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Acute Care Hospital

Mountain West Medical Center

Tooele, Utah · Tooele County · Emergency services listed

Summary

Mountain West Medical Center is an acute care hospital in Tooele, Utah. Medicare data lists emergency services. CMS overall star rating: 4 of 5 stars. Its official website lists 76 services, specialties and programs. Medicare lists 175 affiliated clinicians. Source: CMS Hospital General Information, data updated 2026-07-22.

What is an acute care hospital?

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

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Profile from official sources

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

In a medical emergency, call 911.

At a glance

YesEmergency services
4 of 5 stars4 of 5 stars · Medicare rating
YesBirthing-friendly (CMS)
76Services listed

Quick answers

Does Mountain West Medical Center have an emergency room?
Yes. Medicare (CMS) data lists emergency services at Mountain West Medical Center. In a medical emergency, call 911.
Where is Mountain West Medical Center?
2055 North Main Street, Tooele, UT 84074, in Tooele County, Utah.
What is the phone number of Mountain West Medical Center?
(435) 843-3700, as listed by Medicare (CMS).
What is the Medicare star rating of Mountain West Medical Center?
4 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-07-22).

Specialties and care areas[5][12]

Conditions treated[12][13][16][17]

Treatments[5][13][14][17]

Procedures[5][12]

Programs and centers[5][9][15]

  • Simple + Price pre-pay pricing program
  • 30-Minute ER Pledge
  • TeleNICU (with University of Utah Health)
  • Lactation consultation
  • Four-bed intensive care unit

Emergency care (hospital website)[5][9][10][11]

Emergency roomYes
Open 24/7Yes
Stroke designationStroke Receiving Facility

Visiting and practical information

VisitingVisits allowed at a time acceptable to the patient if they do not interfere with care; ICU may be limited to two visitors; no overnight stays in semiprivate rooms[7]
Interpreters and languages24-hour language line (Cyracom) with medically certified translators; routine line (800) 481-3289[8]
Patient portalPatient Portal

Recognition[5][9][11][14]

  • Top Performer on Key Quality Measures (The Joint Commission)
  • Accredited Chest Pain Center (American College of Cardiology)
  • Heart Failure Center accreditation (American College of Cardiology)
  • Designated Trauma Center
  • Joint Commission-accredited laboratory

Doctors and clinicians (175)

175 doctors and other clinicians list Mountain West Medical Center 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 (175)

And 151 more: the button below opens the full list.

Other emergency rooms nearby

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

Other hospitals nearby

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 licence 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 Mountain West Medical Center 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 hospital3 of 5 stars
Would recommend the hospital3 of 5 stars
Nurses communicated well4 of 5 stars
Doctors communicated well3 of 5 stars
Staff explained medicines3 of 5 stars
Information about recovery at home4 of 5 stars
Room and bathroom kept clean4 of 5 stars
Quiet at night4 of 5 stars
Rated the hospital 9 or 10 out of 1074%National average: 72%
Would definitely recommend the hospital65%National average: 71%
Nurses “always” communicated well81%National average: 80%
Doctors “always” communicated well80%National average: 80%
Staff “always” explained medicines before giving them63%National average: 62%
Were given information about recovery at home90%National average: 86%
Room and bathroom “always” clean76%National average: 74%
Area around the room “always” quiet at night66%National average: 60%
Completed surveys246Response rate: 18%

Source: Patient survey (HCAHPS) - Hospital — CMS, released July 22, 2026; patients discharged October 2024 to September 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.

Central line bloodstream infections (CLABSI)Not reported to Medicare
Catheter-associated urinary tract infections (CAUTI)Not reported to Medicare
Surgical site infections after colon surgeryNot reported to Medicare
Surgical site infections after abdominal hysterectomyNot reported to Medicare
MRSA bloodstream infectionsNot reported to Medicare
Clostridioides difficile (C. diff) intestinal infections0No different from the national benchmark

Source: Healthcare Associated Infections - Hospital — CMS, released July 22, 2026; data from October 2024 to September 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 attack patientsToo few cases to report
Deaths within 30 days: heart failure patients9.6%
Deaths within 30 days: pneumonia patients13.9%
Deaths within 30 days: COPD patientsToo few cases to report
Deaths within 30 days: stroke patientsToo few cases to report
Deaths within 30 days: coronary bypass surgery (CABG)Not reported to Medicare
Serious complications (patient safety indicator PSI-90)0.97No different from the national rate
Complications after hip or knee replacementToo few cases to report

Source: Complications and Deaths - Hospital — CMS, released September 10, 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)Not reported to Medicare
Readmitted within 30 days: heart attackToo few cases to report
Readmitted within 30 days: heart failure21.1%
Readmitted within 30 days: pneumonia16.9%
Readmitted within 30 days: COPD19.4%
Readmitted within 30 days: coronary bypass surgeryNot reported to Medicare
Readmitted within 30 days: hip or knee replacementToo few cases to report

Source: Unplanned Hospital Visits - Hospital — CMS, released September 10, 2026; data from July 2023 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)Medium (20,000–39,999)
Average (median) time patients spent in the emergency room before leaving (OP-18b)145 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)2%National average: 2%
Sepsis patients who got all the recommended early care (SEP-1)95%National average: 65%

Source: Timely and Effective Care - Hospital — CMS, released July 22, 2026; data from January 2024 to December 2024.

See every measure on Medicare Care Compare →

ER wait times and Medicare ratings nearby

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

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 40 common services exactly as Mountain West Medical Center 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 →

Office and emergency visits

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient In the file: Emergency department visit with low level of medical decision making $1,465.04 $879.02 $222.99 – $1,531
Emergency room visit (moderate): 10 of 16 insurance plan rates
  • AETNA -ALL PLANS — AETNA -ALL PLANS: $1,531
  • CIGNA-ALL PLANS — CIGNA-ALL PLANS: $1,038.71
  • DMBA-ALL PLANS — DMBA-ALL PLANS: $1,054.83
  • EMI-ALL PLANS — EMI-ALL PLANS: $1,245.28
  • HUMANA-ALL PLANS — HUMANA-ALL PLANS: $1,245.28
  • MOLINA MEDICARE-ALL PLANS — MOLINA MEDICARE-ALL PLANS: $345.50
  • MULTIPLAN COMPLIMENTARY NETWORK — MULTIPLAN COMPLIMENTARY NETWORK: $1,347.84
  • MULTIPLAN PRIMARY NETWORK-ALL OTHER PLANS — MULTIPLAN PRIMARY NETWORK-ALL OTHER PLANS: $1,157.38
  • PEHP-ALL PLANS — PEHP-ALL PLANS: $1,098.78
  • REGENCE BCBS MCR ADV — REGENCE BCBS MCR ADV: $276.40
Emergency room visit (moderately high) CPT 99284 · Inpatient or outpatient In the file: Emergency department visit with moderate level of medical decision making $2,191.39 $1,314.83 $360.37 – $4,459
Emergency room visit (moderately high): 10 of 16 insurance plan rates
  • AETNA -ALL PLANS — AETNA -ALL PLANS: $4,459
  • CIGNA-ALL PLANS — CIGNA-ALL PLANS: $1,553.70
  • DMBA-ALL PLANS — DMBA-ALL PLANS: $1,577.80
  • EMI-ALL PLANS — EMI-ALL PLANS: $1,862.68
  • HUMANA-ALL PLANS — HUMANA-ALL PLANS: $1,862.68
  • MOLINA MEDICARE-ALL PLANS — MOLINA MEDICARE-ALL PLANS: $528.11
  • MULTIPLAN COMPLIMENTARY NETWORK — MULTIPLAN COMPLIMENTARY NETWORK: $2,016.08
  • MULTIPLAN PRIMARY NETWORK-ALL OTHER PLANS — MULTIPLAN PRIMARY NETWORK-ALL OTHER PLANS: $1,731.20
  • PEHP-ALL PLANS — PEHP-ALL PLANS: $1,643.54
  • REGENCE BCBS MCR ADV — REGENCE BCBS MCR ADV: $422.49
Emergency room visit (high) CPT 99285 · Inpatient or outpatient In the file: Emergency department visit with high level of medical decision making $3,065.46 $1,839.28 $525.30 – $2,820.22
Emergency room visit (high): 10 of 16 insurance plan rates
  • AETNA -ALL PLANS — AETNA -ALL PLANS: $2,299.10
  • CIGNA-ALL PLANS — CIGNA-ALL PLANS: $2,173.41
  • DMBA-ALL PLANS — DMBA-ALL PLANS: $2,207.13
  • EMI-ALL PLANS — EMI-ALL PLANS: $2,605.64
  • HUMANA-ALL PLANS — HUMANA-ALL PLANS: $2,605.64
  • MOLINA MEDICARE-ALL PLANS — MOLINA MEDICARE-ALL PLANS: $753.74
  • MULTIPLAN COMPLIMENTARY NETWORK — MULTIPLAN COMPLIMENTARY NETWORK: $2,820.22
  • MULTIPLAN PRIMARY NETWORK-ALL OTHER PLANS — MULTIPLAN PRIMARY NETWORK-ALL OTHER PLANS: $2,421.71
  • PEHP-ALL PLANS — PEHP-ALL PLANS: $2,299.10
  • REGENCE BCBS MCR ADV — REGENCE BCBS MCR ADV: $602.99

Lab tests

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) In the file: Blood test, basic group of blood chemicals (Calcium, total) $244.84 $146.90 $8.46 – $225.25
Basic metabolic panel (blood test): 10 of 16 insurance plan rates
  • AETNA -ALL PLANS — AETNA -ALL PLANS: $183.63
  • CIGNA-ALL PLANS — CIGNA-ALL PLANS: $173.59
  • DMBA-ALL PLANS — DMBA-ALL PLANS: $176.28
  • EMI-ALL PLANS — EMI-ALL PLANS: $208.11
  • HUMANA-ALL PLANS — HUMANA-ALL PLANS: $208.11
  • MOLINA MEDICARE-ALL PLANS — MOLINA MEDICARE-ALL PLANS: $10.58
  • MULTIPLAN COMPLIMENTARY NETWORK — MULTIPLAN COMPLIMENTARY NETWORK: $225.25
  • MULTIPLAN PRIMARY NETWORK-ALL OTHER PLANS — MULTIPLAN PRIMARY NETWORK-ALL OTHER PLANS: $193.42
  • PEHP-ALL PLANS — PEHP-ALL PLANS: $20.71
  • REGENCE BCBS MCR ADV — REGENCE BCBS MCR ADV: $8.46
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) In the file: Blood test, comprehensive group of blood chemicals $252.45 $151.47 $10.56 – $232.25
Comprehensive metabolic panel (blood test): 10 of 16 insurance plan rates
  • AETNA -ALL PLANS — AETNA -ALL PLANS: $189.34
  • CIGNA-ALL PLANS — CIGNA-ALL PLANS: $178.99
  • DMBA-ALL PLANS — DMBA-ALL PLANS: $181.76
  • EMI-ALL PLANS — EMI-ALL PLANS: $214.58
  • HUMANA-ALL PLANS — HUMANA-ALL PLANS: $214.58
  • MOLINA MEDICARE-ALL PLANS — MOLINA MEDICARE-ALL PLANS: $13.20
  • MULTIPLAN COMPLIMENTARY NETWORK — MULTIPLAN COMPLIMENTARY NETWORK: $232.25
  • MULTIPLAN PRIMARY NETWORK-ALL OTHER PLANS — MULTIPLAN PRIMARY NETWORK-ALL OTHER PLANS: $199.44
  • PEHP-ALL PLANS — PEHP-ALL PLANS: $26.66
  • REGENCE BCBS MCR ADV — REGENCE BCBS MCR ADV: $10.56
Obstetric blood test panel CPT 80055 · Outpatient (no overnight stay) In the file: Obstetric blood test panel $175.56 $105.34 $47.81 – $161.52
Obstetric blood test panel: 10 of 16 insurance plan rates
  • AETNA -ALL PLANS — AETNA -ALL PLANS: $131.67
  • CIGNA-ALL PLANS — CIGNA-ALL PLANS: $124.47
  • DMBA-ALL PLANS — DMBA-ALL PLANS: $126.40
  • EMI-ALL PLANS — EMI-ALL PLANS: $149.23
  • HUMANA-ALL PLANS — HUMANA-ALL PLANS: $149.23
  • MOLINA MEDICARE-ALL PLANS — MOLINA MEDICARE-ALL PLANS: $59.76
  • MULTIPLAN COMPLIMENTARY NETWORK — MULTIPLAN COMPLIMENTARY NETWORK: $161.52
  • MULTIPLAN PRIMARY NETWORK-ALL OTHER PLANS — MULTIPLAN PRIMARY NETWORK-ALL OTHER PLANS: $138.69
  • PEHP-ALL PLANS — PEHP-ALL PLANS: $83.94
  • REGENCE BCBS MCR ADV — REGENCE BCBS MCR ADV: $47.81
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) In the file: Blood test, lipids (cholesterol and triglycerides) $252.45 $151.47 $13.39 – $232.25
Cholesterol panel (lipid panel): 10 of 16 insurance plan rates
  • AETNA -ALL PLANS — AETNA -ALL PLANS: $189.34
  • CIGNA-ALL PLANS — CIGNA-ALL PLANS: $178.99
  • DMBA-ALL PLANS — DMBA-ALL PLANS: $181.76
  • EMI-ALL PLANS — EMI-ALL PLANS: $214.58
  • HUMANA-ALL PLANS — HUMANA-ALL PLANS: $214.58
  • MOLINA MEDICARE-ALL PLANS — MOLINA MEDICARE-ALL PLANS: $16.74
  • MULTIPLAN COMPLIMENTARY NETWORK — MULTIPLAN COMPLIMENTARY NETWORK: $232.25
  • MULTIPLAN PRIMARY NETWORK-ALL OTHER PLANS — MULTIPLAN PRIMARY NETWORK-ALL OTHER PLANS: $199.44
  • PEHP-ALL PLANS — PEHP-ALL PLANS: $33.80
  • REGENCE BCBS MCR ADV — REGENCE BCBS MCR ADV: $13.39
Kidney function panel CPT 80069 · Outpatient (no overnight stay) In the file: Kidney function blood test panel $244.84 $146.90 $8.68 – $225.25
Kidney function panel: 10 of 16 insurance plan rates
  • AETNA -ALL PLANS — AETNA -ALL PLANS: $183.63
  • CIGNA-ALL PLANS — CIGNA-ALL PLANS: $173.59
  • DMBA-ALL PLANS — DMBA-ALL PLANS: $176.28
  • EMI-ALL PLANS — EMI-ALL PLANS: $208.11
  • HUMANA-ALL PLANS — HUMANA-ALL PLANS: $208.11
  • MOLINA MEDICARE-ALL PLANS — MOLINA MEDICARE-ALL PLANS: $10.85
  • MULTIPLAN COMPLIMENTARY NETWORK — MULTIPLAN COMPLIMENTARY NETWORK: $225.25
  • MULTIPLAN PRIMARY NETWORK-ALL OTHER PLANS — MULTIPLAN PRIMARY NETWORK-ALL OTHER PLANS: $193.42
  • PEHP-ALL PLANS — PEHP-ALL PLANS: $21.25
  • REGENCE BCBS MCR ADV — REGENCE BCBS MCR ADV: $8.68
Liver function panel CPT 80076 · Outpatient (no overnight stay) In the file: Liver function blood test panel $202.28 $121.37 $8.17 – $186.10
Liver function panel: 10 of 16 insurance plan rates
  • AETNA -ALL PLANS — AETNA -ALL PLANS: $151.71
  • CIGNA-ALL PLANS — CIGNA-ALL PLANS: $143.42
  • DMBA-ALL PLANS — DMBA-ALL PLANS: $145.64
  • EMI-ALL PLANS — EMI-ALL PLANS: $171.94
  • HUMANA-ALL PLANS — HUMANA-ALL PLANS: $171.94
  • MOLINA MEDICARE-ALL PLANS — MOLINA MEDICARE-ALL PLANS: $10.21
  • MULTIPLAN COMPLIMENTARY NETWORK — MULTIPLAN COMPLIMENTARY NETWORK: $186.10
  • MULTIPLAN PRIMARY NETWORK-ALL OTHER PLANS — MULTIPLAN PRIMARY NETWORK-ALL OTHER PLANS: $159.80
  • PEHP-ALL PLANS — PEHP-ALL PLANS: $16.53
  • REGENCE BCBS MCR ADV — REGENCE BCBS MCR ADV: $8.17
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) In the file: Manual urinalysis test with examination using microscope, automated $106.06 $63.64 $3.17 – $97.58
Urine test (automated, with microscope): 10 of 16 insurance plan rates
  • AETNA -ALL PLANS — AETNA -ALL PLANS: $79.55
  • CIGNA-ALL PLANS — CIGNA-ALL PLANS: $75.20
  • DMBA-ALL PLANS — DMBA-ALL PLANS: $76.36
  • EMI-ALL PLANS — EMI-ALL PLANS: $90.15
  • HUMANA-ALL PLANS — HUMANA-ALL PLANS: $90.15
  • MOLINA MEDICARE-ALL PLANS — MOLINA MEDICARE-ALL PLANS: $3.96
  • MULTIPLAN COMPLIMENTARY NETWORK — MULTIPLAN COMPLIMENTARY NETWORK: $97.58
  • MULTIPLAN PRIMARY NETWORK-ALL OTHER PLANS — MULTIPLAN PRIMARY NETWORK-ALL OTHER PLANS: $83.79
  • PEHP-ALL PLANS — PEHP-ALL PLANS: $3.36
  • REGENCE BCBS MCR ADV — REGENCE BCBS MCR ADV: $3.17
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) In the file: Urinalysis, manual test $102.26 $61.36 $3.48 – $94.08
Urine test (manual, without microscope): 10 of 16 insurance plan rates
  • AETNA -ALL PLANS — AETNA -ALL PLANS: $76.70
  • CIGNA-ALL PLANS — CIGNA-ALL PLANS: $72.50
  • DMBA-ALL PLANS — DMBA-ALL PLANS: $73.63
  • EMI-ALL PLANS — EMI-ALL PLANS: $86.92
  • HUMANA-ALL PLANS — HUMANA-ALL PLANS: $86.92
  • MOLINA MEDICARE-ALL PLANS — MOLINA MEDICARE-ALL PLANS: $4.35
  • MULTIPLAN COMPLIMENTARY NETWORK — MULTIPLAN COMPLIMENTARY NETWORK: $94.08
  • MULTIPLAN PRIMARY NETWORK-ALL OTHER PLANS — MULTIPLAN PRIMARY NETWORK-ALL OTHER PLANS: $80.79
  • PEHP-ALL PLANS — PEHP-ALL PLANS: $3.56
  • REGENCE BCBS MCR ADV — REGENCE BCBS MCR ADV: $3.48
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) In the file: Automated urinalysis test $94.64 $56.78 $2.13 – $87.07
Urine test (automated, without microscope): 10 of 16 insurance plan rates
  • AETNA -ALL PLANS — AETNA -ALL PLANS: $70.98
  • CIGNA-ALL PLANS — CIGNA-ALL PLANS: $67.10
  • DMBA-ALL PLANS — DMBA-ALL PLANS: $68.14
  • EMI-ALL PLANS — EMI-ALL PLANS: $80.44
  • HUMANA-ALL PLANS — HUMANA-ALL PLANS: $80.44
  • MOLINA MEDICARE-ALL PLANS — MOLINA MEDICARE-ALL PLANS: $2.81
  • MULTIPLAN COMPLIMENTARY NETWORK — MULTIPLAN COMPLIMENTARY NETWORK: $87.07
  • MULTIPLAN PRIMARY NETWORK-ALL OTHER PLANS — MULTIPLAN PRIMARY NETWORK-ALL OTHER PLANS: $74.77
  • PEHP-ALL PLANS — PEHP-ALL PLANS: $2.13
  • REGENCE BCBS MCR ADV — REGENCE BCBS MCR ADV: $2.25
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) In the file: PSA (prostate specific antigen) measurement, total $204.18 $122.51 $18.39 – $187.85
PSA (prostate specific antigen) blood test: 10 of 16 insurance plan rates
  • AETNA -ALL PLANS — AETNA -ALL PLANS: $153.14
  • CIGNA-ALL PLANS — CIGNA-ALL PLANS: $144.76
  • DMBA-ALL PLANS — DMBA-ALL PLANS: $147.01
  • EMI-ALL PLANS — EMI-ALL PLANS: $173.55
  • HUMANA-ALL PLANS — HUMANA-ALL PLANS: $173.55
  • MOLINA MEDICARE-ALL PLANS — MOLINA MEDICARE-ALL PLANS: $22.99
  • MULTIPLAN COMPLIMENTARY NETWORK — MULTIPLAN COMPLIMENTARY NETWORK: $187.85
  • MULTIPLAN PRIMARY NETWORK-ALL OTHER PLANS — MULTIPLAN PRIMARY NETWORK-ALL OTHER PLANS: $161.30
  • PEHP-ALL PLANS — PEHP-ALL PLANS: $37.55
  • REGENCE BCBS MCR ADV — REGENCE BCBS MCR ADV: $18.39
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) In the file: Blood test, thyroid stimulating hormone (TSH) $321.68 $193.01 $16.80 – $295.95
Thyroid stimulating hormone (TSH) test: 10 of 16 insurance plan rates
  • AETNA -ALL PLANS — AETNA -ALL PLANS: $241.26
  • CIGNA-ALL PLANS — CIGNA-ALL PLANS: $228.07
  • DMBA-ALL PLANS — DMBA-ALL PLANS: $231.61
  • EMI-ALL PLANS — EMI-ALL PLANS: $273.43
  • HUMANA-ALL PLANS — HUMANA-ALL PLANS: $273.43
  • MOLINA MEDICARE-ALL PLANS — MOLINA MEDICARE-ALL PLANS: $21
  • MULTIPLAN COMPLIMENTARY NETWORK — MULTIPLAN COMPLIMENTARY NETWORK: $295.95
  • MULTIPLAN PRIMARY NETWORK-ALL OTHER PLANS — MULTIPLAN PRIMARY NETWORK-ALL OTHER PLANS: $254.13
  • PEHP-ALL PLANS — PEHP-ALL PLANS: $54.04
  • REGENCE BCBS MCR ADV — REGENCE BCBS MCR ADV: $16.80
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) In the file: Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count $192.02 $115.21 $7.77 – $176.66
Complete blood count (CBC) with differential: 10 of 16 insurance plan rates
  • AETNA -ALL PLANS — AETNA -ALL PLANS: $144.02
  • CIGNA-ALL PLANS — CIGNA-ALL PLANS: $136.14
  • DMBA-ALL PLANS — DMBA-ALL PLANS: $138.25
  • EMI-ALL PLANS — EMI-ALL PLANS: $163.22
  • HUMANA-ALL PLANS — HUMANA-ALL PLANS: $163.22
  • MOLINA MEDICARE-ALL PLANS — MOLINA MEDICARE-ALL PLANS: $9.71
  • MULTIPLAN COMPLIMENTARY NETWORK — MULTIPLAN COMPLIMENTARY NETWORK: $176.66
  • MULTIPLAN PRIMARY NETWORK-ALL OTHER PLANS — MULTIPLAN PRIMARY NETWORK-ALL OTHER PLANS: $151.70
  • PEHP-ALL PLANS — PEHP-ALL PLANS: $14.92
  • REGENCE BCBS MCR ADV — REGENCE BCBS MCR ADV: $7.77
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) In the file: Complete blood cell count (red cells, white blood cell, platelets), automated test $146.38 $87.83 $6.47 – $134.67
Complete blood count (CBC), automated: 10 of 16 insurance plan rates
  • AETNA -ALL PLANS — AETNA -ALL PLANS: $109.79
  • CIGNA-ALL PLANS — CIGNA-ALL PLANS: $103.78
  • DMBA-ALL PLANS — DMBA-ALL PLANS: $105.39
  • EMI-ALL PLANS — EMI-ALL PLANS: $124.42
  • HUMANA-ALL PLANS — HUMANA-ALL PLANS: $124.42
  • MOLINA MEDICARE-ALL PLANS — MOLINA MEDICARE-ALL PLANS: $8.09
  • MULTIPLAN COMPLIMENTARY NETWORK — MULTIPLAN COMPLIMENTARY NETWORK: $134.67
  • MULTIPLAN PRIMARY NETWORK-ALL OTHER PLANS — MULTIPLAN PRIMARY NETWORK-ALL OTHER PLANS: $115.64
  • PEHP-ALL PLANS — PEHP-ALL PLANS: $9.47
  • REGENCE BCBS MCR ADV — REGENCE BCBS MCR ADV: $6.47
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) In the file: Blood test, clotting time $65.42 $39.25 $2.81 – $60.19
Blood clotting time test (prothrombin time, PT): 10 of 16 insurance plan rates
  • AETNA -ALL PLANS — AETNA -ALL PLANS: $49.07
  • CIGNA-ALL PLANS — CIGNA-ALL PLANS: $46.38
  • DMBA-ALL PLANS — DMBA-ALL PLANS: $47.10
  • EMI-ALL PLANS — EMI-ALL PLANS: $55.61
  • HUMANA-ALL PLANS — HUMANA-ALL PLANS: $55.61
  • MOLINA MEDICARE-ALL PLANS — MOLINA MEDICARE-ALL PLANS: $5.36
  • MULTIPLAN COMPLIMENTARY NETWORK — MULTIPLAN COMPLIMENTARY NETWORK: $60.19
  • MULTIPLAN PRIMARY NETWORK-ALL OTHER PLANS — MULTIPLAN PRIMARY NETWORK-ALL OTHER PLANS: $51.68
  • PEHP-ALL PLANS — PEHP-ALL PLANS: $2.81
  • REGENCE BCBS MCR ADV — REGENCE BCBS MCR ADV: $4.29
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) In the file: Coagulation assessment blood test, plasma or whole blood $261.98 $157.19 $6.01 – $241.02
Blood clotting test (partial thromboplastin time, PTT): 10 of 16 insurance plan rates
  • AETNA -ALL PLANS — AETNA -ALL PLANS: $196.49
  • CIGNA-ALL PLANS — CIGNA-ALL PLANS: $185.74
  • DMBA-ALL PLANS — DMBA-ALL PLANS: $188.63
  • EMI-ALL PLANS — EMI-ALL PLANS: $222.68
  • HUMANA-ALL PLANS — HUMANA-ALL PLANS: $222.68
  • MOLINA MEDICARE-ALL PLANS — MOLINA MEDICARE-ALL PLANS: $7.51
  • MULTIPLAN COMPLIMENTARY NETWORK — MULTIPLAN COMPLIMENTARY NETWORK: $241.02
  • MULTIPLAN PRIMARY NETWORK-ALL OTHER PLANS — MULTIPLAN PRIMARY NETWORK-ALL OTHER PLANS: $206.96
  • PEHP-ALL PLANS — PEHP-ALL PLANS: $15.75
  • REGENCE BCBS MCR ADV — REGENCE BCBS MCR ADV: $6.01

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 scan head or brain without contrast $2,971.20 $1,782.72 $105.86 – $2,733.50
CT scan of the head or brain, without contrast: 10 of 16 insurance plan rates
  • AETNA -ALL PLANS — AETNA -ALL PLANS: $1,131
  • CIGNA-ALL PLANS — CIGNA-ALL PLANS: $2,106.58
  • DMBA-ALL PLANS — DMBA-ALL PLANS: $2,139.26
  • EMI-ALL PLANS — EMI-ALL PLANS: $2,525.52
  • HUMANA-ALL PLANS — HUMANA-ALL PLANS: $2,525.52
  • MOLINA MEDICARE-ALL PLANS — MOLINA MEDICARE-ALL PLANS: $132.32
  • MULTIPLAN COMPLIMENTARY NETWORK — MULTIPLAN COMPLIMENTARY NETWORK: $2,733.50
  • MULTIPLAN PRIMARY NETWORK-ALL OTHER PLANS — MULTIPLAN PRIMARY NETWORK-ALL OTHER PLANS: $2,347.25
  • PEHP-ALL PLANS — PEHP-ALL PLANS: $2,228.40
  • REGENCE BCBS MCR ADV — REGENCE BCBS MCR ADV: $105.86
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) In the file: MRI scan of brain before and after contrast $4,506.84 $2,704.10 $353.24 – $4,146.29
MRI of the brain, before and after contrast: 10 of 16 insurance plan rates
  • AETNA -ALL PLANS — AETNA -ALL PLANS: $1,531
  • CIGNA-ALL PLANS — CIGNA-ALL PLANS: $3,195.35
  • DMBA-ALL PLANS — DMBA-ALL PLANS: $3,244.92
  • EMI-ALL PLANS — EMI-ALL PLANS: $3,830.81
  • HUMANA-ALL PLANS — HUMANA-ALL PLANS: $3,830.81
  • MOLINA MEDICARE-ALL PLANS — MOLINA MEDICARE-ALL PLANS: $441.55
  • MULTIPLAN COMPLIMENTARY NETWORK — MULTIPLAN COMPLIMENTARY NETWORK: $4,146.29
  • MULTIPLAN PRIMARY NETWORK-ALL OTHER PLANS — MULTIPLAN PRIMARY NETWORK-ALL OTHER PLANS: $3,560.40
  • PEHP-ALL PLANS — PEHP-ALL PLANS: $3,380.13
  • REGENCE BCBS MCR ADV — REGENCE BCBS MCR ADV: $353.24
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · modifier FY In the file: X-ray of chest, 2 views $665.85 $399.51 $88.12 – $612.58
Chest X-ray, 2 views: 10 of 16 insurance plan rates
  • AETNA -ALL PLANS — AETNA -ALL PLANS: $499.39
  • CIGNA-ALL PLANS — CIGNA-ALL PLANS: $472.09
  • DMBA-ALL PLANS — DMBA-ALL PLANS: $479.41
  • EMI-ALL PLANS — EMI-ALL PLANS: $565.97
  • HUMANA-ALL PLANS — HUMANA-ALL PLANS: $565.97
  • MOLINA MEDICARE-ALL PLANS — MOLINA MEDICARE-ALL PLANS: $110.14
  • MULTIPLAN COMPLIMENTARY NETWORK — MULTIPLAN COMPLIMENTARY NETWORK: $612.58
  • MULTIPLAN PRIMARY NETWORK-ALL OTHER PLANS — MULTIPLAN PRIMARY NETWORK-ALL OTHER PLANS: $526.02
  • PEHP-ALL PLANS — PEHP-ALL PLANS: $499.39
  • REGENCE BCBS MCR ADV — REGENCE BCBS MCR ADV: $88.12
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · modifier FY In the file: X-ray of lower and sacral spine, minimum of 4 views $1,059.96 $635.98 $105.86 – $975.16
X-ray of the lower spine, at least 4 views: 10 of 16 insurance plan rates
  • AETNA -ALL PLANS — AETNA -ALL PLANS: $794.97
  • CIGNA-ALL PLANS — CIGNA-ALL PLANS: $751.51
  • DMBA-ALL PLANS — DMBA-ALL PLANS: $763.17
  • EMI-ALL PLANS — EMI-ALL PLANS: $900.97
  • HUMANA-ALL PLANS — HUMANA-ALL PLANS: $900.97
  • MOLINA MEDICARE-ALL PLANS — MOLINA MEDICARE-ALL PLANS: $132.32
  • MULTIPLAN COMPLIMENTARY NETWORK — MULTIPLAN COMPLIMENTARY NETWORK: $975.16
  • MULTIPLAN PRIMARY NETWORK-ALL OTHER PLANS — MULTIPLAN PRIMARY NETWORK-ALL OTHER PLANS: $837.37
  • PEHP-ALL PLANS — PEHP-ALL PLANS: $794.97
  • REGENCE BCBS MCR ADV — REGENCE BCBS MCR ADV: $105.86
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) In the file: MRI scan of lower spinal canal without contrast $4,829.10 $2,897.46 $241.59 – $4,442.77
MRI of the lower back (lumbar spine), without contrast: 10 of 16 insurance plan rates
  • AETNA -ALL PLANS — AETNA -ALL PLANS: $1,531
  • CIGNA-ALL PLANS — CIGNA-ALL PLANS: $3,423.83
  • DMBA-ALL PLANS — DMBA-ALL PLANS: $3,476.95
  • EMI-ALL PLANS — EMI-ALL PLANS: $4,104.74
  • HUMANA-ALL PLANS — HUMANA-ALL PLANS: $4,104.74
  • MOLINA MEDICARE-ALL PLANS — MOLINA MEDICARE-ALL PLANS: $301.99
  • MULTIPLAN COMPLIMENTARY NETWORK — MULTIPLAN COMPLIMENTARY NETWORK: $4,442.77
  • MULTIPLAN PRIMARY NETWORK-ALL OTHER PLANS — MULTIPLAN PRIMARY NETWORK-ALL OTHER PLANS: $3,814.99
  • PEHP-ALL PLANS — PEHP-ALL PLANS: $3,621.83
  • REGENCE BCBS MCR ADV — REGENCE BCBS MCR ADV: $241.59
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) In the file: CT scan of pelvis with contrast $2,497.90 $1,498.74 $177.60 – $2,298.07
CT scan of the pelvis, with contrast: 10 of 16 insurance plan rates
  • AETNA -ALL PLANS — AETNA -ALL PLANS: $1,131
  • CIGNA-ALL PLANS — CIGNA-ALL PLANS: $1,771.01
  • DMBA-ALL PLANS — DMBA-ALL PLANS: $1,798.49
  • EMI-ALL PLANS — EMI-ALL PLANS: $2,123.22
  • HUMANA-ALL PLANS — HUMANA-ALL PLANS: $2,123.22
  • MOLINA MEDICARE-ALL PLANS — MOLINA MEDICARE-ALL PLANS: $222
  • MULTIPLAN COMPLIMENTARY NETWORK — MULTIPLAN COMPLIMENTARY NETWORK: $2,298.07
  • MULTIPLAN PRIMARY NETWORK-ALL OTHER PLANS — MULTIPLAN PRIMARY NETWORK-ALL OTHER PLANS: $1,973.34
  • PEHP-ALL PLANS — PEHP-ALL PLANS: $1,873.43
  • REGENCE BCBS MCR ADV — REGENCE BCBS MCR ADV: $177.60
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) In the file: MRI scan of leg joint without contrast $3,795.04 $2,277.02 $241.59 – $3,491.44
MRI of a leg joint (such as the knee), without contrast: 10 of 16 insurance plan rates
  • AETNA -ALL PLANS — AETNA -ALL PLANS: $1,531
  • CIGNA-ALL PLANS — CIGNA-ALL PLANS: $2,690.68
  • DMBA-ALL PLANS — DMBA-ALL PLANS: $2,732.43
  • EMI-ALL PLANS — EMI-ALL PLANS: $3,225.78
  • HUMANA-ALL PLANS — HUMANA-ALL PLANS: $3,225.78
  • MOLINA MEDICARE-ALL PLANS — MOLINA MEDICARE-ALL PLANS: $301.99
  • MULTIPLAN COMPLIMENTARY NETWORK — MULTIPLAN COMPLIMENTARY NETWORK: $3,491.44
  • MULTIPLAN PRIMARY NETWORK-ALL OTHER PLANS — MULTIPLAN PRIMARY NETWORK-ALL OTHER PLANS: $2,998.08
  • PEHP-ALL PLANS — PEHP-ALL PLANS: $2,846.28
  • REGENCE BCBS MCR ADV — REGENCE BCBS MCR ADV: $241.59
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) In the file: CT scan of abdomen and pelvis with contrast $5,045.41 $3,027.25 $353.24 – $4,641.78
CT scan of the abdomen and pelvis, with contrast: 10 of 16 insurance plan rates
  • AETNA -ALL PLANS — AETNA -ALL PLANS: $1,131
  • CIGNA-ALL PLANS — CIGNA-ALL PLANS: $3,577.20
  • DMBA-ALL PLANS — DMBA-ALL PLANS: $3,632.70
  • EMI-ALL PLANS — EMI-ALL PLANS: $4,288.60
  • HUMANA-ALL PLANS — HUMANA-ALL PLANS: $4,288.60
  • MOLINA MEDICARE-ALL PLANS — MOLINA MEDICARE-ALL PLANS: $441.55
  • MULTIPLAN COMPLIMENTARY NETWORK — MULTIPLAN COMPLIMENTARY NETWORK: $4,641.78
  • MULTIPLAN PRIMARY NETWORK-ALL OTHER PLANS — MULTIPLAN PRIMARY NETWORK-ALL OTHER PLANS: $3,985.87
  • PEHP-ALL PLANS — PEHP-ALL PLANS: $3,784.06
  • REGENCE BCBS MCR ADV — REGENCE BCBS MCR ADV: $353.24
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) In the file: Complete ultrasound scan of abdomen $2,453.18 $1,471.91 $105.86 – $2,256.93
Ultrasound of the abdomen, complete: 10 of 16 insurance plan rates
  • AETNA -ALL PLANS — AETNA -ALL PLANS: $1,071
  • CIGNA-ALL PLANS — CIGNA-ALL PLANS: $1,739.30
  • DMBA-ALL PLANS — DMBA-ALL PLANS: $1,766.29
  • EMI-ALL PLANS — EMI-ALL PLANS: $2,085.20
  • HUMANA-ALL PLANS — HUMANA-ALL PLANS: $2,085.20
  • MOLINA MEDICARE-ALL PLANS — MOLINA MEDICARE-ALL PLANS: $132.32
  • MULTIPLAN COMPLIMENTARY NETWORK — MULTIPLAN COMPLIMENTARY NETWORK: $2,256.93
  • MULTIPLAN PRIMARY NETWORK-ALL OTHER PLANS — MULTIPLAN PRIMARY NETWORK-ALL OTHER PLANS: $1,938.01
  • PEHP-ALL PLANS — PEHP-ALL PLANS: $1,839.89
  • REGENCE BCBS MCR ADV — REGENCE BCBS MCR ADV: $105.86
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) In the file: Ultrasound scan of pregnant uterus (14 weeks or more), single or first fetus $2,282.46 $1,369.48 $105.86 – $2,099.86
Pregnancy ultrasound (after the first trimester): 10 of 16 insurance plan rates
  • AETNA -ALL PLANS — AETNA -ALL PLANS: $1,071
  • CIGNA-ALL PLANS — CIGNA-ALL PLANS: $1,618.26
  • DMBA-ALL PLANS — DMBA-ALL PLANS: $1,643.37
  • EMI-ALL PLANS — EMI-ALL PLANS: $1,940.09
  • HUMANA-ALL PLANS — HUMANA-ALL PLANS: $1,940.09
  • MOLINA MEDICARE-ALL PLANS — MOLINA MEDICARE-ALL PLANS: $132.32
  • MULTIPLAN COMPLIMENTARY NETWORK — MULTIPLAN COMPLIMENTARY NETWORK: $2,099.86
  • MULTIPLAN PRIMARY NETWORK-ALL OTHER PLANS — MULTIPLAN PRIMARY NETWORK-ALL OTHER PLANS: $1,803.14
  • PEHP-ALL PLANS — PEHP-ALL PLANS: $1,711.85
  • REGENCE BCBS MCR ADV — REGENCE BCBS MCR ADV: $105.86
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) In the file: Ultrasound scan of uterus, ovaries, tubes, cervix and pelvic area through vagina $1,198.96 $719.38 $105.86 – $1,103.04
Transvaginal ultrasound: 10 of 16 insurance plan rates
  • AETNA -ALL PLANS — AETNA -ALL PLANS: $1,071
  • CIGNA-ALL PLANS — CIGNA-ALL PLANS: $850.06
  • DMBA-ALL PLANS — DMBA-ALL PLANS: $863.25
  • EMI-ALL PLANS — EMI-ALL PLANS: $1,019.12
  • HUMANA-ALL PLANS — HUMANA-ALL PLANS: $1,019.12
  • MOLINA MEDICARE-ALL PLANS — MOLINA MEDICARE-ALL PLANS: $132.32
  • MULTIPLAN COMPLIMENTARY NETWORK — MULTIPLAN COMPLIMENTARY NETWORK: $1,103.04
  • MULTIPLAN PRIMARY NETWORK-ALL OTHER PLANS — MULTIPLAN PRIMARY NETWORK-ALL OTHER PLANS: $947.18
  • PEHP-ALL PLANS — PEHP-ALL PLANS: $899.22
  • REGENCE BCBS MCR ADV — REGENCE BCBS MCR ADV: $105.86
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) In the file: Diagnostic mammography of 1 breast $566.15 $339.69 $94.06 – $520.86
Diagnostic mammogram, one breast: 10 of 16 insurance plan rates
  • AETNA -ALL PLANS — AETNA -ALL PLANS: $299
  • CIGNA-ALL PLANS — CIGNA-ALL PLANS: $401.40
  • DMBA-ALL PLANS — DMBA-ALL PLANS: $407.63
  • EMI-ALL PLANS — EMI-ALL PLANS: $481.23
  • HUMANA-ALL PLANS — HUMANA-ALL PLANS: $481.23
  • MOLINA MEDICARE-ALL PLANS — MOLINA MEDICARE-ALL PLANS: $147.48
  • MULTIPLAN COMPLIMENTARY NETWORK — MULTIPLAN COMPLIMENTARY NETWORK: $520.86
  • MULTIPLAN PRIMARY NETWORK-ALL OTHER PLANS — MULTIPLAN PRIMARY NETWORK-ALL OTHER PLANS: $447.26
  • PEHP-ALL PLANS — PEHP-ALL PLANS: $424.61
  • REGENCE BCBS MCR ADV — REGENCE BCBS MCR ADV: $117.98
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · modifier GG In the file: Diagnostic mammography of 1 breast $566.15 $339.69 $94.06 – $520.86
Diagnostic mammogram, one breast: 10 of 16 insurance plan rates
  • AETNA -ALL PLANS — AETNA -ALL PLANS: $299
  • CIGNA-ALL PLANS — CIGNA-ALL PLANS: $401.40
  • DMBA-ALL PLANS — DMBA-ALL PLANS: $407.63
  • EMI-ALL PLANS — EMI-ALL PLANS: $481.23
  • HUMANA-ALL PLANS — HUMANA-ALL PLANS: $481.23
  • MOLINA MEDICARE-ALL PLANS — MOLINA MEDICARE-ALL PLANS: $147.48
  • MULTIPLAN COMPLIMENTARY NETWORK — MULTIPLAN COMPLIMENTARY NETWORK: $520.86
  • MULTIPLAN PRIMARY NETWORK-ALL OTHER PLANS — MULTIPLAN PRIMARY NETWORK-ALL OTHER PLANS: $447.26
  • PEHP-ALL PLANS — PEHP-ALL PLANS: $424.61
  • REGENCE BCBS MCR ADV — REGENCE BCBS MCR ADV: $117.98
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) In the file: Diagnostic mammography of both breasts $650.83 $390.50 $120.37 – $598.76
Diagnostic mammogram, both breasts: 10 of 16 insurance plan rates
  • AETNA -ALL PLANS — AETNA -ALL PLANS: $299
  • CIGNA-ALL PLANS — CIGNA-ALL PLANS: $461.44
  • DMBA-ALL PLANS — DMBA-ALL PLANS: $468.60
  • EMI-ALL PLANS — EMI-ALL PLANS: $553.21
  • HUMANA-ALL PLANS — HUMANA-ALL PLANS: $553.21
  • MOLINA MEDICARE-ALL PLANS — MOLINA MEDICARE-ALL PLANS: $186.78
  • MULTIPLAN COMPLIMENTARY NETWORK — MULTIPLAN COMPLIMENTARY NETWORK: $598.76
  • MULTIPLAN PRIMARY NETWORK-ALL OTHER PLANS — MULTIPLAN PRIMARY NETWORK-ALL OTHER PLANS: $514.16
  • PEHP-ALL PLANS — PEHP-ALL PLANS: $488.12
  • REGENCE BCBS MCR ADV — REGENCE BCBS MCR ADV: $149.42
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) In the file: Screening mammography $608.58 $365.15 $99.47 – $559.89
Screening mammogram, both breasts: 10 of 16 insurance plan rates
  • AETNA -ALL PLANS — AETNA -ALL PLANS: $299
  • CIGNA-ALL PLANS — CIGNA-ALL PLANS: $431.48
  • DMBA-ALL PLANS — DMBA-ALL PLANS: $438.18
  • EMI-ALL PLANS — EMI-ALL PLANS: $517.29
  • HUMANA-ALL PLANS — HUMANA-ALL PLANS: $517.29
  • MOLINA MEDICARE-ALL PLANS — MOLINA MEDICARE-ALL PLANS: $150.11
  • MULTIPLAN COMPLIMENTARY NETWORK — MULTIPLAN COMPLIMENTARY NETWORK: $559.89
  • MULTIPLAN PRIMARY NETWORK-ALL OTHER PLANS — MULTIPLAN PRIMARY NETWORK-ALL OTHER PLANS: $480.78
  • PEHP-ALL PLANS — PEHP-ALL PLANS: $456.44
  • REGENCE BCBS MCR ADV — REGENCE BCBS MCR ADV: $120.09
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · modifier 52 In the file: Screening mammography $608.58 $365.15 $99.47 – $559.89
Screening mammogram, both breasts: 10 of 16 insurance plan rates
  • AETNA -ALL PLANS — AETNA -ALL PLANS: $299
  • CIGNA-ALL PLANS — CIGNA-ALL PLANS: $431.48
  • DMBA-ALL PLANS — DMBA-ALL PLANS: $438.18
  • EMI-ALL PLANS — EMI-ALL PLANS: $517.29
  • HUMANA-ALL PLANS — HUMANA-ALL PLANS: $517.29
  • MOLINA MEDICARE-ALL PLANS — MOLINA MEDICARE-ALL PLANS: $150.11
  • MULTIPLAN COMPLIMENTARY NETWORK — MULTIPLAN COMPLIMENTARY NETWORK: $559.89
  • MULTIPLAN PRIMARY NETWORK-ALL OTHER PLANS — MULTIPLAN PRIMARY NETWORK-ALL OTHER PLANS: $480.78
  • PEHP-ALL PLANS — PEHP-ALL PLANS: $456.44
  • REGENCE BCBS MCR ADV — REGENCE BCBS MCR ADV: $120.09

Heart tests and sleep study

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) In the file: Insertion of tube in left heart chambers for diagnosis with review by radiologist $23,561.16 $14,136.70 $2,810.41 – $21,676.27
Left heart catheterization (diagnostic): 10 of 16 insurance plan rates
  • AETNA -ALL PLANS — AETNA -ALL PLANS: $17,670.87
  • CIGNA-ALL PLANS — CIGNA-ALL PLANS: $16,704.86
  • DMBA-ALL PLANS — DMBA-ALL PLANS: $16,964.04
  • EMI-ALL PLANS — EMI-ALL PLANS: $20,026.99
  • HUMANA-ALL PLANS — HUMANA-ALL PLANS: $20,026.99
  • MOLINA MEDICARE-ALL PLANS — MOLINA MEDICARE-ALL PLANS: $4,103.18
  • MULTIPLAN COMPLIMENTARY NETWORK — MULTIPLAN COMPLIMENTARY NETWORK: $21,676.27
  • MULTIPLAN PRIMARY NETWORK-ALL OTHER PLANS — MULTIPLAN PRIMARY NETWORK-ALL OTHER PLANS: $18,613.32
  • PEHP-ALL PLANS — PEHP-ALL PLANS: $17,670.87
  • REGENCE BCBS MCR ADV — REGENCE BCBS MCR ADV: $3,282.54

Physical therapy and mental health

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · modifier GP In the file: Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes $130.06 $78.04 $28.20 – $119.66
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 16 insurance plan rates
  • AETNA -ALL PLANS — AETNA -ALL PLANS: $97.55
  • CIGNA-ALL PLANS — CIGNA-ALL PLANS: $92.21
  • DMBA-ALL PLANS — DMBA-ALL PLANS: $93.64
  • EMI-ALL PLANS — EMI-ALL PLANS: $110.55
  • HUMANA-ALL PLANS — HUMANA-ALL PLANS: $110.55
  • MOLINA MEDICARE-ALL PLANS — MOLINA MEDICARE-ALL PLANS: $35.25
  • MULTIPLAN COMPLIMENTARY NETWORK — MULTIPLAN COMPLIMENTARY NETWORK: $119.66
  • MULTIPLAN PRIMARY NETWORK-ALL OTHER PLANS — MULTIPLAN PRIMARY NETWORK-ALL OTHER PLANS: $102.75
  • PEHP-ALL PLANS — PEHP-ALL PLANS: $97.55
  • REGENCE BCBS MCR ADV — REGENCE BCBS MCR ADV: $28.20
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · modifier GP | CQ In the file: Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes $135.26 $81.16 $28.20 – $124.44
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 16 insurance plan rates
  • AETNA -ALL PLANS — AETNA -ALL PLANS: $101.45
  • CIGNA-ALL PLANS — CIGNA-ALL PLANS: $95.90
  • DMBA-ALL PLANS — DMBA-ALL PLANS: $97.39
  • EMI-ALL PLANS — EMI-ALL PLANS: $114.97
  • HUMANA-ALL PLANS — HUMANA-ALL PLANS: $114.97
  • MOLINA MEDICARE-ALL PLANS — MOLINA MEDICARE-ALL PLANS: $35.25
  • MULTIPLAN COMPLIMENTARY NETWORK — MULTIPLAN COMPLIMENTARY NETWORK: $124.44
  • MULTIPLAN PRIMARY NETWORK-ALL OTHER PLANS — MULTIPLAN PRIMARY NETWORK-ALL OTHER PLANS: $106.86
  • PEHP-ALL PLANS — PEHP-ALL PLANS: $101.45
  • REGENCE BCBS MCR ADV — REGENCE BCBS MCR ADV: $28.20
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · modifier GO In the file: Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes $105.76 $63.46 $28.20 – $97.30
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 16 insurance plan rates
  • AETNA -ALL PLANS — AETNA -ALL PLANS: $79.32
  • CIGNA-ALL PLANS — CIGNA-ALL PLANS: $74.98
  • DMBA-ALL PLANS — DMBA-ALL PLANS: $76.15
  • EMI-ALL PLANS — EMI-ALL PLANS: $89.90
  • HUMANA-ALL PLANS — HUMANA-ALL PLANS: $89.90
  • MOLINA MEDICARE-ALL PLANS — MOLINA MEDICARE-ALL PLANS: $35.25
  • MULTIPLAN COMPLIMENTARY NETWORK — MULTIPLAN COMPLIMENTARY NETWORK: $97.30
  • MULTIPLAN PRIMARY NETWORK-ALL OTHER PLANS — MULTIPLAN PRIMARY NETWORK-ALL OTHER PLANS: $83.55
  • PEHP-ALL PLANS — PEHP-ALL PLANS: $79.32
  • REGENCE BCBS MCR ADV — REGENCE BCBS MCR ADV: $28.20
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · modifier GP In the file: Evaluation for physical therapy, typically 20 minutes $215.90 $129.54 $86.49 – $198.63
Physical therapy evaluation (low complexity): 10 of 16 insurance plan rates
  • AETNA -ALL PLANS — AETNA -ALL PLANS: $161.93
  • CIGNA-ALL PLANS — CIGNA-ALL PLANS: $153.07
  • DMBA-ALL PLANS — DMBA-ALL PLANS: $155.45
  • EMI-ALL PLANS — EMI-ALL PLANS: $183.52
  • HUMANA-ALL PLANS — HUMANA-ALL PLANS: $183.52
  • MOLINA MEDICARE-ALL PLANS — MOLINA MEDICARE-ALL PLANS: $118.83
  • MULTIPLAN COMPLIMENTARY NETWORK — MULTIPLAN COMPLIMENTARY NETWORK: $198.63
  • MULTIPLAN PRIMARY NETWORK-ALL OTHER PLANS — MULTIPLAN PRIMARY NETWORK-ALL OTHER PLANS: $170.56
  • PEHP-ALL PLANS — PEHP-ALL PLANS: $161.93
  • REGENCE BCBS MCR ADV — REGENCE BCBS MCR ADV: $95.06
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · modifier GP In the file: Evaluation for physical therapy, typically 30 minutes $215.90 $129.54 $86.49 – $198.63
Physical therapy evaluation (moderate complexity): 10 of 16 insurance plan rates
  • AETNA -ALL PLANS — AETNA -ALL PLANS: $161.93
  • CIGNA-ALL PLANS — CIGNA-ALL PLANS: $153.07
  • DMBA-ALL PLANS — DMBA-ALL PLANS: $155.45
  • EMI-ALL PLANS — EMI-ALL PLANS: $183.52
  • HUMANA-ALL PLANS — HUMANA-ALL PLANS: $183.52
  • MOLINA MEDICARE-ALL PLANS — MOLINA MEDICARE-ALL PLANS: $118.83
  • MULTIPLAN COMPLIMENTARY NETWORK — MULTIPLAN COMPLIMENTARY NETWORK: $198.63
  • MULTIPLAN PRIMARY NETWORK-ALL OTHER PLANS — MULTIPLAN PRIMARY NETWORK-ALL OTHER PLANS: $170.56
  • PEHP-ALL PLANS — PEHP-ALL PLANS: $161.93
  • REGENCE BCBS MCR ADV — REGENCE BCBS MCR ADV: $95.06
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · modifier GP In the file: Evaluation for physical therapy, typically 45 minutes $215.90 $129.54 $86.49 – $198.63
Physical therapy evaluation (high complexity): 10 of 16 insurance plan rates
  • AETNA -ALL PLANS — AETNA -ALL PLANS: $161.93
  • CIGNA-ALL PLANS — CIGNA-ALL PLANS: $153.07
  • DMBA-ALL PLANS — DMBA-ALL PLANS: $155.45
  • EMI-ALL PLANS — EMI-ALL PLANS: $183.52
  • HUMANA-ALL PLANS — HUMANA-ALL PLANS: $183.52
  • MOLINA MEDICARE-ALL PLANS — MOLINA MEDICARE-ALL PLANS: $118.83
  • MULTIPLAN COMPLIMENTARY NETWORK — MULTIPLAN COMPLIMENTARY NETWORK: $198.63
  • MULTIPLAN PRIMARY NETWORK-ALL OTHER PLANS — MULTIPLAN PRIMARY NETWORK-ALL OTHER PLANS: $170.56
  • PEHP-ALL PLANS — PEHP-ALL PLANS: $161.93
  • REGENCE BCBS MCR ADV — REGENCE BCBS MCR ADV: $95.06

Procedures and surgery

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) In the file: Injection of substance into lower spine canal using imaging guidance $1,822.96 $1,093.78 $598.81 – $1,677.12
Spinal injection, lower back (epidural), with imaging guidance: 10 of 16 insurance plan rates
  • AETNA -ALL PLANS — AETNA -ALL PLANS: $1,367.22
  • CIGNA-ALL PLANS — CIGNA-ALL PLANS: $1,292.48
  • DMBA-ALL PLANS — DMBA-ALL PLANS: $1,312.53
  • EMI-ALL PLANS — EMI-ALL PLANS: $1,549.52
  • HUMANA-ALL PLANS — HUMANA-ALL PLANS: $1,549.52
  • MOLINA MEDICARE-ALL PLANS — MOLINA MEDICARE-ALL PLANS: $893.40
  • MULTIPLAN COMPLIMENTARY NETWORK — MULTIPLAN COMPLIMENTARY NETWORK: $1,677.12
  • MULTIPLAN PRIMARY NETWORK-ALL OTHER PLANS — MULTIPLAN PRIMARY NETWORK-ALL OTHER PLANS: $1,440.14
  • PEHP-ALL PLANS — PEHP-ALL PLANS: $1,367.22
  • REGENCE BCBS MCR ADV — REGENCE BCBS MCR ADV: $714.72

Hospital stays (whole stay, MS-DRG)

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
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 MCC $98,620.57 $59,172.34 $13,275.29 – $90,730.93
Hip or knee replacement (major joint of the leg), without major complications: 10 of 16 insurance plan rates
  • AETNA -ALL PLANS — AETNA -ALL PLANS: $29,267.20
  • CIGNA-ALL PLANS — CIGNA-ALL PLANS: $74,655.77
  • DMBA-ALL PLANS — DMBA-ALL PLANS: $71,006.81
  • EMI-ALL PLANS — EMI-ALL PLANS: $83,827.49
  • HUMANA-ALL PLANS — HUMANA-ALL PLANS: $83,827.49
  • MOLINA MEDICARE-ALL PLANS — MOLINA MEDICARE-ALL PLANS: $17,686.57
  • MULTIPLAN COMPLIMENTARY NETWORK — MULTIPLAN COMPLIMENTARY NETWORK: $90,730.93
  • MULTIPLAN PRIMARY NETWORK-ALL OTHER PLANS — MULTIPLAN PRIMARY NETWORK-ALL OTHER PLANS: $77,910.25
  • PEHP-ALL PLANS — PEHP-ALL PLANS: $73,965.43
  • REGENCE BCBS MCR ADV — REGENCE BCBS MCR ADV: $14,149.25
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 $67,909.55 $40,745.73 $8,538.88 – $62,476.79
Uterus and ovary surgery (not for cancer), without complications: 10 of 16 insurance plan rates
  • AETNA -ALL PLANS — AETNA -ALL PLANS: $18,825.14
  • CIGNA-ALL PLANS — CIGNA-ALL PLANS: $51,407.53
  • DMBA-ALL PLANS — DMBA-ALL PLANS: $48,894.88
  • EMI-ALL PLANS — EMI-ALL PLANS: $57,723.12
  • HUMANA-ALL PLANS — HUMANA-ALL PLANS: $57,723.12
  • MOLINA MEDICARE-ALL PLANS — MOLINA MEDICARE-ALL PLANS: $11,376.29
  • MULTIPLAN COMPLIMENTARY NETWORK — MULTIPLAN COMPLIMENTARY NETWORK: $62,476.79
  • MULTIPLAN PRIMARY NETWORK-ALL OTHER PLANS — MULTIPLAN PRIMARY NETWORK-ALL OTHER PLANS: $53,648.54
  • PEHP-ALL PLANS — PEHP-ALL PLANS: $50,932.16
  • REGENCE BCBS MCR ADV — REGENCE BCBS MCR ADV: $9,101.03

Source: Mountain West Medical Center’s standard charges file (apps.para-hcfs.com, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on September 17, 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
Address2055 North Main Street, Tooele, UT 84074
CountyTooele County
StateUtah
Phone(435) 843‑3700
Emergency servicesYes
OwnershipProprietary
Medicare overall rating4 of 5 stars
Birthing-friendly designationYes (meets CMS criteria)
CMS Certification Number460014
Name in Medicare recordsMOUNTAIN WEST MEDICAL CENTER
Profile levelMedicare data + hospital website
Main phone on the hospital’s website(435) 843‑3600[6]
Official websitemountainwestmc.com
CorrectionsReport an error or suggest an update →

Sources

  1. Hospital General Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-07-22, retrieved 2026-10-29
  2. Medicare Care Compare — official Medicare profile of this hospital
  3. U.S. Census Bureau ZIP code areas (Gazetteer) — approximate position (center of the ZIP code area) used for distances

From the hospital’s website

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

  1. Services — mountainwestmc.com
  2. Contact Us — mountainwestmc.com
  3. Visitors — mountainwestmc.com
  4. Language Services - Mountain West Medical Center — mountainwestmc.com
  5. ER - Mountain West Medical Center — mountainwestmc.com
  6. ER Visit - Mountain West Medical Center — mountainwestmc.com
  7. Awards & Accreditations - Mountain West Medical Center — mountainwestmc.com
  8. Surgical Services - Mountain West Medical Center — mountainwestmc.com
  9. Rehabilitation Services - Mountain West Medical Center — mountainwestmc.com
  10. Laboratory Services - Mountain West Medical Center — mountainwestmc.com
  11. Labor & Delivery Services - Mountain West Medical Center — mountainwestmc.com
  12. Neurosurgery (Back, Neck, and Spine) - Mountain West Medical Center — mountainwestmc.com
  13. Pulmonary and Respiratory Services - Mountain West Medical Center — mountainwestmc.com