How many shoppable procedure prices are published for Treasure Valley Hospital?

Treasure Valley Hospital in Boise, ID currently has 102 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Treasure Valley Hospital's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, Treasure Valley Hospital's median negotiated commercial rate is 0.9× the regionally adjusted fair BaseRate benchmark.

Hospital Profile Acute Care Hospital Proprietary 28 Beds · urban Updated: 7/1/2024

Treasure Valley Hospital

8800 West Emerald Street, Boise, ID 83704 · 102 Priced Procedures · 90% Patient Recommendation

CMS Overall Rating No CMS Rating

Good Deal · Below Fair Market

0.91×vs. Fair Market Price

Typical commercial prices here are 9% below the fair benchmark (0.91×) after accounting for local nurse/doctor wages and patient complexity.

80/100 · Corroborated

80/100Self-Pay Cash Beats Insurance 66% of the Time

File Completeness73

Price Logic92

Peer Alignment67

Clean Billing66

Real Cash Discount100

Regional Value Leader

5-Star CMS clinical quality rating paired with 0.91× fair market pricing.

Behavioral Pricing FingerprintLow Shoppable & Low Captive Rates

Uniform Value Leader · Low-Cost Across Departments

Treasure Valley Hospital maintains low, disciplined commercial pricing across both routine shoppable procedures (1.0× Medicare, p50 0.89× Fair BaseRate) and emergency/ancillary services (1.0× Medicare, p75 0.96× Fair BaseRate). Both insured and self-pay patients benefit from below-benchmark rates across departments.

#13 of 27 in ID · 44th State Percentile#706 of 3,385 in U.S. · 20th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Elective shoppable care is priced 9% below peer Fair BaseRate (0.91×)
Self-pay cash beats commercial insurance on 66% of shoppable procedures (99/100 Cash Honesty)
5-Star CMS clinical rating with 90% patient recommendation (83/100 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 1.2× markup over Medicare rates
Commercial insurance median sits at 0.89× Fair BaseRate (1.0× Medicare), so insured patients should always compare the self-pay cash price before paying.
Specialty infusion drugs (J-codes) average 1.2× Medicare — verify per-unit billing on itemized statements
Consolidated metro market (HHI 2,410) limits in-network hospital competition (Moderately Concentrated (1,500–2,500))

Front-Door ShoppableElective / Imaging

1.0× Medicare

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

Back-Door Captive & ER1.00× Divergence

1.0× Medicare

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

Quantile Tail Spread+8% Upper Tail

Q25 0.82× · Q50 0.89× · Q75 0.96×

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

1.0× MedicareGood

Outpatient Surgery & ORBack-Door Captive

1.2× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

1.3× MedicareGood

Back-Door Captive ER VisitsBack-Door Captive

1.0× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

1.3× MedicareGood

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

1.2× MedicareGood

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

66% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

5 CMS · 83/100Good

Procedure Prices at Treasure Valley Hospital

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 102 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	—	$19,045	$19,432	1.0×
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	—	$16,343	$19,087	0.9×
Heart stent placement (inpatient stay) MS-DRG Code: `322`	—	$12,209	$17,936	0.7×
Total hip replacement CPT Code: `27130`	—	$12,049	$13,413	0.9×
Total knee replacement CPT Code: `27447`	—	$12,049	$13,523	0.9×
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	—	$6,255	$8,223	0.8×
Gallbladder removal (laparoscopic) CPT Code: `47562`	$6,099	$5,282	$6,109	0.9×
Inguinal hernia repair CPT Code: `49505`	$4,109	$3,167	$3,629	0.9×
Breast lump removal CPT Code: `19120`	$2,765	$3,158	$3,875	0.8×
Knee arthroscopy with meniscus repair CPT Code: `29881`	$3,855	$2,963	$3,372	0.9×
Bunion correction surgery CPT Code: `28296`	$3,940	$2,897	$3,446	0.8×
C-section delivery (full package) CPT Code: `59510`	$3,557	$2,419	$2,975	0.8×
Cataract surgery with lens implant CPT Code: `66984`	$3,197	$2,133	$2,540	0.8×
Vaginal delivery (full package) CPT Code: `59400`	$3,143	$2,137	$2,680	0.8×
Colonoscopy with biopsy CPT Code: `45380`	$1,346	$1,080	$1,256	0.9×
Sleep study (overnight, in lab) CPT Code: `95810`	$1,549	$1,005	$1,021	1.0×
Colonoscopy (diagnostic) CPT Code: `45378`	$1,346	$837	$981	0.9×
Upper endoscopy with biopsy CPT Code: `43239`	$1,295	$830	$987	0.8×
Injection procedure for pain management HCPCS Code: `G0260`	—	—	$855	—
Echocardiogram (heart ultrasound) CPT Code: `93306`	$907	$561	$583	1.0×
Blood transfusion CPT Code: `36430`	$455	$397	$498	0.8×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	—	$368	$448	0.8×
MRI, brain (with and without contrast) CPT Code: `70553`	$1,736	$360	$511	0.7×
Neurobehavioral status check CPT Code: `96116`	$351	$287	$231	1.2×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$379	$244	$272	0.9×
Office visit, established patient (20-29 min) CPT Code: `99213`	—	$262	$87	unverified
Office visit, established patient (30-39 min) CPT Code: `99214`	—	$262	$123	unverified
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$807	$230	$303	0.8×
MRI, lower back (no contrast) CPT Code: `72148`	$1,175	$230	$338	0.7×
MRI, brain (no contrast) CPT Code: `70551`	$1,386	$227	$343	0.7×
MRI, knee or other leg joint CPT Code: `73721`	$816	$230	$369	0.6×
Family therapy session CPT Code: `90847`	$316	$181	$173	1.0×
Breathing treatment (nebulizer) CPT Code: `94640`	$52	$195	$201	1.0×
CT scan, head (with contrast) CPT Code: `70460`	$584	$179	$242	0.7×
CT scan, head (with and without contrast) CPT Code: `70470`	$685	$179	$258	0.7×
Ultrasound, thyroid and neck CPT Code: `76536`	—	$135	$132	1.0×
Psychotherapy session (45 minutes) CPT Code: `90834`	—	$146	$166	0.9×
Psychotherapy session (60 minutes) CPT Code: `90837`	—	$146	$181	0.8×
X-ray, lower back CPT Code: `72110`	$155	$105	$112	0.9×
X-ray, pelvis CPT Code: `72170`	$93	$101	$110	0.9×
Ultrasound, abdomen (limited) CPT Code: `76705`	—	$109	$126	0.9×
Ultrasound, pelvis CPT Code: `76856`	$202	$109	$130	0.8×
Ultrasound, abdomen (complete) CPT Code: `76700`	$202	$109	$134	0.8×
CT scan, pelvis CPT Code: `72192`	$403	$109	$163	0.7×
CT scan, sinuses CPT Code: `70486`	$668	$109	$166	0.7×
CT scan, chest (no contrast) CPT Code: `71250`	$621	$109	$167	0.7×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$624	$109	$168	0.6×
Diagnostic procedure preparation HCPCS Code: `G0279`	$178	$121	$35	unverified
X-ray, chest (single view) CPT Code: `71045`	$93	$83	$92	0.9×
X-ray, shoulder CPT Code: `73030`	$93	$83	$92	0.9×
X-ray, chest (two views) CPT Code: `71046`	$93	$83	$93	0.9×
X-ray, neck (cervical spine) CPT Code: `72040`	$95	$83	$93	0.9×
X-ray, hip CPT Code: `73502`	$112	$83	$93	0.9×
X-ray, ankle CPT Code: `73610`	$93	$83	$93	0.9×
Group therapy session CPT Code: `90853`	$133	$86	$100	0.9×
CT scan, head (no contrast) CPT Code: `70450`	$479	$105	$160	0.7×
CT scan, neck (cervical spine) CPT Code: `72125`	—	$105	$169	0.6×
X-ray, hand CPT Code: `73130`	$93	$83	$93	unverified
X-ray, foot CPT Code: `73630`	$93	$83	$92	unverified
Typhoid vaccine HCPCS Code: `90675`	$317	$318	$347	0.9×
Blood antibody screen CPT Code: `86850`	$29	$50	$46	1.1×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$52	$56	$64	0.9×
Speech therapy (language evaluation) CPT Code: `92507`	$120	$73	$86	0.8×
Electrical stimulation therapy HCPCS Code: `G0283`	$22	$21	$14	1.5×
Electrocardiogram (ECG/EKG) CPT Code: `93000`	$43	$29	$25	1.2×
Blood test, ferritin (iron stores) CPT Code: `82728`	$40	$14	$14	1.0×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$21	$10	$10	1.0×
Blood test, vitamin D CPT Code: `82306`	$87	$30	$31	1.0×
Orthotic fitting and training CPT Code: `97760`	$60	$45	$51	0.9×
Prosthetic fitting and training CPT Code: `97761`	$54	$39	$45	0.9×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$31	$11	$11	1.0×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$62	$34	$40	0.8×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$9	$3	$3	1.0×
Blood test, glucose (blood sugar) CPT Code: `82947`	$12	$4	$4	1.0×
Blood test, lipase CPT Code: `83690`	$20	$7	$7	1.0×
Blood test, magnesium CPT Code: `83735`	$20	$7	$7	1.0×
Blood test, sodium CPT Code: `84295`	$14	$5	$5	1.0×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$12	$4	$4	1.0×
Blood test, complete blood count (CBC) CPT Code: `85025`	$23	$8	$8	1.0×
Culture, bacterial CPT Code: `87070`	$25	$9	$9	1.0×
Blood test, PSA (prostate screen) CPT Code: `84153`	$54	$18	$19	0.9×
Blood test, thyroid (TSH) CPT Code: `84443`	$46	$17	$18	0.9×
Blood test, vitamin B12 CPT Code: `82607`	$44	$15	$16	0.9×
Hepatitis C antibody test CPT Code: `86803`	$42	$14	$15	0.9×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$33	$13	$14	0.9×
Culture, blood CPT Code: `87040`	$30	$10	$11	0.9×
Blood test, basic metabolic panel CPT Code: `80048`	$25	$8	$9	0.9×
Blood test, liver function panel CPT Code: `80076`	$24	$8	$9	0.9×
Blood test, amylase CPT Code: `82150`	$19	$6	$7	0.9×
Speech therapy (group session) CPT Code: `92508`	$56	$23	$27	0.9×
Physical therapy (gait training) CPT Code: `97116`	$50	$28	$33	0.8×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$56	$32	$38	0.8×
Physical therapy (functional capacity test) CPT Code: `97750`	$55	$32	$38	0.8×
Occupational therapy (self-care training) CPT Code: `97535`	$57	$31	$38	0.8×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$12	$4	$5	0.8×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$53	$28	$35	0.8×
Physical therapy (manual therapy) CPT Code: `97140`	$50	$26	$34	0.8×
Blood test, hemoglobin CPT Code: `85018`	$7	$2	$3	0.7×
Blood test, calcium CPT Code: `82310`	$15	$5	$5	unverified
Blood test, creatinine (kidney) CPT Code: `82565`	$15	$5	$5	unverified
Blood test, potassium CPT Code: `84132`	$14	$5	$5	unverified
Blood test, clotting time (PTT) CPT Code: `85730`	$18	$6	$6	unverified

Showing top 25 high-impact procedures of 102 total

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

Audit a Bill or Quote at Treasure Valley Hospital (Zero PHI Required)

CMS CCN: 130063

CPT 470

Select Procedure to Audit:

Fair BaseRate™ $19,432

Medicare Rate $14,044

Self-Pay Cash Request Quote

Insurer Median $19,045

1. Amount on Your Bill or Quote ($) Pre-filled with Treasure Valley Hospital’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 Request Prompt-Pay Quote

Compare Prompt-Pay Cash Rate Against Remaining Deductible

Ask Treasure Valley Hospital's billing desk for their written 45 CFR § 180 discounted self-pay cash price and Good Faith Estimate under the No Surprises Act.

Step 3 · Fair BaseRate Target +$26,276 Above Fair BaseRate

Negotiate Toward $19,432 Fair BaseRate ($14,044 Medicare)

Your bill ($45,708) is $26,276 above the denoised Fair BaseRate ($19,432) and 3.3× the $14,044 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)

Public IRS & CMS ownership records classify Treasure Valley 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.

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 Overall5/5 Stars (5/5)

Safety Composite83/100

Would Recommend90%

Rated 9 or 10 (HCAHPS)91%

30-Day Mortality vs U.S.same

Unplanned Readmissionsame

CMS Price Transparency Administrative Enforcement Log

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

2025-02-13·administrative_or_closure
Closure Notice
Recorded
2024-12-12·cap_corrective_action
CAP Request
Recorded
2024-10-03·cap_corrective_action
CAP Request
Recorded
2024-08-14·cap_corrective_action
CAP Request
Recorded

Source: CMS Hospital Care Compare (329 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 Treasure Valley Hospital.

Price Index: 0.93× regional baseline

Quality: 82/100 CMS composite

Notable Payer Contract Outliers (SVD Matrix Anomalies)

Prison Health Services

+100.6%

Median Household Income$88,907U.S. Census ACS

Local Uninsured Share6.7%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 80/100 · Corroborated CMS CCN 130063

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

Download Official Hospital MRF ↗ Verify on CMS Medicare.gov (CCN 130063) ↗ CMS HCRIS Cost Reports ↗

Published MRF File063a7fda12ee958c90577c83cec3c34abe54407c.csv

Publication / Vintage7/1/2024 · 12.75 MB

Validated Rate Rows3,614 (CMS v2.0.0)

File Integrity Digest4c40d2f91a04066d6a83…

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