Lone Peak Hospital

Draper, UT

Posts prices for 33 of the 66 common shoppable procedures we track. Price file retrieved 2026-09-04.

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ProcedurePosted cashPosted gross× Medicare
CT head/brain without contrast (70450) $3,427.98 $3,427.98 32.4×
MRI brain without contrast (70551) $5,257.63 $5,257.63 21.8×
MRI brain with contrast (70552) $5,257.63 $5,257.63 14.9×
MRI brain without and with contrast (70553) $5,858.41 $5,858.41 16.6×
X-ray lower spine, 4+ views (72110) $1,175.59 $1,175.59 11.1×
MRI lumbar spine without contrast (72148) $3,956.58 $3,956.58 16.4×
CT pelvis with contrast (72193) $3,973.62 $3,973.62 22.4×
MRI lower-extremity joint without contrast (73721)
range across 4 matching MRF lines
$888.09–$5,257.63 $888.09–$5,257.63 varies
CT abdomen and pelvis with contrast (74177) $8,489.22 $8,489.22 24.0×
Ultrasound, abdomen complete (76700) $1,513.29 $1,513.29 14.3×
Ultrasound, pregnant uterus (≥14 weeks) (76805) $1,098.19 $1,098.19 10.4×
Ultrasound, transvaginal (76830) $922.87 $922.87 8.7×
Mammography, one breast (diagnostic) (77065)
range across 4 matching MRF lines
$799.17–$885.77 $799.17–$885.77 varies
Mammography, both breasts (diagnostic) (77066)
range across 2 matching MRF lines
$980.09–$1,080.14 $980.09–$1,080.14 varies
Mammography, screening (bilateral) (77067)
range across 2 matching MRF lines
$905.03–$976.24 $905.03–$976.24 varies
Basic metabolic panel (80048)
range across 3 matching MRF lines
$56.92–$274.94 $56.92–$274.94 varies
Comprehensive metabolic panel (80053) $79.44 $79.44 7.5×
Obstetric panel (80055) $540.93 $540.93 11.3×
Lipid panel (80061)
range across 2 matching MRF lines
$67.14–$89.38 $67.14–$89.38 varies
Renal function panel (80069) $65.31 $65.31 7.5×
Hepatic function panel (80076)
range across 2 matching MRF lines
$56.92–$61.46 $56.92–$61.46 varies
Urinalysis, non-automated, without microscopy (81002)
range across 2 matching MRF lines
$94.64–$133.97 $94.64–$133.97 varies
PSA, total (84153) $92.23 $92.23 5.0×
Thyroid stimulating hormone (TSH) (84443) $84.08 $84.08 5.0×
CBC, automated (85027)
range across 3 matching MRF lines
$41.31–$267.90 $41.31–$267.90 varies
Prothrombin time (PT) (85610)
range across 4 matching MRF lines
$27.36–$193.03 $27.36–$193.03 varies
Partial thromboplastin time (PTT) (85730)
range across 3 matching MRF lines
$27.36–$193.03 $27.36–$193.03 varies
Psychotherapy, 30 minutes (90832) $886.03 $886.03 4.9×
Psychotherapy, 45 minutes (90834) $886.03 $886.03 4.9×
Psychotherapy, 60 minutes (90837) $886.03 $886.03 4.9×
Sleep study (attended polysomnography) (95810) $7,719.42 $7,719.42 8.9×
Physical therapy, therapeutic exercise (per 15 min) (97110)
range across 2 matching MRF lines
$191.69–$199.82 $191.69–$199.82 varies
Office visit, new patient (low complexity, ~30 min) (99203) $389.86 $389.86 2.9×

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.

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Download the machine-readable file (JSON, 279.9 MB) ↓ — captured 2026-09-04

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