CMS Price Transparency Data

Office visit, established patient (20-29 min)

Facility: Mountain View Hospital

Billing Code: 99213 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$71
about 0.7× the $95 Medicare rate · typically $46–$97
modeled estimate · not a bill or quote
What this hospital charges insurers
$55
Below the fair price — a good deal
about $16 under the fair price · 0.6× Medicare
Medicare pays $95 Fair price $71 This hospital $55 Cash price $115 Hospital's list price $115

How we calculate the fair BaseRate →

How this hospital compares to other ID hospitals

Lowest price of the 9 ID hospitals we have prices for — a strong deal.

Cheapest $55 Priciest $80

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

A fair price for a Office visit, established patient (20-29 min) is about $71 (about 0.7× the $95 Medicare rate). Mountain View Hospital charges insurers about $55, or about $115 in cash — below the fair price — a good deal. 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 $55 58%
Blue Cross Blue Shieldmajor $55 58%
Aetnamajor $55 58%
Humanamajor $52 55%
Moda Health $124 130%
Molina $55 - $124 58%
PacificSource $55 58%
SelectHealth $55 58%
+ 2 smaller / regional plans $55

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

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

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 2325 Coronado Street, Idaho Falls, ID 83404
  • CMS Rating: ★★★☆☆
  • Ownership Type: Physician
  • Hospital Type: Acute Care Hospitals