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Acute Care Hospital

Castleview Hospital

Price, Utah · Carbon County · Emergency services listed

Castleview Hospital is an acute care hospital at 300 North Hospital Drive, Price, UT 84501. Phone: (435) 637-4800. It has an emergency department. Medicare overall rating: 2 of 5 stars (CMS, October 2026).

Data as of October 26, 2026. Source: CMS Hospital General Information and the hospital’s website (checked October 30, 2026).

Summary

Castleview Hospital is an acute care hospital in Price, Utah. Medicare data lists emergency services. CMS overall star rating: 2 of 5 stars. Its official website lists 98 services, specialties and programs. Medicare lists 165 affiliated clinicians. Source: CMS Hospital General Information, data updated 2026-10-26.

What is an acute care hospital?

A general hospital for short-term care: emergencies, surgery, illness and injury. Most patients stay a few days. More about hospital types

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Profile from official sources

Built from official Medicare (CMS) data and the hospital’s own website (checked 2026-10-30). Every service links to the page that lists it. Services change: call the hospital to confirm before you go.

In a medical emergency, call 911.

At a glance

YesEmergency services
2 of 5 stars2 of 5 stars · Medicare rating
YesBirthing-friendly (CMS)
39Beds (hospital website)
98Services listed

Quick answers

Does Castleview Hospital have an emergency room?
Yes. Medicare (CMS) data lists emergency services at Castleview Hospital. In a medical emergency, call 911.
Where is Castleview Hospital?
300 North Hospital Drive, Price, UT 84501, in Carbon County, Utah.
What is the phone number of Castleview Hospital?
(435) 637-4800, as listed by Medicare (CMS).
What is the Medicare star rating of Castleview Hospital?
2 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-10-26).
Does Medicare reduce its payments to Castleview Hospital for hospital-acquired conditions?
No. For fiscal year 2026, CMS lists no Medicare payment reduction for Castleview Hospital under the Hospital-Acquired Condition Reduction Program (Total HAC Score: 0.0642; a lower score is better). It is an adjustment to what Medicare pays the hospital, not a charge to patients (CMS data released January 26, 2026).

Specialties and care areas[7][12][17]

Conditions treated[4][7][9][13]

Treatments[4][7][8][10][11][15][16]

  • Cardiac rehabilitation
  • Medical detox
  • Physical therapy
  • Occupational therapy
  • Speech therapy
  • Inpatient rehabilitation
  • Digital X-ray
  • Digital mammography
  • Ultrasound
  • Breast biopsy
  • Thyroid biopsy
  • Echocardiography
  • Nuclear medicine
  • CT scan (128 slice)
  • Low-dose CT lung cancer screening
  • MRI
  • Breast MRI
  • Heart CT calcium scoring

Procedures[7][12][15][18]

Programs and centers[4][5][7][8][9][11]

  • Chest Pain Center
  • Sexual Assault Nurse Examiner (SANE) services
  • Adult inpatient behavioral health
  • Midwifery
  • StepOne 3-5 day inpatient detox program
  • Lung cancer screening program
  • Emergency mental health services
  • Parent education and childbirth classes
  • Child life services
  • Pulmonary rehabilitation
  • WorkPoint occupational medicine
  • Black lung check program

Emergency care (hospital website)[4][5]

Emergency roomYes
Open 24/7Yes
Trauma designationLevel IV
Stroke designationAcute Stroke Ready Hospital

Visiting and practical information

VisitingVisiting hours 8 a.m. to 8 p.m.; ICU visits decided case by case; one parent may stay 24 hours in pediatrics[6]
ParkingFree parking near the hospital[6]

Recognition[4][5][15]

  • Accredited Chest Pain Center
  • Gold Seal of Approval from The Joint Commission
  • American College of Radiology Accredited Facility in Mammography

Doctors and clinicians (165)

165 doctors and other clinicians list Castleview Hospital as a hospital where they work, in Medicare's official clinician data (updated 2026-10-02). It is not a complete staff list.

Main specialties

Doctors with a page on this site (165)

And 141 more: the button below opens the full list.

Other emergency rooms nearby

Hospitals that list emergency services, by straight-line distance (not driving distance).

Find the closest emergency room to where you are → · Compare ER wait times

Other hospitals near Price

Hospitals in Carbon County · Hospitals near me

Nursing homes, hospice, home health and dialysis nearby

Medicare-certified providers within 25 miles, by straight-line distance. Hospice and home health care is given at home: their address is the office.

Nursing homes

All nursing homes in the state →

Hospice providers

All hospice providers in the state →

Home health agencies

All home health agencies in the state →

Dialysis facilities

All dialysis facilities in the state →

Community care nearby

Health centers, clinics, urgent care and pharmacies closest to this hospital, by straight-line distance, from official HRSA, Medicare and NPI Registry data. In a medical emergency, call 911.

Community health centers

Pharmacies

Assisted living nearby

Licensed homes from the official state license list, by straight-line distance.

About the Medicare star rating

CMS (the federal Medicare agency) gives many hospitals an overall rating from 1 to 5 stars, based on measures of mortality, safety, readmissions, patient experience and timely care. It is one piece of information: ask your doctor what matters for your care. See the full Medicare profile →

Medicare quality data

What Castleview Hospital reported to Medicare (CMS), the federal agency that publishes these results for hospitals nationwide. These are averages for many patients, not a prediction for any one person: ask your doctor what matters for your care. In a medical emergency, call 911.

What patients said (patient survey)

What this means: Patients who stayed overnight answered a national survey (HCAHPS) about their stay. More stars mean patients reported a better experience than at other hospitals. The percentages show how often patients gave the best answer, next to the national average.

Summary star rating (all survey topics) 3 of 5 stars
Overall rating of the hospital2 of 5 stars
Would recommend the hospital2 of 5 stars
Nurses communicated well3 of 5 stars
Doctors communicated well4 of 5 stars
Patients got help quickly from staff3 of 5 stars
Staff explained medicines3 of 5 stars
Information about recovery at home4 of 5 stars
Room and bathroom kept clean4 of 5 stars
Restfulness of Environment4 of 5 stars
Care Coordination3 of 5 stars
Symptoms After Stay3 of 5 stars
Rated the hospital 9 or 10 out of 1059%National average: 72%
Would definitely recommend the hospital56%National average: 71%
Nurses “always” communicated well78%National average: 80%
Doctors “always” communicated well82%National average: 80%
“Always” got help as soon as they wanted67%National average: 64%
Staff “always” explained medicines before giving them64%National average: 62%
Were given information about recovery at home87%National average: 86%
Room and bathroom “always” clean78%National average: 73%
Completed surveys217Response rate: 21%

Source: Patient survey (HCAHPS) - Hospital — CMS, released October 19, 2026; patients discharged January 2025 to December 2025.

Complications and deaths

What this means: Death rates are the share of patients who died within 30 days of going into the hospital for that condition, adjusted for how sick they were. PSI-90 combines several serious complications (a lower number is better). “No different from the national rate” is the most common result and means the hospital is in line with hospitals nationwide.

Deaths within 30 days: heart failure patients11%
Deaths within 30 days: pneumonia patients15.5%
Serious complications (patient safety indicator PSI-90)0.9No different from the national rate
Complications after hip or knee replacement8.1%
Not reported to MedicareDeaths within 30 days: coronary bypass surgery (CABG)
Too few cases to reportDeaths within 30 days: heart attack patients; Deaths within 30 days: COPD patients; Deaths within 30 days: stroke patients

Source: Complications and Deaths - Hospital — CMS, released October 20, 2026; data from July 2022 to June 2025.

Return visits to the hospital (readmissions)

What this means: The share of patients who had to be admitted to a hospital again within 30 days after going home, adjusted for how sick they were. A lower percentage is better.

Returned to any hospital within 30 days (all patients)16.4%
Readmitted within 30 days: heart failure20.8%
Readmitted within 30 days: pneumonia17.7%
Readmitted within 30 days: COPD19.5%
Readmitted within 30 days: hip or knee replacement7.5%
Not reported to MedicareReadmitted within 30 days: coronary bypass surgery
Too few cases to reportReadmitted within 30 days: heart attack

Source: Unplanned Hospital Visits - Hospital — CMS, released October 20, 2026; data from July 2024 to June 2025.

Emergency room times and sepsis care

What this means: ER time is the middle (median) time from arriving at the emergency room to leaving it; busier ERs usually have longer times, so the ER volume is shown too. Leaving before being seen: a lower percentage is better. Sepsis is a life-threatening reaction to an infection; a higher percentage means more patients got every recommended early step.

Emergency room volume (patients per year)Low (under 20,000)
Average (median) time patients spent in the emergency room before leaving (OP-18b)137 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)1%National average: 2%
Sepsis patients who got all the recommended early care (SEP-1)78%National average: 66%

Source: Timely and Effective Care - Hospital — CMS, released October 19, 2026; data from January 2024 to December 2024.

Not reported to Medicare: infections caught in the hospital. For these topics Medicare shows no result for this hospital (not reported, or too few cases).

See every measure on Medicare Care Compare →

Medicare payment programs

Medicare (CMS) uses these federal programs to adjust what it pays hospitals, based on quality, safety and cost results. This is a payment to the hospital for Medicare patients, not a price you pay, and not a prediction for any one person. Results for Castleview Hospital, fiscal year 2026 (October 2025 to September 2026).

Show the Medicare payment program results

Hospital-Acquired Condition Reduction Program

What this means: Medicare gives each hospital a Total HAC Score built from patient-safety complications and from infections caught in the hospital. The quarter of hospitals with the highest (worst) scores gets a reduction in its Medicare payments. A lower score is better.

CMS says: Hospitals with a Total HAC Score above the 75th percentile of the Total HAC Score distribution will be subject to a 1-percent payment reduction.

Medicare payment reduction, fiscal year 2026NoCMS lists no payment reduction for this hospital.
Total HAC Score0.0642Lower is better. Hospitals above the 75th percentile of all scores get the reduction.

Source: Hospital-Acquired Condition (HAC) Reduction Program — CMS, released January 26, 2026; patient-safety data from July 2022 to June 2024 and infection data from January 2023 to December 2024.

Hospital Readmissions Reduction Program

What this means: For six conditions, Medicare compares how often this hospital’s patients had to go back into a hospital within 30 days with how often that happens at an average hospital with similar patients. The ratio is that comparison: 1 means as many readmissions as expected, above 1 means more than expected (CMS calls these “excess readmissions”), below 1 means fewer.

CMS says: In October 2012, CMS began reducing Medicare payments for subsection(d) hospitals with excess readmissions under the Hospital Readmissions Reduction Program (HRRP).

Heart failure0.9562Fewer readmissions than expected
Pneumonia0.9949Fewer readmissions than expected
COPD (chronic lung disease)1.0076More readmissions than expected
Hip or knee replacement1.2706More readmissions than expected
No result publishedHeart attack; Coronary bypass surgery (CABG) (not reported, or too few cases)

Source: Hospital Readmissions Reduction Program — CMS, released January 26, 2026; patients discharged July 2021 to June 2024.

Hospital Value-Based Purchasing Program

What this means: Medicare scores hospitals in four areas, each from 0 to 100, and combines them into a Total Performance Score from 0 to 100. A higher score means better results on these measures. Medicare uses the score to adjust what it pays the hospital.

CMS says: This program adjusts payments to hospitals under the Inpatient Prospective Payment System (IPPS) based on the quality of care they deliver.

Total Performance Score12.88 out of 100Median of the 2,455 hospitals in the program: 29.50
Clinical outcomes (deaths and complications)17.50 out of 100
Person and community engagement (patient survey)29.00 out of 100
Safety (infections and sepsis care)5.00 out of 100
Efficiency and cost reduction (Medicare spending)0.00 out of 100

Source: Hospital Value-Based Purchasing (HVBP) - Total Performance Score — CMS, released January 26, 2026, fiscal year 2026. Program description: The Hospital Value-Based Purchasing (VBP) Program — CMS, page last modified September 10, 2024.

Medicare spending per patient (MSPB)

What this means: This compares what Medicare spent on a hospital stay, counting the 3 days before it and the 30 days after, with the national median hospital, after adjusting for the patient’s age and health and for local prices. A ratio of 1.00 is the national median hospital; below 1.00 means Medicare spent less, above 1.00 means more. It measures the cost to Medicare, not the quality of care.

CMS says: The Medicare Spending Per Beneficiary (MSPB) Measure shows whether Medicare spends more, less, or about the same for an episode of care (episode) at a specific hospital compared to all hospitals nationally.

Medicare spending per patient, ratio1.01Above the national median hospital (1.00): Medicare spent more

Source: Medicare Spending Per Beneficiary - Hospital — CMS, released October 19, 2026; data from January 2024 to December 2024.

ER wait times and Medicare ratings nearby

How this hospital compares with others in the area, ranked only by official Medicare (CMS) numbers.

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 58 common services exactly as Castleview Hospital lists them in its file. This is not a quote: what you pay depends on your insurance and plan, the doctors involved and the care you actually receive. Prices change: ask the hospital for an estimate before you schedule care (if you are uninsured or paying yourself, you have the right to a written “good faith estimate”). In a medical emergency, call 911.

What the prices mean
Hospital charge
The hospital’s list price (“gross charge”) before any discount or insurance. Few people pay this amount.
Cash price
The price the hospital offers if you pay yourself, without insurance (“discounted cash price”).
Insurance rates
The lowest and highest amounts the hospital has agreed with any insurance plan for the service (“de-identified minimum and maximum”), and some of the rates it lists by insurer and plan. Your share depends on your deductible, copay and coinsurance.
Hospital and doctor fees
A service can have a hospital (facility) fee and a separate doctor (professional) fee; the total for your care can include both, plus other services.

How to use hospital prices: estimates, financial assistance and your rights →

Show the prices of 58 common services

Office and emergency visits

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination $1,443.84 $794.11 $265.44 – $1,349.38
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination Not listed in the file Not listed in the file $933.56
Emergency room visit (moderate): 10 of 41 insurance plan rates
  • BCBS of UT — BCBS Regence: $933.56
  • Advantra — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • Aetna — Aetna PPO: 74.4% (a percentage in the contract, not a dollar amount)
  • Aetna — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • Allied — Allied: 73% (a percentage in the contract, not a dollar amount)
  • American Health Plan of Utah — American Health Plan: 105% (a percentage in the contract, not a dollar amount)
  • Arches — Arches HIX: 88% (a percentage in the contract, not a dollar amount)
  • BCBS of UT — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • Beechstreet — Beechstreet: 95% (a percentage in the contract, not a dollar amount)
  • Cigna — Cigna PPO: 63.9% (a percentage in the contract, not a dollar amount)
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination $2,651.06 $1,458.08 $408.22 – $2,477.63
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination Not listed in the file Not listed in the file $1,453.93
Emergency room visit (moderately high): 10 of 41 insurance plan rates
  • BCBS of UT — BCBS Regence: $1,453.93
  • Advantra — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • Aetna — Aetna PPO: 74.4% (a percentage in the contract, not a dollar amount)
  • Aetna — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • Allied — Allied: 73% (a percentage in the contract, not a dollar amount)
  • American Health Plan of Utah — American Health Plan: 105% (a percentage in the contract, not a dollar amount)
  • Arches — Arches HIX: 88% (a percentage in the contract, not a dollar amount)
  • BCBS of UT — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • Beechstreet — Beechstreet: 95% (a percentage in the contract, not a dollar amount)
  • Cigna — Cigna PPO: 63.9% (a percentage in the contract, not a dollar amount)
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 59 In the file: Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination $2,100 $1,155 $408.22 – $2,477.63
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination $4,264.39 $2,345.41 $587.75 – $3,985.41
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination Not listed in the file Not listed in the file $2,088.30
Emergency room visit (high): 10 of 41 insurance plan rates
  • BCBS of UT — BCBS Regence: $2,088.30
  • Advantra — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • Aetna — Aetna PPO: 74.4% (a percentage in the contract, not a dollar amount)
  • Aetna — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • Allied — Allied: 73% (a percentage in the contract, not a dollar amount)
  • American Health Plan of Utah — American Health Plan: 105% (a percentage in the contract, not a dollar amount)
  • Arches — Arches HIX: 88% (a percentage in the contract, not a dollar amount)
  • BCBS of UT — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • Beechstreet — Beechstreet: 95% (a percentage in the contract, not a dollar amount)
  • Cigna — Cigna PPO: 63.9% (a percentage in the contract, not a dollar amount)

Lab tests

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Basic metabolic panel (Calcium, total) This panel must include the following: Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Ch $173.24 $95.28 $8.46 – $161.91
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Basic metabolic panel (Calcium, total) This panel must include the following: Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Ch Not listed in the file Not listed in the file $10.15
Basic metabolic panel (blood test): 10 of 41 insurance plan rates
  • BCBS of UT — BCBS Regence: $10.15
  • Advantra — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • Aetna — Aetna PPO: 74.4% (a percentage in the contract, not a dollar amount)
  • Aetna — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • Allied — Allied: 66% (a percentage in the contract, not a dollar amount)
  • American Health Plan of Utah — American Health Plan: 105% (a percentage in the contract, not a dollar amount)
  • Arches — Arches HIX: 88% (a percentage in the contract, not a dollar amount)
  • BCBS of UT — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • Beechstreet — Beechstreet: 95% (a percentage in the contract, not a dollar amount)
  • Cigna — Cigna PPO: 63.9% (a percentage in the contract, not a dollar amount)
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin, total (82247) Calcium, total (82310) Carbon $240.31 $132.17 $10.56 – $224.59
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin, total (82247) Calcium, total (82310) Carbon Not listed in the file Not listed in the file $12.67
Comprehensive metabolic panel (blood test): 10 of 41 insurance plan rates
  • BCBS of UT — BCBS Regence: $12.67
  • Advantra — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • Aetna — Aetna PPO: 74.4% (a percentage in the contract, not a dollar amount)
  • Aetna — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • Allied — Allied: 66% (a percentage in the contract, not a dollar amount)
  • American Health Plan of Utah — American Health Plan: 105% (a percentage in the contract, not a dollar amount)
  • Arches — Arches HIX: 88% (a percentage in the contract, not a dollar amount)
  • BCBS of UT — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • Beechstreet — Beechstreet: 95% (a percentage in the contract, not a dollar amount)
  • Cigna — Cigna PPO: 63.9% (a percentage in the contract, not a dollar amount)
Obstetric blood test panel CPT 80055 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Obstetric panel This panel must include the following: Blood count, complete (CBC), automated and automated differential WBC count (85025 or $434.08 $238.74 $47.81 – $405.68
Obstetric blood test panel CPT 80055 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Obstetric panel This panel must include the following: Blood count, complete (CBC), automated and automated differential WBC count (85025 or Not listed in the file Not listed in the file $57.37
Obstetric blood test panel: 10 of 41 insurance plan rates
  • BCBS of UT — BCBS Regence: $57.37
  • Advantra — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • Aetna — Aetna PPO: 74.4% (a percentage in the contract, not a dollar amount)
  • Aetna — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • Allied — Allied: 66% (a percentage in the contract, not a dollar amount)
  • American Health Plan of Utah — American Health Plan: 105% (a percentage in the contract, not a dollar amount)
  • Arches — Arches HIX: 88% (a percentage in the contract, not a dollar amount)
  • BCBS of UT — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • Beechstreet — Beechstreet: 95% (a percentage in the contract, not a dollar amount)
  • Cigna — Cigna PPO: 63.9% (a percentage in the contract, not a dollar amount)
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Lipid panel This panel must include the following: Cholesterol, serum, total (82465) Lipoprotein, direct measurement, high density cholester $337.21 $185.47 $13.39 – $315.15
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Lipid panel This panel must include the following: Cholesterol, serum, total (82465) Lipoprotein, direct measurement, high density cholester Not listed in the file Not listed in the file $16.07
Cholesterol panel (lipid panel): 10 of 41 insurance plan rates
  • BCBS of UT — BCBS Regence: $16.07
  • Advantra — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • Aetna — Aetna PPO: 74.4% (a percentage in the contract, not a dollar amount)
  • Aetna — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • Allied — Allied: 66% (a percentage in the contract, not a dollar amount)
  • American Health Plan of Utah — American Health Plan: 105% (a percentage in the contract, not a dollar amount)
  • Arches — Arches HIX: 88% (a percentage in the contract, not a dollar amount)
  • BCBS of UT — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • Beechstreet — Beechstreet: 95% (a percentage in the contract, not a dollar amount)
  • Cigna — Cigna PPO: 63.9% (a percentage in the contract, not a dollar amount)
Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Renal function panel This panel must include the following: Albumin (82040) Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chlo $216.09 $118.85 $8.68 – $201.95
Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Renal function panel This panel must include the following: Albumin (82040) Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chlo Not listed in the file Not listed in the file $10.42
Kidney function panel: 10 of 41 insurance plan rates
  • BCBS of UT — BCBS Regence: $10.42
  • Advantra — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • Aetna — Aetna PPO: 74.4% (a percentage in the contract, not a dollar amount)
  • Aetna — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • Allied — Allied: 66% (a percentage in the contract, not a dollar amount)
  • American Health Plan of Utah — American Health Plan: 105% (a percentage in the contract, not a dollar amount)
  • Arches — Arches HIX: 88% (a percentage in the contract, not a dollar amount)
  • BCBS of UT — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • Beechstreet — Beechstreet: 95% (a percentage in the contract, not a dollar amount)
  • Cigna — Cigna PPO: 63.9% (a percentage in the contract, not a dollar amount)
Liver function panel CPT 80076 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Hepatic function panel This panel must include the following: Albumin (82040) Bilirubin, total (82247) Bilirubin, direct (82248) Phosphatase $149.05 $81.98 $8.17 – $139.30
Liver function panel CPT 80076 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Hepatic function panel This panel must include the following: Albumin (82040) Bilirubin, total (82247) Bilirubin, direct (82248) Phosphatase Not listed in the file Not listed in the file $9.80
Liver function panel: 10 of 41 insurance plan rates
  • BCBS of UT — BCBS Regence: $9.80
  • Advantra — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • Aetna — Aetna PPO: 74.4% (a percentage in the contract, not a dollar amount)
  • Aetna — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • Allied — Allied: 66% (a percentage in the contract, not a dollar amount)
  • American Health Plan of Utah — American Health Plan: 105% (a percentage in the contract, not a dollar amount)
  • Arches — Arches HIX: 88% (a percentage in the contract, not a dollar amount)
  • BCBS of UT — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • Beechstreet — Beechstreet: 95% (a percentage in the contract, not a dollar amount)
  • Cigna — Cigna PPO: 63.9% (a percentage in the contract, not a dollar amount)
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, $111.79 $61.48 $3.17 – $104.48
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, Not listed in the file Not listed in the file $3.80
Urine test (automated, with microscope): 10 of 41 insurance plan rates
  • BCBS of UT — BCBS Regence: $3.80
  • Advantra — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • Aetna — Aetna PPO: 74.4% (a percentage in the contract, not a dollar amount)
  • Aetna — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • Allied — Allied: 66% (a percentage in the contract, not a dollar amount)
  • American Health Plan of Utah — American Health Plan: 105% (a percentage in the contract, not a dollar amount)
  • Arches — Arches HIX: 88% (a percentage in the contract, not a dollar amount)
  • BCBS of UT — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • Beechstreet — Beechstreet: 95% (a percentage in the contract, not a dollar amount)
  • Cigna — Cigna PPO: 63.9% (a percentage in the contract, not a dollar amount)
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, $53 $29.15 $3.48 – $53
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, Not listed in the file Not listed in the file $4.18
Urine test (manual, without microscope): 10 of 41 insurance plan rates
  • BCBS of UT — BCBS Regence: $4.18
  • Advantra — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • Aetna — Aetna PPO: 74.4% (a percentage in the contract, not a dollar amount)
  • Aetna — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • Allied — Allied: 66% (a percentage in the contract, not a dollar amount)
  • American Health Plan of Utah — American Health Plan: 105% (a percentage in the contract, not a dollar amount)
  • Arches — Arches HIX: 88% (a percentage in the contract, not a dollar amount)
  • BCBS of UT — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • Beechstreet — Beechstreet: 95% (a percentage in the contract, not a dollar amount)
  • Cigna — Cigna PPO: 63.9% (a percentage in the contract, not a dollar amount)
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, $88.78 $48.83 $2.25 – $88.78
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, Not listed in the file Not listed in the file $2.70
Urine test (automated, without microscope): 10 of 41 insurance plan rates
  • BCBS of UT — BCBS Regence: $2.70
  • Advantra — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • Aetna — Aetna PPO: 74.4% (a percentage in the contract, not a dollar amount)
  • Aetna — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • Allied — Allied: 66% (a percentage in the contract, not a dollar amount)
  • American Health Plan of Utah — American Health Plan: 105% (a percentage in the contract, not a dollar amount)
  • Arches — Arches HIX: 88% (a percentage in the contract, not a dollar amount)
  • BCBS of UT — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • Beechstreet — Beechstreet: 95% (a percentage in the contract, not a dollar amount)
  • Cigna — Cigna PPO: 63.9% (a percentage in the contract, not a dollar amount)
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Prostate specific antigen (PSA); total $216.09 $118.85 $18.39 – $201.95
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Prostate specific antigen (PSA); total Not listed in the file Not listed in the file $22.07
PSA (prostate specific antigen) blood test: 10 of 41 insurance plan rates
  • BCBS of UT — BCBS Regence: $22.07
  • Advantra — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • Aetna — Aetna PPO: 74.4% (a percentage in the contract, not a dollar amount)
  • Aetna — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • Allied — Allied: 66% (a percentage in the contract, not a dollar amount)
  • American Health Plan of Utah — American Health Plan: 105% (a percentage in the contract, not a dollar amount)
  • Arches — Arches HIX: 88% (a percentage in the contract, not a dollar amount)
  • BCBS of UT — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • Beechstreet — Beechstreet: 95% (a percentage in the contract, not a dollar amount)
  • Cigna — Cigna PPO: 63.9% (a percentage in the contract, not a dollar amount)
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Thyroid stimulating hormone (TSH) $249.65 $137.31 $16.80 – $233.32
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Thyroid stimulating hormone (TSH) Not listed in the file Not listed in the file $20.16
Thyroid stimulating hormone (TSH) test: 10 of 41 insurance plan rates
  • BCBS of UT — BCBS Regence: $20.16
  • Advantra — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • Aetna — Aetna PPO: 74.4% (a percentage in the contract, not a dollar amount)
  • Aetna — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • Allied — Allied: 66% (a percentage in the contract, not a dollar amount)
  • American Health Plan of Utah — American Health Plan: 105% (a percentage in the contract, not a dollar amount)
  • Arches — Arches HIX: 88% (a percentage in the contract, not a dollar amount)
  • BCBS of UT — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • Beechstreet — Beechstreet: 95% (a percentage in the contract, not a dollar amount)
  • Cigna — Cigna PPO: 63.9% (a percentage in the contract, not a dollar amount)
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) and automated differential WBC count $173.24 $95.28 $7.77 – $161.91
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) and automated differential WBC count Not listed in the file Not listed in the file $9.32
Complete blood count (CBC) with differential: 10 of 41 insurance plan rates
  • BCBS of UT — BCBS Regence: $9.32
  • Advantra — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • Aetna — Aetna PPO: 74.4% (a percentage in the contract, not a dollar amount)
  • Aetna — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • Allied — Allied: 66% (a percentage in the contract, not a dollar amount)
  • American Health Plan of Utah — American Health Plan: 105% (a percentage in the contract, not a dollar amount)
  • Arches — Arches HIX: 88% (a percentage in the contract, not a dollar amount)
  • BCBS of UT — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • Beechstreet — Beechstreet: 95% (a percentage in the contract, not a dollar amount)
  • Cigna — Cigna PPO: 63.9% (a percentage in the contract, not a dollar amount)
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) $263.10 $144.71 $6.47 – $245.89
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) Not listed in the file Not listed in the file $7.76
Complete blood count (CBC), automated: 10 of 41 insurance plan rates
  • BCBS of UT — BCBS Regence: $7.76
  • Advantra — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • Aetna — Aetna PPO: 74.4% (a percentage in the contract, not a dollar amount)
  • Aetna — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • Allied — Allied: 66% (a percentage in the contract, not a dollar amount)
  • American Health Plan of Utah — American Health Plan: 105% (a percentage in the contract, not a dollar amount)
  • Arches — Arches HIX: 88% (a percentage in the contract, not a dollar amount)
  • BCBS of UT — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • Beechstreet — Beechstreet: 95% (a percentage in the contract, not a dollar amount)
  • Cigna — Cigna PPO: 63.9% (a percentage in the contract, not a dollar amount)
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Prothrombin time $94.99 $52.24 $4.29 – $88.78
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Prothrombin time Not listed in the file Not listed in the file $5.15
Blood clotting time test (prothrombin time, PT): 10 of 41 insurance plan rates
  • BCBS of UT — BCBS Regence: $5.15
  • Advantra — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • Aetna — Aetna PPO: 74.4% (a percentage in the contract, not a dollar amount)
  • Aetna — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • Allied — Allied: 66% (a percentage in the contract, not a dollar amount)
  • American Health Plan of Utah — American Health Plan: 105% (a percentage in the contract, not a dollar amount)
  • Arches — Arches HIX: 88% (a percentage in the contract, not a dollar amount)
  • BCBS of UT — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • Beechstreet — Beechstreet: 95% (a percentage in the contract, not a dollar amount)
  • Cigna — Cigna PPO: 63.9% (a percentage in the contract, not a dollar amount)
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Thromboplastin time, partial (PTT); plasma or whole blood $150.91 $83 $6.01 – $141.04
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Thromboplastin time, partial (PTT); plasma or whole blood Not listed in the file Not listed in the file $7.21
Blood clotting test (partial thromboplastin time, PTT): 10 of 41 insurance plan rates
  • BCBS of UT — BCBS Regence: $7.21
  • Advantra — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • Aetna — Aetna PPO: 74.4% (a percentage in the contract, not a dollar amount)
  • Aetna — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • Allied — Allied: 66% (a percentage in the contract, not a dollar amount)
  • American Health Plan of Utah — American Health Plan: 105% (a percentage in the contract, not a dollar amount)
  • Arches — Arches HIX: 88% (a percentage in the contract, not a dollar amount)
  • BCBS of UT — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • Beechstreet — Beechstreet: 95% (a percentage in the contract, not a dollar amount)
  • Cigna — Cigna PPO: 63.9% (a percentage in the contract, not a dollar amount)

Imaging (X-ray, CT, MRI, ultrasound, mammogram)

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Computed tomography, head or brain; without contrast material $2,575.12 $1,416.32 $101.94 – $2,575.12
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Computed tomography, head or brain; without contrast material Not listed in the file Not listed in the file $315.30
CT scan of the head or brain, without contrast: 10 of 41 insurance plan rates
  • BCBS of UT — BCBS Regence: $315.30
  • PEHP (Public Employees Health Program) — PEHP - All Plans: $2,683.79
  • Advantra — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • Aetna — Aetna PPO: 74.4% (a percentage in the contract, not a dollar amount)
  • Aetna — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • Allied — Allied: 66% (a percentage in the contract, not a dollar amount)
  • American Health Plan of Utah — American Health Plan: 105% (a percentage in the contract, not a dollar amount)
  • Arches — Arches HIX: 88% (a percentage in the contract, not a dollar amount)
  • BCBS of UT — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • Beechstreet — Beechstreet: 95% (a percentage in the contract, not a dollar amount)
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: Computed tomography, head or brain; without contrast material $2,755.38 $1,515.46 $101.94 – $2,575.12
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material, followed by contrast material(s) and furth $7,105.50 $3,908.02 $342.37 – $7,105.50
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material, followed by contrast material(s) and furth Not listed in the file Not listed in the file $1,086.87
MRI of the brain, before and after contrast: 10 of 41 insurance plan rates
  • BCBS of UT — BCBS Regence: $1,086.87
  • PEHP (Public Employees Health Program) — PEHP - All Plans: $2,683.79
  • Advantra — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • Aetna — Aetna PPO: 74.4% (a percentage in the contract, not a dollar amount)
  • Aetna — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • Allied — Allied: 66% (a percentage in the contract, not a dollar amount)
  • American Health Plan of Utah — American Health Plan: 105% (a percentage in the contract, not a dollar amount)
  • Arches — Arches HIX: 88% (a percentage in the contract, not a dollar amount)
  • BCBS of UT — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • Beechstreet — Beechstreet: 95% (a percentage in the contract, not a dollar amount)
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material, followed by contrast material(s) and furth $7,602.89 $4,181.59 $342.37 – $7,105.50
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Radiologic examination, chest; 2 views $710.39 $390.71 $84.41 – $710.39
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Radiologic examination, chest; 2 views Not listed in the file Not listed in the file $256.30
Chest X-ray, 2 views: 10 of 41 insurance plan rates
  • BCBS of UT — BCBS Regence: $256.30
  • Advantra — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • Aetna — Aetna PPO: 74.4% (a percentage in the contract, not a dollar amount)
  • Aetna — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • Allied — Allied: 66% (a percentage in the contract, not a dollar amount)
  • American Health Plan of Utah — American Health Plan: 105% (a percentage in the contract, not a dollar amount)
  • Arches — Arches HIX: 88% (a percentage in the contract, not a dollar amount)
  • BCBS of UT — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • Beechstreet — Beechstreet: 95% (a percentage in the contract, not a dollar amount)
  • Cigna — Cigna PPO: 63.9% (a percentage in the contract, not a dollar amount)
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: Radiologic examination, chest; 2 views $760.12 $418.07 $84.41 – $710.39
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Radiologic examination, spine, lumbosacral; minimum of 4 views $943.70 $519.04 $101.94 – $943.70
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Radiologic examination, spine, lumbosacral; minimum of 4 views Not listed in the file Not listed in the file $315.30
X-ray of the lower spine, at least 4 views: 10 of 41 insurance plan rates
  • BCBS of UT — BCBS Regence: $315.30
  • Advantra — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • Aetna — Aetna PPO: 74.4% (a percentage in the contract, not a dollar amount)
  • Aetna — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • Allied — Allied: 66% (a percentage in the contract, not a dollar amount)
  • American Health Plan of Utah — American Health Plan: 105% (a percentage in the contract, not a dollar amount)
  • Arches — Arches HIX: 88% (a percentage in the contract, not a dollar amount)
  • BCBS of UT — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • Beechstreet — Beechstreet: 95% (a percentage in the contract, not a dollar amount)
  • Cigna — Cigna PPO: 63.9% (a percentage in the contract, not a dollar amount)
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: Radiologic examination, spine, lumbosacral; minimum of 4 views $1,009.76 $555.37 $101.94 – $943.70
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Magnetic resonance (eg, proton) imaging, spinal canal and contents, lumbar; without contrast material $5,707.40 $3,139.07 $231.73 – $5,707.40
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Magnetic resonance (eg, proton) imaging, spinal canal and contents, lumbar; without contrast material Not listed in the file Not listed in the file $2,683.79
MRI of the lower back (lumbar spine), without contrast: 10 of 41 insurance plan rates
  • BCBS of UT — BCBS Regence: $688.88
  • PEHP (Public Employees Health Program) — PEHP - All Plans: $2,683.79
  • Advantra — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • Aetna — Aetna PPO: 74.4% (a percentage in the contract, not a dollar amount)
  • Aetna — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • Allied — Allied: 66% (a percentage in the contract, not a dollar amount)
  • American Health Plan of Utah — American Health Plan: 105% (a percentage in the contract, not a dollar amount)
  • Arches — Arches HIX: 88% (a percentage in the contract, not a dollar amount)
  • BCBS of UT — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • Beechstreet — Beechstreet: 95% (a percentage in the contract, not a dollar amount)
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: Magnetic resonance (eg, proton) imaging, spinal canal and contents, lumbar; without contrast material $6,106.92 $3,358.81 $231.73 – $5,707.40
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Computed tomography, pelvis; with contrast material(s) $2,959.89 $1,627.94 $170.66 – $2,959.89
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Computed tomography, pelvis; with contrast material(s) Not listed in the file Not listed in the file $532
CT scan of the pelvis, with contrast: 10 of 41 insurance plan rates
  • BCBS of UT — BCBS Regence: $532
  • PEHP (Public Employees Health Program) — PEHP - All Plans: $2,683.79
  • Advantra — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • Aetna — Aetna PPO: 74.4% (a percentage in the contract, not a dollar amount)
  • Aetna — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • Allied — Allied: 66% (a percentage in the contract, not a dollar amount)
  • American Health Plan of Utah — American Health Plan: 105% (a percentage in the contract, not a dollar amount)
  • Arches — Arches HIX: 88% (a percentage in the contract, not a dollar amount)
  • BCBS of UT — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • Beechstreet — Beechstreet: 95% (a percentage in the contract, not a dollar amount)
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: Computed tomography, pelvis; with contrast material(s) $3,167.08 $1,741.89 $170.66 – $2,959.89
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material $4,767.18 $2,621.95 $231.73 – $4,767.18
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material Not listed in the file Not listed in the file $688.88
MRI of a leg joint (such as the knee), without contrast: 10 of 41 insurance plan rates
  • BCBS of UT — BCBS Regence: $688.88
  • PEHP (Public Employees Health Program) — PEHP - All Plans: $2,683.79
  • Advantra — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • Aetna — Aetna PPO: 74.4% (a percentage in the contract, not a dollar amount)
  • Aetna — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • Allied — Allied: 66% (a percentage in the contract, not a dollar amount)
  • American Health Plan of Utah — American Health Plan: 105% (a percentage in the contract, not a dollar amount)
  • Arches — Arches HIX: 88% (a percentage in the contract, not a dollar amount)
  • BCBS of UT — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • Beechstreet — Beechstreet: 95% (a percentage in the contract, not a dollar amount)
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material $5,100.88 $2,805.48 $231.73 – $4,767.18
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Computed tomography, abdomen and pelvis; with contrast material(s) $6,825.18 $3,753.85 $342.37 – $6,825.18
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Computed tomography, abdomen and pelvis; with contrast material(s) Not listed in the file Not listed in the file $2,683.79
CT scan of the abdomen and pelvis, with contrast: 10 of 41 insurance plan rates
  • BCBS of UT — BCBS Regence: $1,086.87
  • PEHP (Public Employees Health Program) — PEHP - All Plans: $2,683.79
  • Advantra — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • Aetna — Aetna PPO: 74.4% (a percentage in the contract, not a dollar amount)
  • Aetna — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • Allied — Allied: 66% (a percentage in the contract, not a dollar amount)
  • American Health Plan of Utah — American Health Plan: 105% (a percentage in the contract, not a dollar amount)
  • Arches — Arches HIX: 88% (a percentage in the contract, not a dollar amount)
  • BCBS of UT — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • Beechstreet — Beechstreet: 95% (a percentage in the contract, not a dollar amount)
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: Computed tomography, abdomen and pelvis; with contrast material(s) $7,302.94 $4,016.62 $342.37 – $6,825.18
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Ultrasound, abdominal, real time with image documentation; complete $1,326.76 $729.72 $101.94 – $1,326.76
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Ultrasound, abdominal, real time with image documentation; complete Not listed in the file Not listed in the file $315.30
Ultrasound of the abdomen, complete: 10 of 41 insurance plan rates
  • BCBS of UT — BCBS Regence: $315.30
  • Advantra — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • Aetna — Aetna PPO: 74.4% (a percentage in the contract, not a dollar amount)
  • Aetna — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • Allied — Allied: 66% (a percentage in the contract, not a dollar amount)
  • American Health Plan of Utah — American Health Plan: 105% (a percentage in the contract, not a dollar amount)
  • Arches — Arches HIX: 88% (a percentage in the contract, not a dollar amount)
  • BCBS of UT — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • Beechstreet — Beechstreet: 95% (a percentage in the contract, not a dollar amount)
  • Cigna — Cigna PPO: 63.9% (a percentage in the contract, not a dollar amount)
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: Ultrasound, abdominal, real time with image documentation; complete $1,419.63 $780.80 $101.94 – $1,326.76
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, after first trimester (> or = 14 weeks 0 day $1,079.50 $593.72 $101.94 – $1,079.50
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, after first trimester (> or = 14 weeks 0 day Not listed in the file Not listed in the file $315.30
Pregnancy ultrasound (after the first trimester): 10 of 41 insurance plan rates
  • BCBS of UT — BCBS Regence: $315.30
  • Advantra — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • Aetna — Aetna PPO: 74.4% (a percentage in the contract, not a dollar amount)
  • Aetna — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • Allied — Allied: 66% (a percentage in the contract, not a dollar amount)
  • American Health Plan of Utah — American Health Plan: 105% (a percentage in the contract, not a dollar amount)
  • Arches — Arches HIX: 88% (a percentage in the contract, not a dollar amount)
  • BCBS of UT — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • Beechstreet — Beechstreet: 95% (a percentage in the contract, not a dollar amount)
  • Cigna — Cigna PPO: 63.9% (a percentage in the contract, not a dollar amount)
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, after first trimester (> or = 14 weeks 0 day $1,155.07 $635.29 $101.94 – $1,079.50
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Ultrasound, transvaginal $670.32 $368.68 $101.94 – $670.32
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Ultrasound, transvaginal Not listed in the file Not listed in the file $315.30
Transvaginal ultrasound: 10 of 41 insurance plan rates
  • BCBS of UT — BCBS Regence: $315.30
  • Advantra — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • Aetna — Aetna PPO: 74.4% (a percentage in the contract, not a dollar amount)
  • Aetna — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • Allied — Allied: 66% (a percentage in the contract, not a dollar amount)
  • American Health Plan of Utah — American Health Plan: 105% (a percentage in the contract, not a dollar amount)
  • Arches — Arches HIX: 88% (a percentage in the contract, not a dollar amount)
  • BCBS of UT — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • Beechstreet — Beechstreet: 95% (a percentage in the contract, not a dollar amount)
  • Cigna — Cigna PPO: 63.9% (a percentage in the contract, not a dollar amount)
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: Ultrasound, transvaginal $717.24 $394.48 $101.94 – $670.32
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral $746.94 $410.82 $115.53 – $746.94
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral Not listed in the file Not listed in the file $159.80
Diagnostic mammogram, one breast: 10 of 41 insurance plan rates
  • BCBS of UT — BCBS Regence: $159.80
  • PEHP (Public Employees Health Program) — PEHP - All Plans: $232.69
  • Advantra — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • Aetna — Aetna PPO: 74.4% (a percentage in the contract, not a dollar amount)
  • Aetna — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • Allied — Allied: 66% (a percentage in the contract, not a dollar amount)
  • American Health Plan of Utah — American Health Plan: 105% (a percentage in the contract, not a dollar amount)
  • Arches — Arches HIX: 88% (a percentage in the contract, not a dollar amount)
  • BCBS of UT — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • Beechstreet — Beechstreet: 95% (a percentage in the contract, not a dollar amount)
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral $799.23 $439.58 $115.53 – $746.94
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Diagnostic mammography, including computer-aided detection (CAD) when performed; bilateral $952.39 $523.81 $145.51 – $952.39
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Diagnostic mammography, including computer-aided detection (CAD) when performed; bilateral Not listed in the file Not listed in the file $203.72
Diagnostic mammogram, both breasts: 10 of 41 insurance plan rates
  • BCBS of UT — BCBS Regence: $203.72
  • PEHP (Public Employees Health Program) — PEHP - All Plans: $232.69
  • Advantra — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • Aetna — Aetna PPO: 74.4% (a percentage in the contract, not a dollar amount)
  • Aetna — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • Allied — Allied: 66% (a percentage in the contract, not a dollar amount)
  • American Health Plan of Utah — American Health Plan: 105% (a percentage in the contract, not a dollar amount)
  • Arches — Arches HIX: 88% (a percentage in the contract, not a dollar amount)
  • BCBS of UT — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • Beechstreet — Beechstreet: 95% (a percentage in the contract, not a dollar amount)
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: Diagnostic mammography, including computer-aided detection (CAD) when performed; bilateral $1,199.78 $659.88 $145.51 – $952.39
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (CAD) when performed $820.81 $451.45 $117.83 – $820.81
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (CAD) when performed Not listed in the file Not listed in the file $168.97
Screening mammogram, both breasts: 10 of 41 insurance plan rates
  • BCBS of UT — BCBS Regence: $168.97
  • PEHP (Public Employees Health Program) — PEHP - All Plans: $232.69
  • Advantra — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • Aetna — Aetna PPO: 74.4% (a percentage in the contract, not a dollar amount)
  • Aetna — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • Allied — Allied: 66% (a percentage in the contract, not a dollar amount)
  • American Health Plan of Utah — American Health Plan: 105% (a percentage in the contract, not a dollar amount)
  • Arches — Arches HIX: 88% (a percentage in the contract, not a dollar amount)
  • BCBS of UT — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • Beechstreet — Beechstreet: 95% (a percentage in the contract, not a dollar amount)
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (CAD) when performed $704.49 $387.47 $117.83 – $820.81

Heart tests and sleep study

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Polysomnography; age 6 years or older, sleep staging with 4 or more additional parameters of sleep, attended by a technologist $8,844.33 $4,864.38 $975.33 – $8,844.33
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Polysomnography; age 6 years or older, sleep staging with 4 or more additional parameters of sleep, attended by a technologist Not listed in the file Not listed in the file $3,559.99
Sleep study (overnight, in a sleep lab): 10 of 41 insurance plan rates
  • BCBS of UT — BCBS Regence: $3,559.99
  • Advantra — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • Aetna — Aetna PPO: 74.4% (a percentage in the contract, not a dollar amount)
  • Aetna — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • Allied — Allied: 66% (a percentage in the contract, not a dollar amount)
  • American Health Plan of Utah — American Health Plan: 105% (a percentage in the contract, not a dollar amount)
  • Arches — Arches HIX: 88% (a percentage in the contract, not a dollar amount)
  • BCBS of UT — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • Beechstreet — Beechstreet: 95% (a percentage in the contract, not a dollar amount)
  • Cigna — Cigna PPO: 63.9% (a percentage in the contract, not a dollar amount)
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: Polysomnography; age 6 years or older, sleep staging with 4 or more additional parameters of sleep, attended by a technologist $9,463.43 $5,204.89 $975.33 – $8,844.33

Physical therapy and mental health

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Therapeutic procedure, 1 or more areas, each 15 minutes; therapeutic exercises to develop strength and endurance, range of motion and flexib $154.96 $85.23 $27.83 – $154.96
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Therapeutic procedure, 1 or more areas, each 15 minutes; therapeutic exercises to develop strength and endurance, range of motion and flexib Not listed in the file Not listed in the file $53.68
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 41 insurance plan rates
  • BCBS of UT — BCBS Regence: $53.68
  • Advantra — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • Aetna — Aetna PPO: 74.4% (a percentage in the contract, not a dollar amount)
  • Aetna — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • Allied — Allied: 66% (a percentage in the contract, not a dollar amount)
  • American Health Plan of Utah — American Health Plan: 105% (a percentage in the contract, not a dollar amount)
  • Arches — Arches HIX: 88% (a percentage in the contract, not a dollar amount)
  • BCBS of UT — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • Beechstreet — Beechstreet: 95% (a percentage in the contract, not a dollar amount)
  • Cigna — Cigna PPO: 63.9% (a percentage in the contract, not a dollar amount)
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Physical therapy evaluation: low complexity, requiring these components: A history with no personal factors and/or comorbidities that impact $292.75 $150.48 $94.78 – $273.60
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Physical therapy evaluation: low complexity, requiring these components: A history with no personal factors and/or comorbidities that impact Not listed in the file Not listed in the file $182.99
Physical therapy evaluation (low complexity): 10 of 41 insurance plan rates
  • BCBS of UT — BCBS Regence: $182.99
  • Advantra — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • Aetna — Aetna PPO: 74.4% (a percentage in the contract, not a dollar amount)
  • Aetna — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • Allied — Allied: 66% (a percentage in the contract, not a dollar amount)
  • American Health Plan of Utah — American Health Plan: 105% (a percentage in the contract, not a dollar amount)
  • Arches — Arches HIX: 88% (a percentage in the contract, not a dollar amount)
  • BCBS of UT — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • Beechstreet — Beechstreet: 95% (a percentage in the contract, not a dollar amount)
  • Cigna — Cigna PPO: 63.9% (a percentage in the contract, not a dollar amount)
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Physical therapy evaluation: moderate complexity, requiring these components: A history of present problem with 1-2 personal factors and/or $292.75 $150.48 $94.78 – $273.60
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Physical therapy evaluation: moderate complexity, requiring these components: A history of present problem with 1-2 personal factors and/or Not listed in the file Not listed in the file $182.99
Physical therapy evaluation (moderate complexity): 10 of 41 insurance plan rates
  • BCBS of UT — BCBS Regence: $182.99
  • Advantra — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • Aetna — Aetna PPO: 74.4% (a percentage in the contract, not a dollar amount)
  • Aetna — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • Allied — Allied: 66% (a percentage in the contract, not a dollar amount)
  • American Health Plan of Utah — American Health Plan: 105% (a percentage in the contract, not a dollar amount)
  • Arches — Arches HIX: 88% (a percentage in the contract, not a dollar amount)
  • BCBS of UT — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • Beechstreet — Beechstreet: 95% (a percentage in the contract, not a dollar amount)
  • Cigna — Cigna PPO: 63.9% (a percentage in the contract, not a dollar amount)
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Physical therapy evaluation: high complexity, requiring these components: A history of present problem with 3 or more personal factors and/o $292.75 $150.48 $94.78 – $273.60
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Physical therapy evaluation: high complexity, requiring these components: A history of present problem with 3 or more personal factors and/o Not listed in the file Not listed in the file $182.99
Physical therapy evaluation (high complexity): 10 of 41 insurance plan rates
  • BCBS of UT — BCBS Regence: $182.99
  • Advantra — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • Aetna — Aetna PPO: 74.4% (a percentage in the contract, not a dollar amount)
  • Aetna — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • Allied — Allied: 66% (a percentage in the contract, not a dollar amount)
  • American Health Plan of Utah — American Health Plan: 105% (a percentage in the contract, not a dollar amount)
  • Arches — Arches HIX: 88% (a percentage in the contract, not a dollar amount)
  • BCBS of UT — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • Beechstreet — Beechstreet: 95% (a percentage in the contract, not a dollar amount)
  • Cigna — Cigna PPO: 63.9% (a percentage in the contract, not a dollar amount)

Procedures and surgery

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Excision of cyst, fibroadenoma, or other benign or malignant tumor, aberrant breast tissue, duct lesion, nipple or areolar lesion (except 19 $14,814.47 $8,147.96 $3,670.98 – $14,814.46
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Excision of cyst, fibroadenoma, or other benign or malignant tumor, aberrant breast tissue, duct lesion, nipple or areolar lesion (except 19 Not listed in the file Not listed in the file $13,098.02
Removal of breast growth (open surgery): 10 of 41 insurance plan rates
  • BCBS of UT — BCBS Regence: $13,098.02
  • Advantra — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • Aetna — Aetna PPO: 74.4% (a percentage in the contract, not a dollar amount)
  • Aetna — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • Allied — Allied: 66% (a percentage in the contract, not a dollar amount)
  • American Health Plan of Utah — American Health Plan: 105% (a percentage in the contract, not a dollar amount)
  • Arches — Arches HIX: 88% (a percentage in the contract, not a dollar amount)
  • BCBS of UT — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • Beechstreet — Beechstreet: 95% (a percentage in the contract, not a dollar amount)
  • Cigna — Cigna PPO: 63.9% (a percentage in the contract, not a dollar amount)
Total hip replacement CPT 27130 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Arthroplasty, acetabular and proximal femoral prosthetic replacement (total hip arthroplasty), with or without autograft or allograft $62,483.18 $34,365.75 $12,334.91 – $62,483.18
Total hip replacement CPT 27130 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Arthroplasty, acetabular and proximal femoral prosthetic replacement (total hip arthroplasty), with or without autograft or allograft Not listed in the file Not listed in the file $49,713.18
Total hip replacement: 10 of 41 insurance plan rates
  • BCBS of UT — BCBS Regence: $49,713.18
  • Advantra — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • Aetna — Aetna PPO: 74.4% (a percentage in the contract, not a dollar amount)
  • Aetna — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • Allied — Allied: 66% (a percentage in the contract, not a dollar amount)
  • American Health Plan of Utah — American Health Plan: 105% (a percentage in the contract, not a dollar amount)
  • Arches — Arches HIX: 88% (a percentage in the contract, not a dollar amount)
  • BCBS of UT — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • Beechstreet — Beechstreet: 95% (a percentage in the contract, not a dollar amount)
  • Cigna — Cigna PPO: 63.9% (a percentage in the contract, not a dollar amount)
Total knee replacement CPT 27447 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Arthroplasty, knee, condyle and plateau; medial AND lateral compartments with or without patella resurfacing (total knee arthroplasty) $50,553.69 $27,804.53 $12,334.91 – $50,553.69
Total knee replacement CPT 27447 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Arthroplasty, knee, condyle and plateau; medial AND lateral compartments with or without patella resurfacing (total knee arthroplasty) Not listed in the file Not listed in the file $49,713.18
Total knee replacement: 10 of 41 insurance plan rates
  • BCBS of UT — BCBS Regence: $49,713.18
  • Advantra — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • Aetna — Aetna PPO: 74.4% (a percentage in the contract, not a dollar amount)
  • Aetna — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • Allied — Allied: 66% (a percentage in the contract, not a dollar amount)
  • American Health Plan of Utah — American Health Plan: 105% (a percentage in the contract, not a dollar amount)
  • Arches — Arches HIX: 88% (a percentage in the contract, not a dollar amount)
  • BCBS of UT — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • Beechstreet — Beechstreet: 95% (a percentage in the contract, not a dollar amount)
  • Cigna — Cigna PPO: 63.9% (a percentage in the contract, not a dollar amount)
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Arthroscopy, shoulder, surgical; decompression of subacromial space with partial acromioplasty, with coracoacromial ligament (ie, arch) rele $5,487.37 $3,018.05 $2,743.68 – $5,487.37
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Arthroscopy, shoulder, surgical; decompression of subacromial space with partial acromioplasty, with coracoacromial ligament (ie, arch) rele Not listed in the file Not listed in the file Not listed in the file
Shoulder arthroscopy: shaving of shoulder bone: 10 of 27 insurance plan rates
  • Aetna — Aetna PPO: 74.4% (a percentage in the contract, not a dollar amount)
  • Allied — Allied: 66% (a percentage in the contract, not a dollar amount)
  • Arches — Arches HIX: 88% (a percentage in the contract, not a dollar amount)
  • Beechstreet — Beechstreet: 95% (a percentage in the contract, not a dollar amount)
  • Cigna — Cigna PPO: 63.9% (a percentage in the contract, not a dollar amount)
  • CoreSource — CoreSource PPO: 95% (a percentage in the contract, not a dollar amount)
  • Deseret Mutual Benefit Admin (DMBA) — DMBA Network PPO: 92% (a percentage in the contract, not a dollar amount)
  • Educators Mutual — Educators Mutual PPO: 88% (a percentage in the contract, not a dollar amount)
  • First Choice — First Choice: 74.45% (a percentage in the contract, not a dollar amount)
  • GEHA — GEHA: 90% (a percentage in the contract, not a dollar amount)
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Arthroscopy, knee, surgical; with meniscectomy (medial OR lateral, including any meniscal shaving) including debridement/shaving of articula $16,516.61 $9,084.13 $3,110.48 – $16,516.60
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Arthroscopy, knee, surgical; with meniscectomy (medial OR lateral, including any meniscal shaving) including debridement/shaving of articula Not listed in the file Not listed in the file $11,341.07
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 41 insurance plan rates
  • BCBS of UT — BCBS Regence: $11,341.07
  • Advantra — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • Aetna — Aetna PPO: 74.4% (a percentage in the contract, not a dollar amount)
  • Aetna — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • Allied — Allied: 66% (a percentage in the contract, not a dollar amount)
  • American Health Plan of Utah — American Health Plan: 105% (a percentage in the contract, not a dollar amount)
  • Arches — Arches HIX: 88% (a percentage in the contract, not a dollar amount)
  • BCBS of UT — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • Beechstreet — Beechstreet: 95% (a percentage in the contract, not a dollar amount)
  • Cigna — Cigna PPO: 63.9% (a percentage in the contract, not a dollar amount)
Removal of tonsils and adenoids (under age 12) CPT 42820 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Tonsillectomy and adenoidectomy; younger than age 12 $15,380.38 $8,459.21 $5,671.11 – $15,380.38
Removal of tonsils and adenoids (under age 12) CPT 42820 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Tonsillectomy and adenoidectomy; younger than age 12 Not listed in the file Not listed in the file $20,344.14
Removal of tonsils and adenoids (under age 12): 10 of 41 insurance plan rates
  • BCBS of UT — BCBS Regence: $20,344.14
  • Advantra — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • Aetna — Aetna PPO: 74.4% (a percentage in the contract, not a dollar amount)
  • Aetna — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • Allied — Allied: 66% (a percentage in the contract, not a dollar amount)
  • American Health Plan of Utah — American Health Plan: 105% (a percentage in the contract, not a dollar amount)
  • Arches — Arches HIX: 88% (a percentage in the contract, not a dollar amount)
  • BCBS of UT — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • Beechstreet — Beechstreet: 95% (a percentage in the contract, not a dollar amount)
  • Cigna — Cigna PPO: 63.9% (a percentage in the contract, not a dollar amount)
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Esophagogastroduodenoscopy, flexible, transoral; diagnostic, including collection of specimen(s) by brushing or washing, when performed (sep $3,934.79 $2,164.13 $898.80 – $3,934.79
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Esophagogastroduodenoscopy, flexible, transoral; diagnostic, including collection of specimen(s) by brushing or washing, when performed (sep Not listed in the file Not listed in the file $3,145.19
Upper GI endoscopy (diagnostic): 10 of 41 insurance plan rates
  • BCBS of UT — BCBS Regence: $3,145.19
  • Advantra — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • Aetna — Aetna PPO: 74.4% (a percentage in the contract, not a dollar amount)
  • Aetna — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • Allied — Allied: 66% (a percentage in the contract, not a dollar amount)
  • American Health Plan of Utah — American Health Plan: 105% (a percentage in the contract, not a dollar amount)
  • Arches — Arches HIX: 88% (a percentage in the contract, not a dollar amount)
  • BCBS of UT — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • Beechstreet — Beechstreet: 95% (a percentage in the contract, not a dollar amount)
  • Cigna — Cigna PPO: 63.9% (a percentage in the contract, not a dollar amount)
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple $4,361.02 $2,398.56 $898.80 – $4,361.02
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple Not listed in the file Not listed in the file $3,145.19
Upper GI endoscopy with biopsy: 10 of 41 insurance plan rates
  • BCBS of UT — BCBS Regence: $3,145.19
  • Advantra — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • Aetna — Aetna PPO: 74.4% (a percentage in the contract, not a dollar amount)
  • Aetna — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • Allied — Allied: 66% (a percentage in the contract, not a dollar amount)
  • American Health Plan of Utah — American Health Plan: 105% (a percentage in the contract, not a dollar amount)
  • Arches — Arches HIX: 88% (a percentage in the contract, not a dollar amount)
  • BCBS of UT — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • Beechstreet — Beechstreet: 95% (a percentage in the contract, not a dollar amount)
  • Cigna — Cigna PPO: 63.9% (a percentage in the contract, not a dollar amount)
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Colonoscopy, flexible; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure) $4,019.81 $2,210.90 $874.02 – $4,019.81
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Colonoscopy, flexible; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure) Not listed in the file Not listed in the file $3,166.26
Colonoscopy (diagnostic): 10 of 41 insurance plan rates
  • BCBS of UT — BCBS Regence: $3,166.26
  • PEHP (Public Employees Health Program) — PEHP - All Plans: $2,326.99
  • Advantra — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • Aetna — Aetna PPO: 74.4% (a percentage in the contract, not a dollar amount)
  • Aetna — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • Allied — Allied: 66% (a percentage in the contract, not a dollar amount)
  • American Health Plan of Utah — American Health Plan: 105% (a percentage in the contract, not a dollar amount)
  • Arches — Arches HIX: 88% (a percentage in the contract, not a dollar amount)
  • BCBS of UT — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • Beechstreet — Beechstreet: 95% (a percentage in the contract, not a dollar amount)
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Colonoscopy, flexible; with biopsy, single or multiple $4,219.73 $2,320.85 $1,130.34 – $4,219.73
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Colonoscopy, flexible; with biopsy, single or multiple Not listed in the file Not listed in the file $2,326.99
Colonoscopy with biopsy: 10 of 41 insurance plan rates
  • BCBS of UT — BCBS Regence: $4,125.89
  • PEHP (Public Employees Health Program) — PEHP - All Plans: $2,326.99
  • Advantra — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • Aetna — Aetna PPO: 74.4% (a percentage in the contract, not a dollar amount)
  • Aetna — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • Allied — Allied: 66% (a percentage in the contract, not a dollar amount)
  • American Health Plan of Utah — American Health Plan: 105% (a percentage in the contract, not a dollar amount)
  • Arches — Arches HIX: 88% (a percentage in the contract, not a dollar amount)
  • BCBS of UT — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • Beechstreet — Beechstreet: 95% (a percentage in the contract, not a dollar amount)
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique $4,361.02 $2,398.56 $1,130.34 – $4,361.02
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique Not listed in the file Not listed in the file $4,125.89
Colonoscopy with removal of polyps (snare): 10 of 41 insurance plan rates
  • BCBS of UT — BCBS Regence: $4,125.89
  • Advantra — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • Aetna — Aetna PPO: 74.4% (a percentage in the contract, not a dollar amount)
  • Aetna — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • Allied — Allied: 66% (a percentage in the contract, not a dollar amount)
  • American Health Plan of Utah — American Health Plan: 105% (a percentage in the contract, not a dollar amount)
  • Arches — Arches HIX: 88% (a percentage in the contract, not a dollar amount)
  • BCBS of UT — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • Beechstreet — Beechstreet: 95% (a percentage in the contract, not a dollar amount)
  • Cigna — Cigna PPO: 63.9% (a percentage in the contract, not a dollar amount)
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk $3,599.45 $1,979.70 $874.02 – $3,599.45
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk Not listed in the file Not listed in the file $3,166.26
Screening colonoscopy (not high risk): 10 of 41 insurance plan rates
  • BCBS of UT — BCBS Regence: $3,166.26
  • Advantra — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • Aetna — Aetna PPO: 74.4% (a percentage in the contract, not a dollar amount)
  • Aetna — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • Allied — Allied: 66% (a percentage in the contract, not a dollar amount)
  • American Health Plan of Utah — American Health Plan: 105% (a percentage in the contract, not a dollar amount)
  • Arches — Arches HIX: 88% (a percentage in the contract, not a dollar amount)
  • BCBS of UT — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • Beechstreet — Beechstreet: 95% (a percentage in the contract, not a dollar amount)
  • Cigna — Cigna PPO: 63.9% (a percentage in the contract, not a dollar amount)
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Laparoscopy, surgical; cholecystectomy $17,183.70 $9,451.04 $5,593.17 – $17,183.70
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Laparoscopy, surgical; cholecystectomy Not listed in the file Not listed in the file $19,858.29
Gallbladder removal by laparoscope: 10 of 41 insurance plan rates
  • BCBS of UT — BCBS Regence: $19,858.29
  • Advantra — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • Aetna — Aetna PPO: 74.4% (a percentage in the contract, not a dollar amount)
  • Aetna — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • Allied — Allied: 66% (a percentage in the contract, not a dollar amount)
  • American Health Plan of Utah — American Health Plan: 105% (a percentage in the contract, not a dollar amount)
  • Arches — Arches HIX: 88% (a percentage in the contract, not a dollar amount)
  • BCBS of UT — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • Beechstreet — Beechstreet: 95% (a percentage in the contract, not a dollar amount)
  • Cigna — Cigna PPO: 63.9% (a percentage in the contract, not a dollar amount)
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Repair initial inguinal hernia, age 5 years or older; reducible $15,948.78 $8,771.83 $3,383.17 – $15,948.78
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Repair initial inguinal hernia, age 5 years or older; reducible Not listed in the file Not listed in the file $13,494.75
Groin (inguinal) hernia repair, age 5 or older: 10 of 41 insurance plan rates
  • BCBS of UT — BCBS Regence: $13,494.75
  • Advantra — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • Aetna — Aetna PPO: 74.4% (a percentage in the contract, not a dollar amount)
  • Aetna — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • Allied — Allied: 66% (a percentage in the contract, not a dollar amount)
  • American Health Plan of Utah — American Health Plan: 105% (a percentage in the contract, not a dollar amount)
  • Arches — Arches HIX: 88% (a percentage in the contract, not a dollar amount)
  • BCBS of UT — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • Beechstreet — Beechstreet: 95% (a percentage in the contract, not a dollar amount)
  • Cigna — Cigna PPO: 63.9% (a percentage in the contract, not a dollar amount)
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Hysteroscopy, surgical; with sampling (biopsy) of endometrium and/or polypectomy, with or without D & C $11,640.88 $6,402.48 $3,048.09 – $11,640.88
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Hysteroscopy, surgical; with sampling (biopsy) of endometrium and/or polypectomy, with or without D & C Not listed in the file Not listed in the file $10,772.55
Hysteroscopy with biopsy of the uterus lining: 10 of 41 insurance plan rates
  • BCBS of UT — BCBS Regence: $10,772.55
  • Advantra — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • Aetna — Aetna PPO: 74.4% (a percentage in the contract, not a dollar amount)
  • Aetna — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • Allied — Allied: 66% (a percentage in the contract, not a dollar amount)
  • American Health Plan of Utah — American Health Plan: 105% (a percentage in the contract, not a dollar amount)
  • Arches — Arches HIX: 88% (a percentage in the contract, not a dollar amount)
  • BCBS of UT — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • Beechstreet — Beechstreet: 95% (a percentage in the contract, not a dollar amount)
  • Cigna — Cigna PPO: 63.9% (a percentage in the contract, not a dollar amount)
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Injection(s), of diagnostic or therapeutic substance(s) (eg, anesthetic, antispasmodic, opioid, steroid, other solution), not including neur $3,140.40 $1,727.22 $663.89 – $3,140.40
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Injection(s), of diagnostic or therapeutic substance(s) (eg, anesthetic, antispasmodic, opioid, steroid, other solution), not including neur Not listed in the file Not listed in the file $2,454.94
Spinal injection, lower back (epidural), with imaging guidance: 10 of 41 insurance plan rates
  • BCBS of UT — BCBS Regence: $2,454.94
  • Advantra — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • Aetna — Aetna PPO: 74.4% (a percentage in the contract, not a dollar amount)
  • Aetna — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • Allied — Allied: 66% (a percentage in the contract, not a dollar amount)
  • American Health Plan of Utah — American Health Plan: 105% (a percentage in the contract, not a dollar amount)
  • Arches — Arches HIX: 88% (a percentage in the contract, not a dollar amount)
  • BCBS of UT — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • Beechstreet — Beechstreet: 95% (a percentage in the contract, not a dollar amount)
  • Cigna — Cigna PPO: 63.9% (a percentage in the contract, not a dollar amount)
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Injection(s), anesthetic agent(s) and/or steroid; transforaminal epidural, with imaging guidance (fluoroscopy or CT), lumbar or sacral, sing $2,821.02 $1,551.56 $853.49 – $2,821.02
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Injection(s), anesthetic agent(s) and/or steroid; transforaminal epidural, with imaging guidance (fluoroscopy or CT), lumbar or sacral, sing Not listed in the file Not listed in the file $3,246.81
Nerve root injection, lower back, with imaging guidance: 10 of 41 insurance plan rates
  • BCBS of UT — BCBS Regence: $3,246.81
  • Advantra — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • Aetna — Aetna PPO: 74.4% (a percentage in the contract, not a dollar amount)
  • Aetna — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • Allied — Allied: 66% (a percentage in the contract, not a dollar amount)
  • American Health Plan of Utah — American Health Plan: 105% (a percentage in the contract, not a dollar amount)
  • Arches — Arches HIX: 88% (a percentage in the contract, not a dollar amount)
  • BCBS of UT — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • Beechstreet — Beechstreet: 95% (a percentage in the contract, not a dollar amount)
  • Cigna — Cigna PPO: 63.9% (a percentage in the contract, not a dollar amount)
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Neuroplasty and/or transposition; median nerve at carpal tunnel $10,344.35 $5,689.39 $1,872.04 – $10,344.35
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Neuroplasty and/or transposition; median nerve at carpal tunnel Not listed in the file Not listed in the file $6,848.55
Carpal tunnel release: 10 of 41 insurance plan rates
  • BCBS of UT — BCBS Regence: $6,848.55
  • Advantra — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • Aetna — Aetna PPO: 74.4% (a percentage in the contract, not a dollar amount)
  • Aetna — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • Allied — Allied: 66% (a percentage in the contract, not a dollar amount)
  • American Health Plan of Utah — American Health Plan: 105% (a percentage in the contract, not a dollar amount)
  • Arches — Arches HIX: 88% (a percentage in the contract, not a dollar amount)
  • BCBS of UT — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • Beechstreet — Beechstreet: 95% (a percentage in the contract, not a dollar amount)
  • Cigna — Cigna PPO: 63.9% (a percentage in the contract, not a dollar amount)
Cataract removal with lens implant CPT 66984 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Extracapsular cataract removal with insertion of intraocular lens prosthesis (1 stage procedure), manual or mechanical technique (eg, irriga $6,232.62 $3,427.94 $2,186.44 – $6,232.62
Cataract removal with lens implant CPT 66984 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Extracapsular cataract removal with insertion of intraocular lens prosthesis (1 stage procedure), manual or mechanical technique (eg, irriga Not listed in the file Not listed in the file $8,227.47
Cataract removal with lens implant: 10 of 41 insurance plan rates
  • BCBS of UT — BCBS Regence: $8,227.47
  • Advantra — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • Aetna — Aetna PPO: 74.4% (a percentage in the contract, not a dollar amount)
  • Aetna — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • Allied — Allied: 66% (a percentage in the contract, not a dollar amount)
  • American Health Plan of Utah — American Health Plan: 105% (a percentage in the contract, not a dollar amount)
  • Arches — Arches HIX: 88% (a percentage in the contract, not a dollar amount)
  • BCBS of UT — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • Beechstreet — Beechstreet: 95% (a percentage in the contract, not a dollar amount)
  • Cigna — Cigna PPO: 63.9% (a percentage in the contract, not a dollar amount)

Hospital stays (whole stay, MS-DRG)

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Spinal fusion (not neck), without major complications MS-DRG 460 · Inpatient (hospital stay) · Hospital (facility) fee In the file: spinal fusion except cervical $142,388.43 $78,313.64 $13,800 – $142,388.43
Spinal fusion (not neck), without major complications MS-DRG 460 · Inpatient (hospital stay) · Hospital (facility) fee In the file: spinal fusion except cervical Not listed in the file Not listed in the file $59,446.31
Spinal fusion (not neck), without major complications: 10 of 27 insurance plan rates
  • BCBS of UT — BCBS Regence: $59,446.31
  • PHCS — PHCS: $2,300
  • Aetna — Aetna PPO: 74.4% (a percentage in the contract, not a dollar amount)
  • Allied — Allied: 73% (a percentage in the contract, not a dollar amount)
  • Arches — Arches HIX: 88% (a percentage in the contract, not a dollar amount)
  • Beechstreet — Beechstreet: 95% (a percentage in the contract, not a dollar amount)
  • Cigna — Cigna PPO: 63.9% (a percentage in the contract, not a dollar amount)
  • CoreSource — CoreSource PPO: 95% (a percentage in the contract, not a dollar amount)
  • Deseret Mutual Benefit Admin (DMBA) — DMBA Network PPO: 92% (a percentage in the contract, not a dollar amount)
  • Educators Mutual — Educators Mutual PPO: 88% (a percentage in the contract, not a dollar amount)
Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Major Hip and Knee Joint Repla $67,121.78 $36,916.98 $4,600 – $67,121.78
Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Major Hip and Knee Joint Repla Not listed in the file Not listed in the file $16,130.58
Hip or knee replacement (major joint of the leg), without major complications: 10 of 41 insurance plan rates
  • Advantra — Managed Medicare 100%: $15,362.47
  • Aetna — Managed Medicare 100%: $15,362.47
  • American Health Plan of Utah — American Health Plan: $16,130.58
  • BCBS of UT — BCBS Regence: $30,179.34
  • BCBS of UT — Managed Medicare 100%: $15,362.47
  • Humana — Managed Medicare 100%: $15,362.47
  • Managed Medicare 100% — Managed Medicare 100%: $15,362.47
  • Molina — Managed Medicare 100%: $15,362.47
  • MVP Healthcare — Managed Medicare 100%: $15,362.47
  • PHCS — PHCS: $2,300

Source: Castleview Hospital’s standard charges file (castleviewhospital.net, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on July 14, 2026; retrieved November 1, 2026. The hospital’s price transparency page →

Found through the hospital’s cms-hpt.txt file, as required by the federal hospital price transparency rule (CMS). We show a selection of common services; the file has every item and service.

Hospital information

Hospital typeAcute Care Hospital
Address300 North Hospital Drive, Price, UT 84501
CountyCarbon County
StateUtah
Phone(435) 637‑4800
Emergency servicesYes
OwnershipProprietary
Medicare overall rating2 of 5 stars
Birthing-friendly designationYes (meets CMS criteria)
CMS Certification Number460011
Name in Medicare recordsCASTLEVIEW HOSPITAL
Profile levelMedicare data + hospital website
Official websitecastleviewhospital.net
CorrectionsReport an error or suggest an update →

Sources

  1. Hospital General Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-10-26, retrieved 2026-11-13
  2. Medicare Care Compare — official Medicare profile of this hospital
  3. U.S. Census Bureau Geocoder — map position used for distances

From the hospital’s website

Numbers match the citations above. Checked 2026-10-30.

  1. Castleview Hospital — castleviewhospital.net
  2. Emergency Room — castleviewhospital.net
  3. Visiting Hours — castleviewhospital.net
  4. Services — castleviewhospital.net
  5. Low-Dose CT Lung Cancer Screening | Price, UT — castleviewhospital.net
  6. Emergency Mental Health Services | Price, UT — castleviewhospital.net
  7. Heart CT for Calcium Scoring | Price, UT — castleviewhospital.net
  8. Diagnostic Imaging Services | Price, UT — castleviewhospital.net
  9. Surgical Services & General Surgery | Price, UT — castleviewhospital.net
  10. Adult Inpatient Services | Price, UT — castleviewhospital.net
  11. Breast Health | Castleview Hospital | Price, UT — castleviewhospital.net
  12. Heart Screenings & Imaging | Price, UT — castleviewhospital.net
  13. Colonoscopy & Endoscopy | Price, UT — castleviewhospital.net
  14. Varicose Vein Care & Treatment | Price, UT — castleviewhospital.net