TETON VALLEY HOSPITAL

CCN 131313

45 CFR § 180 compliance
B · 85
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
8,024
Insurances with rates
24
CPT / HCPCS codes
0
Source MRF

Most expensive procedures (gross)

4026108_1
$44,714
Revision of spinal neurostimulator electrode array using fluoroscopic guidance
Gross
$55,892
4026114_1
$41,057
Fusion of pelvic joint using imaging guidance
Gross
$51,321
4026130_1
$41,057
Fusion of pelvic joint using imaging guidance
Gross
$51,321
4026017_1
$38,910
Insertion or replacement of spinal neurostimulator generator or receiver
Gross
$48,637
7020040_1
$37,760
INSERT/REPLACE SPINAL NUEROSTIMULATOR, PULSE GENERATOR
Gross
$47,200
4178504_1
$31,755
LEMTRADA 12 MG
Gross
$39,694
3071065_1
$25,169
Insertion or replacement of peripheral, sacral, or gastric neurostimulator generator or receiver
Gross
$31,461
4056270_1
$25,152
WAVEWRITER ALPHA 32 IPG KIT
Gross
$31,440
4026043_1
$23,175
Treatment of broken lower spine bone with placement of stabilizing device
Gross
$28,969
4026020_1
$22,952
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION
Gross
$28,690
4026042_1
$22,500
Treatment of broken middle spine bone with placement of stabilizing device using imaging guidance
Gross
$28,125
3071038_1
$21,392
Insertion of programmable spinal canal drug infusion pump
Gross
$26,740
4026018_1
$20,528
Fusion of pelvic joint using imaging guidance
Gross
$25,660
4178870_1
$19,677
INJECTION, OCRELIZUMAB, 1 MG
Gross
$24,596
4026015_1
$19,388
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION
Gross
$24,235
4026010_1
$19,256
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION
Gross
$24,070
4026014_1
$18,248
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION
Gross
$22,810
4026013_1
$17,107
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION
Gross
$21,384
4026012_1
$15,967
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION
Gross
$19,958
4026105_1
$15,939
Insertion of spinal neurostimulator electrode array through skin
Gross
$19,924
4026040_1
$15,080
Insertion of spinal canal drug infusion device beneath skin
Gross
$18,850
4026041_1
$15,080
Insertion of spinal canal drug infusion device beneath skin
Gross
$18,850
4026011_1
$14,826
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION
Gross
$18,533
3071063_1
$14,113
Insertion of peripheral nerve neurostimulator electrode
Gross
$17,641
4026101_1
$13,321
Revision of peripheral neurostimulator electrodes
Gross
$16,651
7020033_1
$13,188
IMPLANT NEUROELECTRODES
Gross
$16,485
4056924_1
$12,733
INFUSION PUMP, PROGRAMMABLE (IMPLANTABLE)
Gross
$15,917
4056925_1
$12,733
INFUSION PUMP, NON-PROGRAMMABLE, PERMANENT (IMPLANTABLE)
Gross
$15,917
4056926_1
$12,733
INFUSION PUMP, NON-PROGRAMMABLE, TEMPORARY (IMPLANTABLE)
Gross
$15,917
4026009_1
$12,545
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION
Gross
$15,682
4026031_1
$11,817
Insertion of spinal neurostimulator electrode array through skin
Gross
$14,771
4026099_1
$11,531
Destruction of nerves supplying joint between spine and pelvis using imaging guidance
Gross
$14,414
4026008_1
$11,405
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION
Gross
$14,256
4026007_1
$10,264
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION
Gross
$12,830
L8683_2
$10,130
EXTERNAL TRANSMITTER - WAU
Gross
$12,663
4026006_1
$9,124
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION
Gross
$11,405
4179177_1
$9,007
LEUPROLIDE ACETATE (FOR DEPOT SUSPENSION), 7.5 MG
Gross
$11,259
4026081_1
$8,910
Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint
Gross
$11,138
4056170_1
$8,908
JOINT DEVICE (IMPLANTABLE)
Gross
$11,135
4056378_1
$8,436
COMP RVS 2.7MM DIA DRL
Gross
$10,545
4026070_1
$8,085
Destruction of lower or sacral spinal facet joint nerves using imaging guidance, each additional fac
Gross
$10,106
7020005_1
$8,038
LEAD, NEUROSTIMULATOR TEST KIT (IMPLANTABLE)
Gross
$10,048
4026005_1
$7,983
OPERATING ROOM SERVICES - GENERAL CLASSIFICATION
Gross
$9,979
4026016_1
$7,970
Insertion of spinal neurostimulator electrode array through skin
Gross
$9,962
7020027_1
$7,907
IMPLANT NEUROELECTODES (THESE ARE REMOVED AFTER TRIAL)
Gross
$9,884
7020030_1
$7,907
IMPLANT NEUROELECTODES (THESE ARE REMOVED AFTER TRIAL)
Gross
$9,884
7020039_1
$7,907
REVISION INCLUDING REPLACEMENT OF ELECTRODES PERCUTANEOUS
Gross
$9,884
3071041_1
$7,738
Insertion of spinal neurostimulator electrode array through skin
Gross
$9,672
3071043_1
$7,738
Revision of spinal neurostimulator electrode array using fluoroscopic guidance
Gross
$9,672
4026030_1
$7,738
Insertion of spinal neurostimulator electrode array using fluoroscopic guidance
Gross
$9,672
Showing top 50 of 8,024 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.