Intermountain Health Bear River Valley Hospital — price list

← Hospital overviewVerified from Intermountain Health Bear River Valley Hospital’s published price file

Includes cash prices, list prices, insurance-negotiated rates. Open any row for plan-level negotiated rates. This is public hospital price transparency data, not a guaranteed estimate of your bill.

How to read these columns

List: The hospital’s full undiscounted (gross) charge — rarely what anyone actually pays.
Cash: The discounted self-pay price for paying directly, without insurance.
Negotiated: Rates agreed with insurers; open a row for plan-level detail. Your share depends on your benefits.

These are the hospital’s published reference prices, not a personalized estimate of your bill.

92 prices shown.

Service	Code	List price	Cash price	Negotiated range	Allowed (median)
HC ABLATE PULM TUMOR PERQ RF Inpatient	32998 CPT	$12,054	$9,041	$9,041 – $11,452	—
HC APPLY CAST THIGH TO TOES (LONG LEG) Inpatient	29345 CPT	$589	$442	$442 – $559	—
HC APPLY RIGID CONTACT TOTAL LEG CAST UNILATERAL Inpatient	29445 CPT	$941	$706	$706 – $894	—
HC BASIC DOSIMETRY Inpatient	77300 CPT	$764	$573	$573 – $726	—
HC BIOPSY BONE PERCUTAN DEEP Inpatient	20225 CPT	$1,781	$1,336	$1,336 – $1,692	—
HC BRONCH W/BX-NEEDLE ASPIRATE Inpatient	3611015997 CDM	$10,300	$7,725	$7,725 – $9,785	—
HC BRONCH W/TRANSBRONCH BX SINGLE LOBE Inpatient	3611016597 CDM	$7,216	$5,412	$5,412 – $6,855	—
HC BRONCHOSPASM EXERCISE TEST Inpatient	94617 CPT	$791	$593	$593 – $751	—
HC BX PELV/HIP SFT TISS SUPERF Inpatient	27040 CPT	$1,308	$981	$981 – $1,243	—
HC CARDIAC PHASE I Inpatient	9431024197 CDM	$198	$148	$148 – $188	—
HC CHANGE URETER STENT PERCUT BILATERAL Inpatient	50382 CPT	$3,838	$2,878	$2,878 – $3,646	—
HC CLOSED RX ELBOW DISLOCATN,ANESTHESIA UNILAT Inpatient	24605 CPT	$1,188	$891	$891 – $1,129	—
HC CLOSED TX NOSE/JAW FX Inpatient	21345 CPT	$1,188	$891	$891 – $1,129	—
HC CLOSED TX PATELLAR DISLOCATION W/O ANESTHESIA Inpatient	27560 CPT	$589	$442	$442 – $559	—
HC CLSD TX PELVIC RING FX Inpatient	27197 CPT	$589	$442	$442 – $559	—
HC CLTX ARTCLR FX INVG MTCRPHLNGL/IPHAL JT W/O MANJ Inpatient	26740 CPT	$589	$442	$442 – $559	—
HC CLTX DSTL RDL FX/EPIPHYSL SEP W/MANJ WHEN PERF Inpatient	25605 CPT	$1,188	$891	$891 – $1,129	—
HC CLTX FEM FX PROX END NCK W/O MANJ UNILAT Inpatient	27230 CPT	$589	$442	$442 – $559	—
HC CLTX RDCRPL/INTERCARPL DISLC 1/> BONES W/MANJ BILAT Inpatient	25660 CPT	$589	$442	$442 – $559	—
HC CLTX SHO DSLC FX GR HMRL TBR BILAT Inpatient	23665 CPT	$1,188	$891	$891 – $1,129	—
HC CLTX SPRCNDYLR/TRANSCNDYLR HUMERAL FX W/WO MANJ Inpatient	24530 CPT	$589	$442	$442 – $559	—
HC COLONOSCOPY ADDL INTERVENTION Inpatient	7501044297 CDM	$678	$509	$509 – $644	—
HC CONTROL NASAL HEMORRHAGE, ANTERIOR, COMPLEX Inpatient	30903 CPT	$589	$442	$442 – $559	—
HC CYSTOGRAPHY INJECTION Inpatient	51600 CPT	$433	$325	$325 – $412	—
HC DEBR EXZ/INF SKIN; 10% BS Inpatient	11000 CPT	$589	$442	$442 – $559	—
HC DETOX ROOM/BOARD Inpatient	H0011 CPT	$3,702	$2,777	$2,777 – $3,517	—
HC DOPPLER W/SPECTRAL LIMITED Inpatient	93321 CPT	$308	$231	$231 – $293	—
HC DUODENAL MANOMETRY Inpatient	91022 CPT	$2,440	$1,830	$1,830 – $2,318	—
HC DUP-SCAN ARTL INFL&VEN O/F PEN VSL F-UP/LMTD STD Inpatient	93981 CPT	$525	$394	$394 – $499	—
HC DUPLEX VASCULAR SCAN LIMITED Inpatient	93976 CPT	$804	$603	$603 – $764	—