CT imaging
CT abdomen and pelvis with contrast
CPT 74177
$1,352 - $2,731
from 4 insurers · median $2,628
Typical for a hospital with this service line
Driggs, ID
34
In-network payers
222
Disclosed rate categories
13
Beds
Teton Valley Hospital is a 13-bed voluntary non-profit - private hospital in Driggs, ID. Below you'll find publicly disclosed negotiated rates and facility details, including 34 in-network payers and 222 disclosed rate categories.
CCN (Medicare provider number)
131313
NPI
1477809622
Type
Critical Access Hospital
Ownership
Voluntary Non-Profit - Private
Beds
13
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 Teton Valley 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.
CT imaging
CPT 74177
$1,352 - $2,731
from 4 insurers · median $2,628
Typical for a hospital with this service line
CT imaging
CPT 70450
$390 - $1,294
from 4 insurers · median $1,113
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93306
$2,147 - $2,352
from 4 insurers · median $2,304
Typical for a hospital with this service line
CT imaging
CPT 74176
$2,106 - $2,196
from 4 insurers · median $2,151
Typical for a hospital with this service line
CT imaging
CPT 71275
$646 - $2,371
from 4 insurers · median $2,324
Typical for a hospital with this service line
MRI imaging
CPT 70553
$1,471 - $2,920
from 4 insurers · median $2,890
Typical for a hospital with this service line
Mammography
CPT 77067
$217 - $369
from 4 insurers · median $361
Typical for a hospital with this service line
Digestive procedures
CPT 45380
$435 - $5,593
from 2 insurers · median $3,014
Typical for a hospital with this service line
Digestive procedures
CPT 43239
$301 - $3,755
from 2 insurers · median $2,028
Typical for a hospital with this service line
X-ray and bone density
CPT 71046
$319 - $329
from 4 insurers · median $325
Typical for a hospital with this service line
MRI imaging
CPT 70551
$862 - $2,207
from 4 insurers · median $2,119
Typical for a hospital with this service line
MRI imaging
CPT 72148
$1,344 - $1,754
from 4 insurers · median $1,718
Typical for a hospital with this service line
Ultrasound
CPT 76705
$555 - $590
from 4 insurers · median $578
Typical for a hospital with this service line
MRI imaging
CPT 74183
$2,482 - $2,797
from 4 insurers · median $2,508
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93971
$663 - $684
from 4 insurers · median $681
Typical for a hospital with this service line
Laboratory and pathology
CPT 80053
$119 - $123
from 4 insurers · median $121
Typical for a hospital with this service line
Ultrasound
CPT 76856
$462 - $717
from 4 insurers · median $703
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93970
$1,251 - $1,305
from 4 insurers · median $1,278
Typical for a hospital with this service line
X-ray and bone density
CPT 77080
$442 - $469
from 4 insurers · median $460
Typical for a hospital with this service line
Ultrasound
CPT 76536
$387 - $588
from 4 insurers · median $578
Typical for a hospital with this service line
Ultrasound
CPT 76770
$387 - $647
from 4 insurers · median $634
Typical for a hospital with this service line
Laboratory and pathology
CPT 85025
$29 - $79
from 4 insurers · median $78
Typical for a hospital with this service line
X-ray and bone density
CPT 73030
$243 - $266
from 4 insurers · median $260
Typical for a hospital with this service line
Digestive procedures
CPT 45385
$336 - $3,757
from 4 insurers · median $446
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* | 22 | 656% | 2 | 11 |
| Insurer B* | 24 | 623% | 4 | 17 |
| Insurer C* | 24 | 567% | 23 | 1 |
| Insurer D* | 22 | 406% | 10 | 8 |
How we chose these services: 0 appear in this hospital's own Medicare claims, 0 are common here based on CMS Medicare volume, and 24 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 Teton Valley Hospital.
120 East Howard Street, Driggs, ID 83422
(208) 354-2383
About Teton Valley Hospital's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Teton Valley Hospital range from $1,471 to $2,920 across 4 insurers. Blue Cross Blue Shield's rate is $1,471. The median at nearby comparable hospitals is $2,552. 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 Teton Valley Hospital range from $1,352 to $2,731 across 4 insurers. Aetna's rate is $2,524. The median at nearby comparable hospitals is $2,639. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Colonoscopy with biopsy (CPT 45380), published negotiated rates at Teton Valley Hospital range from $435 to $5,593 across 2 insurers. Aetna's rate is $5,593. The median at nearby comparable hospitals is $1,511. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Teton Valley Hospital range from $217 to $369 across 4 insurers. UnitedHealthcare's rate is $361. The median at nearby comparable hospitals is $246. What a patient pays depends on their plan's deductible, coinsurance and network status.
Teton Valley Hospital has 13 beds. Facility type: Critical Access Hospital.
Teton Valley Hospital is located at 120 East Howard Street, Driggs, ID 83422. Its main phone number is (208) 354-2383.
Teton Valley Hospital's CMS Certification Number (CCN), also called its Medicare provider number, is 131313.
The National Provider Identifier (NPI) on file for Teton Valley Hospital is 1477809622.
Teton Valley 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.
222 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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The data on this page comes from the files hospitals and payers publish. We help hospitals publish theirs correctly, and take a fresh look at their chargemaster.
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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