Teton Valley Hospital
120 East Howard Ave, Driggs, ID 83422 · 97 Priced Procedures
Typical commercial prices here are 33% below the fair benchmark (0.67×) after accounting for local nurse/doctor wages and patient complexity.
Balances commercial hospital prices against CMS clinical safety, infection control, and patient experience.
Uniform Value Leader · Low-Cost Across Departments
Teton Valley Hospital maintains low, disciplined commercial pricing across both routine shoppable procedures (0.5× Medicare, p50 0.72× Fair BaseRate) and emergency/ancillary services (0.9× Medicare, p75 0.86× Fair BaseRate). Both insured and self-pay patients benefit from below-benchmark rates across departments.
Where They're Good (Patient & Payer Edge)
- Elective shoppable care is priced 33% below peer Fair BaseRate (0.67×)
- Self-pay cash beats commercial insurance on 61% of shoppable procedures (99/100 Cash Honesty)
- CMS clinical safety score (69/100 safety score) with 72% patient recommendation
- IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (59.2% AGB cap)
Where You Can Get Burned (Markup Traps)
- Even at low-cost facilities (0.67× 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.
- Captive ER (0.7×) & laboratory (1.5×) services average 1.80× higher multiples than routine shoppable care (0.5×)
- Upper-quartile procedures (Q75 0.86×) jump +19% above the median procedure ratio (Q50 0.72×)
- Consolidated metro market (HHI 8,861) 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 Teton Valley Hospital
High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 97 published procedures.
| Procedure & Billing Code | This Hospital | vs. Fair |
|---|---|---|
| Total knee replacement CPT Code: 27447 | $2,332 | 0.2× |
| CT scan, abdomen and pelvis (with contrast) CPT Code: 74177 | $2,300 | 5.1× |
| Total hip replacement CPT Code: 27130 | $1,354 | 0.1× |
| Ultrasound, leg veins (duplex) CPT Code: 93970 | $1,076 | 4.0× |
| Trauma team activation HCPCS Code: G0390 | $977 | 0.7× |
| Gallbladder removal (laparoscopic) CPT Code: 47562 | $921 | 0.2× |
| Blood transfusion CPT Code: 36430 | $802 | 1.6× |
| Knee arthroscopy with meniscus repair CPT Code: 29881 | $764 | 0.2× |
| Bunion correction surgery CPT Code: 28296 | $737 | 0.2× |
| Inguinal hernia repair CPT Code: 49505 | $741 | 0.2× |
| Breast lump removal CPT Code: 19120 | $598 | 0.2× |
| Ultrasound, abdomen (limited) CPT Code: 76705 | $486 | 3.9× |
| Ultrasound, thyroid and neck CPT Code: 76536 | $495 | 3.8× |
| X-ray, lower back CPT Code: 72110 | $422 | 3.8× |
| Injection procedure for pain management HCPCS Code: G0260 | $377 | 0.4× |
| X-ray, hand CPT Code: 73130 | $331 | 3.6× |
| X-ray, chest (two views) CPT Code: 71046 | $277 | 3.0× |
| X-ray, neck (cervical spine) CPT Code: 72040 | $270 | 2.9× |
| X-ray, pelvis CPT Code: 72170 | $277 | 2.5× |
| Rabies immune globulin HCPCS Code: 90375 | $278 | 0.9× |
| X-ray, chest (single view) CPT Code: 71045 | $245 | 2.7× |
| Colonoscopy (diagnostic) CPT Code: 45378 | $260 | 0.3× |
| Colonoscopy with biopsy CPT Code: 45380 | $283 | 0.2× |
| Hospital observation (per hour) HCPCS Code: G0378 | $245 | 2.8× |
| Electrocardiogram (EKG, tracing only) CPT Code: 93005 | $203 | 3.2× |
Audit a Bill or Quote at Teton Valley Hospital (Zero PHI Required)
Statutory 501(r) AGB Cap Limits Bill to $1,724
At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (59.1% of gross = $1,724).
Self-Pay Cash Rate ($2,332) Beats Your Bill
Teton Valley Hospital's published 45 CFR § 180 self-pay cash rate is $2,332 (vs. $2,332 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 entered amount is at or below the modeled Fair BaseRate benchmark ($13,523).
Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)
Hospital-Specific CMS HCRIS Benchmark (59.1% of gross charges)
Under 26 U.S.C. § 501(r)(5), a tax-exempt hospital organization may not bill FAP-eligible patients more than Amounts Generally Billed (AGB) to individuals with insurance covering emergency or medically necessary care. Derived from this facility’s reported CMS HCRIS cost-to-charge & insurer allowance filings. Verify your exact Financial Assistance Policy (FAP) determination directly with the billing office.
Clinical Quality, Patient Experience & Infection Benchmarks
Source: CMS Hospital Care Compare. 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 Teton Valley 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.