell count (red cells, white blood cell, platelets), automated test\|SERV/PROC OFF CAMPUS PBD	$29	$29	$6.79
Complete blood count (CBC), automated: rates for 1 insurance plan MEDICARE ADVANTAGE UHC [1013] — HB WR AARP MED ADV: $6.79
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient (hospital stay) In the file: Blood test, clotting time	$33	$33	$18.81 – $32.01
Blood clotting time test (prothrombin time, PT): 10 of 39 insurance plan rates AETNA [1021] — HB WR AETNA TRINITY HEALTH (ST AL'S): $29.70 AETNA [1021] — HB WR BP AETNA: $31.35 BLUE CROSS FEDERAL [1008] — HB WR BCI PPO FEP: $28.22 BLUE CROSS IDAHO [1007] — HB WR BCI PPO FEP: $28.22 BLUE CROSS OUT OF STATE [1041] — HB WR BCI PPO FEP: $28.22 BLUE CROSS/MEDICARE ADVANTAGE [1009] — HB WR BCI TRUE & SECURE MED ADV: $19 CIGNA [1062] — HB WR CIGNA: $30.69 COMMERCIAL [1028] — HB WR AMPS: $28.05 COMMERCIAL [1028] — HB WR BP AETNA: $31.35 COMMERCIAL [1028] — HB WR CCN FIRST HEALTH: $32.01
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) In the file: Blood test, clotting time	$19	$19	$10.83 – $18.43
Blood clotting time test (prothrombin time, PT): 10 of 39 insurance plan rates AETNA [1021] — HB WR AETNA TRINITY HEALTH (ST AL'S): $17.10 AETNA [1021] — HB WR BP AETNA: $18.05 BLUE CROSS FEDERAL [1008] — HB WR BCI PPO FEP: $16 BLUE CROSS IDAHO [1007] — HB WR BCI PPO FEP: $16 BLUE CROSS OUT OF STATE [1041] — HB WR BCI PPO FEP: $16 BLUE CROSS/MEDICARE ADVANTAGE [1009] — HB WR BCI TRUE & SECURE MED ADV: $10.94 CIGNA [1062] — HB WR CIGNA: $17.67 COMMERCIAL [1028] — HB WR AMPS: $16.15 COMMERCIAL [1028] — HB WR BP AETNA: $18.05 COMMERCIAL [1028] — HB WR CCN FIRST HEALTH: $18.43
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient In the file: HC Arup Reflex Panel prothrombin Time	$15.03	$15.03	$8.57 – $14.58
Blood clotting time test (prothrombin time, PT): 10 of 36 insurance plan rates AETNA [1021] — HB WR AETNA TRINITY HEALTH (ST AL'S): $13.53 AETNA [1021] — HB WR BP AETNA: $14.28 BLUE CROSS/MEDICARE ADVANTAGE [1009] — HB WR BCI TRUE & SECURE MED ADV: $8.65 CIGNA [1062] — HB WR CIGNA: $13.98 COMMERCIAL [1028] — HB WR AMPS: $12.78 COMMERCIAL [1028] — HB WR BP AETNA: $14.28 COMMERCIAL [1028] — HB WR CCN FIRST HEALTH: $14.58 COMMERCIAL [1028] — HB WR CHRISTIAN HEALTH AID: $12.78 COMMERCIAL [1028] — HB WR CIGNA: $13.98 COMMERCIAL [1028] — HB WR FIRST CHOICE HEALTH: $14.28
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient (hospital stay) In the file: Coagulation assessment blood test, plasma or whole blood	$46	$46	$26.22 – $44.62
Blood clotting test (partial thromboplastin time, PTT): 10 of 39 insurance plan rates AETNA [1021] — HB WR AETNA TRINITY HEALTH (ST AL'S): $41.40 AETNA [1021] — HB WR BP AETNA: $43.70 BLUE CROSS FEDERAL [1008] — HB WR BCI PPO FEP: $39.33 BLUE CROSS IDAHO [1007] — HB WR BCI PPO FEP: $39.33 BLUE CROSS OUT OF STATE [1041] — HB WR BCI PPO FEP: $39.33 BLUE CROSS/MEDICARE ADVANTAGE [1009] — HB WR BCI TRUE & SECURE MED ADV: $26.48 CIGNA [1062] — HB WR CIGNA: $42.78 COMMERCIAL [1028] — HB WR AMPS: $39.10 COMMERCIAL [1028] — HB WR BP AETNA: $43.70 COMMERCIAL [1028] — HB WR CCN FIRST HEALTH: $44.62
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) In the file: Coagulation assessment blood test, plasma or whole blood	$27	$27	$15.39 – $26.19
Blood clotting test (partial thromboplastin time, PTT): 10 of 39 insurance plan rates AETNA [1021] — HB WR AETNA TRINITY HEALTH (ST AL'S): $24.30 AETNA [1021] — HB WR BP AETNA: $25.65 BLUE CROSS FEDERAL [1008] — HB WR BCI PPO FEP: $23 BLUE CROSS IDAHO [1007] — HB WR BCI PPO FEP: $23 BLUE CROSS OUT OF STATE [1041] — HB WR BCI PPO FEP: $23 BLUE CROSS/MEDICARE ADVANTAGE [1009] — HB WR BCI TRUE & SECURE MED ADV: $15.54 CIGNA [1062] — HB WR CIGNA: $25.11 COMMERCIAL [1028] — HB WR AMPS: $22.95 COMMERCIAL [1028] — HB WR BP AETNA: $25.65 COMMERCIAL [1028] — HB WR CCN FIRST HEALTH: $26.19
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient In the file: HC Arup Reflex Panel Thromboplastin Time Partial	$15.03	$15.03	$8.57 – $14.58
Blood clotting test (partial thromboplastin time, PTT): 10 of 36 insurance plan rates AETNA [1021] — HB WR AETNA TRINITY HEALTH (ST AL'S): $13.53 AETNA [1021] — HB WR BP AETNA: $14.28 BLUE CROSS/MEDICARE ADVANTAGE [1009] — HB WR BCI TRUE & SECURE MED ADV: $8.65 CIGNA [1062] — HB WR CIGNA: $13.98 COMMERCIAL [1028] — HB WR AMPS: $12.78 COMMERCIAL [1028] — HB WR BP AETNA: $14.28 COMMERCIAL [1028] — HB WR CCN FIRST HEALTH: $14.58 COMMERCIAL [1028] — HB WR CHRISTIAN HEALTH AID: $12.78 COMMERCIAL [1028] — HB WR CIGNA: $13.98 COMMERCIAL [1028] — HB WR FIRST CHOICE HEALTH: $14.28

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 · Inpatient (hospital stay) In the file: CT scan head or brain without contrast	$1,361	$1,361	$775.77 – $1,320.17
CT scan of the head or brain, without contrast: 10 of 39 insurance plan rates AETNA [1021] — HB WR AETNA TRINITY HEALTH (ST AL'S): $1,224.90 AETNA [1021] — HB WR BP AETNA: $1,292.95 BLUE CROSS FEDERAL [1008] — HB WR BCI PPO FEP: $1,163.66 BLUE CROSS IDAHO [1007] — HB WR BCI PPO FEP: $1,163.66 BLUE CROSS OUT OF STATE [1041] — HB WR BCI PPO FEP: $1,163.66 BLUE CROSS/MEDICARE ADVANTAGE [1009] — HB WR BCI TRUE & SECURE MED ADV: $783.53 CIGNA [1062] — HB WR CIGNA: $1,265.73 COMMERCIAL [1028] — HB WR AMPS: $1,156.85 COMMERCIAL [1028] — HB WR BP AETNA: $1,292.95 COMMERCIAL [1028] — HB WR CCN FIRST HEALTH: $1,320.17
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) In the file: CT scan head or brain without contrast	$819	$819	$466.83 – $794.43
CT scan of the head or brain, without contrast: 10 of 39 insurance plan rates AETNA [1021] — HB WR AETNA TRINITY HEALTH (ST AL'S): $737.10 AETNA [1021] — HB WR BP AETNA: $778.05 BLUE CROSS FEDERAL [1008] — HB WR BCI PPO FEP: $627 BLUE CROSS IDAHO [1007] — HB WR BCI PPO FEP: $627 BLUE CROSS OUT OF STATE [1041] — HB WR BCI PPO FEP: $627 BLUE CROSS/MEDICARE ADVANTAGE [1009] — HB WR BCI TRUE & SECURE MED ADV: $471.50 CIGNA [1062] — HB WR CIGNA: $761.67 COMMERCIAL [1028] — HB WR AMPS: $696.15 COMMERCIAL [1028] — HB WR BP AETNA: $778.05 COMMERCIAL [1028] — HB WR CCN FIRST HEALTH: $794.43
MRI of the brain, before and after contrast CPT 70553 · Inpatient (hospital stay) In the file: MRI scan of brain before and after contrast	$3,763	$3,763	$2,144.91 – $3,650.11
MRI of the brain, before and after contrast: 10 of 39 insurance plan rates AETNA [1021] — HB WR AETNA TRINITY HEALTH (ST AL'S): $3,386.70 AETNA [1021] — HB WR BP AETNA: $3,574.85 BLUE CROSS FEDERAL [1008] — HB WR BCI PPO FEP: $3,217.37 BLUE CROSS IDAHO [1007] — HB WR BCI PPO FEP: $3,217.37 BLUE CROSS OUT OF STATE [1041] — HB WR BCI PPO FEP: $3,217.37 BLUE CROSS/MEDICARE ADVANTAGE [1009] — HB WR BCI TRUE & SECURE MED ADV: $2,166.36 CIGNA [1062] — HB WR CIGNA: $3,499.59 COMMERCIAL [1028] — HB WR AMPS: $3,198.55 COMMERCIAL [1028] — HB WR BP AETNA: $3,574.85 COMMERCIAL [1028] — HB WR CCN FIRST HEALTH: $3,650.11
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) In the file: MRI scan of brain before and after contrast	$2,263	$2,263	$1,289.91 – $2,195.11
MRI of the brain, before and after contrast: 10 of 39 insurance plan rates AETNA [1021] — HB WR AETNA TRINITY HEALTH (ST AL'S): $2,036.70 AETNA [1021] — HB WR BP AETNA: $2,149.85 BLUE CROSS FEDERAL [1008] — HB WR BCI PPO FEP: $1,734 BLUE CROSS IDAHO [1007] — HB WR BCI PPO FEP: $1,734 BLUE CROSS OUT OF STATE [1041] — HB WR BCI PPO FEP: $1,734 BLUE CROSS/MEDICARE ADVANTAGE [1009] — HB WR BCI TRUE & SECURE MED ADV: $1,302.81 CIGNA [1062] — HB WR CIGNA: $2,104.59 COMMERCIAL [1028] — HB WR AMPS: $1,923.55 COMMERCIAL [1028] — HB WR BP AETNA: $2,149.85 COMMERCIAL [1028] — HB WR CCN FIRST HEALTH: $2,195.11
Chest X-ray, 2 views CPT 71046 · Inpatient or outpatient In the file: X-ray of chest, 2 views	$365	$365	$208.05 – $354.05
Chest X-ray, 2 views: 10 of 36 insurance plan rates AETNA [1021] — HB WR AETNA TRINITY HEALTH (ST AL'S): $328.50 AETNA [1021] — HB WR BP AETNA: $346.75 BLUE CROSS/MEDICARE ADVANTAGE [1009] — HB WR BCI TRUE & SECURE MED ADV: $210.13 CIGNA [1062] — HB WR CIGNA: $339.45 COMMERCIAL [1028] — HB WR AMPS: $310.25 COMMERCIAL [1028] — HB WR BP AETNA: $346.75 COMMERCIAL [1028] — HB WR CCN FIRST HEALTH: $354.05 COMMERCIAL [1028] — HB WR CHRISTIAN HEALTH AID: $310.25 COMMERCIAL [1028] — HB WR CIGNA: $339.45 COMMERCIAL [1028] — HB WR FIRST CHOICE HEALTH: $346.75
Chest X-ray, 2 views CPT 71046 · Inpatient (hospital stay) In the file: X-ray of chest, 2 views	$365	$365	$312.08
Chest X-ray, 2 views: rates for 3 insurance plans BLUE CROSS FEDERAL [1008] — HB WR BCI PPO FEP: $312.08 BLUE CROSS IDAHO [1007] — HB WR BCI PPO FEP: $312.08 BLUE CROSS OUT OF STATE [1041] — HB WR BCI PPO FEP: $312.08
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) In the file: X-ray of chest, 2 views	$365	$365	$264
Chest X-ray, 2 views: rates for 3 insurance plans BLUE CROSS FEDERAL [1008] — HB WR BCI PPO FEP: $264 BLUE CROSS IDAHO [1007] — HB WR BCI PPO FEP: $264 BLUE CROSS OUT OF STATE [1041] — HB WR BCI PPO FEP: $264
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient or outpatient In the file: X-ray of lower and sacral spine, minimum of 4 views	$441	$441	$251.37 – $427.77
X-ray of the lower spine, at least 4 views: 10 of 36 insurance plan rates AETNA [1021] — HB WR AETNA TRINITY HEALTH (ST AL'S): $396.90 AETNA [1021] — HB WR BP AETNA: $418.95 BLUE CROSS/MEDICARE ADVANTAGE [1009] — HB WR BCI TRUE & SECURE MED ADV: $253.88 CIGNA [1062] — HB WR CIGNA: $410.13 COMMERCIAL [1028] — HB WR AMPS: $374.85 COMMERCIAL [1028] — HB WR BP AETNA: $418.95 COMMERCIAL [1028] — HB WR CCN FIRST HEALTH: $427.77 COMMERCIAL [1028] — HB WR CHRISTIAN HEALTH AID: $374.85 COMMERCIAL [1028] — HB WR CIGNA: $410.13 COMMERCIAL [1028] — HB WR FIRST CHOICE HEALTH: $418.95
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient (hospital stay) In the file: X-ray of lower and sacral spine, minimum of 4 views	$441	$441	$377.06
X-ray of the lower spine, at least 4 views: rates for 3 insurance plans BLUE CROSS FEDERAL [1008] — HB WR BCI PPO FEP: $377.06 BLUE CROSS IDAHO [1007] — HB WR BCI PPO FEP: $377.06 BLUE CROSS OUT OF STATE [1041] — HB WR BCI PPO FEP: $377.06
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) In the file: X-ray of lower and sacral spine, minimum of 4 views	$441	$441	$319
X-ray of the lower spine, at least 4 views: rates for 3 insurance plans BLUE CROSS FEDERAL [1008] — HB WR BCI PPO FEP: $319 BLUE CROSS IDAHO [1007] — HB WR BCI PPO FEP: $319 BLUE CROSS OUT OF STATE [1041] — HB WR BCI PPO FEP: $319
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient (hospital stay) In the file: MRI scan of lower spinal canal without contrast	$3,087	$3,087	$1,759.59 – $2,994.39
MRI of the lower back (lumbar spine), without contrast: 10 of 39 insurance plan rates AETNA [1021] — HB WR AETNA TRINITY HEALTH (ST AL'S): $2,778.30 AETNA [1021] — HB WR BP AETNA: $2,932.65 BLUE CROSS FEDERAL [1008] — HB WR BCI PPO FEP: $2,639.39 BLUE CROSS IDAHO [1007] — HB WR BCI PPO FEP: $2,639.39 BLUE CROSS OUT OF STATE [1041] — HB WR BCI PPO FEP: $2,639.39 BLUE CROSS/MEDICARE ADVANTAGE [1009] — HB WR BCI TRUE & SECURE MED ADV: $1,777.19 CIGNA [1062] — HB WR CIGNA: $2,870.91 COMMERCIAL [1028] — HB WR AMPS: $2,623.95 COMMERCIAL [1028] — HB WR BP AETNA: $2,932.65 COMMERCIAL [1028] — HB WR CCN FIRST HEALTH: $2,994.39
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) In the file: MRI scan of lower spinal canal without contrast	$1,857	$1,857	$1,058.49 – $1,801.29
MRI of the lower back (lumbar spine), without contrast: 10 of 39 insurance plan rates AETNA [1021] — HB WR AETNA TRINITY HEALTH (ST AL'S): $1,671.30 AETNA [1021] — HB WR BP AETNA: $1,764.15 BLUE CROSS FEDERAL [1008] — HB WR BCI PPO FEP: $1,423 BLUE CROSS IDAHO [1007] — HB WR BCI PPO FEP: $1,423 BLUE CROSS OUT OF STATE [1041] — HB WR BCI PPO FEP: $1,423 BLUE CROSS/MEDICARE ADVANTAGE [1009] — HB WR BCI TRUE & SECURE MED ADV: $1,069.07 CIGNA [1062] — HB WR CIGNA: $1,727.01 COMMERCIAL [1028] — HB WR AMPS: $1,578.45 COMMERCIAL [1028] — HB WR BP AETNA: $1,764.15 COMMERCIAL [1028] — HB WR CCN FIRST HEALTH: $1,801.29
CT scan of the pelvis, with contrast CPT 72193 · Inpatient (hospital stay) In the file: CT scan of pelvis with contrast	$1,816	$1,816	$1,035.12 – $1,761.52
CT scan of the pelvis, with contrast: 10 of 39 insurance plan rates AETNA [1021] — HB WR AETNA TRINITY HEALTH (ST AL'S): $1,634.40 AETNA [1021] — HB WR BP AETNA: $1,725.20 BLUE CROSS FEDERAL [1008] — HB WR BCI PPO FEP: $1,552.68 BLUE CROSS IDAHO [1007] — HB WR BCI PPO FEP: $1,552.68 BLUE CROSS OUT OF STATE [1041] — HB WR BCI PPO FEP: $1,552.68 BLUE CROSS/MEDICARE ADVANTAGE [1009] — HB WR BCI TRUE & SECURE MED ADV: $1,045.47 CIGNA [1062] — HB WR CIGNA: $1,688.88 COMMERCIAL [1028] — HB WR AMPS: $1,543.60 COMMERCIAL [1028] — HB WR BP AETNA: $1,725.20 COMMERCIAL [1028] — HB WR CCN FIRST HEALTH: $1,761.52
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) In the file: CT scan of pelvis with contrast	$1,093	$1,093	$623.01 – $1,060.21
CT scan of the pelvis, with contrast: 10 of 39 insurance plan rates AETNA [1021] — HB WR AETNA TRINITY HEALTH (ST AL'S): $983.70 AETNA [1021] — HB WR BP AETNA: $1,038.35 BLUE CROSS FEDERAL [1008] — HB WR BCI PPO FEP: $837 BLUE CROSS IDAHO [1007] — HB WR BCI PPO FEP: $837 BLUE CROSS OUT OF STATE [1041] — HB WR BCI PPO FEP: $837 BLUE CROSS/MEDICARE ADVANTAGE [1009] — HB WR BCI TRUE & SECURE MED ADV: $629.24 CIGNA [1062] — HB WR CIGNA: $1,016.49 COMMERCIAL [1028] — HB WR AMPS: $929.05 COMMERCIAL [1028] — HB WR BP AETNA: $1,038.35 COMMERCIAL [1028] — HB WR CCN FIRST HEALTH: $1,060.21
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient (hospital stay) In the file: MRI scan of leg joint without contrast	$3,087	$3,087	$1,759.59 – $2,994.39
MRI of a leg joint (such as the knee), without contrast: 10 of 39 insurance plan rates AETNA [1021] — HB WR AETNA TRINITY HEALTH (ST AL'S): $2,778.30 AETNA [1021] — HB WR BP AETNA: $2,932.65 BLUE CROSS FEDERAL [1008] — HB WR BCI PPO FEP: $2,639.39 BLUE CROSS IDAHO [1007] — HB WR BCI PPO FEP: $2,639.39 BLUE CROSS OUT OF STATE [1041] — HB WR BCI PPO FEP: $2,639.39 BLUE CROSS/MEDICARE ADVANTAGE [1009] — HB WR BCI TRUE & SECURE MED ADV: $1,777.19 CIGNA [1062] — HB WR CIGNA: $2,870.91 COMMERCIAL [1028] — HB WR AMPS: $2,623.95 COMMERCIAL [1028] — HB WR BP AETNA: $2,932.65 COMMERCIAL [1028] — HB WR CCN FIRST HEALTH: $2,994.39
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) In the file: MRI scan of leg joint without contrast	$1,857	$1,857	$1,058.49 – $1,801.29
MRI of a leg joint (such as the knee), without contrast: 10 of 39 insurance plan rates AETNA [1021] — HB WR AETNA TRINITY HEALTH (ST AL'S): $1,671.30 AETNA [1021] — HB WR BP AETNA: $1,764.15 BLUE CROSS FEDERAL [1008] — HB WR BCI PPO FEP: $1,423 BLUE CROSS IDAHO [1007] — HB WR BCI PPO FEP: $1,423 BLUE CROSS OUT OF STATE [1041] — HB WR BCI PPO FEP: $1,423 BLUE CROSS/MEDICARE ADVANTAGE [1009] — HB WR BCI TRUE & SECURE MED ADV: $1,069.07 CIGNA [1062] — HB WR CIGNA: $1,727.01 COMMERCIAL [1028] — HB WR AMPS: $1,578.45 COMMERCIAL [1028] — HB WR BP AETNA: $1,764.15 COMMERCIAL [1028] — HB WR CCN FIRST HEALTH: $1,801.29
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient (hospital stay) In the file: CT scan of abdomen and pelvis with contrast	$3,763	$3,763	$2,144.91 – $3,650.11
CT scan of the abdomen and pelvis, with contrast: 10 of 39 insurance plan rates AETNA [1021] — HB WR AETNA TRINITY HEALTH (ST AL'S): $3,386.70 AETNA [1021] — HB WR BP AETNA: $3,574.85 BLUE CROSS FEDERAL [1008] — HB WR BCI PPO FEP: $3,217.37 BLUE CROSS IDAHO [1007] — HB WR BCI PPO FEP: $3,217.37 BLUE CROSS OUT OF STATE [1041] — HB WR BCI PPO FEP: $3,217.37 BLUE CROSS/MEDICARE ADVANTAGE [1009] — HB WR BCI TRUE & SECURE MED ADV: $2,166.36 CIGNA [1062] — HB WR CIGNA: $3,499.59 COMMERCIAL [1028] — HB WR AMPS: $3,198.55 COMMERCIAL [1028] — HB WR BP AETNA: $3,574.85 COMMERCIAL [1028] — HB WR CCN FIRST HEALTH: $3,650.11
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) In the file: CT scan of abdomen and pelvis with contrast	$2,263	$2,263	$1,289.91 – $2,195.11
CT scan of the abdomen and pelvis, with contrast: 10 of 39 insurance plan rates AETNA [1021] — HB WR AETNA TRINITY HEALTH (ST AL'S): $2,036.70 AETNA [1021] — HB WR BP AETNA: $2,149.85 BLUE CROSS FEDERAL [1008] — HB WR BCI PPO FEP: $1,734 BLUE CROSS IDAHO [1007] — HB WR BCI PPO FEP: $1,734 BLUE CROSS OUT OF STATE [1041] — HB WR BCI PPO FEP: $1,734 BLUE CROSS/MEDICARE ADVANTAGE [1009] — HB WR BCI TRUE & SECURE MED ADV: $1,302.81 CIGNA [1062] — HB WR CIGNA: $2,104.59 COMMERCIAL [1028] — HB WR AMPS: $1,923.55 COMMERCIAL [1028] — HB WR BP AETNA: $2,149.85 COMMERCIAL [1028] — HB WR CCN FIRST HEALTH: $2,195.11
Ultrasound of the abdomen, complete CPT 76700 · Inpatient or outpatient In the file: Complete ultrasound scan of abdomen	$441	$441	$251.37 – $427.77
Ultrasound of the abdomen, complete: 10 of 36 insurance plan rates AETNA [1021] — HB WR AETNA TRINITY HEALTH (ST AL'S): $396.90 AETNA [1021] — HB WR BP AETNA: $418.95 BLUE CROSS/MEDICARE ADVANTAGE [1009] — HB WR BCI TRUE & SECURE MED ADV: $253.88 CIGNA [1062] — HB WR CIGNA: $410.13 COMMERCIAL [1028] — HB WR AMPS: $374.85 COMMERCIAL [1028] — HB WR BP AETNA: $418.95 COMMERCIAL [1028] — HB WR CCN FIRST HEALTH: $427.77 COMMERCIAL [1028] — HB WR CHRISTIAN HEALTH AID: $374.85 COMMERCIAL [1028] — HB WR CIGNA: $410.13 COMMERCIAL [1028] — HB WR FIRST CHOICE HEALTH: $418.95
Ultrasound of the abdomen, complete CPT 76700 · Inpatient (hospital stay) In the file: Complete ultrasound scan of abdomen	$441	$441	$377.06
Ultrasound of the abdomen, complete: rates for 3 insurance plans BLUE CROSS FEDERAL [1008] — HB WR BCI PPO FEP: $377.06 BLUE CROSS IDAHO [1007] — HB WR BCI PPO FEP: $377.06 BLUE CROSS OUT OF STATE [1041] — HB WR BCI PPO FEP: $377.06
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) In the file: Complete ultrasound scan of abdomen	$441	$441	$319
Ultrasound of the abdomen, complete: rates for 3 insurance plans BLUE CROSS FEDERAL [1008] — HB WR BCI PPO FEP: $319 BLUE CROSS IDAHO [1007] — HB WR BCI PPO FEP: $319 BLUE CROSS OUT OF STATE [1041] — HB WR BCI PPO FEP: $319
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient or outpatient In the file: Ultrasound scan of pregnant uterus (14 weeks or more), single or first fetus	$441	$441	$251.37 – $427.77
Pregnancy ultrasound (after the first trimester): 10 of 36 insurance plan rates AETNA [1021] — HB WR AETNA TRINITY HEALTH (ST AL'S): $396.90 AETNA [1021] — HB WR BP AETNA: $418.95 BLUE CROSS/MEDICARE ADVANTAGE [1009] — HB WR BCI TRUE & SECURE MED ADV: $253.88 CIGNA [1062] — HB WR CIGNA: $410.13 COMMERCIAL [1028] — HB WR AMPS: $374.85 COMMERCIAL [1028] — HB WR BP AETNA: $418.95 COMMERCIAL [1028] — HB WR CCN FIRST HEALTH: $427.77 COMMERCIAL [1028] — HB WR CHRISTIAN HEALTH AID: $374.85 COMMERCIAL [1028] — HB WR CIGNA: $410.13 COMMERCIAL [1028] — HB WR FIRST CHOICE HEALTH: $418.95
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient (hospital stay) In the file: Ultrasound scan of pregnant uterus (14 weeks or more), single or first fetus	$441	$441	$377.06
Pregnancy ultrasound (after the first trimester): rates for 3 insurance plans BLUE CROSS FEDERAL [1008] — HB WR BCI PPO FEP: $377.06 BLUE CROSS IDAHO [1007] — HB WR BCI PPO FEP: $377.06 BLUE CROSS OUT OF STATE [1041] — HB WR BCI PPO FEP: $377.06
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) In the file: Ultrasound scan of pregnant uterus (14 weeks or more), single or first fetus	$441	$441	$319
Pregnancy ultrasound (after the first trimester): rates for 3 insurance plans BLUE CROSS FEDERAL [1008] — HB WR BCI PPO FEP: $319 BLUE CROSS IDAHO [1007] — HB WR BCI PPO FEP: $319 BLUE CROSS OUT OF STATE [1041] — HB WR BCI PPO FEP: $319
Transvaginal ultrasound CPT 76830 · Inpatient or outpatient In the file: Ultrasound scan of uterus, ovaries, tubes, cervix and pelvic area through vagina	$441	$441	$251.37 – $427.77
Transvaginal ultrasound: 10 of 36 insurance plan rates AETNA [1021] — HB WR AETNA TRINITY HEALTH (ST AL'S): $396.90 AETNA [1021] — HB WR BP AETNA: $418.95 BLUE CROSS/MEDICARE ADVANTAGE [1009] — HB WR BCI TRUE & SECURE MED ADV: $253.88 CIGNA [1062] — HB WR CIGNA: $410.13 COMMERCIAL [1028] — HB WR AMPS: $374.85 COMMERCIAL [1028] — HB WR BP AETNA: $418.95 COMMERCIAL [1028] — HB WR CCN FIRST HEALTH: $427.77 COMMERCIAL [1028] — HB WR CHRISTIAN HEALTH AID: $374.85 COMMERCIAL [1028] — HB WR CIGNA: $410.13 COMMERCIAL [1028] — HB WR FIRST CHOICE HEALTH: $418.95
Transvaginal ultrasound CPT 76830 · Inpatient (hospital stay) In the file: Ultrasound scan of uterus, ovaries, tubes, cervix and pelvic area through vagina	$441	$441	$377.06
Transvaginal ultrasound: rates for 3 insurance plans BLUE CROSS FEDERAL [1008] — HB WR BCI PPO FEP: $377.06 BLUE CROSS IDAHO [1007] — HB WR BCI PPO FEP: $377.06 BLUE CROSS OUT OF STATE [1041] — HB WR BCI PPO FEP: $377.06
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) In the file: Ultrasound scan of uterus, ovaries, tubes, cervix and pelvic area through vagina	$441	$441	$319
Transvaginal ultrasound: rates for 3 insurance plans BLUE CROSS FEDERAL [1008] — HB WR BCI PPO FEP: $319 BLUE CROSS IDAHO [1007] — HB WR BCI PPO FEP: $319 BLUE CROSS OUT OF STATE [1041] — HB WR BCI PPO FEP: $319
Diagnostic mammogram, one breast CPT 77065 · Inpatient or outpatient In the file: Diagnostic mammography of 1 breast	$319	$319	$181.83 – $309.43
Diagnostic mammogram, one breast: 10 of 36 insurance plan rates AETNA [1021] — HB WR AETNA TRINITY HEALTH (ST AL'S): $287.10 AETNA [1021] — HB WR BP AETNA: $303.05 BLUE CROSS/MEDICARE ADVANTAGE [1009] — HB WR BCI TRUE & SECURE MED ADV: $183.65 CIGNA [1062] — HB WR CIGNA: $296.67 COMMERCIAL [1028] — HB WR AMPS: $271.15 COMMERCIAL [1028] — HB WR BP AETNA: $303.05 COMMERCIAL [1028] — HB WR CCN FIRST HEALTH: $309.43 COMMERCIAL [1028] — HB WR CHRISTIAN HEALTH AID: $271.15 COMMERCIAL [1028] — HB WR CIGNA: $296.67 COMMERCIAL [1028] — HB WR FIRST CHOICE HEALTH: $303.05
Diagnostic mammogram, one breast CPT 77065 · Inpatient (hospital stay) In the file: Diagnostic mammography of 1 breast	$319	$319	$272.75
Diagnostic mammogram, one breast: rates for 3 insurance plans BLUE CROSS FEDERAL [1008] — HB WR BCI PPO FEP: $272.75 BLUE CROSS IDAHO [1007] — HB WR BCI PPO FEP: $272.75 BLUE CROSS OUT OF STATE [1041] — HB WR BCI PPO FEP: $272.75
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) In the file: Diagnostic mammography of 1 breast	$319	$319	$231
Diagnostic mammogram, one breast: rates for 3 insurance plans BLUE CROSS FEDERAL [1008] — HB WR BCI PPO FEP: $231 BLUE CROSS IDAHO [1007] — HB WR BCI PPO FEP: $231 BLUE CROSS OUT OF STATE [1041] — HB WR BCI PPO FEP: $231
Diagnostic mammogram, both breasts CPT 77066 · Inpatient or outpatient In the file: Diagnostic mammography of both breasts	$407	$407	$231.99 – $394.79
Diagnostic mammogram, both breasts: 10 of 36 insurance plan rates AETNA [1021] — HB WR AETNA TRINITY HEALTH (ST AL'S): $366.30 AETNA [1021] — HB WR BP AETNA: $386.65 BLUE CROSS/MEDICARE ADVANTAGE [1009] — HB WR BCI TRUE & SECURE MED ADV: $234.31 CIGNA [1062] — HB WR CIGNA: $378.51 COMMERCIAL [1028] — HB WR AMPS: $345.95 COMMERCIAL [1028] — HB WR BP AETNA: $386.65 COMMERCIAL [1028] — HB WR CCN FIRST HEALTH: $394.79 COMMERCIAL [1028] — HB WR CHRISTIAN HEALTH AID: $345.95 COMMERCIAL [1028] — HB WR CIGNA: $378.51 COMMERCIAL [1028] — HB WR FIRST CHOICE HEALTH: $386.65
Diagnostic mammogram, both breasts CPT 77066 · Inpatient (hospital stay) In the file: Diagnostic mammography of both breasts	$407	$407	$347.99
Diagnostic mammogram, both breasts: rates for 3 insurance plans BLUE CROSS FEDERAL [1008] — HB WR BCI PPO FEP: $347.99 BLUE CROSS IDAHO [1007] — HB WR BCI PPO FEP: $347.99 BLUE CROSS OUT OF STATE [1041] — HB WR BCI PPO FEP: $347.99
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) In the file: Diagnostic mammography of both breasts	$407	$407	$294
Diagnostic mammogram, both breasts: rates for 3 insurance plans BLUE CROSS FEDERAL [1008] — HB WR BCI PPO FEP: $294 BLUE CROSS IDAHO [1007] — HB WR BCI PPO FEP: $294 BLUE CROSS OUT OF STATE [1041] — HB WR BCI PPO FEP: $294
Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient In the file: Screening mammography	$337	$337	$192.09 – $326.89
Screening mammogram, both breasts: 10 of 27 insurance plan rates AETNA [1021] — HB WR AETNA TRINITY HEALTH (ST AL'S): $303.30 AETNA [1021] — HB WR BP AETNA: $320.15 BLUE CROSS/MEDICARE ADVANTAGE [1009] — HB WR BCI TRUE & SECURE MED ADV: $194.01 CIGNA [1062] — HB WR CIGNA: $313.41 COMMERCIAL [1028] — HB WR AMPS: $286.45 COMMERCIAL [1028] — HB WR BP AETNA: $320.15 COMMERCIAL [1028] — HB WR CCN FIRST HEALTH: $326.89 COMMERCIAL [1028] — HB WR CHRISTIAN HEALTH AID: $286.45 COMMERCIAL [1028] — HB WR CIGNA: $313.41 COMMERCIAL [1028] — HB WR FIRST CHOICE HEALTH: $320.15
Screening mammogram, both breasts CPT 77067 · Inpatient (hospital stay) In the file: Screening mammography	$337	$337	$192.09 – $288.14
Screening mammogram, both breasts: 10 of 12 insurance plan rates BLUE CROSS FEDERAL [1008] — HB WR BCI PPO FEP: $288.14 BLUE CROSS IDAHO [1007] — HB WR BCI PPO FEP: $288.14 BLUE CROSS OUT OF STATE [1041] — HB WR BCI PPO FEP: $288.14 COMMERCIAL [1028] — HB WR VA CCN: $192.09 MEDICARE ADVANTAGE GENERIC [1019] — HB WR MEDICARE ADVANTAGE: $192.09 MEDICARE ADVANTAGE GENERIC [1019] — HB WR MOLINA MED ADV: $195.93 MEDICARE ADVANTAGE GENERIC [1019] — HB WR MOLINA MMCP: $192.09 MEDICARE ADVANTAGE MOLINA [1053] — HB WR MOLINA MED ADV: $195.93 MEDICARE ADVANTAGE MOLINA [1053] — HB WR MOLINA MMCP: $192.09 MEDICARE ADVANTAGE REGENCE [1016] — HB WR MEDICARE ADVANTAGE: $192.09
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) In the file: Screening mammography	$337	$337	$83.74 – $244
Screening mammogram, both breasts: 10 of 12 insurance plan rates BLUE CROSS FEDERAL [1008] — HB WR BCI PPO FEP: $244 BLUE CROSS IDAHO [1007] — HB WR BCI PPO FEP: $244 BLUE CROSS OUT OF STATE [1041] — HB WR BCI PPO FEP: $244 COMMERCIAL [1028] — HB WR VA CCN: $83.74 MEDICARE ADVANTAGE GENERIC [1019] — HB WR MEDICARE ADVANTAGE: $83.74 MEDICARE ADVANTAGE GENERIC [1019] — HB WR MOLINA MED ADV: $85.41 MEDICARE ADVANTAGE GENERIC [1019] — HB WR MOLINA MMCP: $83.74 MEDICARE ADVANTAGE MOLINA [1053] — HB WR MOLINA MED ADV: $85.41 MEDICARE ADVANTAGE MOLINA [1053] — HB WR MOLINA MMCP: $83.74 MEDICARE ADVANTAGE REGENCE [1016] — HB WR MEDICARE ADVANTAGE: $83.74

Heart tests and sleep study

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Left heart catheterization (diagnostic) CPT 93452 · Inpatient or outpatient In the file: Insertion of tube in left heart chambers for diagnosis with review by radiologist	$19,903	$19,903	$11,344.71 – $19,305.91
Left heart catheterization (diagnostic): 10 of 36 insurance plan rates AETNA [1021] — HB WR AETNA TRINITY HEALTH (ST AL'S): $17,912.70 AETNA [1021] — HB WR BP AETNA: $18,907.85 BLUE CROSS/MEDICARE ADVANTAGE [1009] — HB WR BCI TRUE & SECURE MED ADV: $11,458.16 CIGNA [1062] — HB WR CIGNA: $18,509.79 COMMERCIAL [1028] — HB WR AMPS: $16,917.55 COMMERCIAL [1028] — HB WR BP AETNA: $18,907.85 COMMERCIAL [1028] — HB WR CCN FIRST HEALTH: $19,305.91 COMMERCIAL [1028] — HB WR CHRISTIAN HEALTH AID: $16,917.55 COMMERCIAL [1028] — HB WR CIGNA: $18,509.79 COMMERCIAL [1028] — HB WR FIRST CHOICE HEALTH: $18,907.85
Left heart catheterization (diagnostic) CPT 93452 · Inpatient (hospital stay) In the file: Insertion of tube in left heart chambers for diagnosis with review by radiologist	$19,903	$19,903	$17,017.07
Left heart catheterization (diagnostic): rates for 3 insurance plans BLUE CROSS FEDERAL [1008] — HB WR BCI PPO FEP: $17,017.07 BLUE CROSS IDAHO [1007] — HB WR BCI PPO FEP: $17,017.07 BLUE CROSS OUT OF STATE [1041] — HB WR BCI PPO FEP: $17,017.07
Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) In the file: Insertion of tube in left heart chambers for diagnosis with review by radiologist	$19,903	$19,903	$7,549
Left heart catheterization (diagnostic): rates for 3 insurance plans BLUE CROSS FEDERAL [1008] — HB WR BCI PPO FEP: $7,549 BLUE CROSS IDAHO [1007] — HB WR BCI PPO FEP: $7,549 BLUE CROSS OUT OF STATE [1041] — HB WR BCI PPO FEP: $7,549
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Inpatient or outpatient In the file: Insertion of catheters for recording and pacing of right heart chambers rhythm	$21,588	$21,588	$12,305.16 – $20,940.36
Heart rhythm study (electrophysiology evaluation): 10 of 36 insurance plan rates AETNA [1021] — HB WR AETNA TRINITY HEALTH (ST AL'S): $19,429.20 AETNA [1021] — HB WR BP AETNA: $20,508.60 BLUE CROSS/MEDICARE ADVANTAGE [1009] — HB WR BCI TRUE & SECURE MED ADV: $12,428.21 CIGNA [1062] — HB WR CIGNA: $20,076.84 COMMERCIAL [1028] — HB WR AMPS: $18,349.80 COMMERCIAL [1028] — HB WR BP AETNA: $20,508.60 COMMERCIAL [1028] — HB WR CCN FIRST HEALTH: $20,940.36 COMMERCIAL [1028] — HB WR CHRISTIAN HEALTH AID: $18,349.80 COMMERCIAL [1028] — HB WR CIGNA: $20,076.84 COMMERCIAL [1028] — HB WR FIRST CHOICE HEALTH: $20,508.60
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Inpatient (hospital stay) In the file: Insertion of catheters for recording and pacing of right heart chambers rhythm	$21,588	$21,588	$18,457.74
Heart rhythm study (electrophysiology evaluation): rates for 3 insurance plans BLUE CROSS FEDERAL [1008] — HB WR BCI PPO FEP: $18,457.74 BLUE CROSS IDAHO [1007] — HB WR BCI PPO FEP: $18,457.74 BLUE CROSS OUT OF STATE [1041] — HB WR BCI PPO FEP: $18,457.74
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Outpatient (no overnight stay) In the file: Insertion of catheters for recording and pacing of right heart chambers rhythm	$21,588	$21,588	$11,873
Heart rhythm study (electrophysiology evaluation): rates for 3 insurance plans BLUE CROSS FEDERAL [1008] — HB WR BCI PPO FEP: $11,873 BLUE CROSS IDAHO [1007] — HB WR BCI PPO FEP: $11,873 BLUE CROSS OUT OF STATE [1041] — HB WR BCI PPO FEP: $11,873
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Inpatient or outpatient In the file: Comprehensive electrophysiologic evaluation with catheter destruction of abnormality causing atrial fibrillation (uncoordinated contraction	$62,005	$62,005	$35,342.85 – $60,144.85
Heart rhythm study with ablation for atrial fibrillation: 10 of 36 insurance plan rates AETNA [1021] — HB WR AETNA TRINITY HEALTH (ST AL'S): $55,804.50 AETNA [1021] — HB WR BP AETNA: $58,904.75 BLUE CROSS/MEDICARE ADVANTAGE [1009] — HB WR BCI TRUE & SECURE MED ADV: $35,696.28 CIGNA [1062] — HB WR CIGNA: $57,664.65 COMMERCIAL [1028] — HB WR AMPS: $52,704.25 COMMERCIAL [1028] — HB WR BP AETNA: $58,904.75 COMMERCIAL [1028] — HB WR CCN FIRST HEALTH: $60,144.85 COMMERCIAL [1028] — HB WR CHRISTIAN HEALTH AID: $52,704.25 COMMERCIAL [1028] — HB WR CIGNA: $57,664.65 COMMERCIAL [1028] — HB WR FIRST CHOICE HEALTH: $58,904.75
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Inpatient (hospital stay) In the file: Comprehensive electrophysiologic evaluation with catheter destruction of abnormality causing atrial fibrillation (uncoordinated contraction	$62,005	$62,005	$53,014.28
Heart rhythm study with ablation for atrial fibrillation: rates for 3 insurance plans BLUE CROSS FEDERAL [1008] — HB WR BCI PPO FEP: $53,014.28 BLUE CROSS IDAHO [1007] — HB WR BCI PPO FEP: $53,014.28 BLUE CROSS OUT OF STATE [1041] — HB WR BCI PPO FEP: $53,014.28
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Outpatient (no overnight stay) In the file: Comprehensive electrophysiologic evaluation with catheter destruction of abnormality causing atrial fibrillation (uncoordinated contraction	$62,005	$62,005	$43,404
Heart rhythm study with ablation for atrial fibrillation: rates for 3 insurance plans BLUE CROSS FEDERAL [1008] — HB WR BCI PPO FEP: $43,404 BLUE CROSS IDAHO [1007] — HB WR BCI PPO FEP: $43,404 BLUE CROSS OUT OF STATE [1041] — HB WR BCI PPO FEP: $43,404
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient or outpatient In the file: Sleep study in sleep lab (6 years or older)	$4,833	$4,833	$2,754.81 – $4,688.01
Sleep study (overnight, in a sleep lab): 10 of 36 insurance plan rates AETNA [1021] — HB WR AETNA TRINITY HEALTH (ST AL'S): $4,349.70 AETNA [1021] — HB WR BP AETNA: $4,591.35 BLUE CROSS/MEDICARE ADVANTAGE [1009] — HB WR BCI TRUE & SECURE MED ADV: $2,782.36 CIGNA [1062] — HB WR CIGNA: $4,494.69 COMMERCIAL [1028] — HB WR AMPS: $4,108.05 COMMERCIAL [1028] — HB WR BP AETNA: $4,591.35 COMMERCIAL [1028] — HB WR CCN FIRST HEALTH: $4,688.01 COMMERCIAL [1028] — HB WR CHRISTIAN HEALTH AID: $4,108.05 COMMERCIAL [1028] — HB WR CIGNA: $4,494.69 COMMERCIAL [1028] — HB WR FIRST CHOICE HEALTH: $4,591.35
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient (hospital stay) In the file: Sleep study in sleep lab (6 years or older)	$4,833	$4,833	$4,132.22
Sleep study (overnight, in a sleep lab): rates for 3 insurance plans BLUE CROSS FEDERAL [1008] — HB WR BCI PPO FEP: $4,132.22 BLUE CROSS IDAHO [1007] — HB WR BCI PPO FEP: $4,132.22 BLUE CROSS OUT OF STATE [1041] — HB WR BCI PPO FEP: $4,132.22
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) In the file: Sleep study in sleep lab (6 years or older)	$4,833	$4,833	$3,561
Sleep study (overnight, in a sleep lab): rates for 3 insurance plans BLUE CROSS FEDERAL [1008] — HB WR BCI PPO FEP: $3,561 BLUE CROSS IDAHO [1007] — HB WR BCI PPO FEP: $3,561 BLUE CROSS OUT OF STATE [1041] — HB WR BCI PPO FEP: $3,561

Physical therapy and mental health

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient In the file: Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes	$72	$72	$41.04 – $69.84
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 36 insurance plan rates AETNA [1021] — HB WR AETNA TRINITY HEALTH (ST AL'S): $64.80 AETNA [1021] — HB WR BP AETNA: $68.40 BLUE CROSS/MEDICARE ADVANTAGE [1009] — HB WR BCI TRUE & SECURE MED ADV: $41.45 CIGNA [1062] — HB WR CIGNA: $66.96 COMMERCIAL [1028] — HB WR AMPS: $61.20 COMMERCIAL [1028] — HB WR BP AETNA: $68.40 COMMERCIAL [1028] — HB WR CCN FIRST HEALTH: $69.84 COMMERCIAL [1028] — HB WR CHRISTIAN HEALTH AID: $61.20 COMMERCIAL [1028] — HB WR CIGNA: $66.96 COMMERCIAL [1028] — HB WR FIRST CHOICE HEALTH: $68.40
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient (hospital stay) In the file: Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes	$72	$72	$61.56
Physical therapy: therapeutic exercise (each 15 minutes): rates for 3 insurance plans BLUE CROSS FEDERAL [1008] — HB WR BCI PPO FEP: $61.56 BLUE CROSS IDAHO [1007] — HB WR BCI PPO FEP: $61.56 BLUE CROSS OUT OF STATE [1041] — HB WR BCI PPO FEP: $61.56
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) In the file: Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes	$72	$72	$57
Physical therapy: therapeutic exercise (each 15 minutes): rates for 3 insurance plans BLUE CROSS FEDERAL [1008] — HB WR BCI PPO FEP: $57 BLUE CROSS IDAHO [1007] — HB WR BCI PPO FEP: $57 BLUE CROSS OUT OF STATE [1041] — HB WR BCI PPO FEP: $57
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient or outpatient In the file: Evaluation for physical therapy, typically 20 minutes	$246	$246	$140.22 – $238.62
Physical therapy evaluation (low complexity): 10 of 36 insurance plan rates AETNA [1021] — HB WR AETNA TRINITY HEALTH (ST AL'S): $221.40 AETNA [1021] — HB WR BP AETNA: $233.70 BLUE CROSS/MEDICARE ADVANTAGE [1009] — HB WR BCI TRUE & SECURE MED ADV: $141.62 CIGNA [1062] — HB WR CIGNA: $228.78 COMMERCIAL [1028] — HB WR AMPS: $209.10 COMMERCIAL [1028] — HB WR BP AETNA: $233.70 COMMERCIAL [1028] — HB WR CCN FIRST HEALTH: $238.62 COMMERCIAL [1028] — HB WR CHRISTIAN HEALTH AID: $209.10 COMMERCIAL [1028] — HB WR CIGNA: $228.78 COMMERCIAL [1028] — HB WR FIRST CHOICE HEALTH: $233.70
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient (hospital stay) In the file: Evaluation for physical therapy, typically 20 minutes	$246	$246	$210.33
Physical therapy evaluation (low complexity): rates for 3 insurance plans BLUE CROSS FEDERAL [1008] — HB WR BCI PPO FEP: $210.33 BLUE CROSS IDAHO [1007] — HB WR BCI PPO FEP: $210.33 BLUE CROSS OUT OF STATE [1041] — HB WR BCI PPO FEP: $210.33
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) In the file: Evaluation for physical therapy, typically 20 minutes	$246	$246	$195
Physical therapy evaluation (low complexity): rates for 3 insurance plans BLUE CROSS FEDERAL [1008] — HB WR BCI PPO FEP: $195 BLUE CROSS IDAHO [1007] — HB WR BCI PPO FEP: $195 BLUE CROSS OUT OF STATE [1041] — HB WR BCI PPO FEP: $195
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient or outpatient In the file: Evaluation for physical therapy, typically 30 minutes	$246	$246	$140.22 – $238.62
Physical therapy evaluation (moderate complexity): 10 of 36 insurance plan rates AETNA [1021] — HB WR AETNA TRINITY HEALTH (ST AL'S): $221.40 AETNA [1021] — HB WR BP AETNA: $233.70 BLUE CROSS/MEDICARE ADVANTAGE [1009] — HB WR BCI TRUE & SECURE MED ADV: $141.62 CIGNA [1062] — HB WR CIGNA: $228.78 COMMERCIAL [1028] — HB WR AMPS: $209.10 COMMERCIAL [1028] — HB WR BP AETNA: $233.70 COMMERCIAL [1028] — HB WR CCN FIRST HEALTH: $238.62 COMMERCIAL [1028] — HB WR CHRISTIAN HEALTH AID: $209.10 COMMERCIAL [1028] — HB WR CIGNA: $228.78 COMMERCIAL [1028] — HB WR FIRST CHOICE HEALTH: $233.70
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient (hospital stay) In the file: Evaluation for physical therapy, typically 30 minutes	$246	$246	$210.33
Physical therapy evaluation (moderate complexity): rates for 3 insurance plans BLUE CROSS FEDERAL [1008] — HB WR BCI PPO FEP: $210.33 BLUE CROSS IDAHO [1007] — HB WR BCI PPO FEP: $210.33 BLUE CROSS OUT OF STATE [1041] — HB WR BCI PPO FEP: $210.33
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) In the file: Evaluation for physical therapy, typically 30 minutes	$246	$246	$195
Physical therapy evaluation (moderate complexity): rates for 3 insurance plans BLUE CROSS FEDERAL [1008] — HB WR BCI PPO FEP: $195 BLUE CROSS IDAHO [1007] — HB WR BCI PPO FEP: $195 BLUE CROSS OUT OF STATE [1041] — HB WR BCI PPO FEP: $195
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient or outpatient In the file: Evaluation for physical therapy, typically 45 minutes	$246	$246	$140.22 – $238.62
Physical therapy evaluation (high complexity): 10 of 36 insurance plan rates AETNA [1021] — HB WR AETNA TRINITY HEALTH (ST AL'S): $221.40 AETNA [1021] — HB WR BP AETNA: $233.70 BLUE CROSS/MEDICARE ADVANTAGE [1009] — HB WR BCI TRUE & SECURE MED ADV: $141.62 CIGNA [1062] — HB WR CIGNA: $228.78 COMMERCIAL [1028] — HB WR AMPS: $209.10 COMMERCIAL [1028] — HB WR BP AETNA: $233.70 COMMERCIAL [1028] — HB WR CCN FIRST HEALTH: $238.62 COMMERCIAL [1028] — HB WR CHRISTIAN HEALTH AID: $209.10 COMMERCIAL [1028] — HB WR CIGNA: $228.78 COMMERCIAL [1028] — HB WR FIRST CHOICE HEALTH: $233.70
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient (hospital stay) In the file: Evaluation for physical therapy, typically 45 minutes	$246	$246	$210.33
Physical therapy evaluation (high complexity): rates for 3 insurance plans BLUE CROSS FEDERAL [1008] — HB WR BCI PPO FEP: $210.33 BLUE CROSS IDAHO [1007] — HB WR BCI PPO FEP: $210.33 BLUE CROSS OUT OF STATE [1041] — HB WR BCI PPO FEP: $210.33
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) In the file: Evaluation for physical therapy, typically 45 minutes	$246	$246	$195
Physical therapy evaluation (high complexity): rates for 3 insurance plans BLUE CROSS FEDERAL [1008] — HB WR BCI PPO FEP: $195 BLUE CROSS IDAHO [1007] — HB WR BCI PPO FEP: $195 BLUE CROSS OUT OF STATE [1041] — HB WR BCI PPO FEP: $195
Psychotherapy, 30 minutes CPT 90832 · Inpatient or outpatient In the file: Psychotherapy, 30 minutes	$466	$466	$265.62 – $421.73
Psychotherapy, 30 minutes: 10 of 36 insurance plan rates AETNA [1021] — HB WR AETNA TRINITY HEALTH (ST AL'S): $419.40 AETNA [1021] — HB WR BP AETNA: $442.70 BLUE CROSS/MEDICARE ADVANTAGE [1009] — HB WR BCI TRUE & SECURE MED ADV: $268.28 CIGNA [1062] — HB WR CIGNA: $433.38 COMMERCIAL [1028] — HB WR AMPS: $396.10 COMMERCIAL [1028] — HB WR BP AETNA: $442.70 COMMERCIAL [1028] — HB WR CCN FIRST HEALTH: $452.02 COMMERCIAL [1028] — HB WR CHRISTIAN HEALTH AID: $396.10 COMMERCIAL [1028] — HB WR CIGNA: $433.38 COMMERCIAL [1028] — HB WR FIRST CHOICE HEALTH: $442.70
Psychotherapy, 30 minutes CPT 90832 · Inpatient (hospital stay) In the file: Psychotherapy, 30 minutes	$466	$466	$398.43
Psychotherapy, 30 minutes: rates for 3 insurance plans BLUE CROSS FEDERAL [1008] — HB WR BCI PPO FEP: $398.43 BLUE CROSS IDAHO [1007] — HB WR BCI PPO FEP: $398.43 BLUE CROSS OUT OF STATE [1041] — HB WR BCI PPO FEP: $398.43
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) In the file: Psychotherapy, 30 minutes	$466	$466	$321
Psychotherapy, 30 minutes: rates for 3 insurance plans BLUE CROSS FEDERAL [1008] — HB WR BCI PPO FEP: $321 BLUE CROSS IDAHO [1007] — HB WR BCI PPO FEP: $321 BLUE CROSS OUT OF STATE [1041] — HB WR BCI PPO FEP: $321
Psychotherapy, 45 minutes CPT 90834 · Inpatient or outpatient In the file: Psychotherapy, 45 minutes	$466	$466	$265.62 – $421.73
Psychotherapy, 45 minutes: 10 of 36 insurance plan rates AETNA [1021] — HB WR AETNA TRINITY HEALTH (ST AL'S): $419.40 AETNA [1021] — HB WR BP AETNA: $442.70 BLUE CROSS/MEDICARE ADVANTAGE [1009] — HB WR BCI TRUE & SECURE MED ADV: $268.28 CIGNA [1062] — HB WR CIGNA: $433.38 COMMERCIAL [1028] — HB WR AMPS: $396.10 COMMERCIAL [1028] — HB WR BP AETNA: $442.70 COMMERCIAL [1028] — HB WR CCN FIRST HEALTH: $452.02 COMMERCIAL [1028] — HB WR CHRISTIAN HEALTH AID: $396.10 COMMERCIAL [1028] — HB WR CIGNA: $433.38 COMMERCIAL [1028] — HB WR FIRST CHOICE HEALTH: $442.70
Psychotherapy, 45 minutes CPT 90834 · Inpatient (hospital stay) In the file: Psychotherapy, 45 minutes	$466	$466	$398.43
Psychotherapy, 45 minutes: rates for 3 insurance plans BLUE CROSS FEDERAL [1008] — HB WR BCI PPO FEP: $398.43 BLUE CROSS IDAHO [1007] — HB WR BCI PPO FEP: $398.43 BLUE CROSS OUT OF STATE [1041] — HB WR BCI PPO FEP: $398.43
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) In the file: Psychotherapy, 45 minutes	$466	$466	$321
Psychotherapy, 45 minutes: rates for 3 insurance plans BLUE CROSS FEDERAL [1008] — HB WR BCI PPO FEP: $321 BLUE CROSS IDAHO [1007] — HB WR BCI PPO FEP: $321 BLUE CROSS OUT OF STATE [1041] — HB WR BCI PPO FEP: $321
Psychotherapy, 60 minutes CPT 90837 · Inpatient or outpatient In the file: Psychotherapy, 1 hour	$466	$466	$265.62 – $452.02
Psychotherapy, 60 minutes: 10 of 36 insurance plan rates AETNA [1021] — HB WR AETNA TRINITY HEALTH (ST AL'S): $419.40 AETNA [1021] — HB WR BP AETNA: $442.70 BLUE CROSS/MEDICARE ADVANTAGE [1009] — HB WR BCI TRUE & SECURE MED ADV: $268.28 CIGNA [1062] — HB WR CIGNA: $433.38 COMMERCIAL [1028] — HB WR AMPS: $396.10 COMMERCIAL [1028] — HB WR BP AETNA: $442.70 COMMERCIAL [1028] — HB WR CCN FIRST HEALTH: $452.02 COMMERCIAL [1028] — HB WR CHRISTIAN HEALTH AID: $396.10 COMMERCIAL [1028] — HB WR CIGNA: $433.38 COMMERCIAL [1028] — HB WR FIRST CHOICE HEALTH: $442.70
Psychotherapy, 60 minutes CPT 90837 · Inpatient (hospital stay) In the file: Psychotherapy, 1 hour	$466	$466	$398.43
Psychotherapy, 60 minutes: rates for 3 insurance plans BLUE CROSS FEDERAL [1008] — HB WR BCI PPO FEP: $398.43 BLUE CROSS IDAHO [1007] — HB WR BCI PPO FEP: $398.43 BLUE CROSS OUT OF STATE [1041] — HB WR BCI PPO FEP: $398.43
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) In the file: Psychotherapy, 1 hour	$466	$466	$321
Psychotherapy, 60 minutes: rates for 3 insurance plans BLUE CROSS FEDERAL [1008] — HB WR BCI PPO FEP: $321 BLUE CROSS IDAHO [1007] — HB WR BCI PPO FEP: $321 BLUE CROSS OUT OF STATE [1041] — HB WR BCI PPO FEP: $321
Family psychotherapy, without the patient CPT 90846 · Inpatient or outpatient In the file: Family psychotherapy without patient, 50 minutes	$466	$466	$265.62 – $452.02
Family psychotherapy, without the patient: 10 of 36 insurance plan rates AETNA [1021] — HB WR AETNA TRINITY HEALTH (ST AL'S): $419.40 AETNA [1021] — HB WR BP AETNA: $442.70 BLUE CROSS/MEDICARE ADVANTAGE [1009] — HB WR BCI TRUE & SECURE MED ADV: $268.28 CIGNA [1062] — HB WR CIGNA: $433.38 COMMERCIAL [1028] — HB WR AMPS: $396.10 COMMERCIAL [1028] — HB WR BP AETNA: $442.70 COMMERCIAL [1028] — HB WR CCN FIRST HEALTH: $452.02 COMMERCIAL [1028] — HB WR CHRISTIAN HEALTH AID: $396.10 COMMERCIAL [1028] — HB WR CIGNA: $433.38 COMMERCIAL [1028] — HB WR FIRST CHOICE HEALTH: $442.70
Family psychotherapy, without the patient CPT 90846 · Inpatient (hospital stay) In the file: Family psychotherapy without patient, 50 minutes	$466	$466	$398.43
Family psychotherapy, without the patient: rates for 3 insurance plans BLUE CROSS FEDERAL [1008] — HB WR BCI PPO FEP: $398.43 BLUE CROSS IDAHO [1007] — HB WR BCI PPO FEP: $398.43 BLUE CROSS OUT OF STATE [1041] — HB WR BCI PPO FEP: $398.43
Family psychotherapy, without the patient CPT 90846 · Outpatient (no overnight stay) In the file: Family psychotherapy without patient, 50 minutes	$466	$466	$321
Family psychotherapy, without the patient: rates for 3 insurance plans BLUE CROSS FEDERAL [1008] — HB WR BCI PPO FEP: $321 BLUE CROSS IDAHO [1007] — HB WR BCI PPO FEP: $321 BLUE CROSS OUT OF STATE [1041] — HB WR BCI PPO FEP: $321
Family psychotherapy, with the patient CPT 90847 · Inpatient or outpatient In the file: Family psychotherapy with patient, 50 minutes	$466	$466	$265.62 – $452.02
Family psychotherapy, with the patient: 10 of 36 insurance plan rates AETNA [1021] — HB WR AETNA TRINITY HEALTH (ST AL'S): $419.40 AETNA [1021] — HB WR BP AETNA: $442.70 BLUE CROSS/MEDICARE ADVANTAGE [1009] — HB WR BCI TRUE & SECURE MED ADV: $268.28 CIGNA [1062] — HB WR CIGNA: $433.38 COMMERCIAL [1028] — HB WR AMPS: $396.10 COMMERCIAL [1028] — HB WR BP AETNA: $442.70 COMMERCIAL [1028] — HB WR CCN FIRST HEALTH: $452.02 COMMERCIAL [1028] — HB WR CHRISTIAN HEALTH AID: $396.10 COMMERCIAL [1028] — HB WR CIGNA: $433.38 COMMERCIAL [1028] — HB WR FIRST CHOICE HEALTH: $442.70
Family psychotherapy, with the patient CPT 90847 · Inpatient (hospital stay) In the file: Family psychotherapy with patient, 50 minutes	$466	$466	$398.43
Family psychotherapy, with the patient: rates for 3 insurance plans BLUE CROSS FEDERAL [1008] — HB WR BCI PPO FEP: $398.43 BLUE CROSS IDAHO [1007] — HB WR BCI PPO FEP: $398.43 BLUE CROSS OUT OF STATE [1041] — HB WR BCI PPO FEP: $398.43
Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) In the file: Family psychotherapy with patient, 50 minutes	$466	$466	$321
Family psychotherapy, with the patient: rates for 3 insurance plans BLUE CROSS FEDERAL [1008] — HB WR BCI PPO FEP: $321 BLUE CROSS IDAHO [1007] — HB WR BCI PPO FEP: $321 BLUE CROSS OUT OF STATE [1041] — HB WR BCI PPO FEP: $321
Group psychotherapy CPT 90853 · Inpatient or outpatient In the file: Group psychotherapy	$268	$268	$152.76 – $259.96
Group psychotherapy: 10 of 36 insurance plan rates AETNA [1021] — HB WR AETNA TRINITY HEALTH (ST AL'S): $241.20 AETNA [1021] — HB WR BP AETNA: $254.60 BLUE CROSS/MEDICARE ADVANTAGE [1009] — HB WR BCI TRUE & SECURE MED ADV: $154.29 CIGNA [1062] — HB WR CIGNA: $249.24 COMMERCIAL [1028] — HB WR AMPS: $227.80 COMMERCIAL [1028] — HB WR BP AETNA: $254.60 COMMERCIAL [1028] — HB WR CCN FIRST HEALTH: $259.96 COMMERCIAL [1028] — HB WR CHRISTIAN HEALTH AID: $227.80 COMMERCIAL [1028] — HB WR CIGNA: $249.24 COMMERCIAL [1028] — HB WR FIRST CHOICE HEALTH: $254.60
Group psychotherapy CPT 90853 · Inpatient (hospital stay) In the file: Group psychotherapy	$268	$268	$229.14
Group psychotherapy: rates for 3 insurance plans BLUE CROSS FEDERAL [1008] — HB WR BCI PPO FEP: $229.14 BLUE CROSS IDAHO [1007] — HB WR BCI PPO FEP: $229.14 BLUE CROSS OUT OF STATE [1041] — HB WR BCI PPO FEP: $229.14
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) In the file: Group psychotherapy	$268	$268	$185
Group psychotherapy: rates for 3 insurance plans BLUE CROSS FEDERAL [1008] — HB WR BCI PPO FEP: $185 BLUE CROSS IDAHO [1007] — HB WR BCI PPO FEP: $185 BLUE CROSS OUT OF STATE [1041] — HB WR BCI PPO FEP: $185

Procedures and surgery

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Removal of breast growth (open surgery) CPT 19120 · Inpatient or outpatient In the file: Removal of growth and tissue of breast, duct, or nipple	$10,392	$10,392	$5,923.44 – $10,080.24
Removal of breast growth (open surgery): 10 of 31 insurance plan rates AETNA [1021] — HB WR BP AETNA: $9,872.40 BLUE CROSS/MEDICARE ADVANTAGE [1009] — HB WR BCI TRUE & SECURE MED ADV: $5,982.67 COMMERCIAL [1028] — HB WR AMPS: $8,833.20 COMMERCIAL [1028] — HB WR BP AETNA: $9,872.40 COMMERCIAL [1028] — HB WR CCN FIRST HEALTH: $10,080.24 COMMERCIAL [1028] — HB WR CHRISTIAN HEALTH AID: $8,833.20 COMMERCIAL [1028] — HB WR FIRST CHOICE HEALTH: $9,872.40 COMMERCIAL [1028] — HB WR MODA COMMERCIAL: $9,144.96 COMMERCIAL [1028] — HB WR MULTIPLAN PRIMARY NETWORK: $8,313.60 COMMERCIAL [1028] — HB WR NORTHERN NEVADA LABORERS TRUST: $9,352.80
Removal of breast growth (open surgery) CPT 19120 · Inpatient (hospital stay) In the file: Removal of growth and tissue of breast, duct, or nipple	$10,392	$10,392	$9,768.48
Removal of breast growth (open surgery): rates for 1 insurance plan PACIFICSOURCE [1020] — HB WR PACIFICSOURCE PPO VOYAGER: $9,768.48
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) In the file: Removal of growth and tissue of breast, duct, or nipple	$10,392	$10,392	Not listed in the file
Total hip replacement CPT 27130 · Inpatient or outpatient In the file: Replacement of thigh bone and hip joint with prosthesis	$15,889	$15,889	$9,056.73 – $15,412.33
Total hip replacement: 10 of 35 insurance plan rates AETNA [1021] — HB WR AETNA TRINITY HEALTH (ST AL'S): $14,300.10 AETNA [1021] — HB WR BP AETNA: $15,094.55 BLUE CROSS/MEDICARE ADVANTAGE [1009] — HB WR BCI TRUE & SECURE MED ADV: $9,147.30 CIGNA [1062] — HB WR CIGNA: $14,776.77 COMMERCIAL [1028] — HB WR AMPS: $13,505.65 COMMERCIAL [1028] — HB WR BP AETNA: $15,094.55 COMMERCIAL [1028] — HB WR CCN FIRST HEALTH: $15,412.33 COMMERCIAL [1028] — HB WR CHRISTIAN HEALTH AID: $13,505.65 COMMERCIAL [1028] — HB WR CIGNA: $14,776.77 COMMERCIAL [1028] — HB WR FIRST CHOICE HEALTH: $15,094.55
Total hip replacement CPT 27130 · Inpatient (hospital stay) In the file: Replacement of thigh bone and hip joint with prosthesis	$15,889	$15,889	$13,585.10 – $14,935.66
Total hip replacement: rates for 4 insurance plans BLUE CROSS FEDERAL [1008] — HB WR BCI PPO FEP: $13,585.10 BLUE CROSS IDAHO [1007] — HB WR BCI PPO FEP: $13,585.10 BLUE CROSS OUT OF STATE [1041] — HB WR BCI PPO FEP: $13,585.10 PACIFICSOURCE [1020] — HB WR PACIFICSOURCE PPO VOYAGER: $14,935.66
Total hip replacement CPT 27130 · Outpatient (no overnight stay) In the file: Replacement of thigh bone and hip joint with prosthesis	$15,889	$15,889	Not listed in the file
Total knee replacement CPT 27447 · Inpatient or outpatient In the file: Replacement of knee joint, both sides of knee	$15,889	$15,889	$9,056.73 – $15,412.33
Total knee replacement: 10 of 35 insurance plan rates AETNA [1021] — HB WR AETNA TRINITY HEALTH (ST AL'S): $14,300.10 AETNA [1021] — HB WR BP AETNA: $15,094.55 BLUE CROSS/MEDICARE ADVANTAGE [1009] — HB WR BCI TRUE & SECURE MED ADV: $9,147.30 CIGNA [1062] — HB WR CIGNA: $14,776.77 COMMERCIAL [1028] — HB WR AMPS: $13,505.65 COMMERCIAL [1028] — HB WR BP AETNA: $15,094.55 COMMERCIAL [1028] — HB WR CCN FIRST HEALTH: $15,412.33 COMMERCIAL [1028] — HB WR CHRISTIAN HEALTH AID: $13,505.65 COMMERCIAL [1028] — HB WR CIGNA: $14,776.77 COMMERCIAL [1028] — HB WR FIRST CHOICE HEALTH: $15,094.55
Total knee replacement CPT 27447 · Inpatient (hospital stay) In the file: Replacement of knee joint, both sides of knee	$15,889	$15,889	$13,585.10 – $14,935.66
Total knee replacement: rates for 4 insurance plans BLUE CROSS FEDERAL [1008] — HB WR BCI PPO FEP: $13,585.10 BLUE CROSS IDAHO [1007] — HB WR BCI PPO FEP: $13,585.10 BLUE CROSS OUT OF STATE [1041] — HB WR BCI PPO FEP: $13,585.10 PACIFICSOURCE [1020] — HB WR PACIFICSOURCE PPO VOYAGER: $14,935.66
Total knee replacement CPT 27447 · Outpatient (no overnight stay) In the file: Replacement of knee joint, both sides of knee	$15,889	$15,889	Not listed in the file
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Inpatient or outpatient In the file: Shaving of part of shoulder bone and repair of ligament using an endoscope	$2,859	$2,859	$1,629.63 – $2,773.23
Shoulder arthroscopy: shaving of shoulder bone: 10 of 36 insurance plan rates AETNA [1021] — HB WR AETNA TRINITY HEALTH (ST AL'S): $2,573.10 AETNA [1021] — HB WR BP AETNA: $2,716.05 BLUE CROSS/MEDICARE ADVANTAGE [1009] — HB WR BCI TRUE & SECURE MED ADV: $1,645.93 CIGNA [1062] — HB WR CIGNA: $2,658.87 COMMERCIAL [1028] — HB WR AMPS: $2,430.15 COMMERCIAL [1028] — HB WR BP AETNA: $2,716.05 COMMERCIAL [1028] — HB WR CCN FIRST HEALTH: $2,773.23 COMMERCIAL [1028] — HB WR CHRISTIAN HEALTH AID: $2,430.15 COMMERCIAL [1028] — HB WR CIGNA: $2,658.87 COMMERCIAL [1028] — HB WR FIRST CHOICE HEALTH: $2,716.05
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Inpatient (hospital stay) In the file: Shaving of part of shoulder bone and repair of ligament using an endoscope	$2,859	$2,859	$2,444.45
Shoulder arthroscopy: shaving of shoulder bone: rates for 3 insurance plans BLUE CROSS FEDERAL [1008] — HB WR BCI PPO FEP: $2,444.45 BLUE CROSS IDAHO [1007] — HB WR BCI PPO FEP: $2,444.45 BLUE CROSS OUT OF STATE [1041] — HB WR BCI PPO FEP: $2,444.45
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Inpatient (hospital stay) In the file: Removal of knee cartilage using an endoscope	$8,372	$8,372	$4,772.04 – $8,120.84
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 39 insurance plan rates AETNA [1021] — HB WR AETNA TRINITY HEALTH (ST AL'S): $7,534.80 AETNA [1021] — HB WR BP AETNA: $7,953.40 BLUE CROSS FEDERAL [1008] — HB WR BCI PPO FEP: $7,158.06 BLUE CROSS IDAHO [1007] — HB WR BCI PPO FEP: $7,158.06 BLUE CROSS OUT OF STATE [1041] — HB WR BCI PPO FEP: $7,158.06 BLUE CROSS/MEDICARE ADVANTAGE [1009] — HB WR BCI TRUE & SECURE MED ADV: $4,819.76 CIGNA [1062] — HB WR CIGNA: $7,785.96 COMMERCIAL [1028] — HB WR AMPS: $7,116.20 COMMERCIAL [1028] — HB WR BP AETNA: $7,953.40 COMMERCIAL [1028] — HB WR CCN FIRST HEALTH: $8,120.84
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) In the file: Removal of knee cartilage using an endoscope	$6,877	$6,877	$3,919.89 – $6,670.69
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 35 insurance plan rates AETNA [1021] — HB WR AETNA TRINITY HEALTH (ST AL'S): $6,189.30 AETNA [1021] — HB WR BP AETNA: $6,533.15 BLUE CROSS/MEDICARE ADVANTAGE [1009] — HB WR BCI TRUE & SECURE MED ADV: $3,959.09 CIGNA [1062] — HB WR CIGNA: $6,395.61 COMMERCIAL [1028] — HB WR AMPS: $5,845.45 COMMERCIAL [1028] — HB WR BP AETNA: $6,533.15 COMMERCIAL [1028] — HB WR CCN FIRST HEALTH: $6,670.69 COMMERCIAL [1028] — HB WR CHRISTIAN HEALTH AID: $5,845.45 COMMERCIAL [1028] — HB WR CIGNA: $6,395.61 COMMERCIAL [1028] — HB WR FIRST CHOICE HEALTH: $6,533.15
Removal of tonsils and adenoids (under age 12) CPT 42820 · Inpatient or outpatient In the file: Removal of tonsils and adenoid glands (younger than 12 years)	$15,519	$15,519	$8,845.83 – $15,053.43
Removal of tonsils and adenoids (under age 12): 10 of 35 insurance plan rates AETNA [1021] — HB WR AETNA TRINITY HEALTH (ST AL'S): $13,967.10 AETNA [1021] — HB WR BP AETNA: $14,743.05 BLUE CROSS/MEDICARE ADVANTAGE [1009] — HB WR BCI TRUE & SECURE MED ADV: $8,934.29 CIGNA [1062] — HB WR CIGNA: $14,432.67 COMMERCIAL [1028] — HB WR AMPS: $13,191.15 COMMERCIAL [1028] — HB WR BP AETNA: $14,743.05 COMMERCIAL [1028] — HB WR CCN FIRST HEALTH: $15,053.43 COMMERCIAL [1028] — HB WR CHRISTIAN HEALTH AID: $13,191.15 COMMERCIAL [1028] — HB WR CIGNA: $14,432.67 COMMERCIAL [1028] — HB WR FIRST CHOICE HEALTH: $14,743.05
Removal of tonsils and adenoids (under age 12) CPT 42820 · Inpatient (hospital stay) In the file: Removal of tonsils and adenoid glands (younger than 12 years)	$15,519	$15,519	$13,268.75 – $14,587.86
Removal of tonsils and adenoids (under age 12): rates for 4 insurance plans BLUE CROSS FEDERAL [1008] — HB WR BCI PPO FEP: $13,268.75 BLUE CROSS IDAHO [1007] — HB WR BCI PPO FEP: $13,268.75 BLUE CROSS OUT OF STATE [1041] — HB WR BCI PPO FEP: $13,268.75 PACIFICSOURCE [1020] — HB WR PACIFICSOURCE PPO VOYAGER: $14,587.86
Removal of tonsils and adenoids (under age 12) CPT 42820 · Outpatient (no overnight stay) In the file: Removal of tonsils and adenoid glands (younger than 12 years)	$15,519	$15,519	Not listed in the file
Upper GI endoscopy (diagnostic) CPT 43235 · Inpatient or outpatient In the file: Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	$2,526	$2,526	$1,439.82 – $2,450.22
Upper GI endoscopy (diagnostic): 10 of 35 insurance plan rates AETNA [1021] — HB WR AETNA TRINITY HEALTH (ST AL'S): $2,273.40 AETNA [1021] — HB WR BP AETNA: $2,399.70 BLUE CROSS/MEDICARE ADVANTAGE [1009] — HB WR BCI TRUE & SECURE MED ADV: $1,454.22 CIGNA [1062] — HB WR CIGNA: $2,349.18 COMMERCIAL [1028] — HB WR AMPS: $2,147.10 COMMERCIAL [1028] — HB WR BP AETNA: $2,399.70 COMMERCIAL [1028] — HB WR CCN FIRST HEALTH: $2,450.22 COMMERCIAL [1028] — HB WR CHRISTIAN HEALTH AID: $2,147.10 COMMERCIAL [1028] — HB WR CIGNA: $2,349.18 COMMERCIAL [1028] — HB WR FIRST CHOICE HEALTH: $2,399.70
Upper GI endoscopy (diagnostic) CPT 43235 · Inpatient (hospital stay) In the file: Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	$2,526	$2,526	$2,159.73 – $2,374.44
Upper GI endoscopy (diagnostic): rates for 4 insurance plans BLUE CROSS FEDERAL [1008] — HB WR BCI PPO FEP: $2,159.73 BLUE CROSS IDAHO [1007] — HB WR BCI PPO FEP: $2,159.73 BLUE CROSS OUT OF STATE [1041] — HB WR BCI PPO FEP: $2,159.73 PACIFICSOURCE [1020] — HB WR PACIFICSOURCE PPO VOYAGER: $2,374.44
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) In the file: Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	$2,526	$2,526	Not listed in the file
Upper GI endoscopy with biopsy CPT 43239 · Inpatient or outpatient In the file: Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	$2,526	$2,526	$1,439.82 – $2,450.22
Upper GI endoscopy with biopsy: 10 of 35 insurance plan rates AETNA [1021] — HB WR AETNA TRINITY HEALTH (ST AL'S): $2,273.40 AETNA [1021] — HB WR BP AETNA: $2,399.70 BLUE CROSS/MEDICARE ADVANTAGE [1009] — HB WR BCI TRUE & SECURE MED ADV: $1,454.22 CIGNA [1062] — HB WR CIGNA: $2,349.18 COMMERCIAL [1028] — HB WR AMPS: $2,147.10 COMMERCIAL [1028] — HB WR BP AETNA: $2,399.70 COMMERCIAL [1028] — HB WR CCN FIRST HEALTH: $2,450.22 COMMERCIAL [1028] — HB WR CHRISTIAN HEALTH AID: $2,147.10 COMMERCIAL [1028] — HB WR CIGNA: $2,349.18 COMMERCIAL [1028] — HB WR FIRST CHOICE HEALTH: $2,399.70
Upper GI endoscopy with biopsy CPT 43239 · Inpatient (hospital stay) In the file: Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	$2,526	$2,526	$2,159.73 – $2,374.44
Upper GI endoscopy with biopsy: rates for 4 insurance plans BLUE CROSS FEDERAL [1008] — HB WR BCI PPO FEP: $2,159.73 BLUE CROSS IDAHO [1007] — HB WR BCI PPO FEP: $2,159.73 BLUE CROSS OUT OF STATE [1041] — HB WR BCI PPO FEP: $2,159.73 PACIFICSOURCE [1020] — HB WR PACIFICSOURCE PPO VOYAGER: $2,374.44
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) In the file: Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	$2,526	$2,526	Not listed in the file
Colonoscopy (diagnostic) CPT 45378 · Inpatient or outpatient In the file: Diagnostic exam of large bowel using a flexible endoscope	$2,509	$2,509	$1,430.13 – $2,433.73
Colonoscopy (diagnostic): 10 of 35 insurance plan rates AETNA [1021] — HB WR AETNA TRINITY HEALTH (ST AL'S): $2,258.10 AETNA [1021] — HB WR BP AETNA: $2,383.55 BLUE CROSS/MEDICARE ADVANTAGE [1009] — HB WR BCI TRUE & SECURE MED ADV: $1,444.43 CIGNA [1062] — HB WR CIGNA: $2,333.37 COMMERCIAL [1028] — HB WR AMPS: $2,132.65 COMMERCIAL [1028] — HB WR BP AETNA: $2,383.55 COMMERCIAL [1028] — HB WR CCN FIRST HEALTH: $2,433.73 COMMERCIAL [1028] — HB WR CHRISTIAN HEALTH AID: $2,132.65 COMMERCIAL [1028] — HB WR CIGNA: $2,333.37 COMMERCIAL [1028] — HB WR FIRST CHOICE HEALTH: $2,383.55
Colonoscopy (diagnostic) CPT 45378 · Inpatient (hospital stay) In the file: Diagnostic exam of large bowel using a flexible endoscope	$2,509	$2,509	$2,145.20 – $2,358.46
Colonoscopy (diagnostic): rates for 4 insurance plans BLUE CROSS FEDERAL [1008] — HB WR BCI PPO FEP: $2,145.20 BLUE CROSS IDAHO [1007] — HB WR BCI PPO FEP: $2,145.20 BLUE CROSS OUT OF STATE [1041] — HB WR BCI PPO FEP: $2,145.20 PACIFICSOURCE [1020] — HB WR PACIFICSOURCE PPO VOYAGER: $2,358.46
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) In the file: Diagnostic exam of large bowel using a flexible endoscope	$2,509	$2,509	Not listed in the file
Colonoscopy with biopsy CPT 45380 · Inpatient or outpatient In the file: Biopsy of large bowel using a flexible endoscope	$3,234	$3,234	$1,843.38 – $3,136.98
Colonoscopy with biopsy: 10 of 35 insurance plan rates AETNA [1021] — HB WR AETNA TRINITY HEALTH (ST AL'S): $2,910.60 AETNA [1021] — HB WR BP AETNA: $3,072.30 BLUE CROSS/MEDICARE ADVANTAGE [1009] — HB WR BCI TRUE & SECURE MED ADV: $1,861.81 CIGNA [1062] — HB WR CIGNA: $3,007.62 COMMERCIAL [1028] — HB WR AMPS: $2,748.90 COMMERCIAL [1028] — HB WR BP AETNA: $3,072.30 COMMERCIAL [1028] — HB WR CCN FIRST HEALTH: $3,136.98 COMMERCIAL [1028] — HB WR CHRISTIAN HEALTH AID: $2,748.90 COMMERCIAL [1028] — HB WR CIGNA: $3,007.62 COMMERCIAL [1028] — HB WR FIRST CHOICE HEALTH: $3,072.30
Colonoscopy with biopsy CPT 45380 · Inpatient (hospital stay) In the file: Biopsy of large bowel using a flexible endoscope	$3,234	$3,234	$2,765.07 – $3,039.96
Colonoscopy with biopsy: rates for 4 insurance plans BLUE CROSS FEDERAL [1008] — HB WR BCI PPO FEP: $2,765.07 BLUE CROSS IDAHO [1007] — HB WR BCI PPO FEP: $2,765.07 BLUE CROSS OUT OF STATE [1041] — HB WR BCI PPO FEP: $2,765.07 PACIFICSOURCE [1020] — HB WR PACIFICSOURCE PPO VOYAGER: $3,039.96
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) In the file: Biopsy of large bowel using a flexible endoscope	$3,234	$3,234	Not listed in the file
Colonoscopy with removal of polyps (snare) CPT 45385 · Inpatient or outpatient In the file: Removal of polyps or growths of large bowel using an endoscope with mechanical snare	$3,234	$3,234	$1,843.38 – $3,136.98
Colonoscopy with removal of polyps (snare): 10 of 35 insurance plan rates AETNA [1021] — HB WR AETNA TRINITY HEALTH (ST AL'S): $2,910.60 AETNA [1021] — HB WR BP AETNA: $3,072.30 BLUE CROSS/MEDICARE ADVANTAGE [1009] — HB WR BCI TRUE & SECURE MED ADV: $1,861.81 CIGNA [1062] — HB WR CIGNA: $3,007.62 COMMERCIAL [1028] — HB WR AMPS: $2,748.90 COMMERCIAL [1028] — HB WR BP AETNA: $3,072.30 COMMERCIAL [1028] — HB WR CCN FIRST HEALTH: $3,136.98 COMMERCIAL [1028] — HB WR CHRISTIAN HEALTH AID: $2,748.90 COMMERCIAL [1028] — HB WR CIGNA: $3,007.62 COMMERCIAL [1028] — HB WR FIRST CHOICE HEALTH: $3,072.30
Colonoscopy with removal of polyps (snare) CPT 45385 · Inpatient (hospital stay) In the file: Removal of polyps or growths of large bowel using an endoscope with mechanical snare	$3,234	$3,234	$2,765.07 – $3,039.96
Colonoscopy with removal of polyps (snare): rates for 4 insurance plans BLUE CROSS FEDERAL [1008] — HB WR BCI PPO FEP: $2,765.07 BLUE CROSS IDAHO [1007] — HB WR BCI PPO FEP: $2,765.07 BLUE CROSS OUT OF STATE [1041] — HB WR BCI PPO FEP: $2,765.07 PACIFICSOURCE [1020] — HB WR PACIFICSOURCE PPO VOYAGER: $3,039.96
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) In the file: Removal of polyps or growths of large bowel using an endoscope with mechanical snare	$3,234	$3,234	Not listed in the file
Ultrasound of the lower bowel by endoscope CPT 45391 · Inpatient or outpatient In the file: Ultrasound exam of large bowel using a flexible endoscope	$3,234	$3,234	$1,843.38 – $3,136.98
Ultrasound of the lower bowel by endoscope: 10 of 35 insurance plan rates AETNA [1021] — HB WR AETNA TRINITY HEALTH (ST AL'S): $2,910.60 AETNA [1021] — HB WR BP AETNA: $3,072.30 BLUE CROSS/MEDICARE ADVANTAGE [1009] — HB WR BCI TRUE & SECURE MED ADV: $1,861.81 CIGNA [1062] — HB WR CIGNA: $3,007.62 COMMERCIAL [1028] — HB WR AMPS: $2,748.90 COMMERCIAL [1028] — HB WR BP AETNA: $3,072.30 COMMERCIAL [1028] — HB WR CCN FIRST HEALTH: $3,136.98 COMMERCIAL [1028] — HB WR CHRISTIAN HEALTH AID: $2,748.90 COMMERCIAL [1028] — HB WR CIGNA: $3,007.62 COMMERCIAL [1028] — HB WR FIRST CHOICE HEALTH: $3,072.30
Ultrasound of the lower bowel by endoscope CPT 45391 · Inpatient (hospital stay) In the file: Ultrasound exam of large bowel using a flexible endoscope	$3,234	$3,234	$2,765.07 – $3,039.96
Ultrasound of the lower bowel by endoscope: rates for 4 insurance plans BLUE CROSS FEDERAL [1008] — HB WR BCI PPO FEP: $2,765.07 BLUE CROSS IDAHO [1007] — HB WR BCI PPO FEP: $2,765.07 BLUE CROSS OUT OF STATE [1041] — HB WR BCI PPO FEP: $2,765.07 PACIFICSOURCE [1020] — HB WR PACIFICSOURCE PPO VOYAGER: $3,039.96
Ultrasound of the lower bowel by endoscope CPT 45391 · Outpatient (no overnight stay) In the file: Ultrasound exam of large bowel using a flexible endoscope	$3,234	$3,234	Not listed in the file
Screening colonoscopy (not high risk) HCPCS G0121 · Inpatient or outpatient In the file: HC Colon Ca Scrn Not Hi Rsk Ind	$2,509	$2,509	$1,430.13 – $2,433.73
Screening colonoscopy (not high risk): 10 of 35 insurance plan rates AETNA [1021] — HB WR AETNA TRINITY HEALTH (ST AL'S): $2,258.10 AETNA [1021] — HB WR BP AETNA: $2,383.55 BLUE CROSS/MEDICARE ADVANTAGE [1009] — HB WR BCI TRUE & SECURE MED ADV: $1,444.43 CIGNA [1062] — HB WR CIGNA: $2,333.37 COMMERCIAL [1028] — HB WR AMPS: $2,132.65 COMMERCIAL [1028] — HB WR BP AETNA: $2,383.55 COMMERCIAL [1028] — HB WR CCN FIRST HEALTH: $2,433.73 COMMERCIAL [1028] — HB WR CHRISTIAN HEALTH AID: $2,132.65 COMMERCIAL [1028] — HB WR CIGNA: $2,333.37 COMMERCIAL [1028] — HB WR FIRST CHOICE HEALTH: $2,383.55
Screening colonoscopy (not high risk) HCPCS G0121 · Inpatient (hospital stay) In the file: HC Colon Ca Scrn Not Hi Rsk Ind	$2,509	$2,509	$2,145.20 – $2,358.46
Screening colonoscopy (not high risk): rates for 4 insurance plans BLUE CROSS FEDERAL [1008] — HB WR BCI PPO FEP: $2,145.20 BLUE CROSS IDAHO [1007] — HB WR BCI PPO FEP: $2,145.20 BLUE CROSS OUT OF STATE [1041] — HB WR BCI PPO FEP: $2,145.20 PACIFICSOURCE [1020] — HB WR PACIFICSOURCE PPO VOYAGER: $2,358.46
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) In the file: HC Colon Ca Scrn Not Hi Rsk Ind	$2,509	$2,509	Not listed in the file
Gallbladder removal by laparoscope CPT 47562 · Inpatient or outpatient In the file: Removal of gallbladder using an endoscope	$15,131	$15,131	$8,624.67 – $14,677.07
Gallbladder removal by laparoscope: 10 of 35 insurance plan rates AETNA [1021] — HB WR AETNA TRINITY HEALTH (ST AL'S): $13,617.90 AETNA [1021] — HB WR BP AETNA: $14,374.45 BLUE CROSS/MEDICARE ADVANTAGE [1009] — HB WR BCI TRUE & SECURE MED ADV: $8,710.92 CIGNA [1062] — HB WR CIGNA: $14,071.83 COMMERCIAL [1028] — HB WR AMPS: $12,861.35 COMMERCIAL [1028] — HB WR BP AETNA: $14,374.45 COMMERCIAL [1028] — HB WR CCN FIRST HEALTH: $14,677.07 COMMERCIAL [1028] — HB WR CHRISTIAN HEALTH AID: $12,861.35 COMMERCIAL [1028] — HB WR CIGNA: $14,071.83 COMMERCIAL [1028] — HB WR FIRST CHOICE HEALTH: $14,374.45
Gallbladder removal by laparoscope CPT 47562 · Inpatient (hospital stay) In the file: Removal of gallbladder using an endoscope	$15,131	$15,131	$12,937.01 – $14,223.14
Gallbladder removal by laparoscope: rates for 4 insurance plans BLUE CROSS FEDERAL [1008] — HB WR BCI PPO FEP: $12,937.01 BLUE CROSS IDAHO [1007] — HB WR BCI PPO FEP: $12,937.01 BLUE CROSS OUT OF STATE [1041] — HB WR BCI PPO FEP: $12,937.01 PACIFICSOURCE [1020] — HB WR PACIFICSOURCE PPO VOYAGER: $14,223.14
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) In the file: Removal of gallbladder using an endoscope	$15,131	$15,131	Not listed in the file
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Inpatient or outpatient In the file: Repair of groin hernia (5 years or older)	$8,630	$8,630	$4,919.10 – $8,371.10
Groin (inguinal) hernia repair, age 5 or older: 10 of 35 insurance plan rates AETNA [1021] — HB WR AETNA TRINITY HEALTH (ST AL'S): $7,767 AETNA [1021] — HB WR BP AETNA: $8,198.50 BLUE CROSS/MEDICARE ADVANTAGE [1009] — HB WR BCI TRUE & SECURE MED ADV: $4,968.29 CIGNA [1062] — HB WR CIGNA: $8,025.90 COMMERCIAL [1028] — HB WR AMPS: $7,335.50 COMMERCIAL [1028] — HB WR BP AETNA: $8,198.50 COMMERCIAL [1028] — HB WR CCN FIRST HEALTH: $8,371.10 COMMERCIAL [1028] — HB WR CHRISTIAN HEALTH AID: $7,335.50 COMMERCIAL [1028] — HB WR CIGNA: $8,025.90 COMMERCIAL [1028] — HB WR FIRST CHOICE HEALTH: $8,198.50
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Inpatient (hospital stay) In the file: Repair of groin hernia (5 years or older)	$8,630	$8,630	$7,378.65 – $8,112.20
Groin (inguinal) hernia repair, age 5 or older: rates for 4 insurance plans BLUE CROSS FEDERAL [1008] — HB WR BCI PPO FEP: $7,378.65 BLUE CROSS IDAHO [1007] — HB WR BCI PPO FEP: $7,378.65 BLUE CROSS OUT OF STATE [1041] — HB WR BCI PPO FEP: $7,378.65 PACIFICSOURCE [1020] — HB WR PACIFICSOURCE PPO VOYAGER: $8,112.20
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) In the file: Repair of groin hernia (5 years or older)	$8,630	$8,630	Not listed in the file
Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Inpatient or outpatient In the file: Surgical removal of prostate and surrounding lymph nodes using an endoscope	$26,271	$26,271	$14,974.47 – $25,482.87
Prostate removal by laparoscope (radical prostatectomy): 10 of 35 insurance plan rates AETNA [1021] — HB WR AETNA TRINITY HEALTH (ST AL'S): $23,643.90 AETNA [1021] — HB WR BP AETNA: $24,957.45 BLUE CROSS/MEDICARE ADVANTAGE [1009] — HB WR BCI TRUE & SECURE MED ADV: $15,124.21 CIGNA [1062] — HB WR CIGNA: $24,432.03 COMMERCIAL [1028] — HB WR AMPS: $22,330.35 COMMERCIAL [1028] — HB WR BP AETNA: $24,957.45 COMMERCIAL [1028] — HB WR CCN FIRST HEALTH: $25,482.87 COMMERCIAL [1028] — HB WR CHRISTIAN HEALTH AID: $22,330.35 COMMERCIAL [1028] — HB WR CIGNA: $24,432.03 COMMERCIAL [1028] — HB WR FIRST CHOICE HEALTH: $24,957.45
Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Inpatient (hospital stay) In the file: Surgical removal of prostate and surrounding lymph nodes using an endoscope	$26,271	$26,271	$22,461.71 – $24,694.74
Prostate removal by laparoscope (radical prostatectomy): rates for 4 insurance plans BLUE CROSS FEDERAL [1008] — HB WR BCI PPO FEP: $22,461.71 BLUE CROSS IDAHO [1007] — HB WR BCI PPO FEP: $22,461.71 BLUE CROSS OUT OF STATE [1041] — HB WR BCI PPO FEP: $22,461.71 PACIFICSOURCE [1020] — HB WR PACIFICSOURCE PPO VOYAGER: $24,694.74
Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Outpatient (no overnight stay) In the file: Surgical removal of prostate and surrounding lymph nodes using an endoscope	$26,271	$26,271	Not listed in the file
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Inpatient or outpatient In the file: Biopsy of lining of uterus and/or removal of polyp using an endoscope	$8,592	$8,592	$4,897.44 – $8,334.24
Hysteroscopy with biopsy of the uterus lining: 10 of 35 insurance plan rates AETNA [1021] — HB WR AETNA TRINITY HEALTH (ST AL'S): $7,732.80 AETNA [1021] — HB WR BP AETNA: $8,162.40 BLUE CROSS/MEDICARE ADVANTAGE [1009] — HB WR BCI TRUE & SECURE MED ADV: $4,946.41 CIGNA [1062] — HB WR CIGNA: $7,990.56 COMMERCIAL [1028] — HB WR AMPS: $7,303.20 COMMERCIAL [1028] — HB WR BP AETNA: $8,162.40 COMMERCIAL [1028] — HB WR CCN FIRST HEALTH: $8,334.24 COMMERCIAL [1028] — HB WR CHRISTIAN HEALTH AID: $7,303.20 COMMERCIAL [1028] — HB WR CIGNA: $7,990.56 COMMERCIAL [1028] — HB WR FIRST CHOICE HEALTH: $8,162.40
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Inpatient (hospital stay) In the file: Biopsy of lining of uterus and/or removal of polyp using an endoscope	$8,592	$8,592	$7,346.16 – $8,076.48
Hysteroscopy with biopsy of the uterus lining: rates for 4 insurance plans BLUE CROSS FEDERAL [1008] — HB WR BCI PPO FEP: $7,346.16 BLUE CROSS IDAHO [1007] — HB WR BCI PPO FEP: $7,346.16 BLUE CROSS OUT OF STATE [1041] — HB WR BCI PPO FEP: $7,346.16 PACIFICSOURCE [1020] — HB WR PACIFICSOURCE PPO VOYAGER: $8,076.48
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) In the file: Biopsy of lining of uterus and/or removal of polyp using an endoscope	$8,592	$8,592	Not listed in the file
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Inpatient or outpatient In the file: Injection of substance into lower spine canal using imaging guidance	$1,886	$1,886	$1,075.02 – $1,829.42
Spinal injection, lower back (epidural), with imaging guidance: 10 of 31 insurance plan rates AETNA [1021] — HB WR BP AETNA: $1,791.70 BLUE CROSS/MEDICARE ADVANTAGE [1009] — HB WR BCI TRUE & SECURE MED ADV: $1,085.77 COMMERCIAL [1028] — HB WR AMPS: $1,603.10 COMMERCIAL [1028] — HB WR BP AETNA: $1,791.70 COMMERCIAL [1028] — HB WR CCN FIRST HEALTH: $1,829.42 COMMERCIAL [1028] — HB WR CHRISTIAN HEALTH AID: $1,603.10 COMMERCIAL [1028] — HB WR FIRST CHOICE HEALTH: $1,791.70 COMMERCIAL [1028] — HB WR MODA COMMERCIAL: $1,659.68 COMMERCIAL [1028] — HB WR MULTIPLAN PRIMARY NETWORK: $1,508.80 COMMERCIAL [1028] — HB WR NORTHERN NEVADA LABORERS TRUST: $1,697.40
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Inpatient (hospital stay) In the file: Injection of substance into lower spine canal using imaging guidance	$1,886	$1,886	$1,772.84
Spinal injection, lower back (epidural), with imaging guidance: rates for 1 insurance plan PACIFICSOURCE [1020] — HB WR PACIFICSOURCE PPO VOYAGER: $1,772.84
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) In the file: Injection of substance into lower spine canal using imaging guidance	$1,886	$1,886	Not listed in the file
Nerve root injection, lower back, with imaging guidance CPT 64483 · Inpatient or outpatient In the file: Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level	$2,430	$2,430	$1,385.10 – $2,357.10
Nerve root injection, lower back, with imaging guidance: 10 of 31 insurance plan rates AETNA [1021] — HB WR BP AETNA: $2,308.50 BLUE CROSS/MEDICARE ADVANTAGE [1009] — HB WR BCI TRUE & SECURE MED ADV: $1,398.95 COMMERCIAL [1028] — HB WR AMPS: $2,065.50 COMMERCIAL [1028] — HB WR BP AETNA: $2,308.50 COMMERCIAL [1028] — HB WR CCN FIRST HEALTH: $2,357.10 COMMERCIAL [1028] — HB WR CHRISTIAN HEALTH AID: $2,065.50 COMMERCIAL [1028] — HB WR FIRST CHOICE HEALTH: $2,308.50 COMMERCIAL [1028] — HB WR MODA COMMERCIAL: $2,138.40 COMMERCIAL [1028] — HB WR MULTIPLAN PRIMARY NETWORK: $1,944 COMMERCIAL [1028] — HB WR NORTHERN NEVADA LABORERS TRUST: $2,187
Nerve root injection, lower back, with imaging guidance CPT 64483 · Inpatient (hospital stay) In the file: Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level	$2,430	$2,430	$2,284.20
Nerve root injection, lower back, with imaging guidance: rates for 1 insurance plan PACIFICSOURCE [1020] — HB WR PACIFICSOURCE PPO VOYAGER: $2,284.20
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) In the file: Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level	$2,430	$2,430	Not listed in the file
Carpal tunnel release CPT 64721 · Inpatient or outpatient In the file: Release and/or relocation of hand nerve	$5,383	$5,383	$3,068.31 – $5,221.51
Carpal tunnel release: 10 of 31 insurance plan rates AETNA [1021] — HB WR BP AETNA: $5,113.85 BLUE CROSS/MEDICARE ADVANTAGE [1009] — HB WR BCI TRUE & SECURE MED ADV: $3,098.99 COMMERCIAL [1028] — HB WR AMPS: $4,575.55 COMMERCIAL [1028] — HB WR BP AETNA: $5,113.85 COMMERCIAL [1028] — HB WR CCN FIRST HEALTH: $5,221.51 COMMERCIAL [1028] — HB WR CHRISTIAN HEALTH AID: $4,575.55 COMMERCIAL [1028] — HB WR FIRST CHOICE HEALTH: $5,113.85 COMMERCIAL [1028] — HB WR MODA COMMERCIAL: $4,737.04 COMMERCIAL [1028] — HB WR MULTIPLAN PRIMARY NETWORK: $4,306.40 COMMERCIAL [1028] — HB WR NORTHERN NEVADA LABORERS TRUST: $4,844.70
Carpal tunnel release CPT 64721 · Inpatient (hospital stay) In the file: Release and/or relocation of hand nerve	$5,383	$5,383	$5,060.02
Carpal tunnel release: rates for 1 insurance plan PACIFICSOURCE [1020] — HB WR PACIFICSOURCE PPO VOYAGER: $5,060.02
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) In the file: Release and/or relocation of hand nerve	$5,383	$5,383	Not listed in the file
Laser treatment of clouding after cataract surgery CPT 66821 · Inpatient or outpatient In the file: Removal of recurring cataract in lens capsule using a laser	$1,535	$1,535	$874.95 – $1,488.95
Laser treatment of clouding after cataract surgery: 10 of 35 insurance plan rates AETNA [1021] — HB WR AETNA TRINITY HEALTH (ST AL'S): $1,381.50 AETNA [1021] — HB WR BP AETNA: $1,458.25 BLUE CROSS/MEDICARE ADVANTAGE [1009] — HB WR BCI TRUE & SECURE MED ADV: $883.70 CIGNA [1062] — HB WR CIGNA: $1,427.55 COMMERCIAL [1028] — HB WR AMPS: $1,304.75 COMMERCIAL [1028] — HB WR BP AETNA: $1,458.25 COMMERCIAL [1028] — HB WR CCN FIRST HEALTH: $1,488.95 COMMERCIAL [1028] — HB WR CHRISTIAN HEALTH AID: $1,304.75 COMMERCIAL [1028] — HB WR CIGNA: $1,427.55 COMMERCIAL [1028] — HB WR FIRST CHOICE HEALTH: $1,458.25
Laser treatment of clouding after cataract surgery CPT 66821 · Inpatient (hospital stay) In the file: Removal of recurring cataract in lens capsule using a laser	$1,535	$1,535	$1,312.43 – $1,442.90
Laser treatment of clouding after cataract surgery: rates for 4 insurance plans BLUE CROSS FEDERAL [1008] — HB WR BCI PPO FEP: $1,312.43 BLUE CROSS IDAHO [1007] — HB WR BCI PPO FEP: $1,312.43 BLUE CROSS OUT OF STATE [1041] — HB WR BCI PPO FEP: $1,312.43 PACIFICSOURCE [1020] — HB WR PACIFICSOURCE PPO VOYAGER: $1,442.90
Laser treatment of clouding after cataract surgery CPT 66821 · Outpatient (no overnight stay) In the file: Removal of recurring cataract in lens capsule using a laser	$1,535	$1,535	Not listed in the file
Cataract removal with lens implant CPT 66984 · Inpatient or outpatient In the file: Removal of cataract with insertion of prosthetic lens	$5,599	$5,599	$3,191.43 – $5,431.03
Cataract removal with lens implant: 10 of 35 insurance plan rates AETNA [1021] — HB WR AETNA TRINITY HEALTH (ST AL'S): $5,039.10 AETNA [1021] — HB WR BP AETNA: $5,319.05 BLUE CROSS/MEDICARE ADVANTAGE [1009] — HB WR BCI TRUE & SECURE MED ADV: $3,223.34 CIGNA [1062] — HB WR CIGNA: $5,207.07 COMMERCIAL [1028] — HB WR AMPS: $4,759.15 COMMERCIAL [1028] — HB WR BP AETNA: $5,319.05 COMMERCIAL [1028] — HB WR CCN FIRST HEALTH: $5,431.03 COMMERCIAL [1028] — HB WR CHRISTIAN HEALTH AID: $4,759.15 COMMERCIAL [1028] — HB WR CIGNA: $5,207.07 COMMERCIAL [1028] — HB WR FIRST CHOICE HEALTH: $5,319.05
Cataract removal with lens implant CPT 66984 · Inpatient (hospital stay) In the file: Removal of cataract with insertion of prosthetic lens	$5,599	$5,599	$4,787.15 – $5,263.06
Cataract removal with lens implant: rates for 4 insurance plans BLUE CROSS FEDERAL [1008] — HB WR BCI PPO FEP: $4,787.15 BLUE CROSS IDAHO [1007] — HB WR BCI PPO FEP: $4,787.15 BLUE CROSS OUT OF STATE [1041] — HB WR BCI PPO FEP: $4,787.15 PACIFICSOURCE [1020] — HB WR PACIFICSOURCE PPO VOYAGER: $5,263.06
Cataract removal with lens implant CPT 66984 · Outpatient (no overnight stay) In the file: Removal of cataract with insertion of prosthetic lens	$5,599	$5,599	Not listed in the file

Hospital stays (whole stay, MS-DRG)

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Heart valve or major heart-chest surgery with heart catheterization, with major complications MS-DRG 216 · Inpatient (hospital stay) In the file: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC	$262,224.29	$262,224.29	$227,271.15
Heart valve or major heart-chest surgery with heart catheterization, with major complications: 10 of 23 insurance plan rates BLUE CROSS FEDERAL [1008] — HB WR BCI PPO FEP: $227,271.15 BLUE CROSS IDAHO [1007] — HB WR BCI PPO FEP: $227,271.15 BLUE CROSS OUT OF STATE [1041] — HB WR BCI PPO FEP: $227,271.15 BLUE CROSS IDAHO [1007] — HB WR SLHP BLUE CROSS CAREPOINT QHP: 85.8% (a percentage in the contract, not a dollar amount) BLUE CROSS IDAHO [1007] — HB WR SLHP BLUE CROSS LARGE GROUP: 85.8% (a percentage in the contract, not a dollar amount) COMMERCIAL [1028] — HB WR H2B: 65% (a percentage in the contract, not a dollar amount) COMMERCIAL [1028] — HB WR REGENCE PPO & TRADITIONAL: 84.29% (a percentage in the contract, not a dollar amount) COMMERCIAL [1028] — HB WR SLHP MOUNTAIN HEALTH COOP: 85.8% (a percentage in the contract, not a dollar amount) COMMERCIAL [1028] — HB WR SLHP SELECT HEALTH: 85.8% (a percentage in the contract, not a dollar amount) COMMERCIAL [1028] — HB WR SLHP SELECT HEALTH QHP: 85.8% (a percentage in the contract, not a dollar amount)
Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 · Inpatient (hospital stay) In the file: MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC	$115,274.51	$115,274.51	$41,410
Hip or knee replacement (major joint of the leg), without major complications: 10 of 23 insurance plan rates BLUE CROSS FEDERAL [1008] — HB WR BCI PPO FEP: $41,410 BLUE CROSS IDAHO [1007] — HB WR BCI PPO FEP: $41,410 BLUE CROSS OUT OF STATE [1041] — HB WR BCI PPO FEP: $41,410 BLUE CROSS IDAHO [1007] — HB WR SLHP BLUE CROSS CAREPOINT QHP: 85.8% (a percentage in the contract, not a dollar amount) BLUE CROSS IDAHO [1007] — HB WR SLHP BLUE CROSS LARGE GROUP: 85.8% (a percentage in the contract, not a dollar amount) COMMERCIAL [1028] — HB WR H2B: 65% (a percentage in the contract, not a dollar amount) COMMERCIAL [1028] — HB WR REGENCE PPO & TRADITIONAL: 84.29% (a percentage in the contract, not a dollar amount) COMMERCIAL [1028] — HB WR SLHP MOUNTAIN HEALTH COOP: 85.8% (a percentage in the contract, not a dollar amount) COMMERCIAL [1028] — HB WR SLHP SELECT HEALTH: 85.8% (a percentage in the contract, not a dollar amount) COMMERCIAL [1028] — HB WR SLHP SELECT HEALTH QHP: 85.8% (a percentage in the contract, not a dollar amount)
Neck (cervical) spinal fusion, without complications MS-DRG 473 · Inpatient (hospital stay) In the file: CERVICAL SPINAL FUSION WITHOUT CC/MCC	$148,334.55	$148,334.55	$66,771.84
Neck (cervical) spinal fusion, without complications: 10 of 23 insurance plan rates BLUE CROSS FEDERAL [1008] — HB WR BCI PPO FEP: $66,771.84 BLUE CROSS IDAHO [1007] — HB WR BCI PPO FEP: $66,771.84 BLUE CROSS OUT OF STATE [1041] — HB WR BCI PPO FEP: $66,771.84 BLUE CROSS IDAHO [1007] — HB WR SLHP BLUE CROSS CAREPOINT QHP: 85.8% (a percentage in the contract, not a dollar amount) BLUE CROSS IDAHO [1007] — HB WR SLHP BLUE CROSS LARGE GROUP: 85.8% (a percentage in the contract, not a dollar amount) COMMERCIAL [1028] — HB WR H2B: 65% (a percentage in the contract, not a dollar amount) COMMERCIAL [1028] — HB WR REGENCE PPO & TRADITIONAL: 84.29% (a percentage in the contract, not a dollar amount) COMMERCIAL [1028] — HB WR SLHP MOUNTAIN HEALTH COOP: 85.8% (a percentage in the contract, not a dollar amount) COMMERCIAL [1028] — HB WR SLHP SELECT HEALTH: 85.8% (a percentage in the contract, not a dollar amount) COMMERCIAL [1028] — HB WR SLHP SELECT HEALTH QHP: 85.8% (a percentage in the contract, not a dollar amount)
Uterus and ovary surgery (not for cancer), without complications MS-DRG 743 · Inpatient (hospital stay) In the file: UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC	$87,744.72	$87,744.72	Not listed in the file
Uterus and ovary surgery (not for cancer), without complications: 10 of 23 insurance plan rates BLUE CROSS FEDERAL [1008] — HB WR BCI PPO FEP: 55.25% (a percentage in the contract, not a dollar amount) BLUE CROSS IDAHO [1007] — HB WR BCI PPO FEP: 55.25% (a percentage in the contract, not a dollar amount) BLUE CROSS IDAHO [1007] — HB WR SLHP BLUE CROSS CAREPOINT QHP: 85.8% (a percentage in the contract, not a dollar amount) BLUE CROSS IDAHO [1007] — HB WR SLHP BLUE CROSS LARGE GROUP: 85.8% (a percentage in the contract, not a dollar amount) BLUE CROSS OUT OF STATE [1041] — HB WR BCI PPO FEP: 55.25% (a percentage in the contract, not a dollar amount) COMMERCIAL [1028] — HB WR H2B: 65% (a percentage in the contract, not a dollar amount) COMMERCIAL [1028] — HB WR REGENCE PPO & TRADITIONAL: 84.29% (a percentage in the contract, not a dollar amount) COMMERCIAL [1028] — HB WR SLHP MOUNTAIN HEALTH COOP: 85.8% (a percentage in the contract, not a dollar amount) COMMERCIAL [1028] — HB WR SLHP SELECT HEALTH: 85.8% (a percentage in the contract, not a dollar amount) COMMERCIAL [1028] — HB WR SLHP SELECT HEALTH QHP: 85.8% (a percentage in the contract, not a dollar amount)

Source: St Luke's Wood River Medical Center’s standard charges file (assets.slhs.org, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on March 25, 2026; retrieved November 1, 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	100 Hospital Drive, Ketchum, ID 83340
County	Blaine County
State	Idaho
Phone	(208) 727‑8800
Emergency services	Yes
Ownership	Voluntary non-profit - Private
Medicare overall rating	4 of 5 stars
Birthing-friendly designation	Yes (meets CMS criteria)
CMS Certification Number	131323
Name in Medicare records	ST LUKE'S WOOD RIVER MEDICAL CENTER
Profile level	Medicare data + hospital website
Official website	stlukesonline.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 2026-10-30.

St. Luke's Wood River Medical Center — stlukesonline.org
St. Luke’s Wood River Medical Center — stlukesonline.org
Emergency Care at St Luke’s Wood River — stlukesonline.org
Communication Support at St. Luke’s — stlukesonline.org
Visitor Policy, Procedures and Requirements - St. Luke's — stlukesonline.org