Supplies, drugs & other prices at Lone Peak Hospital
Draper, UT · every code in this section with a posted price and a Medicare benchmark.
28 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 2d tte w or w/o fol w/con,fu (C8924) | $6,663.09 | $6,663.09 | 18.9× |
| Adm tocilizu covid-19 1st (M0249) | $486 | $486 | 1.1× |
| Admin hepatitis b vaccine (G0010) | $232.26 | $232.26 | 4.9× |
| Admin influenza virus vac (G0008) | $211.14 | $211.14 | 4.5× |
| Admin pneumococcal vaccine (G0009) | $255.50 | $255.50 | 5.4× |
| Behavior counsel obesity 15m (G0447) | $289.05 | $289.05 | 2.8× |
| Covid-19 lab test non-cdc (U0002) range across 4 matching MRF lines |
$42.34–$154.27 | $42.34–$154.27 | varies |
| Diab manage trn per indiv (G0108) | $319.30 | $319.30 | 5.7× |
| Direct refer hospital observ (G0379) range across 3 matching MRF lines |
$160.41–$769.23 | $160.41–$769.23 | varies |
| Drug test def 1-7 classes (G0480) range across 2 matching MRF lines |
$118.43–$466.06 | $118.43–$466.06 | varies |
| Drug test def 15-21 classes (G0482) | $968.03 | $968.03 | 4.9× |
| Drug test def 22+ classes (G0483) | $1,254.86 | $1,254.86 | 5.1× |
| Drug test def 8-14 classes (G0481) | $717.08 | $717.08 | 4.6× |
| Fecal blood scrn immunoassay (G0328) | $157.50 | $157.50 | 8.7× |
| Lev 1 hosp type b ed visit (G0380) | $458.41 | $458.41 | 6.1× |
| Lev 2 hosp type b ed visit (G0381) | $527.90 | $527.90 | 5.6× |
| Lev 3 hosp type b ed visit (G0382) | $599.58 | $599.58 | 3.4× |
| Lev 4 hosp type b ed visit (G0383) | $671.32 | $671.32 | 2.5× |
| Lev 5 hosp type b ed visit (G0384) | $740.83 | $740.83 | 1.8× |
| Mra w/cont, abd (C8900) | $6,046.37 | $6,046.37 | 17.1× |
| Mra w/cont, chest (C8909) | $2,078.63 | $2,078.63 | 5.9× |
| Mra w/o fol w/cont, abd (C8902) | $6,046.37 | $6,046.37 | 17.1× |
| Mri w/o fol w/cont, breast, (C8908) range across 2 matching MRF lines |
$4,301.16–$4,763.43 | $4,301.16–$4,763.43 | varies |
| Psa screening (G0103) | $335.24 | $335.24 | 17.4× |
| Tomosynthesis, mammo (G0279) | $96.88 | $96.88 | 7.6× |
| Tte w or w/o contr, cont ecg (C8930) | $7,037.20 | $7,037.20 | 8.9× |
| Tte w or wo fol wcon,doppler (C8929) | $7,906.68 | $7,906.68 | 10.0× |
| Unsched dialysis esrd pt hos (G0257) | $2,721.47 | $2,721.47 | 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.