Intermountain Health Park City Hospital — price list

← Hospital overviewVerified from Intermountain Health Park City 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.

82 prices shown.

Service	Code	List price	Cash price	Negotiated range	Allowed (median)
Injection aa&/strd pudendal nerve Inpatient	64430 CPT	$676	$507	$18.25 – $608	—
Abdomen 1st order cath place bilateral Inpatient	36245 CPT	$4,210	$3,158	$114 – $3,789	—
Biliary dilation without stent Inpatient	47555 CPT	$2,570	$1,927	$69.38 – $2,313	—
Bronch including fluor guide; ebus sampling 1/2 nodes Inpatient	31652 CPT	$11,066	$8,299	$299 – $9,959	—
Bronch withbx-needle aspirate Inpatient	3611015997 CDM	$10,872	$8,154	$294 – $9,785	—
Bronch withendobronchial bx Inpatient	3611016197 CDM	$6,095	$4,572	$165 – $5,486	—
Bypass graft revasc bms/ptca/ather initial art/brnch Inpatient	92937 CPT	$30,023	$22,517	$811 – $27,020	—
Cardiac phase ii routine withecg Inpatient	93798 CPT	$275	$206	$7.42 – $247	—
Cardiac phase ii routine without ECG Inpatient	93797 CPT	$264	$198	$7.12 – $237	—
Chemo cns intrathecal withlp Inpatient	96450 CPT	$1,228	$921	$33.14 – $1,105	—
Closed tx monteggia fx dislocation elbow withmanj unilateral Inpatient	24620 CPT	$1,184	$888	$31.97 – $1,066	—
Closed tx radial head/neck fx withmanipulation unilateral Inpatient	24655 CPT	$1,184	$888	$31.97 – $1,066	—
Cltx acetabulum hip/sockt fx without manj unilateral Inpatient	27220 CPT	$554	$416	$14.96 – $499	—
Cltx fem shft fx withmanj withwithout skin/skeletal tracj unilateral Inpatient	27502 CPT	$1,184	$888	$31.97 – $1,066	—
Cltx intr/peri/sbtrchntc femoral fx withmanj bilateral Inpatient	27240 CPT	$1,184	$888	$31.97 – $1,066	—
Cltx medial malleolus fx without manipulation Inpatient	27760 CPT	$554	$416	$14.96 – $499	—
Cltx prx hmrl fx mnpj+-tract bilateral Inpatient	23605 CPT	$1,184	$888	$31.97 – $1,066	—
Compression wrap lwr leg unilateral Inpatient	29581 CPT	$341	$256	$9.20 – $307	—
Control nasal hemorrhage, anterior, complex Inpatient	30903 CPT	$554	$416	$14.96 – $499	—
Conv perc neph cath to nephuretrl cath via exist neph tr bilateral Inpatient	50434 CPT	$12,766	$9,575	$345 – $11,490	—
CT facet rhizotomy c or t spine unilateral single level Inpatient	64633 CPT	$2,586	$1,939	$69.82 – $2,327	—
Cystography injection Inpatient	51600 CPT	$433	$325	$11.70 – $390	—
Deb musc/fascia 20sq cm/< Inpatient	11043 CPT	$1,211	$908	$32.70 – $1,090	—
Dietitian medicaid consult 30 min Inpatient	S9470 CPT	$79.33	$59.50	$2.14 – $71.40	—
Duplex hemodialysis access Inpatient	93990 CPT	$1,016	$762	$27.44 – $915	—
Esophageal dilation without scope Inpatient	7501061197 CDM	$2,116	$1,587	$57.13 – $1,904	—
Flex sigmoid witheus Inpatient	7501064297 CDM	$2,858	$2,144	$77.17 – $2,572	—
Heart muscle spect mult Inpatientapprox. match	78452 CPT	$5,042	$3,781	$136 – $4,538	—
Holter monitor analysis w/ rep 48hr to 7 days Inpatient	93243 CPT	$481	$361	$12.98 – $433	—
Hospice room/board Inpatient	Q5005 CPT	$1,202	$902	$32.46 – $1,082	—