Based on public Medicaid payment data.
Skyline Surgery Center, Llc
Medicaid Provider in Pocatello, ID
Type
Organization
Address
285 Vista Dr
Pocatello, ID 83201
Phone
2084781704
NPI
1851552483
Procedures
4
Total Claims
108
Patients Served
107
About these costs
All amounts reflect Medicaid reimbursement rates, which are typically much lower than private insurance or cash prices. These figures show what state Medicaid programs actually paid this provider per claim.
Procedures & Average Costs
| Procedure | Avg. Paid | Claims | Patients |
|---|---|---|---|
| Dental Filling | $27.28 | 44 | 44 |
| Upper Endoscopy (EGD) | $177.58 | 38 | 38 |
| Tonsillectomy | $379.76 | 14 | 13 |
| Tooth Extraction | $147.87 | 12 | 12 |
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