Visits & medical services prices at Lakeview Hospital
Bountiful, UT · every code in this section with a posted price and a Medicare benchmark.
105 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Airway Inhalation Treatment (94640) | $361.52 | $361.52 | 1.6× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) | $90.21 | $90.21 | 6.3× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) | $976.87 | $976.87 | 2.6× |
| Car seat/bed test 60 min (94780) | $411.40 | $411.40 | 10.9× |
| Cardiac Stress Tst,Tracing Only (93017) | $2,945.05 | $2,945.05 | 13.5× |
| Cardioversion (92960) | $6,420.06 | $6,420.06 | 9.6× |
| Cbt 1st hour (94644) | $549.82 | $549.82 | 4.1× |
| Chest Wall Manipulation (94668) | $361.52 | $361.52 | 2.7× |
| Color/duplex Doppler, complete (93975) | $937.76 | $937.76 | 3.9× |
| Cont gluc mntr physician/qhp provided equiptment (95250) | $231.30 | $231.30 | 1.7× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) | $1,679.37 | $1,679.37 | 7.6× |
| Cpt initial (94667) | $361.52 | $361.52 | 2.7× |
| Critical care first hour (99291) | $8,519.82 | $8,519.82 | 10.2× |
| Debridement Open Wound 20 Sq Cm< (97597) | $616.80 | $616.80 | 3.0× |
| Dialysis One Evaluation (90945) | $9,947.02 | $9,947.02 | 23.5× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) | $2,628.01 | $2,628.01 | 10.9× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) | $1,666.53 | $1,666.53 | 15.7× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) | $2,628.01 | $2,628.01 | 10.9× |
| Dup-scan xtr veins unilateral/limited study (93971) | $1,666.53 | $1,666.53 | 15.7× |
| Duplex up extrem art bilat (93930) | $1,729.46 | $1,729.46 | 7.2× |
| Duplex up extrem art unilat/ltd (93931) | $1,666.53 | $1,666.53 | 15.7× |
| Echo Heart Xthoracic,Limited (93308) | $1,857.58 | $1,857.58 | 7.7× |
| Echo transesophageal (93312) | $7,264.62 | $7,264.62 | 13.1× |
| EEG awake and asleep (95819) | $2,530.42 | $2,530.42 | 11.6× |
| EEG cerebral death evaluation (95824) | $1,331.81 | $1,331.81 | 3.5× |
| Eeg W/O Vid 2-12 Hr Unmntr (95705) | $945.47 | $945.47 | 4.3× |
| EEG wo vid ea 12-26hr unmntr (95708) | $1,743.86 | $1,743.86 | 4.6× |
| Electrical Stimulation Ea 15 Min (97032) | $112 | $112 | 7.6× |
| Electrocardiogram Tracing (93005) | $420.41 | $420.41 | 7.0× |
| Electroconvulsive Therapy (90870) | $3,655.16 | $3,655.16 | 4.2× |
| Electrophysiology Evaluation (93642) | $4,887.66 | $4,887.66 | 4.0× |
| Emergency Dept Visit Level 2 (99282) | $1,186.20 | $1,186.20 | 7.6× |
| Emergency Dept Visit Level 3 (99283) | $2,244.15 | $2,244.15 | 8.1× |
| Emergency Dept Visit Level 4 (99284) | $3,734.92 | $3,734.92 | 8.8× |
| Er level 1 (99281) range across 2 matching MRF lines |
$71.23–$625.16 | $71.23–$625.16 | varies |
| Er level v (99285) | $5,399.36 | $5,399.36 | 9.0× |
| Esophgl funcj g-esop rflx impd eltrd prolng (91038) | $4,278.37 | $4,278.37 | 11.3× |
| Evaluate pt use of inhaler (94664) | $361.52 | $361.52 | 1.6× |
| Evaluate Swallowing Function (92610) | $553.14 | $553.14 | 6.5× |
| Evaluation of speech fluency (92521) | $211.94 | $211.94 | 1.6× |
| Extracranial Bilat Study (93880) | $2,628.01 | $2,628.01 | 10.9× |
| Group Therapeutic Procedures (97150) | $127.60 | $127.60 | 7.1× |
| Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) range across 2 matching MRF lines |
$3,730.14–$6,325.23 | $3,730.14–$6,325.23 | varies |
| Immunization administration (90471) range across 2 matching MRF lines |
$211.04–$300.50 | $211.04–$300.50 | varies |
| Iontophoresis 15 min (97033) | $127.60 | $127.60 | 6.7× |
| IV infusion hydration each additional hour (96361) range across 2 matching MRF lines |
$415.23–$438.76 | $415.23–$438.76 | varies |
| IV infusion hydration initial 31 min-1 hour (96360) range across 2 matching MRF lines |
$438.76–$1,903.72 | $438.76–$1,903.72 | varies |
| IV infusion ther proph addl sequential to 1 hr (96367) range across 2 matching MRF lines |
$415.23–$438.76 | $415.23–$438.76 | varies |
| IV infusion therapy prophylaxis/dx ea hour (96366) range across 3 matching MRF lines |
$305.21–$438.76 | $305.21–$438.76 | varies |
| IV push initial (96374) range across 4 matching MRF lines |
$478.22–$910.21 | $478.22–$910.21 | varies |
| Lung Function Test (Mbc/Mvv) (94200) | $976.87 | $976.87 | 16.4× |
| Lwr Xtr Vasc Stdy Bilat (93924) | $1,030.69 | $1,030.69 | 4.7× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) | $78.66 | $78.66 | 2.5× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) | $88.74 | $88.74 | 2.4× |
| Methacholine challenge (94070) | $2,858.78 | $2,858.78 | 7.6× |
| Motility study esophagus (91010) | $4,278.37 | $4,278.37 | 11.3× |
| Motion Fluoroscopy/Swallow (92611) | $598.24 | $598.24 | 6.5× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) | $616.80 | $616.80 | 3.0× |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) range across 2 matching MRF lines |
$457.78–$798.81 | $457.78–$798.81 | varies |
| Neuromuscular Reeducation (97112) | $172.72 | $172.72 | 5.3× |
| Newborn resuscitation (99465) | $2,476.74 | $2,476.74 | 3.7× |
| Oral Function Therapy (92526) | $415.45 | $415.45 | 4.9× |
| Orthc/Prostc Mgmt Sbsq Enc (97763) | $172.72 | $172.72 | 3.4× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) | $172.72 | $172.72 | 3.7× |
| Ot eval high complexity (97167) | $518.45 | $518.45 | 5.2× |
| Ot Eval Low Complex (97165) | $345.64 | $345.64 | 3.4× |
| Ot Eval Moderate Complexity (97166) | $432.04 | $432.04 | 4.3× |
| Ot manual therapy 15 min (97140) | $178.63 | $178.63 | 6.4× |
| Ot Prosthetic Training, Each 15 Min (97761) | $172.72 | $172.72 | 4.3× |
| Ot Re-Eval Est Plan Care (97168) | $211.87 | $211.87 | 3.1× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) range across 2 matching MRF lines |
$550.08–$594.09 | $550.08–$594.09 | varies |
| Peripheral arterial disease rehab per session (93668) | $221.30 | $221.30 | 3.7× |
| Phlebotomy therapeutic (99195) | $591.56 | $591.56 | 4.4× |
| Physical Performance Test (97750) | $187.55 | $187.55 | 5.6× |
| Plethysmography (94726) | $976.87 | $976.87 | 2.6× |
| Psychiatric diagnostic evaluation (90791) | $799.10 | $799.10 | 4.4× |
| Pt Eval High Complex (97163) | $509.95 | $509.95 | 5.2× |
| Pt eval low complex 20 min (97161) | $339.96 | $339.96 | 3.5× |
| Pt Eval Mod Complex (97162) | $424.95 | $424.95 | 4.3× |
| Pt gait training 15 min (97116) | $185.77 | $185.77 | 6.4× |
| Pt mechanical traction (97012) | $122.86 | $122.86 | 8.6× |
| Pt Re-Eval Est Plan Care (97164) | $211.87 | $211.87 | 3.1× |
| Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) | $240.93 | $240.93 | 4.0× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) | $455.01 | $455.01 | 2.2× |
| Rom Meas&Reprt Ea Xtr Ex Hand/Ea Trnk Sctj Spi (95851) | $50.23 | $50.23 | 1.9× |
| Self Care Mngment Training (97535) range across 3 matching MRF lines |
$183.52–$198.21 | $183.52–$198.21 | varies |
| Speech sound lang comprehen (92523) | $493.80 | $493.80 | 2.2× |
| Spin/Brain Pump Refil & Main (95991) | $929.40 | $929.40 | 3.0× |
| Spirometry (94010) | $976.87 | $976.87 | 4.5× |
| Surfactant Admin Thru Tube (94610) | $670.28 | $670.28 | 3.0× |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) | $161.43 | $161.43 | 7.2× |
| Ther Ivntj Ea Addl 15 Min (97130) | $161.43 | $161.43 | 7.7× |
| Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) | $180.44 | $180.44 | 4.9× |
| Ther/Proph/Diag Inj Sc/Im (96372) range across 6 matching MRF lines |
$243.05–$359.97 | $243.05–$359.97 | varies |
| Ther/Proph/Diag Iv Inf Init (96365) range across 2 matching MRF lines |
$1,399.29–$1,903.72 | $1,399.29–$1,903.72 | varies |
| Therapeutic Activities (97530) | $176.29 | $176.29 | 5.0× |
| Tobacco Use Cessation Intensive >10 Minutes (99407) | $154.99 | $154.99 | 4.1× |
| Tte w/doppler, complete (93306) | $6,370.39 | $6,370.39 | 11.5× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) | $379.83 | $379.83 | 5.0× |
| Tx/Pro/Dx Inj New Drug Addon (96375) range across 6 matching MRF lines |
$478.22–$936.22 | $478.22–$936.22 | varies |
| Unlisted cardiovascular service/procedure (93799) | $446.12 | $446.12 | 3.4× |
| Upr/L Xtremity Art 2 Levels (93922) | $1,030.69 | $1,030.69 | 7.7× |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) range across 2 matching MRF lines |
$1,030.69–$1,433.22 | $1,030.69–$1,433.22 | varies |
| Vent Mgmt Inpat Init Day (94002) | $4,640.70 | $4,640.70 | 7.4× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) | $2,466.51 | $2,466.51 | 3.9× |
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.