Rexburg, ID
34
In-network payers
308
Disclosed rate categories
69
Beds
4
Care quality
Madison Memorial Hospital is a 69-bed government - local hospital in Rexburg, ID. Below you'll find publicly disclosed negotiated rates and facility details, including 34 in-network payers and 308 disclosed rate categories.
CCN (Medicare provider number)
130025
NPI
1992747570
Type
Short Term Acute Care Hospital
Ownership
Government - Local
Beds
69
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 Madison Memorial 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.
Childbirth · Inpatient
MS-DRG 788
$7,785 - $11,390
from 2 insurers · median $9,587
CMS lists this service as CPT 59510, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 788, so these are facility case rates.
Hospital reports neonatal nursery services to CMS
Childbirth · Inpatient
MS-DRG 807
$5,976
negotiated rate
CMS lists this service as CPT 59400, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 807, so these are facility case rates.
Hospital reports neonatal nursery services to CMS
Medicine & Surgery
CPT 47562
$8,543 - $10,322
from 4 insurers · median $8,890
27 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
CT imaging
CPT 74177
$504 - $2,414
from 4 insurers · median $1,343
Common here, based on CMS Medicare volume
Digestive procedures
CPT 49650
$4,618 - $10,589
from 4 insurers · median $8,385
27 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Digestive procedures
CPT 47563
$4,618 - $10,322
from 4 insurers · median $8,803
27 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Medicine & Surgery
CPT 49505
$3,021 - $6,113
from 4 insurers · median $4,046
16 Medicare claims in Level 1 Abdominal/Peritoneal/Biliary and Related Procedures (CMS 2024)
Medicine & Surgery
CPT 29881
$3,289 - $4,283
from 4 insurers · median $3,638
48 Medicare claims in Level 3 Musculoskeletal Procedures (CMS 2024)
Gynecology
CPT 58571
$8,052 - $17,322
from 4 insurers · median $14,157
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93306
$815 - $1,974
from 4 insurers · median $1,564
Common here, based on CMS Medicare volume
Medicine & Surgery · Inpatient
MS-DRG 473
$20,713 - $32,851
from 2 insurers · median $26,782
Hospital reports orthopedic surgery services to CMS
Medicine & Surgery · Inpatient
MS-DRG 460
$56,955
negotiated rate
Hospital reports orthopedic surgery services to CMS
Digestive procedures
CPT 45380
$960 - $2,200
from 4 insurers · median $1,867
Common here, based on CMS Medicare volume
CT imaging
CPT 70450
$149 - $813
from 4 insurers · median $441
Common here, based on CMS Medicare volume
CT imaging
CPT 71275
$244 - $1,404
from 4 insurers · median $729
Common here, based on CMS Medicare volume
Digestive procedures
CPT 43239
$1,142 - $1,683
from 4 insurers · median $1,342
Common here, based on CMS Medicare volume
Childbirth · Inpatient
MS-DRG 807
$5,976
negotiated rate
CMS lists this service as CPT 59610, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 807, so these are facility case rates.
Hospital reports neonatal nursery services to CMS
Nuclear imaging
CPT 78452
$1,176 - $5,321
from 4 insurers · median $2,017
Common here, based on CMS Medicare volume
Orthopedics and pain
CPT 29880
$2,638 - $5,457
from 4 insurers · median $3,601
48 Medicare claims in Level 3 Musculoskeletal Procedures (CMS 2024)
Mammography
CPT 77067
$125 - $139
from 2 insurers · median $132
Common here, based on CMS Medicare volume
X-ray and bone density
CPT 71046
$111 - $237
from 4 insurers · median $179
Common here, based on CMS Medicare volume
Gynecology
CPT 58661
$4,618 - $10,114
from 4 insurers · median $8,068
Typical for a hospital with this service line
Gynecology
CPT 58558
$4,211 - $5,610
from 4 insurers · median $4,735
Typical for a hospital with this service line
MRI imaging
CPT 72148
$315 - $1,447
from 4 insurers · median $806
Common here, based on CMS Medicare volume
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* | 18 | 176% | 8 | 10 |
| Insurer B* | 24 | 152% | 3 | 14 |
| Insurer C* | 19 | 135% | 9 | 10 |
| Insurer D* | 20 | 125% | 3 | 15 |
How we chose these services: 6 appear in this hospital's own Medicare claims, 10 are common here based on CMS Medicare volume, and 8 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 Madison Memorial Hospital.
450 East Main Street, Rexburg, ID 83440
(208) 359-6900
The nearest hospitals of similar type and size. Their rates are compared with Madison Memorial Hospital for the same insurers and services above.
Mountain View Hospital
â–² Rates typically 32% higher than Madison Memorial Hospital (21 services)
Idaho Falls Community Hospital
â–¼ Rates typically 9% lower than Madison Memorial Hospital (21 services)
St. Johns Hospital
â–¼ Rates typically 31% lower than Madison Memorial Hospital (21 services)
Bozeman Health Deaconess Hospital
â–² Rates typically 8% higher than Madison Memorial Hospital (18 services)
Intermountain Health St. James Hospital
â–² Rates typically 138% higher than Madison Memorial Hospital (12 services)
Brigham City Community Hospital
â–² Rates typically 48% higher than Madison Memorial Hospital (21 services)
Eastern Idaho Regional Medical Center (Eirmc)
St. Lukes Regional Medical Center
Portneuf Medical Center
St. Alphonsus Regional Med Center
About Madison Memorial Hospital's rates and hospital price transparency.
For MRI lumbar spine without contrast (CPT 72148), published negotiated rates at Madison Memorial Hospital range from $315 to $1,447 across 4 insurers. Aetna's rate is $1,165. The median at nearby comparable hospitals is $1,869. 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 Madison Memorial Hospital range from $504 to $2,414 across 4 insurers. Cigna's rate is $504. The median at nearby comparable hospitals is $2,577. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Colonoscopy with biopsy (CPT 45380), published negotiated rates at Madison Memorial Hospital range from $960 to $2,200 across 4 insurers. Aetna's rate is $960. The median at nearby comparable hospitals is $2,631. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Cesarean delivery, hospital stay (MS-DRG 788), published negotiated rates at Madison Memorial Hospital range from $7,785 to $11,390 across 2 insurers. Blue Cross Blue Shield's rate is $11,390. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Madison Memorial Hospital range from $125 to $139 across 2 insurers. Cigna's rate is $125. The median at nearby comparable hospitals is $268. What a patient pays depends on their plan's deductible, coinsurance and network status.
Madison Memorial Hospital has 69 beds. Facility type: Short Term Acute Care Hospital.
Madison Memorial Hospital is located at 450 East Main Street, Rexburg, ID 83440. Its main phone number is (208) 359-6900.
Madison Memorial Hospital's CMS Certification Number (CCN), also called its Medicare provider number, is 130025.
The National Provider Identifier (NPI) on file for Madison Memorial Hospital is 1992747570.
Madison Memorial Hospital lists 34 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.
308 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