Intermountain Health Logan Regional Hospital — price list

← Hospital overviewVerified from Intermountain Health Logan 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.

80 prices shown.

Service	Code	List price	Cash price	Negotiated range	Allowed (median)
Injection aa&/strd pudendal nerve Inpatient	64430 CPT	$676	$507	$14.19 – $642	—
Apply cast hand & lower forearm Inpatient	29085 CPT	$622	$466	$13.05 – $591	—
Apply long arm cast Inpatient	29065 CPT	$669	$502	$14.06 – $636	—
Apply long arm splint Inpatient	29105 CPT	$243	$182	$5.10 – $231	—
Apply rigid contact total leg cast bilateral Inpatient	29445 CPT	$1,882	$1,412	$39.52 – $1,788	—
Avlsion nail plate partl/compl sgl Inpatient	11730 CPT	$622	$466	$13.05 – $591	—
Bladder irrigation Inpatient	51700 CPT	$330	$247	$6.93 – $313	—
Bone marrow diagnostic; biopsy(ies) & aspiration(s) bilateral Inpatient	38222 CPT	$4,056	$3,042	$85.17 – $3,853	—
Cardiac blood pool imaging w ef Inpatient	78472 CPT	$2,109	$1,582	$44.30 – $2,004	—
Catheter stripping Inpatient	36595 CPT	$1,467	$1,100	$30.81 – $1,394	—
Chem caut granulation tiss Inpatient	17250 CPT	$632	$474	$13.27 – $600	—
Closed tx distal radioulnar dislocation withmanj unilateral Inpatient	25675 CPT	$622	$466	$13.05 – $591	—
Closed tx scapular fracture without manipulation Inpatient	23570 CPT	$622	$466	$13.05 – $591	—
Cltx fem fx prox end nck withmanj withwithout skel tracj unilateral Inpatient	27232 CPT	$564	$423	$11.85 – $536	—
Cltx med ankle fx withmnpj unilateral Inpatient	27762 CPT	$968	$726	$20.33 – $920	—
Cltx sprcndylr/trnscndylr fem fx withmanj unilateral Inpatient	27503 CPT	$968	$726	$20.33 – $920	—
Cltx strnclav dislc withmnpj unilateral Inpatient	23525 CPT	$622	$466	$13.05 – $591	—
Cltx tarsal dislc oth/thn talotarsal withanes unilateral Inpatient	28570 CPT	$622	$466	$13.05 – $591	—
Cmplx rpr s/a/l 1.1-2.5 cm Inpatient	13120 CPT	$1,260	$945	$26.45 – $1,197	—
Colonoscopy withintervention Inpatient	7501044497 CDM	$2,996	$2,247	$62.92 – $2,847	—
Com con asthma education Inpatient	S9441 CPT	$59.84	$44.88	$1.26 – $56.85	—
Complex cystometrogram voiding pressure studies Inpatient	51728 CPT	$2,166	$1,625	$45.49 – $2,058	—
Continuous ieop daily Inpatient	94645 CPT	$5,110	$3,833	$107 – $4,855	—
Cpr Inpatient	92950 CPT	$1,165	$874	$24.47 – $1,107	—
CT facet rhizotomy c or t spine bilateral single level Inpatient	64633 CPT	$5,172	$3,879	$109 – $4,913	—
CT lung rf ablation bilateral inc image guide Inpatient	32998 CPT	$24,109	$18,081	$506 – $22,903	—
Ctrl nsl hemrrg pst nasal packs&/cautery subsq Inpatient	30906 CPT	$622	$466	$13.05 – $591	—
Dialysis embo any vein(s) Inpatient	36909 CPT	$24,744	$18,558	$520 – $23,507	—
Drainage mouth roof lesion Inpatient	42000 CPT	$538	$403	$11.29 – $511	—
Emergency room - level 4 withmod Inpatient	99284 CPT	$2,489	$1,867	$52.27 – $2,365	—