CMS Price Transparency Data

Digestive disorders treatment (inpatient stay)

Facility: Mountain View Hospital

Billing Code: 392 (MS-DRG)

The BaseRate · fair price high confidence

A fair price for this

$7,387

about 1.3× the $5,676 Medicare rate · typically $5,800–$10,911

modeled estimate · not a bill or quote

What this hospital charges insurers

$6,861

About the fair price

about $526 under the fair price · 1.2× Medicare

Medicare pays $5,676 Fair price $7,387 This hospital $6,861

How we calculate the fair BaseRate →

How this hospital compares to other ID hospitals

A typical price — 5 charge more and 3 charge less, among the 9 ID hospitals compared.

Cheapest $5,746 Priciest $13,999

Black dot = this hospital, among the 9 ID hospitals with a price for this procedure. Full list below.

A fair price for a Digestive disorders treatment (inpatient stay) is about $7,387 (about 1.3× the $5,676 Medicare rate). Mountain View Hospital charges insurers about $6,861 — about the fair price. Located in Idaho Falls, ID.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

4 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Humana CignaKaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company	Price range	vs. Medicare
UnitedHealthcaremajor	$6,861	121%
Blue Cross Blue Shieldmajor	$6,861	121%
Aetnamajor	$2,618 - $6,861	46%
Humanamajor	$6,792	120%
Moda Health	$12,995	229%
Molina	$6,861 - $16,466	121%
PacificSource	$6,861 - $12,253	121%
SelectHealth	$6,861	121%
+ 2 smaller / regional plans	$6,861

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price, before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the MS-DRG code on your bill matches exactly: 392.

Insurance Before you use insurance

Call your insurance company to confirm Mountain View Hospital is in-network.
Ask your insurer whether prior approval is required for MS-DRG code 392.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Mountain View Hospital

Compare: Digestive disorders treatment (inpatient stay) at other ID hospitals

Northwest Specialty Hospital · Post Falls $5,746
Idaho Falls Community Hospital, LLC · Idaho Falls $6,029
Treasure Valley Hospital · Boise $6,255
Kootenai Health · Coeur D'Alene $7,103
Madison Memorial Hospital · Rexburg $8,040
West Valley Medical Center · Caldwell $8,063
Saint Alphonsus Regional Medical Center · Boise $13,999
Saint Alphonsus Medical Center - Nampa · Nampa $13,999

Insurance negotiated median for the same procedure, sorted lowest first.