Intermountain Health Layton Hospital — price list

← Hospital overviewVerified from Intermountain Health Layton 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.

90 prices shown.

Service	Code	List price	Cash price	Negotiated range	Allowed (median)
Abdomen aortography runoff Inpatient	75630 CPT	$5,947	$4,460	$244 – $5,947	—
Admin immunization oral/nasal addl vacc Inpatient	90474 CPT	$42.41	$31.81	$1.74 – $42.41	—
Aep threshold estimation mlt frequencies i&r Inpatient	92652 CPT	$1,336	$1,002	$54.77 – $1,336	—
Analysis cochlear implt PT less than 7 yr prgrmg Inpatient	92601 CPT	$879	$660	$36.06 – $879	—
Bronch diagnostic addtl procedure Inpatient	31622 CPT	$1,216	$912	$49.85 – $1,216	—
Capsule GI tract imaging intraluminal colon i&r Inpatient	91113 CPT	$4,587	$3,440	$188 – $4,587	—
Cardiovascular stress test Inpatient	93017 CPT	$560	$420	$22.96 – $560	—
Cath placement 2nd order abd unilateral Inpatient	36246 CPT	$2,472	$1,854	$101 – $2,472	—
Cath plcmnt 2nd order venous bilateral Inpatient	36012 CPT	$2,992	$2,244	$123 – $2,992	—
Cerv carotid stent open/perc including pta without dep Inpatient	37216 CPT	$18,142	$13,606	$744 – $18,142	—
Chemo sq or IM non-hormonal Inpatient	96401 CPT	$459	$345	$18.83 – $459	—
Closed treatment ulnar styloid fracture Inpatient	25650 CPT	$484	$363	$19.83 – $484	—
Closed tx carpal scaphoid fracture withmanj unilateral Inpatient	25624 CPT	$1,216	$912	$49.85 – $1,216	—
Closed tx orbit without manipulj unilateral Inpatient	21400 CPT	$439	$329	$18.00 – $439	—
Closed tx scapular fracture without manipulation Inpatient	23570 CPT	$484	$363	$19.83 – $484	—
Clsd tx nsl fx withmnpj&stablj Inpatient	21320 CPT	$1,216	$912	$49.85 – $1,216	—
Cltx artclr fx invg mtcarphlngl/iphal jt withmanj Inpatient	26742 CPT	$1,216	$912	$49.85 – $1,216	—
Cltx fem shft fx withmanj withwithout skin/skeletal tracj bilateral Inpatient	27502 CPT	$1,216	$912	$49.85 – $1,216	—
Cltx fx phlx/phlg oth/thn grt toe without manj Inpatient	28510 CPT	$484	$363	$19.83 – $484	—
Cltx humeral epicondylar fx medial/lat without manj Inpatient	24560 CPT	$1,216	$912	$49.85 – $1,216	—
Cltx intercondylar spi&/tubrst fx kne withwithout man Inpatient	27538 CPT	$484	$363	$19.83 – $484	—
Cltx interphalangeal joint dislocation req anes Inpatient	28665 CPT	$484	$363	$19.83 – $484	—
Cltx scap fx withmnpj +-tractj bilateral Inpatient	23575 CPT	$1,216	$912	$49.85 – $1,216	—
Cltx strnclav dislc without mnpj unilateral Inpatient	23520 CPT	$1,216	$912	$49.85 – $1,216	—
Cmplx rpr s/a/l 1.1-2.5 cm Inpatient	13120 CPT	$751	$563	$30.79 – $751	—
Conv perc ext biliary drain cath to int-ext withimg Inpatient	47535 CPT	$6,489	$4,867	$266 – $6,489	—
Deb musc/fascia 20sq cm/< Inpatient	11043 CPT	$1,346	$1,009	$55.17 – $1,346	—
Desflurane anesthesia gas per minute Inpatient	J3490 CPT	$3.81	$2.86	$0.16 – $3.81	—
Drain bladder by trocar/cath Inpatient	51101 CPT	$439	$329	$18.00 – $439	—
Ecmo/ecls rmvl prph cannula open 6 yrs & older Inpatient	33984 CPT	$3,469	$2,601	$142 – $3,469	—