How many shoppable procedure prices are published for Portneuf Medical Center?

Portneuf Medical Center in Pocatello, ID currently has 94 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

What is Portneuf Medical Center's CMS Care Compare overall star rating?

CMS Care Compare assigns Portneuf Medical Center an overall hospital quality rating of 4 out of 5 stars based on public federal clinical and patient-experience measures.

Hospital Profile Acute Care Hospital Proprietary 141 Beds · rural Updated: 3/31/2026

Portneuf Medical Center

777 Hospital Way, Pocatello, ID 83201 · 94 Priced Procedures · 58% Patient Recommendation

CMS Overall Rating 4 / 5 Stars

Near Fair BaseRate Benchmark

1.00×vs. Fair Market Price

Typical commercial prices here match the fair market benchmark (1.00×) after accounting for local nurse/doctor wages and patient complexity.

86/100 · Verified

86/100Self-Pay Cash Beats Insurance 63% of the Time

File Completeness85

Price Logic95

Peer Alignment64

Clean Billing83

Real Cash Discount100

Regional Value Leader

3-Star CMS clinical quality rating paired with 1.00× fair market pricing.

Behavioral Pricing FingerprintHigh Infusion / OR Multiples

Specialty Drug & Surgical Margin Engine

Portneuf Medical Center concentrates commercial margin in outpatient surgical suites (5.8× Medicare) and specialty drug infusions (7.1× Medicare) relative to routine diagnostics (14.6×). Comparing freestanding ambulatory surgery centers or specialty pharmacy options before treatment yields substantial savings.

Regional Benchmark in IDU.S. National Reference Pool

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 0.78× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 63% of shoppable procedures (99/100 Cash Honesty)
4-Star CMS clinical rating with 58% patient recommendation (65/100 safety score)
Binding Good Faith Estimate rights under 45 CFR § 149.610 protect self-pay patients before scheduling

Watchout

Where You Can Get Burned (Markup Traps)

Outpatient surgery & OR suites carry a 5.8× markup over Medicare rates
Commercial insurance median sits at 1.00× Fair BaseRate (12.6× Medicare), so insured patients should always compare the self-pay cash price before paying.
Upper-quartile procedures (Q75 1.28×) jump +28% above the median procedure ratio (Q50 1.00×)
Consolidated metro market (HHI 10,000) limits in-network hospital competition (Highly Concentrated Monopoly (>2,500))

Front-Door ShoppableElective / Imaging

12.6× Medicare

Pre-scheduled outpatient procedures where patients can comparison-shop.

Back-Door Captive & ER0.79× Divergence

10.0× Medicare

Emergency, inpatient DRG, lab, and specialty drug lines billed after admission.

Quantile Tail Spread+28% Upper Tail

Q25 0.78× · Q50 1.00× · Q75 1.28×

Detects median-gaming when upper-quartile codes spike above the p50 median.

Select any lens to inspect department markups, federal cost accounting, or insurer discounts.

Department & Integrity Multiples (vs. CMS Medicare Cost Anchor) Green ≤1.3× · Teal 1.3–1.8× · Amber 1.8–2.5× · Rose >2.5×

Front-Door Shoppable CareFront-Door Shoppable

12.6× MedicareWatchout

Outpatient Surgery & ORBack-Door Captive

5.8× MedicareWatchout

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

14.6× MedicareWatchout

Back-Door Captive ER VisitsBack-Door Captive

6.3× MedicareWatchout

Inpatient Lab & PathologyBack-Door Captive

12.9× MedicareWatchout

Specialty & Infusion Drugs (J-Codes)Back-Door Captive

7.1× MedicareWatchout

Self-Pay Cash Honesty & 501(r)Integrity & Outcomes

63% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

4 CMS · 65/100Fair

Procedure Prices at Portneuf Medical Center

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 94 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Trauma team activation HCPCS Code: `G0390`	$9,761	$9,761	$1,453	6.7×
Rabies immune globulin HCPCS Code: `90375`	$8,833	$8,833	$322	27.4×
MRI, brain (with and without contrast) CPT Code: `70553`	$3,877	$3,877	$511	7.6×
Colonoscopy with biopsy CPT Code: `45380`	$3,814	$3,814	$1,256	3.0×
Colonoscopy (diagnostic) CPT Code: `45378`	$3,545	$3,545	$981	3.6×
Sleep study (overnight, in lab) CPT Code: `95810`	$3,020	$3,020	$1,021	3.0×
MRI, brain (no contrast) CPT Code: `70551`	$2,753	$2,753	$343	8.0×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$2,734	$2,734	$583	4.7×
MRI, knee or other leg joint CPT Code: `73721`	$2,571	$2,571	$369	7.0×
Upper endoscopy with biopsy CPT Code: `43239`	$2,579	$2,579	$987	2.6×
CT scan, neck (cervical spine) CPT Code: `72125`	$2,234	$2,234	$169	13.2×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$1,913	$1,913	$168	11.4×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$1,879	$1,879	$448	4.2×
CT scan, sinuses CPT Code: `70486`	$1,796	$1,796	$166	10.8×
Blood transfusion CPT Code: `36430`	$1,732	$1,732	$498	3.5×
CT scan, head (with contrast) CPT Code: `70460`	$1,693	$1,693	$242	7.0×
Injection procedure for pain management HCPCS Code: `G0260`	$1,701	$1,701	$855	2.0×
MRI, lower back (no contrast) CPT Code: `72148`	$1,371	$1,371	$338	4.1×
CT scan, head (no contrast) CPT Code: `70450`	$1,282	$1,282	$160	8.0×
CT scan, head (with and without contrast) CPT Code: `70470`	$1,257	$1,257	$258	4.9×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$1,258	$1,258	$303	4.2×
X-ray, hand CPT Code: `73130`	$991	$991	$93	10.7×
X-ray, shoulder CPT Code: `73030`	$868	$868	$92	9.4×
CT scan, pelvis CPT Code: `72192`	$823	$823	$163	5.0×
CT scan, chest (no contrast) CPT Code: `71250`	$823	$823	$167	4.9×
X-ray, ankle CPT Code: `73610`	$797	$797	$93	8.6×
Ultrasound, thyroid and neck CPT Code: `76536`	$772	$772	$132	5.8×
Ultrasound, abdomen (complete) CPT Code: `76700`	$772	$772	$134	5.8×
X-ray, foot CPT Code: `73630`	$743	$743	$92	8.1×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$722	$722	$272	2.7×
Neurobehavioral status check CPT Code: `96116`	$661	$661	$231	2.9×
X-ray, lower back CPT Code: `72110`	$570	$570	$112	5.1×
Ultrasound, abdomen (limited) CPT Code: `76705`	$594	$594	$126	4.7×
Ultrasound, pelvis CPT Code: `76856`	$594	$594	$130	4.6×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$530	$530	$148	3.6×
Screening mammogram (both breasts) CPT Code: `77067`	$424	$424	$123	3.4×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$398	$398	$64	6.2×
X-ray, neck (cervical spine) CPT Code: `72040`	$326	$326	$93	3.5×
X-ray, chest (two views) CPT Code: `71046`	$295	$295	$93	3.2×
X-ray, pelvis CPT Code: `72170`	$273	$273	$110	2.5×
Speech therapy (language evaluation) CPT Code: `92507`	$238	$238	$86	2.8×
X-ray, chest (single view) CPT Code: `71045`	$239	$239	$92	2.6×
Breathing treatment (nebulizer) CPT Code: `94640`	$242	$242	$201	1.2×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$176	$176	$38	4.6×
X-ray, hip CPT Code: `73502`	$189	$189	$93	2.0×
Physical therapy (gait training) CPT Code: `97116`	$105	$105	$33	3.2×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$91	$91	$35	2.6×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$103	$103	$40	2.6×
Occupational therapy (self-care training) CPT Code: `97535`	$85	$85	$38	2.2×
Orthotic fitting and training CPT Code: `97760`	$82	$82	$51	1.6×
Typhoid vaccine HCPCS Code: `90675`	$1,990	$1,990	$347	5.7×
Pneumococcal vaccine HCPCS Code: `90732`	$527	$527	$140	3.8×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$394	$394	$111	3.5×
Drug screening test HCPCS Code: `G0480`	$359	$359	$116	3.1×
Culture, blood CPT Code: `87040`	$259	$259	$11	23.5×
Culture, bacterial CPT Code: `87070`	$202	$202	$9	22.4×
Blood test, ferritin (iron stores) CPT Code: `82728`	$200	$200	$14	14.3×
Hepatitis C antibody test CPT Code: `86803`	$194	$194	$15	12.9×
Blood test, vitamin D CPT Code: `82306`	$193	$193	$31	6.2×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$203	$203	$56	3.6×
Blood test, clotting time (PTT) CPT Code: `85730`	$163	$163	$6	27.2×
Blood test, lipase CPT Code: `83690`	$164	$164	$7	23.4×
Blood test, liver function panel CPT Code: `80076`	$161	$161	$9	17.9×
Blood test, PSA (prostate screen) CPT Code: `84153`	$184	$184	$19	9.7×
Blood test, magnesium CPT Code: `83735`	$153	$153	$7	21.9×
Blood test, thyroid (TSH) CPT Code: `84443`	$170	$170	$18	9.4×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$156	$156	$20	7.8×
Pneumonia vaccine injection HCPCS Code: `G0009`	$176	$176	$49	3.6×
Blood test, basic metabolic panel CPT Code: `80048`	$116	$116	$9	12.9×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$137	$137	$11	12.5×
Hepatitis B vaccine HCPCS Code: `90744`	$132	$132	$37	3.6×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$128	$128	$39	3.3×
Blood antibody screen CPT Code: `86850`	$146	$146	$46	3.2×
Blood test, complete blood count (CBC) CPT Code: `85025`	$95	$95	$8	11.9×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$69	$69	$3	23.0×
Blood test, glucose (blood sugar) CPT Code: `82947`	$80	$80	$4	20.0×
Blood test, creatinine (kidney) CPT Code: `82565`	$75	$75	$5	15.0×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$95	$95	$10	9.5×
Blood test, hemoglobin CPT Code: `85018`	$49	$49	$3	16.3×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$65	$65	$4	16.3×
Blood test, potassium CPT Code: `84132`	$65	$65	$5	13.0×
Blood test, sodium CPT Code: `84295`	$65	$65	$5	13.0×
Blood test, calcium CPT Code: `82310`	$58	$58	$5	11.6×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$83	$83	$14	5.9×
Electrical stimulation therapy HCPCS Code: `G0283`	$72	$72	$14	5.1×
Physical therapy (manual therapy) CPT Code: `97140`	$77	$77	$34	2.3×
Colorectal cancer screening HCPCS Code: `G0010`	$94	$94	$49	1.9×
Prosthetic fitting and training CPT Code: `97761`	$75	$75	$45	1.7×
Flu vaccine injection HCPCS Code: `G0008`	$76	$76	$48	1.6×
Hospital observation (per hour) HCPCS Code: `G0378`	$71	$71	$86	0.8×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$42	$42	$5	8.4×
Physical therapy (functional capacity test) CPT Code: `97750`	$63	$63	$38	1.7×
Blood test, amylase CPT Code: `82150`	$19	$19	$7	2.7×
Blood test, vitamin B12 CPT Code: `82607`	$31	$31	$16	1.9×

Showing top 25 high-impact procedures of 94 total

Inline Bill X-Ray & 501(r) Calculator For-Profit Facility · Cash & Fair BaseRate Audit

Audit a Bill or Quote at Portneuf Medical Center (Zero PHI Required)

CMS CCN: 130028

CPT G0390

Select Procedure to Audit:

Fair BaseRate™ $1,453

Medicare Rate $1,362

Self-Pay Cash $9,761

Insurer Median $9,761

1. Amount on Your Bill or Quote ($) Pre-filled with Portneuf Medical Center’s charged/list benchmark

2. Household Annual Income ($) Screened against 2026 HHS Federal Poverty Guidelines

3. Household Size (1–8) 2026 FPL: $15,650 + $5,500 per additional person

Step 1 · 501(r) Charity Care Check 274% of 2026 FPL

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.

Step 2 · Cash vs. Insurance Arbitrage Save $6,507 Paying Cash

Self-Pay Cash Rate ($9,761) Beats Your Bill

Portneuf Medical Center's published 45 CFR § 180 self-pay cash rate is $9,761 (vs. $9,761 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.

Step 3 · Fair BaseRate Target +$14,815 Above Fair BaseRate

Negotiate Toward $1,453 Fair BaseRate ($1,362 Medicare)

Your bill ($16,268) is $14,815 above the denoised Fair BaseRate ($1,453) and 11.9× the $1,362 Medicare rate.

1-Click Factual Dispute Summary: Copy a citation-backed benchmark memo (with CMS CCN, CPT code, Medicare reference, Fair BaseRate, and 26 U.S.C. § 501(r) calculations) to paste into patient-portal messages or billing appeals.

IRS Form 990 Schedule H & 26 U.S.C. § 501(r) For-Profit / Non-501(c)(3)

Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)

EIN: 263757128

Public IRS & CMS ownership records classify Portneuf 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.

Screen your household size, income, and itemized CPT codes against 2026 HHS Federal Poverty Guidelines: Calculate Your 501(r) Cap Above ↑

CMS Care Compare Public Quality Record

Clinical Quality, Patient Experience & Infection Benchmarks

CMS Overall3/5 Stars (3/5)

Safety Composite65/100

Would Recommend58%

Rated 9 or 10 (HCAHPS)62%

Median ER Wait218 min

Left ER Before Seen4%

30-Day Mortality vs U.S.same

Unplanned Readmissionbetter

Hip/Knee Complication Rate3.4%

Healthcare-Associated Infections (CDC NHSN / CMS HAI)

1.00 SIR = National Predicted Baseline (Lower Is Safer)

Central-Line Bloodstream Infectionsame

C. diff Hospital-Onset Infectionbetter

CMS Price Transparency Administrative Enforcement Log

Factual public administrative actions published by the Centers for Medicare & Medicaid Services regarding 45 CFR § 180 compliance at Portneuf Medical Center. Prior administrative notices do not necessarily reflect current compliance status.

2025-07-28·administrative_or_closure
Closure Notice
Recorded
2025-04-24·warning_notice
Warning Notice
Recorded
2023-10-16·administrative_or_closure
Closure Notice
Recorded
2023-03-29·warning_notice
Warning Notice
Recorded

Source: CMS Hospital Care Compare (450 completed HCAHPS patient surveys). Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.

Care-Setting Arbitrage, Bilateral SVD Insurer Leverage & Regional Alternatives

How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings

Regional Value & Quality Leader Pareto Frontier (Price + Quality)

2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Portneuf Medical Center.

Price Index: 1.00× regional baseline

Quality: 61/100 CMS composite

Notable Payer Contract Outliers (SVD Matrix Anomalies)

Pending Ssi [1616]

-42.3%

Humana

+73.9%

SelectHealth

+101.9%

Median Household Income$64,080U.S. Census ACS

Local Uninsured Share7.2%Regional ACS estimate

200% FPL (1 Person)$31,920Common free-care ceiling

400% FPL (Family of 4)$128,600Common AGB cap ceiling

45 CFR § 180 Primary-Source Lineage & Federal Verification VeriRate 86/100 · Verified CMS CCN 130028 EIN 263757128

Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings

Download Official Hospital MRF ↗ Verify on CMS Medicare.gov (CCN 130028) ↗ Verify IRS Form 990 (EIN 263757128) ↗ CMS HCRIS Cost Reports ↗

Published MRF File26-3757128_Portneuf-Medical-Center_standardcharges.csv

Publication / Vintage3/31/2026 · 475.48 MB

Validated Rate Rows5,113 (CMS v3.0.0)

File Integrity Digest1fcdb17c6c431dbad286…

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.

Submit MRF Update Correction Policy