Supplies, drugs & other prices at Lakeview Hospital
Bountiful, UT · every code in this section with a posted price and a Medicare benchmark.
25 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Adm tocilizu covid-19 1st (M0249) | $607.50 | $607.50 | 1.4× |
| Admin hepatitis b vaccine (G0010) | $201.93 | $201.93 | 4.3× |
| Admin influenza virus vac (G0008) | $196.74 | $196.74 | 4.1× |
| Admin pneumococcal vaccine (G0009) | $196.74 | $196.74 | 4.1× |
| Covid-19 lab test non-cdc (U0002) | $72.09 | $72.09 | 1.4× |
| Diab manage trn per indiv (G0108) | $275.66 | $275.66 | 4.9× |
| Diab manage trn ind/group (G0109) | $137.84 | $137.84 | 8.6× |
| Direct refer hospital observ (G0379) | $223.65 | $223.65 | 0.4× |
| Drug test def 1-7 classes (G0480) | $231.68 | $231.68 | 2.0× |
| Drug test def 22+ classes (G0483) | $342.93 | $342.93 | 1.4× |
| Drug test def 8-14 classes (G0481) | $268.79 | $268.79 | 1.7× |
| Elec stim other than wound (G0283) | $99.13 | $99.13 | 7.8× |
| Hbot, full body chamber, 30m (G0277) | $1,088.24 | $1,088.24 | 7.8× |
| Lev 1 hosp type b ed visit (G0380) | $711.22 | $711.22 | 9.5× |
| Lev 2 hosp type b ed visit (G0381) | $849.07 | $849.07 | 9.0× |
| Lev 3 hosp type b ed visit (G0382) | $1,177.58 | $1,177.58 | 6.8× |
| Lev 4 hosp type b ed visit (G0383) | $1,475.38 | $1,475.38 | 5.5× |
| Lev 5 hosp type b ed visit (G0384) | $2,223.74 | $2,223.74 | 5.3× |
| Mra w/cont, abd (C8900) | $6,073.60 | $6,073.60 | 17.2× |
| Mra w/cont, chest (C8909) | $2,507.80 | $2,507.80 | 7.1× |
| Mra w/o cont, abd (C8901) | $4,640.27 | $4,640.27 | 19.2× |
| Psa screening (G0103) | $378.28 | $378.28 | 19.6× |
| Tomosynthesis, mammo (G0279) | $89.10 | $89.10 | 7.0× |
| Trauma respons w/hosp criti (G0390) range across 2 matching MRF lines |
$5,316.03–$10,632.06 | $5,316.03–$10,632.06 | varies |
| Unsched dialysis esrd pt hos (G0257) range across 2 matching MRF lines |
$2,426.67–$3,662.32 | $2,426.67–$3,662.32 | varies |
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.