Grove Creek Medical Center
350 North Meridian Street, Blackfoot, ID 83221 · 112 Priced Procedures · 88% Patient Recommendation
Typical commercial prices here are +3% above the fair benchmark (1.03×) even after accounting for local nurse/doctor wages and patient complexity.
Balances commercial hospital prices against CMS clinical safety, infection control, and patient experience.
Aligned Regional Benchmark Peer
Grove Creek Medical Center prices shoppable and inpatient services (1.3× to 1.3× Medicare, divergence 1.00×) in alignment with regional hospital peers (1.03× Fair BaseRate). Reviewing plan-specific negotiated rates and cash discounts helps lock in the lowest out-of-pocket tier.
Where They're Good (Patient & Payer Edge)
- Bottom-quartile procedures (Q25) price at 0.88× the peer BaseRate benchmark
- Self-pay cash beats commercial insurance on 42% of shoppable procedures (99/100 Cash Honesty)
- CMS clinical safety score (88/100 safety score) with 88% 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 (1.03× 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 0.94× Fair BaseRate (1.3× Medicare), so insured patients should always compare the self-pay cash price before paying.
- Upper-quartile procedures (Q75 1.23×) jump +31% above the median procedure ratio (Q50 0.94×)
- Consolidated metro market (HHI 4,135) limits in-network hospital competition (Highly Concentrated Monopoly (>2,500))
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 Grove Creek Medical Center
High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 112 published procedures.
| Procedure & Billing Code | This Hospital | vs. Fair |
|---|---|---|
| Total knee replacement CPT Code: 27447 | $12,684 | unverified |
| Total hip replacement CPT Code: 27130 | $6,000 | unverified |
| Gallbladder removal (laparoscopic) CPT Code: 47562 | $5,045 | 0.8× |
| Knee arthroscopy with meniscus repair CPT Code: 29881 | $3,233 | 1.0× |
| Bunion correction surgery CPT Code: 28296 | $3,233 | 0.9× |
| Breast lump removal CPT Code: 19120 | $2,889 | 0.7× |
| Inguinal hernia repair CPT Code: 49505 | $2,788 | 0.8× |
| Cataract surgery with lens implant CPT Code: 66984 | $2,280 | 0.9× |
| Trauma team activation HCPCS Code: G0390 | $1,317 | 0.9× |
| MRI, brain (no contrast) CPT Code: 70551 | $1,195 | unverified |
| Colonoscopy with biopsy CPT Code: 45380 | $1,035 | 0.8× |
| Sleep study (overnight, in lab) CPT Code: 95810 | $987 | 1.0× |
| MRI, brain (with and without contrast) CPT Code: 70553 | $884 | 1.7× |
| Colonoscopy (diagnostic) CPT Code: 45378 | $892 | 0.9× |
| Upper endoscopy with biopsy CPT Code: 43239 | $868 | 0.9× |
| Injection procedure for pain management HCPCS Code: G0260 | $697 | 0.8× |
| CT scan, sinuses CPT Code: 70486 | $676 | unverified |
| Echocardiogram (heart ultrasound) CPT Code: 93306 | $623 | 1.1× |
| CT scan, abdomen and pelvis (with contrast) CPT Code: 74177 | $575 | 1.3× |
| CT scan, head (with and without contrast) CPT Code: 70470 | $522 | unverified |
| CT scan, head (with contrast) CPT Code: 70460 | $460 | 1.9× |
| MRI, knee or other leg joint CPT Code: 73721 | $423 | 1.1× |
| Blood transfusion CPT Code: 36430 | $436 | 0.9× |
| CT scan, abdomen and pelvis (no contrast) CPT Code: 74176 | $336 | 1.1× |
| Rabies immune globulin HCPCS Code: 90375 | $281 | 0.9× |
Audit a Bill or Quote at Grove Creek Medical Center (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 ($11,139) Beats Your Bill
Grove Creek Medical Center's published 45 CFR § 180 self-pay cash rate is $11,139 (vs. $12,684 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.
Negotiate Toward $13,523 Fair BaseRate ($13,117 Medicare)
Your bill ($15,914) is $2,391 above the denoised Fair BaseRate ($13,523) and 1.2× the $13,117 Medicare rate.
Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)
Public IRS & CMS ownership records classify Grove Creek Medical Center 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 Grove Creek Medical Center. Prior administrative notices do not necessarily reflect current compliance status.
- 2024-11-18·administrative_or_closure
Closure Notice
Recorded - 2024-08-07·warning_notice
Warning Notice
Recorded
Source: CMS Hospital Care Compare (31 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 Grove Creek Medical Center.
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.