Moscow, ID
1 known revision on file.
| Revision date | Added | Payer-specific rates |
|---|---|---|
| Aug 19, 2026 | Nov 9, 2026 | Yes |
Search by billing code or procedure name (CPT, HCPCS, MS-DRG and more) to see Gritman Medical Center Inc’s price for it.
The codes Gritman Medical Center Inc has the most pricing samples for.
| Procedure | |||||||
|---|---|---|---|---|---|---|---|
| Lidocaine local anesthetic injection, preservative-free 1%HCPCS J2003 | $2 | $16 | $28 | 170% | 1,207–1,234 | $0 | $83 |
| Iodixanol contrast injection, 320 mg/mLHCPCS Q9967 | $0 | $48 | $85 | 176% | 644–653 | $0 | $304 |
| Sodium chloride (saline) IV solutionHCPCS J7050 | $1 | $13 | $28 | 212% | 354 | $0 | $83 |
| Acetaminophen 1000 mg injectionHCPCS J0131 | $0 | $15 | $28 | 181% | 212–230 | $0 | $83 |
| Propofol intravenous emulsionHCPCS J2704 | $0 | $13 | $27 | 209% | 161–170 | $0 | $83 |
| Vascular embolization coil, bare platinum 3DHCPCS C1889 | $119 | $128 | $76 | 59% | 138–165 | $26 | $247 |
| Lidocaine with epinephrine injectionHCPCS J2004 | $1 | $19 | $31 | 162% | 98–125 | $0 | $83 |
| Ropivacaine hydrochloride injectionHCPCS J2795 | $0 | $16 | $30 | 180% | 101–119 | $0 | $83 |
| Phenylephrine hydrochloride injection 10 mg/mLHCPCS J2371 | $1 | $22 | $34 | 153% | 75–93 | $0 | $83 |
| Potassium chloride injection, 2 mEq per mLHCPCS J3480 | $0 | $12 | $28 | 226% | 74–83 | $0 | $83 |
The 8 payers Gritman Medical Center Inc files negotiated rates with, across all its codes. Hospitals name plans in their own words, so a plan can appear under several spellings.
| Blue Cross Blue Shield (ID) | 5 | 151,957 |
| Aetna | 4 | 188,865 |
| Kaiser Permanente | 3 | 62,938 |
| Molina Healthcare | 2 | 64,418 |
| Regence | 2 | 68,901 |
| UnitedHealthcare | 2 | 105,955 |
| Cigna | 1 | 14,779 |
| TRICARE | 1 | 15,527 |
EIN: 820146328
Last updated: Aug 19, 2026
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Hospital ID: dc26d5abde7cb48418d9b06ef5add82f75bffbf8b757387b7315a7958770721e