Intermountain Health Cassia Regional Hospital — price list

← Hospital overviewVerified from Intermountain Health Cassia Regional 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.

108 prices shown.

Service	Code	List price	Cash price	Negotiated range	Allowed (median)
HC 3-D RECONSTRUCT W/O WORKSTATION Inpatient	76376 CPT	$706	$529	$536 – $670	—
HC ADMIN PNEUMOCOCCAL VACCINE Inpatient	90471 CPT	$18.72	$14.04	$14.23 – $17.78	—
HC ANGIO PULM VENOUS NONSELECT Inpatient	75746 CPT	$2,970	$2,227	$2,257 – $2,821	—
HC APPLICATION OF LONG LEG CAST BILAT Inpatient	29355 CPT	$589	$442	$448 – $559	—
HC APPLY LOWER LEG SPLINT Inpatient	29515 CPT	$393	$295	$298 – $373	—
HC APPLY STRAPPING ANKLE AND/OR FOOT Inpatient	29540 CPT	$283	$213	$215 – $269	—
HC BRONCHOSPASM EXERCISE TEST Inpatient	94617 CPT	$791	$593	$601 – $751	—
HC BX BREAST 1ST LESION US GUIDE Inpatient	19083 CPT	$2,708	$2,031	$2,058 – $2,572	—
HC CATH PLACEMENT SEG PUL ART BILATERAL Inpatient	36015 CPT	$3,137	$2,353	$2,384 – $2,980	—
HC CATH PLCMNT MAIN PUL ARTERY Inpatient	36013 CPT	$1,219	$915	$927 – $1,158	—
HC CEREBROSPINAL SHUNT EVALUATION Inpatient	78645 CPT	$1,258	$944	$956 – $1,195	—
HC CHANGE OF CYSTOSTOMY TUBE; COMPLICATED Inpatient	51710 CPT	$797	$598	$606 – $758	—
HC CLOSED RX ELBOW DISLOCATN,ANESTHESIA UNILAT Inpatient	24605 CPT	$879	$659	$668 – $835	—
HC CLOSED TX PATELLAR FRACTURE W/O MANIPULATION Inpatient	27520 CPT	$589	$442	$448 – $559	—
HC CLOSED TX TALOTARSAL JOINT DISLOCATION W/ANES BILAT Inpatient	28575 CPT	$879	$659	$668 – $835	—
HC CLOSURE LACERATION VESTIBULE MOUTH 2.5 CM/< Inpatient	40830 CPT	$546	$410	$415 – $519	—
HC CLSD TX CLAVICULAR FRACTURE W/O MANIPULATION Inpatient	23500 CPT	$589	$442	$448 – $559	—
HC CLTX FX GRT TOE PHLX/PHLG W/O MANJ Inpatient	28490 CPT	$589	$442	$448 – $559	—
HC CLTX FX PHLX/PHLG OTH/THN GRT TOE W/MANJ Inpatient	28515 CPT	$589	$442	$448 – $559	—
HC CLTX FX PHLX/PHLG OTH/THN GRT TOE W/O MANJ Inpatient	28510 CPT	$589	$442	$448 – $559	—
HC CLTX FX W8 BRG ARTCLR PRTN DSTL TIBIA W/O MANJ Inpatient	27824 CPT	$589	$442	$448 – $559	—
HC CLTX POST HIP ARTHRP DISLC W/O ANES UNILAT Inpatient	27265 CPT	$589	$442	$448 – $559	—
HC CLTX RDCRPL/INTERCARPL DISLC 1/> BONES W/MANJ UNILAT Inpatient	25660 CPT	$589	$442	$448 – $559	—
HC CLTX STRNCLAV DISLC W/MNPJ UNILAT Inpatient	23525 CPT	$589	$442	$448 – $559	—
HC CLTX THIGH FX UNILAT Inpatient	27267 CPT	$879	$659	$668 – $835	—
HC COLONOSCOPY W/EUS Inpatient	7503000597 CDM	$1,015	$762	$772 – $965	—
HC CONTINUING MEDICAL PHYSICS Inpatient	77336 CPT	$477	$358	$362 – $453	—
HC CT FACET RHIZOTOMY C OR T SPINE UNILATERAL SINGLE LEVEL Inpatient	64633 CPT	$2,586	$1,939	$1,965 – $2,456	—
HC DESTROY PERIPH NEVER W/LYTIC Inpatient	64640 CPT	$1,520	$1,140	$1,155 – $1,444	—
HC DRAINAGE OF EYELID ABSCESS UNILAT Inpatient	67700 CPT	$546	$410	$415 – $519	—