Emergency Department Visit with High Level of Medical Decision Making Cost in Idaho
What this costs without insurance: real self-pay cash prices and insurance-negotiated rates at 24 Idaho hospitals. CPT 99285. Sourced directly from each facility's CMS-mandated transparency file. Dataset: Q4 2026.
📊 Median $2,204
📉 Low $311
📈 High $14,288
🏥 24 hospitals
🏛️ 14 with insurance contracts
🇺🇸 Medicare $161
Hospital comparison — Idaho
Sorted by cash price (lowest first). Showing top 24 of 24 hospitals.
Billed more than $2,204 for this? That gap is evidence.
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| Hospital | Cash | Aetna | UHC | Cigna | BCBS | Humana | Molina | MultiPlan | Medicare |
|---|---|---|---|---|---|---|---|---|---|
| BEAR LAKE MEMORIAL HOSPITAL MONTPELIER |
$311 | — | — | — | $355 | — | — | — | $161 |
| GRITMAN MEDICAL CENTER MOSCOW |
$358 | $143 | — | $340 | $158 | — | — | — | — |
| WEISER MEMORIAL HOSPITAL WEISER |
$387 | — | $242 | — | — | — | — | — | — |
| SAINT ALPHONSUS REGIONAL MEDICAL CENTER BOISE |
$393 | — | — | — | — | — | — | — | — |
| SAINT ALPHONSUS MEDICAL CENTER - NAMPA NAMPA |
$393 | — | — | — | — | — | — | — | — |
| SHOSHONE MEDICAL CENTER KELLOGG |
$479 | $164 | $607 | $159 | — | $164 | — | $607 | — |
| CASCADE MEDICAL CENTER CASCADE |
$485 | $477 | $472 | $615 | — | — | — | — | $472 |
| POWER COUNTY HOSPITAL DISTRICT AMERICAN FALLS |
$522 | $80.00 | $68.00 | $80.00 | $68.00 | $80.00 | $68.00 | $80.00 | $80.00 |
| TREASURE VALLEY HOSPITAL WEST EMERALD STREET BOISE |
$664 | — | — | — | — | — | — | — | — |
| NORTH CANYON MEDICAL CENTER GOODING |
$895 | $779 | $779 | $1,805 | $787 | $779 | $779 | — | — |
| MADISON MEMORIAL HOSPITAL REXBURG |
$1,655 | $95.00 | $94.00 | $70.56 | $70.00 | — | $585 | — | — |
| KOOTENAI HEALTH COEUR D'ALENE |
$2,204 | $169 | $161 | $2,407 | $161 | $161 | $98.40 | — | — |
| POST FALLS ER & HOSPITAL POST FALLS |
$2,650 | — | — | — | — | — | — | — | — |
| ST. LUKE'S JEROME MEDICAL CENTER TWIN FALLS |
$2,665 | — | — | — | — | — | — | — | — |
| ST. LUKE'S NAMPA MEDICAL CENTER NAMPA |
$2,665 | — | — | — | — | — | — | — | — |
| ST. LUKE'S BOISE MEDICAL CENTER BOISE |
$2,665 | — | — | — | — | — | — | — | — |
| ST. LUKE'S MCCALL MEDICAL CENTER MCCALL |
$2,665 | — | — | — | — | — | — | — | — |
| ST. LUKE'S WOOD RIVER MEDICAL CENTER KETCHUM |
$2,665 | — | — | — | — | — | — | — | — |
| MOUNTAIN VIEW HOSPITAL IDAHO FALLS |
$2,788 | $85.00 | $83.00 | $70.00 | $70.00 | $556 | $585 | $75.00 | — |
| INTERMOUNTAIN HEALTH CASSIA REGIONAL HOSPITAL BURLEY |
$2,878 | $173 | $173 | — | $173 | $173 | $173 | — | — |
| PORTNEUF MEDICAL CENTER POCATELLO |
$3,036 | — | — | — | — | — | — | — | — |
| WEST VALLEY MEDICAL CENTER CALDWELL |
$4,741 | $3,750 | $2,830 | $2,655 | $137 | $3,983 | $137 | $3,793 | — |
| EASTERN IDAHO REGIONAL MEDICAL CENTER IDAHO FALLS |
$5,238 | $2,391 | $3,028 | $2,881 | $137 | $4,400 | $137 | $4,400 | — |
| IDAHO FALLS COMMUNITY HOSPITAL IDAHO FALLS |
$14,288 | $588 | $588 | $70.00 | $62.00 | $588 | $588 | $75.00 | — |
What these prices are. Each figure is the facility’s own published self-pay (cash) price for CPT 99285, filed under the federal price transparency rule (45 CFR Part 180). Hospital facility charges may not include separate physician, anesthesia, or pathology fees. National median for this code: $1,180 across all reporting facilities. Dataset: Q4 2026. Always confirm the final price with the facility before booking.
Billed more than $2,204 for this?
That is the median of what the 24 Idaho hospitals above publish for Emergency department visit with high level of medical decision making — their own figures, filed under federal law. A bill well above them is evidence you can put in writing.
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Medicare reimbursement benchmark
For CPT 99285 in Idaho, Medicare reimburses about $161 on the 2026 Physician Fee Schedule (non-facility, state average across localities). Hospital cash prices for the same code in Idaho range from $311 to $14,288 — that means hospital cash prices are typically 13.7x what Medicare pays. If a self-pay quote you receive is more than 2-3x the Medicare rate, ask the hospital for the cash-discount price in writing.
Frequently asked questions
- How much does emergency department visit with high level of medical decision making cost in Idaho?
- Cash prices for emergency department visit with high level of medical decision making (CPT 99285) in Idaho range from $311 to $14,288, with a median of $2,204. Prices vary widely by hospital.
- Where can I find the cheapest emergency department visit with high level of medical decision making in Idaho?
- The cheapest Idaho hospital published cash price for this procedure is $311. Use the table above sorted by cash price to find the lowest-priced facility near you.
- Are these the prices I'll pay?
- These are the rates hospitals publish. Final price depends on your insurance, deductible, and the specific services billed. Always confirm with the facility and your insurer before any procedure.
- Why do prices vary so much between hospitals?
- Hospitals set cash prices independently, and insurance contracts negotiate different rates per payer. Two facilities a few miles apart can charge 5-10x different prices for the same procedure.
- Where does this data come from?
- Federal law (45 CFR § 180) requires hospitals to publish their pricing in a machine-readable file. We aggregate these files and republish in a consumer-friendly format.
Emergency department visit with high level of medical decision making in nearby states
Other procedures in Idaho
Methodology. Cash prices and insurance-negotiated rates published by each Idaho facility under federal price transparency rules (45 CFR § 180). CPT code 99285 (Doctor Visits). Data refreshed regularly; verify with the facility before any procedure.