CMS Price Transparency Data

Office visit, established patient (20-29 min)

Facility: Grove Creek Medical Center

Billing Code: 99213 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$79
about 0.8× the $95 Medicare rate · typically $62–$172
modeled estimate · not a bill or quote
What this hospital charges insurers
$72
About the fair price
about $7 under the fair price · 0.8× Medicare
Medicare pays $95 Fair price $79 This hospital $72 Cash price $67 Hospital's list price $95

How we calculate the fair BaseRate →

How this hospital compares to other ID hospitals

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

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 $79 (about 0.8× the $95 Medicare rate). Grove Creek Medical Center charges insurers about $72, or about $67 in cash — about the fair price. Located in Blackfoot, ID.

What each insurance company pays

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

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

✓ Blue Cross Blue Shield UnitedHealthcareAetnaCignaHumanaKaiser 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
Blue Cross Blue Shieldmajor $89 - $322 93%
PacificSource $55 58%
SelectHealth $31 - $112 33%

Self-Pay How to get the cash price

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Facility Profile & Credentials

  • Address: 350 North Meridian Street, Blackfoot, ID 83221
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals