Intermountain Health Heber Valley Hospital — price list

← Hospital overviewVerified from Intermountain Health Heber 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.

81 prices shown.

Service	Code	List price	Cash price	Negotiated range	Allowed (median)
3-d reconstruct without workstation Inpatient	76376 CPT	$706	$529	$529 – $635	—
Biophyscial profile without nst initial Inpatient	76819 CPT	$414	$311	$311 – $373	—
Bronch including fluor guide; ebus invnt peripheral lesions Inpatient	3611014597 CDM	$10,872	$8,154	$8,154 – $9,785	—
Cath addl 3rd thor/brachio Inpatient	36218 CPT	$1,757	$1,318	$1,318 – $1,581	—
Change g-tube to g-j tube perc Inpatient	49446 CPT	$2,849	$2,137	$2,137 – $2,564	—
Closed rx knee dislocatn unilateral Inpatient	27550 CPT	$554	$416	$416 – $499	—
Closed rx shldr disloc,anesthesia bilateral Inpatient	23655 CPT	$1,107	$831	$831 – $997	—
Closed tx monteggia fx dislocation elbow withmanj bilateral Inpatient	24620 CPT	$1,107	$831	$831 – $997	—
Closed tx nose/jaw fx Inpatient	21345 CPT	$1,107	$831	$831 – $997	—
Cltx dstl fibular fx lat malls without manj Inpatient	27786 CPT	$554	$416	$416 – $499	—
Cltx fem fx prox end nck without manj bilateral Inpatient	27230 CPT	$554	$416	$416 – $499	—
Cltx fx w8 brg artclr prtn dstl tibia without manj Inpatient	27824 CPT	$554	$416	$416 – $499	—
Cltx sprcndylr/trnscndylr fem fx withmanj unilateral Inpatient	27503 CPT	$1,107	$831	$831 – $997	—
Cmplx rpr trunk 1.1-2.5 cm Inpatient	13100 CPT	$676	$507	$507 – $608	—
Core needle bx lung/mediastinum perq withimg Inpatient	32408 CPT	$1,569	$1,177	$1,177 – $1,412	—
Drainage of mouth lesion Inpatient	40801 CPT	$483	$362	$362 – $435	—
Epidrm a-grft face/nck/hf/g Inpatient	15115 CPT	$3,286	$2,464	$2,464 – $2,957	—
ERCP addl intervention Inpatient	7501060897 CDM	$4,192	$3,144	$3,144 – $3,773	—
Esopg/gstr tamponade withbalo sengstaken type Inpatient	43460 CPT	$1,909	$1,431	$1,431 – $1,718	—
Exch perc nephrostomy cath including dx nephro/uretrgrm w img bilateral Inpatient	50435 CPT	$13,144	$9,858	$9,858 – $11,829	—
First order cerv/cereb carotid angio unilateral Inpatient	36223 CPT	$10,988	$8,241	$8,241 – $9,889	—
Heart muscle spect mult Inpatientapprox. match	78452 CPT	$5,042	$3,781	$3,781 – $4,538	—
Imm admn sarscov2 vaccine single dose Inpatient	90480 CPT	$117	$87.48	$87.48 – $105	—
Incise/drain conjunctiva bilateral Inpatient	68020 CPT	$483	$362	$362 – $435	—
Injection aa&/strd brachial plexus withimg gdn Inpatient	64415 CPT	$676	$507	$507 – $608	—
Interrogation of vad Inpatient	93750 CPT	$353	$265	$265 – $318	—
Intraoral i&d tongue/floor lingual Inpatient	41000 CPT	$483	$362	$362 – $435	—
Intro fallopian tube cath unilateral Inpatient	58345 CPT	$6,463	$4,847	$4,847 – $5,817	—
Mdpp session 2cm 10-12m 5% wl ach Inpatient	G9879 CPT	$71.64	$53.73	$53.73 – $64.48	—
Minor procedure Inpatient	3611169997 CDM	$417	$313	$313 – $375	—