Intermountain Health Fillmore Community Hospital
Fillmore, UT · Critical Access Hospital
Posts prices for 42 of the 66 common shoppable procedures we track. Price file retrieved 2026-09-04.
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| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Diagnostic colonoscopy (45378) | $1,793.98 | $2,391.97 | 1.9× |
| Transforaminal epidural injection, lumbar/sacral (64483) | $1,217.54 | $1,623.39 | 1.4× |
| After-cataract laser surgery (YAG capsulotomy) (66821) | $984.13 | $1,312.17 | 1.8× |
| CT head/brain without contrast (70450) | $1,355.06 | $1,806.74 | 12.8× |
| MRI brain without contrast (70551) | $2,567.18 | $3,422.91 | 10.6× |
| MRI brain with contrast (70552) range across 2 matching MRF lines |
$2,896.08–$2,992.32 | $3,861.44–$3,989.76 | varies |
| MRI brain without and with contrast (70553) | $3,718.55 | $4,958.07 | 10.5× |
| X-ray lower spine, 4+ views (72110) | $463.49 | $617.99 | 4.4× |
| MRI lumbar spine without contrast (72148) | $2,630.71 | $3,507.61 | 10.9× |
| CT pelvis with contrast (72193) | $2,356.32 | $3,141.76 | 13.3× |
| MRI lower-extremity joint without contrast (73721) | $2,338.43 | $3,117.90 | 9.7× |
| CT abdomen and pelvis with contrast (74177) | $3,214.23 | $4,285.64 | 9.1× |
| Ultrasound, abdomen complete (76700) | $697 | $929.33 | 6.6× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) | $641.09 | $854.79 | 6.1× |
| Ultrasound, transvaginal (76830) | $575.48 | $767.30 | 5.4× |
| Mammography, one breast (diagnostic) (77065) | $515.50 | $687.34 | 6.0× |
| Mammography, both breasts (diagnostic) (77066) | $620.56 | $827.41 | 5.6× |
| Mammography, screening (bilateral) (77067) range across 2 matching MRF lines |
$488.33–$901.82 | $651.11–$1,202.42 | varies |
| Basic metabolic panel (80048) | $41.26 | $55.02 | 4.9× |
| Comprehensive metabolic panel (80053) | $61.09 | $81.45 | 5.8× |
| Obstetric panel (80055) | $205.53 | $274.04 | 4.3× |
| Lipid panel (80061) | $60.28 | $80.38 | 4.5× |
| Renal function panel (80069) | $43.06 | $57.42 | 5.0× |
| Hepatic function panel (80076) | $40.10 | $53.46 | 4.9× |
| Urinalysis, non-automated, without microscopy (81002) | $17.82 | $23.76 | 5.1× |
| PSA, total (84153) | $81.69 | $108.92 | 4.4× |
| Thyroid stimulating hormone (TSH) (84443) | $74.92 | $99.89 | 4.5× |
| CBC with automated differential (85025) | $58.30 | $77.73 | 7.5× |
| CBC, automated (85027) | $43.78 | $58.37 | 6.8× |
| Prothrombin time (PT) (85610) range across 2 matching MRF lines |
$19.55–$75.04 | $26.06–$100.05 | varies |
| Partial thromboplastin time (PTT) (85730) | $19.55 | $26.06 | 3.3× |
| Psychotherapy, 30 minutes (90832) | $95.15 | $126.87 | 0.5× |
| Psychotherapy, 45 minutes (90834) | $236.59 | $315.45 | 1.3× |
| Group psychotherapy (90853) | $83.20 | $110.94 | 0.8× |
| Electrocardiogram (ECG), complete (93000) | $44.68 | $59.57 | 0.7× |
| Left heart catheterization (93452) | $6,651.86 | $8,869.15 | 2.0× |
| Sleep study (attended polysomnography) (95810) | $2,962.78 | $3,950.37 | 3.4× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) range across 3 matching MRF lines |
$82.10–$88.91 | $109.46–$118.55 | varies |
| Office visit, new patient (low complexity, ~30 min) (99203) | $250.51 | $334.01 | 1.9× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) | $250.51 | $334.01 | 1.9× |
| Office visit, new patient (high complexity, ~60 min) (99205) | $250.51 | $334.01 | 1.9× |
| Preventive visit, new patient (age 18–39) (99385) | $197.03 | $262.71 | — |
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.
As a Critical Access Hospital, Medicare pays this facility about 101% of its own costs. The × Medicare column compares the cash price against that cost-based benchmark, not a standard rate.
More prices at this hospital
- Imaging: 367 codes with posted prices and Medicare benchmarks
- Lab & pathology: 922 codes with posted prices and Medicare benchmarks
- Visits & medical services: 256 codes with posted prices and Medicare benchmarks
- Procedures & surgery: 670 codes with posted prices and Medicare benchmarks
- Supplies, drugs & other: 45 codes with posted prices and Medicare benchmarks
Get the raw price file
Download the machine-readable file (ZIP, 3.9 MB) ↓ — captured 2026-09-04
File links point at the hospital's own hosting and sometimes rotate — if the download fails, use the hospital's transparency page.