Does Kane County Hospital have an emergency room?

Yes. Medicare (CMS) data lists emergency services at Kane County Hospital. In a medical emergency, call 911.

Where is Kane County Hospital?

355 North Main Street, Kanab, UT 84741, in Kane County, Utah.

What is the phone number of Kane County Hospital?

(435) 644-5811, as listed by Medicare (CMS).

What is the Medicare star rating of Kane County Hospital?

CMS does not show an overall star rating for this hospital. This is common, for example when a hospital reports too few quality measures or is not part of the rating program.

Kane County Hospital — Phone, Address, ER & Ratings

Quick answers

Does Kane County Hospital have an emergency room?: Yes. Medicare (CMS) data lists emergency services at Kane County Hospital. In a medical emergency, call 911.
Where is Kane County Hospital?: 355 North Main Street, Kanab, UT 84741, in Kane County, Utah.
What is the phone number of Kane County Hospital?: (435) 644-5811, as listed by Medicare (CMS).
What is the Medicare star rating of Kane County Hospital?: CMS does not show an overall star rating for this hospital. This is common, for example when a hospital reports too few quality measures or is not part of the rating program.

Specialties and care areas^[4][5][6]

Acute/In-Patient Care
Imaging & Radiology
Laboratory
Mental Health (Behavioral Health & Social Services)
Primary Care
Senior Care
Surgical Services
Women's Health
Visiting specialists (KCH Specialty Group)

Treatments^[4][5]

IV infusion therapy
Chemotherapy
Dialysis
Hospice care
Long-term care
Senior Life Solutions

Procedures^[4][5][6]

Rotator cuff repair
EKG

Programs and centers^[5]

Senior Life Solutions
Wellness (fitness and nutrition)

Visiting and practical information

Patient portal	My Health Portal

Doctors and clinicians (75)

75 doctors and other clinicians list Kane County 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

And 51 more: the button below opens the full list.

Other emergency rooms nearby

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

Intermountain Health Cedar City Hospital53 mi · Cedar City, UT · Acute Care Hospital
Intermountain Health Garfield Memorial Hospital54 mi · Panguitch, UT · Critical Access Hospital
St. George Regional Hospital57 mi · St George, UT · Acute Care Hospital
Page Hospital69 mi · Page, AZ · Critical Access Hospital
Beaver Valley Hospital86 mi · Beaver, UT · Critical Access Hospital

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

Other hospitals near Kanab

Mesa View Regional Hospital89 mi · Mesquite, NV · Critical Access Hospital

Hospitals in Kane County · Hospitals near me

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 Kane County 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.

Rated the hospital 9 or 10 out of 10	77%National average: 72%
Would definitely recommend the hospital	67%National average: 71%
Nurses “always” communicated well	77%National average: 80%
Doctors “always” communicated well	76%National average: 80%
“Always” got help as soon as they wanted	65%National average: 64%
Staff “always” explained medicines before giving them	50%National average: 62%
Were given information about recovery at home	79%National average: 86%
Room and bathroom “always” clean	81%National average: 73%
Not reported to Medicare	Summary star rating (all survey topics); Overall rating of the hospital; Would recommend the hospital; Nurses communicated well; Doctors communicated well; Patients got help quickly from staff; Staff explained medicines; Information about recovery at home; Room and bathroom kept clean; Restfulness of Environment; Care Coordination; Symptoms After Stay
Completed surveys	56Response rate: 24%

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: pneumonia patients	14.3%
Not reported to Medicare	Deaths within 30 days: heart attack patients; Deaths within 30 days: stroke patients; Deaths within 30 days: coronary bypass surgery (CABG); Serious complications (patient safety indicator PSI-90); Complications after hip or knee replacement
Too few cases to report	Deaths within 30 days: heart failure patients; Deaths within 30 days: COPD 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)	16.9%
Not reported to Medicare	Readmitted within 30 days: heart attack; Readmitted within 30 days: coronary bypass surgery; Readmitted within 30 days: hip or knee replacement
Too few cases to report	Readmitted within 30 days: heart failure; Readmitted within 30 days: pneumonia; Readmitted within 30 days: COPD

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.

Average (median) time patients spent in the emergency room before leaving (OP-18b)	95 minutesNational average: 162 minutes
Not reported to Medicare	Patients who left the emergency room before being seen (OP-22)
Too few cases to report	Sepsis patients who got all the recommended early care (SEP-1)

Source: Timely and Effective Care - Hospital — CMS, released October 19, 2026; data from January 2025 to December 2025.

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 →

ER wait times and Medicare ratings nearby

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

ER wait times in Utah Best hospitals in Utah

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 86 common services exactly as Kane County 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 86 common services

Office and emergency visits

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient or outpatient · Hospital (facility) fee In the file: Office/OP New Visit Level 3 99203	$216	$194.40	$81.38 – $216
New patient office visit (about 30–44 minutes): 10 of 17 insurance plan rates Aetna — All: $205.20 Blue Cross — Blue Shield Federal: $205.20 Blue Cross — Blue Shield Utah: $205.20 Cigna — All: $216 DBMA — All: $216 Educators Mutual Insurance — All: $216 GEHA — All: $216 Humana — All: $216 Molina — All: $216 Operating Engineers — All: $216
New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient or outpatient · Hospital (facility) fee In the file: Office/OP New Visit Level 4 99204	$281	$252.90	$131.91 – $281
New patient office visit (about 45–59 minutes): 10 of 17 insurance plan rates Aetna — All: $266.95 Blue Cross — Blue Shield Federal: $266.95 Blue Cross — Blue Shield Utah: $266.95 Cigna — All: $281 DBMA — All: $281 Educators Mutual Insurance — All: $281 GEHA — All: $281 Humana — All: $281 Molina — All: $281 Operating Engineers — All: $281
New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient or outpatient · Hospital (facility) fee In the file: Office/OP New Visit Level 5 99205	$371	$333.90	$178.95 – $371
New patient office visit (about 60–74 minutes): 10 of 17 insurance plan rates Aetna — All: $352.45 Blue Cross — Blue Shield Federal: $352.45 Blue Cross — Blue Shield Utah: $352.45 Cigna — All: $371 DBMA — All: $371 Educators Mutual Insurance — All: $371 GEHA — All: $371 Humana — All: $371 Molina — All: $371 Operating Engineers — All: $371
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient or outpatient · Hospital (facility) fee In the file: Office/OP Established Visit Level 3 99213	$174	$156.60	$65.24 – $174
Established patient office visit (about 20–29 minutes): 10 of 17 insurance plan rates Aetna — All: $165.30 Blue Cross — Blue Shield Federal: $165.30 Blue Cross — Blue Shield Utah: $165.30 Cigna — All: $174 DBMA — All: $174 Educators Mutual Insurance — All: $174 GEHA — All: $174 Humana — All: $174 Molina — All: $174 Operating Engineers — All: $174
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient or outpatient · Hospital (facility) fee In the file: Office/OP Established Visit Level 4 99214	$215	$193.50	$95.84 – $215
Established patient office visit (about 30–39 minutes): 10 of 17 insurance plan rates Aetna — All: $204.25 Blue Cross — Blue Shield Federal: $204.25 Blue Cross — Blue Shield Utah: $204.25 Cigna — All: $215 DBMA — All: $215 Educators Mutual Insurance — All: $215 GEHA — All: $215 Humana — All: $215 Molina — All: $215 Operating Engineers — All: $215
Office consultation with a specialist (moderate) CPT 99243 · Inpatient or outpatient · Hospital (facility) fee In the file: Consult Level 3 ED PRO FEE	$216	$194.40	$205.20 – $216
Office consultation with a specialist (moderate): 10 of 17 insurance plan rates Aetna — All: $205.20 Blue Cross — Blue Shield Federal: $205.20 Blue Cross — Blue Shield Utah: $205.20 Cigna — All: $216 DBMA — All: $216 Educators Mutual Insurance — All: $216 GEHA — All: $216 Humana — All: $216 Molina — All: $216 Operating Engineers — All: $216
Office consultation with a specialist (moderate) CPT 99243 · Inpatient or outpatient · Hospital (facility) fee In the file: Office Consultation Level 3 - 99243	$216	$194.40	$205.20 – $216
Office consultation with a specialist (moderate): 10 of 17 insurance plan rates Aetna — All: $205.20 Blue Cross — Blue Shield Federal: $205.20 Blue Cross — Blue Shield Utah: $205.20 Cigna — All: $216 DBMA — All: $216 Educators Mutual Insurance — All: $216 GEHA — All: $216 Humana — All: $216 Molina — All: $216 Operating Engineers — All: $216
Office consultation with a specialist (moderate to high) CPT 99244 · Inpatient or outpatient · Hospital (facility) fee In the file: Consult Level 4 ED PRO FEE	$340	$306	$323 – $340
Office consultation with a specialist (moderate to high): 10 of 17 insurance plan rates Aetna — All: $323 Blue Cross — Blue Shield Federal: $323 Blue Cross — Blue Shield Utah: $323 Cigna — All: $340 DBMA — All: $340 Educators Mutual Insurance — All: $340 GEHA — All: $340 Humana — All: $340 Molina — All: $340 Operating Engineers — All: $340
Office consultation with a specialist (moderate to high) CPT 99244 · Inpatient or outpatient · Hospital (facility) fee In the file: Office Consultation Level 4 - 99244	$281	$252.90	$266.95 – $281
Office consultation with a specialist (moderate to high): 10 of 17 insurance plan rates Aetna — All: $266.95 Blue Cross — Blue Shield Federal: $266.95 Blue Cross — Blue Shield Utah: $266.95 Cigna — All: $281 DBMA — All: $281 Educators Mutual Insurance — All: $281 GEHA — All: $281 Humana — All: $281 Molina — All: $281 Operating Engineers — All: $281
Preventive checkup, new patient, age 18–39 CPT 99385 · Inpatient or outpatient · Hospital (facility) fee In the file: Preventive Medicine 18-39 years New - 99385	$126	$113.40	$119.70 – $126
Preventive checkup, new patient, age 18–39: 10 of 17 insurance plan rates Aetna — All: $119.70 Blue Cross — Blue Shield Federal: $119.70 Blue Cross — Blue Shield Utah: $119.70 Cigna — All: $126 DBMA — All: $126 Educators Mutual Insurance — All: $126 GEHA — All: $126 Humana — All: $126 Molina — All: $126 Operating Engineers — All: $126
Preventive checkup, new patient, age 40–64 CPT 99386 · Inpatient or outpatient · Hospital (facility) fee In the file: Preventive Medicine 40-64 years New - 99386	$135	$121.50	$128.25 – $135
Preventive checkup, new patient, age 40–64: 10 of 17 insurance plan rates Aetna — All: $128.25 Blue Cross — Blue Shield Federal: $128.25 Blue Cross — Blue Shield Utah: $128.25 Cigna — All: $135 DBMA — All: $135 Educators Mutual Insurance — All: $135 GEHA — All: $135 Humana — All: $135 Molina — All: $135 Operating Engineers — All: $135
Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient · Hospital (facility) fee In the file: ED Visit- Low Level Dec Making	$454.64	$409.18	$70.84 – $454.64
Emergency room visit (moderate): 10 of 17 insurance plan rates Aetna — All: $431.90 Blue Cross — Blue Shield Federal: $431.90 Blue Cross — Blue Shield Utah: $431.90 Cigna — All: $454.64 DBMA — All: $454.64 Educators Mutual Insurance — All: $454.64 GEHA — All: $454.64 Humana — All: $454.64 Molina — All: $454.64 Operating Engineers — All: $454.64
Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient · Hospital (facility) fee In the file: Level 3	$454.64	$409.18	$70.84 – $454.64
Emergency room visit (moderate): 10 of 17 insurance plan rates Aetna — All: $431.90 Blue Cross — Blue Shield Federal: $431.90 Blue Cross — Blue Shield Utah: $431.90 Cigna — All: $454.64 DBMA — All: $454.64 Educators Mutual Insurance — All: $454.64 GEHA — All: $454.64 Humana — All: $454.64 Molina — All: $454.64 Operating Engineers — All: $454.64
Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient · Hospital (facility) fee In the file: Visit Level 3 ED PRO Fee	$154	$138.60	$70.84 – $154
Emergency room visit (moderate): 10 of 17 insurance plan rates Aetna — All: $146.30 Blue Cross — Blue Shield Federal: $146.30 Blue Cross — Blue Shield Utah: $146.30 Cigna — All: $154 DBMA — All: $154 Educators Mutual Insurance — All: $154 GEHA — All: $154 Humana — All: $154 Molina — All: $154 Operating Engineers — All: $154
Emergency room visit (moderately high) CPT 99284 · Inpatient or outpatient · Hospital (facility) fee In the file: ED Visit- Mod Dec Making	$743	$668.70	$119.74 – $743
Emergency room visit (moderately high): 10 of 17 insurance plan rates Aetna — All: $705.85 Blue Cross — Blue Shield Federal: $705.85 Blue Cross — Blue Shield Utah: $705.85 Cigna — All: $743 DBMA — All: $743 Educators Mutual Insurance — All: $743 GEHA — All: $743 Humana — All: $743 Molina — All: $743 Operating Engineers — All: $743
Emergency room visit (moderately high) CPT 99284 · Inpatient or outpatient · Hospital (facility) fee In the file: Level 4	$743	$668.70	$119.74 – $743
Emergency room visit (moderately high): 10 of 17 insurance plan rates Aetna — All: $705.85 Blue Cross — Blue Shield Federal: $705.85 Blue Cross — Blue Shield Utah: $705.85 Cigna — All: $743 DBMA — All: $743 Educators Mutual Insurance — All: $743 GEHA — All: $743 Humana — All: $743 Molina — All: $743 Operating Engineers — All: $743
Emergency room visit (moderately high) CPT 99284 · Inpatient or outpatient · Hospital (facility) fee In the file: Visit Level 4 ED PRO Fee	$294	$264.60	$119.74 – $294
Emergency room visit (moderately high): 10 of 17 insurance plan rates Aetna — All: $279.30 Blue Cross — Blue Shield Federal: $279.30 Blue Cross — Blue Shield Utah: $279.30 Cigna — All: $294 DBMA — All: $294 Educators Mutual Insurance — All: $294 GEHA — All: $294 Humana — All: $294 Molina — All: $294 Operating Engineers — All: $294
Emergency room visit (high) CPT 99285 · Inpatient or outpatient · Hospital (facility) fee In the file: ED Visit- High Dec Making	$1,054.99	$949.49	$173.89 – $1,054.99
Emergency room visit (high): 10 of 17 insurance plan rates Aetna — All: $1,002.24 Blue Cross — Blue Shield Federal: $1,002.24 Blue Cross — Blue Shield Utah: $1,002.24 Cigna — All: $1,054.99 DBMA — All: $1,054.99 Educators Mutual Insurance — All: $1,054.99 GEHA — All: $1,054.99 Humana — All: $1,054.99 Molina — All: $1,054.99 Operating Engineers — All: $1,054.99
Emergency room visit (high) CPT 99285 · Inpatient or outpatient · Hospital (facility) fee In the file: Level 5	$1,054.99	$949.49	$173.89 – $1,054.99
Emergency room visit (high): 10 of 17 insurance plan rates Aetna — All: $1,002.24 Blue Cross — Blue Shield Federal: $1,002.24 Blue Cross — Blue Shield Utah: $1,002.24 Cigna — All: $1,054.99 DBMA — All: $1,054.99 Educators Mutual Insurance — All: $1,054.99 GEHA — All: $1,054.99 Humana — All: $1,054.99 Molina — All: $1,054.99 Operating Engineers — All: $1,054.99
Emergency room visit (high) CPT 99285 · Inpatient or outpatient · Hospital (facility) fee In the file: Visit Level 5 ED PRO FEE	$431	$387.90	$173.89 – $431
Emergency room visit (high): 10 of 17 insurance plan rates Aetna — All: $409.45 Blue Cross — Blue Shield Federal: $409.45 Blue Cross — Blue Shield Utah: $409.45 Cigna — All: $431 DBMA — All: $431 Educators Mutual Insurance — All: $431 GEHA — All: $431 Humana — All: $431 Molina — All: $431 Operating Engineers — All: $431

Lab tests

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Inpatient or outpatient · Hospital (facility) fee In the file: BMP 5	$69	$62.10	$65.55 – $69
Basic metabolic panel (blood test): 10 of 17 insurance plan rates Aetna — All: $65.55 Blue Cross — Blue Shield Federal: $65.55 Blue Cross — Blue Shield Utah: $65.55 Cigna — All: $69 DBMA — All: $69 Educators Mutual Insurance — All: $69 GEHA — All: $69 Humana — All: $69 Molina — All: $69 Operating Engineers — All: $69
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient or outpatient · Hospital (facility) fee In the file: CMP 7	$85	$76.50	$80.75 – $85
Comprehensive metabolic panel (blood test): 10 of 17 insurance plan rates Aetna — All: $80.75 Blue Cross — Blue Shield Federal: $80.75 Blue Cross — Blue Shield Utah: $80.75 Cigna — All: $85 DBMA — All: $85 Educators Mutual Insurance — All: $85 GEHA — All: $85 Humana — All: $85 Molina — All: $85 Operating Engineers — All: $85
Obstetric blood test panel CPT 80055 · Inpatient or outpatient · Hospital (facility) fee In the file: Prenatal Reflexive Panel ARUP	$145.97	$131.37	$138.67 – $145.97
Obstetric blood test panel: 10 of 17 insurance plan rates Aetna — All: $138.67 Blue Cross — Blue Shield Federal: $138.67 Blue Cross — Blue Shield Utah: $138.67 Cigna — All: $145.97 DBMA — All: $145.97 Educators Mutual Insurance — All: $145.97 GEHA — All: $145.97 Humana — All: $145.97 Molina — All: $145.97 Operating Engineers — All: $145.97
Cholesterol panel (lipid panel) CPT 80061 · Inpatient or outpatient · Hospital (facility) fee In the file: Cholesterol Test	$36	$32.40	$34.20 – $36
Cholesterol panel (lipid panel): 10 of 17 insurance plan rates Aetna — All: $34.20 Blue Cross — Blue Shield Federal: $34.20 Blue Cross — Blue Shield Utah: $34.20 Cigna — All: $36 DBMA — All: $36 Educators Mutual Insurance — All: $36 GEHA — All: $36 Humana — All: $36 Molina — All: $36 Operating Engineers — All: $36
Cholesterol panel (lipid panel) CPT 80061 · Inpatient or outpatient · Hospital (facility) fee In the file: Lipid Panel 3	$107	$96.30	$101.65 – $107
Cholesterol panel (lipid panel): 10 of 17 insurance plan rates Aetna — All: $101.65 Blue Cross — Blue Shield Federal: $101.65 Blue Cross — Blue Shield Utah: $101.65 Cigna — All: $107 DBMA — All: $107 Educators Mutual Insurance — All: $107 GEHA — All: $107 Humana — All: $107 Molina — All: $107 Operating Engineers — All: $107
Kidney function panel CPT 80069 · Inpatient or outpatient · Hospital (facility) fee In the file: Renal Panel 5	$71	$63.90	$67.45 – $71
Kidney function panel: 10 of 17 insurance plan rates Aetna — All: $67.45 Blue Cross — Blue Shield Federal: $67.45 Blue Cross — Blue Shield Utah: $67.45 Cigna — All: $71 DBMA — All: $71 Educators Mutual Insurance — All: $71 GEHA — All: $71 Humana — All: $71 Molina — All: $71 Operating Engineers — All: $71
Liver function panel CPT 80076 · Inpatient or outpatient · Hospital (facility) fee In the file: Hepatic Panel 1	$67	$60.30	$63.65 – $67
Liver function panel: 10 of 17 insurance plan rates Aetna — All: $63.65 Blue Cross — Blue Shield Federal: $63.65 Blue Cross — Blue Shield Utah: $63.65 Cigna — All: $67 DBMA — All: $67 Educators Mutual Insurance — All: $67 GEHA — All: $67 Humana — All: $67 Molina — All: $67 Operating Engineers — All: $67
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: URINALYSIS AUTO W/SCOPE	Not listed in the file	Not listed in the file	Not listed in the file
Urine test (automated, with microscope): 10 of 17 insurance plan rates Aetna — All: 95% (a percentage in the contract, not a dollar amount) Blue Cross — Blue Shield Federal: 95% (a percentage in the contract, not a dollar amount) Blue Cross — Blue Shield Utah: 95% (a percentage in the contract, not a dollar amount) Cigna — All: 100% (a percentage in the contract, not a dollar amount) DBMA — All: 100% (a percentage in the contract, not a dollar amount) Educators Mutual Insurance — All: 100% (a percentage in the contract, not a dollar amount) GEHA — All: 100% (a percentage in the contract, not a dollar amount) Humana — All: 100% (a percentage in the contract, not a dollar amount) Molina — All: 100% (a percentage in the contract, not a dollar amount) Operating Engineers — All: 100% (a percentage in the contract, not a dollar amount)
Urine test (manual, without microscope) CPT 81002 · Inpatient or outpatient · Hospital (facility) fee In the file: Urine Dipstick POC	$17.79	$16.01	$16.90 – $17.79
Urine test (manual, without microscope): 10 of 17 insurance plan rates Aetna — All: $16.90 Blue Cross — Blue Shield Federal: $16.90 Blue Cross — Blue Shield Utah: $16.90 Cigna — All: $17.79 DBMA — All: $17.79 Educators Mutual Insurance — All: $17.79 GEHA — All: $17.79 Humana — All: $17.79 Molina — All: $17.79 Operating Engineers — All: $17.79
Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient · Hospital (facility) fee In the file: UA Dipstick 2	$24	$21.60	$22.80 – $24
Urine test (automated, without microscope): 10 of 17 insurance plan rates Aetna — All: $22.80 Blue Cross — Blue Shield Federal: $22.80 Blue Cross — Blue Shield Utah: $22.80 Cigna — All: $24 DBMA — All: $24 Educators Mutual Insurance — All: $24 GEHA — All: $24 Humana — All: $24 Molina — All: $24 Operating Engineers — All: $24
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient · Hospital (facility) fee In the file: Bill Prostate Specific Ag, Reflex	$131	$117.90	$124.45 – $131
PSA (prostate specific antigen) blood test: 10 of 17 insurance plan rates Aetna — All: $124.45 Blue Cross — Blue Shield Federal: $124.45 Blue Cross — Blue Shield Utah: $124.45 Cigna — All: $131 DBMA — All: $131 Educators Mutual Insurance — All: $131 GEHA — All: $131 Humana — All: $131 Molina — All: $131 Operating Engineers — All: $131
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient · Hospital (facility) fee In the file: PSA Ultra Sensitive ARUP	$119.92	$107.93	$113.92 – $119.92
PSA (prostate specific antigen) blood test: 10 of 17 insurance plan rates Aetna — All: $113.92 Blue Cross — Blue Shield Federal: $113.92 Blue Cross — Blue Shield Utah: $113.92 Cigna — All: $119.92 DBMA — All: $119.92 Educators Mutual Insurance — All: $119.92 GEHA — All: $119.92 Humana — All: $119.92 Molina — All: $119.92 Operating Engineers — All: $119.92
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient · Hospital (facility) fee In the file: Prostate Specific Ag, Reflex ARUP	$67.08	$60.37	$63.72 – $67.08
PSA (prostate specific antigen) blood test: 10 of 17 insurance plan rates Aetna — All: $63.72 Blue Cross — Blue Shield Federal: $63.72 Blue Cross — Blue Shield Utah: $63.72 Cigna — All: $67.08 DBMA — All: $67.08 Educators Mutual Insurance — All: $67.08 GEHA — All: $67.08 Humana — All: $67.08 Molina — All: $67.08 Operating Engineers — All: $67.08
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient or outpatient · Hospital (facility) fee In the file: Bill Thyroid Stimulating Hormone	$133	$119.70	$126.35 – $133
Thyroid stimulating hormone (TSH) test: 10 of 17 insurance plan rates Aetna — All: $126.35 Blue Cross — Blue Shield Federal: $126.35 Blue Cross — Blue Shield Utah: $126.35 Cigna — All: $133 DBMA — All: $133 Educators Mutual Insurance — All: $133 GEHA — All: $133 Humana — All: $133 Molina — All: $133 Operating Engineers — All: $133
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient or outpatient · Hospital (facility) fee In the file: TSH w/Reflex to FT4	$133	$119.70	$126.35 – $133
Thyroid stimulating hormone (TSH) test: 10 of 17 insurance plan rates Aetna — All: $126.35 Blue Cross — Blue Shield Federal: $126.35 Blue Cross — Blue Shield Utah: $126.35 Cigna — All: $133 DBMA — All: $133 Educators Mutual Insurance — All: $133 GEHA — All: $133 Humana — All: $133 Molina — All: $133 Operating Engineers — All: $133
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient or outpatient · Hospital (facility) fee In the file: Thyroid Stimulating Hormone	$133	$119.70	$126.35 – $133
Thyroid stimulating hormone (TSH) test: 10 of 17 insurance plan rates Aetna — All: $126.35 Blue Cross — Blue Shield Federal: $126.35 Blue Cross — Blue Shield Utah: $126.35 Cigna — All: $133 DBMA — All: $133 Educators Mutual Insurance — All: $133 GEHA — All: $133 Humana — All: $133 Molina — All: $133 Operating Engineers — All: $133
Complete blood count (CBC) with differential CPT 85025 · Inpatient or outpatient · Hospital (facility) fee In the file: CBC w/ Auto Differential	$46	$41.40	$43.70 – $46
Complete blood count (CBC) with differential: 10 of 17 insurance plan rates Aetna — All: $43.70 Blue Cross — Blue Shield Federal: $43.70 Blue Cross — Blue Shield Utah: $43.70 Cigna — All: $46 DBMA — All: $46 Educators Mutual Insurance — All: $46 GEHA — All: $46 Humana — All: $46 Molina — All: $46 Operating Engineers — All: $46
Complete blood count (CBC) with differential CPT 85025 · Inpatient or outpatient · Hospital (facility) fee In the file: CBC w/ Auto Differential 1	$46	$41.40	$43.70 – $46
Complete blood count (CBC) with differential: 10 of 17 insurance plan rates Aetna — All: $43.70 Blue Cross — Blue Shield Federal: $43.70 Blue Cross — Blue Shield Utah: $43.70 Cigna — All: $46 DBMA — All: $46 Educators Mutual Insurance — All: $46 GEHA — All: $46 Humana — All: $46 Molina — All: $46 Operating Engineers — All: $46
Complete blood count (CBC), automated CPT 85027 · Inpatient or outpatient · Hospital (facility) fee In the file: BILL Hemogram	$46	$41.40	$43.70 – $46
Complete blood count (CBC), automated: 10 of 17 insurance plan rates Aetna — All: $43.70 Blue Cross — Blue Shield Federal: $43.70 Blue Cross — Blue Shield Utah: $43.70 Cigna — All: $46 DBMA — All: $46 Educators Mutual Insurance — All: $46 GEHA — All: $46 Humana — All: $46 Molina — All: $46 Operating Engineers — All: $46
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient · Hospital (facility) fee In the file: Bill Prothrombin Time	$65	$58.50	$61.75 – $65
Blood clotting time test (prothrombin time, PT): 10 of 17 insurance plan rates Aetna — All: $61.75 Blue Cross — Blue Shield Federal: $61.75 Blue Cross — Blue Shield Utah: $61.75 Cigna — All: $65 DBMA — All: $65 Educators Mutual Insurance — All: $65 GEHA — All: $65 Humana — All: $65 Molina — All: $65 Operating Engineers — All: $65
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient · Hospital (facility) fee In the file: Coaguchek PT	$65	$58.50	$61.75 – $65
Blood clotting time test (prothrombin time, PT): 10 of 17 insurance plan rates Aetna — All: $61.75 Blue Cross — Blue Shield Federal: $61.75 Blue Cross — Blue Shield Utah: $61.75 Cigna — All: $65 DBMA — All: $65 Educators Mutual Insurance — All: $65 GEHA — All: $65 Humana — All: $65 Molina — All: $65 Operating Engineers — All: $65
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient · Hospital (facility) fee In the file: Prothrombin Time	$65	$58.50	$61.75 – $65
Blood clotting time test (prothrombin time, PT): 10 of 17 insurance plan rates Aetna — All: $61.75 Blue Cross — Blue Shield Federal: $61.75 Blue Cross — Blue Shield Utah: $61.75 Cigna — All: $65 DBMA — All: $65 Educators Mutual Insurance — All: $65 GEHA — All: $65 Humana — All: $65 Molina — All: $65 Operating Engineers — All: $65
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient · Hospital (facility) fee In the file: Bill Partial Thromboplastin Time	$66	$59.40	$62.70 – $66
Blood clotting test (partial thromboplastin time, PTT): 10 of 17 insurance plan rates Aetna — All: $62.70 Blue Cross — Blue Shield Federal: $62.70 Blue Cross — Blue Shield Utah: $62.70 Cigna — All: $66 DBMA — All: $66 Educators Mutual Insurance — All: $66 GEHA — All: $66 Humana — All: $66 Molina — All: $66 Operating Engineers — All: $66
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient · Hospital (facility) fee In the file: PTT-LA Screen (PTT-D) ARUP	$45.17	$40.65	$42.91 – $45.17
Blood clotting test (partial thromboplastin time, PTT): 10 of 17 insurance plan rates Aetna — All: $42.91 Blue Cross — Blue Shield Federal: $42.91 Blue Cross — Blue Shield Utah: $42.91 Cigna — All: $45.17 DBMA — All: $45.17 Educators Mutual Insurance — All: $45.17 GEHA — All: $45.17 Humana — All: $45.17 Molina — All: $45.17 Operating Engineers — All: $45.17
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient · Hospital (facility) fee In the file: PTT-LA Screen ARUP	$66	$59.40	$62.70 – $66
Blood clotting test (partial thromboplastin time, PTT): 10 of 17 insurance plan rates Aetna — All: $62.70 Blue Cross — Blue Shield Federal: $62.70 Blue Cross — Blue Shield Utah: $62.70 Cigna — All: $66 DBMA — All: $66 Educators Mutual Insurance — All: $66 GEHA — All: $66 Humana — All: $66 Molina — All: $66 Operating Engineers — All: $66

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

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
CT scan of the head or brain, without contrast CPT 70450 · Inpatient or outpatient · Hospital (facility) fee In the file: CT Head or Brain w/o Contrast	$828.52	$745.67	$106.17 – $828.52
CT scan of the head or brain, without contrast: 10 of 17 insurance plan rates Aetna — All: $787.09 Blue Cross — Blue Shield Federal: $787.09 Blue Cross — Blue Shield Utah: $787.09 Cigna — All: $828.52 DBMA — All: $828.52 Educators Mutual Insurance — All: $828.52 GEHA — All: $828.52 Humana — All: $828.52 Molina — All: $828.52 Operating Engineers — All: $828.52
CT scan of the head or brain, without contrast CPT 70450 · Inpatient or outpatient · Hospital (facility) fee In the file: CT Head or Brain w/o Contrast - BCE	$844	$759.60	$106.17 – $844
CT scan of the head or brain, without contrast: 10 of 17 insurance plan rates Aetna — All: $801.80 Blue Cross — Blue Shield Federal: $801.80 Blue Cross — Blue Shield Utah: $801.80 Cigna — All: $844 DBMA — All: $844 Educators Mutual Insurance — All: $844 GEHA — All: $844 Humana — All: $844 Molina — All: $844 Operating Engineers — All: $844
MRI of the brain, before and after contrast CPT 70553 · Inpatient or outpatient · Hospital (facility) fee In the file: MRI Brain w/ + w/o Contrast	$2,549	$2,294.10	$324.15 – $2,549
MRI of the brain, before and after contrast: 10 of 17 insurance plan rates Aetna — All: $2,421.55 Blue Cross — Blue Shield Federal: $2,421.55 Blue Cross — Blue Shield Utah: $2,421.55 Cigna — All: $2,549 DBMA — All: $2,549 Educators Mutual Insurance — All: $2,549 GEHA — All: $2,549 Humana — All: $2,549 Molina — All: $2,549 Operating Engineers — All: $2,549
Chest X-ray, 2 views CPT 71046 · Inpatient or outpatient · Hospital (facility) fee In the file: XR Chest 2 Views	$241	$216.90	$32.34 – $241
Chest X-ray, 2 views: 10 of 17 insurance plan rates Aetna — All: $228.95 Blue Cross — Blue Shield Federal: $228.95 Blue Cross — Blue Shield Utah: $228.95 Cigna — All: $241 DBMA — All: $241 Educators Mutual Insurance — All: $241 GEHA — All: $241 Humana — All: $241 Molina — All: $241 Operating Engineers — All: $241
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient or outpatient · Hospital (facility) fee In the file: XR Spine Lumbosacral Minimum 4 Views	$378	$340.20	$49.30 – $378
X-ray of the lower spine, at least 4 views: 10 of 17 insurance plan rates Aetna — All: $359.10 Blue Cross — Blue Shield Federal: $359.10 Blue Cross — Blue Shield Utah: $359.10 Cigna — All: $378 DBMA — All: $378 Educators Mutual Insurance — All: $378 GEHA — All: $378 Humana — All: $378 Molina — All: $378 Operating Engineers — All: $378
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient or outpatient · Hospital (facility) fee In the file: MRI Spine Lumbar w/o Contrast	$2,138	$1,924.20	$194.55 – $2,138
MRI of the lower back (lumbar spine), without contrast: 10 of 17 insurance plan rates Aetna — All: $2,031.10 Blue Cross — Blue Shield Federal: $2,031.10 Blue Cross — Blue Shield Utah: $2,031.10 Cigna — All: $2,138 DBMA — All: $2,138 Educators Mutual Insurance — All: $2,138 GEHA — All: $2,138 Humana — All: $2,138 Molina — All: $2,138 Operating Engineers — All: $2,138
CT scan of the pelvis, with contrast CPT 72193 · Inpatient or outpatient · Hospital (facility) fee In the file: CT Pelvis w/ Contrast	$1,241.63	$1,117.47	$234.21 – $1,241.63
CT scan of the pelvis, with contrast: 10 of 17 insurance plan rates Aetna — All: $1,179.54 Blue Cross — Blue Shield Federal: $1,179.54 Blue Cross — Blue Shield Utah: $1,179.54 Cigna — All: $1,241.63 DBMA — All: $1,241.63 Educators Mutual Insurance — All: $1,241.63 GEHA — All: $1,241.63 Humana — All: $1,241.63 Molina — All: $1,241.63 Operating Engineers — All: $1,241.63
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient · Hospital (facility) fee In the file: MRI LE Joint w/o Contrast Left	$1,397	$1,257.30	$204.68 – $1,397
MRI of a leg joint (such as the knee), without contrast: 10 of 17 insurance plan rates Aetna — All: $1,327.15 Blue Cross — Blue Shield Federal: $1,327.15 Blue Cross — Blue Shield Utah: $1,327.15 Cigna — All: $1,397 DBMA — All: $1,397 Educators Mutual Insurance — All: $1,397 GEHA — All: $1,397 Humana — All: $1,397 Molina — All: $1,397 Operating Engineers — All: $1,397
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient · Hospital (facility) fee In the file: MRI LE Joint w/o Contrast Right	$1,397	$1,257.30	$204.68 – $1,397
MRI of a leg joint (such as the knee), without contrast: 10 of 17 insurance plan rates Aetna — All: $1,327.15 Blue Cross — Blue Shield Federal: $1,327.15 Blue Cross — Blue Shield Utah: $1,327.15 Cigna — All: $1,397 DBMA — All: $1,397 Educators Mutual Insurance — All: $1,397 GEHA — All: $1,397 Humana — All: $1,397 Molina — All: $1,397 Operating Engineers — All: $1,397
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient or outpatient · Hospital (facility) fee In the file: CT Abdomen/Pelvis w/ Contrast	$1,842	$1,657.80	$310.91 – $1,842
CT scan of the abdomen and pelvis, with contrast: 10 of 17 insurance plan rates Aetna — All: $1,749.90 Blue Cross — Blue Shield Federal: $1,749.90 Blue Cross — Blue Shield Utah: $1,749.90 Cigna — All: $1,842 DBMA — All: $1,842 Educators Mutual Insurance — All: $1,842 GEHA — All: $1,842 Humana — All: $1,842 Molina — All: $1,842 Operating Engineers — All: $1,842
Ultrasound of the abdomen, complete CPT 76700 · Inpatient or outpatient · Hospital (facility) fee In the file: US Abdomen Complete	$475	$427.50	$114.33 – $475
Ultrasound of the abdomen, complete: 10 of 17 insurance plan rates Aetna — All: $451.25 Blue Cross — Blue Shield Federal: $451.25 Blue Cross — Blue Shield Utah: $451.25 Cigna — All: $475 DBMA — All: $475 Educators Mutual Insurance — All: $475 GEHA — All: $475 Humana — All: $475 Molina — All: $475 Operating Engineers — All: $475
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient or outpatient · Hospital (facility) fee In the file: US Pregnancy > 14 weeks	$420	$378	$131.37 – $420
Pregnancy ultrasound (after the first trimester): 10 of 17 insurance plan rates Aetna — All: $399 Blue Cross — Blue Shield Federal: $399 Blue Cross — Blue Shield Utah: $399 Cigna — All: $420 DBMA — All: $420 Educators Mutual Insurance — All: $420 GEHA — All: $420 Humana — All: $420 Molina — All: $420 Operating Engineers — All: $420
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient or outpatient · Hospital (facility) fee In the file: US Pregnancy Multi Gest > 14 weeks	$420	$378	$131.37 – $420
Pregnancy ultrasound (after the first trimester): 10 of 17 insurance plan rates Aetna — All: $399 Blue Cross — Blue Shield Federal: $399 Blue Cross — Blue Shield Utah: $399 Cigna — All: $420 DBMA — All: $420 Educators Mutual Insurance — All: $420 GEHA — All: $420 Humana — All: $420 Molina — All: $420 Operating Engineers — All: $420
Transvaginal ultrasound CPT 76830 · Inpatient or outpatient · Hospital (facility) fee In the file: US Transvaginal	$405.14	$364.63	$116.54 – $405.14
Transvaginal ultrasound: 10 of 17 insurance plan rates Aetna — All: $384.88 Blue Cross — Blue Shield Federal: $384.88 Blue Cross — Blue Shield Utah: $384.88 Cigna — All: $405.14 DBMA — All: $405.14 Educators Mutual Insurance — All: $405.14 GEHA — All: $405.14 Humana — All: $405.14 Molina — All: $405.14 Operating Engineers — All: $405.14
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: DX MAMMO INCL CAD UNI	Not listed in the file	Not listed in the file	$121.64
Diagnostic mammogram, one breast: 10 of 17 insurance plan rates Tricare — West: $121.64 United Healthcare — AARP Advantage: $121.64 Aetna — All: 95% (a percentage in the contract, not a dollar amount) Blue Cross — Blue Shield Federal: 95% (a percentage in the contract, not a dollar amount) Blue Cross — Blue Shield Utah: 95% (a percentage in the contract, not a dollar amount) Cigna — All: 100% (a percentage in the contract, not a dollar amount) DBMA — All: 100% (a percentage in the contract, not a dollar amount) Educators Mutual Insurance — All: 100% (a percentage in the contract, not a dollar amount) GEHA — All: 100% (a percentage in the contract, not a dollar amount) Humana — All: 100% (a percentage in the contract, not a dollar amount)
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: DX MAMMO INCL CAD BI	Not listed in the file	Not listed in the file	$153.62
Diagnostic mammogram, both breasts: 10 of 17 insurance plan rates Tricare — West: $153.62 United Healthcare — AARP Advantage: $153.62 Aetna — All: 95% (a percentage in the contract, not a dollar amount) Blue Cross — Blue Shield Federal: 95% (a percentage in the contract, not a dollar amount) Blue Cross — Blue Shield Utah: 95% (a percentage in the contract, not a dollar amount) Cigna — All: 100% (a percentage in the contract, not a dollar amount) DBMA — All: 100% (a percentage in the contract, not a dollar amount) Educators Mutual Insurance — All: 100% (a percentage in the contract, not a dollar amount) GEHA — All: 100% (a percentage in the contract, not a dollar amount) Humana — All: 100% (a percentage in the contract, not a dollar amount)
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: SCR MAMMO BI INCL CAD	Not listed in the file	Not listed in the file	$123.73
Screening mammogram, both breasts: 10 of 17 insurance plan rates Tricare — West: $123.73 United Healthcare — AARP Advantage: $123.73 Aetna — All: 95% (a percentage in the contract, not a dollar amount) Blue Cross — Blue Shield Federal: 95% (a percentage in the contract, not a dollar amount) Blue Cross — Blue Shield Utah: 95% (a percentage in the contract, not a dollar amount) Cigna — All: 100% (a percentage in the contract, not a dollar amount) DBMA — All: 100% (a percentage in the contract, not a dollar amount) Educators Mutual Insurance — All: 100% (a percentage in the contract, not a dollar amount) GEHA — All: 100% (a percentage in the contract, not a dollar amount) Humana — All: 100% (a percentage in the contract, not a dollar amount)

Heart tests and sleep study

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Electrocardiogram (ECG/EKG) with reading CPT 93000 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ELECTROCARDIOGRAM COMPLETE	Not listed in the file	Not listed in the file	$13.75
Electrocardiogram (ECG/EKG) with reading: 10 of 17 insurance plan rates Tricare — West: $13.75 United Healthcare — AARP Advantage: $13.75 Aetna — All: 95% (a percentage in the contract, not a dollar amount) Blue Cross — Blue Shield Federal: 95% (a percentage in the contract, not a dollar amount) Blue Cross — Blue Shield Utah: 95% (a percentage in the contract, not a dollar amount) Cigna — All: 100% (a percentage in the contract, not a dollar amount) DBMA — All: 100% (a percentage in the contract, not a dollar amount) Educators Mutual Insurance — All: 100% (a percentage in the contract, not a dollar amount) GEHA — All: 100% (a percentage in the contract, not a dollar amount) Humana — All: 100% (a percentage in the contract, not a dollar amount)
Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LEFT HRT CATH W/VENTRCLGRPHY	Not listed in the file	Not listed in the file	$898.09
Left heart catheterization (diagnostic): 10 of 17 insurance plan rates Tricare — West: $898.09 United Healthcare — AARP Advantage: $898.09 Aetna — All: 95% (a percentage in the contract, not a dollar amount) Blue Cross — Blue Shield Federal: 95% (a percentage in the contract, not a dollar amount) Blue Cross — Blue Shield Utah: 95% (a percentage in the contract, not a dollar amount) Cigna — All: 100% (a percentage in the contract, not a dollar amount) DBMA — All: 100% (a percentage in the contract, not a dollar amount) Educators Mutual Insurance — All: 100% (a percentage in the contract, not a dollar amount) GEHA — All: 100% (a percentage in the contract, not a dollar amount) Humana — All: 100% (a percentage in the contract, not a dollar amount)
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ELECTROPHYSIOLOGY EVALUATION	Not listed in the file	Not listed in the file	Not listed in the file
Heart rhythm study (electrophysiology evaluation): 10 of 17 insurance plan rates Aetna — All: 95% (a percentage in the contract, not a dollar amount) Blue Cross — Blue Shield Federal: 95% (a percentage in the contract, not a dollar amount) Blue Cross — Blue Shield Utah: 95% (a percentage in the contract, not a dollar amount) Cigna — All: 100% (a percentage in the contract, not a dollar amount) DBMA — All: 100% (a percentage in the contract, not a dollar amount) Educators Mutual Insurance — All: 100% (a percentage in the contract, not a dollar amount) GEHA — All: 100% (a percentage in the contract, not a dollar amount) Humana — All: 100% (a percentage in the contract, not a dollar amount) Molina — All: 100% (a percentage in the contract, not a dollar amount) Operating Engineers — All: 100% (a percentage in the contract, not a dollar amount)
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPRE EP EVAL ABLTJ ATR FIB	Not listed in the file	Not listed in the file	$1,081.45
Heart rhythm study with ablation for atrial fibrillation: 10 of 17 insurance plan rates Tricare — West: $1,081.45 United Healthcare — AARP Advantage: $1,081.45 Aetna — All: 95% (a percentage in the contract, not a dollar amount) Blue Cross — Blue Shield Federal: 95% (a percentage in the contract, not a dollar amount) Blue Cross — Blue Shield Utah: 95% (a percentage in the contract, not a dollar amount) Cigna — All: 100% (a percentage in the contract, not a dollar amount) DBMA — All: 100% (a percentage in the contract, not a dollar amount) Educators Mutual Insurance — All: 100% (a percentage in the contract, not a dollar amount) GEHA — All: 100% (a percentage in the contract, not a dollar amount) Humana — All: 100% (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 In the file: POLYSOM 6/> YRS 4/> PARAM	Not listed in the file	Not listed in the file	$577.68
Sleep study (overnight, in a sleep lab): 10 of 17 insurance plan rates Tricare — West: $577.68 United Healthcare — AARP Advantage: $577.68 Aetna — All: 95% (a percentage in the contract, not a dollar amount) Blue Cross — Blue Shield Federal: 95% (a percentage in the contract, not a dollar amount) Blue Cross — Blue Shield Utah: 95% (a percentage in the contract, not a dollar amount) Cigna — All: 100% (a percentage in the contract, not a dollar amount) DBMA — All: 100% (a percentage in the contract, not a dollar amount) Educators Mutual Insurance — All: 100% (a percentage in the contract, not a dollar amount) GEHA — All: 100% (a percentage in the contract, not a dollar amount) Humana — All: 100% (a percentage in the contract, not a dollar amount)

Physical therapy and mental health

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient · Hospital (facility) fee In the file: Therapeutic Exercise Charges	$80.07	$72.06	$28.85 – $80.07
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 17 insurance plan rates Aetna — All: $76.06 Blue Cross — Blue Shield Federal: $76.06 Blue Cross — Blue Shield Utah: $76.06 Cigna — All: $80.07 DBMA — All: $80.07 Educators Mutual Insurance — All: $80.07 GEHA — All: $80.07 Humana — All: $80.07 Molina — All: $80.07 Operating Engineers — All: $80.07
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient or outpatient · Hospital (facility) fee In the file: PT Evaluation Low Complexity Units	$172	$154.80	$98.16 – $172
Physical therapy evaluation (low complexity): 10 of 17 insurance plan rates Aetna — All: $163.40 Blue Cross — Blue Shield Federal: $163.40 Blue Cross — Blue Shield Utah: $163.40 Cigna — All: $172 DBMA — All: $172 Educators Mutual Insurance — All: $172 GEHA — All: $172 Humana — All: $172 Molina — All: $172 Operating Engineers — All: $172
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient or outpatient · Hospital (facility) fee In the file: PT Low Complex Units	$172	$154.80	$98.16 – $172
Physical therapy evaluation (low complexity): 10 of 17 insurance plan rates Aetna — All: $163.40 Blue Cross — Blue Shield Federal: $163.40 Blue Cross — Blue Shield Utah: $163.40 Cigna — All: $172 DBMA — All: $172 Educators Mutual Insurance — All: $172 GEHA — All: $172 Humana — All: $172 Molina — All: $172 Operating Engineers — All: $172
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient or outpatient · Hospital (facility) fee In the file: PT eval, low complexity 20 min.	$172	$154.80	$98.16 – $172
Physical therapy evaluation (low complexity): 10 of 17 insurance plan rates Aetna — All: $163.40 Blue Cross — Blue Shield Federal: $163.40 Blue Cross — Blue Shield Utah: $163.40 Cigna — All: $172 DBMA — All: $172 Educators Mutual Insurance — All: $172 GEHA — All: $172 Humana — All: $172 Molina — All: $172 Operating Engineers — All: $172
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient or outpatient · Hospital (facility) fee In the file: PT Moderate Complex Units	$201.52	$181.37	$98.16 – $201.52
Physical therapy evaluation (moderate complexity): 10 of 17 insurance plan rates Aetna — All: $191.44 Blue Cross — Blue Shield Federal: $191.44 Blue Cross — Blue Shield Utah: $191.44 Cigna — All: $201.52 DBMA — All: $201.52 Educators Mutual Insurance — All: $201.52 GEHA — All: $201.52 Humana — All: $201.52 Molina — All: $201.52 Operating Engineers — All: $201.52
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient or outpatient · Hospital (facility) fee In the file: PT eval, mod complexity 30 min.	$201.52	$181.37	$98.16 – $201.52
Physical therapy evaluation (moderate complexity): 10 of 17 insurance plan rates Aetna — All: $191.44 Blue Cross — Blue Shield Federal: $191.44 Blue Cross — Blue Shield Utah: $191.44 Cigna — All: $201.52 DBMA — All: $201.52 Educators Mutual Insurance — All: $201.52 GEHA — All: $201.52 Humana — All: $201.52 Molina — All: $201.52 Operating Engineers — All: $201.52
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient or outpatient · Hospital (facility) fee In the file: PT High Complex Units	$225	$202.50	$98.16 – $225
Physical therapy evaluation (high complexity): 10 of 17 insurance plan rates Aetna — All: $213.75 Blue Cross — Blue Shield Federal: $213.75 Blue Cross — Blue Shield Utah: $213.75 Cigna — All: $225 DBMA — All: $225 Educators Mutual Insurance — All: $225 GEHA — All: $225 Humana — All: $225 Molina — All: $225 Operating Engineers — All: $225
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient or outpatient · Hospital (facility) fee In the file: PT eval, high complexity 45 min.	$225	$202.50	$98.16 – $225
Physical therapy evaluation (high complexity): 10 of 17 insurance plan rates Aetna — All: $213.75 Blue Cross — Blue Shield Federal: $213.75 Blue Cross — Blue Shield Utah: $213.75 Cigna — All: $225 DBMA — All: $225 Educators Mutual Insurance — All: $225 GEHA — All: $225 Humana — All: $225 Molina — All: $225 Operating Engineers — All: $225
Psychotherapy, 30 minutes CPT 90832 · Inpatient or outpatient · Hospital (facility) fee In the file: Psychotherapy, 30 min. w/patient	$75	$67.50	$67.76 – $75
Psychotherapy, 30 minutes: 10 of 17 insurance plan rates Aetna — All: $71.25 Blue Cross — Blue Shield Federal: $71.25 Blue Cross — Blue Shield Utah: $71.25 Cigna — All: $75 DBMA — All: $75 Educators Mutual Insurance — All: $75 GEHA — All: $75 Humana — All: $75 Molina — All: $75 Operating Engineers — All: $75
Psychotherapy, 30 minutes CPT 90832 · Inpatient or outpatient · Hospital (facility) fee In the file: Psychotherapy, 30 minutes with patient and/or family member	$610	$549	$67.76 – $610
Psychotherapy, 30 minutes: 10 of 17 insurance plan rates Aetna — All: $579.50 Blue Cross — Blue Shield Federal: $579.50 Blue Cross — Blue Shield Utah: $579.50 Cigna — All: $610 DBMA — All: $610 Educators Mutual Insurance — All: $610 GEHA — All: $610 Humana — All: $610 Molina — All: $610 Operating Engineers — All: $610
Psychotherapy, 45 minutes CPT 90834 · Inpatient or outpatient · Hospital (facility) fee In the file: Psychotherapy, 45 min. w/patient	$100	$90	$89.23 – $100
Psychotherapy, 45 minutes: 10 of 17 insurance plan rates Aetna — All: $95 Blue Cross — Blue Shield Federal: $95 Blue Cross — Blue Shield Utah: $95 Cigna — All: $100 DBMA — All: $100 Educators Mutual Insurance — All: $100 GEHA — All: $100 Humana — All: $100 Molina — All: $100 Operating Engineers — All: $100
Psychotherapy, 45 minutes CPT 90834 · Inpatient or outpatient · Hospital (facility) fee In the file: Psychotherapy, 45 minutes with patient and/or family member	$755	$679.50	$89.23 – $755
Psychotherapy, 45 minutes: 10 of 17 insurance plan rates Aetna — All: $717.25 Blue Cross — Blue Shield Federal: $717.25 Blue Cross — Blue Shield Utah: $717.25 Cigna — All: $755 DBMA — All: $755 Educators Mutual Insurance — All: $755 GEHA — All: $755 Humana — All: $755 Molina — All: $755 Operating Engineers — All: $755
Psychotherapy, 60 minutes CPT 90837 · Inpatient or outpatient · Hospital (facility) fee In the file: Psychotherapy 60 Mins	$770	$693	$130.95 – $770
Psychotherapy, 60 minutes: 10 of 17 insurance plan rates Aetna — All: $731.50 Blue Cross — Blue Shield Federal: $731.50 Blue Cross — Blue Shield Utah: $731.50 Cigna — All: $770 DBMA — All: $770 Educators Mutual Insurance — All: $770 GEHA — All: $770 Humana — All: $770 Molina — All: $770 Operating Engineers — All: $770
Psychotherapy, 60 minutes CPT 90837 · Inpatient or outpatient · Hospital (facility) fee In the file: Psychotherapy, 60 min. w/patient	$147	$132.30	$130.95 – $147
Psychotherapy, 60 minutes: 10 of 17 insurance plan rates Aetna — All: $139.65 Blue Cross — Blue Shield Federal: $139.65 Blue Cross — Blue Shield Utah: $139.65 Cigna — All: $147 DBMA — All: $147 Educators Mutual Insurance — All: $147 GEHA — All: $147 Humana — All: $147 Molina — All: $147 Operating Engineers — All: $147
Family psychotherapy, without the patient CPT 90846 · Inpatient or outpatient · Hospital (facility) fee In the file: Family Psychotherapy (w/out patient present), 50 m	$108	$97.20	$96.04 – $108
Family psychotherapy, without the patient: 10 of 17 insurance plan rates Aetna — All: $102.60 Blue Cross — Blue Shield Federal: $102.60 Blue Cross — Blue Shield Utah: $102.60 Cigna — All: $108 DBMA — All: $108 Educators Mutual Insurance — All: $108 GEHA — All: $108 Humana — All: $108 Molina — All: $108 Operating Engineers — All: $108
Family psychotherapy, without the patient CPT 90846 · Inpatient or outpatient · Hospital (facility) fee In the file: Family Psychotherapy (w/out patient present), 50 min.	$105	$94.50	$96.04 – $105
Family psychotherapy, without the patient: 10 of 17 insurance plan rates Aetna — All: $99.75 Blue Cross — Blue Shield Federal: $99.75 Blue Cross — Blue Shield Utah: $99.75 Cigna — All: $105 DBMA — All: $105 Educators Mutual Insurance — All: $105 GEHA — All: $105 Humana — All: $105 Molina — All: $105 Operating Engineers — All: $105
Family psychotherapy, without the patient CPT 90846 · Inpatient or outpatient · Hospital (facility) fee In the file: Family Psychotherapy w/o Patient Present SLS	$805	$724.50	$96.04 – $805
Family psychotherapy, without the patient: 10 of 17 insurance plan rates Aetna — All: $764.75 Blue Cross — Blue Shield Federal: $764.75 Blue Cross — Blue Shield Utah: $764.75 Cigna — All: $805 DBMA — All: $805 Educators Mutual Insurance — All: $805 GEHA — All: $805 Humana — All: $805 Molina — All: $805 Operating Engineers — All: $805
Family psychotherapy, with the patient CPT 90847 · Inpatient or outpatient · Hospital (facility) fee In the file: FAMILY PSYCHOTHERAPY W/PATIENT PRESENT 50 MINS	$845	$760.50	$99.82 – $845
Family psychotherapy, with the patient: 10 of 17 insurance plan rates Aetna — All: $802.75 Blue Cross — Blue Shield Federal: $802.75 Blue Cross — Blue Shield Utah: $802.75 Cigna — All: $845 DBMA — All: $845 Educators Mutual Insurance — All: $845 GEHA — All: $845 Humana — All: $845 Molina — All: $845 Operating Engineers — All: $845
Family psychotherapy, with the patient CPT 90847 · Inpatient or outpatient · Hospital (facility) fee In the file: Family Psychotherapy (w/patient present), 50 min.	$113	$101.70	$99.82 – $113
Family psychotherapy, with the patient: 10 of 17 insurance plan rates Aetna — All: $107.35 Blue Cross — Blue Shield Federal: $107.35 Blue Cross — Blue Shield Utah: $107.35 Cigna — All: $113 DBMA — All: $113 Educators Mutual Insurance — All: $113 GEHA — All: $113 Humana — All: $113 Molina — All: $113 Operating Engineers — All: $113
Group psychotherapy CPT 90853 · Inpatient or outpatient · Hospital (facility) fee In the file: Group Psychotherapy (other than of a multiple-fami	$27	$24.30	$23.51 – $27
Group psychotherapy: 10 of 17 insurance plan rates Aetna — All: $25.65 Blue Cross — Blue Shield Federal: $25.65 Blue Cross — Blue Shield Utah: $25.65 Cigna — All: $27 DBMA — All: $27 Educators Mutual Insurance — All: $27 GEHA — All: $27 Humana — All: $27 Molina — All: $27 Operating Engineers — All: $27
Group psychotherapy CPT 90853 · Inpatient or outpatient · Hospital (facility) fee In the file: Group Psychotherapy (other than of a multiple-family group)	$26	$23.40	$23.51 – $26
Group psychotherapy: 10 of 17 insurance plan rates Aetna — All: $24.70 Blue Cross — Blue Shield Federal: $24.70 Blue Cross — Blue Shield Utah: $24.70 Cigna — All: $26 DBMA — All: $26 Educators Mutual Insurance — All: $26 GEHA — All: $26 Humana — All: $26 Molina — All: $26 Operating Engineers — All: $26
Group psychotherapy CPT 90853 · Inpatient or outpatient · Hospital (facility) fee In the file: Group psychotherapy.	$735	$661.50	$23.51 – $735
Group psychotherapy: 10 of 17 insurance plan rates Aetna — All: $698.25 Blue Cross — Blue Shield Federal: $698.25 Blue Cross — Blue Shield Utah: $698.25 Cigna — All: $735 DBMA — All: $735 Educators Mutual Insurance — All: $735 GEHA — All: $735 Humana — All: $735 Molina — All: $735 Operating Engineers — All: $735

Procedures and surgery

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Removal of breast growth (open surgery) CPT 19120 · Inpatient or outpatient · Hospital (facility) fee In the file: Excis Of Cyst, Fibroadenoma, Or Oth Benign O	$540	$486	$405.97 – $540
Removal of breast growth (open surgery): 10 of 17 insurance plan rates Aetna — All: $513 Blue Cross — Blue Shield Federal: $513 Blue Cross — Blue Shield Utah: $513 Cigna — All: $540 DBMA — All: $540 Educators Mutual Insurance — All: $540 GEHA — All: $540 Humana — All: $540 Molina — All: $540 Operating Engineers — All: $540
Removal of breast growth (open surgery) CPT 19120 · Inpatient or outpatient · Hospital (facility) fee In the file: Removal Of Breast Lesion ED Charge	$4,903	$4,412.70	$405.97 – $4,903
Removal of breast growth (open surgery): 10 of 17 insurance plan rates Aetna — All: $4,657.85 Blue Cross — Blue Shield Federal: $4,657.85 Blue Cross — Blue Shield Utah: $4,657.85 Cigna — All: $4,903 DBMA — All: $4,903 Educators Mutual Insurance — All: $4,903 GEHA — All: $4,903 Humana — All: $4,903 Molina — All: $4,903 Operating Engineers — All: $4,903
Total hip replacement CPT 27130 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: TOTAL HIP ARTHROPLASTY	Not listed in the file	Not listed in the file	$1,247.44
Total hip replacement: 10 of 17 insurance plan rates Tricare — West: $1,247.44 United Healthcare — AARP Advantage: $1,247.44 Aetna — All: 95% (a percentage in the contract, not a dollar amount) Blue Cross — Blue Shield Federal: 95% (a percentage in the contract, not a dollar amount) Blue Cross — Blue Shield Utah: 95% (a percentage in the contract, not a dollar amount) Cigna — All: 100% (a percentage in the contract, not a dollar amount) DBMA — All: 100% (a percentage in the contract, not a dollar amount) Educators Mutual Insurance — All: 100% (a percentage in the contract, not a dollar amount) GEHA — All: 100% (a percentage in the contract, not a dollar amount) Humana — All: 100% (a percentage in the contract, not a dollar amount)
Total knee replacement CPT 27447 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: TOTAL KNEE ARTHROPLASTY	Not listed in the file	Not listed in the file	$1,246.21
Total knee replacement: 10 of 17 insurance plan rates Tricare — West: $1,246.21 United Healthcare — AARP Advantage: $1,246.21 Aetna — All: 95% (a percentage in the contract, not a dollar amount) Blue Cross — Blue Shield Federal: 95% (a percentage in the contract, not a dollar amount) Blue Cross — Blue Shield Utah: 95% (a percentage in the contract, not a dollar amount) Cigna — All: 100% (a percentage in the contract, not a dollar amount) DBMA — All: 100% (a percentage in the contract, not a dollar amount) Educators Mutual Insurance — All: 100% (a percentage in the contract, not a dollar amount) GEHA — All: 100% (a percentage in the contract, not a dollar amount) Humana — All: 100% (a percentage in the contract, not a dollar amount)
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Inpatient or outpatient · Hospital (facility) fee In the file: ARTHROSCOPY, SHOULDER, SURGICAL; DECOMPRESSION OF	$370	$333	$168.11 – $370
Shoulder arthroscopy: shaving of shoulder bone: 10 of 17 insurance plan rates Aetna — All: $351.50 Blue Cross — Blue Shield Federal: $351.50 Blue Cross — Blue Shield Utah: $351.50 Cigna — All: $370 DBMA — All: $370 Educators Mutual Insurance — All: $370 GEHA — All: $370 Humana — All: $370 Molina — All: $370 Operating Engineers — All: $370
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Inpatient or outpatient · Hospital (facility) fee In the file: PRO FEE ARTHROSCOPY, KNEE, SURGICAL; WITH MENISCECTOMY (MEDIAL OR LATERAL	$1,055	$949.50	$526.52 – $1,055
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 17 insurance plan rates Aetna — All: $1,002.25 Blue Cross — Blue Shield Federal: $1,002.25 Blue Cross — Blue Shield Utah: $1,002.25 Cigna — All: $1,055 DBMA — All: $1,055 Educators Mutual Insurance — All: $1,055 GEHA — All: $1,055 Humana — All: $1,055 Molina — All: $1,055 Operating Engineers — All: $1,055
Removal of tonsils and adenoids (under age 12) CPT 42820 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: REMOVE TONSILS AND ADENOIDS	Not listed in the file	Not listed in the file	$283.16
Removal of tonsils and adenoids (under age 12): 10 of 17 insurance plan rates Tricare — West: $283.16 United Healthcare — AARP Advantage: $283.16 Aetna — All: 95% (a percentage in the contract, not a dollar amount) Blue Cross — Blue Shield Federal: 95% (a percentage in the contract, not a dollar amount) Blue Cross — Blue Shield Utah: 95% (a percentage in the contract, not a dollar amount) Cigna — All: 100% (a percentage in the contract, not a dollar amount) DBMA — All: 100% (a percentage in the contract, not a dollar amount) Educators Mutual Insurance — All: 100% (a percentage in the contract, not a dollar amount) GEHA — All: 100% (a percentage in the contract, not a dollar amount) Humana — All: 100% (a percentage in the contract, not a dollar amount)
Upper GI endoscopy (diagnostic) CPT 43235 · Inpatient or outpatient · Hospital (facility) fee In the file: EGD W/O BIOPSY	$264	$237.60	$118.99 – $264
Upper GI endoscopy (diagnostic): 10 of 17 insurance plan rates Aetna — All: $250.80 Blue Cross — Blue Shield Federal: $250.80 Blue Cross — Blue Shield Utah: $250.80 Cigna — All: $264 DBMA — All: $264 Educators Mutual Insurance — All: $264 GEHA — All: $264 Humana — All: $264 Molina — All: $264 Operating Engineers — All: $264
Upper GI endoscopy (diagnostic) CPT 43235 · Inpatient or outpatient · Hospital (facility) fee In the file: Upper GI Endoscopy, diagnositic w/wo collection of	$349	$314.10	$118.99 – $349
Upper GI endoscopy (diagnostic): 10 of 17 insurance plan rates Aetna — All: $331.55 Blue Cross — Blue Shield Federal: $331.55 Blue Cross — Blue Shield Utah: $331.55 Cigna — All: $349 DBMA — All: $349 Educators Mutual Insurance — All: $349 GEHA — All: $349 Humana — All: $349 Molina — All: $349 Operating Engineers — All: $349
Upper GI endoscopy with biopsy CPT 43239 · Inpatient or outpatient · Hospital (facility) fee In the file: EGD WITH BIOPSY	$300	$270	$134.06 – $300
Upper GI endoscopy with biopsy: 10 of 17 insurance plan rates Aetna — All: $285 Blue Cross — Blue Shield Federal: $285 Blue Cross — Blue Shield Utah: $285 Cigna — All: $300 DBMA — All: $300 Educators Mutual Insurance — All: $300 GEHA — All: $300 Humana — All: $300 Molina — All: $300 Operating Engineers — All: $300
Upper GI endoscopy with biopsy CPT 43239 · Inpatient or outpatient · Hospital (facility) fee In the file: Upper GI Endoscopy, diagnositic w/biopsy, single o	$396	$356.40	$134.06 – $396
Upper GI endoscopy with biopsy: 10 of 17 insurance plan rates Aetna — All: $376.20 Blue Cross — Blue Shield Federal: $376.20 Blue Cross — Blue Shield Utah: $376.20 Cigna — All: $396 DBMA — All: $396 Educators Mutual Insurance — All: $396 GEHA — All: $396 Humana — All: $396 Molina — All: $396 Operating Engineers — All: $396
Colonoscopy (diagnostic) CPT 45378 · Inpatient or outpatient · Hospital (facility) fee In the file: COLONOSCOPY PROFEE	$398	$358.20	$179.21 – $398
Colonoscopy (diagnostic): 10 of 17 insurance plan rates Aetna — All: $378.10 Blue Cross — Blue Shield Federal: $378.10 Blue Cross — Blue Shield Utah: $378.10 Cigna — All: $398 DBMA — All: $398 Educators Mutual Insurance — All: $398 GEHA — All: $398 Humana — All: $398 Molina — All: $398 Operating Engineers — All: $398
Colonoscopy (diagnostic) CPT 45378 · Inpatient or outpatient · Hospital (facility) fee In the file: Colonoscopy KCH	$800	$720	$179.21 – $800
Colonoscopy (diagnostic): 10 of 17 insurance plan rates Aetna — All: $760 Blue Cross — Blue Shield Federal: $760 Blue Cross — Blue Shield Utah: $760 Cigna — All: $800 DBMA — All: $800 Educators Mutual Insurance — All: $800 GEHA — All: $800 Humana — All: $800 Molina — All: $800 Operating Engineers — All: $800
Colonoscopy with biopsy CPT 45380 · Inpatient or outpatient · Hospital (facility) fee In the file: COLONOSCOPY W/BX ProFee	$432	$388.80	$194.64 – $432
Colonoscopy with biopsy: 10 of 17 insurance plan rates Aetna — All: $410.40 Blue Cross — Blue Shield Federal: $410.40 Blue Cross — Blue Shield Utah: $410.40 Cigna — All: $432 DBMA — All: $432 Educators Mutual Insurance — All: $432 GEHA — All: $432 Humana — All: $432 Molina — All: $432 Operating Engineers — All: $432
Colonoscopy with biopsy CPT 45380 · Inpatient or outpatient · Hospital (facility) fee In the file: Colonoscopy w/ Cold Forcep	$966	$869.40	$194.64 – $966
Colonoscopy with biopsy: 10 of 17 insurance plan rates Aetna — All: $917.70 Blue Cross — Blue Shield Federal: $917.70 Blue Cross — Blue Shield Utah: $917.70 Cigna — All: $966 DBMA — All: $966 Educators Mutual Insurance — All: $966 GEHA — All: $966 Humana — All: $966 Molina — All: $966 Operating Engineers — All: $966
Colonoscopy with removal of polyps (snare) CPT 45385 · Inpatient or outpatient · Hospital (facility) fee In the file: COLONOSCOPY LESION/POLYP REMOVAL SNARE TECHNIQUE	$546	$491.40	$247.50 – $546
Colonoscopy with removal of polyps (snare): 10 of 17 insurance plan rates Aetna — All: $518.70 Blue Cross — Blue Shield Federal: $518.70 Blue Cross — Blue Shield Utah: $518.70 Cigna — All: $546 DBMA — All: $546 Educators Mutual Insurance — All: $546 GEHA — All: $546 Humana — All: $546 Molina — All: $546 Operating Engineers — All: $546
Colonoscopy with removal of polyps (snare) CPT 45385 · Inpatient or outpatient · Hospital (facility) fee In the file: Colonoscopy w/ Polypectomy	$1,240	$1,116	$247.50 – $1,240
Colonoscopy with removal of polyps (snare): 10 of 17 insurance plan rates Aetna — All: $1,178 Blue Cross — Blue Shield Federal: $1,178 Blue Cross — Blue Shield Utah: $1,178 Cigna — All: $1,240 DBMA — All: $1,240 Educators Mutual Insurance — All: $1,240 GEHA — All: $1,240 Humana — All: $1,240 Molina — All: $1,240 Operating Engineers — All: $1,240
Ultrasound of the lower bowel by endoscope CPT 45391 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLONOSCOPY W/ENDOSCOPE US	Not listed in the file	Not listed in the file	$250.68
Ultrasound of the lower bowel by endoscope: 10 of 17 insurance plan rates Tricare — West: $250.68 United Healthcare — AARP Advantage: $250.68 Aetna — All: 95% (a percentage in the contract, not a dollar amount) Blue Cross — Blue Shield Federal: 95% (a percentage in the contract, not a dollar amount) Blue Cross — Blue Shield Utah: 95% (a percentage in the contract, not a dollar amount) Cigna — All: 100% (a percentage in the contract, not a dollar amount) DBMA — All: 100% (a percentage in the contract, not a dollar amount) Educators Mutual Insurance — All: 100% (a percentage in the contract, not a dollar amount) GEHA — All: 100% (a percentage in the contract, not a dollar amount) Humana — All: 100% (a percentage in the contract, not a dollar amount)
Screening colonoscopy (not high risk) HCPCS G0121 · Inpatient or outpatient · Hospital (facility) fee In the file: Colocrectal cancer screening, colonoscopy (not hig	$800	$720	$179.49 – $800
Screening colonoscopy (not high risk): 10 of 17 insurance plan rates Aetna — All: $760 Blue Cross — Blue Shield Federal: $760 Blue Cross — Blue Shield Utah: $760 Cigna — All: $800 DBMA — All: $800 Educators Mutual Insurance — All: $800 GEHA — All: $800 Humana — All: $800 Molina — All: $800 Operating Engineers — All: $800
Screening colonoscopy (not high risk) HCPCS G0121 · Inpatient or outpatient · Hospital (facility) fee In the file: G0121- Colonscopy Screening	$398	$358.20	$179.49 – $398
Screening colonoscopy (not high risk): 10 of 17 insurance plan rates Aetna — All: $378.10 Blue Cross — Blue Shield Federal: $378.10 Blue Cross — Blue Shield Utah: $378.10 Cigna — All: $398 DBMA — All: $398 Educators Mutual Insurance — All: $398 GEHA — All: $398 Humana — All: $398 Molina — All: $398 Operating Engineers — All: $398
Gallbladder removal by laparoscope CPT 47562 · Inpatient or outpatient · Hospital (facility) fee In the file: Laparocopy, surgical choleystetomy	$1,605	$1,444.50	$646.94 – $1,605
Gallbladder removal by laparoscope: 10 of 17 insurance plan rates Aetna — All: $1,524.75 Blue Cross — Blue Shield Federal: $1,524.75 Blue Cross — Blue Shield Utah: $1,524.75 Cigna — All: $1,605 DBMA — All: $1,605 Educators Mutual Insurance — All: $1,605 GEHA — All: $1,605 Humana — All: $1,605 Molina — All: $1,605 Operating Engineers — All: $1,605
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Inpatient or outpatient · Hospital (facility) fee In the file: REPAIR INITIAL INGUINAL HERNIA, AGE 5 YRS OR OLDER	$1,018	$916.20	$512.13 – $1,018
Groin (inguinal) hernia repair, age 5 or older: 10 of 17 insurance plan rates Aetna — All: $967.10 Blue Cross — Blue Shield Federal: $967.10 Blue Cross — Blue Shield Utah: $967.10 Cigna — All: $1,018 DBMA — All: $1,018 Educators Mutual Insurance — All: $1,018 GEHA — All: $1,018 Humana — All: $1,018 Molina — All: $1,018 Operating Engineers — All: $1,018
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BIOPSY OF PROSTATE	Not listed in the file	Not listed in the file	$126.02
Prostate biopsy: 10 of 17 insurance plan rates Tricare — West: $126.02 United Healthcare — AARP Advantage: $126.02 Aetna — All: 95% (a percentage in the contract, not a dollar amount) Blue Cross — Blue Shield Federal: 95% (a percentage in the contract, not a dollar amount) Blue Cross — Blue Shield Utah: 95% (a percentage in the contract, not a dollar amount) Cigna — All: 100% (a percentage in the contract, not a dollar amount) DBMA — All: 100% (a percentage in the contract, not a dollar amount) Educators Mutual Insurance — All: 100% (a percentage in the contract, not a dollar amount) GEHA — All: 100% (a percentage in the contract, not a dollar amount) Humana — All: 100% (a percentage in the contract, not a dollar amount)
Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LAPS SURG PRST8ECT RPBIC RAD	Not listed in the file	Not listed in the file	$1,398.75
Prostate removal by laparoscope (radical prostatectomy): 10 of 17 insurance plan rates Tricare — West: $1,398.75 United Healthcare — AARP Advantage: $1,398.75 Aetna — All: 95% (a percentage in the contract, not a dollar amount) Blue Cross — Blue Shield Federal: 95% (a percentage in the contract, not a dollar amount) Blue Cross — Blue Shield Utah: 95% (a percentage in the contract, not a dollar amount) Cigna — All: 100% (a percentage in the contract, not a dollar amount) DBMA — All: 100% (a percentage in the contract, not a dollar amount) Educators Mutual Insurance — All: 100% (a percentage in the contract, not a dollar amount) GEHA — All: 100% (a percentage in the contract, not a dollar amount) Humana — All: 100% (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 BIOPSY	Not listed in the file	Not listed in the file	$225.17
Hysteroscopy with biopsy of the uterus lining: 10 of 17 insurance plan rates Tricare — West: $225.17 United Healthcare — AARP Advantage: $225.17 Aetna — All: 95% (a percentage in the contract, not a dollar amount) Blue Cross — Blue Shield Federal: 95% (a percentage in the contract, not a dollar amount) Blue Cross — Blue Shield Utah: 95% (a percentage in the contract, not a dollar amount) Cigna — All: 100% (a percentage in the contract, not a dollar amount) DBMA — All: 100% (a percentage in the contract, not a dollar amount) Educators Mutual Insurance — All: 100% (a percentage in the contract, not a dollar amount) GEHA — All: 100% (a percentage in the contract, not a dollar amount) Humana — All: 100% (a percentage in the contract, not a dollar amount)
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Inpatient or outpatient · Hospital (facility) fee In the file: XR Spine Lumbar Epidural Steroid Injecti	$875	$787.50	$96.80 – $875
Spinal injection, lower back (epidural), with imaging guidance: 10 of 17 insurance plan rates Aetna — All: $831.25 Blue Cross — Blue Shield Federal: $831.25 Blue Cross — Blue Shield Utah: $831.25 Cigna — All: $875 DBMA — All: $875 Educators Mutual Insurance — All: $875 GEHA — All: $875 Humana — All: $875 Molina — All: $875 Operating Engineers — All: $875
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: NJX AA&/STRD TFRM EPI L/S 1	Not listed in the file	Not listed in the file	$108.21
Nerve root injection, lower back, with imaging guidance: 10 of 17 insurance plan rates Tricare — West: $108.21 United Healthcare — AARP Advantage: $108.21 Aetna — All: 95% (a percentage in the contract, not a dollar amount) Blue Cross — Blue Shield Federal: 95% (a percentage in the contract, not a dollar amount) Blue Cross — Blue Shield Utah: 95% (a percentage in the contract, not a dollar amount) Cigna — All: 100% (a percentage in the contract, not a dollar amount) DBMA — All: 100% (a percentage in the contract, not a dollar amount) Educators Mutual Insurance — All: 100% (a percentage in the contract, not a dollar amount) GEHA — All: 100% (a percentage in the contract, not a dollar amount) Humana — All: 100% (a percentage in the contract, not a dollar amount)
Carpal tunnel release CPT 64721 · Inpatient or outpatient · Hospital (facility) fee In the file: Carpal Tunnel Release	$2,484	$2,235.60	$422.31 – $2,484
Carpal tunnel release: 10 of 17 insurance plan rates Aetna — All: $2,359.80 Blue Cross — Blue Shield Federal: $2,359.80 Blue Cross — Blue Shield Utah: $2,359.80 Cigna — All: $2,484 DBMA — All: $2,484 Educators Mutual Insurance — All: $2,484 GEHA — All: $2,484 Humana — All: $2,484 Molina — All: $2,484 Operating Engineers — All: $2,484
Carpal tunnel release CPT 64721 · Inpatient or outpatient · Hospital (facility) fee In the file: Neuroplasty Median Nerve	$959	$863.10	$422.31 – $959
Carpal tunnel release: 10 of 17 insurance plan rates Aetna — All: $911.05 Blue Cross — Blue Shield Federal: $911.05 Blue Cross — Blue Shield Utah: $911.05 Cigna — All: $959 DBMA — All: $959 Educators Mutual Insurance — All: $959 GEHA — All: $959 Humana — All: $959 Molina — All: $959 Operating Engineers — All: $959
Laser treatment of clouding after cataract surgery CPT 66821 · Inpatient or outpatient · Hospital (facility) fee In the file: YAG Laser	$1,285	$1,156.50	$296.05 – $1,285
Laser treatment of clouding after cataract surgery: 10 of 17 insurance plan rates Aetna — All: $1,220.75 Blue Cross — Blue Shield Federal: $1,220.75 Blue Cross — Blue Shield Utah: $1,220.75 Cigna — All: $1,285 DBMA — All: $1,285 Educators Mutual Insurance — All: $1,285 GEHA — All: $1,285 Humana — All: $1,285 Molina — All: $1,285 Operating Engineers — All: $1,285
Cataract removal with lens implant CPT 66984 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: XCAPSL CTRC RMVL W/O ECP	Not listed in the file	Not listed in the file	$518.86
Cataract removal with lens implant: 10 of 17 insurance plan rates Tricare — West: $518.86 United Healthcare — AARP Advantage: $518.86 Aetna — All: 95% (a percentage in the contract, not a dollar amount) Blue Cross — Blue Shield Federal: 95% (a percentage in the contract, not a dollar amount) Blue Cross — Blue Shield Utah: 95% (a percentage in the contract, not a dollar amount) Cigna — All: 100% (a percentage in the contract, not a dollar amount) DBMA — All: 100% (a percentage in the contract, not a dollar amount) Educators Mutual Insurance — All: 100% (a percentage in the contract, not a dollar amount) GEHA — All: 100% (a percentage in the contract, not a dollar amount) Humana — All: 100% (a percentage in the contract, not a dollar amount)

Pregnancy and childbirth

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Vaginal delivery, with care before and after CPT 59400 · Inpatient or outpatient · Hospital (facility) fee In the file: OB Package KCH charge	$2,250	$2,025	$2,137.50 – $2,323.84
Vaginal delivery, with care before and after: 10 of 17 insurance plan rates Aetna — All: $2,137.50 Blue Cross — Blue Shield Federal: $2,137.50 Blue Cross — Blue Shield Utah: $2,137.50 Cigna — All: $2,250 DBMA — All: $2,250 Educators Mutual Insurance — All: $2,250 GEHA — All: $2,250 Humana — All: $2,250 Molina — All: $2,250 Operating Engineers — All: $2,250
Cesarean delivery (C-section), with care before and after CPT 59510 · Inpatient or outpatient · Hospital (facility) fee In the file: C-Section KCH	$2,805	$2,524.50	$2,562.05 – $2,805
Cesarean delivery (C-section), with care before and after: 10 of 17 insurance plan rates Aetna — All: $2,664.75 Blue Cross — Blue Shield Federal: $2,664.75 Blue Cross — Blue Shield Utah: $2,664.75 Cigna — All: $2,805 DBMA — All: $2,805 Educators Mutual Insurance — All: $2,805 GEHA — All: $2,805 Humana — All: $2,805 Molina — All: $2,805 Operating Engineers — All: $2,805
Vaginal delivery after a previous C-section, with care before and after CPT 59610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: VBAC DELIVERY	Not listed in the file	Not listed in the file	$2,425.89
Vaginal delivery after a previous C-section, with care before and after: 10 of 17 insurance plan rates Tricare — West: $2,425.89 United Healthcare — AARP Advantage: $2,425.89 Aetna — All: 95% (a percentage in the contract, not a dollar amount) Blue Cross — Blue Shield Federal: 95% (a percentage in the contract, not a dollar amount) Blue Cross — Blue Shield Utah: 95% (a percentage in the contract, not a dollar amount) Cigna — All: 100% (a percentage in the contract, not a dollar amount) DBMA — All: 100% (a percentage in the contract, not a dollar amount) Educators Mutual Insurance — All: 100% (a percentage in the contract, not a dollar amount) GEHA — All: 100% (a percentage in the contract, not a dollar amount) Humana — All: 100% (a percentage in the contract, not a dollar amount)

Hospital stays (whole stay, MS-DRG)

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Heart valve or major heart-chest surgery with heart catheterization, with major complications MS-DRG 216 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC	Not listed in the file	Not listed in the file	Not listed in the file
Heart valve or major heart-chest surgery with heart catheterization, with major complications: 10 of 17 insurance plan rates Aetna — All: 95% (a percentage in the contract, not a dollar amount) Blue Cross — Blue Shield Federal: 95% (a percentage in the contract, not a dollar amount) Blue Cross — Blue Shield Utah: 95% (a percentage in the contract, not a dollar amount) Cigna — All: 100% (a percentage in the contract, not a dollar amount) DBMA — All: 100% (a percentage in the contract, not a dollar amount) Educators Mutual Insurance — All: 100% (a percentage in the contract, not a dollar amount) GEHA — All: 100% (a percentage in the contract, not a dollar amount) Humana — All: 100% (a percentage in the contract, not a dollar amount) Molina — All: 100% (a percentage in the contract, not a dollar amount) Operating Engineers — All: 100% (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 REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC	Not listed in the file	Not listed in the file	Not listed in the file
Hip or knee replacement (major joint of the leg), without major complications: 10 of 17 insurance plan rates Aetna — All: 95% (a percentage in the contract, not a dollar amount) Blue Cross — Blue Shield Federal: 95% (a percentage in the contract, not a dollar amount) Blue Cross — Blue Shield Utah: 95% (a percentage in the contract, not a dollar amount) Cigna — All: 100% (a percentage in the contract, not a dollar amount) DBMA — All: 100% (a percentage in the contract, not a dollar amount) Educators Mutual Insurance — All: 100% (a percentage in the contract, not a dollar amount) GEHA — All: 100% (a percentage in the contract, not a dollar amount) Humana — All: 100% (a percentage in the contract, not a dollar amount) Molina — All: 100% (a percentage in the contract, not a dollar amount) Operating Engineers — All: 100% (a percentage in the contract, not a dollar amount)
Neck (cervical) spinal fusion, without complications MS-DRG 473 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CERVICAL SPINAL FUSION WITHOUT CC/MCC	Not listed in the file	Not listed in the file	Not listed in the file
Neck (cervical) spinal fusion, without complications: 10 of 17 insurance plan rates Aetna — All: 95% (a percentage in the contract, not a dollar amount) Blue Cross — Blue Shield Federal: 95% (a percentage in the contract, not a dollar amount) Blue Cross — Blue Shield Utah: 95% (a percentage in the contract, not a dollar amount) Cigna — All: 100% (a percentage in the contract, not a dollar amount) DBMA — All: 100% (a percentage in the contract, not a dollar amount) Educators Mutual Insurance — All: 100% (a percentage in the contract, not a dollar amount) GEHA — All: 100% (a percentage in the contract, not a dollar amount) Humana — All: 100% (a percentage in the contract, not a dollar amount) Molina — All: 100% (a percentage in the contract, not a dollar amount) Operating Engineers — All: 100% (a percentage in the contract, not a dollar amount)
Uterus and ovary surgery (not for cancer), without complications MS-DRG 743 · Inpatient (hospital stay) · Hospital (facility) fee In the file: UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC	Not listed in the file	Not listed in the file	Not listed in the file
Uterus and ovary surgery (not for cancer), without complications: 10 of 17 insurance plan rates Aetna — All: 95% (a percentage in the contract, not a dollar amount) Blue Cross — Blue Shield Federal: 95% (a percentage in the contract, not a dollar amount) Blue Cross — Blue Shield Utah: 95% (a percentage in the contract, not a dollar amount) Cigna — All: 100% (a percentage in the contract, not a dollar amount) DBMA — All: 100% (a percentage in the contract, not a dollar amount) Educators Mutual Insurance — All: 100% (a percentage in the contract, not a dollar amount) GEHA — All: 100% (a percentage in the contract, not a dollar amount) Humana — All: 100% (a percentage in the contract, not a dollar amount) Molina — All: 100% (a percentage in the contract, not a dollar amount) Operating Engineers — All: 100% (a percentage in the contract, not a dollar amount)

Source: Kane County Hospital’s standard charges file (kaneco.goredde.com, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on March 29, 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 type	Critical Access Hospital
Address	355 North Main Street, Kanab, UT 84741
County	Kane County
State	Utah
Phone	(435) 644‑5811
Emergency services	Yes
Ownership	Government - Hospital District or Authority
Medicare overall rating	Not rated by CMS
CMS Certification Number	461309
Name in Medicare records	KANE COUNTY HOSPITAL
Profile level	Medicare data + hospital website
Official website	kanecountyhospitalut.gov
Corrections	Report an error or suggest an update →

Sources

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

From the hospital’s website

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

Kane County Hospital — kanecountyhospitalut.gov
Services - Kane County Hospital — kanecountyhospitalut.gov
Surgical Services - Kane County Hospital — kanecountyhospitalut.gov

Kane County Hospital

Summary

Profile from official sources

At a glance

Quick answers

Specialties and care areas^[4][5][6]

Treatments^[4][5]

Procedures^[4][5][6]

Programs and centers^[5]

Visiting and practical information

Doctors and clinicians (75)

Main specialties

Doctors with a page on this site (75)

Other emergency rooms nearby

Other hospitals near Kanab

About the Medicare star rating

Medicare quality data

What patients said (patient survey)

Complications and deaths

Return visits to the hospital (readmissions)

Emergency room times and sepsis care

ER wait times and Medicare ratings nearby

Prices

Office and emergency visits

Lab tests

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

Heart tests and sleep study

Physical therapy and mental health

Procedures and surgery

Pregnancy and childbirth

Hospital stays (whole stay, MS-DRG)

Hospital information

Sources

From the hospital’s website

Kane County Hospital

Summary

Profile from official sources

At a glance

Quick answers

Specialties and care areas[4][5][6]

Treatments[4][5]

Procedures[4][5][6]

Programs and centers[5]

Visiting and practical information

Doctors and clinicians (75)

Main specialties

Doctors with a page on this site (75)

Other emergency rooms nearby

Other hospitals near Kanab

About the Medicare star rating

Medicare quality data

What patients said (patient survey)

Complications and deaths

Return visits to the hospital (readmissions)

Emergency room times and sepsis care

ER wait times and Medicare ratings nearby

Prices

Office and emergency visits

Lab tests

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

Heart tests and sleep study

Physical therapy and mental health

Procedures and surgery

Pregnancy and childbirth

Hospital stays (whole stay, MS-DRG)

Hospital information

Sources

From the hospital’s website

Specialties and care areas^[4][5][6]

Treatments^[4][5]

Procedures^[4][5][6]

Programs and centers^[5]