Supplies, drugs & other prices at American Fork Hospital
American Fork, UT · every code in this section with a posted price and a Medicare benchmark.
51 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Antibody treponema pallidum total & rpr ia qual (0064U) | $51.70 | $68.94 | 1.7× |
| Catheterize for urine spec (P9612) | $18.46 | $24.62 | 2.0× |
| Colon ca scrn not hi rsk ind (G0121) | $2,393.66 | $3,191.55 | 2.5× |
| Colorectal scrn; hi risk ind (G0105) | $1,904.45 | $2,539.27 | 2.0× |
| Covid-19 lab test non-cdc (U0002) | $159.92 | $213.23 | 3.1× |
| Diab manage trn per indiv (G0108) | $109.76 | $146.35 | 2.0× |
| Diab manage trn ind/group (G0109) | $49.66 | $66.21 | 3.1× |
| Direct refer hospital observ (G0379) | $728.01 | $970.68 | 1.2× |
| Drug test def 1-7 classes (G0480) | $100.45 | $133.93 | 0.9× |
| Drug test def 15-21 classes (G0482) | $200.30 | $267.07 | 1.0× |
| Drug test def 22+ classes (G0483) | $242.86 | $323.82 | 1.0× |
| Drug test def 8-14 classes (G0481) | $391.03 | $521.37 | 2.5× |
| Eia hiv-1/hiv-2 screen (G0432) | $123.85 | $165.13 | 6.3× |
| Elec stim other than wound (G0283) | $82.04 | $109.39 | 6.5× |
| Elec stim unattend for press (G0281) | $107.42 | $143.23 | 9.2× |
| Esophag muc integ w/eso egd (C9777) | $13,390.98 | $17,854.64 | 3.4× |
| Extracorporeal shock wave muscskel sys nos (0101T) | $81.98 | $109.30 | 0.3× |
| Fecal microbiota prep instil (G0455) | $3,315.12 | $4,420.16 | 3.5× |
| Hbot, full body chamber, 30m (G0277) | $503.33 | $671.11 | 3.6× |
| Hospital outpt clinic visit (G0463) range across 2 matching MRF lines |
$273.23–$894.22 | $364.30–$1,192.30 | varies |
| Insj/Rplcmt Icds W/Substernal Electrode (0571T) | $34,528.28 | $46,037.70 | 1.1× |
| Neuro csf prion prtn qual (0035U) | $1,098.56 | $1,464.74 | 2.0× |
| Njx platelet plasma (0232T) | $437.42 | $583.22 | 1.0× |
| Oth resp proc, group (G0239) | $137.31 | $183.08 | 3.6× |
| Oth resp proc, indiv (G0238) | $59.99 | $79.99 | 2.0× |
| Pathogen test for platelets (P9100) | $604.86 | $806.48 | 10.1× |
| Perc d-e cor revasc chro sin (C9607) | $28,132.88 | $37,510.50 | 1.5× |
| Perq Sacral Augmt Bilat Inj (0201T) | $7,137.28 | $9,516.38 | 1.0× |
| Perq Sacral Augmt Unilat Inj (0200T) unusually low: confirm this is the full procedure |
$2,888.08 | $3,850.77 | 0.4× |
| Perq tcat ther rx dlvr ntrac rx balo 1 maj c art (0913T) | $14,249.05 | $18,998.73 | 1.2× |
| Place device/marker, non pro (C9728) | $2,141.40 | $2,855.20 | 1.5× |
| Prolonged iv inf, req pump (C8957) | $624.52 | $832.70 | 2.9× |
| Prostate biopsy, any mthd (G0416) | $2,527.39 | $3,369.85 | 7.0× |
| Psa screening (G0103) | $96.10 | $128.14 | 5.0× |
| Revasc intra lithotrip-ather (C9766) | $30,348.39 | $40,464.52 | 1.6× |
| Revasc intra lithotrip-stent (C9765) | $26,037.94 | $34,717.25 | 1.4× |
| Revasc intravasc lithotripsy (C9764) | $19,650.86 | $26,201.15 | 1.7× |
| Revasc lith-sten-ath tib/per (C9775) | $37,420.52 | $49,894.02 | 2.0× |
| Revasc lithotr-ather tib/per (C9774) | $26,135.17 | $34,846.89 | 1.4× |
| Revasc lithotr-stent tib/per (C9773) | $20,908.13 | $27,877.51 | 1.1× |
| Revasc lithotrip tibi/perone (C9772) | $15,779.39 | $21,039.19 | 1.3× |
| Revasc lithotrip-stent-ather (C9767) | $37,420.52 | $49,894.02 | 2.0× |
| Screen cerv/vag thin layer (G0123) | $296.42 | $395.23 | 14.6× |
| Sim ang w/prs cath rad emb (C8004) | $36,794.93 | $49,059.90 | 3.1× |
| Syphilis tst non-treponemal antibody ia qual rpr (0065U) | $29.86 | $39.81 | 1.7× |
| Tee w or w/o fol w/cont, mon (C8927) | $4,816.32 | $6,421.76 | 6.1× |
| Therapeutic procd strg endur (G0237) | $112.13 | $149.51 | 3.8× |
| Therapeutic ultrafiltration (0692T) range across 2 matching MRF lines |
$1,300.79–$2,179.40 | $1,734.38–$2,905.86 | varies |
| Trauma respons w/hosp criti (G0390) range across 2 matching MRF lines |
$4,064.68–$5,537.62 | $5,419.58–$7,383.50 | varies |
| Unsched dialysis esrd pt hos (G0257) | $2,108.96 | $2,811.94 | 3.0× |
| Vasc emb/occ w/prs cath (C9797) likely a partial charge, not the full procedure |
$136.27 | $181.69 | 0.0× |
A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.