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Critical Access Hospital

Weiser Memorial Hospital

Weiser, Idaho · Washington County · Emergency services listed

Weiser Memorial Hospital is a critical access hospital at 645 East 5th Street, Weiser, ID 83672. Phone: (208) 549-0370. It has an emergency department.

Data as of October 26, 2026. Source: CMS Hospital General Information and the hospital’s website (checked October 30, 2026).

Summary

Weiser Memorial Hospital is a critical access hospital in Weiser, Idaho. Medicare data lists emergency services. Its official website lists 68 services, specialties and programs. Medicare lists 68 affiliated clinicians. Source: CMS Hospital General Information, data updated 2026-10-26.

What is a critical access hospital?

A small rural hospital with 24-hour emergency care, designated by Medicare to keep care available far from big cities. More about hospital types

Call(208) 549‑0370 Directions Website Medicare profile
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Profile from official sources

Built from official Medicare (CMS) data and the hospital’s own website (checked 2026-10-30). Every service links to the page that lists it. Services change: call the hospital to confirm before you go.

In a medical emergency, call 911.

At a glance

YesEmergency services
Not ratedNot rated by CMSMedicare rating
68Doctors and clinicians
68Services listed

Quick answers

Does Weiser Memorial Hospital have an emergency room?
Yes. Medicare (CMS) data lists emergency services at Weiser Memorial Hospital. In a medical emergency, call 911.
Where is Weiser Memorial Hospital?
645 East 5th Street, Weiser, ID 83672, in Washington County, Idaho.
What is the phone number of Weiser Memorial Hospital?
(208) 549-0370, as listed by Medicare (CMS).
What is the Medicare star rating of Weiser Memorial Hospital?
CMS does not show an overall star rating for this hospital. This is common, for example when a hospital reports too few quality measures or is not part of the rating program.

Specialties and care areas[4][6][8][9][12]

Conditions treated[8][9]

  • Heel pain
  • Bunions
  • Ingrown toenails
  • Diabetic foot complications
  • Diabetic ulcers
  • Vascular wounds
  • Pressure wounds
  • Burns
  • Chronic edema
  • Bone and joint conditions
  • Fractures

Treatments[4][8][12]

Procedures[4][9][10][11][12]

Programs and centers[4][9]

  • Safe Haven Baby Box
  • Labor and delivery
  • Transitional care
  • Athletic trainer services for local school districts

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

Emergency roomYes
Open 24/7Yes

Visiting and practical information

VisitingVisiting hours 8:00 am to 4:30 pm; one visitor for pediatric/special needs patients and one for labor and delivery; check with admissions[7]
Interpreters and languagesFree language services and qualified interpreters; call 208-549-0370 to request assistance[14]

Doctors and clinicians (68)

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

Main specialties

Doctors with a page on this site (68)

And 44 more: the button below opens the full list.

Other emergency rooms nearby

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

Find the closest emergency room to where you are → · Compare ER wait times

Other hospitals near Weiser

Hospitals in Washington County · Hospitals near me

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

All nursing homes in the state →

Hospice providers

All hospice providers in the state →

Home health agencies

All home health agencies in the state →

Dialysis facilities

All dialysis facilities in the state →

Outpatient surgery centers nearby

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

All outpatient surgery centers in the state →

Community care nearby

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

Community health centers

Clinics and urgent care

Pharmacies

Assisted living nearby

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

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

What patients said (patient survey)

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

Rated the hospital 9 or 10 out of 1091%National average: 72%
Would definitely recommend the hospital81%National average: 71%
Nurses “always” communicated well90%National average: 80%
Doctors “always” communicated well89%National average: 80%
“Always” got help as soon as they wanted80%National average: 64%
Staff “always” explained medicines before giving them70%National average: 62%
Were given information about recovery at home93%National average: 86%
Room and bathroom “always” clean86%National average: 73%
Not reported to MedicareSummary star rating (all survey topics); Overall rating of the hospital; Would recommend the hospital; Nurses communicated well; Doctors communicated well; Patients got help quickly from staff; Staff explained medicines; Information about recovery at home; Room and bathroom kept clean; Restfulness of Environment; Care Coordination; Symptoms After Stay
Completed surveys42Response rate: 23%

Source: Patient survey (HCAHPS) - Hospital — CMS, released October 19, 2026; patients discharged January 2025 to December 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)15.6%
Not reported to MedicareReadmitted within 30 days: heart attack; Readmitted within 30 days: coronary bypass surgery
Too few cases to reportReadmitted within 30 days: heart failure; Readmitted within 30 days: pneumonia; Readmitted within 30 days: COPD; Readmitted within 30 days: hip or knee replacement

Source: Unplanned Hospital Visits - Hospital — CMS, released October 20, 2026; data from July 2024 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)106 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)0%National average: 2%
Not reported to MedicareSepsis patients who got all the recommended early care (SEP-1)

Source: Timely and Effective Care - Hospital — CMS, released October 19, 2026; data from January 2024 to December 2024.

Not reported to Medicare: infections caught in the hospital, complications and deaths. For these topics Medicare shows no result for this hospital (not reported, or too few cases).

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 IdahoBest hospitals in Idaho

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 86 common services exactly as Weiser Memorial Hospital lists them in its file. This is not a quote: what you pay depends on your insurance and plan, the doctors involved and the care you actually receive. Prices change: ask the hospital for an estimate before you schedule care (if you are uninsured or paying yourself, you have the right to a written “good faith estimate”). In a medical emergency, call 911.

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

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

Show the prices of 86 common services

Office and emergency visits

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient or outpatient · Hospital (facility) fee In the file: INIT VISIT LEVEL 3 FAC $91.51 $68.63 $50.59 – $89.67
New patient office visit (about 30–44 minutes): 10 of 18 insurance plan rates
  • American Health Plan of Utah — All Plans: $52.16
  • Blue Cross of Idaho — Commercial: $86.93
  • Blue Cross of Idaho — Medicaid Plus: $67.96
  • Blue Cross of Idaho — Medicare Advantage: $52.16
  • Blue Cross of Idaho — Medicare-Medicaid Coordinated Plan: $67.96
  • Cigna — Commercial: $82.35
  • MODA Health Plan — Medicare Advantage: $52.16
  • Molina — Medicaid: $67.96
  • Molina Healthcare — Medicare Advantage: $52.16
  • PacificSource — Commercial: $86.93
New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient or outpatient · Hospital (facility) fee In the file: INIT VISIT LEVEL 3 PHY $198.45 $148.84 $67.96 – $194.48
New patient office visit (about 30–44 minutes): 10 of 18 insurance plan rates
  • American Health Plan of Utah — All Plans: $113.11
  • Blue Cross of Idaho — Commercial: $188.52
  • Blue Cross of Idaho — Medicaid Plus: $67.96
  • Blue Cross of Idaho — Medicare Advantage: $113.11
  • Blue Cross of Idaho — Medicare-Medicaid Coordinated Plan: $67.96
  • Cigna — Commercial: $178.60
  • MODA Health Plan — Medicare Advantage: $113.11
  • Molina — Medicaid: $67.96
  • Molina Healthcare — Medicare Advantage: $113.11
  • PacificSource — Commercial: $188.52
New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient or outpatient · Hospital (facility) fee In the file: NEW PATIENT LOW 30-44 MIN WOUND PRO $364.93 $273.70 $67.96 – $357.63
New patient office visit (about 30–44 minutes): 10 of 18 insurance plan rates
  • American Health Plan of Utah — All Plans: $208.01
  • Blue Cross of Idaho — Commercial: $346.68
  • Blue Cross of Idaho — Medicaid Plus: $67.96
  • Blue Cross of Idaho — Medicare Advantage: $208.01
  • Blue Cross of Idaho — Medicare-Medicaid Coordinated Plan: $67.96
  • Cigna — Commercial: $328.43
  • MODA Health Plan — Medicare Advantage: $208.01
  • Molina — Medicaid: $67.96
  • Molina Healthcare — Medicare Advantage: $208.01
  • PacificSource — Commercial: $346.68
New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient or outpatient · Hospital (facility) fee In the file: INIT VISIT LEVEL 4 FAC $136.71 $102.53 $75.58 – $133.97
New patient office visit (about 45–59 minutes): 10 of 18 insurance plan rates
  • American Health Plan of Utah — All Plans: $77.92
  • Blue Cross of Idaho — Commercial: $129.87
  • Blue Cross of Idaho — Medicaid Plus: $102.24
  • Blue Cross of Idaho — Medicare Advantage: $77.92
  • Blue Cross of Idaho — Medicare-Medicaid Coordinated Plan: $102.24
  • Cigna — Commercial: $123.03
  • MODA Health Plan — Medicare Advantage: $77.92
  • Molina — Medicaid: $102.24
  • Molina Healthcare — Medicare Advantage: $77.92
  • PacificSource — Commercial: $129.87
New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient or outpatient · Hospital (facility) fee In the file: INIT VISIT LEVEL 4 PHY $303.19 $227.39 $102.24 – $297.12
New patient office visit (about 45–59 minutes): 10 of 18 insurance plan rates
  • American Health Plan of Utah — All Plans: $172.81
  • Blue Cross of Idaho — Commercial: $288.03
  • Blue Cross of Idaho — Medicaid Plus: $102.24
  • Blue Cross of Idaho — Medicare Advantage: $172.81
  • Blue Cross of Idaho — Medicare-Medicaid Coordinated Plan: $102.24
  • Cigna — Commercial: $272.87
  • MODA Health Plan — Medicare Advantage: $172.81
  • Molina — Medicaid: $102.24
  • Molina Healthcare — Medicare Advantage: $172.81
  • PacificSource — Commercial: $288.03
New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient or outpatient · Hospital (facility) fee In the file: NEW PATIENT 45-59 MIN WOUND FAC 99204 $198.45 $148.84 $102.24 – $194.48
New patient office visit (about 45–59 minutes): 10 of 18 insurance plan rates
  • American Health Plan of Utah — All Plans: $113.11
  • Blue Cross of Idaho — Commercial: $188.52
  • Blue Cross of Idaho — Medicaid Plus: $102.24
  • Blue Cross of Idaho — Medicare Advantage: $113.11
  • Blue Cross of Idaho — Medicare-Medicaid Coordinated Plan: $102.24
  • Cigna — Commercial: $178.60
  • MODA Health Plan — Medicare Advantage: $113.11
  • Molina — Medicaid: $102.24
  • Molina Healthcare — Medicare Advantage: $113.11
  • PacificSource — Commercial: $188.52
New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient or outpatient · Hospital (facility) fee In the file: NEW PATIENT 60-74 MIN WOUND FAC 99205 $149.94 $112.46 $82.90 – $146.94
New patient office visit (about 60–74 minutes): 10 of 18 insurance plan rates
  • American Health Plan of Utah — All Plans: $85.46
  • Blue Cross of Idaho — Commercial: $142.44
  • Blue Cross of Idaho — Medicaid Plus: $134.94
  • Blue Cross of Idaho — Medicare Advantage: $85.46
  • Blue Cross of Idaho — Medicare-Medicaid Coordinated Plan: $134.94
  • Cigna — Commercial: $134.94
  • MODA Health Plan — Medicare Advantage: $85.46
  • Molina — Medicaid: $134.94
  • Molina Healthcare — Medicare Advantage: $85.46
  • PacificSource — Commercial: $142.44
New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient or outpatient · Hospital (facility) fee In the file: NEW PATIENT 60-74 MINUTES WND PRO 99205 $378.16 $283.62 $134.94 – $370.59
New patient office visit (about 60–74 minutes): 10 of 18 insurance plan rates
  • American Health Plan of Utah — All Plans: $215.55
  • Blue Cross of Idaho — Commercial: $359.25
  • Blue Cross of Idaho — Medicaid Plus: $134.94
  • Blue Cross of Idaho — Medicare Advantage: $215.55
  • Blue Cross of Idaho — Medicare-Medicaid Coordinated Plan: $134.94
  • Cigna — Commercial: $340.34
  • MODA Health Plan — Medicare Advantage: $215.55
  • Molina — Medicaid: $134.94
  • Molina Healthcare — Medicare Advantage: $215.55
  • PacificSource — Commercial: $359.25
New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient or outpatient · Hospital (facility) fee In the file: NEW PT VST 99205 $543.53 $407.65 $134.94 – $532.65
New patient office visit (about 60–74 minutes): 10 of 18 insurance plan rates
  • American Health Plan of Utah — All Plans: $309.81
  • Blue Cross of Idaho — Commercial: $516.35
  • Blue Cross of Idaho — Medicaid Plus: $134.94
  • Blue Cross of Idaho — Medicare Advantage: $309.81
  • Blue Cross of Idaho — Medicare-Medicaid Coordinated Plan: $134.94
  • Cigna — Commercial: $489.17
  • MODA Health Plan — Medicare Advantage: $309.81
  • Molina — Medicaid: $134.94
  • Molina Healthcare — Medicare Advantage: $309.81
  • PacificSource — Commercial: $516.35
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient or outpatient · Hospital (facility) fee In the file: EST LEVEL 3 FAC $61.74 $46.31 $34.13 – $60.50
Established patient office visit (about 20–29 minutes): 10 of 18 insurance plan rates
  • American Health Plan of Utah — All Plans: $35.19
  • Blue Cross of Idaho — Commercial: $58.65
  • Blue Cross of Idaho — Medicaid Plus: $55.74
  • Blue Cross of Idaho — Medicare Advantage: $35.19
  • Blue Cross of Idaho — Medicare-Medicaid Coordinated Plan: $55.74
  • Cigna — Commercial: $55.56
  • MODA Health Plan — Medicare Advantage: $35.19
  • Molina — Medicaid: $55.74
  • Molina Healthcare — Medicare Advantage: $35.19
  • PacificSource — Commercial: $58.65
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient or outpatient · Hospital (facility) fee In the file: EST LEVEL 3 PHY $135.61 $101.71 $55.74 – $132.89
Established patient office visit (about 20–29 minutes): 10 of 18 insurance plan rates
  • American Health Plan of Utah — All Plans: $77.29
  • Blue Cross of Idaho — Commercial: $128.82
  • Blue Cross of Idaho — Medicaid Plus: $55.74
  • Blue Cross of Idaho — Medicare Advantage: $77.29
  • Blue Cross of Idaho — Medicare-Medicaid Coordinated Plan: $55.74
  • Cigna — Commercial: $122.04
  • MODA Health Plan — Medicare Advantage: $77.29
  • Molina — Medicaid: $55.74
  • Molina Healthcare — Medicare Advantage: $77.29
  • PacificSource — Commercial: $128.82
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient or outpatient · Hospital (facility) fee In the file: EST PT 20-29 MIN WOUND FAC 99213 $184.12 $138.09 $55.74 – $180.43
Established patient office visit (about 20–29 minutes): 10 of 18 insurance plan rates
  • American Health Plan of Utah — All Plans: $104.94
  • Blue Cross of Idaho — Commercial: $174.91
  • Blue Cross of Idaho — Medicaid Plus: $55.74
  • Blue Cross of Idaho — Medicare Advantage: $104.94
  • Blue Cross of Idaho — Medicare-Medicaid Coordinated Plan: $55.74
  • Cigna — Commercial: $165.70
  • MODA Health Plan — Medicare Advantage: $104.94
  • Molina — Medicaid: $55.74
  • Molina Healthcare — Medicare Advantage: $104.94
  • PacificSource — Commercial: $174.91
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient or outpatient · Hospital (facility) fee In the file: EST LEVEL 4 FAC $91.51 $68.63 $50.59 – $89.67
Established patient office visit (about 30–39 minutes): 10 of 18 insurance plan rates
  • American Health Plan of Utah — All Plans: $52.16
  • Blue Cross of Idaho — Commercial: $86.93
  • Blue Cross of Idaho — Medicaid Plus: $78.53
  • Blue Cross of Idaho — Medicare Advantage: $52.16
  • Blue Cross of Idaho — Medicare-Medicaid Coordinated Plan: $78.53
  • Cigna — Commercial: $82.35
  • MODA Health Plan — Medicare Advantage: $52.16
  • Molina — Medicaid: $78.53
  • Molina Healthcare — Medicare Advantage: $52.16
  • PacificSource — Commercial: $86.93
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient or outpatient · Hospital (facility) fee In the file: EST LEVEL 4 PHY $197.35 $148.01 $78.53 – $193.40
Established patient office visit (about 30–39 minutes): 10 of 18 insurance plan rates
  • American Health Plan of Utah — All Plans: $112.48
  • Blue Cross of Idaho — Commercial: $187.48
  • Blue Cross of Idaho — Medicaid Plus: $78.53
  • Blue Cross of Idaho — Medicare Advantage: $112.48
  • Blue Cross of Idaho — Medicare-Medicaid Coordinated Plan: $78.53
  • Cigna — Commercial: $177.61
  • MODA Health Plan — Medicare Advantage: $112.48
  • Molina — Medicaid: $78.53
  • Molina Healthcare — Medicare Advantage: $112.48
  • PacificSource — Commercial: $187.48
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient or outpatient · Hospital (facility) fee In the file: EST PT 30-39 MIN WOUND FAC 99214 $375.95 $281.96 $78.53 – $368.43
Established patient office visit (about 30–39 minutes): 10 of 18 insurance plan rates
  • American Health Plan of Utah — All Plans: $214.29
  • Blue Cross of Idaho — Commercial: $357.15
  • Blue Cross of Idaho — Medicaid Plus: $78.53
  • Blue Cross of Idaho — Medicare Advantage: $214.29
  • Blue Cross of Idaho — Medicare-Medicaid Coordinated Plan: $78.53
  • Cigna — Commercial: $338.35
  • MODA Health Plan — Medicare Advantage: $214.29
  • Molina — Medicaid: $78.53
  • Molina Healthcare — Medicare Advantage: $214.29
  • PacificSource — Commercial: $357.15
Office consultation with a specialist (moderate) CPT 99243 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFF/OP CNSLTJ NEW/EST LOW 30 Not listed in the file Not listed in the file Not listed in the file
Office consultation with a specialist (moderate): 10 of 15 insurance plan rates
  • American Health Plan of Utah — All Plans: 57% (a percentage in the contract, not a dollar amount)
  • Blue Cross of Idaho — Commercial: 95% (a percentage in the contract, not a dollar amount)
  • Blue Cross of Idaho — Medicare Advantage: 57% (a percentage in the contract, not a dollar amount)
  • Cigna — Commercial: 90% (a percentage in the contract, not a dollar amount)
  • MODA Health Plan — Medicare Advantage: 57% (a percentage in the contract, not a dollar amount)
  • Molina Healthcare — Medicare Advantage: 57% (a percentage in the contract, not a dollar amount)
  • PacificSource — Commercial: 95% (a percentage in the contract, not a dollar amount)
  • PacificSource — Voyager: 95% (a percentage in the contract, not a dollar amount)
  • Regence Blue Shield of Idaho — TriWest: 57% (a percentage in the contract, not a dollar amount)
  • Regence Blue Shield of Idaho — VACCN: 57% (a percentage in the contract, not a dollar amount)
Office consultation with a specialist (moderate to high) CPT 99244 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFF/OP CNSLTJ NEW/EST MOD 40 Not listed in the file Not listed in the file Not listed in the file
Office consultation with a specialist (moderate to high): 10 of 15 insurance plan rates
  • American Health Plan of Utah — All Plans: 57% (a percentage in the contract, not a dollar amount)
  • Blue Cross of Idaho — Commercial: 95% (a percentage in the contract, not a dollar amount)
  • Blue Cross of Idaho — Medicare Advantage: 57% (a percentage in the contract, not a dollar amount)
  • Cigna — Commercial: 90% (a percentage in the contract, not a dollar amount)
  • MODA Health Plan — Medicare Advantage: 57% (a percentage in the contract, not a dollar amount)
  • Molina Healthcare — Medicare Advantage: 57% (a percentage in the contract, not a dollar amount)
  • PacificSource — Commercial: 95% (a percentage in the contract, not a dollar amount)
  • PacificSource — Voyager: 95% (a percentage in the contract, not a dollar amount)
  • Regence Blue Shield of Idaho — TriWest: 57% (a percentage in the contract, not a dollar amount)
  • Regence Blue Shield of Idaho — VACCN: 57% (a percentage in the contract, not a dollar amount)
Preventive checkup, new patient, age 18–39 CPT 99385 · Inpatient or outpatient · Hospital (facility) fee In the file: NEW WELL VST (18-39) 99385 $345.08 $258.81 $90.22 – $338.17
Preventive checkup, new patient, age 18–39: 10 of 18 insurance plan rates
  • American Health Plan of Utah — All Plans: $196.69
  • Blue Cross of Idaho — Commercial: $327.82
  • Blue Cross of Idaho — Medicaid Plus: $90.22
  • Blue Cross of Idaho — Medicare Advantage: $196.69
  • Blue Cross of Idaho — Medicare-Medicaid Coordinated Plan: $90.22
  • Cigna — Commercial: $310.57
  • MODA Health Plan — Medicare Advantage: $196.69
  • Molina — Medicaid: $90.22
  • Molina Healthcare — Medicare Advantage: $196.69
  • PacificSource — Commercial: $327.82
Preventive checkup, new patient, age 40–64 CPT 99386 · Inpatient or outpatient · Hospital (facility) fee In the file: NEW WELL VST (40-64) 99386 $400.21 $300.16 $90.22 – $392.20
Preventive checkup, new patient, age 40–64: 10 of 18 insurance plan rates
  • American Health Plan of Utah — All Plans: $228.11
  • Blue Cross of Idaho — Commercial: $380.19
  • Blue Cross of Idaho — Medicaid Plus: $90.22
  • Blue Cross of Idaho — Medicare Advantage: $228.11
  • Blue Cross of Idaho — Medicare-Medicaid Coordinated Plan: $90.22
  • Cigna — Commercial: $360.18
  • MODA Health Plan — Medicare Advantage: $228.11
  • Molina — Medicaid: $90.22
  • Molina Healthcare — Medicare Advantage: $228.11
  • PacificSource — Commercial: $380.19
Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient · Hospital (facility) fee In the file: ER LEVEL III FAC 99283 $994.46 $745.85 $38.85 – $974.57
Emergency room visit (moderate): 10 of 18 insurance plan rates
  • American Health Plan of Utah — All Plans: $566.84
  • Blue Cross of Idaho — Commercial: $944.73
  • Blue Cross of Idaho — Medicaid Plus: $38.85
  • Blue Cross of Idaho — Medicare Advantage: $566.84
  • Blue Cross of Idaho — Medicare-Medicaid Coordinated Plan: $38.85
  • Cigna — Commercial: $895.01
  • MODA Health Plan — Medicare Advantage: $566.84
  • Molina — Medicaid: $38.85
  • Molina Healthcare — Medicare Advantage: $566.84
  • PacificSource — Commercial: $944.73
Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient · Hospital (facility) fee In the file: ER LEVEL III FAC 99283 SANE $441 $330.75 $38.85 – $432.18
Emergency room visit (moderate): 10 of 18 insurance plan rates
  • American Health Plan of Utah — All Plans: $251.37
  • Blue Cross of Idaho — Commercial: $418.95
  • Blue Cross of Idaho — Medicaid Plus: $38.85
  • Blue Cross of Idaho — Medicare Advantage: $251.37
  • Blue Cross of Idaho — Medicare-Medicaid Coordinated Plan: $38.85
  • Cigna — Commercial: $396.90
  • MODA Health Plan — Medicare Advantage: $251.37
  • Molina — Medicaid: $38.85
  • Molina Healthcare — Medicare Advantage: $251.37
  • PacificSource — Commercial: $418.95
Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient · Hospital (facility) fee In the file: ER PRO FEE III PRO $194.04 $145.53 $38.85 – $190.15
Emergency room visit (moderate): 10 of 18 insurance plan rates
  • American Health Plan of Utah — All Plans: $110.60
  • Blue Cross of Idaho — Commercial: $184.33
  • Blue Cross of Idaho — Medicaid Plus: $38.85
  • Blue Cross of Idaho — Medicare Advantage: $110.60
  • Blue Cross of Idaho — Medicare-Medicaid Coordinated Plan: $38.85
  • Cigna — Commercial: $174.63
  • MODA Health Plan — Medicare Advantage: $110.60
  • Molina — Medicaid: $38.85
  • Molina Healthcare — Medicare Advantage: $110.60
  • PacificSource — Commercial: $184.33
Emergency room visit (moderately high) CPT 99284 · Inpatient or outpatient · Hospital (facility) fee In the file: ER LEVEL IV 99284 $1,593.11 $1,194.83 $66.15 – $1,561.24
Emergency room visit (moderately high): 10 of 18 insurance plan rates
  • American Health Plan of Utah — All Plans: $908.07
  • Blue Cross of Idaho — Commercial: $1,513.45
  • Blue Cross of Idaho — Medicaid Plus: $66.15
  • Blue Cross of Idaho — Medicare Advantage: $908.07
  • Blue Cross of Idaho — Medicare-Medicaid Coordinated Plan: $66.15
  • Cigna — Commercial: $1,433.79
  • MODA Health Plan — Medicare Advantage: $908.07
  • Molina — Medicaid: $66.15
  • Molina Healthcare — Medicare Advantage: $908.07
  • PacificSource — Commercial: $1,513.45
Emergency room visit (moderately high) CPT 99284 · Inpatient or outpatient · Hospital (facility) fee In the file: ER PRO FEE LEVEL IV-25 PRO $367.13 $275.35 $66.15 – $359.78
Emergency room visit (moderately high): 10 of 18 insurance plan rates
  • American Health Plan of Utah — All Plans: $209.26
  • Blue Cross of Idaho — Commercial: $348.77
  • Blue Cross of Idaho — Medicaid Plus: $66.15
  • Blue Cross of Idaho — Medicare Advantage: $209.26
  • Blue Cross of Idaho — Medicare-Medicaid Coordinated Plan: $66.15
  • Cigna — Commercial: $330.41
  • MODA Health Plan — Medicare Advantage: $209.26
  • Molina — Medicaid: $66.15
  • Molina Healthcare — Medicare Advantage: $209.26
  • PacificSource — Commercial: $348.77
Emergency room visit (moderately high) CPT 99284 · Inpatient or outpatient · Hospital (facility) fee In the file: ER VISIT LEVEL IV $367.13 $275.35 $66.15 – $359.78
Emergency room visit (moderately high): 10 of 18 insurance plan rates
  • American Health Plan of Utah — All Plans: $209.26
  • Blue Cross of Idaho — Commercial: $348.77
  • Blue Cross of Idaho — Medicaid Plus: $66.15
  • Blue Cross of Idaho — Medicare Advantage: $209.26
  • Blue Cross of Idaho — Medicare-Medicaid Coordinated Plan: $66.15
  • Cigna — Commercial: $330.41
  • MODA Health Plan — Medicare Advantage: $209.26
  • Molina — Medicaid: $66.15
  • Molina Healthcare — Medicare Advantage: $209.26
  • PacificSource — Commercial: $348.77
Emergency room visit (high) CPT 99285 · Inpatient or outpatient · Hospital (facility) fee In the file: ER FAC LEVEL 5 99285 $2,368.17 $1,776.13 $95.88 – $2,320.80
Emergency room visit (high): 10 of 18 insurance plan rates
  • American Health Plan of Utah — All Plans: $1,349.85
  • Blue Cross of Idaho — Commercial: $2,249.76
  • Blue Cross of Idaho — Medicaid Plus: $95.88
  • Blue Cross of Idaho — Medicare Advantage: $1,349.85
  • Blue Cross of Idaho — Medicare-Medicaid Coordinated Plan: $95.88
  • Cigna — Commercial: $2,131.35
  • MODA Health Plan — Medicare Advantage: $1,349.85
  • Molina — Medicaid: $95.88
  • Molina Healthcare — Medicare Advantage: $1,349.85
  • PacificSource — Commercial: $2,249.76
Emergency room visit (high) CPT 99285 · Inpatient or outpatient · Hospital (facility) fee In the file: ER PRO FEE LEVEL V-25 $542.43 $406.82 $95.88 – $531.58
Emergency room visit (high): 10 of 18 insurance plan rates
  • American Health Plan of Utah — All Plans: $309.18
  • Blue Cross of Idaho — Commercial: $515.30
  • Blue Cross of Idaho — Medicaid Plus: $95.88
  • Blue Cross of Idaho — Medicare Advantage: $309.18
  • Blue Cross of Idaho — Medicare-Medicaid Coordinated Plan: $95.88
  • Cigna — Commercial: $488.18
  • MODA Health Plan — Medicare Advantage: $309.18
  • Molina — Medicaid: $95.88
  • Molina Healthcare — Medicare Advantage: $309.18
  • PacificSource — Commercial: $515.30
Emergency room visit (high) CPT 99285 · Inpatient or outpatient · Hospital (facility) fee In the file: ER VISIT LEVEL 5 PRO $542.43 $406.82 $95.88 – $531.58
Emergency room visit (high): 10 of 18 insurance plan rates
  • American Health Plan of Utah — All Plans: $309.18
  • Blue Cross of Idaho — Commercial: $515.30
  • Blue Cross of Idaho — Medicaid Plus: $95.88
  • Blue Cross of Idaho — Medicare Advantage: $309.18
  • Blue Cross of Idaho — Medicare-Medicaid Coordinated Plan: $95.88
  • Cigna — Commercial: $488.18
  • MODA Health Plan — Medicare Advantage: $309.18
  • Molina — Medicaid: $95.88
  • Molina Healthcare — Medicare Advantage: $309.18
  • PacificSource — Commercial: $515.30

Lab tests

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Inpatient or outpatient · Hospital (facility) fee In the file: BASIC METABOLIC PANEL $96.25 $72.19 $5.10 – $94.32
Basic metabolic panel (blood test): 10 of 18 insurance plan rates
  • American Health Plan of Utah — All Plans: $54.86
  • Blue Cross of Idaho — Commercial: $91.43
  • Blue Cross of Idaho — Medicaid Plus: $5.10
  • Blue Cross of Idaho — Medicare Advantage: $54.86
  • Blue Cross of Idaho — Medicare-Medicaid Coordinated Plan: $5.10
  • Cigna — Commercial: $86.62
  • MODA Health Plan — Medicare Advantage: $54.86
  • Molina — Medicaid: $5.10
  • Molina Healthcare — Medicare Advantage: $54.86
  • PacificSource — Commercial: $9.73
Basic metabolic panel (blood test) CPT 80048 · Inpatient or outpatient · Hospital (facility) fee In the file: BMP (PICCOLO) $96.25 $72.19 $5.10 – $94.32
Basic metabolic panel (blood test): 10 of 18 insurance plan rates
  • American Health Plan of Utah — All Plans: $54.86
  • Blue Cross of Idaho — Commercial: $91.43
  • Blue Cross of Idaho — Medicaid Plus: $5.10
  • Blue Cross of Idaho — Medicare Advantage: $54.86
  • Blue Cross of Idaho — Medicare-Medicaid Coordinated Plan: $5.10
  • Cigna — Commercial: $86.62
  • MODA Health Plan — Medicare Advantage: $54.86
  • Molina — Medicaid: $5.10
  • Molina Healthcare — Medicare Advantage: $54.86
  • PacificSource — Commercial: $9.73
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: METABOLIC PANEL TOTAL CA Not listed in the file Not listed in the file $9.73
Basic metabolic panel (blood test): rates for 1 insurance plan
  • PacificSource — Commercial: $9.73
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient or outpatient · Hospital (facility) fee In the file: CMP (PICCOLO) $112.48 $84.36 $6.37 – $110.23
Comprehensive metabolic panel (blood test): 10 of 18 insurance plan rates
  • American Health Plan of Utah — All Plans: $64.11
  • Blue Cross of Idaho — Commercial: $106.85
  • Blue Cross of Idaho — Medicaid Plus: $6.37
  • Blue Cross of Idaho — Medicare Advantage: $64.11
  • Blue Cross of Idaho — Medicare-Medicaid Coordinated Plan: $6.37
  • Cigna — Commercial: $101.23
  • MODA Health Plan — Medicare Advantage: $64.11
  • Molina — Medicaid: $6.37
  • Molina Healthcare — Medicare Advantage: $64.11
  • PacificSource — Commercial: $12.14
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient or outpatient · Hospital (facility) fee In the file: COMPREHENSIVE METABOLIC PANEL $112.48 $84.36 $6.37 – $110.23
Comprehensive metabolic panel (blood test): 10 of 18 insurance plan rates
  • American Health Plan of Utah — All Plans: $64.11
  • Blue Cross of Idaho — Commercial: $106.85
  • Blue Cross of Idaho — Medicaid Plus: $6.37
  • Blue Cross of Idaho — Medicare Advantage: $64.11
  • Blue Cross of Idaho — Medicare-Medicaid Coordinated Plan: $6.37
  • Cigna — Commercial: $101.23
  • MODA Health Plan — Medicare Advantage: $64.11
  • Molina — Medicaid: $6.37
  • Molina Healthcare — Medicare Advantage: $64.11
  • PacificSource — Commercial: $12.14
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPREHEN METABOLIC PANEL Not listed in the file Not listed in the file $12.14
Comprehensive metabolic panel (blood test): rates for 1 insurance plan
  • PacificSource — Commercial: $12.14
Obstetric blood test panel CPT 80055 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OBSTETRIC PANEL Not listed in the file Not listed in the file $28.83 – $47.81
Obstetric blood test panel: 10 of 18 insurance plan rates
  • Blue Cross of Idaho — Medicaid Plus: $28.83
  • Blue Cross of Idaho — Medicare-Medicaid Coordinated Plan: $28.83
  • Molina — Medicaid: $28.83
  • PacificSource — Commercial: $54.98
  • St Lukes Health Partners Network — Commercial: $47.81
  • American Health Plan of Utah — All Plans: 57% (a percentage in the contract, not a dollar amount)
  • Blue Cross of Idaho — Commercial: 95% (a percentage in the contract, not a dollar amount)
  • Blue Cross of Idaho — Medicare Advantage: 57% (a percentage in the contract, not a dollar amount)
  • Cigna — Commercial: 90% (a percentage in the contract, not a dollar amount)
  • MODA Health Plan — Medicare Advantage: 57% (a percentage in the contract, not a dollar amount)
Cholesterol panel (lipid panel) CPT 80061 · Inpatient or outpatient · Hospital (facility) fee In the file: LIPID PANEL $103.82 $77.87 $8.07 – $101.74
Cholesterol panel (lipid panel): 10 of 18 insurance plan rates
  • American Health Plan of Utah — All Plans: $59.17
  • Blue Cross of Idaho — Commercial: $98.62
  • Blue Cross of Idaho — Medicaid Plus: $8.07
  • Blue Cross of Idaho — Medicare Advantage: $59.17
  • Blue Cross of Idaho — Medicare-Medicaid Coordinated Plan: $8.07
  • Cigna — Commercial: $93.43
  • MODA Health Plan — Medicare Advantage: $59.17
  • Molina — Medicaid: $8.07
  • Molina Healthcare — Medicare Advantage: $59.17
  • PacificSource — Commercial: $15.40
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LIPID PANEL Not listed in the file Not listed in the file $15.40
Cholesterol panel (lipid panel): rates for 1 insurance plan
  • PacificSource — Commercial: $15.40
Kidney function panel CPT 80069 · Inpatient or outpatient · Hospital (facility) fee In the file: RENAL FUNCTION PANEL $146 $109.50 $5.23 – $143.08
Kidney function panel: 10 of 18 insurance plan rates
  • American Health Plan of Utah — All Plans: $83.22
  • Blue Cross of Idaho — Commercial: $138.70
  • Blue Cross of Idaho — Medicaid Plus: $5.23
  • Blue Cross of Idaho — Medicare Advantage: $83.22
  • Blue Cross of Idaho — Medicare-Medicaid Coordinated Plan: $5.23
  • Cigna — Commercial: $131.40
  • MODA Health Plan — Medicare Advantage: $83.22
  • Molina — Medicaid: $5.23
  • Molina Healthcare — Medicare Advantage: $83.22
  • PacificSource — Commercial: $9.98
Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: RENAL FUNCTION PANEL Not listed in the file Not listed in the file $9.98
Kidney function panel: rates for 1 insurance plan
  • PacificSource — Commercial: $9.98
Liver function panel CPT 80076 · Inpatient or outpatient · Hospital (facility) fee In the file: LIVER (HEPATIC) FUNCTION PANEL $125.45 $94.09 $4.92 – $122.94
Liver function panel: 10 of 18 insurance plan rates
  • American Health Plan of Utah — All Plans: $71.50
  • Blue Cross of Idaho — Commercial: $119.17
  • Blue Cross of Idaho — Medicaid Plus: $4.92
  • Blue Cross of Idaho — Medicare Advantage: $71.50
  • Blue Cross of Idaho — Medicare-Medicaid Coordinated Plan: $4.92
  • Cigna — Commercial: $112.90
  • MODA Health Plan — Medicare Advantage: $71.50
  • Molina — Medicaid: $4.92
  • Molina Healthcare — Medicare Advantage: $71.50
  • PacificSource — Commercial: $9.40
Liver function panel CPT 80076 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HEPATIC FUNCTION PANEL Not listed in the file Not listed in the file $9.40
Liver function panel: rates for 1 insurance plan
  • PacificSource — Commercial: $9.40
Urine test (automated, with microscope) CPT 81001 · Inpatient or outpatient · Hospital (facility) fee In the file: URINALYSIS COMPLETE $76.79 $57.59 $1.91 – $75.25
Urine test (automated, with microscope): 10 of 18 insurance plan rates
  • American Health Plan of Utah — All Plans: $43.77
  • Blue Cross of Idaho — Commercial: $72.95
  • Blue Cross of Idaho — Medicaid Plus: $1.91
  • Blue Cross of Idaho — Medicare Advantage: $43.77
  • Blue Cross of Idaho — Medicare-Medicaid Coordinated Plan: $1.91
  • Cigna — Commercial: $69.11
  • MODA Health Plan — Medicare Advantage: $43.77
  • Molina — Medicaid: $1.91
  • Molina Healthcare — Medicare Advantage: $43.77
  • PacificSource — Commercial: $3.65
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: URINALYSIS AUTO W/SCOPE Not listed in the file Not listed in the file $3.65
Urine test (automated, with microscope): rates for 1 insurance plan
  • PacificSource — Commercial: $3.65
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: URINALYSIS NONAUTO W/O SCOPE Not listed in the file Not listed in the file $2.10 – $3.48
Urine test (manual, without microscope): 10 of 18 insurance plan rates
  • Blue Cross of Idaho — Medicaid Plus: $2.10
  • Blue Cross of Idaho — Medicare-Medicaid Coordinated Plan: $2.10
  • Molina — Medicaid: $2.10
  • PacificSource — Commercial: $4
  • St Lukes Health Partners Network — Commercial: $3.48
  • American Health Plan of Utah — All Plans: 57% (a percentage in the contract, not a dollar amount)
  • Blue Cross of Idaho — Commercial: 95% (a percentage in the contract, not a dollar amount)
  • Blue Cross of Idaho — Medicare Advantage: 57% (a percentage in the contract, not a dollar amount)
  • Cigna — Commercial: 90% (a percentage in the contract, not a dollar amount)
  • MODA Health Plan — Medicare Advantage: 57% (a percentage in the contract, not a dollar amount)
Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient · Hospital (facility) fee In the file: UA (+ MICRO IF IND) (FM-TST) $35 $26.25 $1.36 – $34.30
Urine test (automated, without microscope): 10 of 18 insurance plan rates
  • American Health Plan of Utah — All Plans: $19.95
  • Blue Cross of Idaho — Commercial: $33.25
  • Blue Cross of Idaho — Medicaid Plus: $1.36
  • Blue Cross of Idaho — Medicare Advantage: $19.95
  • Blue Cross of Idaho — Medicare-Medicaid Coordinated Plan: $1.36
  • Cigna — Commercial: $31.50
  • MODA Health Plan — Medicare Advantage: $19.95
  • Molina — Medicaid: $1.36
  • Molina Healthcare — Medicare Advantage: $19.95
  • PacificSource — Commercial: $2.59
Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient · Hospital (facility) fee In the file: UA (W/MICRO IF IND) $37.85 $28.39 $1.36 – $37.09
Urine test (automated, without microscope): 10 of 18 insurance plan rates
  • American Health Plan of Utah — All Plans: $21.57
  • Blue Cross of Idaho — Commercial: $35.95
  • Blue Cross of Idaho — Medicaid Plus: $1.36
  • Blue Cross of Idaho — Medicare Advantage: $21.57
  • Blue Cross of Idaho — Medicare-Medicaid Coordinated Plan: $1.36
  • Cigna — Commercial: $34.06
  • MODA Health Plan — Medicare Advantage: $21.57
  • Molina — Medicaid: $1.36
  • Molina Healthcare — Medicare Advantage: $21.57
  • PacificSource — Commercial: $2.59
Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient · Hospital (facility) fee In the file: URINE PH $21.63 $16.22 $1.36 – $21.19
Urine test (automated, without microscope): 10 of 18 insurance plan rates
  • American Health Plan of Utah — All Plans: $12.32
  • Blue Cross of Idaho — Commercial: $20.54
  • Blue Cross of Idaho — Medicaid Plus: $1.36
  • Blue Cross of Idaho — Medicare Advantage: $12.32
  • Blue Cross of Idaho — Medicare-Medicaid Coordinated Plan: $1.36
  • Cigna — Commercial: $19.46
  • MODA Health Plan — Medicare Advantage: $12.32
  • Molina — Medicaid: $1.36
  • Molina Healthcare — Medicare Advantage: $12.32
  • PacificSource — Commercial: $2.59
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient · Hospital (facility) fee In the file: PROSTATE-SPECIFIC ANTIGEN (PSA), ULTRASE $146 $109.50 $11.09 – $143.08
PSA (prostate specific antigen) blood test: 10 of 18 insurance plan rates
  • American Health Plan of Utah — All Plans: $83.22
  • Blue Cross of Idaho — Commercial: $138.70
  • Blue Cross of Idaho — Medicaid Plus: $11.09
  • Blue Cross of Idaho — Medicare Advantage: $83.22
  • Blue Cross of Idaho — Medicare-Medicaid Coordinated Plan: $11.09
  • Cigna — Commercial: $131.40
  • MODA Health Plan — Medicare Advantage: $83.22
  • Molina — Medicaid: $11.09
  • Molina Healthcare — Medicare Advantage: $83.22
  • PacificSource — Commercial: $21.15
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient · Hospital (facility) fee In the file: PSA $146 $109.50 $11.09 – $143.08
PSA (prostate specific antigen) blood test: 10 of 18 insurance plan rates
  • American Health Plan of Utah — All Plans: $83.22
  • Blue Cross of Idaho — Commercial: $138.70
  • Blue Cross of Idaho — Medicaid Plus: $11.09
  • Blue Cross of Idaho — Medicare Advantage: $83.22
  • Blue Cross of Idaho — Medicare-Medicaid Coordinated Plan: $11.09
  • Cigna — Commercial: $131.40
  • MODA Health Plan — Medicare Advantage: $83.22
  • Molina — Medicaid: $11.09
  • Molina Healthcare — Medicare Advantage: $83.22
  • PacificSource — Commercial: $21.15
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ASSAY OF PSA TOTAL Not listed in the file Not listed in the file $21.15
PSA (prostate specific antigen) blood test: rates for 1 insurance plan
  • PacificSource — Commercial: $21.15
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient or outpatient · Hospital (facility) fee In the file: TSH (THYROID STIMULATING HORMONE) $108.15 $81.11 $10.13 – $105.98
Thyroid stimulating hormone (TSH) test: 10 of 18 insurance plan rates
  • American Health Plan of Utah — All Plans: $61.64
  • Blue Cross of Idaho — Commercial: $102.74
  • Blue Cross of Idaho — Medicaid Plus: $10.13
  • Blue Cross of Idaho — Medicare Advantage: $61.64
  • Blue Cross of Idaho — Medicare-Medicaid Coordinated Plan: $10.13
  • Cigna — Commercial: $97.33
  • MODA Health Plan — Medicare Advantage: $61.64
  • Molina — Medicaid: $10.13
  • Molina Healthcare — Medicare Advantage: $61.64
  • PacificSource — Commercial: $19.32
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ASSAY THYROID STIM HORMONE Not listed in the file Not listed in the file $19.32
Thyroid stimulating hormone (TSH) test: rates for 1 insurance plan
  • PacificSource — Commercial: $19.32
Complete blood count (CBC) with differential CPT 85025 · Inpatient or outpatient · Hospital (facility) fee In the file: CBC W/AUTO DIFF $84.36 $63.27 $4.68 – $82.67
Complete blood count (CBC) with differential: 10 of 18 insurance plan rates
  • American Health Plan of Utah — All Plans: $48.08
  • Blue Cross of Idaho — Commercial: $80.14
  • Blue Cross of Idaho — Medicaid Plus: $4.68
  • Blue Cross of Idaho — Medicare Advantage: $48.08
  • Blue Cross of Idaho — Medicare-Medicaid Coordinated Plan: $4.68
  • Cigna — Commercial: $75.92
  • MODA Health Plan — Medicare Advantage: $48.08
  • Molina — Medicaid: $4.68
  • Molina Healthcare — Medicare Advantage: $48.08
  • PacificSource — Commercial: $8.94
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPLETE CBC W/AUTO DIFF WBC Not listed in the file Not listed in the file $8.94
Complete blood count (CBC) with differential: rates for 1 insurance plan
  • PacificSource — Commercial: $8.94
Complete blood count (CBC), automated CPT 85027 · Inpatient or outpatient · Hospital (facility) fee In the file: CBC (HEMOGRAM) $56.24 $42.18 $3.90 – $55.11
Complete blood count (CBC), automated: 10 of 18 insurance plan rates
  • American Health Plan of Utah — All Plans: $32.05
  • Blue Cross of Idaho — Commercial: $53.42
  • Blue Cross of Idaho — Medicaid Plus: $3.90
  • Blue Cross of Idaho — Medicare Advantage: $32.05
  • Blue Cross of Idaho — Medicare-Medicaid Coordinated Plan: $3.90
  • Cigna — Commercial: $50.61
  • MODA Health Plan — Medicare Advantage: $32.05
  • Molina — Medicaid: $3.90
  • Molina Healthcare — Medicare Advantage: $32.05
  • PacificSource — Commercial: $7.44
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPLETE CBC AUTOMATED Not listed in the file Not listed in the file $7.44
Complete blood count (CBC), automated: rates for 1 insurance plan
  • PacificSource — Commercial: $7.44
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient · Hospital (facility) fee In the file: (PANEL LB CHG)PROTHROMBIN TIME $27.04 $20.28 $2.59 – $26.49
Blood clotting time test (prothrombin time, PT): 10 of 18 insurance plan rates
  • American Health Plan of Utah — All Plans: $15.41
  • Blue Cross of Idaho — Commercial: $25.68
  • Blue Cross of Idaho — Medicaid Plus: $2.59
  • Blue Cross of Idaho — Medicare Advantage: $15.41
  • Blue Cross of Idaho — Medicare-Medicaid Coordinated Plan: $2.59
  • Cigna — Commercial: $24.33
  • MODA Health Plan — Medicare Advantage: $15.41
  • Molina — Medicaid: $2.59
  • Molina Healthcare — Medicare Advantage: $15.41
  • PacificSource — Commercial: $4.93
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient · Hospital (facility) fee In the file: CLN PT/INR (POCT) $38.59 $28.94 $2.59 – $37.81
Blood clotting time test (prothrombin time, PT): 10 of 18 insurance plan rates
  • American Health Plan of Utah — All Plans: $21.99
  • Blue Cross of Idaho — Commercial: $36.66
  • Blue Cross of Idaho — Medicaid Plus: $2.59
  • Blue Cross of Idaho — Medicare Advantage: $21.99
  • Blue Cross of Idaho — Medicare-Medicaid Coordinated Plan: $2.59
  • Cigna — Commercial: $34.73
  • MODA Health Plan — Medicare Advantage: $21.99
  • Molina — Medicaid: $2.59
  • Molina Healthcare — Medicare Advantage: $21.99
  • PacificSource — Commercial: $4.93
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient · Hospital (facility) fee In the file: PROTIME $55 $41.25 $2.59 – $53.90
Blood clotting time test (prothrombin time, PT): 10 of 18 insurance plan rates
  • American Health Plan of Utah — All Plans: $31.35
  • Blue Cross of Idaho — Commercial: $52.25
  • Blue Cross of Idaho — Medicaid Plus: $2.59
  • Blue Cross of Idaho — Medicare Advantage: $31.35
  • Blue Cross of Idaho — Medicare-Medicaid Coordinated Plan: $2.59
  • Cigna — Commercial: $49.50
  • MODA Health Plan — Medicare Advantage: $31.35
  • Molina — Medicaid: $2.59
  • Molina Healthcare — Medicare Advantage: $31.35
  • PacificSource — Commercial: $4.93
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient · Hospital (facility) fee In the file: (PANEL LB CHG)THROMBOPLASTIN TIME PARTIA $27.04 $20.28 $3.62 – $26.49
Blood clotting test (partial thromboplastin time, PTT): 10 of 18 insurance plan rates
  • American Health Plan of Utah — All Plans: $15.41
  • Blue Cross of Idaho — Commercial: $25.68
  • Blue Cross of Idaho — Medicaid Plus: $3.62
  • Blue Cross of Idaho — Medicare Advantage: $15.41
  • Blue Cross of Idaho — Medicare-Medicaid Coordinated Plan: $3.62
  • Cigna — Commercial: $24.33
  • MODA Health Plan — Medicare Advantage: $15.41
  • Molina — Medicaid: $3.62
  • Molina Healthcare — Medicare Advantage: $15.41
  • PacificSource — Commercial: $6.91
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient · Hospital (facility) fee In the file: APTT $110.31 $82.73 $3.62 – $108.10
Blood clotting test (partial thromboplastin time, PTT): 10 of 18 insurance plan rates
  • American Health Plan of Utah — All Plans: $62.87
  • Blue Cross of Idaho — Commercial: $104.79
  • Blue Cross of Idaho — Medicaid Plus: $3.62
  • Blue Cross of Idaho — Medicare Advantage: $62.87
  • Blue Cross of Idaho — Medicare-Medicaid Coordinated Plan: $3.62
  • Cigna — Commercial: $99.27
  • MODA Health Plan — Medicare Advantage: $62.87
  • Molina — Medicaid: $3.62
  • Molina Healthcare — Medicare Advantage: $62.87
  • PacificSource — Commercial: $6.91
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: THROMBOPLASTIN TIME PARTIAL Not listed in the file Not listed in the file $6.91
Blood clotting test (partial thromboplastin time, PTT): rates for 1 insurance plan
  • PacificSource — Commercial: $6.91

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

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
CT scan of the head or brain, without contrast CPT 70450 · Inpatient or outpatient · Hospital (facility) fee In the file: CT HEAD W/O CONTRAST $1,696 $1,272 $58.65 – $1,662.08
CT scan of the head or brain, without contrast: 10 of 18 insurance plan rates
  • American Health Plan of Utah — All Plans: $966.72
  • Blue Cross of Idaho — Commercial: $1,611.20
  • Blue Cross of Idaho — Medicaid Plus: $58.65
  • Blue Cross of Idaho — Medicare Advantage: $966.72
  • Blue Cross of Idaho — Medicare-Medicaid Coordinated Plan: $58.65
  • Cigna — Commercial: $1,526.40
  • MODA Health Plan — Medicare Advantage: $966.72
  • Molina — Medicaid: $58.65
  • Molina Healthcare — Medicare Advantage: $966.72
  • PacificSource — Commercial: $1,611.20
MRI of the brain, before and after contrast CPT 70553 · Inpatient or outpatient · Hospital (facility) fee In the file: MRI BRAIN IAC'S/PITUITARY W/WO $3,005 $2,253.75 $174.68 – $2,944.90
MRI of the brain, before and after contrast: 10 of 18 insurance plan rates
  • American Health Plan of Utah — All Plans: $1,712.85
  • Blue Cross of Idaho — Commercial: $2,854.75
  • Blue Cross of Idaho — Medicaid Plus: $174.68
  • Blue Cross of Idaho — Medicare Advantage: $1,712.85
  • Blue Cross of Idaho — Medicare-Medicaid Coordinated Plan: $174.68
  • Cigna — Commercial: $2,704.50
  • MODA Health Plan — Medicare Advantage: $1,712.85
  • Molina — Medicaid: $174.68
  • Molina Healthcare — Medicare Advantage: $1,712.85
  • PacificSource — Commercial: $2,854.75
MRI of the brain, before and after contrast CPT 70553 · Inpatient or outpatient · Hospital (facility) fee In the file: MRI BRAIN W & W/O $4,378 $3,283.50 $174.68 – $4,290.44
MRI of the brain, before and after contrast: 10 of 18 insurance plan rates
  • American Health Plan of Utah — All Plans: $2,495.46
  • Blue Cross of Idaho — Commercial: $4,159.10
  • Blue Cross of Idaho — Medicaid Plus: $174.68
  • Blue Cross of Idaho — Medicare Advantage: $2,495.46
  • Blue Cross of Idaho — Medicare-Medicaid Coordinated Plan: $174.68
  • Cigna — Commercial: $3,940.20
  • MODA Health Plan — Medicare Advantage: $2,495.46
  • Molina — Medicaid: $174.68
  • Molina Healthcare — Medicare Advantage: $2,495.46
  • PacificSource — Commercial: $4,159.10
MRI of the brain, before and after contrast CPT 70553 · Inpatient or outpatient · Hospital (facility) fee In the file: MRI PRO FEE BRAIN W & W/O $430 $322.50 $174.68 – $421.40
MRI of the brain, before and after contrast: 10 of 18 insurance plan rates
  • American Health Plan of Utah — All Plans: $245.10
  • Blue Cross of Idaho — Commercial: $408.50
  • Blue Cross of Idaho — Medicaid Plus: $174.68
  • Blue Cross of Idaho — Medicare Advantage: $245.10
  • Blue Cross of Idaho — Medicare-Medicaid Coordinated Plan: $174.68
  • Cigna — Commercial: $387
  • MODA Health Plan — Medicare Advantage: $245.10
  • Molina — Medicaid: $174.68
  • Molina Healthcare — Medicare Advantage: $245.10
  • PacificSource — Commercial: $408.50
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: X-RAY EXAM CHEST 2 VIEWS Not listed in the file Not listed in the file $18.11
Chest X-ray, 2 views: 10 of 18 insurance plan rates
  • Blue Cross of Idaho — Medicaid Plus: $18.11
  • Blue Cross of Idaho — Medicare-Medicaid Coordinated Plan: $18.11
  • Molina — Medicaid: $18.11
  • American Health Plan of Utah — All Plans: 57% (a percentage in the contract, not a dollar amount)
  • Blue Cross of Idaho — Commercial: 95% (a percentage in the contract, not a dollar amount)
  • Blue Cross of Idaho — Medicare Advantage: 57% (a percentage in the contract, not a dollar amount)
  • Cigna — Commercial: 90% (a percentage in the contract, not a dollar amount)
  • MODA Health Plan — Medicare Advantage: 57% (a percentage in the contract, not a dollar amount)
  • Molina Healthcare — Medicare Advantage: 57% (a percentage in the contract, not a dollar amount)
  • PacificSource — Commercial: 95% (a percentage in the contract, not a dollar amount)
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient or outpatient · Hospital (facility) fee In the file: XR LUMBOSACRAL SPINE W/OBLIQUES $672.53 $504.40 $27.92 – $659.07
X-ray of the lower spine, at least 4 views: 10 of 18 insurance plan rates
  • American Health Plan of Utah — All Plans: $383.34
  • Blue Cross of Idaho — Commercial: $638.90
  • Blue Cross of Idaho — Medicaid Plus: $27.92
  • Blue Cross of Idaho — Medicare Advantage: $383.34
  • Blue Cross of Idaho — Medicare-Medicaid Coordinated Plan: $27.92
  • Cigna — Commercial: $605.27
  • MODA Health Plan — Medicare Advantage: $383.34
  • Molina — Medicaid: $27.92
  • Molina Healthcare — Medicare Advantage: $383.34
  • PacificSource — Commercial: $638.90
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient or outpatient · Hospital (facility) fee In the file: MRI LUMBAR SPINE W/O $3,107 $2,330.25 $104.95 – $3,044.86
MRI of the lower back (lumbar spine), without contrast: 10 of 18 insurance plan rates
  • American Health Plan of Utah — All Plans: $1,770.99
  • Blue Cross of Idaho — Commercial: $2,951.65
  • Blue Cross of Idaho — Medicaid Plus: $104.95
  • Blue Cross of Idaho — Medicare Advantage: $1,770.99
  • Blue Cross of Idaho — Medicare-Medicaid Coordinated Plan: $104.95
  • Cigna — Commercial: $2,796.30
  • MODA Health Plan — Medicare Advantage: $1,770.99
  • Molina — Medicaid: $104.95
  • Molina Healthcare — Medicare Advantage: $1,770.99
  • PacificSource — Commercial: $2,951.65
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient or outpatient · Hospital (facility) fee In the file: MRI PRO FEE LUMBAR SPINE W/O $281 $210.75 $104.95 – $275.38
MRI of the lower back (lumbar spine), without contrast: 10 of 18 insurance plan rates
  • American Health Plan of Utah — All Plans: $160.17
  • Blue Cross of Idaho — Commercial: $266.95
  • Blue Cross of Idaho — Medicaid Plus: $104.95
  • Blue Cross of Idaho — Medicare Advantage: $160.17
  • Blue Cross of Idaho — Medicare-Medicaid Coordinated Plan: $104.95
  • Cigna — Commercial: $252.90
  • MODA Health Plan — Medicare Advantage: $160.17
  • Molina — Medicaid: $104.95
  • Molina Healthcare — Medicare Advantage: $160.17
  • PacificSource — Commercial: $266.95
CT scan of the pelvis, with contrast CPT 72193 · Inpatient or outpatient · Hospital (facility) fee In the file: CT PELVIS W CONTRAST $2,567 $1,925.25 $123.68 – $2,515.66
CT scan of the pelvis, with contrast: 10 of 18 insurance plan rates
  • American Health Plan of Utah — All Plans: $1,463.19
  • Blue Cross of Idaho — Commercial: $2,438.65
  • Blue Cross of Idaho — Medicaid Plus: $123.68
  • Blue Cross of Idaho — Medicare Advantage: $1,463.19
  • Blue Cross of Idaho — Medicare-Medicaid Coordinated Plan: $123.68
  • Cigna — Commercial: $2,310.30
  • MODA Health Plan — Medicare Advantage: $1,463.19
  • Molina — Medicaid: $123.68
  • Molina Healthcare — Medicare Advantage: $1,463.19
  • PacificSource — Commercial: $2,438.65
CT scan of the pelvis, with contrast CPT 72193 · Inpatient or outpatient · Hospital (facility) fee In the file: CT PRO FEE PELVIS W CONTRAST $210 $157.50 $116.10 – $205.80
CT scan of the pelvis, with contrast: 10 of 18 insurance plan rates
  • American Health Plan of Utah — All Plans: $119.70
  • Blue Cross of Idaho — Commercial: $199.50
  • Blue Cross of Idaho — Medicaid Plus: $123.68
  • Blue Cross of Idaho — Medicare Advantage: $119.70
  • Blue Cross of Idaho — Medicare-Medicaid Coordinated Plan: $123.68
  • Cigna — Commercial: $189
  • MODA Health Plan — Medicare Advantage: $119.70
  • Molina — Medicaid: $123.68
  • Molina Healthcare — Medicare Advantage: $119.70
  • PacificSource — Commercial: $199.50
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient · Hospital (facility) fee In the file: MRI JOINT LWR EXTREM W/O $2,985 $2,238.75 $111.27 – $2,925.30
MRI of a leg joint (such as the knee), without contrast: 10 of 18 insurance plan rates
  • American Health Plan of Utah — All Plans: $1,701.45
  • Blue Cross of Idaho — Commercial: $2,835.75
  • Blue Cross of Idaho — Medicaid Plus: $111.27
  • Blue Cross of Idaho — Medicare Advantage: $1,701.45
  • Blue Cross of Idaho — Medicare-Medicaid Coordinated Plan: $111.27
  • Cigna — Commercial: $2,686.50
  • MODA Health Plan — Medicare Advantage: $1,701.45
  • Molina — Medicaid: $111.27
  • Molina Healthcare — Medicare Advantage: $1,701.45
  • PacificSource — Commercial: $2,835.75
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient · Hospital (facility) fee In the file: MRI PRO FEE JOINT LWR EXT W/O $255 $191.25 $111.27 – $249.90
MRI of a leg joint (such as the knee), without contrast: 10 of 18 insurance plan rates
  • American Health Plan of Utah — All Plans: $145.35
  • Blue Cross of Idaho — Commercial: $242.25
  • Blue Cross of Idaho — Medicaid Plus: $111.27
  • Blue Cross of Idaho — Medicare Advantage: $145.35
  • Blue Cross of Idaho — Medicare-Medicaid Coordinated Plan: $111.27
  • Cigna — Commercial: $229.50
  • MODA Health Plan — Medicare Advantage: $145.35
  • Molina — Medicaid: $111.27
  • Molina Healthcare — Medicare Advantage: $145.35
  • PacificSource — Commercial: $242.25
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient or outpatient · Hospital (facility) fee In the file: CT ABD PELV W/ CONTRAST $3,353 $2,514.75 $164.98 – $3,285.94
CT scan of the abdomen and pelvis, with contrast: 10 of 18 insurance plan rates
  • American Health Plan of Utah — All Plans: $1,911.21
  • Blue Cross of Idaho — Commercial: $3,185.35
  • Blue Cross of Idaho — Medicaid Plus: $164.98
  • Blue Cross of Idaho — Medicare Advantage: $1,911.21
  • Blue Cross of Idaho — Medicare-Medicaid Coordinated Plan: $164.98
  • Cigna — Commercial: $3,017.70
  • MODA Health Plan — Medicare Advantage: $1,911.21
  • Molina — Medicaid: $164.98
  • Molina Healthcare — Medicare Advantage: $1,911.21
  • PacificSource — Commercial: $3,185.35
Ultrasound of the abdomen, complete CPT 76700 · Inpatient or outpatient · Hospital (facility) fee In the file: US ABDOMEN COMPLETE $1,109.85 $832.39 $62.21 – $1,087.65
Ultrasound of the abdomen, complete: 10 of 18 insurance plan rates
  • American Health Plan of Utah — All Plans: $632.61
  • Blue Cross of Idaho — Commercial: $1,054.35
  • Blue Cross of Idaho — Medicaid Plus: $62.21
  • Blue Cross of Idaho — Medicare Advantage: $632.61
  • Blue Cross of Idaho — Medicare-Medicaid Coordinated Plan: $62.21
  • Cigna — Commercial: $998.86
  • MODA Health Plan — Medicare Advantage: $632.61
  • Molina — Medicaid: $62.21
  • Molina Healthcare — Medicare Advantage: $632.61
  • PacificSource — Commercial: $1,054.35
Ultrasound of the abdomen, complete CPT 76700 · Inpatient or outpatient · Hospital (facility) fee In the file: US PRO FEE ABDOMEN COMPLETE $162.75 $122.06 $62.21 – $159.49
Ultrasound of the abdomen, complete: 10 of 18 insurance plan rates
  • American Health Plan of Utah — All Plans: $92.76
  • Blue Cross of Idaho — Commercial: $154.61
  • Blue Cross of Idaho — Medicaid Plus: $62.21
  • Blue Cross of Idaho — Medicare Advantage: $92.76
  • Blue Cross of Idaho — Medicare-Medicaid Coordinated Plan: $62.21
  • Cigna — Commercial: $146.47
  • MODA Health Plan — Medicare Advantage: $92.76
  • Molina — Medicaid: $62.21
  • Molina Healthcare — Medicare Advantage: $92.76
  • PacificSource — Commercial: $154.61
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient or outpatient · Hospital (facility) fee In the file: US OB 2ND TRIMESTER COMP /ANAT SURVEY $922.95 $692.21 $72.45 – $904.49
Pregnancy ultrasound (after the first trimester): 10 of 18 insurance plan rates
  • American Health Plan of Utah — All Plans: $526.08
  • Blue Cross of Idaho — Commercial: $876.80
  • Blue Cross of Idaho — Medicaid Plus: $72.45
  • Blue Cross of Idaho — Medicare Advantage: $526.08
  • Blue Cross of Idaho — Medicare-Medicaid Coordinated Plan: $72.45
  • Cigna — Commercial: $830.65
  • MODA Health Plan — Medicare Advantage: $526.08
  • Molina — Medicaid: $72.45
  • Molina Healthcare — Medicare Advantage: $526.08
  • PacificSource — Commercial: $876.80
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient or outpatient · Hospital (facility) fee In the file: US OB 3RD TRIMESTER/ANAT SURVEY $922.95 $692.21 $72.45 – $904.49
Pregnancy ultrasound (after the first trimester): 10 of 18 insurance plan rates
  • American Health Plan of Utah — All Plans: $526.08
  • Blue Cross of Idaho — Commercial: $876.80
  • Blue Cross of Idaho — Medicaid Plus: $72.45
  • Blue Cross of Idaho — Medicare Advantage: $526.08
  • Blue Cross of Idaho — Medicare-Medicaid Coordinated Plan: $72.45
  • Cigna — Commercial: $830.65
  • MODA Health Plan — Medicare Advantage: $526.08
  • Molina — Medicaid: $72.45
  • Molina Healthcare — Medicare Advantage: $526.08
  • PacificSource — Commercial: $876.80
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient or outpatient · Hospital (facility) fee In the file: US PRO FEE PELVIC ECHOGRAPHY $202.65 $151.99 $72.45 – $198.59
Pregnancy ultrasound (after the first trimester): 10 of 18 insurance plan rates
  • American Health Plan of Utah — All Plans: $115.51
  • Blue Cross of Idaho — Commercial: $192.51
  • Blue Cross of Idaho — Medicaid Plus: $72.45
  • Blue Cross of Idaho — Medicare Advantage: $115.51
  • Blue Cross of Idaho — Medicare-Medicaid Coordinated Plan: $72.45
  • Cigna — Commercial: $182.38
  • MODA Health Plan — Medicare Advantage: $115.51
  • Molina — Medicaid: $72.45
  • Molina Healthcare — Medicare Advantage: $115.51
  • PacificSource — Commercial: $192.51
Transvaginal ultrasound CPT 76830 · Inpatient or outpatient · Hospital (facility) fee In the file: US PELVIS TRANSVAGINAL ULTRASOUND $771.75 $578.81 $63.32 – $756.31
Transvaginal ultrasound: 10 of 18 insurance plan rates
  • American Health Plan of Utah — All Plans: $439.89
  • Blue Cross of Idaho — Commercial: $733.16
  • Blue Cross of Idaho — Medicaid Plus: $63.32
  • Blue Cross of Idaho — Medicare Advantage: $439.89
  • Blue Cross of Idaho — Medicare-Medicaid Coordinated Plan: $63.32
  • Cigna — Commercial: $694.57
  • MODA Health Plan — Medicare Advantage: $439.89
  • Molina — Medicaid: $63.32
  • Molina Healthcare — Medicare Advantage: $439.89
  • PacificSource — Commercial: $733.16
Transvaginal ultrasound CPT 76830 · Inpatient or outpatient · Hospital (facility) fee In the file: US PRO FEE PELVIS TRANSVAGINAL $139.65 $104.74 $63.32 – $136.85
Transvaginal ultrasound: 10 of 18 insurance plan rates
  • American Health Plan of Utah — All Plans: $79.60
  • Blue Cross of Idaho — Commercial: $132.66
  • Blue Cross of Idaho — Medicaid Plus: $63.32
  • Blue Cross of Idaho — Medicare Advantage: $79.60
  • Blue Cross of Idaho — Medicare-Medicaid Coordinated Plan: $63.32
  • Cigna — Commercial: $125.68
  • MODA Health Plan — Medicare Advantage: $79.60
  • Molina — Medicaid: $63.32
  • Molina Healthcare — Medicare Advantage: $79.60
  • PacificSource — Commercial: $132.66
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: DX MAMMO INCL CAD UNI Not listed in the file Not listed in the file $67.70
Diagnostic mammogram, one breast: 10 of 18 insurance plan rates
  • Blue Cross of Idaho — Medicaid Plus: $67.70
  • Blue Cross of Idaho — Medicare-Medicaid Coordinated Plan: $67.70
  • Molina — Medicaid: $67.70
  • American Health Plan of Utah — All Plans: 57% (a percentage in the contract, not a dollar amount)
  • Blue Cross of Idaho — Commercial: 95% (a percentage in the contract, not a dollar amount)
  • Blue Cross of Idaho — Medicare Advantage: 57% (a percentage in the contract, not a dollar amount)
  • Cigna — Commercial: 90% (a percentage in the contract, not a dollar amount)
  • MODA Health Plan — Medicare Advantage: 57% (a percentage in the contract, not a dollar amount)
  • Molina Healthcare — Medicare Advantage: 57% (a percentage in the contract, not a dollar amount)
  • PacificSource — Commercial: 95% (a percentage in the contract, not a dollar amount)
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: DX MAMMO INCL CAD BI Not listed in the file Not listed in the file $85.40
Diagnostic mammogram, both breasts: 10 of 18 insurance plan rates
  • Blue Cross of Idaho — Medicaid Plus: $85.40
  • Blue Cross of Idaho — Medicare-Medicaid Coordinated Plan: $85.40
  • Molina — Medicaid: $85.40
  • American Health Plan of Utah — All Plans: 57% (a percentage in the contract, not a dollar amount)
  • Blue Cross of Idaho — Commercial: 95% (a percentage in the contract, not a dollar amount)
  • Blue Cross of Idaho — Medicare Advantage: 57% (a percentage in the contract, not a dollar amount)
  • Cigna — Commercial: 90% (a percentage in the contract, not a dollar amount)
  • MODA Health Plan — Medicare Advantage: 57% (a percentage in the contract, not a dollar amount)
  • Molina Healthcare — Medicare Advantage: 57% (a percentage in the contract, not a dollar amount)
  • PacificSource — Commercial: 95% (a percentage in the contract, not a dollar amount)
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: SCR MAMMO BI INCL CAD Not listed in the file Not listed in the file $69.12
Screening mammogram, both breasts: 10 of 18 insurance plan rates
  • Blue Cross of Idaho — Medicaid Plus: $69.12
  • Blue Cross of Idaho — Medicare-Medicaid Coordinated Plan: $69.12
  • Molina — Medicaid: $69.12
  • American Health Plan of Utah — All Plans: 57% (a percentage in the contract, not a dollar amount)
  • Blue Cross of Idaho — Commercial: 95% (a percentage in the contract, not a dollar amount)
  • Blue Cross of Idaho — Medicare Advantage: 57% (a percentage in the contract, not a dollar amount)
  • Cigna — Commercial: 90% (a percentage in the contract, not a dollar amount)
  • MODA Health Plan — Medicare Advantage: 57% (a percentage in the contract, not a dollar amount)
  • Molina Healthcare — Medicare Advantage: 57% (a percentage in the contract, not a dollar amount)
  • PacificSource — Commercial: 95% (a percentage in the contract, not a dollar amount)

Heart tests and sleep study

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Electrocardiogram (ECG/EKG) with reading CPT 93000 · Inpatient or outpatient · Hospital (facility) fee In the file: EKG GLOBAL 93000 FMC $42 $31.50 $7.75 – $41.16
Electrocardiogram (ECG/EKG) with reading: 10 of 18 insurance plan rates
  • American Health Plan of Utah — All Plans: $23.94
  • Blue Cross of Idaho — Commercial: $39.90
  • Blue Cross of Idaho — Medicaid Plus: $7.75
  • Blue Cross of Idaho — Medicare Advantage: $23.94
  • Blue Cross of Idaho — Medicare-Medicaid Coordinated Plan: $7.75
  • Cigna — Commercial: $37.80
  • MODA Health Plan — Medicare Advantage: $23.94
  • Molina — Medicaid: $7.75
  • Molina Healthcare — Medicare Advantage: $23.94
  • PacificSource — Commercial: $39.90
Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LEFT HRT CATH W/VENTRCLGRPHY Not listed in the file Not listed in the file $454.94
Left heart catheterization (diagnostic): 10 of 18 insurance plan rates
  • Blue Cross of Idaho — Medicaid Plus: $454.94
  • Blue Cross of Idaho — Medicare-Medicaid Coordinated Plan: $454.94
  • Molina — Medicaid: $454.94
  • American Health Plan of Utah — All Plans: 57% (a percentage in the contract, not a dollar amount)
  • Blue Cross of Idaho — Commercial: 95% (a percentage in the contract, not a dollar amount)
  • Blue Cross of Idaho — Medicare Advantage: 57% (a percentage in the contract, not a dollar amount)
  • Cigna — Commercial: 90% (a percentage in the contract, not a dollar amount)
  • MODA Health Plan — Medicare Advantage: 57% (a percentage in the contract, not a dollar amount)
  • Molina Healthcare — Medicare Advantage: 57% (a percentage in the contract, not a dollar amount)
  • PacificSource — Commercial: 95% (a percentage in the contract, not a dollar amount)
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ELECTROPHYSIOLOGY EVALUATION Not listed in the file Not listed in the file $199.43
Heart rhythm study (electrophysiology evaluation): 10 of 18 insurance plan rates
  • Blue Cross of Idaho — Medicaid Plus: $199.43
  • Blue Cross of Idaho — Medicare-Medicaid Coordinated Plan: $199.43
  • Molina — Medicaid: $199.43
  • American Health Plan of Utah — All Plans: 57% (a percentage in the contract, not a dollar amount)
  • Blue Cross of Idaho — Commercial: 95% (a percentage in the contract, not a dollar amount)
  • Blue Cross of Idaho — Medicare Advantage: 57% (a percentage in the contract, not a dollar amount)
  • Cigna — Commercial: 90% (a percentage in the contract, not a dollar amount)
  • MODA Health Plan — Medicare Advantage: 57% (a percentage in the contract, not a dollar amount)
  • Molina Healthcare — Medicare Advantage: 57% (a percentage in the contract, not a dollar amount)
  • PacificSource — Commercial: 95% (a percentage in the contract, not a dollar amount)
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPRE EP EVAL ABLTJ ATR FIB Not listed in the file Not listed in the file $488.22
Heart rhythm study with ablation for atrial fibrillation: 10 of 18 insurance plan rates
  • Blue Cross of Idaho — Medicaid Plus: $488.22
  • Blue Cross of Idaho — Medicare-Medicaid Coordinated Plan: $488.22
  • Molina — Medicaid: $488.22
  • American Health Plan of Utah — All Plans: 57% (a percentage in the contract, not a dollar amount)
  • Blue Cross of Idaho — Commercial: 95% (a percentage in the contract, not a dollar amount)
  • Blue Cross of Idaho — Medicare Advantage: 57% (a percentage in the contract, not a dollar amount)
  • Cigna — Commercial: 90% (a percentage in the contract, not a dollar amount)
  • MODA Health Plan — Medicare Advantage: 57% (a percentage in the contract, not a dollar amount)
  • Molina Healthcare — Medicare Advantage: 57% (a percentage in the contract, not a dollar amount)
  • PacificSource — Commercial: 95% (a percentage in the contract, not a dollar amount)
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient or outpatient · Hospital (facility) fee In the file: POLYSOMNOGRAPHY 4 OR MORE $4,519.15 $3,389.36 $335.53 – $4,428.76
Sleep study (overnight, in a sleep lab): 10 of 18 insurance plan rates
  • American Health Plan of Utah — All Plans: $2,575.91
  • Blue Cross of Idaho — Commercial: $4,293.19
  • Blue Cross of Idaho — Medicaid Plus: $335.53
  • Blue Cross of Idaho — Medicare Advantage: $2,575.91
  • Blue Cross of Idaho — Medicare-Medicaid Coordinated Plan: $335.53
  • Cigna — Commercial: $4,067.23
  • MODA Health Plan — Medicare Advantage: $2,575.91
  • Molina — Medicaid: $335.53
  • Molina Healthcare — Medicare Advantage: $2,575.91
  • PacificSource — Commercial: $4,293.19

Physical therapy and mental health

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient · Hospital (facility) fee In the file: ST EXERCISES EACH 15 MINS $200.66 $150.50 $16.48 – $196.64
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 18 insurance plan rates
  • American Health Plan of Utah — All Plans: $114.37
  • Blue Cross of Idaho — Commercial: $190.62
  • Blue Cross of Idaho — Medicaid Plus: $16.48
  • Blue Cross of Idaho — Medicare Advantage: $114.37
  • Blue Cross of Idaho — Medicare-Medicaid Coordinated Plan: $16.48
  • Cigna — Commercial: $180.59
  • MODA Health Plan — Medicare Advantage: $114.37
  • Molina — Medicaid: $16.48
  • Molina Healthcare — Medicare Advantage: $114.37
  • PacificSource — Commercial: $190.62
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT EVAL LOW COMPLEX 20 MIN Not listed in the file Not listed in the file $56.08
Physical therapy evaluation (low complexity): 10 of 18 insurance plan rates
  • Blue Cross of Idaho — Medicaid Plus: $56.08
  • Blue Cross of Idaho — Medicare-Medicaid Coordinated Plan: $56.08
  • Molina — Medicaid: $56.08
  • American Health Plan of Utah — All Plans: 57% (a percentage in the contract, not a dollar amount)
  • Blue Cross of Idaho — Commercial: 95% (a percentage in the contract, not a dollar amount)
  • Blue Cross of Idaho — Medicare Advantage: 57% (a percentage in the contract, not a dollar amount)
  • Cigna — Commercial: 90% (a percentage in the contract, not a dollar amount)
  • MODA Health Plan — Medicare Advantage: 57% (a percentage in the contract, not a dollar amount)
  • Molina Healthcare — Medicare Advantage: 57% (a percentage in the contract, not a dollar amount)
  • PacificSource — Commercial: 95% (a percentage in the contract, not a dollar amount)
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT EVAL MOD COMPLEX 30 MIN Not listed in the file Not listed in the file $56.08
Physical therapy evaluation (moderate complexity): 10 of 18 insurance plan rates
  • Blue Cross of Idaho — Medicaid Plus: $56.08
  • Blue Cross of Idaho — Medicare-Medicaid Coordinated Plan: $56.08
  • Molina — Medicaid: $56.08
  • American Health Plan of Utah — All Plans: 57% (a percentage in the contract, not a dollar amount)
  • Blue Cross of Idaho — Commercial: 95% (a percentage in the contract, not a dollar amount)
  • Blue Cross of Idaho — Medicare Advantage: 57% (a percentage in the contract, not a dollar amount)
  • Cigna — Commercial: 90% (a percentage in the contract, not a dollar amount)
  • MODA Health Plan — Medicare Advantage: 57% (a percentage in the contract, not a dollar amount)
  • Molina Healthcare — Medicare Advantage: 57% (a percentage in the contract, not a dollar amount)
  • PacificSource — Commercial: 95% (a percentage in the contract, not a dollar amount)
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT EVAL HIGH COMPLEX 45 MIN Not listed in the file Not listed in the file $56.08
Physical therapy evaluation (high complexity): 10 of 18 insurance plan rates
  • Blue Cross of Idaho — Medicaid Plus: $56.08
  • Blue Cross of Idaho — Medicare-Medicaid Coordinated Plan: $56.08
  • Molina — Medicaid: $56.08
  • American Health Plan of Utah — All Plans: 57% (a percentage in the contract, not a dollar amount)
  • Blue Cross of Idaho — Commercial: 95% (a percentage in the contract, not a dollar amount)
  • Blue Cross of Idaho — Medicare Advantage: 57% (a percentage in the contract, not a dollar amount)
  • Cigna — Commercial: 90% (a percentage in the contract, not a dollar amount)
  • MODA Health Plan — Medicare Advantage: 57% (a percentage in the contract, not a dollar amount)
  • Molina Healthcare — Medicare Advantage: 57% (a percentage in the contract, not a dollar amount)
  • PacificSource — Commercial: 95% (a percentage in the contract, not a dollar amount)
Psychotherapy, 30 minutes CPT 90832 · Inpatient or outpatient · Hospital (facility) fee In the file: PSYTX PT 30 MINUTES 90832 $156.56 $117.42 $46.20 – $153.42
Psychotherapy, 30 minutes: 10 of 18 insurance plan rates
  • American Health Plan of Utah — All Plans: $89.23
  • Blue Cross of Idaho — Commercial: $148.73
  • Blue Cross of Idaho — Medicaid Plus: $46.20
  • Blue Cross of Idaho — Medicare Advantage: $89.23
  • Blue Cross of Idaho — Medicare-Medicaid Coordinated Plan: $46.20
  • Cigna — Commercial: $140.90
  • MODA Health Plan — Medicare Advantage: $89.23
  • Molina — Medicaid: $46.20
  • Molina Healthcare — Medicare Advantage: $89.23
  • PacificSource — Commercial: $148.73
Psychotherapy, 30 minutes CPT 90832 · Inpatient or outpatient · Hospital (facility) fee In the file: PSYTX W PT 30 MINUTES $183.75 $137.81 $46.20 – $180.07
Psychotherapy, 30 minutes: 10 of 18 insurance plan rates
  • American Health Plan of Utah — All Plans: $104.73
  • Blue Cross of Idaho — Commercial: $174.56
  • Blue Cross of Idaho — Medicaid Plus: $46.20
  • Blue Cross of Idaho — Medicare Advantage: $104.73
  • Blue Cross of Idaho — Medicare-Medicaid Coordinated Plan: $46.20
  • Cigna — Commercial: $165.37
  • MODA Health Plan — Medicare Advantage: $104.73
  • Molina — Medicaid: $46.20
  • Molina Healthcare — Medicare Advantage: $104.73
  • PacificSource — Commercial: $174.56
Psychotherapy, 45 minutes CPT 90834 · Inpatient or outpatient · Hospital (facility) fee In the file: PSYTX PT 45 MIN 90834 $206.17 $154.63 $60.99 – $202.04
Psychotherapy, 45 minutes: 10 of 18 insurance plan rates
  • American Health Plan of Utah — All Plans: $117.51
  • Blue Cross of Idaho — Commercial: $195.86
  • Blue Cross of Idaho — Medicaid Plus: $60.99
  • Blue Cross of Idaho — Medicare Advantage: $117.51
  • Blue Cross of Idaho — Medicare-Medicaid Coordinated Plan: $60.99
  • Cigna — Commercial: $185.55
  • MODA Health Plan — Medicare Advantage: $117.51
  • Molina — Medicaid: $60.99
  • Molina Healthcare — Medicare Advantage: $117.51
  • PacificSource — Commercial: $195.86
Psychotherapy, 45 minutes CPT 90834 · Inpatient or outpatient · Hospital (facility) fee In the file: PSYTX W PT 45 MINUTES $244.37 $183.28 $60.99 – $239.48
Psychotherapy, 45 minutes: 10 of 18 insurance plan rates
  • American Health Plan of Utah — All Plans: $139.29
  • Blue Cross of Idaho — Commercial: $232.15
  • Blue Cross of Idaho — Medicaid Plus: $60.99
  • Blue Cross of Idaho — Medicare Advantage: $139.29
  • Blue Cross of Idaho — Medicare-Medicaid Coordinated Plan: $60.99
  • Cigna — Commercial: $219.93
  • MODA Health Plan — Medicare Advantage: $139.29
  • Molina — Medicaid: $60.99
  • Molina Healthcare — Medicare Advantage: $139.29
  • PacificSource — Commercial: $232.15
Psychotherapy, 60 minutes CPT 90837 · Inpatient or outpatient · Hospital (facility) fee In the file: PSYTX W PT 60 MIN $210.89 $158.17 $90.30 – $206.67
Psychotherapy, 60 minutes: 10 of 18 insurance plan rates
  • American Health Plan of Utah — All Plans: $120.20
  • Blue Cross of Idaho — Commercial: $200.34
  • Blue Cross of Idaho — Medicaid Plus: $90.30
  • Blue Cross of Idaho — Medicare Advantage: $120.20
  • Blue Cross of Idaho — Medicare-Medicaid Coordinated Plan: $90.30
  • Cigna — Commercial: $189.80
  • MODA Health Plan — Medicare Advantage: $120.20
  • Molina — Medicaid: $90.30
  • Molina Healthcare — Medicare Advantage: $120.20
  • PacificSource — Commercial: $200.34
Psychotherapy, 60 minutes CPT 90837 · Inpatient or outpatient · Hospital (facility) fee In the file: PSYTX W PT 60 MINUTES $330.75 $248.06 $90.30 – $324.13
Psychotherapy, 60 minutes: 10 of 18 insurance plan rates
  • American Health Plan of Utah — All Plans: $188.52
  • Blue Cross of Idaho — Commercial: $314.21
  • Blue Cross of Idaho — Medicaid Plus: $90.30
  • Blue Cross of Idaho — Medicare Advantage: $188.52
  • Blue Cross of Idaho — Medicare-Medicaid Coordinated Plan: $90.30
  • Cigna — Commercial: $297.67
  • MODA Health Plan — Medicare Advantage: $188.52
  • Molina — Medicaid: $90.30
  • Molina Healthcare — Medicare Advantage: $188.52
  • PacificSource — Commercial: $314.21
Family psychotherapy, without the patient CPT 90846 · Inpatient or outpatient · Hospital (facility) fee In the file: FAMILY TX W/O PT PRESENT 50MIN 90846 $226.01 $169.51 $58.22 – $221.48
Family psychotherapy, without the patient: 10 of 18 insurance plan rates
  • American Health Plan of Utah — All Plans: $128.82
  • Blue Cross of Idaho — Commercial: $214.70
  • Blue Cross of Idaho — Medicaid Plus: $58.22
  • Blue Cross of Idaho — Medicare Advantage: $128.82
  • Blue Cross of Idaho — Medicare-Medicaid Coordinated Plan: $58.22
  • Cigna — Commercial: $203.40
  • MODA Health Plan — Medicare Advantage: $128.82
  • Molina — Medicaid: $58.22
  • Molina Healthcare — Medicare Advantage: $128.82
  • PacificSource — Commercial: $214.70
Family psychotherapy, with the patient CPT 90847 · Inpatient or outpatient · Hospital (facility) fee In the file: FAM TX W/PT PRES 50MIN 90847 $232.63 $174.47 $60.71 – $227.97
Family psychotherapy, with the patient: 10 of 18 insurance plan rates
  • American Health Plan of Utah — All Plans: $132.59
  • Blue Cross of Idaho — Commercial: $220.99
  • Blue Cross of Idaho — Medicaid Plus: $60.71
  • Blue Cross of Idaho — Medicare Advantage: $132.59
  • Blue Cross of Idaho — Medicare-Medicaid Coordinated Plan: $60.71
  • Cigna — Commercial: $209.36
  • MODA Health Plan — Medicare Advantage: $132.59
  • Molina — Medicaid: $60.71
  • Molina Healthcare — Medicare Advantage: $132.59
  • PacificSource — Commercial: $220.99
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: GROUP PSYCHOTHERAPY Not listed in the file Not listed in the file $16.40
Group psychotherapy: 10 of 18 insurance plan rates
  • Blue Cross of Idaho — Medicaid Plus: $16.40
  • Blue Cross of Idaho — Medicare-Medicaid Coordinated Plan: $16.40
  • Molina — Medicaid: $16.40
  • American Health Plan of Utah — All Plans: 57% (a percentage in the contract, not a dollar amount)
  • Blue Cross of Idaho — Commercial: 95% (a percentage in the contract, not a dollar amount)
  • Blue Cross of Idaho — Medicare Advantage: 57% (a percentage in the contract, not a dollar amount)
  • Cigna — Commercial: 90% (a percentage in the contract, not a dollar amount)
  • MODA Health Plan — Medicare Advantage: 57% (a percentage in the contract, not a dollar amount)
  • Molina Healthcare — Medicare Advantage: 57% (a percentage in the contract, not a dollar amount)
  • PacificSource — Commercial: 95% (a percentage in the contract, not a dollar amount)

Procedures and surgery

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Removal of breast growth (open surgery) CPT 19120 · Inpatient or outpatient · Hospital (facility) fee In the file: EXCISE BREAST LES 1/> LES SC PRO $1,317.49 $988.12 $277.37 – $1,291.14
Removal of breast growth (open surgery): 10 of 18 insurance plan rates
  • American Health Plan of Utah — All Plans: $750.96
  • Blue Cross of Idaho — Commercial: $1,251.61
  • Blue Cross of Idaho — Medicaid Plus: $277.37
  • Blue Cross of Idaho — Medicare Advantage: $750.96
  • Blue Cross of Idaho — Medicare-Medicaid Coordinated Plan: $277.37
  • Cigna — Commercial: $1,185.74
  • MODA Health Plan — Medicare Advantage: $750.96
  • Molina — Medicaid: $277.37
  • Molina Healthcare — Medicare Advantage: $750.96
  • PacificSource — Commercial: $1,251.61
Total hip replacement CPT 27130 · Inpatient or outpatient · Hospital (facility) fee In the file: TOTAL HIP ARTHROPLASTY 27130 PRO $3,599.66 $2,699.75 $689.85 – $3,527.66
Total hip replacement: 10 of 18 insurance plan rates
  • American Health Plan of Utah — All Plans: $2,051.80
  • Blue Cross of Idaho — Commercial: $3,419.67
  • Blue Cross of Idaho — Medicaid Plus: $689.85
  • Blue Cross of Idaho — Medicare Advantage: $2,051.80
  • Blue Cross of Idaho — Medicare-Medicaid Coordinated Plan: $689.85
  • Cigna — Commercial: $3,239.69
  • MODA Health Plan — Medicare Advantage: $2,051.80
  • Molina — Medicaid: $689.85
  • Molina Healthcare — Medicare Advantage: $2,051.80
  • PacificSource — Commercial: $3,419.67
Total hip replacement CPT 27130 · Inpatient or outpatient · Hospital (facility) fee In the file: TOTAL HIP ARTHROPLASTY 27130 SC PRO $4,548.92 $3,411.69 $689.85 – $4,457.94
Total hip replacement: 10 of 18 insurance plan rates
  • American Health Plan of Utah — All Plans: $2,592.88
  • Blue Cross of Idaho — Commercial: $4,321.47
  • Blue Cross of Idaho — Medicaid Plus: $689.85
  • Blue Cross of Idaho — Medicare Advantage: $2,592.88
  • Blue Cross of Idaho — Medicare-Medicaid Coordinated Plan: $689.85
  • Cigna — Commercial: $4,094.02
  • MODA Health Plan — Medicare Advantage: $2,592.88
  • Molina — Medicaid: $689.85
  • Molina Healthcare — Medicare Advantage: $2,592.88
  • PacificSource — Commercial: $4,321.47
Total hip replacement CPT 27130 · Inpatient or outpatient · Hospital (facility) fee In the file: TOTAL HIP ARTHROPLASTY ASSIST 27130 $3,185.12 $2,388.84 $689.85 – $3,121.41
Total hip replacement: 10 of 18 insurance plan rates
  • American Health Plan of Utah — All Plans: $1,815.51
  • Blue Cross of Idaho — Commercial: $3,025.86
  • Blue Cross of Idaho — Medicaid Plus: $689.85
  • Blue Cross of Idaho — Medicare Advantage: $1,815.51
  • Blue Cross of Idaho — Medicare-Medicaid Coordinated Plan: $689.85
  • Cigna — Commercial: $2,866.60
  • MODA Health Plan — Medicare Advantage: $1,815.51
  • Molina — Medicaid: $689.85
  • Molina Healthcare — Medicare Advantage: $1,815.51
  • PacificSource — Commercial: $3,025.86
Total knee replacement CPT 27447 · Inpatient or outpatient · Hospital (facility) fee In the file: TOTAL KNEE ARTHROPLASTY $4,546.71 $3,410.03 $689.05 – $4,455.77
Total knee replacement: 10 of 18 insurance plan rates
  • American Health Plan of Utah — All Plans: $2,591.62
  • Blue Cross of Idaho — Commercial: $4,319.37
  • Blue Cross of Idaho — Medicaid Plus: $689.05
  • Blue Cross of Idaho — Medicare Advantage: $2,591.62
  • Blue Cross of Idaho — Medicare-Medicaid Coordinated Plan: $689.05
  • Cigna — Commercial: $4,092.03
  • MODA Health Plan — Medicare Advantage: $2,591.62
  • Molina — Medicaid: $689.05
  • Molina Healthcare — Medicare Advantage: $2,591.62
  • PacificSource — Commercial: $4,319.37
Total knee replacement CPT 27447 · Inpatient or outpatient · Hospital (facility) fee In the file: TOTAL KNEE ASSIST $1,364.90 $1,023.68 $689.05 – $1,337.60
Total knee replacement: 10 of 18 insurance plan rates
  • American Health Plan of Utah — All Plans: $777.99
  • Blue Cross of Idaho — Commercial: $1,296.65
  • Blue Cross of Idaho — Medicaid Plus: $689.05
  • Blue Cross of Idaho — Medicare Advantage: $777.99
  • Blue Cross of Idaho — Medicare-Medicaid Coordinated Plan: $689.05
  • Cigna — Commercial: $1,228.41
  • MODA Health Plan — Medicare Advantage: $777.99
  • Molina — Medicaid: $689.05
  • Molina Healthcare — Medicare Advantage: $777.99
  • PacificSource — Commercial: $1,296.65
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Inpatient or outpatient · Hospital (facility) fee In the file: ARTH SHOULDER SUBAC $595.35 $446.51 $91.45 – $583.44
Shoulder arthroscopy: shaving of shoulder bone: 10 of 18 insurance plan rates
  • American Health Plan of Utah — All Plans: $339.34
  • Blue Cross of Idaho — Commercial: $565.58
  • Blue Cross of Idaho — Medicaid Plus: $91.45
  • Blue Cross of Idaho — Medicare Advantage: $339.34
  • Blue Cross of Idaho — Medicare-Medicaid Coordinated Plan: $91.45
  • Cigna — Commercial: $535.81
  • MODA Health Plan — Medicare Advantage: $339.34
  • Molina — Medicaid: $91.45
  • Molina Healthcare — Medicare Advantage: $339.34
  • PacificSource — Commercial: $565.58
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Inpatient or outpatient · Hospital (facility) fee In the file: MENISECTOMY KNEE MEDIAL OR LATERAL $1,810.31 $1,357.73 $295.20 – $1,774.10
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 18 insurance plan rates
  • American Health Plan of Utah — All Plans: $1,031.87
  • Blue Cross of Idaho — Commercial: $1,719.79
  • Blue Cross of Idaho — Medicaid Plus: $295.20
  • Blue Cross of Idaho — Medicare Advantage: $1,031.87
  • Blue Cross of Idaho — Medicare-Medicaid Coordinated Plan: $295.20
  • Cigna — Commercial: $1,629.27
  • MODA Health Plan — Medicare Advantage: $1,031.87
  • Molina — Medicaid: $295.20
  • Molina Healthcare — Medicare Advantage: $1,031.87
  • PacificSource — Commercial: $1,719.79
Removal of tonsils and adenoids (under age 12) CPT 42820 · Inpatient or outpatient · Hospital (facility) fee In the file: REMOVE TONSILS & ADENOI UNDER 12 YRS OLD $968 $726 $159.70 – $948.64
Removal of tonsils and adenoids (under age 12): 10 of 18 insurance plan rates
  • American Health Plan of Utah — All Plans: $551.76
  • Blue Cross of Idaho — Commercial: $919.60
  • Blue Cross of Idaho — Medicaid Plus: $159.70
  • Blue Cross of Idaho — Medicare Advantage: $551.76
  • Blue Cross of Idaho — Medicare-Medicaid Coordinated Plan: $159.70
  • Cigna — Commercial: $871.20
  • MODA Health Plan — Medicare Advantage: $551.76
  • Molina — Medicaid: $159.70
  • Molina Healthcare — Medicare Advantage: $551.76
  • PacificSource — Commercial: $919.60
Upper GI endoscopy (diagnostic) CPT 43235 · Inpatient or outpatient · Hospital (facility) fee In the file: EGD DIAGNOSTIC BRUSH WASH 43235 SC PRO $810.34 $607.76 $152.65 – $794.13
Upper GI endoscopy (diagnostic): 10 of 18 insurance plan rates
  • American Health Plan of Utah — All Plans: $461.89
  • Blue Cross of Idaho — Commercial: $769.82
  • Blue Cross of Idaho — Medicaid Plus: $152.65
  • Blue Cross of Idaho — Medicare Advantage: $461.89
  • Blue Cross of Idaho — Medicare-Medicaid Coordinated Plan: $152.65
  • Cigna — Commercial: $729.30
  • MODA Health Plan — Medicare Advantage: $461.89
  • Molina — Medicaid: $152.65
  • Molina Healthcare — Medicare Advantage: $461.89
  • PacificSource — Commercial: $769.82
Upper GI endoscopy with biopsy CPT 43239 · Inpatient or outpatient · Hospital (facility) fee In the file: EGD BIOPSY SINGLE/MULTIPLE $428.87 $321.65 $197.28 – $420.29
Upper GI endoscopy with biopsy: 10 of 18 insurance plan rates
  • American Health Plan of Utah — All Plans: $244.45
  • Blue Cross of Idaho — Commercial: $407.42
  • Blue Cross of Idaho — Medicaid Plus: $197.28
  • Blue Cross of Idaho — Medicare Advantage: $244.45
  • Blue Cross of Idaho — Medicare-Medicaid Coordinated Plan: $197.28
  • Cigna — Commercial: $385.98
  • MODA Health Plan — Medicare Advantage: $244.45
  • Molina — Medicaid: $197.28
  • Molina Healthcare — Medicare Advantage: $244.45
  • PacificSource — Commercial: $407.42
Colonoscopy (diagnostic) CPT 45378 · Inpatient or outpatient · Hospital (facility) fee In the file: COLONOSCOPY NO BIOPSY $631.73 $473.80 $181.51 – $619.09
Colonoscopy (diagnostic): 10 of 18 insurance plan rates
  • American Health Plan of Utah — All Plans: $360.08
  • Blue Cross of Idaho — Commercial: $600.14
  • Blue Cross of Idaho — Medicaid Plus: $181.51
  • Blue Cross of Idaho — Medicare Advantage: $360.08
  • Blue Cross of Idaho — Medicare-Medicaid Coordinated Plan: $181.51
  • Cigna — Commercial: $568.55
  • MODA Health Plan — Medicare Advantage: $360.08
  • Molina — Medicaid: $181.51
  • Molina Healthcare — Medicare Advantage: $360.08
  • PacificSource — Commercial: $600.14
Colonoscopy (diagnostic) CPT 45378 · Inpatient or outpatient · Hospital (facility) fee In the file: COLONOSCOPY PRO FEE $620.71 $465.53 $181.51 – $608.29
Colonoscopy (diagnostic): 10 of 18 insurance plan rates
  • American Health Plan of Utah — All Plans: $353.80
  • Blue Cross of Idaho — Commercial: $589.67
  • Blue Cross of Idaho — Medicaid Plus: $181.51
  • Blue Cross of Idaho — Medicare Advantage: $353.80
  • Blue Cross of Idaho — Medicare-Medicaid Coordinated Plan: $181.51
  • Cigna — Commercial: $558.63
  • MODA Health Plan — Medicare Advantage: $353.80
  • Molina — Medicaid: $181.51
  • Molina Healthcare — Medicare Advantage: $353.80
  • PacificSource — Commercial: $589.67
Colonoscopy with biopsy CPT 45380 · Inpatient or outpatient · Hospital (facility) fee In the file: COLONOSCOPY W/ BIOPSY COLD POLYP PRO FEE $620.71 $465.53 $229.34 – $608.29
Colonoscopy with biopsy: 10 of 18 insurance plan rates
  • American Health Plan of Utah — All Plans: $353.80
  • Blue Cross of Idaho — Commercial: $589.67
  • Blue Cross of Idaho — Medicaid Plus: $229.34
  • Blue Cross of Idaho — Medicare Advantage: $353.80
  • Blue Cross of Idaho — Medicare-Medicaid Coordinated Plan: $229.34
  • Cigna — Commercial: $558.63
  • MODA Health Plan — Medicare Advantage: $353.80
  • Molina — Medicaid: $229.34
  • Molina Healthcare — Medicare Advantage: $353.80
  • PacificSource — Commercial: $589.67
Colonoscopy with biopsy CPT 45380 · Inpatient or outpatient · Hospital (facility) fee In the file: COLONOSCOPY W/ BIOPSY FMC PRO $686.86 $515.15 $229.34 – $673.12
Colonoscopy with biopsy: 10 of 18 insurance plan rates
  • American Health Plan of Utah — All Plans: $391.51
  • Blue Cross of Idaho — Commercial: $652.51
  • Blue Cross of Idaho — Medicaid Plus: $229.34
  • Blue Cross of Idaho — Medicare Advantage: $391.51
  • Blue Cross of Idaho — Medicare-Medicaid Coordinated Plan: $229.34
  • Cigna — Commercial: $618.17
  • MODA Health Plan — Medicare Advantage: $391.51
  • Molina — Medicaid: $229.34
  • Molina Healthcare — Medicare Advantage: $391.51
  • PacificSource — Commercial: $652.51
Colonoscopy with removal of polyps (snare) CPT 45385 · Inpatient or outpatient · Hospital (facility) fee In the file: COLONOSCOPY SNARE PRO FEE $1,198.42 $898.82 $241.70 – $1,174.45
Colonoscopy with removal of polyps (snare): 10 of 18 insurance plan rates
  • American Health Plan of Utah — All Plans: $683.09
  • Blue Cross of Idaho — Commercial: $1,138.49
  • Blue Cross of Idaho — Medicaid Plus: $241.70
  • Blue Cross of Idaho — Medicare Advantage: $683.09
  • Blue Cross of Idaho — Medicare-Medicaid Coordinated Plan: $241.70
  • Cigna — Commercial: $1,078.57
  • MODA Health Plan — Medicare Advantage: $683.09
  • Molina — Medicaid: $241.70
  • Molina Healthcare — Medicare Advantage: $683.09
  • PacificSource — Commercial: $1,138.49
Ultrasound of the lower bowel by endoscope CPT 45391 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLONOSCOPY W/ENDOSCOPE US Not listed in the file Not listed in the file $138.40
Ultrasound of the lower bowel by endoscope: 10 of 18 insurance plan rates
  • Blue Cross of Idaho — Medicaid Plus: $138.40
  • Blue Cross of Idaho — Medicare-Medicaid Coordinated Plan: $138.40
  • Molina — Medicaid: $138.40
  • American Health Plan of Utah — All Plans: 57% (a percentage in the contract, not a dollar amount)
  • Blue Cross of Idaho — Commercial: 95% (a percentage in the contract, not a dollar amount)
  • Blue Cross of Idaho — Medicare Advantage: 57% (a percentage in the contract, not a dollar amount)
  • Cigna — Commercial: 90% (a percentage in the contract, not a dollar amount)
  • MODA Health Plan — Medicare Advantage: 57% (a percentage in the contract, not a dollar amount)
  • Molina Healthcare — Medicare Advantage: 57% (a percentage in the contract, not a dollar amount)
  • PacificSource — Commercial: 95% (a percentage in the contract, not a dollar amount)
Screening colonoscopy (not high risk) HCPCS G0121 · Inpatient or outpatient · Hospital (facility) fee In the file: COLON CA SCRN NOT HIGH RISK $836.80 $627.60 $181.60 – $820.06
Screening colonoscopy (not high risk): 10 of 18 insurance plan rates
  • American Health Plan of Utah — All Plans: $476.97
  • Blue Cross of Idaho — Commercial: $794.96
  • Blue Cross of Idaho — Medicaid Plus: $181.60
  • Blue Cross of Idaho — Medicare Advantage: $476.97
  • Blue Cross of Idaho — Medicare-Medicaid Coordinated Plan: $181.60
  • Cigna — Commercial: $753.12
  • MODA Health Plan — Medicare Advantage: $476.97
  • Molina — Medicaid: $181.60
  • Molina Healthcare — Medicare Advantage: $476.97
  • PacificSource — Commercial: $794.96
Screening colonoscopy (not high risk) HCPCS G0121 · Inpatient or outpatient · Hospital (facility) fee In the file: COLONOSCOPY SCREEN LOW RISK $572.20 $429.15 $181.60 – $560.75
Screening colonoscopy (not high risk): 10 of 18 insurance plan rates
  • American Health Plan of Utah — All Plans: $326.15
  • Blue Cross of Idaho — Commercial: $543.59
  • Blue Cross of Idaho — Medicaid Plus: $181.60
  • Blue Cross of Idaho — Medicare Advantage: $326.15
  • Blue Cross of Idaho — Medicare-Medicaid Coordinated Plan: $181.60
  • Cigna — Commercial: $514.98
  • MODA Health Plan — Medicare Advantage: $326.15
  • Molina — Medicaid: $181.60
  • Molina Healthcare — Medicare Advantage: $326.15
  • PacificSource — Commercial: $543.59
Gallbladder removal by laparoscope CPT 47562 · Inpatient or outpatient · Hospital (facility) fee In the file: LAPAROSCOPIC CHOLECYSTECTOMY $1,999.94 $1,499.96 $351.22 – $1,959.94
Gallbladder removal by laparoscope: 10 of 18 insurance plan rates
  • American Health Plan of Utah — All Plans: $1,139.96
  • Blue Cross of Idaho — Commercial: $1,899.94
  • Blue Cross of Idaho — Medicaid Plus: $351.22
  • Blue Cross of Idaho — Medicare Advantage: $1,139.96
  • Blue Cross of Idaho — Medicare-Medicaid Coordinated Plan: $351.22
  • Cigna — Commercial: $1,799.94
  • MODA Health Plan — Medicare Advantage: $1,139.96
  • Molina — Medicaid: $351.22
  • Molina Healthcare — Medicare Advantage: $1,139.96
  • PacificSource — Commercial: $1,899.94
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Inpatient or outpatient · Hospital (facility) fee In the file: HERNIA REPAIR 5 AND OLDER PRO FEE $1,490.58 $1,117.94 $279.24 – $1,460.76
Groin (inguinal) hernia repair, age 5 or older: 10 of 18 insurance plan rates
  • American Health Plan of Utah — All Plans: $849.63
  • Blue Cross of Idaho — Commercial: $1,416.05
  • Blue Cross of Idaho — Medicaid Plus: $279.24
  • Blue Cross of Idaho — Medicare Advantage: $849.63
  • Blue Cross of Idaho — Medicare-Medicaid Coordinated Plan: $279.24
  • Cigna — Commercial: $1,341.52
  • MODA Health Plan — Medicare Advantage: $849.63
  • Molina — Medicaid: $279.24
  • Molina Healthcare — Medicare Advantage: $849.63
  • PacificSource — Commercial: $1,416.05
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BIOPSY OF PROSTATE Not listed in the file Not listed in the file $129.65
Prostate biopsy: 10 of 18 insurance plan rates
  • Blue Cross of Idaho — Medicaid Plus: $129.65
  • Blue Cross of Idaho — Medicare-Medicaid Coordinated Plan: $129.65
  • Molina — Medicaid: $129.65
  • American Health Plan of Utah — All Plans: 57% (a percentage in the contract, not a dollar amount)
  • Blue Cross of Idaho — Commercial: 95% (a percentage in the contract, not a dollar amount)
  • Blue Cross of Idaho — Medicare Advantage: 57% (a percentage in the contract, not a dollar amount)
  • Cigna — Commercial: 90% (a percentage in the contract, not a dollar amount)
  • MODA Health Plan — Medicare Advantage: 57% (a percentage in the contract, not a dollar amount)
  • Molina Healthcare — Medicare Advantage: 57% (a percentage in the contract, not a dollar amount)
  • PacificSource — Commercial: 95% (a percentage in the contract, not a dollar amount)
Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LAPS SURG PRST8ECT RPBIC RAD Not listed in the file Not listed in the file $649.74
Prostate removal by laparoscope (radical prostatectomy): 10 of 18 insurance plan rates
  • Blue Cross of Idaho — Medicaid Plus: $649.74
  • Blue Cross of Idaho — Medicare-Medicaid Coordinated Plan: $649.74
  • Molina — Medicaid: $649.74
  • American Health Plan of Utah — All Plans: 57% (a percentage in the contract, not a dollar amount)
  • Blue Cross of Idaho — Commercial: 95% (a percentage in the contract, not a dollar amount)
  • Blue Cross of Idaho — Medicare Advantage: 57% (a percentage in the contract, not a dollar amount)
  • Cigna — Commercial: 90% (a percentage in the contract, not a dollar amount)
  • MODA Health Plan — Medicare Advantage: 57% (a percentage in the contract, not a dollar amount)
  • Molina Healthcare — Medicare Advantage: 57% (a percentage in the contract, not a dollar amount)
  • PacificSource — Commercial: 95% (a percentage in the contract, not a dollar amount)
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HYSTEROSCOPY BIOPSY Not listed in the file Not listed in the file $662.25
Hysteroscopy with biopsy of the uterus lining: 10 of 18 insurance plan rates
  • Blue Cross of Idaho — Medicaid Plus: $662.25
  • Blue Cross of Idaho — Medicare-Medicaid Coordinated Plan: $662.25
  • Molina — Medicaid: $662.25
  • American Health Plan of Utah — All Plans: 57% (a percentage in the contract, not a dollar amount)
  • Blue Cross of Idaho — Commercial: 95% (a percentage in the contract, not a dollar amount)
  • Blue Cross of Idaho — Medicare Advantage: 57% (a percentage in the contract, not a dollar amount)
  • Cigna — Commercial: 90% (a percentage in the contract, not a dollar amount)
  • MODA Health Plan — Medicare Advantage: 57% (a percentage in the contract, not a dollar amount)
  • Molina Healthcare — Medicare Advantage: 57% (a percentage in the contract, not a dollar amount)
  • PacificSource — Commercial: 95% (a percentage in the contract, not a dollar amount)
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Inpatient or outpatient · Hospital (facility) fee In the file: LESI LMBR/SAC W/IMG GDN FC $1,764 $1,323 $136.88 – $1,728.72
Spinal injection, lower back (epidural), with imaging guidance: 10 of 18 insurance plan rates
  • American Health Plan of Utah — All Plans: $1,005.48
  • Blue Cross of Idaho — Commercial: $1,675.80
  • Blue Cross of Idaho — Medicaid Plus: $136.88
  • Blue Cross of Idaho — Medicare Advantage: $1,005.48
  • Blue Cross of Idaho — Medicare-Medicaid Coordinated Plan: $136.88
  • Cigna — Commercial: $1,587.60
  • MODA Health Plan — Medicare Advantage: $1,005.48
  • Molina — Medicaid: $136.88
  • Molina Healthcare — Medicare Advantage: $1,005.48
  • PacificSource — Commercial: $1,675.80
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Inpatient or outpatient · Hospital (facility) fee In the file: LUMBAR/SACRAL INJEC USING IMAGE GUID PF $675.83 $506.87 $136.88 – $662.31
Spinal injection, lower back (epidural), with imaging guidance: 10 of 18 insurance plan rates
  • American Health Plan of Utah — All Plans: $385.22
  • Blue Cross of Idaho — Commercial: $642.03
  • Blue Cross of Idaho — Medicaid Plus: $136.88
  • Blue Cross of Idaho — Medicare Advantage: $385.22
  • Blue Cross of Idaho — Medicare-Medicaid Coordinated Plan: $136.88
  • Cigna — Commercial: $608.24
  • MODA Health Plan — Medicare Advantage: $385.22
  • Molina — Medicaid: $136.88
  • Molina Healthcare — Medicare Advantage: $385.22
  • PacificSource — Commercial: $642.03
Nerve root injection, lower back, with imaging guidance CPT 64483 · Inpatient or outpatient · Hospital (facility) fee In the file: NJX AA&/STRD TFRM EPI LUM/SAC L 1 64483 $650.48 $487.86 $131.31 – $637.47
Nerve root injection, lower back, with imaging guidance: 10 of 18 insurance plan rates
  • American Health Plan of Utah — All Plans: $370.77
  • Blue Cross of Idaho — Commercial: $617.95
  • Blue Cross of Idaho — Medicaid Plus: $131.31
  • Blue Cross of Idaho — Medicare Advantage: $370.77
  • Blue Cross of Idaho — Medicare-Medicaid Coordinated Plan: $131.31
  • Cigna — Commercial: $585.43
  • MODA Health Plan — Medicare Advantage: $370.77
  • Molina — Medicaid: $131.31
  • Molina Healthcare — Medicare Advantage: $370.77
  • PacificSource — Commercial: $617.95
Carpal tunnel release CPT 64721 · Inpatient or outpatient · Hospital (facility) fee In the file: CARPAL TUNNEL SURGERY 64721 SC PRO OR $1,423.33 $1,067.50 $243.28 – $1,394.86
Carpal tunnel release: 10 of 18 insurance plan rates
  • American Health Plan of Utah — All Plans: $811.29
  • Blue Cross of Idaho — Commercial: $1,352.16
  • Blue Cross of Idaho — Medicaid Plus: $243.28
  • Blue Cross of Idaho — Medicare Advantage: $811.29
  • Blue Cross of Idaho — Medicare-Medicaid Coordinated Plan: $243.28
  • Cigna — Commercial: $1,280.99
  • MODA Health Plan — Medicare Advantage: $811.29
  • Molina — Medicaid: $243.28
  • Molina Healthcare — Medicare Advantage: $811.29
  • PacificSource — Commercial: $1,352.16
Laser treatment of clouding after cataract surgery CPT 66821 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: AFTER CATARACT LASER SURGERY Not listed in the file Not listed in the file $179.12
Laser treatment of clouding after cataract surgery: 10 of 18 insurance plan rates
  • Blue Cross of Idaho — Medicaid Plus: $179.12
  • Blue Cross of Idaho — Medicare-Medicaid Coordinated Plan: $179.12
  • Molina — Medicaid: $179.12
  • American Health Plan of Utah — All Plans: 57% (a percentage in the contract, not a dollar amount)
  • Blue Cross of Idaho — Commercial: 95% (a percentage in the contract, not a dollar amount)
  • Blue Cross of Idaho — Medicare Advantage: 57% (a percentage in the contract, not a dollar amount)
  • Cigna — Commercial: 90% (a percentage in the contract, not a dollar amount)
  • MODA Health Plan — Medicare Advantage: 57% (a percentage in the contract, not a dollar amount)
  • Molina Healthcare — Medicare Advantage: 57% (a percentage in the contract, not a dollar amount)
  • PacificSource — Commercial: 95% (a percentage in the contract, not a dollar amount)
Cataract removal with lens implant CPT 66984 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: XCAPSL CTRC RMVL W/O ECP Not listed in the file Not listed in the file $294.06
Cataract removal with lens implant: 10 of 18 insurance plan rates
  • Blue Cross of Idaho — Medicaid Plus: $294.06
  • Blue Cross of Idaho — Medicare-Medicaid Coordinated Plan: $294.06
  • Molina — Medicaid: $294.06
  • American Health Plan of Utah — All Plans: 57% (a percentage in the contract, not a dollar amount)
  • Blue Cross of Idaho — Commercial: 95% (a percentage in the contract, not a dollar amount)
  • Blue Cross of Idaho — Medicare Advantage: 57% (a percentage in the contract, not a dollar amount)
  • Cigna — Commercial: 90% (a percentage in the contract, not a dollar amount)
  • MODA Health Plan — Medicare Advantage: 57% (a percentage in the contract, not a dollar amount)
  • Molina Healthcare — Medicare Advantage: 57% (a percentage in the contract, not a dollar amount)
  • PacificSource — Commercial: 95% (a percentage in the contract, not a dollar amount)

Pregnancy and childbirth

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Vaginal delivery, with care before and after CPT 59400 · Inpatient or outpatient · Hospital (facility) fee In the file: OB CARE WDELIV 59400 $5,609.52 $4,207.14 $1,268.36 – $5,497.32
Vaginal delivery, with care before and after: 10 of 18 insurance plan rates
  • American Health Plan of Utah — All Plans: $3,197.42
  • Blue Cross of Idaho — Commercial: $5,329.04
  • Blue Cross of Idaho — Medicaid Plus: $1,268.36
  • Blue Cross of Idaho — Medicare Advantage: $3,197.42
  • Blue Cross of Idaho — Medicare-Medicaid Coordinated Plan: $1,268.36
  • Cigna — Commercial: $5,048.56
  • MODA Health Plan — Medicare Advantage: $3,197.42
  • Molina — Medicaid: $1,268.36
  • Molina Healthcare — Medicare Advantage: $3,197.42
  • PacificSource — Commercial: $5,329.04
Cesarean delivery (C-section), with care before and after CPT 59510 · Inpatient or outpatient · Hospital (facility) fee In the file: TOTAL OBC-SECTION $6,228.02 $4,671.02 $1,399.03 – $6,103.45
Cesarean delivery (C-section), with care before and after: 10 of 18 insurance plan rates
  • American Health Plan of Utah — All Plans: $3,549.97
  • Blue Cross of Idaho — Commercial: $5,916.61
  • Blue Cross of Idaho — Medicaid Plus: $1,399.03
  • Blue Cross of Idaho — Medicare Advantage: $3,549.97
  • Blue Cross of Idaho — Medicare-Medicaid Coordinated Plan: $1,399.03
  • Cigna — Commercial: $5,605.21
  • MODA Health Plan — Medicare Advantage: $3,549.97
  • Molina — Medicaid: $1,399.03
  • Molina Healthcare — Medicare Advantage: $3,549.97
  • PacificSource — Commercial: $5,916.61
Vaginal delivery after a previous C-section, with care before and after CPT 59610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: VBAC DELIVERY Not listed in the file Not listed in the file $1,318.06
Vaginal delivery after a previous C-section, with care before and after: 10 of 18 insurance plan rates
  • Blue Cross of Idaho — Medicaid Plus: $1,318.06
  • Blue Cross of Idaho — Medicare-Medicaid Coordinated Plan: $1,318.06
  • Molina — Medicaid: $1,318.06
  • American Health Plan of Utah — All Plans: 57% (a percentage in the contract, not a dollar amount)
  • Blue Cross of Idaho — Commercial: 95% (a percentage in the contract, not a dollar amount)
  • Blue Cross of Idaho — Medicare Advantage: 57% (a percentage in the contract, not a dollar amount)
  • Cigna — Commercial: 90% (a percentage in the contract, not a dollar amount)
  • MODA Health Plan — Medicare Advantage: 57% (a percentage in the contract, not a dollar amount)
  • Molina Healthcare — Medicare Advantage: 57% (a percentage in the contract, not a dollar amount)
  • PacificSource — Commercial: 95% (a percentage in the contract, not a dollar amount)

Hospital stays (whole stay, MS-DRG)

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Heart valve or major heart-chest surgery with heart catheterization, with major complications MS-DRG 216 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC Not listed in the file Not listed in the file $6,096 – $6,350
Heart valve or major heart-chest surgery with heart catheterization, with major complications: 10 of 18 insurance plan rates
  • American Health Plan of Utah — All Plans: $6,350
  • Blue Cross of Idaho — Medicaid Plus: $6,096
  • Blue Cross of Idaho — Medicare Advantage: $6,350
  • Blue Cross of Idaho — Medicare-Medicaid Coordinated Plan: $6,096
  • MODA Health Plan — Medicare Advantage: $6,350
  • Molina — Medicaid: $6,096
  • Molina Healthcare — Medicare Advantage: $6,350
  • Regence Blue Shield of Idaho — TriWest: $6,350
  • Regence Blue Shield of Idaho — VACCN: $6,350
  • SelectHealth — All Plans: $6,350
Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC Not listed in the file Not listed in the file $4,501 – $6,350
Hip or knee replacement (major joint of the leg), without major complications: 10 of 18 insurance plan rates
  • American Health Plan of Utah — All Plans: $6,350
  • Blue Cross of Idaho — Medicaid Plus: $6,096
  • Blue Cross of Idaho — Medicare Advantage: $6,350
  • Blue Cross of Idaho — Medicare-Medicaid Coordinated Plan: $6,096
  • MODA Health Plan — Medicare Advantage: $6,350
  • Molina — Medicaid: $6,096
  • Molina Healthcare — Medicare Advantage: $6,350
  • Regence Blue Shield of Idaho — TriWest: $6,350
  • Regence Blue Shield of Idaho — VACCN: $6,350
  • Regence BlueShield of Idaho — Commercial: $4,501
Neck (cervical) spinal fusion, without complications MS-DRG 473 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CERVICAL SPINAL FUSION WITHOUT CC/MCC Not listed in the file Not listed in the file $4,501 – $6,350
Neck (cervical) spinal fusion, without complications: 10 of 18 insurance plan rates
  • American Health Plan of Utah — All Plans: $6,350
  • Blue Cross of Idaho — Medicaid Plus: $6,096
  • Blue Cross of Idaho — Medicare Advantage: $6,350
  • Blue Cross of Idaho — Medicare-Medicaid Coordinated Plan: $6,096
  • MODA Health Plan — Medicare Advantage: $6,350
  • Molina — Medicaid: $6,096
  • Molina Healthcare — Medicare Advantage: $6,350
  • Regence Blue Shield of Idaho — TriWest: $6,350
  • Regence Blue Shield of Idaho — VACCN: $6,350
  • Regence BlueShield of Idaho — Commercial: $4,501
Uterus and ovary surgery (not for cancer), without complications MS-DRG 743 · Inpatient (hospital stay) · Hospital (facility) fee In the file: UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC Not listed in the file Not listed in the file $4,501 – $6,350
Uterus and ovary surgery (not for cancer), without complications: 10 of 18 insurance plan rates
  • American Health Plan of Utah — All Plans: $6,350
  • Blue Cross of Idaho — Medicaid Plus: $6,096
  • Blue Cross of Idaho — Medicare Advantage: $6,350
  • Blue Cross of Idaho — Medicare-Medicaid Coordinated Plan: $6,096
  • MODA Health Plan — Medicare Advantage: $6,350
  • Molina — Medicaid: $6,096
  • Molina Healthcare — Medicare Advantage: $6,350
  • Regence Blue Shield of Idaho — TriWest: $6,350
  • Regence Blue Shield of Idaho — VACCN: $6,350
  • Regence BlueShield of Idaho — Commercial: $4,501

Source: Weiser Memorial Hospital’s standard charges file (mrfs.hyvehealthcare.com, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on August 18, 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 typeCritical Access Hospital
Address645 East 5th Street, Weiser, ID 83672
CountyWashington County
StateIdaho
Phone(208) 549‑0370
Emergency servicesYes
OwnershipGovernment - Hospital District or Authority
Medicare overall ratingNot rated by CMS
CMS Certification Number131307
Name in Medicare recordsWEISER MEMORIAL HOSPITAL
Profile levelMedicare data + hospital website
Official websiteweisermemorialhospital.org
CorrectionsReport an error or suggest an update →

Sources

  1. Hospital General Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-10-26, retrieved 2026-11-13
  2. Medicare Care Compare — official Medicare profile of this hospital
  3. U.S. Census Bureau Geocoder — map position used for distances

From the hospital’s website

Numbers match the citations above. Checked 2026-10-30.

  1. Weiser Memorial Hospital — weisermemorialhospital.org
  2. Emergency Services - Weiser Memorial Hospital — weisermemorialhospital.org
  3. Visitors - Weiser Memorial Hospital — weisermemorialhospital.org
  4. Outpatient Services — weisermemorialhospital.org
  5. Orthopedic & Sports Medicine — weisermemorialhospital.org
  6. General Surgery — weisermemorialhospital.org
  7. Diagnostic Imaging — weisermemorialhospital.org
  8. Cardiology — weisermemorialhospital.org
  9. Patient Information — weisermemorialhospital.org