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Acute Care Hospital

Lone Peak Hospital

Draper, Utah · Salt Lake County · Emergency services listed

Lone Peak Hospital is an acute care hospital at 11925 South State Street, Draper, UT 84020. Phone: (801) 545-8000. It has an emergency department. Medicare overall rating: 5 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

Lone Peak Hospital is an acute care hospital in Draper, Utah. Medicare data lists emergency services. CMS overall star rating: 5 of 5 stars. Its official website lists 84 services, specialties and programs. Medicare lists 308 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

Call(801) 545‑8000 Directions Website Medicare profile
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Exterior of Lone Peak Hospital
Photo: An Errant Knight, CC BY-SA 4.0, via Wikimedia Commons · source · license

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
5 of 5 stars5 of 5 stars · Medicare rating
YesBirthing-friendly (CMS)
308Doctors and clinicians
84Services listed

Quick answers

Does Lone Peak Hospital have an emergency room?
Yes. Medicare (CMS) data lists emergency services at Lone Peak Hospital. In a medical emergency, call 911.
Where is Lone Peak Hospital?
11925 South State Street, Draper, UT 84020, in Salt Lake County, Utah.
What is the phone number of Lone Peak Hospital?
(801) 545-8000, as listed by Medicare (CMS).
What is the Medicare star rating of Lone Peak Hospital?
5 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-10-26).
Does Medicare reduce its payments to Lone Peak Hospital for hospital-acquired conditions?
No. For fiscal year 2026, CMS lists no Medicare payment reduction for Lone Peak Hospital under the Hospital-Acquired Condition Reduction Program (Total HAC Score: -0.4237; 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[5][6][9][10][13]

Conditions treated[5][12][13][15][19]

Treatments[7][10][15][16]

  • Ultrasound
  • MRI (1.5 Tesla)
  • CT scan
  • Fluoroscopy
  • 3D mammography
  • Breast biopsy
  • Bone densitometry
  • Echocardiogram
  • Cardiac catheterization
  • Nuclear stress test
  • Cardiac rehabilitation

Procedures[5][9][15][16][17]

Programs and centers[5][6][8][12]

  • Labor and delivery
  • Midwifery
  • High-risk pregnancy care
  • The Suction Clinic
  • Pediatric craniofacial program
  • Sleep disorders program
  • Heart conditions program
  • Stroke care program
  • Obstetrics emergency department

Emergency care (hospital website)[4][8][14]

Emergency roomYes
Open 24/7Yes
Stroke designationCertified stroke receiving facility (State of Utah)

Recognition[14]

  • Gold Seal of Approval (Joint Commission)
  • Joint Commission Certificates of Distinction: Spine Surgery, Joint Replacement - Hip, Joint Replacement - Knee
  • Certified stroke receiving facility (State of Utah)

Doctors and clinicians (308)

308 doctors and other clinicians list Lone Peak 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 (308)

And 284 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 Draper

Hospitals in Salt Lake 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 →

Outpatient surgery centers nearby

Medicare-certified ambulatory surgery centers within 25 miles, by straight-line distance.

All outpatient surgery centers 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

Clinics and urgent care

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 Lone Peak 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) 4 of 5 stars
Overall rating of the hospital4 of 5 stars
Would recommend the hospital5 of 5 stars
Nurses communicated well4 of 5 stars
Doctors communicated well4 of 5 stars
Patients got help quickly from staff4 of 5 stars
Staff explained medicines2 of 5 stars
Information about recovery at home3 of 5 stars
Room and bathroom kept clean4 of 5 stars
Restfulness of Environment3 of 5 stars
Care Coordination4 of 5 stars
Symptoms After Stay4 of 5 stars
Rated the hospital 9 or 10 out of 1081%National average: 72%
Would definitely recommend the hospital81%National average: 71%
Nurses “always” communicated well81%National average: 80%
Doctors “always” communicated well81%National average: 80%
“Always” got help as soon as they wanted68%National average: 64%
Staff “always” explained medicines before giving them59%National average: 62%
Were given information about recovery at home87%National average: 86%
Room and bathroom “always” clean77%National average: 73%
Completed surveys673Response rate: 24%

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

Infections caught in the hospital

What this means: CMS compares the number of infections patients caught in this hospital with the number expected for a hospital like it. The number shown is that ratio: below 1 means fewer infections than expected, above 1 means more. “Better” or “worse” is shown only when the difference is clear in the data.

Clostridioides difficile (C. diff) intestinal infections0No different from the national benchmark
Not reported to MedicareCentral line bloodstream infections (CLABSI); Catheter-associated urinary tract infections (CAUTI); Surgical site infections after colon surgery; Surgical site infections after abdominal hysterectomy; MRSA bloodstream infections

Source: Healthcare Associated Infections - Hospital — CMS, released October 19, 2026; data from 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 patients9.3%
Deaths within 30 days: pneumonia patients11.5%
Serious complications (patient safety indicator PSI-90)0.9No different from the national rate
Complications after hip or knee replacement4.6%
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)15.4%
Readmitted within 30 days: heart failure22.9%
Readmitted within 30 days: pneumonia17%
Readmitted within 30 days: hip or knee replacement6%
Not reported to MedicareReadmitted within 30 days: heart attack; Readmitted within 30 days: coronary bypass surgery
Too few cases to reportReadmitted 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.

Emergency room volume (patients per year)Low (under 20,000)
Average (median) time patients spent in the emergency room before leaving (OP-18b)114 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)0%National average: 2%
Sepsis patients who got all the recommended early care (SEP-1)90%National average: 66%

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

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 Lone Peak 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 Score-0.4237Lower 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 failure1.0559More readmissions than expected
Pneumonia0.9559Fewer readmissions than expected
No result publishedHeart attack; COPD (chronic lung disease); Hip or knee replacement; 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 Score54.00 out of 100Median of the 2,455 hospitals in the program: 29.50
Clinical outcomes (deaths and complications)60.00 out of 100
Person and community engagement (patient survey)36.00 out of 100
Safety (infections and sepsis care)100.00 out of 100
Efficiency and cost reduction (Medicare spending)20.00 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, ratio0.94Below the national median hospital (1.00): Medicare spent less

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.

ER wait times in UtahBest hospitals in Utah

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 81 common services exactly as Lone Peak 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 81 common services

Office and emergency visits

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Office consultation with a specialist (moderate) CPT 99243 · Outpatient (no overnight stay) In the file: Office or other outpatient consultation for a new or established patient, which requires a medically appropriate history and/or examination Not listed in the file Not listed in the file $141.04 – $156.34
Office consultation with a specialist (moderate): rates for 8 insurance plans
  • Regence — FocalPoint: $156.34
  • Regence — FocalPointPlus: $141.04
  • Regence — Individual: $156.34
  • Regence — Participating: $156.34
  • Regence — PPO: $156.34
  • Regence — Preferred: $156.34
  • Regence — RealValue: $156.34
  • Regence — Traditional: $156.34
Office consultation with a specialist (moderate to high) CPT 99244 · Outpatient (no overnight stay) In the file: Office or other outpatient consultation for a new or established patient, which requires a medically appropriate history and/or examination Not listed in the file Not listed in the file $200.71 – $222.49
Office consultation with a specialist (moderate to high): rates for 8 insurance plans
  • Regence — FocalPoint: $222.49
  • Regence — FocalPointPlus: $200.71
  • Regence — Individual: $222.49
  • Regence — Participating: $222.49
  • Regence — PPO: $222.49
  • Regence — Preferred: $222.49
  • Regence — RealValue: $222.49
  • Regence — Traditional: $222.49
Preventive checkup, new patient, age 18–39 CPT 99385 · Outpatient (no overnight stay) In the file: Initial comprehensive preventive medicine evaluation and management of an individual including an age and gender appropriate history, examin Not listed in the file Not listed in the file $162.73 – $180.39
Preventive checkup, new patient, age 18–39: rates for 8 insurance plans
  • Regence — FocalPoint: $180.39
  • Regence — FocalPointPlus: $162.73
  • Regence — Individual: $180.39
  • Regence — Participating: $180.39
  • Regence — PPO: $180.39
  • Regence — Preferred: $180.39
  • Regence — RealValue: $180.39
  • Regence — Traditional: $180.39
Preventive checkup, new patient, age 40–64 CPT 99386 · Outpatient (no overnight stay) In the file: Initial comprehensive preventive medicine evaluation and management of an individual including an age and gender appropriate history, examin Not listed in the file Not listed in the file $187.36 – $207.69
Preventive checkup, new patient, age 40–64: rates for 8 insurance plans
  • Regence — FocalPoint: $207.69
  • Regence — FocalPointPlus: $187.36
  • Regence — Individual: $207.69
  • Regence — Participating: $207.69
  • Regence — PPO: $207.69
  • Regence — Preferred: $207.69
  • Regence — RealValue: $207.69
  • Regence — Traditional: $207.69
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) In the file: LVL 3 EMER DEPT $2,591.50 $2,591.50 $533.59 – $2,021.37
Emergency room visit (moderate): 10 of 13 insurance plan rates
  • Aetna — FirstHealth: $1,814.05
  • Cigna — NBNPPO: $1,057.33
  • Cigna — Non-ExclusivePPO: $1,337.21
  • Cigna UT Overstock — COMM: $1,036.60
  • DMBA (Deseret Mutual Benefit Admin) — PPO: $950.04
  • ELAP — COMM: $533.59
  • Injury Care of Utah — WCOMP: $2,021.37
  • Public Employees — PrefferedNetwork: $1,433.10
  • United — GlobalBenefitPlan: $1,166.17
  • University of Utah — HealthyPreferred: $948.49
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) 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 $1,031 – $3,911
Emergency room visit (moderate): 10 of 28 insurance plan rates
  • Aetna — AetnaSignatureAdministrators: $2,179
  • Aetna — PeakPreference: $1,304
  • Aetna — StandardNetwork: $1,709
  • Aetna — UtahConnectedNetwork: $2,237
  • Bright Health — HIX: $958
  • Cigna — Exclusive: $1,324
  • Cigna — LocalPlus: $1,019
  • Cigna — OAPNBN: $1,152
  • Humana — MCRHMO: $3,615
  • Humana — MCRPPO: $3,615
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · modifier ER In the file: LVL 3 FREE STD EMER DEPT $2,591.50 $2,591.50 $533.59 – $2,021.37
Emergency room visit (moderate): 10 of 13 insurance plan rates
  • Aetna — FirstHealth: $1,814.05
  • Cigna — NBNPPO: $1,057.33
  • Cigna — Non-ExclusivePPO: $1,337.21
  • Cigna UT Overstock — COMM: $1,036.60
  • DMBA (Deseret Mutual Benefit Admin) — PPO: $950.04
  • ELAP — COMM: $533.59
  • Injury Care of Utah — WCOMP: $2,021.37
  • Public Employees — PrefferedNetwork: $1,433.10
  • United — GlobalBenefitPlan: $1,166.17
  • University of Utah — HealthyPreferred: $948.49
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) In the file: LVL 4 EMER DEPT $4,318.12 $4,318.12 $889.10 – $3,368.13
Emergency room visit (moderately high): 10 of 13 insurance plan rates
  • Aetna — FirstHealth: $3,022.68
  • Cigna — NBNPPO: $1,761.79
  • Cigna — Non-ExclusivePPO: $2,228.15
  • Cigna UT Overstock — COMM: $1,727.25
  • DMBA (Deseret Mutual Benefit Admin) — PPO: $1,583.02
  • ELAP — COMM: $889.10
  • Injury Care of Utah — WCOMP: $3,368.13
  • Public Employees — PrefferedNetwork: $2,387.92
  • United — GlobalBenefitPlan: $1,943.15
  • University of Utah — HealthyPreferred: $1,580.43
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) 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 $3,292 – $5,416
Emergency room visit (moderately high): 10 of 28 insurance plan rates
  • Aetna — AetnaSignatureAdministrators: $6,286
  • Aetna — PeakPreference: $3,762
  • Aetna — StandardNetwork: $4,930
  • Aetna — UtahConnectedNetwork: $6,453
  • Bright Health — HIX: $1,596
  • Cigna — Exclusive: $2,270
  • Cigna — LocalPlus: $1,748
  • Cigna — OAPNBN: $1,975
  • Humana — MCRHMO: $3,615
  • Humana — MCRPPO: $3,615
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · modifier ER In the file: LVL 4 FREE STD EMER DEPT $4,318.12 $4,318.12 $889.10 – $3,368.13
Emergency room visit (moderately high): 10 of 13 insurance plan rates
  • Aetna — FirstHealth: $3,022.68
  • Cigna — NBNPPO: $1,761.79
  • Cigna — Non-ExclusivePPO: $2,228.15
  • Cigna UT Overstock — COMM: $1,727.25
  • DMBA (Deseret Mutual Benefit Admin) — PPO: $1,583.02
  • ELAP — COMM: $889.10
  • Injury Care of Utah — WCOMP: $3,368.13
  • Public Employees — PrefferedNetwork: $2,387.92
  • United — GlobalBenefitPlan: $1,943.15
  • University of Utah — HealthyPreferred: $1,580.43
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) In the file: LVL 5 EMER DEPT $5,626.11 $5,626.11 $1,158.42 – $4,388.37
Emergency room visit (high): 10 of 13 insurance plan rates
  • Aetna — FirstHealth: $3,938.28
  • Cigna — NBNPPO: $2,295.45
  • Cigna — Non-ExclusivePPO: $2,903.07
  • Cigna UT Overstock — COMM: $2,250.44
  • DMBA (Deseret Mutual Benefit Admin) — PPO: $2,062.53
  • ELAP — COMM: $1,158.42
  • Injury Care of Utah — WCOMP: $4,388.37
  • Public Employees — PrefferedNetwork: $3,111.24
  • United — GlobalBenefitPlan: $2,531.75
  • University of Utah — HealthyPreferred: $2,059.16
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) 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 $3,615
Emergency room visit (high): 10 of 28 insurance plan rates
  • Aetna — AetnaSignatureAdministrators: $10,460
  • Aetna — PeakPreference: $6,260
  • Aetna — StandardNetwork: $8,204
  • Aetna — UtahConnectedNetwork: $10,739
  • Bright Health — HIX: $2,660
  • Cigna — Exclusive: $4,307
  • Cigna — LocalPlus: $3,316
  • Cigna — OAPNBN: $3,747
  • Humana — MCRHMO: $3,615
  • Humana — MCRPPO: $3,615
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · modifier ER In the file: LVL 5 FREE STD EMER DEPT $5,626.11 $5,626.11 $1,158.42 – $4,388.37
Emergency room visit (high): 10 of 13 insurance plan rates
  • Aetna — FirstHealth: $3,938.28
  • Cigna — NBNPPO: $2,295.45
  • Cigna — Non-ExclusivePPO: $2,903.07
  • Cigna UT Overstock — COMM: $2,250.44
  • DMBA (Deseret Mutual Benefit Admin) — PPO: $2,062.53
  • ELAP — COMM: $1,158.42
  • Injury Care of Utah — WCOMP: $4,388.37
  • Public Employees — PrefferedNetwork: $3,111.24
  • United — GlobalBenefitPlan: $2,531.75
  • University of Utah — HealthyPreferred: $2,059.16

Lab tests

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) In the file: BMP TOTAL CALCIUM $61.47 $61.47 $12.66 – $47.95
Basic metabolic panel (blood test): 10 of 21 insurance plan rates
  • Aetna — FirstHealth: $43.03
  • Cigna — NBNPPO: $25.08
  • Cigna — Non-ExclusivePPO: $31.72
  • Cigna UT Overstock — COMM: $24.59
  • DMBA (Deseret Mutual Benefit Admin) — PPO: $22.53
  • ELAP — COMM: $12.66
  • Imagine Health Wise — PPO: $27.24
  • Injury Care of Utah — WCOMP: $47.95
  • MotivHealth — MotivNet: $28.28
  • MotivHealth — MotivSelect: $28.28
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) 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 $8.46 – $34.86
Basic metabolic panel (blood test): 10 of 33 insurance plan rates
  • Aetna — AetnaSignatureAdministrators: $73.54
  • Aetna — PeakPreference: $43.95
  • Aetna — StandardNetwork: $57.67
  • Aetna — UtahConnectedNetwork: $75.47
  • Bright Health — HIX: $16.92
  • Cigna — Exclusive: $8.69
  • Cigna — LocalPlus: $6.71
  • Cigna — OAPNBN: $7.59
  • Cigna Healthspring — MCR: $8.46
  • Coventry Altius — MCR: $8.29
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) In the file: Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin, total (82247) Calcium, total (82310) Carbon $85.80 $85.80 $34.85 – $43.51
Comprehensive metabolic panel (blood test): 10 of 33 insurance plan rates
  • Aetna — AetnaSignatureAdministrators: $91.79
  • Aetna — PeakPreference: $54.86
  • Aetna — StandardNetwork: $71.98
  • Aetna — UtahConnectedNetwork: $94.20
  • Bright Health — HIX: $21.12
  • Cigna — Exclusive: $10.84
  • Cigna — LocalPlus: $8.37
  • Cigna — OAPNBN: $9.47
  • Cigna Healthspring — MCR: $10.56
  • Coventry Altius — MCR: $10.35
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) In the file: COMP METABOLIC PANEL $85.80 $85.80 $17.67 – $66.92
Comprehensive metabolic panel (blood test): 10 of 21 insurance plan rates
  • Aetna — FirstHealth: $60.06
  • Cigna — NBNPPO: $35.01
  • Cigna — Non-ExclusivePPO: $44.27
  • Cigna UT Overstock — COMM: $34.32
  • DMBA (Deseret Mutual Benefit Admin) — PPO: $31.45
  • ELAP — COMM: $17.67
  • Imagine Health Wise — PPO: $38.03
  • Injury Care of Utah — WCOMP: $66.92
  • MotivHealth — MotivNet: $39.47
  • MotivHealth — MotivSelect: $39.47
Obstetric blood test panel CPT 80055 · Outpatient (no overnight stay) In the file: Obstetric panel This panel must include the following: Blood count, complete (CBC), automated and automated differential WBC count (85025 or $584.20 $584.20 $47.81 – $196.98
Obstetric blood test panel: 10 of 33 insurance plan rates
  • Aetna — AetnaSignatureAdministrators: $347.87
  • Aetna — PeakPreference: $207.91
  • Aetna — StandardNetwork: $272.82
  • Aetna — UtahConnectedNetwork: $357
  • Bright Health — HIX: $95.62
  • Cigna — Exclusive: $49.11
  • Cigna — LocalPlus: $37.92
  • Cigna — OAPNBN: $42.89
  • Cigna Healthspring — MCR: $47.81
  • Coventry Altius — MCR: $46.85
Obstetric blood test panel CPT 80055 · Outpatient (no overnight stay) In the file: OB PANEL $584.20 $584.20 $120.29 – $455.68
Obstetric blood test panel: 10 of 21 insurance plan rates
  • Aetna — FirstHealth: $408.94
  • Cigna — NBNPPO: $238.35
  • Cigna — Non-ExclusivePPO: $301.45
  • Cigna UT Overstock — COMM: $233.68
  • DMBA (Deseret Mutual Benefit Admin) — PPO: $214.17
  • ELAP — COMM: $120.29
  • Imagine Health Wise — PPO: $258.92
  • Injury Care of Utah — WCOMP: $455.68
  • MotivHealth — MotivNet: $268.73
  • MotivHealth — MotivSelect: $268.73
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) In the file: LIPID PANEL $96.53 $96.53 $19.88 – $75.29
Cholesterol panel (lipid panel): 10 of 21 insurance plan rates
  • Aetna — FirstHealth: $67.57
  • Cigna — NBNPPO: $39.38
  • Cigna — Non-ExclusivePPO: $49.81
  • Cigna UT Overstock — COMM: $38.61
  • DMBA (Deseret Mutual Benefit Admin) — PPO: $35.39
  • ELAP — COMM: $19.88
  • Imagine Health Wise — PPO: $42.78
  • Injury Care of Utah — WCOMP: $75.29
  • MotivHealth — MotivNet: $44.40
  • MotivHealth — MotivSelect: $44.40
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) 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 $13.39 – $55.17
Cholesterol panel (lipid panel): 10 of 33 insurance plan rates
  • Aetna — AetnaSignatureAdministrators: $116.41
  • Aetna — PeakPreference: $69.58
  • Aetna — StandardNetwork: $91.30
  • Aetna — UtahConnectedNetwork: $119.47
  • Bright Health — HIX: $26.78
  • Cigna — Exclusive: $13.75
  • Cigna — LocalPlus: $10.61
  • Cigna — OAPNBN: $12.01
  • Cigna Healthspring — MCR: $13.39
  • Coventry Altius — MCR: $13.12
Kidney function panel CPT 80069 · Outpatient (no overnight stay) In the file: Renal function panel This panel must include the following: Albumin (82040) Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chlo $70.53 $70.53 $8.68 – $35.76
Kidney function panel: 10 of 33 insurance plan rates
  • Aetna — AetnaSignatureAdministrators: $75.46
  • Aetna — PeakPreference: $45.10
  • Aetna — StandardNetwork: $59.18
  • Aetna — UtahConnectedNetwork: $77.44
  • Bright Health — HIX: $17.36
  • Cigna — Exclusive: $8.91
  • Cigna — LocalPlus: $6.88
  • Cigna — OAPNBN: $7.78
  • Cigna Healthspring — MCR: $8.68
  • Coventry Altius — MCR: $8.51
Kidney function panel CPT 80069 · Outpatient (no overnight stay) In the file: RENAL FUNCTION PANEL $70.53 $70.53 $14.52 – $55.01
Kidney function panel: 10 of 21 insurance plan rates
  • Aetna — FirstHealth: $49.37
  • Cigna — NBNPPO: $28.78
  • Cigna — Non-ExclusivePPO: $36.39
  • Cigna UT Overstock — COMM: $28.21
  • DMBA (Deseret Mutual Benefit Admin) — PPO: $25.86
  • ELAP — COMM: $14.52
  • Imagine Health Wise — PPO: $31.26
  • Injury Care of Utah — WCOMP: $55.01
  • MotivHealth — MotivNet: $32.44
  • MotivHealth — MotivSelect: $32.44
Liver function panel CPT 80076 · Outpatient (no overnight stay) In the file: HEPATIC FUNCTION PANEL $66.38 $66.38 $13.67 – $51.78
Liver function panel: 10 of 21 insurance plan rates
  • Aetna — FirstHealth: $46.47
  • Cigna — NBNPPO: $27.08
  • Cigna — Non-ExclusivePPO: $34.25
  • Cigna UT Overstock — COMM: $26.55
  • DMBA (Deseret Mutual Benefit Admin) — PPO: $24.33
  • ELAP — COMM: $13.67
  • Imagine Health Wise — PPO: $29.42
  • Injury Care of Utah — WCOMP: $51.78
  • MotivHealth — MotivNet: $30.53
  • MotivHealth — MotivSelect: $30.53
Liver function panel CPT 80076 · Outpatient (no overnight stay) 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 $8.17 – $33.66
Liver function panel: 10 of 33 insurance plan rates
  • Aetna — AetnaSignatureAdministrators: $70.93
  • Aetna — PeakPreference: $42.39
  • Aetna — StandardNetwork: $55.63
  • Aetna — UtahConnectedNetwork: $72.79
  • Bright Health — HIX: $16.34
  • Cigna — Exclusive: $8.39
  • Cigna — LocalPlus: $6.48
  • Cigna — OAPNBN: $7.33
  • Cigna Healthspring — MCR: $8.17
  • Coventry Altius — MCR: $8.01
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) In the file: Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, $23.63 $23.63 $3.17 – $13.06
Urine test (automated, with microscope): 10 of 33 insurance plan rates
  • Aetna — AetnaSignatureAdministrators: $27.51
  • Aetna — PeakPreference: $16.44
  • Aetna — StandardNetwork: $21.57
  • Aetna — UtahConnectedNetwork: $28.23
  • Bright Health — HIX: $6.34
  • Cigna — Exclusive: $3.25
  • Cigna — LocalPlus: $2.51
  • Cigna — OAPNBN: $2.84
  • Cigna Healthspring — MCR: $3.17
  • Coventry Altius — MCR: $3.11
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) In the file: UA W MICRO AUTO $23.63 $23.63 $4.87 – $18.43
Urine test (automated, with microscope): 10 of 21 insurance plan rates
  • Aetna — FirstHealth: $16.54
  • Cigna — NBNPPO: $9.64
  • Cigna — Non-ExclusivePPO: $12.19
  • Cigna UT Overstock — COMM: $9.45
  • DMBA (Deseret Mutual Benefit Admin) — PPO: $8.66
  • ELAP — COMM: $4.87
  • Imagine Health Wise — PPO: $10.47
  • Injury Care of Utah — WCOMP: $18.43
  • MotivHealth — MotivNet: $10.87
  • MotivHealth — MotivSelect: $10.87
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) In the file: SPEC GRAV UR MANUAL $102.21 $102.21 $21.05 – $79.72
Urine test (manual, without microscope): 10 of 21 insurance plan rates
  • Aetna — FirstHealth: $71.55
  • Cigna — NBNPPO: $41.70
  • Cigna — Non-ExclusivePPO: $52.74
  • Cigna UT Overstock — COMM: $40.88
  • DMBA (Deseret Mutual Benefit Admin) — PPO: $37.47
  • ELAP — COMM: $21.05
  • Imagine Health Wise — PPO: $45.30
  • Injury Care of Utah — WCOMP: $79.72
  • MotivHealth — MotivNet: $47.02
  • MotivHealth — MotivSelect: $47.02
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) In the file: KETONES UR MANUAL $144.69 $144.69 $29.79 – $112.86
Urine test (manual, without microscope): 10 of 21 insurance plan rates
  • Aetna — FirstHealth: $101.28
  • Cigna — NBNPPO: $59.03
  • Cigna — Non-ExclusivePPO: $74.66
  • Cigna UT Overstock — COMM: $57.88
  • DMBA (Deseret Mutual Benefit Admin) — PPO: $53.04
  • ELAP — COMM: $29.79
  • Imagine Health Wise — PPO: $64.13
  • Injury Care of Utah — WCOMP: $112.86
  • MotivHealth — MotivNet: $66.56
  • MotivHealth — MotivSelect: $66.56
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) 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 $3.48 – $14.34
Urine test (manual, without microscope): 10 of 33 insurance plan rates
  • Aetna — AetnaSignatureAdministrators: $22.23
  • Aetna — PeakPreference: $13.28
  • Aetna — StandardNetwork: $17.43
  • Aetna — UtahConnectedNetwork: $22.81
  • Bright Health — HIX: $6.96
  • Cigna — Exclusive: $3.57
  • Cigna — LocalPlus: $2.76
  • Cigna — OAPNBN: $3.12
  • Cigna Healthspring — MCR: $3.48
  • Coventry Altius — MCR: $3.41
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) In the file: UA W O MICRO AUTO $144.69 $144.69 $29.79 – $112.86
Urine test (automated, without microscope): 10 of 21 insurance plan rates
  • Aetna — FirstHealth: $101.28
  • Cigna — NBNPPO: $59.03
  • Cigna — Non-ExclusivePPO: $74.66
  • Cigna UT Overstock — COMM: $57.88
  • DMBA (Deseret Mutual Benefit Admin) — PPO: $53.04
  • ELAP — COMM: $29.79
  • Imagine Health Wise — PPO: $64.13
  • Injury Care of Utah — WCOMP: $112.86
  • MotivHealth — MotivNet: $66.56
  • MotivHealth — MotivSelect: $66.56
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) 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 $2.25 – $9.27
Urine test (automated, without microscope): 10 of 33 insurance plan rates
  • Aetna — AetnaSignatureAdministrators: $19.48
  • Aetna — PeakPreference: $11.64
  • Aetna — StandardNetwork: $15.28
  • Aetna — UtahConnectedNetwork: $19.99
  • Bright Health — HIX: $4.50
  • Cigna — Exclusive: $2.31
  • Cigna — LocalPlus: $1.78
  • Cigna — OAPNBN: $2.01
  • Cigna Healthspring — MCR: $2.25
  • Coventry Altius — MCR: $2.21
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) In the file: Prostate specific antigen (PSA); total $99.61 $99.61 $18.39 – $75.77
PSA (prostate specific antigen) blood test: 10 of 33 insurance plan rates
  • Aetna — AetnaSignatureAdministrators: $159.84
  • Aetna — PeakPreference: $95.53
  • Aetna — StandardNetwork: $125.35
  • Aetna — UtahConnectedNetwork: $164.03
  • Bright Health — HIX: $36.78
  • Cigna — Exclusive: $18.88
  • Cigna — LocalPlus: $14.58
  • Cigna — OAPNBN: $16.49
  • Cigna Healthspring — MCR: $18.39
  • Coventry Altius — MCR: $18.02
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) In the file: PROS SPEC AG (PSA) TOTAL $99.61 $99.61 $20.51 – $77.70
PSA (prostate specific antigen) blood test: 10 of 21 insurance plan rates
  • Aetna — FirstHealth: $69.73
  • Cigna — NBNPPO: $40.64
  • Cigna — Non-ExclusivePPO: $51.40
  • Cigna UT Overstock — COMM: $39.84
  • DMBA (Deseret Mutual Benefit Admin) — PPO: $36.52
  • ELAP — COMM: $20.51
  • Imagine Health Wise — PPO: $44.15
  • Injury Care of Utah — WCOMP: $77.70
  • MotivHealth — MotivNet: $45.82
  • MotivHealth — MotivSelect: $45.82
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) In the file: Thyroid stimulating hormone (TSH) $90.81 $90.81 $16.80 – $69.22
Thyroid stimulating hormone (TSH) test: 10 of 33 insurance plan rates
  • Aetna — AetnaSignatureAdministrators: $145.98
  • Aetna — PeakPreference: $87.25
  • Aetna — StandardNetwork: $114.49
  • Aetna — UtahConnectedNetwork: $149.81
  • Bright Health — HIX: $33.60
  • Cigna — Exclusive: $17.25
  • Cigna — LocalPlus: $13.32
  • Cigna — OAPNBN: $15.07
  • Cigna Healthspring — MCR: $16.80
  • Coventry Altius — MCR: $16.46
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) In the file: TSH $90.81 $90.81 $18.70 – $70.83
Thyroid stimulating hormone (TSH) test: 10 of 21 insurance plan rates
  • Aetna — FirstHealth: $63.57
  • Cigna — NBNPPO: $37.05
  • Cigna — Non-ExclusivePPO: $46.86
  • Cigna UT Overstock — COMM: $36.32
  • DMBA (Deseret Mutual Benefit Admin) — PPO: $33.29
  • ELAP — COMM: $18.70
  • Imagine Health Wise — PPO: $40.25
  • Injury Care of Utah — WCOMP: $70.83
  • MotivHealth — MotivNet: $41.77
  • MotivHealth — MotivSelect: $41.77
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) 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 $7.77 – $32.01
Complete blood count (CBC) with differential: 10 of 33 insurance plan rates
  • Aetna — AetnaSignatureAdministrators: $45.96
  • Aetna — PeakPreference: $27.47
  • Aetna — StandardNetwork: $36.05
  • Aetna — UtahConnectedNetwork: $47.17
  • Bright Health — HIX: $15.54
  • Cigna — Exclusive: $7.98
  • Cigna — LocalPlus: $6.16
  • Cigna — OAPNBN: $6.97
  • Cigna Healthspring — MCR: $7.77
  • Coventry Altius — MCR: $7.61
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) In the file: CBC AUTOMATED $289.33 $289.33 $59.57 – $225.68
Complete blood count (CBC), automated: 10 of 21 insurance plan rates
  • Aetna — FirstHealth: $202.53
  • Cigna — NBNPPO: $118.05
  • Cigna — Non-ExclusivePPO: $149.29
  • Cigna UT Overstock — COMM: $115.73
  • DMBA (Deseret Mutual Benefit Admin) — PPO: $106.07
  • ELAP — COMM: $59.57
  • Imagine Health Wise — PPO: $128.23
  • Injury Care of Utah — WCOMP: $225.68
  • MotivHealth — MotivNet: $133.09
  • MotivHealth — MotivSelect: $133.09
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) 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 $21.35 – $26.66
Complete blood count (CBC), automated: 10 of 33 insurance plan rates
  • Aetna — AetnaSignatureAdministrators: $49.39
  • Aetna — PeakPreference: $29.52
  • Aetna — StandardNetwork: $38.74
  • Aetna — UtahConnectedNetwork: $50.69
  • Bright Health — HIX: $12.94
  • Cigna — Exclusive: $6.65
  • Cigna — LocalPlus: $5.14
  • Cigna — OAPNBN: $5.81
  • Cigna Healthspring — MCR: $6.47
  • Coventry Altius — MCR: $6.34
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) In the file: PROTIME $31.91 $31.91 $6.57 – $24.89
Blood clotting time test (prothrombin time, PT): 10 of 21 insurance plan rates
  • Aetna — FirstHealth: $22.34
  • Cigna — NBNPPO: $13.02
  • Cigna — Non-ExclusivePPO: $16.47
  • Cigna UT Overstock — COMM: $12.76
  • DMBA (Deseret Mutual Benefit Admin) — PPO: $11.70
  • ELAP — COMM: $6.57
  • Imagine Health Wise — PPO: $14.14
  • Injury Care of Utah — WCOMP: $24.89
  • MotivHealth — MotivNet: $14.68
  • MotivHealth — MotivSelect: $14.68
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) In the file: Prothrombin time; Not listed in the file Not listed in the file $4.29 – $17.67
Blood clotting time test (prothrombin time, PT): 10 of 33 insurance plan rates
  • Aetna — AetnaSignatureAdministrators: $34.16
  • Aetna — PeakPreference: $20.42
  • Aetna — StandardNetwork: $26.79
  • Aetna — UtahConnectedNetwork: $35.06
  • Bright Health — HIX: $8.58
  • Cigna — Exclusive: $4.41
  • Cigna — LocalPlus: $3.40
  • Cigna — OAPNBN: $3.85
  • Cigna Healthspring — MCR: $4.29
  • Coventry Altius — MCR: $4.20
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) In the file: PTT $208.47 $208.47 $42.92 – $162.61
Blood clotting test (partial thromboplastin time, PTT): 10 of 21 insurance plan rates
  • Aetna — FirstHealth: $145.93
  • Cigna — NBNPPO: $85.06
  • Cigna — Non-ExclusivePPO: $107.57
  • Cigna UT Overstock — COMM: $83.39
  • DMBA (Deseret Mutual Benefit Admin) — PPO: $76.43
  • ELAP — COMM: $42.92
  • Imagine Health Wise — PPO: $92.39
  • Injury Care of Utah — WCOMP: $162.61
  • MotivHealth — MotivNet: $95.90
  • MotivHealth — MotivSelect: $95.90
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) In the file: Thromboplastin time, partial (PTT); plasma or whole blood Not listed in the file Not listed in the file $6.01 – $24.76
Blood clotting test (partial thromboplastin time, PTT): 10 of 33 insurance plan rates
  • Aetna — AetnaSignatureAdministrators: $50.49
  • Aetna — PeakPreference: $30.18
  • Aetna — StandardNetwork: $39.60
  • Aetna — UtahConnectedNetwork: $51.81
  • Bright Health — HIX: $12.02
  • Cigna — Exclusive: $6.18
  • Cigna — LocalPlus: $4.77
  • Cigna — OAPNBN: $5.40
  • Cigna Healthspring — MCR: $6.01
  • Coventry Altius — MCR: $5.89

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) In the file: CT HEAD/BRAIN W/O CONT $3,702.22 $3,702.22 $762.29 – $2,887.73
CT scan of the head or brain, without contrast: 10 of 15 insurance plan rates
  • Aetna — FirstHealth: $2,591.55
  • Cigna — NBNPPO: $1,510.51
  • Cigna — Non-ExclusivePPO: $1,910.35
  • Cigna UT Overstock — COMM: $1,480.89
  • DMBA (Deseret Mutual Benefit Admin) — PPO: $1,357.23
  • ELAP — COMM: $762.29
  • Injury Care of Utah — WCOMP: $2,887.73
  • Public Employees — PrefferedNetwork: $2,047.33
  • Select Health ER — COMM: $2,062.14
  • Sterling Life Insurance — MCR: $925.55
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) In the file: Computed tomography, head or brain; without contrast material Not listed in the file Not listed in the file $245.18 – $607
CT scan of the head or brain, without contrast: 10 of 16 insurance plan rates
  • Aetna — AetnaSignatureAdministrators: $2,802
  • Aetna — PeakPreference: $1,677
  • Aetna — StandardNetwork: $2,198
  • Aetna — UtahConnectedNetwork: $2,877
  • Cigna — Exclusive: $607
  • Cigna — LocalPlus: $467
  • Cigna — OAPNBN: $529
  • Regence — FocalPoint: $175.46
  • Regence — FocalPointPlus: $158.45
  • Regence — Individual: $175.46
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) In the file: Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material, followed by contrast material(s) and furth $6,327.08 $6,327.08 $573 – $828.27
MRI of the brain, before and after contrast: 10 of 16 insurance plan rates
  • Aetna — AetnaSignatureAdministrators: $3,761
  • Aetna — PeakPreference: $2,251
  • Aetna — StandardNetwork: $2,950
  • Aetna — UtahConnectedNetwork: $3,862
  • Cigna — Exclusive: $744
  • Cigna — LocalPlus: $573
  • Cigna — OAPNBN: $647
  • Regence — FocalPoint: $589.26
  • Regence — FocalPointPlus: $532.12
  • Regence — Individual: $589.26
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) In the file: MRI BRAIN W&WO CONT $6,327.08 $6,327.08 $1,302.75 – $4,935.12
MRI of the brain, before and after contrast: 10 of 15 insurance plan rates
  • Aetna — FirstHealth: $4,428.96
  • Cigna — NBNPPO: $2,581.45
  • Cigna — Non-ExclusivePPO: $3,264.77
  • Cigna UT Overstock — COMM: $2,530.83
  • DMBA (Deseret Mutual Benefit Admin) — PPO: $2,319.51
  • ELAP — COMM: $1,302.75
  • Injury Care of Utah — WCOMP: $4,935.12
  • Public Employees — PrefferedNetwork: $3,498.88
  • Select Health ER — COMM: $3,524.18
  • Sterling Life Insurance — MCR: $1,581.77
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) In the file: CHEST XRAY 2 V $729.56 $729.56 $150.22 – $569.06
Chest X-ray, 2 views: 10 of 27 insurance plan rates
  • Aetna — AetnaSignatureAdministrators: $393.96
  • Aetna — FirstHealth: $510.69
  • Aetna — PeakPreference: $233.46
  • Aetna — StandardNetwork: $306.42
  • Aetna — UtahConnectedNetwork: $401.26
  • Cigna — NBNPPO: $297.66
  • Cigna — Non-ExclusivePPO: $376.45
  • Cigna UT Overstock — COMM: $291.82
  • DMBA (Deseret Mutual Benefit Admin) — PPO: $267.46
  • ELAP — COMM: $150.22
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) In the file: Radiologic examination, chest; 2 views Not listed in the file Not listed in the file $63.84 – $210.44
Chest X-ray, 2 views: 10 of 12 insurance plan rates
  • Cigna — Exclusive: $82.86
  • Cigna — LocalPlus: $63.84
  • Cigna — OAPNBN: $72.22
  • Regence — FocalPoint: $145.28
  • Regence — FocalPointPlus: $131.19
  • Regence — Individual: $145.28
  • Regence — Participating: $210.44
  • Regence — PPO: $172.58
  • Regence — Preferred: $172.58
  • Regence — RealValue: $145.28
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) In the file: XR L-SPINE 4 + VIEWS $1,269.64 $1,269.64 $261.42 – $990.32
X-ray of the lower spine, at least 4 views: 10 of 27 insurance plan rates
  • Aetna — AetnaSignatureAdministrators: $685.61
  • Aetna — FirstHealth: $888.75
  • Aetna — PeakPreference: $406.28
  • Aetna — StandardNetwork: $533.25
  • Aetna — UtahConnectedNetwork: $698.30
  • Cigna — NBNPPO: $518.01
  • Cigna — Non-ExclusivePPO: $655.13
  • Cigna UT Overstock — COMM: $507.86
  • DMBA (Deseret Mutual Benefit Admin) — PPO: $465.45
  • ELAP — COMM: $261.42
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) In the file: Radiologic examination, spine, lumbosacral; minimum of 4 views $1,269.64 $1,269.64 $245.18
X-ray of the lower spine, at least 4 views: 10 of 12 insurance plan rates
  • Cigna — Exclusive: $139.70
  • Cigna — LocalPlus: $107.64
  • Cigna — OAPNBN: $121.76
  • Regence — FocalPoint: $175.46
  • Regence — FocalPointPlus: $158.45
  • Regence — Individual: $175.46
  • Regence — Participating: $254.15
  • Regence — PPO: $208.43
  • Regence — Preferred: $208.43
  • Regence — RealValue: $175.46
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) In the file: Magnetic resonance (eg, proton) imaging, spinal canal and contents, lumbar; without contrast material $4,273.11 $4,273.11 $517.79 – $744
MRI of the lower back (lumbar spine), without contrast: 10 of 16 insurance plan rates
  • Aetna — AetnaSignatureAdministrators: $3,761
  • Aetna — PeakPreference: $2,251
  • Aetna — StandardNetwork: $2,950
  • Aetna — UtahConnectedNetwork: $3,862
  • Cigna — Exclusive: $744
  • Cigna — LocalPlus: $573
  • Cigna — OAPNBN: $647
  • Regence — FocalPoint: $398.84
  • Regence — FocalPointPlus: $360.16
  • Regence — Individual: $398.84
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) In the file: MRI L-SPINE W/O CONT $4,273.11 $4,273.11 $879.83 – $3,333.03
MRI of the lower back (lumbar spine), without contrast: 10 of 15 insurance plan rates
  • Aetna — FirstHealth: $2,991.18
  • Cigna — NBNPPO: $1,743.43
  • Cigna — Non-ExclusivePPO: $2,204.92
  • Cigna UT Overstock — COMM: $1,709.24
  • DMBA (Deseret Mutual Benefit Admin) — PPO: $1,566.52
  • ELAP — COMM: $879.83
  • Injury Care of Utah — WCOMP: $3,333.03
  • Public Employees — PrefferedNetwork: $2,363.03
  • Select Health ER — COMM: $2,380.12
  • Sterling Life Insurance — MCR: $1,068.28
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) In the file: CT PELVIS W/CONTRAST $4,291.51 $4,291.51 $883.62 – $3,347.38
CT scan of the pelvis, with contrast: 10 of 15 insurance plan rates
  • Aetna — FirstHealth: $3,004.06
  • Cigna — NBNPPO: $1,750.94
  • Cigna — Non-ExclusivePPO: $2,214.42
  • Cigna UT Overstock — COMM: $1,716.60
  • DMBA (Deseret Mutual Benefit Admin) — PPO: $1,573.27
  • ELAP — COMM: $883.62
  • Injury Care of Utah — WCOMP: $3,347.38
  • Public Employees — PrefferedNetwork: $2,373.21
  • Select Health ER — COMM: $2,390.37
  • Sterling Life Insurance — MCR: $1,072.88
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) In the file: Computed tomography, pelvis; with contrast material(s) Not listed in the file Not listed in the file $265.25 – $2,877
CT scan of the pelvis, with contrast: 10 of 16 insurance plan rates
  • Aetna — AetnaSignatureAdministrators: $2,802
  • Aetna — PeakPreference: $1,677
  • Aetna — StandardNetwork: $2,198
  • Aetna — UtahConnectedNetwork: $2,877
  • Cigna — Exclusive: $607
  • Cigna — LocalPlus: $467
  • Cigna — OAPNBN: $529
  • Regence — FocalPoint: $293.73
  • Regence — FocalPointPlus: $265.25
  • Regence — Individual: $293.73
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) 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 $517.79 – $744
MRI of a leg joint (such as the knee), without contrast: 10 of 16 insurance plan rates
  • Aetna — AetnaSignatureAdministrators: $3,761
  • Aetna — PeakPreference: $2,251
  • Aetna — StandardNetwork: $2,950
  • Aetna — UtahConnectedNetwork: $3,862
  • Cigna — Exclusive: $744
  • Cigna — LocalPlus: $573
  • Cigna — OAPNBN: $647
  • Regence — FocalPoint: $398.84
  • Regence — FocalPointPlus: $360.16
  • Regence — Individual: $398.84
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · modifier LT In the file: MRI LW JNT W/O CONT LT $5,678.24 $5,678.24 $1,169.15 – $4,429.03
MRI of a leg joint (such as the knee), without contrast: 10 of 15 insurance plan rates
  • Aetna — FirstHealth: $3,974.77
  • Cigna — NBNPPO: $2,316.72
  • Cigna — Non-ExclusivePPO: $2,929.97
  • Cigna UT Overstock — COMM: $2,271.30
  • DMBA (Deseret Mutual Benefit Admin) — PPO: $2,081.64
  • ELAP — COMM: $1,169.15
  • Injury Care of Utah — WCOMP: $4,429.03
  • Public Employees — PrefferedNetwork: $3,140.07
  • Select Health ER — COMM: $3,162.78
  • Sterling Life Insurance — MCR: $1,419.56
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · modifier RT In the file: MRI LW JNT W/O CONT RT $5,678.24 $5,678.24 $1,169.15 – $4,429.03
MRI of a leg joint (such as the knee), without contrast: 10 of 15 insurance plan rates
  • Aetna — FirstHealth: $3,974.77
  • Cigna — NBNPPO: $2,316.72
  • Cigna — Non-ExclusivePPO: $2,929.97
  • Cigna UT Overstock — COMM: $2,271.30
  • DMBA (Deseret Mutual Benefit Admin) — PPO: $2,081.64
  • ELAP — COMM: $1,169.15
  • Injury Care of Utah — WCOMP: $4,429.03
  • Public Employees — PrefferedNetwork: $3,140.07
  • Select Health ER — COMM: $3,162.78
  • Sterling Life Insurance — MCR: $1,419.56
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) In the file: CT ABD&PELVIS W/CONT $9,168.36 $9,168.36 $1,887.77 – $7,151.32
CT scan of the abdomen and pelvis, with contrast: 10 of 15 insurance plan rates
  • Aetna — FirstHealth: $6,417.85
  • Cigna — NBNPPO: $3,740.69
  • Cigna — Non-ExclusivePPO: $4,730.87
  • Cigna UT Overstock — COMM: $3,667.34
  • DMBA (Deseret Mutual Benefit Admin) — PPO: $3,361.12
  • ELAP — COMM: $1,887.77
  • Injury Care of Utah — WCOMP: $7,151.32
  • Public Employees — PrefferedNetwork: $5,070.10
  • Select Health ER — COMM: $5,106.78
  • Sterling Life Insurance — MCR: $2,292.09
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) In the file: Computed tomography, abdomen and pelvis; with contrast material(s) Not listed in the file Not listed in the file $467 – $828.27
CT scan of the abdomen and pelvis, with contrast: 10 of 16 insurance plan rates
  • Aetna — AetnaSignatureAdministrators: $2,802
  • Aetna — PeakPreference: $1,677
  • Aetna — StandardNetwork: $2,198
  • Aetna — UtahConnectedNetwork: $2,877
  • Cigna — Exclusive: $607
  • Cigna — LocalPlus: $467
  • Cigna — OAPNBN: $529
  • Regence — FocalPoint: $589.26
  • Regence — FocalPointPlus: $532.12
  • Regence — Individual: $589.26
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) In the file: US ABDOMEN COMPLETE $1,634.35 $1,634.35 $336.51 – $1,274.79
Ultrasound of the abdomen, complete: 10 of 27 insurance plan rates
  • Aetna — AetnaSignatureAdministrators: $882.55
  • Aetna — FirstHealth: $1,144.05
  • Aetna — PeakPreference: $522.99
  • Aetna — StandardNetwork: $686.43
  • Aetna — UtahConnectedNetwork: $898.89
  • Cigna — NBNPPO: $666.81
  • Cigna — Non-ExclusivePPO: $843.32
  • Cigna UT Overstock — COMM: $653.74
  • DMBA (Deseret Mutual Benefit Admin) — PPO: $599.15
  • ELAP — COMM: $336.51
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) In the file: Ultrasound, abdominal, real time with image documentation; complete Not listed in the file Not listed in the file $245.18
Ultrasound of the abdomen, complete: 10 of 12 insurance plan rates
  • Cigna — Exclusive: $274.65
  • Cigna — LocalPlus: $211.61
  • Cigna — OAPNBN: $239.38
  • Regence — FocalPoint: $175.46
  • Regence — FocalPointPlus: $158.45
  • Regence — Individual: $175.46
  • Regence — Participating: $254.15
  • Regence — PPO: $208.43
  • Regence — Preferred: $208.43
  • Regence — RealValue: $175.46
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) In the file: US PREG AFTER 1ST TRI $1,186.05 $1,186.05 $244.21 – $925.12
Pregnancy ultrasound (after the first trimester): 10 of 27 insurance plan rates
  • Aetna — AetnaSignatureAdministrators: $640.47
  • Aetna — FirstHealth: $830.24
  • Aetna — PeakPreference: $379.54
  • Aetna — StandardNetwork: $498.14
  • Aetna — UtahConnectedNetwork: $652.33
  • Cigna — NBNPPO: $483.91
  • Cigna — Non-ExclusivePPO: $612
  • Cigna UT Overstock — COMM: $474.42
  • DMBA (Deseret Mutual Benefit Admin) — PPO: $434.81
  • ELAP — COMM: $244.21
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) 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 $245.18
Pregnancy ultrasound (after the first trimester): 10 of 12 insurance plan rates
  • Cigna — Exclusive: $308.98
  • Cigna — LocalPlus: $238.06
  • Cigna — OAPNBN: $269.30
  • Regence — FocalPoint: $175.46
  • Regence — FocalPointPlus: $158.45
  • Regence — Individual: $175.46
  • Regence — Participating: $254.15
  • Regence — PPO: $208.43
  • Regence — Preferred: $208.43
  • Regence — RealValue: $175.46
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) In the file: US TRANSVAGINAL $996.70 $996.70 $205.22 – $777.43
Transvaginal ultrasound: 10 of 27 insurance plan rates
  • Aetna — AetnaSignatureAdministrators: $538.22
  • Aetna — FirstHealth: $697.69
  • Aetna — PeakPreference: $318.94
  • Aetna — StandardNetwork: $418.61
  • Aetna — UtahConnectedNetwork: $548.18
  • Cigna — NBNPPO: $406.65
  • Cigna — Non-ExclusivePPO: $514.30
  • Cigna UT Overstock — COMM: $398.68
  • DMBA (Deseret Mutual Benefit Admin) — PPO: $365.39
  • ELAP — COMM: $205.22
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) In the file: Ultrasound, transvaginal Not listed in the file Not listed in the file $158.45 – $301.88
Transvaginal ultrasound: 10 of 12 insurance plan rates
  • Cigna — Exclusive: $301.88
  • Cigna — LocalPlus: $232.59
  • Cigna — OAPNBN: $263.11
  • Regence — FocalPoint: $175.46
  • Regence — FocalPointPlus: $158.45
  • Regence — Individual: $175.46
  • Regence — Participating: $254.15
  • Regence — PPO: $208.43
  • Regence — Preferred: $208.43
  • Regence — RealValue: $175.46
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) In the file: Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral Not listed in the file Not listed in the file $205.70
Diagnostic mammogram, one breast: 10 of 26 insurance plan rates
  • Cigna — Exclusive: $311.36
  • Cigna — LocalPlus: $239.90
  • Cigna — OAPNBN: $271.37
  • Cigna Healthspring — MCR: $80.99
  • Coventry Altius — MCR: $79.37
  • Devoted Health — MCR: $80.99
  • Health Choice — MCD: $80.99
  • Health Choice — MCR: $80.99
  • Humana — MCRHMO: $77.75
  • Humana — MCRPPO: $80.99
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · modifier RT In the file: MAMMO DIAG CAD UNI RT $956.63 $956.63 $196.97 – $746.17
Diagnostic mammogram, one breast: 10 of 22 insurance plan rates
  • Aetna — AetnaSignatureAdministrators: $516.58
  • Aetna — FirstHealth: $669.64
  • Aetna — PeakPreference: $306.12
  • Aetna — StandardNetwork: $401.78
  • Aetna — UtahConnectedNetwork: $526.15
  • Cigna — NBNPPO: $390.31
  • Cigna — Non-ExclusivePPO: $493.62
  • Cigna UT Overstock — COMM: $382.65
  • DMBA (Deseret Mutual Benefit Admin) — PPO: $350.70
  • ELAP — COMM: $196.97
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · modifier LT In the file: MAMMO DIAG CAD UNI LT $956.63 $956.63 $196.97 – $746.17
Diagnostic mammogram, one breast: 10 of 22 insurance plan rates
  • Aetna — AetnaSignatureAdministrators: $516.58
  • Aetna — FirstHealth: $669.64
  • Aetna — PeakPreference: $306.12
  • Aetna — StandardNetwork: $401.78
  • Aetna — UtahConnectedNetwork: $526.15
  • Cigna — NBNPPO: $390.31
  • Cigna — Non-ExclusivePPO: $493.62
  • Cigna UT Overstock — COMM: $382.65
  • DMBA (Deseret Mutual Benefit Admin) — PPO: $350.70
  • ELAP — COMM: $196.97
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) In the file: MAMMO DIAG CAD BI $1,058.50 $1,058.50 $217.95 – $825.63
Diagnostic mammogram, both breasts: 10 of 22 insurance plan rates
  • Aetna — AetnaSignatureAdministrators: $571.59
  • Aetna — FirstHealth: $740.95
  • Aetna — PeakPreference: $338.72
  • Aetna — StandardNetwork: $444.57
  • Aetna — UtahConnectedNetwork: $582.17
  • Cigna — NBNPPO: $431.87
  • Cigna — Non-ExclusivePPO: $546.19
  • Cigna UT Overstock — COMM: $423.40
  • DMBA (Deseret Mutual Benefit Admin) — PPO: $388.05
  • ELAP — COMM: $217.95
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) In the file: Diagnostic mammography, including computer-aided detection (CAD) when performed; bilateral Not listed in the file Not listed in the file $263
Diagnostic mammogram, both breasts: 10 of 26 insurance plan rates
  • Cigna — Exclusive: $396.60
  • Cigna — LocalPlus: $305.58
  • Cigna — OAPNBN: $345.67
  • Cigna Healthspring — MCR: $103.90
  • Coventry Altius — MCR: $101.82
  • Devoted Health — MCR: $103.90
  • Health Choice — MCD: $103.90
  • Health Choice — MCR: $103.90
  • Humana — MCRHMO: $99.74
  • Humana — MCRPPO: $103.90
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) In the file: MAMMO SCR CAD BI $977.43 $977.43 $201.25 – $762.40
Screening mammogram, both breasts: 10 of 22 insurance plan rates
  • Aetna — AetnaSignatureAdministrators: $527.81
  • Aetna — FirstHealth: $684.20
  • Aetna — PeakPreference: $312.78
  • Aetna — StandardNetwork: $410.52
  • Aetna — UtahConnectedNetwork: $537.59
  • Cigna — NBNPPO: $398.79
  • Cigna — Non-ExclusivePPO: $504.35
  • Cigna UT Overstock — COMM: $390.97
  • DMBA (Deseret Mutual Benefit Admin) — PPO: $358.33
  • ELAP — COMM: $201.25
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) 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 $72.84 – $327.94
Screening mammogram, both breasts: 10 of 26 insurance plan rates
  • Cigna — Exclusive: $327.94
  • Cigna — LocalPlus: $252.67
  • Cigna — OAPNBN: $285.82
  • Cigna Healthspring — MCR: $85.70
  • Coventry Altius — MCR: $83.99
  • Devoted Health — MCR: $85.70
  • Health Choice — MCD: $85.70
  • Health Choice — MCR: $85.70
  • Humana — MCRHMO: $82.27
  • Humana — MCRPPO: $85.70

Heart tests and sleep study

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) In the file: Left heart catheterization including intraprocedural injection(s) for left ventriculography, imaging supervision and interpretation, when pe Not listed in the file Not listed in the file $12,258
Left heart catheterization (diagnostic): 10 of 22 insurance plan rates
  • Aetna — AetnaSignatureAdministrators: $16,408
  • Aetna — PeakPreference: $9,819
  • Aetna — StandardNetwork: $12,869
  • Aetna — UtahConnectedNetwork: $16,846
  • Bright Health — HIX: $3,685
  • Imagine Health Wise — PPO: $35,702
  • MotivHealth — MotivNet: $32,145
  • MotivHealth — MotivSelect: $26,148
  • MotivHealth — TPARental: $33,431
  • MotivHealth — Wasatch: $26,148
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Outpatient (no overnight stay) In the file: Comprehensive electrophysiologic evaluation with right atrial pacing and recording, right ventricular pacing and recording, His bundle recor Not listed in the file Not listed in the file $33,283
Heart rhythm study (electrophysiology evaluation): 10 of 15 insurance plan rates
  • Aetna — AetnaSignatureAdministrators: $90,443
  • Aetna — PeakPreference: $54,124
  • Aetna — StandardNetwork: $70,936
  • Aetna — UtahConnectedNetwork: $92,855
  • Bright Health — HIX: $12,580
  • Regence — FocalPoint: $12,520.36
  • Regence — FocalPointPlus: $11,306.27
  • Regence — Individual: $12,520.36
  • Regence — Participating: $18,135.56
  • Regence — PPO: $14,872.68
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Outpatient (no overnight stay) In the file: Comprehensive electrophysiologic evaluation with transseptal catheterizations, insertion and repositioning of multiple electrode catheters, Not listed in the file Not listed in the file $3,280 – $60,257
Heart rhythm study with ablation for atrial fibrillation: 10 of 23 insurance plan rates
  • Aetna — AetnaSignatureAdministrators: $38,089
  • Aetna — PeakPreference: $22,794
  • Aetna — StandardNetwork: $29,874
  • Aetna — UtahConnectedNetwork: $39,105
  • Bright Health — HIX: $3,280
  • Imagine Health Wise — PPO: $59,237
  • MotivHealth — MotivNet: $47,786
  • MotivHealth — MotivSelect: $38,869
  • MotivHealth — TPARental: $49,697
  • MotivHealth — Wasatch: $38,869
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) In the file: POLYSOMNOGRAPHY >4 PAR $8,336.97 $8,336.97 $1,716.58 – $6,502.84
Sleep study (overnight, in a sleep lab): 10 of 31 insurance plan rates
  • Aetna — AetnaSignatureAdministrators: $4,501.96
  • Aetna — FirstHealth: $5,835.88
  • Aetna — PeakPreference: $2,667.83
  • Aetna — StandardNetwork: $3,501.53
  • Aetna — UtahConnectedNetwork: $4,585.33
  • Bright Health — HIX: $2,334.35
  • Cigna — Exclusive: $2,567.79
  • Cigna — LocalPlus: $1,975.86
  • Cigna — NBNPPO: $3,401.48
  • Cigna — Non-ExclusivePPO: $4,301.88
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) In the file: Polysomnography; age 6 years or older, sleep staging with 4 or more additional parameters of sleep, attended by a technologist $8,336.97 $8,336.97 $3,249
Sleep study (overnight, in a sleep lab): rates for 9 insurance plans
  • Regence — FocalPoint: $1,678.69
  • Regence — FocalPointPlus: $1,515.91
  • Regence — Individual: $1,678.69
  • Regence — Participating: $2,431.56
  • Regence — PPO: $1,994.08
  • Regence — Preferred: $1,994.08
  • Regence — RealValue: $1,678.69
  • Regence — Traditional: $2,431.56
  • United — AllPayerAppendix: $3,249

Physical therapy and mental health

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) 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 $23.97 – $41.17
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 22 insurance plan rates
  • Cigna Healthspring — MCR: $28.20
  • Coventry Altius — MCR: $27.64
  • Devoted Health — MCR: $28.20
  • Health Choice — MCD: $28.20
  • Health Choice — MCR: $28.20
  • Humana — MCRHMO: $27.07
  • Humana — MCRPPO: $28.20
  • Molina Healthcare — MGMCD: $23.97
  • Molina Healthcare — MGMCR: $28.20
  • Regence — FocalPoint: $41.17
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · modifier GO In the file: THER EXERCISES 15 MIN OT $201.27 $201.27 $41.44 – $156.99
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 28 insurance plan rates
  • Aetna — AetnaSignatureAdministrators: $108.69
  • Aetna — FirstHealth: $140.89
  • Aetna — PeakPreference: $64.41
  • Aetna — StandardNetwork: $84.53
  • Aetna — UtahConnectedNetwork: $110.70
  • Bright Health — HIX: $56.36
  • Cigna — NBNPPO: $82.12
  • Cigna — Non-ExclusivePPO: $103.86
  • Cigna UT Overstock — COMM: $80.51
  • DMBA (Deseret Mutual Benefit Admin) — PPO: $73.79
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · modifier GP In the file: THER EXERCISES 15 MIN PT $209.81 $209.81 $43.20 – $163.65
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 28 insurance plan rates
  • Aetna — AetnaSignatureAdministrators: $113.30
  • Aetna — FirstHealth: $146.87
  • Aetna — PeakPreference: $67.14
  • Aetna — StandardNetwork: $88.12
  • Aetna — UtahConnectedNetwork: $115.40
  • Bright Health — HIX: $58.75
  • Cigna — NBNPPO: $85.60
  • Cigna — Non-ExclusivePPO: $108.26
  • Cigna UT Overstock — COMM: $83.92
  • DMBA (Deseret Mutual Benefit Admin) — PPO: $76.92
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) In the file: Physical therapy evaluation: low complexity, requiring these components: A history with no personal factors and/or comorbidities that impact $447.63 $447.63 $80.79 – $140.15
Physical therapy evaluation (low complexity): 10 of 22 insurance plan rates
  • Cigna Healthspring — MCR: $95.06
  • Coventry Altius — MCR: $93.16
  • Devoted Health — MCR: $95.06
  • Health Choice — MCD: $95.06
  • Health Choice — MCR: $95.06
  • Humana — MCRHMO: $91.26
  • Humana — MCRPPO: $95.06
  • Molina Healthcare — MGMCD: $80.79
  • Molina Healthcare — MGMCR: $95.06
  • Regence — FocalPoint: $140.15
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · modifier GP In the file: EVAL PT LOW COMPLEX $447.63 $447.63 $92.17 – $349.15
Physical therapy evaluation (low complexity): 10 of 28 insurance plan rates
  • Aetna — AetnaSignatureAdministrators: $241.72
  • Aetna — FirstHealth: $313.34
  • Aetna — PeakPreference: $143.24
  • Aetna — StandardNetwork: $188
  • Aetna — UtahConnectedNetwork: $246.20
  • Bright Health — HIX: $125.34
  • Cigna — NBNPPO: $182.63
  • Cigna — Non-ExclusivePPO: $230.98
  • Cigna UT Overstock — COMM: $179.05
  • DMBA (Deseret Mutual Benefit Admin) — PPO: $164.10
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · modifier GP|CQ In the file: Physical therapy evaluation: low complexity, requiring these components: A history with no personal factors and/or comorbidities that impact $447.63 $447.63 $71.10 – $85.33
Physical therapy evaluation (low complexity): 10 of 14 insurance plan rates
  • Cigna Healthspring — MCR: $83.65
  • Coventry Altius — MCR: $81.98
  • Devoted Health — MCR: $83.65
  • Health Choice — MCD: $83.65
  • Health Choice — MCR: $83.65
  • Humana — MCRHMO: $80.31
  • Humana — MCRPPO: $83.65
  • Molina Healthcare — MGMCD: $71.10
  • Molina Healthcare — MGMCR: $83.65
  • Regence BCBS — MGMCR: $84.49
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) In the file: Physical therapy evaluation: moderate complexity, requiring these components: A history of present problem with 1-2 personal factors and/or $447.63 $447.63 $80.79 – $140.15
Physical therapy evaluation (moderate complexity): 10 of 22 insurance plan rates
  • Cigna Healthspring — MCR: $95.06
  • Coventry Altius — MCR: $93.16
  • Devoted Health — MCR: $95.06
  • Health Choice — MCD: $95.06
  • Health Choice — MCR: $95.06
  • Humana — MCRHMO: $91.26
  • Humana — MCRPPO: $95.06
  • Molina Healthcare — MGMCD: $80.79
  • Molina Healthcare — MGMCR: $95.06
  • Regence — FocalPoint: $140.15
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · modifier GP In the file: EVAL PT MOD COMPLEX $447.63 $447.63 $92.17 – $349.15
Physical therapy evaluation (moderate complexity): 10 of 28 insurance plan rates
  • Aetna — AetnaSignatureAdministrators: $241.72
  • Aetna — FirstHealth: $313.34
  • Aetna — PeakPreference: $143.24
  • Aetna — StandardNetwork: $188
  • Aetna — UtahConnectedNetwork: $246.20
  • Bright Health — HIX: $125.34
  • Cigna — NBNPPO: $182.63
  • Cigna — Non-ExclusivePPO: $230.98
  • Cigna UT Overstock — COMM: $179.05
  • DMBA (Deseret Mutual Benefit Admin) — PPO: $164.10
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · modifier GP|CQ In the file: Physical therapy evaluation: moderate complexity, requiring these components: A history of present problem with 1-2 personal factors and/or $447.63 $447.63 $71.10 – $85.33
Physical therapy evaluation (moderate complexity): 10 of 14 insurance plan rates
  • Cigna Healthspring — MCR: $83.65
  • Coventry Altius — MCR: $81.98
  • Devoted Health — MCR: $83.65
  • Health Choice — MCD: $83.65
  • Health Choice — MCR: $83.65
  • Humana — MCRHMO: $80.31
  • Humana — MCRPPO: $83.65
  • Molina Healthcare — MGMCD: $71.10
  • Molina Healthcare — MGMCR: $83.65
  • Regence BCBS — MGMCR: $84.49
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) In the file: Physical therapy evaluation: high complexity, requiring these components: A history of present problem with 3 or more personal factors and/o $447.63 $447.63 $80.79 – $140.15
Physical therapy evaluation (high complexity): 10 of 22 insurance plan rates
  • Cigna Healthspring — MCR: $95.06
  • Coventry Altius — MCR: $93.16
  • Devoted Health — MCR: $95.06
  • Health Choice — MCD: $95.06
  • Health Choice — MCR: $95.06
  • Humana — MCRHMO: $91.26
  • Humana — MCRPPO: $95.06
  • Molina Healthcare — MGMCD: $80.79
  • Molina Healthcare — MGMCR: $95.06
  • Regence — FocalPoint: $140.15
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · modifier GP In the file: EVAL PT HIGH COMPLEX $447.63 $447.63 $92.17 – $349.15
Physical therapy evaluation (high complexity): 10 of 28 insurance plan rates
  • Aetna — AetnaSignatureAdministrators: $241.72
  • Aetna — FirstHealth: $313.34
  • Aetna — PeakPreference: $143.24
  • Aetna — StandardNetwork: $188
  • Aetna — UtahConnectedNetwork: $246.20
  • Bright Health — HIX: $125.34
  • Cigna — NBNPPO: $182.63
  • Cigna — Non-ExclusivePPO: $230.98
  • Cigna UT Overstock — COMM: $179.05
  • DMBA (Deseret Mutual Benefit Admin) — PPO: $164.10
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · modifier GP|CQ In the file: Physical therapy evaluation: high complexity, requiring these components: A history of present problem with 3 or more personal factors and/o $447.63 $447.63 $71.10 – $85.33
Physical therapy evaluation (high complexity): 10 of 14 insurance plan rates
  • Cigna Healthspring — MCR: $83.65
  • Coventry Altius — MCR: $81.98
  • Devoted Health — MCR: $83.65
  • Health Choice — MCD: $83.65
  • Health Choice — MCR: $83.65
  • Humana — MCRHMO: $80.31
  • Humana — MCRPPO: $83.65
  • Molina Healthcare — MGMCD: $71.10
  • Molina Healthcare — MGMCR: $83.65
  • Regence BCBS — MGMCR: $84.49
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) In the file: Psychotherapy, 30 minutes with patient Not listed in the file Not listed in the file $239.40 – $384
Psychotherapy, 30 minutes: rates for 8 insurance plans
  • Regence — FocalPoint: $265.11
  • Regence — FocalPointPlus: $239.40
  • Regence — Individual: $265.11
  • Regence — Participating: $384
  • Regence — PPO: $314.91
  • Regence — Preferred: $314.91
  • Regence — RealValue: $265.11
  • Regence — Traditional: $384
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) In the file: Psychotherapy, 45 minutes with patient Not listed in the file Not listed in the file $239.40 – $384
Psychotherapy, 45 minutes: rates for 8 insurance plans
  • Regence — FocalPoint: $265.11
  • Regence — FocalPointPlus: $239.40
  • Regence — Individual: $265.11
  • Regence — Participating: $384
  • Regence — PPO: $314.91
  • Regence — Preferred: $314.91
  • Regence — RealValue: $265.11
  • Regence — Traditional: $384
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) In the file: Psychotherapy, 60 minutes with patient Not listed in the file Not listed in the file $239.40 – $384
Psychotherapy, 60 minutes: rates for 8 insurance plans
  • Regence — FocalPoint: $265.11
  • Regence — FocalPointPlus: $239.40
  • Regence — Individual: $265.11
  • Regence — Participating: $384
  • Regence — PPO: $314.91
  • Regence — Preferred: $314.91
  • Regence — RealValue: $265.11
  • Regence — Traditional: $384
Family psychotherapy, without the patient CPT 90846 · Outpatient (no overnight stay) In the file: Family psychotherapy (without the patient present), 50 minutes Not listed in the file Not listed in the file $239.40 – $384
Family psychotherapy, without the patient: rates for 8 insurance plans
  • Regence — FocalPoint: $265.11
  • Regence — FocalPointPlus: $239.40
  • Regence — Individual: $265.11
  • Regence — Participating: $384
  • Regence — PPO: $314.91
  • Regence — Preferred: $314.91
  • Regence — RealValue: $265.11
  • Regence — Traditional: $384
Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) In the file: Family psychotherapy (conjoint psychotherapy) (with patient present), 50 minutes Not listed in the file Not listed in the file $239.40 – $384
Family psychotherapy, with the patient: rates for 8 insurance plans
  • Regence — FocalPoint: $265.11
  • Regence — FocalPointPlus: $239.40
  • Regence — Individual: $265.11
  • Regence — Participating: $384
  • Regence — PPO: $314.91
  • Regence — Preferred: $314.91
  • Regence — RealValue: $265.11
  • Regence — Traditional: $384
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) In the file: Group psychotherapy (other than of a multiple-family group) Not listed in the file Not listed in the file $137.82 – $221.08
Group psychotherapy: 10 of 13 insurance plan rates
  • Aetna — AetnaSignatureAdministrators: $367
  • Aetna — PeakPreference: $220
  • Aetna — StandardNetwork: $288
  • Aetna — UtahConnectedNetwork: $377
  • ELAP — COMM: $287
  • Regence — FocalPoint: $152.63
  • Regence — FocalPointPlus: $137.82
  • Regence — Individual: $152.63
  • Regence — Participating: $221.08
  • Regence — PPO: $181.30

Procedures and surgery

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) 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 $750 – $9,151.98
Removal of breast growth (open surgery): 10 of 20 insurance plan rates
  • Aetna — AetnaSignatureAdministrators: $10,030
  • Aetna — PeakPreference: $6,003
  • Aetna — StandardNetwork: $7,867
  • Aetna — UtahConnectedNetwork: $10,298
  • Bright Health — HIX: $1,348
  • Cigna — Exclusive: $5,944
  • Cigna — LocalPlus: $4,577
  • Cigna — OAPNBN: $5,172
  • Regence — FocalPoint: $6,318.31
  • Regence — FocalPointPlus: $5,705.63
Total hip replacement CPT 27130 · Outpatient (no overnight stay) 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 $13,389.49 – $47,431
Total hip replacement: 10 of 30 insurance plan rates
  • Aetna — AetnaSignatureAdministrators: $43,697
  • Aetna — PeakPreference: $26,150
  • Aetna — StandardNetwork: $34,272
  • Aetna — UtahConnectedNetwork: $44,862
  • Bright Health — HIX: $5,740
  • Cigna — Exclusive: $19,714
  • Cigna — LocalPlus: $15,179
  • Cigna — OAPNBN: $17,151
  • Devoted Health — MCR: $16,249.38
  • Humana — MCRHMO: $14,000
Total knee replacement CPT 27447 · Outpatient (no overnight stay) 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 $13,389.49 – $47,431
Total knee replacement: 10 of 30 insurance plan rates
  • Aetna — AetnaSignatureAdministrators: $43,697
  • Aetna — PeakPreference: $26,150
  • Aetna — StandardNetwork: $34,272
  • Aetna — UtahConnectedNetwork: $44,862
  • Bright Health — HIX: $5,740
  • Cigna — Exclusive: $19,714
  • Cigna — LocalPlus: $15,179
  • Cigna — OAPNBN: $17,151
  • Devoted Health — MCR: $16,249.38
  • Humana — MCRHMO: $14,000
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) 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 $1,348 – $10,298
Shoulder arthroscopy: shaving of shoulder bone: 10 of 11 insurance plan rates
  • Aetna — AetnaSignatureAdministrators: $10,030
  • Aetna — PeakPreference: $6,003
  • Aetna — StandardNetwork: $7,867
  • Aetna — UtahConnectedNetwork: $10,298
  • Bright Health — HIX: $1,348
  • Cigna — Exclusive: $5,944
  • Cigna — LocalPlus: $4,577
  • Cigna — OAPNBN: $5,172
  • Sterling Life Insurance — MCR: $4,000
  • United — AllPayerAppendix: $4,495
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) 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 $2,320 – $10,298
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 19 insurance plan rates
  • Aetna — AetnaSignatureAdministrators: $10,030
  • Aetna — PeakPreference: $6,003
  • Aetna — StandardNetwork: $7,867
  • Aetna — UtahConnectedNetwork: $10,298
  • Bright Health — HIX: $2,320
  • Cigna — Exclusive: $7,697
  • Cigna — LocalPlus: $5,927
  • Cigna — OAPNBN: $6,696
  • Regence — FocalPoint: $5,353.61
  • Regence — FocalPointPlus: $4,834.47
Removal of tonsils and adenoids (under age 12) CPT 42820 · Outpatient (no overnight stay) In the file: Tonsillectomy and adenoidectomy; younger than age 12 Not listed in the file Not listed in the file $1,348 – $10,298
Removal of tonsils and adenoids (under age 12): 10 of 19 insurance plan rates
  • Aetna — AetnaSignatureAdministrators: $10,030
  • Aetna — PeakPreference: $6,003
  • Aetna — StandardNetwork: $7,867
  • Aetna — UtahConnectedNetwork: $10,298
  • Bright Health — HIX: $1,348
  • Cigna — Exclusive: $5,944
  • Cigna — LocalPlus: $4,577
  • Cigna — OAPNBN: $5,172
  • Regence — FocalPoint: $9,760.84
  • Regence — FocalPointPlus: $8,814.33
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) 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 $945.90 – $4,640
Upper GI endoscopy (diagnostic): 10 of 27 insurance plan rates
  • Aetna — AetnaSignatureAdministrators: $3,857
  • Aetna — PeakPreference: $2,308
  • Aetna — StandardNetwork: $3,025
  • Aetna — UtahConnectedNetwork: $3,960
  • Bright Health — HIX: $960
  • Cigna — Exclusive: $2,451
  • Cigna — LocalPlus: $1,887
  • Cigna — OAPNBN: $2,132
  • Imagine Health Wise — PPO: $6,239
  • MotivHealth — MotivNet: $5,916
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) In the file: Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple Not listed in the file Not listed in the file $945.90 – $4,808
Upper GI endoscopy with biopsy: 10 of 27 insurance plan rates
  • Aetna — AetnaSignatureAdministrators: $4,683
  • Aetna — PeakPreference: $2,802
  • Aetna — StandardNetwork: $3,673
  • Aetna — UtahConnectedNetwork: $4,808
  • Bright Health — HIX: $1,184
  • Cigna — Exclusive: $3,207
  • Cigna — LocalPlus: $2,470
  • Cigna — OAPNBN: $2,790
  • Imagine Health Wise — PPO: $6,239
  • MotivHealth — MotivNet: $5,916
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) 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 $969.85 – $4,808
Colonoscopy (diagnostic): 10 of 27 insurance plan rates
  • Aetna — AetnaSignatureAdministrators: $4,683
  • Aetna — PeakPreference: $2,802
  • Aetna — StandardNetwork: $3,673
  • Aetna — UtahConnectedNetwork: $4,808
  • Bright Health — HIX: $1,184
  • Cigna — Exclusive: $3,207
  • Cigna — LocalPlus: $2,470
  • Cigna — OAPNBN: $2,790
  • Imagine Health Wise — PPO: $4,301
  • MotivHealth — MotivNet: $4,077
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) In the file: Colonoscopy, flexible; with biopsy, single or multiple Not listed in the file Not listed in the file $1,184 – $4,808
Colonoscopy with biopsy: 10 of 27 insurance plan rates
  • Aetna — AetnaSignatureAdministrators: $4,683
  • Aetna — PeakPreference: $2,802
  • Aetna — StandardNetwork: $3,673
  • Aetna — UtahConnectedNetwork: $4,808
  • Bright Health — HIX: $1,184
  • Cigna — Exclusive: $3,207
  • Cigna — LocalPlus: $2,470
  • Cigna — OAPNBN: $2,790
  • Imagine Health Wise — PPO: $4,301
  • MotivHealth — MotivNet: $4,077
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) 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 $1,184 – $4,808
Colonoscopy with removal of polyps (snare): 10 of 27 insurance plan rates
  • Aetna — AetnaSignatureAdministrators: $4,683
  • Aetna — PeakPreference: $2,802
  • Aetna — StandardNetwork: $3,673
  • Aetna — UtahConnectedNetwork: $4,808
  • Bright Health — HIX: $1,184
  • Cigna — Exclusive: $3,207
  • Cigna — LocalPlus: $2,470
  • Cigna — OAPNBN: $2,790
  • Imagine Health Wise — PPO: $4,301
  • MotivHealth — MotivNet: $4,077
Ultrasound of the lower bowel by endoscope CPT 45391 · Outpatient (no overnight stay) In the file: Colonoscopy, flexible; with endoscopic ultrasound examination limited to the rectum, sigmoid, descending, transverse, or ascending colon and Not listed in the file Not listed in the file $1,184 – $4,808
Ultrasound of the lower bowel by endoscope: 10 of 19 insurance plan rates
  • Aetna — AetnaSignatureAdministrators: $4,683
  • Aetna — PeakPreference: $2,802
  • Aetna — StandardNetwork: $3,673
  • Aetna — UtahConnectedNetwork: $4,808
  • Bright Health — HIX: $1,184
  • Cigna — Exclusive: $3,207
  • Cigna — LocalPlus: $2,470
  • Cigna — OAPNBN: $2,790
  • Regence — FocalPoint: $1,945.48
  • Regence — FocalPointPlus: $1,756.83
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) 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 $1,184 – $4,808
Screening colonoscopy (not high risk): 10 of 19 insurance plan rates
  • Aetna — AetnaSignatureAdministrators: $4,683
  • Aetna — PeakPreference: $2,802
  • Aetna — StandardNetwork: $3,673
  • Aetna — UtahConnectedNetwork: $4,808
  • Bright Health — HIX: $1,184
  • Cigna — Exclusive: $3,207
  • Cigna — LocalPlus: $2,470
  • Cigna — OAPNBN: $2,790
  • Public Employees — Summit: $3,670
  • Public Employees — SummitExclusive: $3,315
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) In the file: Laparoscopy, surgical; cholecystectomy Not listed in the file Not listed in the file $2,720 – $15,824
Gallbladder removal by laparoscope: 10 of 19 insurance plan rates
  • Aetna — AetnaSignatureAdministrators: $10,804
  • Aetna — PeakPreference: $6,466
  • Aetna — StandardNetwork: $8,474
  • Aetna — UtahConnectedNetwork: $11,092
  • Bright Health — HIX: $2,720
  • Cigna — Exclusive: $10,080
  • Cigna — LocalPlus: $7,762
  • Cigna — OAPNBN: $8,769
  • Regence — FocalPoint: $9,626.69
  • Regence — FocalPointPlus: $8,693.20
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) In the file: Repair initial inguinal hernia, age 5 years or older; reducible Not listed in the file Not listed in the file $5,927 – $7,697
Groin (inguinal) hernia repair, age 5 or older: 10 of 19 insurance plan rates
  • Aetna — AetnaSignatureAdministrators: $10,030
  • Aetna — PeakPreference: $6,003
  • Aetna — StandardNetwork: $7,867
  • Aetna — UtahConnectedNetwork: $10,298
  • Bright Health — HIX: $2,320
  • Cigna — Exclusive: $7,697
  • Cigna — LocalPlus: $5,927
  • Cigna — OAPNBN: $6,696
  • Regence — FocalPoint: $5,822.95
  • Regence — FocalPointPlus: $5,258.30
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) In the file: Biopsy, prostate; needle or punch, single or multiple, any approach Not listed in the file Not listed in the file $1,184
Prostate biopsy: rates for 9 insurance plans
  • Bright Health — HIX: $1,184
  • Regence — FocalPoint: $3,380.04
  • Regence — FocalPointPlus: $3,052.28
  • Regence — Individual: $3,380.04
  • Regence — Participating: $4,895.94
  • Regence — PPO: $4,015.08
  • Regence — Preferred: $4,015.08
  • Regence — RealValue: $3,380.04
  • Regence — Traditional: $4,895.94
Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Outpatient (no overnight stay) In the file: Laparoscopy, surgical prostatectomy, retropubic radical, including nerve sparing, includes robotic assistance, when performed; Not listed in the file Not listed in the file $5,477 – $24,613
Prostate removal by laparoscope (radical prostatectomy): 10 of 19 insurance plan rates
  • Aetna — AetnaSignatureAdministrators: $10,804
  • Aetna — PeakPreference: $6,466
  • Aetna — StandardNetwork: $8,474
  • Aetna — UtahConnectedNetwork: $11,092
  • Bright Health — HIX: $4,420
  • Cigna — Exclusive: $7,113
  • Cigna — LocalPlus: $5,477
  • Cigna — OAPNBN: $6,189
  • Regence — FocalPoint: $17,178.51
  • Regence — FocalPointPlus: $15,512.72
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) 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 $1,348 – $10,298
Hysteroscopy with biopsy of the uterus lining: 10 of 19 insurance plan rates
  • Aetna — AetnaSignatureAdministrators: $10,030
  • Aetna — PeakPreference: $6,003
  • Aetna — StandardNetwork: $7,867
  • Aetna — UtahConnectedNetwork: $10,298
  • Bright Health — HIX: $1,348
  • Cigna — Exclusive: $5,944
  • Cigna — LocalPlus: $4,577
  • Cigna — OAPNBN: $5,172
  • Regence — FocalPoint: $5,246.22
  • Regence — FocalPointPlus: $4,737.50
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) 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 $736.16 – $3,960
Spinal injection, lower back (epidural), with imaging guidance: 10 of 19 insurance plan rates
  • Aetna — AetnaSignatureAdministrators: $3,857
  • Aetna — PeakPreference: $2,308
  • Aetna — StandardNetwork: $3,025
  • Aetna — UtahConnectedNetwork: $3,960
  • Bright Health — HIX: $960
  • Cigna — Exclusive: $2,451
  • Cigna — LocalPlus: $1,887
  • Cigna — OAPNBN: $2,132
  • Regence — FocalPoint: $1,142.66
  • Regence — FocalPointPlus: $1,031.85
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) 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 $1,887 – $2,451
Nerve root injection, lower back, with imaging guidance: 10 of 19 insurance plan rates
  • Aetna — AetnaSignatureAdministrators: $3,857
  • Aetna — PeakPreference: $2,308
  • Aetna — StandardNetwork: $3,025
  • Aetna — UtahConnectedNetwork: $3,960
  • Bright Health — HIX: $960
  • Cigna — Exclusive: $2,451
  • Cigna — LocalPlus: $1,887
  • Cigna — OAPNBN: $2,132
  • Regence — FocalPoint: $1,468.98
  • Regence — FocalPointPlus: $1,326.53
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) In the file: Neuroplasty and/or transposition; median nerve at carpal tunnel Not listed in the file Not listed in the file $1,184 – $7,048
Carpal tunnel release: 10 of 19 insurance plan rates
  • Aetna — AetnaSignatureAdministrators: $4,683
  • Aetna — PeakPreference: $2,802
  • Aetna — StandardNetwork: $3,673
  • Aetna — UtahConnectedNetwork: $4,808
  • Bright Health — HIX: $1,184
  • Cigna — Exclusive: $3,207
  • Cigna — LocalPlus: $2,470
  • Cigna — OAPNBN: $2,790
  • Regence — FocalPoint: $3,222.07
  • Regence — FocalPointPlus: $2,909.63
Laser treatment of clouding after cataract surgery CPT 66821 · Outpatient (no overnight stay) In the file: Discission of secondary membranous cataract (opacified posterior lens capsule and/or anterior hyaloid); laser surgery (eg, YAG laser) (1 or Not listed in the file Not listed in the file $573.59 – $4,808
Laser treatment of clouding after cataract surgery: 10 of 19 insurance plan rates
  • Aetna — AetnaSignatureAdministrators: $4,683
  • Aetna — PeakPreference: $2,802
  • Aetna — StandardNetwork: $3,673
  • Aetna — UtahConnectedNetwork: $4,808
  • Bright Health — HIX: $1,184
  • Cigna — Exclusive: $3,207
  • Cigna — LocalPlus: $2,470
  • Cigna — OAPNBN: $2,790
  • Regence — FocalPoint: $905.19
  • Regence — FocalPointPlus: $817.41
Cataract removal with lens implant CPT 66984 · Outpatient (no overnight stay) 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 $2,350 – $11,092
Cataract removal with lens implant: 10 of 19 insurance plan rates
  • Aetna — AetnaSignatureAdministrators: $10,804
  • Aetna — PeakPreference: $6,466
  • Aetna — StandardNetwork: $8,474
  • Aetna — UtahConnectedNetwork: $11,092
  • Bright Health — HIX: $3,280
  • Cigna — Exclusive: $4,975
  • Cigna — LocalPlus: $3,831
  • Cigna — OAPNBN: $4,329
  • Regence — FocalPoint: $3,763.20
  • Regence — FocalPointPlus: $3,398.29

Pregnancy and childbirth

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Vaginal delivery, with care before and after CPT 59400 · Outpatient (no overnight stay) In the file: Routine obstetric care including antepartum care, vaginal delivery (with or without episiotomy, and/or forceps) and postpartum care Not listed in the file Not listed in the file $2,350
Vaginal delivery, with care before and after: rates for 2 insurance plans
  • Sterling Life Insurance — MCR: $2,350
  • University of UT — MCR: 103% (a percentage in the contract, not a dollar amount)
Cesarean delivery (C-section), with care before and after CPT 59510 · Outpatient (no overnight stay) In the file: Routine obstetric care including antepartum care, cesarean delivery, and postpartum care Not listed in the file Not listed in the file $2,350
Cesarean delivery (C-section), with care before and after: rates for 2 insurance plans
  • Sterling Life Insurance — MCR: $2,350
  • University of UT — MCR: 103% (a percentage in the contract, not a dollar amount)
Vaginal delivery after a previous C-section, with care before and after CPT 59610 · Outpatient (no overnight stay) In the file: Routine obstetric care including antepartum care, vaginal delivery (with or without episiotomy, and/or forceps) and postpartum care, after p Not listed in the file Not listed in the file $2,350
Vaginal delivery after a previous C-section, with care before and after: rates for 2 insurance plans
  • Sterling Life Insurance — MCR: $2,350
  • University of UT — MCR: 103% (a percentage in the contract, not a dollar amount)

Hospital stays (whole stay, MS-DRG)

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Heart valve or major heart-chest surgery with heart catheterization, with major complications MS-DRG 216 · Inpatient (hospital stay) In the file: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZA Not listed in the file Not listed in the file $4,323
Heart valve or major heart-chest surgery with heart catheterization, with major complications: 10 of 59 insurance plan rates
  • Aetna — AetnaSignatureAdministrators: $147,051
  • Aetna — FirstHealth: $4,323
  • Aetna — PeakPreference: $88,000
  • Aetna — StandardNetwork: $115,334
  • Aetna — UtahConnectedNetwork: $150,972
  • Bright Health — HIX: $62,026.57
  • Cigna — Exclusive: $287,164.31
  • Cigna — LocalPlus: $219,301.03
  • Cigna — OAPNBN: $249,833.15
  • Cigna Healthspring — MCR: $72,167.92
Spinal fusion (not neck), without major complications MS-DRG 460 · Inpatient (hospital stay) In the file: SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC Not listed in the file Not listed in the file $23,377.64
Spinal fusion (not neck), without major complications: rates for 8 insurance plans
  • Bright Health — HIX: $23,377.64
  • Health Choice — MCD: $29,366.66
  • Health Choice — MCR: $29,366.66
  • Hosp Uncompensated Care — MCR: $29,366.66
  • Molina Healthcare — MGMCD: $29,513.49
  • University of Utah — HealthyOptionsMedicalExcellence: $29,366.66
  • University of Utah — HealthyU: $29,366.66
  • University of Utah — HealthyUCHIP: $29,366.66
Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 · Inpatient (hospital stay) In the file: MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT Not listed in the file Not listed in the file $4,323
Hip or knee replacement (major joint of the leg), without major complications: 10 of 59 insurance plan rates
  • Aetna — AetnaSignatureAdministrators: $36,352.05
  • Aetna — FirstHealth: $4,323
  • Aetna — PeakPreference: $21,754.13
  • Aetna — StandardNetwork: $28,511.07
  • Aetna — UtahConnectedNetwork: $37,320.36
  • Bright Health — HIX: $12,025.94
  • Cigna — Exclusive: $56,620.93
  • Cigna — LocalPlus: $43,240.15
  • Cigna — OAPNBN: $49,260.25
  • Cigna Healthspring — MCR: $14,229.54
Neck (cervical) spinal fusion, without complications MS-DRG 473 · Inpatient (hospital stay) In the file: CERVICAL SPINAL FUSION WITHOUT CC/MCC Not listed in the file Not listed in the file $15,725.69
Neck (cervical) spinal fusion, without complications: 10 of 59 insurance plan rates
  • Aetna — AetnaSignatureAdministrators: $46,008.74
  • Aetna — FirstHealth: $4,323
  • Aetna — PeakPreference: $27,532.98
  • Aetna — StandardNetwork: $36,084.86
  • Aetna — UtahConnectedNetwork: $47,234.27
  • Bright Health — HIX: $15,725.69
  • Cigna — Exclusive: $71,661.92
  • Cigna — LocalPlus: $54,726.62
  • Cigna — OAPNBN: $62,345.92
  • Cigna Healthspring — MCR: $18,009.52
Uterus and ovary surgery (not for cancer), without complications MS-DRG 743 · Inpatient (hospital stay) In the file: UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC Not listed in the file Not listed in the file $4,323
Uterus and ovary surgery (not for cancer), without complications: 10 of 59 insurance plan rates
  • Aetna — AetnaSignatureAdministrators: $23,382.23
  • Aetna — FirstHealth: $4,323
  • Aetna — PeakPreference: $13,992.61
  • Aetna — StandardNetwork: $18,338.79
  • Aetna — UtahConnectedNetwork: $24,005.06
  • Bright Health — HIX: $7,426.34
  • Cigna — Exclusive: $36,419.51
  • Cigna — LocalPlus: $27,812.77
  • Cigna — OAPNBN: $31,685
  • Cigna Healthspring — MCR: $9,152.67

Source: Lone Peak Hospital’s standard charges file (stctrprodsnsvc00455826e6.blob.core.windows.net, JSON, CMS template 3.0.0; it can be a very large file), last updated by the hospital on September 1, 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
Address11925 South State Street, Draper, UT 84020
CountySalt Lake County
StateUtah
Phone(801) 545‑8000
Emergency servicesYes
OwnershipProprietary
Medicare overall rating5 of 5 stars
Birthing-friendly designationYes (meets CMS criteria)
CMS Certification Number460060
Name in Medicare recordsLONE PEAK HOSPITAL
Profile levelMedicare data + hospital website
Official websitemountainstar.com
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. Lone Peak Hospital — mountainstar.com
  2. Lone Peak Hospital specialties — mountainstar.com
  3. Lone Peak Hospital | Lone Peak Hospital — mountainstar.com
  4. Imaging Services | Lone Peak Hospital — mountainstar.com
  5. Emergency Care | Lone Peak Hospital — mountainstar.com
  6. Orthopedic Care | Lone Peak Hospital — mountainstar.com
  7. Breast Health | Lone Peak Hospital — mountainstar.com
  8. Craniofacial Surgery | Lone Peak Hospital — mountainstar.com
  9. Sports Medicine | Lone Peak Hospital — mountainstar.com
  10. Awards & Recognition | Lone Peak Hospital — mountainstar.com
  11. Cardiology | Lone Peak Hospital — mountainstar.com
  12. Heart and Vascular Surgery | Lone Peak Hospital — mountainstar.com
  13. Surgery | Lone Peak Hospital — mountainstar.com
  14. Gynecology | Lone Peak Hospital — mountainstar.com