The hospitals that file a Bcbs Id rate for this code, one row per hospital and set of terms (billing class, payment method, setting). Rates under different terms are never blended, so the terms are shown under each hospital’s name. Figures are the hospital’s averages across its plans.
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18 hospital rates
| # | Plans | |||
|---|---|---|---|---|
| 1 | IHC Health Services Inc., DBA Intermountain Health Cassia Regional Hospital Burley, ID facility · fee schedule · outpatient | 2 | $734.47 | $679.93 – $789.01 |
| 2 | IHC Health Services Inc., DBA Intermountain Health Cassia Regional Hospital Burley, ID facility · percent of total billed charges · inpatientfrom % of charges | 2 | $802.01 | $781.44 – $822.57 |
| 3 | IHC Health Services Inc., DBA Intermountain Health Cassia Regional Hospital Burley, ID facility · percent of total billed charges · outpatientfrom % of charges | 3 | $737.74 | $308.46 – $976.80 |
| 4 | IHC Health Services Inc., DBA Intermountain Health Cassia Regional Hospital Burley, ID professional · fee schedule · outpatient | 1 | $56.67 | $20.81 – $92.53 |
| 5 | MultiCare Deaconess Hospital Spokane, WA fee schedule · outpatient | 1 | $117.59 | $117.59 – $117.59 |
| 6 | MultiCare Valley Hospital Spokane Valley, WA fee schedule · outpatient | 1 | $117.59 | $117.59 – $117.59 |
| 7 | St Luke's Magic Valley Regional Medical Center, LTD Jerome, ID fee schedule · outpatient | 3 | $273.00 | $173.00 – $372.00 |
| 8 | St Luke's Magic Valley Regional Medical Center, LTD Jerome, ID percent of total billed charges · inpatientfrom % of charges | 3 | $601.61 | $466.70 – $818.24 |
| 9 | St Luke's McCall, LTD McCall, ID percent of total billed charges · inpatientfrom % of charges | 1 | $737.00 | $631.84 – $842.16 |
| 10 | St Luke's McCall, LTD McCall, ID percent of total billed charges · outpatientfrom % of charges | 1 | $442.20 | $379.28 – $505.12 |
| 11 | St Luke's Nampa Medical Center, LTD Nampa, ID fee schedule · outpatient | 3 | $273.00 | $173.00 – $372.00 |
| 12 | St Luke's Nampa Medical Center, LTD Nampa, ID percent of total billed charges · inpatientfrom % of charges | 3 | $601.61 | $466.70 – $818.24 |
| 13 | St Luke's Regional Medical Center, LTD Mountain Home, ID fee schedule · outpatient | 3 | $273.00 | $173.00 – $372.00 |
| 14 | St Luke's Regional Medical Center, LTD Mountain Home, ID percent of total billed charges · inpatientfrom % of charges | 3 | $601.61 | $466.70 – $818.24 |
| 15 | St Luke's Wood River Medical Center, LTD Ketchum, ID fee schedule · outpatient | 1 | $372.00 | $372.00 – $372.00 |
| 16 | St Luke's Wood River Medical Center, LTD Ketchum, ID percent of total billed charges · inpatientfrom % of charges | 1 | $716.07 | $613.89 – $818.24 |
| 17 | WEISER VALLEY HOSPITAL DISTRICT Weiser, ID facility · fee schedule · both | 4 | $65.85 | $51.47 – $85.78 |
| 18 | WEST SHOSHONE HOSPITAL DISTRICT Kellogg, ID professional · fee schedule · outpatient | 1 | $104.59 | $104.59 – $104.59 |
← Payers reporting CPT 93971 · Snapshot 20261108T203506Z-bb90dbab