IDAHO FALLS COMMUNITY HOSPITAL, LLC

CCN 130074

45 CFR § 180 compliance
A · 100
This hospital published most of what § 180 requires.
Machine-readable file published
Gross / standard charges
Discounted cash price
Payer-specific negotiated rates
Min / max negotiated charges
Free, public, no login required
Procedures listed
16,866
Insurances with rates
4
CPT / HCPCS codes
3,975
Source MRF

Most expensive procedures (gross)

J7330
$79,968
MACI FINAL PRODUCT ASSEMBLED, 1 MEMBRANE 59866-1030-05
Gross
$114,240
XVS MARKERS WITH XLINK 10 SETS PACK, ASP00046
$54,600
XVS MARKERS WITH XLINK 10 SETS PACK, ASP00046
Gross
$78,000
A9543
$53,095
ZEVALIN UP TO 40 MILLICURIES
Gross
$75,850
J0202
$45,345
alemtuzumab 12 mg Sol
Gross
$64,779
33364
$42,477
CL TAVR Open Iliac Approach
Gross
$60,681
C1882
$42,403
Quadra Assura MP Cardioverter/Defibrillator Pulse Generator CD3369-40Q
Gross
$60,575
C2624
$42,350
Cardiomems Device/ Patient System CM 2000
Gross
$60,500
C1822
$40,496
IPG KIT NIPG1500 (NEVRO
Gross
$57,852
33363
$39,941
CL TAVR Open Axillary Approach
Gross
$57,059
33362
$38,572
CL TAVR Open Fem Approach
Gross
$55,103
33270
$33,600
Subcut AICD Implant and Test CL
Gross
$48,000
J2350
$31,197
ocrelizumab 300 mg/10 mL Sol
Gross
$44,567
C1722
$27,720
Single Chamber MDT AICD Primo MRI VR DVMD3D1
Gross
$39,600
C1721
$27,585
Fortify Assura VR Therapy Cardioverter Defibrillator CD1357-40Q
Gross
$39,408
33361
$24,679
TAVR Perc Fem Approach CL
Gross
$35,256
79005
$24,500
RADIO-ISOTOPE, T-90
Gross
$35,000
33210
$23,913
Pacemaker, Transvenous, Single Chamber
Gross
$34,162
33211
$23,913
Pacemaker, Transvenous, Dual Chamber
Gross
$34,162
33289
$22,400
CL Pulm Art Press Mon/Cardiomems
Gross
$32,000
J3245
$22,262
tildrakizumab 100 mg/mL Sol
Gross
$31,803
SurgiMend MP 25 cm x 40 cm x 2mm 606-206-007
$22,108
SurgiMend MP 25 cm x 40 cm x 2mm 606-206-007
Gross
$31,583
33368
$19,773
CL Cardiopulm Bypass Open Cann
Gross
$28,247
77372
$18,205
RAD TREAT-SRS SINGLE FACTION
Gross
$26,007
37227
$17,500
Atherec/Stent/AP Fem/Pop Unilat IR
Gross
$25,000
37231
$17,500
Atherec/Stent/AP Tib/Perit Unilat IR
Gross
$25,000
93581
$17,500
CL VSD Closure/RHC
Gross
$25,000
93582
$17,500
CL PDA Closure/RHC/LHC
Gross
$25,000
93590
$17,500
CL Paravalv Clos Perc Trans Mitral Init
Gross
$25,000
93591
$17,500
CL Paravalv Clos Perc Trans Aortic Init
Gross
$25,000
C9767
$17,500
Litho/Atherec/Stent/AP Per Vessel IR
Gross
$25,000
C9773
$17,500
Litho/Stent/AP Tib/Peroneal IR
Gross
$25,000
C9774
$17,500
Litho/Atherec/AP Tib/Peroneal IR
Gross
$25,000
C9775
$17,500
Litho/Ath/Stent/AP Tib/Peroneal IR
Gross
$25,000
33221
$17,150
CL Insert Pulse Gen Exist Multi Leads
Gross
$24,500
33229
$17,150
CL Remove/Replace Pulse Gen Multi Lead
Gross
$24,500
33230
$17,150
CL Ins Defib Pulse Gen only Exist Dl Ld
Gross
$24,500
33231
$17,150
CL Ins Defib Pulse Gen only Exist Mlt Ld
Gross
$24,500
33249
$17,150
CL AICD Implant
Gross
$24,500
33262
$17,150
CL Remove/Replace Defib Single Lead
Gross
$24,500
33263
$17,150
CL Remove/Replace Defib Dual Lead
Gross
$24,500
33264
$17,150
CL Remove/Replace Defib Multi Lead
Gross
$24,500
C1772
$17,150
PUMP PROGRAMABLE 13827
Gross
$24,500
J9042
$17,014
brentuximab vedotin 50 mg IV Inj
Gross
$24,306
37182
$16,800
IR TIPS Placement
Gross
$24,000
92924
$16,800
Atherectomy/AP LM CL
Gross
$24,000
92925
$16,800
zzAtherectomy/AP Addl Branch Diag CL
Gross
$24,000
J9119
$16,520
cemiplimab 350 mg/7 mL Sol
Gross
$23,600
33367
$16,322
CL Cardiopulm Bypass Perc Cann
Gross
$23,317
33274
$15,400
CL Lead-less PPM
Gross
$22,000
36906
$15,400
IR Dialysis Thromb w Stent Peripheral
Gross
$22,000
Showing top 50 of 16,866 priced procedures, sorted by gross charge.

Data straight from this hospital's federally-mandated machine-readable file (45 CFR § 180). The compliance grade reflects how completely the hospital published the six required data elements, not the quality of care.