Visits & medical services prices at Brigham City Community Hospital

Brigham City, UT · every code in this section with a posted price and a Medicare benchmark.

76 codes. Prices are the hospital's own posted facility charges.

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ProcedurePosted cashPosted gross× Medicare
Airway Inhalation Treatment (94640) $361.99 $361.99 1.6×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $49.13 $49.13 3.4×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $1,114.31 $1,114.31 2.9×
Cardiac Stress Tst,Tracing Only (93017) $2,574.48 $2,574.48 11.8×
Color/duplex Doppler, limited (93976) $768.82 $768.82 7.3×
Continuous Pulse Ox (94762) $1,338.70 $1,338.70 10.3×
Cpap Ventilation Cpap Initiation&Mgmt (94660)
range across 2 matching MRF lines
$361.99–$985.22 $361.99–$985.22 varies
Cpt initial (94667) $361.99 $361.99 2.7×
Critical care first hour (99291) $5,574.25 $5,574.25 6.7×
Debridement Open Wound 20 Sq Cm< (97597) $587.77 $587.77 2.9×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $823.78 $823.78 7.8×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $1,228.17 $1,228.17 5.1×
Dup-scan xtr veins unilateral/limited study (93971)
range across 2 matching MRF lines
$823.78–$945.36 $823.78–$945.36 varies
Echo Heart Xthoracic,Limited (93308) $591 $591 2.4×
EEG awake and asleep (95819) $1,739.94 $1,739.94 8.0×
Electrocardiogram Tracing (93005) $506.81 $506.81 8.5×
Emergency Dept Visit Level 2 (99282) $1,133.11 $1,133.11 7.3×
Emergency Dept Visit Level 3 (99283) $2,048.70 $2,048.70 7.4×
Emergency Dept Visit Level 4 (99284) $3,662.45 $3,662.45 8.7×
Er level 1 (99281) $480.62 $480.62 5.6×
Er level v (99285) $4,838.52 $4,838.52 8.0×
Evaluate Swallowing Function (92610) $517.24 $517.24 6.1×
External ECG rec>48hr<7d recording (93242) $361.57 $361.57 9.6×
External ECG rec>7d<15d recording (93246) $361.57 $361.57 9.6×
Extracranial Bilat Study (93880) $1,442.89 $1,442.89 6.0×
Group Therapeutic Procedures (97150) $75.70 $75.70 4.2×
Holter monitor recording (93225)
range across 2 matching MRF lines
$1,444.71–$3,529.53 $1,444.71–$3,529.53 varies
Immunization administration (90471) $271.86 $271.86 3.7×
Iontophoresis 15 min (97033) $106.77 $106.77 5.6×
Irrig Drug Delivery Device (96523) $321.52 $321.52 5.4×
IV infusion hydration each additional hour (96361)
range across 3 matching MRF lines
$307.81–$375.92 $307.81–$375.92 varies
IV infusion hydration initial 31 min-1 hour (96360)
range across 3 matching MRF lines
$715.65–$843.12 $715.65–$843.12 varies
IV infusion ther proph addl sequential to 1 hr (96367) $843.12 $843.12 11.6×
IV infusion therapy prophylaxis/dx ea hour (96366)
range across 3 matching MRF lines
$307.81–$375.92 $307.81–$375.92 varies
IV push initial (96374)
range across 5 matching MRF lines
$251.74–$514.34 $251.74–$514.34 varies
Low frequency non-thermal us (97610) $1,383.51 $1,383.51 6.8×
Methacholine challenge (94070) $1,130.58 $1,130.58 3.0×
Motion Fluoroscopy/Swallow (92611)
range across 3 matching MRF lines
$128.62–$645.93 $128.62–$645.93 varies
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $587.77 $587.77 2.9×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $760.65 $760.65 1.8×
Neuromuscular Reeducation (97112) $151.38 $151.38 4.6×
Newborn resuscitation (99465) $2,993.72 $2,993.72 4.5×
Ot eval high complexity (97167) $454.36 $454.36 4.5×
Ot Eval Low Complex (97165) $324.54 $324.54 3.2×
Ot Eval Moderate Complexity (97166) $389.46 $389.46 3.9×
Ot manual therapy 15 min (97140) $151.38 $151.38 5.5×
Ot paraffin bath (97018) $60.64 $60.64 10.1×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798)
range across 2 matching MRF lines
$310.18–$675.11 $310.18–$675.11 varies
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $13,001.60 $13,001.60 15.0×
Pt Eval High Complex (97163) $454.36 $454.36 4.6×
Pt eval low complex 20 min (97161) $324.54 $324.54 3.3×
Pt Eval Mod Complex (97162) $389.46 $389.46 4.0×
Pt gait training 15 min (97116) $158.33 $158.33 5.4×
Pt mechanical traction (97012) $80.87 $80.87 5.6×
Pt Re-Eval Est Plan Care (97164)
range across 3 matching MRF lines
$300.20–$312.83 $300.20–$312.83 varies
Pulm function test by gas (94727) $452.58 $452.58 2.1×
Remote 30 Day Ecg Rev/Report (93270) $361.57 $361.57 9.6×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $489.82 $489.82 2.4×
Self Care Mngment Training (97535)
range across 3 matching MRF lines
$141.48–$151.38 $141.48–$151.38 varies
Sleep study unattended (95806) $1,126.85 $1,126.85 5.2×
Speech sound lang comprehen (92523) $944.22 $944.22 4.2×
Spirometry (94010)
range across 2 matching MRF lines
$348.22–$730.41 $348.22–$730.41 varies
Standardized Cognitive Performance Testing (96125) $705.53 $705.53 6.9×
Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) $34.01 $34.01 1.5×
Ther Ivntj Ea Addl 15 Min (97130) $32.52 $32.52 1.5×
Ther Px 1/> Areas Each 15 Minutes Massage (97124) $149.47 $149.47 5.0×
Ther/Proph/Diag Inj Sc/Im (96372)
range across 5 matching MRF lines
$257.76–$456.16 $257.76–$456.16 varies
Ther/Proph/Diag Iv Inf Init (96365)
range across 3 matching MRF lines
$715.65–$843.12 $715.65–$843.12 varies
Therapeutic Activities (97530) $151.38 $151.38 4.3×
Tte w/doppler, complete (93306) $3,481.17 $3,481.17 6.3×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $340.64 $340.64 4.5×
Tx/Pro/Dx Inj New Drug Addon (96375)
range across 3 matching MRF lines
$244.35–$267.85 $244.35–$267.85 varies
Upr/L Xtremity Art 2 Levels (93922) $1,343.02 $1,343.02 10.0×
Upr/Lxtr Art Stdy 3+ Lvls (93923) $1,719.07 $1,719.07 7.9×
Vent Mgmt Inpat Init Day (94002) $4,536 $4,536 7.3×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $2,376 $2,376 3.8×

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.