Intermountain Health Utah Valley Hospital — price list
← Hospital overviewVerified from Intermountain Health Utah 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.
92 prices shown.
| Service | Code | List price | Cash price | Negotiated range | Allowed (median) | |
|---|---|---|---|---|---|---|
| Anesthesia per minute Inpatient | 3701005597 CDM | $12.12 | $9.09 | $0.17 – $10.91 | — | |
| Angio intracranial withstent Inpatient | 61635 CPT | $3,058 | $2,294 | $42.81 – $2,752 | — | |
| Apply long leg splint Inpatient | 29505 CPT | $292 | $219 | $4.09 – $263 | — | |
| Apply splint finger (dynamic) Inpatient | 29131 CPT | $163 | $122 | $2.28 – $146 | — | |
| Bronch withendobronchial bx Inpatient | 3611016197 CDM | $7,379 | $5,534 | $103 – $6,641 | — | |
| Bypass graft revasc bms/ptca/ather initial art/brnch Inpatient | 92937 CPT | $31,472 | $23,604 | $441 – $28,324 | — | |
| Cath placement aorta translum Inpatient | 36160 CPT | $1,350 | $1,013 | $18.90 – $1,215 | — | |
| Closed tx radial shaft fracture withmanipulation Inpatient | 25505 CPT | $1,625 | $1,219 | $22.75 – $1,463 | — | |
| Closed tx talotarsal joint dislc without anes bilateral Inpatient | 28570 CPT | $643 | $482 | $9.01 – $579 | — | |
| Clsd tx clavicular fracture without manipulation Inpatient | 23500 CPT | $643 | $482 | $9.01 – $579 | — | |
| Cltx dstl rdl fx/epiphysl sep withmanj when perf Inpatient | 25605 CPT | $1,625 | $1,219 | $22.75 – $1,463 | — | |
| Cltx post hip arthrp dislc req anes unilateral Inpatient | 27266 CPT | $584 | $438 | $8.18 – $526 | — | |
| Cltx scap fx withmnpj +-tractj bilateral Inpatient | 23575 CPT | $1,625 | $1,219 | $22.75 – $1,463 | — | |
| Cltx sprcndylr/transcndylr humeral fx withmanj unilateral Inpatient | 24535 CPT | $1,625 | $1,219 | $22.75 – $1,463 | — | |
| Com con asthma education Inpatient | S9441 CPT | $77.67 | $58.25 | $1.09 – $69.90 | — | |
| CT facet rhizotomy c or t spine unilateral single level Inpatient | 64633 CPT | $3,042 | $2,282 | $42.59 – $2,738 | — | |
| Defib transvenous analysis withrpgm Inpatient | 93289 CPT | $104 | $78.09 | $1.46 – $93.71 | — | |
| Desflurane anesthesia gas per minute Inpatient | J3490 CPT | $4.39 | $3.29 | $0.06 – $3.95 | — | |
| Dialysis embo any vein(s) Inpatient | 36909 CPT | $29,111 | $21,833 | $408 – $26,200 | — | |
| Duodenal manometry Inpatient | 91022 CPT | $3,118 | $2,339 | $43.65 – $2,806 | — | |
| Dx bronchoscopy withlavage Inpatient | 3611058297 CDM | $13,161 | $9,871 | $184 – $11,845 | — | |
| EGD withwithout brushing Inpatient | 7501059997 CDM | $1,827 | $1,370 | $25.58 – $1,644 | — | |
| Emergency room-level 1 Inpatient | 99281 CPT | $1,091 | $818 | $15.27 – $982 | — | |
| EMG 1 extremity Inpatient | 95860 CPT | $577 | $433 | $8.08 – $520 | — | |
| Evoked auditory tst complete Inpatient | 92558 CPT | $215 | $161 | $3.01 – $194 | — | |
| Flex sig addl intervention Inpatient | 7501063597 CDM | $3,543 | $2,657 | $49.60 – $3,189 | — | |
| Flex sig withwithout brushing Inpatient | 7501064097 CDM | $1,409 | $1,057 | $19.73 – $1,268 | — | |
| Fna w US guidance; each additional Inpatient | 10006 CPT | $1,154 | $865 | $16.16 – $1,039 | — | |
| Full trauma activation Inpatient | G0390 CPT | $13,247 | $9,935 | $185 – $11,923 | — | |
| Guide nerv destr needle EMG Inpatient | 95874 CPT | $338 | $253 | $4.73 – $304 | — |