Idaho Falls, ID
33
In-network payers
227
Disclosed rate categories
88
Beds
4
Care quality
Idaho Falls Community Hospital is an 88-bed proprietary hospital in Idaho Falls, ID. Below you'll find publicly disclosed negotiated rates and facility details, including 33 in-network payers and 227 disclosed rate categories.
CCN (Medicare provider number)
130074
NPI
1114481447
Type
Short Term Acute Care Hospital
Ownership
Proprietary
Beds
88
Care Quality
4
Insurance acceptance may vary by specific plan, network status, and services required. Contact your insurance provider or the hospital's billing department to confirm coverage details.
The 24 services Idaho Falls Community Hospital most likely performs, ranked by likely volume and what it is paid. Each service names one insurer. * marks hidden insurer names; A, B and C rank the remaining rates from low to high and reset for each service.
Book a demo to see hidden insurer names, more payer rates, and hospital data.
Medicine & Surgery · Inpatient
MS-DRG 460
$48,255 - $51,975
from 2 insurers · median $50,115
18 Medicare discharges for this DRG in CMS hospital data
CT imaging
CPT 74177
$820 - $860
from 2 insurers · median $840
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 47562
$2,278 - $9,531
from 2 insurers · median $5,905
34 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Digestive procedures
CPT 43239
$921 - $1,424
from 2 insurers · median $1,173
Common here, based on CMS Medicare volume
Cardiology and vascular testing
CPT 93306
$263 - $1,150
from 2 insurers · median $707
Common here, based on CMS Medicare volume
Digestive procedures
CPT 49650
$8,937
negotiated rate
34 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Gynecology
CPT 58571
$11,578
negotiated rate
13 Medicare claims in Level 2 Laparoscopy and Related Services (CMS 2024)
CT imaging
CPT 70450
$280 - $374
from 2 insurers · median $327
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45385
$478 - $1,543
from 2 insurers · median $1,011
Common here, based on CMS Medicare volume
CT imaging
CPT 71260
$442 - $600
from 2 insurers · median $521
Common here, based on CMS Medicare volume
CT imaging
CPT 71275
$365 - $623
from 2 insurers · median $494
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45380
$705 - $1,628
from 2 insurers · median $1,167
Common here, based on CMS Medicare volume
MRI imaging
CPT 72148
$731 - $800
from 2 insurers · median $765
Common here, based on CMS Medicare volume
MRI imaging
CPT 73721
$729 - $768
from 2 insurers · median $749
Common here, based on CMS Medicare volume
MRI imaging
CPT 70553
$639 - $1,166
from 2 insurers · median $903
Common here, based on CMS Medicare volume
Mammography
CPT 77067
$218
negotiated rate
Common here, based on CMS Medicare volume
MRI imaging
CPT 70551
$746 - $753
from 2 insurers · median $749
Common here, based on CMS Medicare volume
X-ray and bone density
CPT 71046
$66 - $68
from 2 insurers · median $67
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 55866
$14,825
negotiated rate
13 Medicare claims in Level 2 Laparoscopy and Related Services (CMS 2024)
Ultrasound
CPT 76705
$214 - $216
from 2 insurers · median $215
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 42820
$6,600
negotiated rate
Typical for a hospital with this service line
Ultrasound
CPT 76830
$248 - $292
from 2 insurers · median $270
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 66984
$2,491
negotiated rate
Typical for a hospital with this service line
Gynecology
CPT 58661
$7,657
negotiated rate
Typical for a hospital with this service line
Median rate as a percent of Medicare across the outpatient services above, and how many services sit above or below the same insurer's median at nearby hospitals. * marks hidden insurer names. These table labels track the same insurers across services; the labels on each service card reset.
| Insurer | Services | Median % of Medicare | Above nearby | Below nearby |
|---|---|---|---|---|
| Insurer A* | 16 | 202% | 0 | 16 |
| Insurer B* | 24 | 202% | 1 | 17 |
| Insurer C* | 1 | - | 0 | 0 |
How we chose these services: 5 appear in this hospital's own Medicare claims, 16 are common here based on CMS Medicare volume, and 3 are typical for the service lines it reports to CMS. Rates come from insurer and hospital price transparency files as of October 2026. Rates under a quarter of Medicare or over 20 times Medicare are left out as likely physician-fee rows or file errors. Book a demo to see all 300 CMS shoppable services for Idaho Falls Community Hospital.
2327 Coronado St, Idaho Falls, ID 83404
None
The nearest hospitals of similar type and size. Their rates are compared with Idaho Falls Community Hospital for the same insurers and services above.
Madison Memorial Hospital
â–² Rates typically 11% higher than Idaho Falls Community Hospital (24 services)
St. Johns Hospital
â–² Rates typically 100% higher than Idaho Falls Community Hospital (23 services)
Logan Regional Hospital
â–² Rates typically 18% higher than Idaho Falls Community Hospital (21 services)
Brigham City Community Hospital
â–² Rates typically 93% higher than Idaho Falls Community Hospital (24 services)
Bozeman Health Deaconess Hospital
â–² Rates typically 292% higher than Idaho Falls Community Hospital (20 services)
Sagewest Health Care Lander
â–² Rates typically 334% higher than Idaho Falls Community Hospital (20 services)
Mountain View Hospital
Eastern Idaho Regional Medical Center (Eirmc)
St Lukes Magic Valley Medical Center
Kootenai Health
About Idaho Falls Community Hospital's rates and hospital price transparency.
For MRI lumbar spine without contrast (CPT 72148), published negotiated rates at Idaho Falls Community Hospital range from $731 to $800 across 2 insurers. Aetna's rate is $731. The median at nearby comparable hospitals is $1,680. What a patient pays depends on their plan's deductible, coinsurance and network status.
For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Idaho Falls Community Hospital range from $820 to $860 across 2 insurers. Aetna's rate is $820. The median at nearby comparable hospitals is $2,082. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Colonoscopy with polyp removal (CPT 45385), published negotiated rates at Idaho Falls Community Hospital range from $478 to $1,543 across 2 insurers. Blue Cross Blue Shield's rate is $1,543. The median at nearby comparable hospitals is $1,996. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Idaho Falls Community Hospital range from $218 to $218 across 1 insurers. Blue Cross Blue Shield's rate is $218. The median at nearby comparable hospitals is $219. What a patient pays depends on their plan's deductible, coinsurance and network status.
Idaho Falls Community Hospital has 88 beds. Facility type: Short Term Acute Care Hospital.
Idaho Falls Community Hospital is located at 2327 Coronado St, Idaho Falls, ID 83404. Its main phone number is None.
Idaho Falls Community Hospital's CMS Certification Number (CCN), also called its Medicare provider number, is 130074.
The National Provider Identifier (NPI) on file for Idaho Falls Community Hospital is 1114481447.
Idaho Falls Community Hospital lists 33 in-network payers, including Aetna, Ameri Health, Aspirus Health Plan, Avera Health Plans, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.
227 disclosed rate categories. Each shows the payer, category, code type and group with its code range, and contract type, along with how the rate compares with the state average.
Under 45 CFR Part 180, every US hospital must publish a machine-readable file of its standard charges, including gross charges, discounted cash prices and payer-specific negotiated rates, in the CMS template format. PayerPrice can help hospitals publish and maintain these files.
A chargemaster (charge description master, or CDM) is a hospital's master list of billable items, with codes, descriptions and gross charges. A chargemaster review looks at those lines for accuracy and pricing. PayerPrice can help hospitals review their chargemaster; contact us to discuss your needs.
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{
"description": "MRI of brain (no contrast)",
"code_information": [
{ "code": "611", "type": "RC" },
{ "code": "70551", "type": "CPT" }
],
"standard_charges": [{
"setting": "outpatient",
"minimum": 250,
"maximum": 400,
"gross_charge": 1200,
"discounted_cash": 1080,
"payers_information": [
{
"payer_name": "Platform Health Insurance",
"plan_name": "PPO",
"methodology": "fee schedule",
"standard_charge_dollar": 400
},
{
"payer_name": "Region Health Insurance",
"plan_name": "HMO",
"methodology": "fee schedule",
"standard_charge_dollar": 250
}
]
}]
}Your chargemaster sets the gross charge on every claim, and many payer contracts base payment on it through percent-of-charge, lesser-of and stop-loss terms. We audit it line by line and show how your charges and negotiated rates compare with peer hospitals before your next negotiation.
What a review covers