Visits & medical services prices at Lone Peak Hospital
Draper, UT · every code in this section with a posted price and a Medicare benchmark.
97 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) | $212.64 | $212.64 | 1.0× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) | $999.95 | $999.95 | 2.6× |
| Car seat/bed test 60 min (94780) | $477.15 | $477.15 | 12.6× |
| Cardiac Stress Tst,Tracing Only (93017) range across 2 matching MRF lines |
$1,161.89–$1,799.50 | $1,161.89–$1,799.50 | varies |
| Cardioversion (92960) range across 2 matching MRF lines |
$4,211.67–$5,016.93 | $4,211.67–$5,016.93 | varies |
| Cbt 1st hour (94644) | $414.64 | $414.64 | 3.1× |
| Chest Wall Manipulation (94668) | $212.64 | $212.64 | 1.6× |
| Color/duplex Doppler, complete (93975) | $1,795.89 | $1,795.89 | 7.4× |
| Color/duplex Doppler, limited (93976) | $1,795.89 | $1,795.89 | 17.0× |
| Continuous Pulse Ox (94762) | $1,080.16 | $1,080.16 | 8.3× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) range across 3 matching MRF lines |
$300.34–$2,402.72 | $300.34–$2,402.72 | varies |
| Cpt initial (94667) | $241.86 | $241.86 | 1.8× |
| Critical care first hour (99291) | $9,439.64 | $9,439.64 | 11.3× |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) | $1,795.89 | $1,795.89 | 7.4× |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) | $1,010.48 | $1,010.48 | 9.5× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) | $3,780.11 | $3,780.11 | 15.6× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) | $2,241.40 | $2,241.40 | 21.2× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) | $4,271.56 | $4,271.56 | 17.7× |
| Dup-scan xtr veins unilateral/limited study (93971) | $2,140.35 | $2,140.35 | 20.2× |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Bi Std (93985) | $583.68 | $583.68 | 2.4× |
| Duplex Scan Hemodialysis Access (93990) | $261.88 | $261.88 | 2.5× |
| Duplex up extrem art bilat (93930) | $3,508.22 | $3,508.22 | 14.5× |
| Duplex up extrem art unilat/ltd (93931) | $415.80 | $415.80 | 3.9× |
| Echo Congenital Complete (93303) | $5,572.34 | $5,572.34 | 10.1× |
| Echo Heart Xthoracic,Limited (93308) | $1,738.86 | $1,738.86 | 7.2× |
| Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) | $6,441.76 | $6,441.76 | 11.6× |
| Eeg W/O Vid 2-12 Hr Unmntr (95705) | $1,115.14 | $1,115.14 | 5.1× |
| Electrocardiogram Tracing (93005) range across 2 matching MRF lines |
$673.53–$742.28 | $673.53–$742.28 | varies |
| Emergency Dept Visit Level 2 (99282) | $1,457.25 | $1,457.25 | 9.4× |
| Emergency Dept Visit Level 3 (99283) | $2,399.54 | $2,399.54 | 8.7× |
| Emergency Dept Visit Level 4 (99284) | $3,998.26 | $3,998.26 | 9.5× |
| Er level 1 (99281) range across 3 matching MRF lines |
$69.16–$676.26 | $69.16–$676.26 | varies |
| Er level v (99285) | $5,209.36 | $5,209.36 | 8.6× |
| Evaluate pt use of inhaler (94664) | $212.67 | $212.67 | 1.0× |
| Evaluate Swallowing Function (92610) | $600.57 | $600.57 | 7.1× |
| Evaluation of speech fluency (92521) | $323.24 | $323.24 | 2.4× |
| Exercise test for bronchospasm (94617) | $402.53 | $402.53 | 3.0× |
| Extracranial Bilat Study (93880) | $2,549.15 | $2,549.15 | 10.6× |
| F-up/limited tthrc echo congenital car anomaly (93304) | $3,988.88 | $3,988.88 | 7.2× |
| Gastroesophag reflx test w/telemtry ph eltrd (91035) | $5,900.90 | $5,900.90 | 6.8× |
| Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) | $2,144.43 | $2,144.43 | 3.1× |
| Immunization administration (90471) | $275.92 | $275.92 | 3.8× |
| Irrig Drug Delivery Device (96523) | $360.34 | $360.34 | 6.0× |
| IV infusion hydration each additional hour (96361) range across 3 matching MRF lines |
$517.84–$569.61 | $517.84–$569.61 | varies |
| IV infusion hydration initial 31 min-1 hour (96360) | $1,602.94 | $1,602.94 | 7.4× |
| IV infusion ther proph addl sequential to 1 hr (96367) range across 2 matching MRF lines |
$527.42–$569.61 | $527.42–$569.61 | varies |
| IV infusion therapy prophylaxis/dx ea hour (96366) range across 3 matching MRF lines |
$569.61–$735.64 | $569.61–$735.64 | varies |
| IV push initial (96374) range across 3 matching MRF lines |
$1,043.93–$1,199.75 | $1,043.93–$1,199.75 | varies |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) | $84.62 | $84.62 | 2.7× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) range across 2 matching MRF lines |
$95.49–$99.31 | $95.49–$99.31 | varies |
| Methacholine challenge (94070) | $1,132.73 | $1,132.73 | 3.0× |
| Motility study esophagus (91010) | $2,616.43 | $2,616.43 | 6.9× |
| Motion Fluoroscopy/Swallow (92611) | $1,444.48 | $1,444.48 | 15.8× |
| Multiple Sleep Latency Test (95805) | $6,738.17 | $6,738.17 | 7.7× |
| Neuromuscular Reeducation (97112) | $240.05 | $240.05 | 7.3× |
| Newborn resuscitation (99465) | $2,503.82 | $2,503.82 | 3.7× |
| Oral Function Therapy (92526) range across 2 matching MRF lines |
$177.51–$332.66 | $177.51–$332.66 | varies |
| Ot eval high complexity (97167) | $413.88 | $413.88 | 4.1× |
| Ot Eval Low Complex (97165) | $413.88 | $413.88 | 4.1× |
| Ot Eval Moderate Complexity (97166) | $413.88 | $413.88 | 4.1× |
| Ot manual therapy 15 min (97140) | $216.40 | $216.40 | 7.8× |
| Phlebotomy therapeutic (99195) | $350.45 | $350.45 | 2.6× |
| Pm device eval in person (93288) | $501.08 | $501.08 | 13.3× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) | $8,517.53 | $8,517.53 | 9.8× |
| Psychiatric diagnostic evaluation (90791) | $886.03 | $886.03 | 4.9× |
| Pt Eval High Complex (97163) | $426.31 | $426.31 | 4.4× |
| Pt eval low complex 20 min (97161) | $426.31 | $426.31 | 4.4× |
| Pt Eval Mod Complex (97162) | $426.31 | $426.31 | 4.4× |
| Pt gait training 15 min (97116) | $199.82 | $199.82 | 6.9× |
| Pt Re-Eval Est Plan Care (97164) | $288.94 | $288.94 | 4.3× |
| Pulm function test by gas (94727) | $640.62 | $640.62 | 2.9× |
| Pulmonary Stress Testing (94618) | $511.53 | $511.53 | 3.8× |
| Self Care Mngment Training (97535) | $191.69 | $191.69 | 5.9× |
| Sleep study unattended (95806) | $1,258.06 | $1,258.06 | 5.8× |
| Speech sound lang comprehen (92523) | $593.64 | $593.64 | 2.6× |
| Spirometry (94010) | $543.15 | $543.15 | 2.5× |
| Standardized Cognitive Performance Testing (96125) | $1,145.34 | $1,145.34 | 11.1× |
| Surfactant Admin Thru Tube (94610) | $764.20 | $764.20 | 3.4× |
| Temp transcutaneous pacing (92953) | $2,168.21 | $2,168.21 | 3.2× |
| Ther/Proph/Diag Inj Sc/Im (96372) range across 3 matching MRF lines |
$440.69–$506.50 | $440.69–$506.50 | varies |
| Ther/Proph/Diag Iv Inf Init (96365) range across 3 matching MRF lines |
$1,740.50–$2,072.31 | $1,740.50–$2,072.31 | varies |
| Therapeutic Activities (97530) range across 2 matching MRF lines |
$209.04–$233.88 | $209.04–$233.88 | varies |
| Tilt table test with heart rhythm and blood pressure monitoring (93660) | $2,728.40 | $2,728.40 | 7.2× |
| Tobacco Use Cessation Intensive >10 Minutes (99407) | $141.70 | $141.70 | 3.7× |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) range across 2 matching MRF lines |
$148.48–$162.05 | $148.48–$162.05 | varies |
| Tte w/doppler, complete (93306) | $6,159.81 | $6,159.81 | 11.1× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) | $187.52 | $187.52 | 2.5× |
| Tx/Pro/Dx Inj New Drug Addon (96375) range across 3 matching MRF lines |
$1,043.93–$1,199.75 | $1,043.93–$1,199.75 | varies |
| Unlisted cardiovascular service/procedure (93799) | $752.87 | $752.87 | 5.8× |
| Unlisted noninvasive vascular diagnostic study (93998) | $218.59 | $218.59 | 7.5× |
| Vasopneumatic device (97016) | $30.24 | $30.24 | 2.5× |
| Veeg ea 12-26hr cont mntr (95716) | $3,433.45 | $3,433.45 | 3.9× |
| Vent Mgmt Inpat Init Day (94002) | $1,501.71 | $1,501.71 | 2.4× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) | $1,501.71 | $1,501.71 | 2.4× |
| Vital capacity, total (94150) | $398.24 | $398.24 | 3.1× |
| Wheelchair Mgmt Ea 15 Min (97542) | $191.69 | $191.69 | 6.2× |
| Xers tst brncspsm pre&post spmtry&pls ox wo /ECG (94619) | $229.24 | $229.24 | 3.8× |
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.