Bear Lake Memorial Hospital
164 South Fifth Street, Montpelier, ID 83254 · 91 Priced Procedures · 76% Patient Recommendation
Typical commercial prices here are +112% above the fair benchmark (2.12×) even after accounting for local nurse/doctor wages and patient complexity.
Balances commercial hospital prices against CMS clinical safety, infection control, and patient experience.
Wide Procedure Spread · Upper-Quartile Skew Pricer
Bear Lake Memorial Hospital prices routine shoppable procedures at 2.7× Medicare (median 1.95× Fair BaseRate) while upper-quartile commercial rates jump +39% to 2.72× Fair BaseRate. Self-pay cash discounts and comparing specific CPT procedure codes before scheduling yield the strongest savings.
Where They're Good (Patient & Payer Edge)
- Bottom-quartile procedures (Q25) price at 1.44× the peer BaseRate benchmark
- Self-pay cash beats commercial insurance on 57% of shoppable procedures (70/100 Cash Honesty)
- CMS clinical safety score (71/100 safety score) with 76% patient recommendation
- Binding Good Faith Estimate rights under 45 CFR § 149.610 protect self-pay patients before scheduling
Where You Can Get Burned (Markup Traps)
- Even at low-cost facilities (2.12× Fair BaseRate), out-of-network or unnegotiated chargemaster bills can exceed commercial medians — confirm in-network status or request a self-pay cash quote up front.
- Commercial insurance median sits at 1.95× Fair BaseRate (2.7× Medicare), so insured patients should always compare the self-pay cash price before paying.
- Upper-quartile procedures (Q75 2.72×) jump +39% above the median procedure ratio (Q50 1.95×)
- Unnegotiated chargemaster list prices average 6.7× Medicare (19¢ true HCRIS cost per $1 gross)
Pre-scheduled outpatient procedures where patients can comparison-shop.
Emergency, inpatient DRG, lab, and specialty drug lines billed after admission.
Detects median-gaming when upper-quartile codes spike above the p50 median.
Procedure Prices at Bear Lake Memorial Hospital
High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 91 published procedures.
| Procedure & Billing Code | This Hospital | vs. Fair |
|---|---|---|
| Total hip replacement CPT Code: 27130 | $5,124 | 0.4× |
| Total knee replacement CPT Code: 27447 | $5,127 | 0.4× |
| Gallbladder removal (laparoscopic) CPT Code: 47562 | $3,686 | 0.6× |
| Sleep study (overnight, in lab) CPT Code: 95810 | $3,311 | unverified |
| Inguinal hernia repair CPT Code: 49505 | $2,048 | 0.6× |
| Knee arthroscopy with meniscus repair CPT Code: 29881 | $1,676 | 0.5× |
| Bunion correction surgery CPT Code: 28296 | $1,683 | 0.5× |
| Colonoscopy (diagnostic) CPT Code: 45378 | $1,560 | 1.6× |
| Echocardiogram (heart ultrasound) CPT Code: 93306 | $1,529 | 2.6× |
| Colonoscopy with biopsy CPT Code: 45380 | $1,430 | 1.1× |
| Trauma team activation HCPCS Code: G0390 | $1,430 | 1.0× |
| Blood transfusion CPT Code: 36430 | $1,311 | unverified |
| Upper endoscopy with biopsy CPT Code: 43239 | $1,175 | 1.2× |
| Ultrasound, leg veins (duplex) CPT Code: 93970 | $1,143 | unverified |
| MRI, brain (with and without contrast) CPT Code: 70553 | $1,066 | 2.1× |
| CT scan, abdomen and pelvis (with contrast) CPT Code: 74177 | $748 | 1.7× |
| MRI, lower back (no contrast) CPT Code: 72148 | $642 | 1.9× |
| MRI, brain (no contrast) CPT Code: 70551 | $647 | 1.9× |
| MRI, knee or other leg joint CPT Code: 73721 | $655 | 1.8× |
| CT scan, head (with and without contrast) CPT Code: 70470 | $564 | 2.2× |
| CT scan, head (with contrast) CPT Code: 70460 | $536 | 2.2× |
| Diagnostic mammogram (both breasts) CPT Code: 77066 | $525 | unverified |
| Hospital observation (per hour) HCPCS Code: G0378 | $479 | 5.6× |
| CT scan, abdomen and pelvis (no contrast) CPT Code: 74176 | $405 | 1.3× |
| Screening mammogram (both breasts) CPT Code: 77067 | $415 | unverified |
Audit a Bill or Quote at Bear Lake Memorial Hospital (Zero PHI Required)
Above Standard 400% FPL Financial-Assistance Ceiling
At 274% FPL, you exceed the standard 400% FPL tier, though medical-hardship caps (when bills exceed 10% of annual income) may still apply.
Self-Pay Cash Rate ($4,490) Beats Your Bill
Bear Lake Memorial Hospital's published 45 CFR § 180 self-pay cash rate is $4,490 (vs. $5,124 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.
Negotiate Toward $13,413 Fair BaseRate ($13,117 Medicare)
Your entered amount is at or below the modeled Fair BaseRate benchmark ($13,413).
Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)
Public IRS & CMS ownership records classify Bear Lake Memorial Hospital as a non-501(c)(3) facility. Federal 26 U.S.C. § 501(r) statutory charity-care caps apply specifically to tax-exempt nonprofit hospitals, though state hospital fair-pricing statutes and prompt-pay self-pay discounts may still apply.
Clinical Quality, Patient Experience & Infection Benchmarks
CMS Price Transparency Administrative Enforcement Log
Factual public administrative actions published by the Centers for Medicare & Medicaid Services regarding 45 CFR § 180 compliance at Bear Lake Memorial Hospital. Prior administrative notices do not necessarily reflect current compliance status.
- 2023-10-23·administrative_or_closure
Closure Notice
Recorded - 2023-07-05·cap_corrective_action
CAP Request
Recorded
Source: CMS Hospital Care Compare (42 completed HCAHPS patient surveys). Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.
How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings
2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Bear Lake Memorial Hospital.
Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings
Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.