Driggs and Victor Clinics

Teton Valley Health operates two clinics in Teton Valley, Idaho

Driggs Clinic

Driggs Clinic

Driggs Clinic

Driggs Clinic is located at the West end of Teton Valley Hospital.

Driggs Clinic’s physical address is
283 North First East
Driggs, Idaho 83422

To schedule an appointment call (208) 354-2302

Driggs Clinic Hours of Operation

Monday – Friday 9 a.m. to 5 p.m.
Saturday – Sunday 9 a.m. to 1 p.m.

Victor Clinic

Victor Clinic

Victor Clinic

Victor Clinic is located off Highway 33 in Victor.

Victor Cinic’s physical address is
83 N Main St.
Victor ID, 83455

To schedule an appointment call (208) 354-6307

Victor Clinic Hours of Operation

Monday – Friday 9 a.m. – 6 p.m.
Pediatrician available Tuesdays and Thursdays.

Operating hours may vary depending on holiday closures and unforeseen circumstances.

Clinic Pricing for Exams and Services

We make every effort to maintain up to date information about our pricing and services. Be aware that all information is subject to change without notice. Teton Valley Health offers financial aid through a generous Community Assistance Program. Please call (208) 354-6331 to learn more about your eligibility. We want to help you get the medical attention you deserve.

A new patient is a patient who hasn’t visited Driggs or Victor Clinic within the past 3 years.

Clinic Exam Fees:

CPT CODE: NEW PATIENTS

PRICE

CPT CODE: ESTABLISHED Patients

PRICE

DESCRIPTION OF SERVICES RENDERED

99201

$72.00

99211

$37.00

Nursing

99202

$125.00

99212

$73.00

Brief

99203

$182.00

99213

$122.00

Intermediate

99204

$282.00

99214

$184.00

Extended

99205

$356.00

99215

$249.00

Comprehensive

Wellness Exam Visits:

CPT CODE: NEW PATIENTS

PRICE

CPT CODE: ESTABLISHED PATIENTS

PRICE

AGE

99381

$171.00

99391

$139.00

1 year and under

99382

$181.00

99392

$155.00

1 T0 4

99383

$178.00

99393

$166.00

5 TO 11

99384

$194.00

99394

$170.00

12 TO 17

99385

$180.00

99395

$171.00

18 TO 39

99386

$237.00

99396

$188.00

40 TO 64

99387

$230.00

99397

$210.00

65 OLDER

Immunization Fees:

CPT CODE

IMMUNIZATIONS

TOTAL

90471

Child 18 & under

$20 for 1st, $10.30 each for any add’l

90471

Adult Injection fee

$20.13 for 1st, $10.30 each for any add’l

90715

TDAP   (Private)

$58.71

90649

Gardasil (HPV) (19 – 26 years) 

$191.13

90670

 

Prevnar (Private)

$393.13

90732

Pneumovax

$70.13

90750

Shingrix

$215.13

90736

Zostavax

$289.00

90686

Adult Influenza (19 years and up)

$45.00

90662

High Dose Influenza (65 years and up)

$100.00

Injections:

CPT CODE

INJECTION TYPE

TOTAL

95115

Allergy

 24.00

95117

Add’l allergy

 27.00

J3301

Kenalog 80 mg

$116.13

J3420

B-12

$32.13

J1071

Testosterone

$45.13

 J0696

Rocephin 1 gram

$92.13

J0561

Bicillin

$170.13

J1050

Depo-provera shot

$215.13

J1885

Toradol 60 mg

$60.13

J2550

Phenergan 25 mg

$49.13

Various Services:

CPT CODE

TEST OR PROCEDURE

PRICE

99499

 

Sports Physical

$37.00

81000

 

Urinalysis

$16.00

87651

 

Strep Screen

$94.00

87275/87276

 

Influenza Screen

$152.00

92551

 

Audiogram (screening)

$48.00

93010

 

EKG interpretation

$45.00

69210

with instrument

Ear wax removal

$121.00

82948

 

Glucose test  + finger stick

$14.00

85018

 

Hemoglobin

$13.00

36416

 

Finger Stick

$24.00

94664

 

Nebulizer

$27.00

88142

 

Pap (thin prep)

$107.00

85610

 

(INR) Protime

$23.00

54150

cash only

Circumcision

$443.00

55250

cash only

Vasectomy

$1,116.00

58300

cash only

IUD Insertion

$185.00

81025

 

Pregnancy Test

$38.00

Department of Transportation

cash only

DOT Physical, including exam, urine analysis, and hearing test

$155.00

Helpful information

Admissions Payment Agreement (Know what your insurance covers and what it doesn’t).

HIPAA – Joint Notice of Privacy Practices Form (2228_1)

HIPAA – Joint Notice of Privacy Practices_Spanish